HomeMy WebLinkAbout30127557 - Permit (3)city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714)667-2738
Plumbing permit#:301275
lnspector's Section: (7 1 4) 647 -5853
Project Address: 4 E Hutton Center Dr
Assessor's Parcel: 41 1-092-30 Lot: NA
unit 1000
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning:SD76
Owner:
Address:
Phone;
Tenant Name:
,ontractor:
\ddress:
)hone:
Birtcher Anderson Realty Management
4 E Hutton Center Dr, Suite 330
Santa Ana, CA 92707
(714) 850-1703
Sterns Lending
Crew Builders lnc
5191 Cornerstone #101
San Diego, CA92121
(858) 587-0900
01 1 16002 51602
01116002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
FeeType Amount
Water Piping (Each 100 36.80
Revision 207.25
Min Fee Adj 23.85
GeneralPlan Update 18.25
lssuance 45.50
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$36.80
$207.25
$23.85
$18.25
$45.50
i State Lic #: 753428
Lic Type: B
Bus. Lic #: 332227
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 7600001803111
Expires: 0410212012
?1943
rn Tot
Building Use: High-Rise Commercia!
Job Type: Revision
Nature of Work: Revision
Planning Conditions: lnterior Ti Only
Occupanry:
Constr Type:
Code:
Date:
Date:
Date:
B
I A, SPK
cPc 2010 Notes: Revision to 30127389 - addition of plumbing lines in
break room & copy/coffee room
Planning Approval
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Kiker, Kraig
Amsden, Julie
02t02t2012
02t09t2012
Account#
Misc. Receipt: 58687
Misc. Receipt:
Misc. Receipt:
Total$
1 01 73959 $18.25
$1 06.1 5
Fee Total:
Paid to Date:
Balance Due:
$331.65
$207.25
$124.40
01 1 16002 51600
01116002 51602Every permit lssued shall become invalid unless the work
on the site authoized by such permit is commenced within
180 days after its issuance, or if the wofu authoized on the
site by such permit is suspended or abandoned for a peiod
d 180 days afterthe time the wo* is commenced.
lnspector MID#: 2011-100593
Owner-Builde, Dccl8ration
I hacby affum undr pcuhy of pcrjury tlut I m acmpt form thc Contactoru' Lieroc lrw for the following roon (se.7031.5 Bwinqr
ud ProfBsion Codc): Any City or County which requtc a pcrmit to @nstrucl, alt6, improvq dcmolish or rcprir uy structuc, prior to ia
issune, also rcquira thc appliont for such pqmit to filc a ligtrcd ltrtmcnt thst hc or shc is liceucd punwt to rhc provirioc of th€
Contrsctor'! Li@6cd lrw (Chsptq 9, Commcndng with S@tion 7000 of Divilion 3 of thc Buiner and Profqsioro Codc) or that he or
she i5 qcmpt thqcfrom rnd thc b.si! for thc 8llcgcd qemption .Any viohtion of S@tion 703 1.5 by any .ppliont for a permh rubjc* rhc
sppliqil to r civil peulty ofnot morc thrn fivc hundrcd dollars ($500).
-1,
8s oMcr of thc property, or my cmploya with mgc $ thcL solc @mpcn$tior\ will do thc work md the rtrudurc is not intqded
or offercd for $lc ( S@.7044, Bulin6i and Profc$ion! Codc: Thc Conll.clor's Licsc lrw doB not rpply to u om6 of the prop€fty
who builds or improv6 therco[ ud who doo ruch work himself or harclf or tkough his or hcr om cmploye, providcd thar ruch
improvcmcoG rc not intcndcd or offscd for slc. If, howevq, thc building or improvcmcnt it sold wihin onc yar ofcomplaio4 thc
Omcr-Buildcr will hrvc thc burdcn ofprovinS rlEt hc or shc not build or improv. fo, the purpose ofslc).
_1, 6 omcr of thc propsty, sm dclusively ontracing with liccNtrd @ntrlclor6 to @Ntruct rhc proj@t ( Ss. 7044, Buinss ud
Profsioo Codc: Thc Contndor's Liemc hw do6 not lpply to rn oMd of propsty who buildr or improva thcr@n , cnd who
contrEcB for cuch projctr with a Contraaor(!) liccolcd pur6urnt to thc Contrrctor's Licenlc l{w.)
_l am cxempt undcr Smion _& P.C for this rason
Date ( )s ncr
WORKERS COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_l have and will maintain a Certifiete of Co$ent lo Self-lNure fo. workers' compensation, as provrded for by Scction l7o, of the
t:bor Code, for the performance ofthe work for which the permit is rssued
_l have rnd will mrintlin workct!' @mpcution insur.tre, 6 rcquircd by Scction 3700 of thc bbor Codg for thc pcrformr e
work for which this pcrmit is issued. My workcrs' compcmtion inlurane enicr and policy number arc:
ofthe
\
Crrrier: _ _
1co6s od/qrln anPolicy
(This srction nced not bc complctcd ifthe permit is fo. One hundred dollars {S100) or lqs)
-l
cenify thrt in thc pcrformance of the work for which this p€rmit is isrucd, I shall not mploy any pason in any mrnner ro a! to
beamc subject to thc workers ' ompcnstion hwE ofCslifornia, rnd agre that ifl rhould becomc subjea ro the workcrs'
competr$tionprovisionsofSation3700ofthet borCodqIshall,fonhwithomplywiththoscprovisions.
WARNING: Failure to s@utc workcrs' @mpcrostion @vcrrgc is unlawful, and rhall cubjct rn cmploycr to oiminal pcultio and civil
fine up to one hundrcd thousrnd dollarr ($100,000).in addhion to thc ost ofompcnsltion, d!rog6 I providcd for thc Scciion 3076 of
lhe lrbor Code, interGt and rttorney's feq.
LICENSED CONTRACTORS DECI.ARATION
I hcrcby aIfirm unda pculty ofpcrjury thlt I m lieNrd undcr provirion ofChapto 9 (@mmencing with Scction TOOO) ofDivision 3 of
thc Bsin$s and ProfssioB Codc, snd my liccme is in full fore and effa.
t.iceueclass R Cfc-sS
-t.i".n".N"^v",
15.A!l LA
C vv,,lR,.. lr]ter < l.nnDate:4J
CONSTRUCTION LENDING AGENCY
I heeby affrrm undcr p.Ehy of p€rjury that there is a @Etruction lcnding agency for thc performnce ofthe work for which this pcrmit is
issued (Sec. 3097, Civ. C.)
l-ender's Nrme
I-ender's Address
APPLICANT'S DECLANATION
Demolition Ptrmits-Asbcator Notification Fcdcnl Rcgulrtions (Thlc 40, Pan 6)
_ Rcquircd Laro of Notifiqtion
_l ertify thst thc fcdcr!l ,cgulatioa regdrding rsbetos removal are not applioble to thi! project
_ I certify thlt I hsve rad thir applietion rnd state tlut the rbove irformation is corrrcl. I igrce to @mply wi$ rll City and Counry
ordimncq and Statc lJw rclrting to building @Etruction, .nd hcrcby ruthorizc reprscntltivcs ofthis City and County to enter upon thc
above mentioned propcrty for PUrPoSeS.
Applionl or agent sig
Permitte mmc (print):Lnc.^s uJalb
APPROVALS DATE ID/S!G.COMMENTS
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary SeweriCap
Back Flow Device
Rough Plumbing ?-\\Ll\ \M
Final Gas Test l't I
Meter Release
,//r\)FINAL {lE/ / |
Notes, Remarks, Etc./ 'l '-:
M:\WP51\P6rmit-lnspection Foms\Plumbin0-lnspector
PLUMBING-INSPECTOR RECORD
Date z-/ql-,_-tpptio,r., Lvzcrs {ll.) -114,
-o,r" 46//fi-