HomeMy WebLinkAbout30141804 - Permit (2)Proiect Address: 3401 W Seqerstrom Ave
Assessor'sParcel: 414-131-40 Lot: POR 1
Unit:
Block:NA
Btdg:
Tract 10't3
Address Range:
Historic: No
Suite Range:
Zoning: Ml
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714),667-2738 lnspectorSection: (714)647-5853 hY
Permit #:3lJ1418o,4
Pin #: 541t4
Owner: Alere Property Group, LLC
Address: 100 Bayview Place #310
Newport Beach, CA 92660
Phone: (714) 559-6817
Tenant Name: Rich's Foods
Contractor: American Contractors lnc
Address: 404 W Blueridge Ave
Orange, CA 92865
Phone: (7141 282-5700
State Lic #: 309863
Lic Type: C-36, C.42, C-34
Bus. Lic #: 160371
Workers' Compensation lnsurance:Carrier: lnsurance Company of the West
Policy #: WSD503141204
Expires: 'lOlO1l2O2O
01 I 1 6002 51 602
01 1 1 6002 51 602
01 1 16002 51600
01 1 1 6002 51 602
01116002 57770
Fee Type
Sewer Alter/Repair
Min Fee Adj
General Plan Update
lssuance
Microfilm Records
Amount
46.25
26.1 0
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$46.25
$26.1 0
$22.95
$57.20
$3.91
t22. ?5
t3. ?1
t1?9.55
tt56.41
6sisir!:35?i, - iii5i202il I0: omoroleslS
0if ice: iTfii Trur:i; 32 1 of IAccti; Reii: 30141804
ftcpti:0Z8ri57iri - iii'ri?0.z(r 1l:t19 All
Tnonsoct ion Toioi t156.41
Htter icon torrLruuLurr irrr-
Generoi Pion ijpciote Fncrliiiti0u2- Siannuun-
ri icrof i ir A Oocurenl>riiiio0uZ- 5777nn0t-
Piurb i ns
r.ri i i6rtt2- 5ioilnnn-
i(.L iheck ii75t;
Notes: lnstallation of a sewer manhole for sampling.
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
oavfu 0'U15t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lndustrial
Miscellaneous
Alter Sewer
Chavez,
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
IIIB, SPK
cPc 2019
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the wo* authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-157106
01116002 51600
01 1 16002 51602
01116002 57770
$22.95
$129.55
$3.91
Fee Total:
Paid to Date:
Balance Due:
$156.41
$0.00
$1s6.41
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS o\\'Nl:R RUIl,l)llR l)F:1,( ARAI loN
Busincss and l,rol'tssiur (irclc): Any ( it) or (o[nl\.\\hich rcquircs a lxnnil lo c(\ilslnrcl. allcl'. inrflo!c. dernolish or rqrair anv
applicailt for a pcflilil subjccls lhc al)plicilnl lo a civil pcilallY ol trol nxrrc lhan fltc hln(hcd &rllars ($500).
salr).
ail(l who (onlracls fo'such proiccts N'itll i (i)rnmckn(s) li(cnscd pursuanl lo lhc (innrnclor's l,icense l.nw).
I arn cxcnlpl uDdct Scclirln . ll. & P ( . Irrr lhis rcason.
Ownrrilhlc:
\\Olikl'lllS'( ONtl'lrNS,\ l l()N
t)t,,( t.Att^ IloN
I hereby allirnr unclcr pcnally ofpsiutJ one ofthc folloN'in!. dcclnralions:
lhaverurrlrvillnraintainn('ellificalcof(irnscnlloscll:lnsurclirr\llrrkqs compeilsalion..s plt\idedforbySeclionlT00ofthe
l-atx\r (ixle. for lhe ptlforntance oflhe \\'ork for \\'l]ich lhe petnil is issucd.
@*\haveantllill rilainlair!$lt'kcrs conrsrsationinsuran(c.as requiredbySdionlT00ofthel-abor('ocie.forlhepofomlanceof
lhc \r(nk for \\'hich lhis pcnnit is issue{. My $okos' conlfensalion instrrance caricr and fxrlicy nuntber oe:
c",,i., , gt\< (otlQ[$\ gF
P"li"yNrrbo, ' rJSD S63l +lL 6
{ce-I UET
li\l)ires:
.lb D1
_l ccnify thsl in thc pcrfomancc of thc uork for which this psmit is issued. I shall not mploy any pq$n in a[y manncr
$ I to bccomc subjct to lhc sork6' compdsation laws of Califomia. and 88rc thar if I should bccome subjcr to thc
rvod<m' compqration prcvisiom of Sation 3700 of thc Labor Code I shall. fonhuith comply wilh thor prcvisiom..
and
lhc
I hreby aflinn unds psahy of pqjury thal I an licenrd unds [ror ision of Chaptr 9 (commmcing Nilh Seclion 7000) of Diviriotr 3
of thc Busine md Profsioro Codc. and my licmsc is in full force and effet.
I-i".*.t'tu*', ' !-9- l-icmse Number: ' 3O9Bb3
( ()\\ I Rl ( I t()\ l.l \l)l\(; \(;1.\( \
I hocby affm unda Jrnaltyof pcjurythat th6c is a consruction lmding agocy forthcpafommcc ofthcwort for which thispsmh b
issuctl (Scc 1097. ( iv. ( .).
[-en(ler's Nnn)c:
Lodo's Addrs:
APPLICANT DECLARAIION
I hoeby amnn unds penalty of pcrjury one of the f()lloNing declarations:
Dernolition Permits-Asbeslos Nolification lreddal Regulatioils (-fille 40. Parl6)
Rcquired l-etler of Nolifi cation
0{',
-l ccniry thal ihc fcdsal rcgul8tions rcguding cbctos ranoval are not spplicablc to this projcct.
cstify thst I havc rcad thb applicalion ild slatethat lhc abovc corect. I agrE lo comply with all City and County
ordinancs and Slatc I-aNs relaling to building construclion.of this Ciry md County lo ml( upon lhe
.1D2D
\\.rt
o",", t t'l5
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Cla rifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler ,A
Sanitary Sewer/Cap 2-E"7ro V.llJ/ltJ\lprl€ AdX
Back Flow Device \-/
Rouqh Plumbing
Final Gas Test
Meter Release /r\
FINAL 2-\fi,24 rru
subjat
,",", '-la,$.152rY2D
I
Appllcrnt or Agent Signature:y'
Pemitenlme(prltru, DC Ffan ci 9co