HomeMy WebLinkAbout30121536 - Permit (2)Project Address: 4 E Hutton Center Dr
Assessor'sParcel: 411-092-30 Lot: NA
suite: 1000
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning:SD76
Bldg:
Tract: NA
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 *: 3O,12{S(f
lnspector's Section: (714) 647-5853 Y
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone
Legacy Partners
4 E Hutton Center Dr
Santa Ana, CA 92707
(71415454976
The Credit Exchange
GTI Commercial Contract
25801 Obrero #5
Mission Viejo, CA 92691
(949) 583-9300
State Lic #: 480519
Lic Type: B, A
Bus. Lic#: 0169201
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: t38i07o-2005
Expires: 12101!2007
Botch+:2796 - O5722/Ol ID: 6GSNZALEZ0ffice: CTYH Tronsi: 3l { of 6Acct*: Refi: 30121536
Rcpti:00138904 - 1/22/2frO7 11122 An
Tronsoction Totol 11t376.64PllB (ontroctor
GTI Comenciol Contrsctors
Plunb i ns
Check 5106
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
TI
Occupancy;
Constr Type:
Code:
Date:
Date:
Date:
B
I-F.R. SPK
cPc 2001
05t22t2007
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Notes:
Fee Total:
Paid to Date:
Balance Due:
MID#: 2007-75807
Verduzco, vioreN{
6q4bBuilding Permit
This permit shall expire by limitation and become null and void if the work authoized by this permit
is not commenced within 180 days from the date of this permit, or if the work authoized by this
permit is suspended or abandoned at any time after the work is commenced for a peiod of 1 80 days.
Before such work can be rccommenced, a new permit shall be first obtained to do so.
Account#: 011-01-5912 lnspector
Fee Type
Sink
Garbage Disp
New Sewer
lssuance
Amount
8.55
8.55
24.75
34.00
Qty
1.00
1.00
1.00
1.00
$75.85tl t376.64
Fee
$8.55
$8.55
$24.75
$34.00
$75.85
$0.00
$75.85
PLUM BING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Oms-Buildq Dshatior
I hcrcby affirm undcr pcmhy of perjury d[t I m dcmpt form thc Conrnctort' Liccilc hw for thc following roon (se.7031.5 Buincr
md Profsrion Codc): Any City or County which rcquile a p$mit to @BtruG, ahs, improvg dcmolirh or rcpri, my sructuc, prior to it!
issun€, rbo r.qut6 the rpplient for such psmit to file r 3igncd rtrtmcnt d[t hc or 3hc is liccrocd purswt ro thc prcvilioa of thc
Conmdor'r Liercd hw (Chrpt6 9, CommctrcinS with Selion 7000 of Divilion 3 of thc Buiaor ud ProfalioB Codc) or dBt hc or
thc i! dcmpt rhdcfrom rnd thc be!i! for thc rllcgcd ccmption .Any violstion of Sction 7031.5 by uy rppliu! for r pmir lubjcct! th!
sppliqnt to s civil peulty ofnot morc thln fivc hundrcd douln ($500).
_1, I omcr of thc propcrty, or my cmploye with wagc as thct rolc smpcilatior! will do thc work and thc ,tructuc ir mt iiladcd
or offcrcd for sale ( Src.7044, Buinss End Profcrsions Codc: Thc Conusctor't LieBc Lrw do* not apply to m omr ofthc propeny
who builds or improve thooq aad who doc ruch work hiruclf or hanclf or tlrough hic or hcr om cmployc, providcd thrt tuch
improvcmenB are not intcndc! or offqcd for sle. If, howcB, thc building or improvcmcnt i! told whhin onc y@ of omplstior\ thc
Omcr.Builder will hEvc thc burdcn of provinS thst hc or ihc not build or improvc for thc purposc ofslQ.
_1, u omer of thc propcny, rm qclurivcly ontrding with liccrued onhdoru to @Etrud thc prcjcct ( Se. 7M4, Buinsr ud
Profe$ion Codc Thc Contn6or's Li@roc law do6 not lpply to u oma of propcty who builds or implovq thd6n , ud who
@nmm for such projccb with a Contrsctor(s) liccnscd purrunt to thc Contractor's Liccnsc lrw.).
_l sm cxcmpt undcr S€tion & P.C. for thi! rson.
Drtc: Omcr:
W
I hucby afrum undcr pcmhy ofpcrjury onc ofthc following dcclantioro:
_I hrrc sd will mintrh r Ccnfiiltc of Corocnt o Sclf-Irouc for worko' ompcutioq u provided for by Scction 3700 of thc
hbor Codg for thc prforrone of thc work for which thc pomit is irlucd.
_l havc and will maintlin workd' @mpcmtion insurEncc, u rcquircd by Sceion 3700 of thc kbor Codq for thc pafomne of the
work for this permit i! issued. My @mpcnstiotr iruurane erricr and policy numbcr arc:5
Policy 1 o 1 l-L- l-oa
(Thh lcstion not bc @mplctcd if thc porit i, fo, On. hundr.d do[.. 1$l Oq oi fo4 - \
_I @nify thlt in thc performne of the work for which rhit pcrmit i! i!!uad, I shrll not mploy any pmon in rny mmcr to s to
became subjcd to thc workcrs ' @mpctrsstion lsws ofCslifornia, md tht if I should becomc lubject b thc workcru'
compcnstion provisiont ofScdion 3700 ofthc hbor Codc, I shall,provisions.
-1_tu-11
WARNING: Fsilurc to ssurc workcrs'
fine up to onc hundred thousnd dollars
@mpcBrtion
($l 00,000),in
covcngc is unlawful, md
addition to thc cost of compcution,
the labor Code, intcrert and anorney's fce.
LICENSED COT{TRACTORS DECLARATION
I hcrcby affirm undcr peuhy ofpcrjury that I m liccnicd undq provirion ofChaptcr 9 (ommcncing with Scaion 7000) ofDivirion 3 of
thc Butincs! and ProfsrioN Codc, End my liccroc is in full force ud cffcct.Dlg) 5\Liccroc Clals:VB Liccnsc Numbct
Datci \6fi (-l r"\^,( d:-
CONSTX.UCNON LEIYDING AGEIICY
I hscby aflum cnd6 pc8lty of ptrjuy thlt thqc i! s @6truc1ion hnding rgcncy for $. psfomnc of thc work for w{rich thir pemh ir
isucd (Sc. 3097, Civ. C.).
l*nds'r Nrmc:
Lcndcr'r Addrcss:
APPLICANT'S DECLARATION
R.guhtions (Thle 40, Psn 6)Dcmolition Permitr-Aibcator Notification Fedcrsl
_ Rcquircd ldtd of NorifiorioD
_l ccrti$ ttut thc fedcnl rcguhtions regarding sbsto! rcmoml arc not applioblc io thir projca.
_ I ccrtiry tirr I lLvc rad this eppliction snd ilstc dlt thc lbow hformtion i! 6ret I sgr6 to smply with rll Cilty rnd Couaty
ordiruncs rnd Stltc hw rolating to building corotsclion, snd hcrcby ruthorirc rcprccntltivcr of this City lnd Couty to 6tq upon tho
rbovc mcntioncd
Appliqot or agcnt
oo -2)Pcrmitte mmc (print):
purposcs.
a,
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-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing '.'11'07 ,rt*
Final Gas Test
Meter Release
FINAL 6,//111 .%rt;
Notes, Remarks, Etc.