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Home My WebLink About30140678 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing PermitCounter (714)647-5800 lnspection Requests (714)667-2738 lnspector Section: (714)647-5853 ff? Permit #: 3O{4O678 Pin #: 4225lJ Proiect Addressi 2301N Tustin Avea - Assessor'sParcel: 396-141-01 Lot: NA Unit:A Block: NA Bldg: Address Range: Tract: A.B. CHAPMAN Historic: No Suite Range: Zoning: C5 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone The Liese L Rago Family Trust P O Box 1493 Santa Ana, CA 92701 l7o2l217-79OO Starbucks Excel Construction Service: 1950 Raymer Ave. Fullerton, CA 92833 (562) 291-2000 01 1 1 6002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 51602 51602 51602 51602 s1602 51602 5't602 51602 51602 51602 53602 51 600 51602 Fee Type Amount Water Closet 14.78 Sink 13.20 Dishwasher 12.44 Floor Drain 16.77 Floor Sink 16.77 Sewer Alter/Repair 46.25 Wtr Htr (Comm up to 50 23.12 Water Piping (Each 100 46.25 Wtr Conditioner 46.25 Alter Drain/Vent 46.25 Ptc - 65% 0.65 General Plan Update 22.95 lssuance 57.20 Qty 2.OO 11.00 1.00 4.00 7.00 1.00 1.00 200 1.00 1.00 602.45 100 1.00 Fee $29.56 $145.20 $12.44 $67.08 $1 17.39 $46.25 $23.12 $92.50 $46.25 $46.25 $391.59 $22.95 $57.20 State Lic #: 852879 Lic Type: C-36, B, C-10, C-17 Bus. Lic #: 343729 Workers' Compensation lnsurance:Carrier: Traveler's Property Casualty Company of America Policy #: U85K9867861926c Expires: O3lO'll2O2O Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Commercial Tenant lmprovement 1st-time Tl Occupancy: Constr Type Code: Date: Date: Date: B VB cPc 2016 Notes: 1 st time ti.fbr'Starbucki ; incl'iides outdoor seating area & drive-thru. 30140405.::,r, !:'ti:,".,'i:"ief Ptor on new bu ildi ns CSG Consullants Chavez. Dave2t" 04t23t2019 08/06/2019 Account# Misc. Receipt: 72289 Misc. Receipt: Misc. Receipt: TotalSubject to Field: Buildins Permit #: 10199380 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days alter its lssuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 360 days after the time the work is commenced. 0't116002 51600 01 1 16002 51602 $22.95 $683.24 Fee Total: Paid to Date: Balance Due: $1,097.78 $391.59 $706.19 lnspector MtD#. 2019-150689 PLUMBING.INSPECTOR RECORD APPROVALS DATE !D/S!G.COMMENTS OWNER BUILDER DELCARATION I hcrcby affm under Jrcmlty of pcrjury that I m cxcmpt fmm the Conlractor3' Liccnsc Law for thc following rcamn (Sa.703 1.5 Businds ard Profosion Codc): Any City or Couny which requirca a Jfmil lo omtruct, ahc, improvc, dcmlish or rct)air sy structwe, prior to ils isNarce, de rcquirs thc applicilt for ruch ;rmit to filc a iiSned statmnr thd hc or shc ie licenscd pumant to the prcvisions of thc Contmctor's Liccn$d tiw (Choplfi 9, Commcrcing with Scction 7000 of Division J of the Busincss and PmfcssioNCodc)orthathcorshâ‚¬isexcmptthcrctomandthcbashforthcallcgâ‚¬dcxcnption. AnyviolationofScdionT03l.5byany applicantforapemitsbjatsthc applicsnttoacivilpcEhyofmtmorcthanlivchundrcddollam($500). -1, as os'rer of thc pmJt.ly, or my employes wilh sagcs e3 thcir slc mmpenstion, witldo thâ‚¬ work and ttE stnf,tw is mt interded or olfscd for mlc (Sa.7(X4, Busims and Pmfc$ioN Code: 'l'hc Contraclor's Liccns lrw dos mt apply to an owrer of the pmJEny sho build3 or io{lDB th.@[ 8nd wlb &B $ch m* himsclf or hcmlf or thrcugh his or lE own cmploycci. provided that och impmvmils e mt intddcd or ofM for $le. I I tnwryc, thc building or inqrmrcmnt is rcld within orc ]ra of orpk{k Ir 0E Chrrcr Builds will harc tlE tDrden of pmving that hâ‚¬ or shc did mt buiH or inqrmrc thc pmpcry for thc purFnr of ele). _1, as owrer of the preperty, m cxclusively coilmcting with liccnscd conlrocloN to conflruct thâ‚¬ pmFct (Sft. 7M4, Busircs ard Prcf,:rsionCode:'lheConlractor'sLicenscLawdocsmtapplyloanowncrofpropcrlywlnbuildsorimprcvcathermG and wln @ntmcts for such prejets with I Contmcto(s) liccnsed pursanl to thc Conlrsclor's Licensc Law). -l m cxcmpt undcr Sction-, B. & P.C. for this rcarcn. l)nlr ()rrnrr E086E8SSj)!48jNSA1IQN DES.ASAIIQN I hereby allirm under penalty ofperjury one oflhe following dcclarations: _l have and u,ill mainlain o ('criillcalc of Conscnl lo Sclf lnsurc frrr rvorkers' conrpcnsaliilr, as provided li)r by Section -1700 of the Latxrr Code, for the perlbrnmnce oflhc work lirr which thc pernrit is issueri. -lhaveandwillmaintainworkers'compensationinsurance,as requircdbySection3T00oftheLoborCode,forthcperfomanceof the work for this pennit is issed. Myworkers'insurance carior and Jxrl icy c<( Policy -l certify lhat in thc performnce of thc work for which this pcrmit is issucd, I shall not cmploy any pcrson in any manncr m as to bemme subject to thc workers' mmpcnstion lf,wr of California, and ogrce that if I slnuld becomc suhjcct to the worteN' compenstion pDvisions of Sfftion 3700 of lhe Latnr Codc, I shall. forthwith @mply with rhos previ3ions.. WARNIN(;: l;ailure to scurc u'orkcN'compensation covcmge is unlau,ful. and shall subjecl an mploler to criminal Jrmltis and civil fines up to one hundrcd thousand dollars ($100.000), S6lion 3076 ofthe L6tnr Codc, interest and attorney'i fecs. in addition lo the cost of compensatior\ daroges as providlC for the I hcrcby affirm under pemhy ofperjury thal I am licenrd 9 (commncing with S6tion 7000) of Division 3 of the Businm and Pmfcssions Codc, and my liccnse is in fu ll forcc aml cffcct. Lice*eclass, 6 LiccnseNumbcr: I hercby a{Iirm under pmhy of perjury thal lhsc is a mnvruction lcndingigcrcy for thc pcfororcc of thc work for shich this pcrmit is iszucd (Sa. 3097, Civ. C.). Lender's Name: Lender's Address: APPLICAN'I' DT'CI ARA-I'ION I horby aflim under penalty ofperjury one of the folkrwing delamtionsr Demlition Permits-Asheslos Notificalion l;ederal Regulalions ('litle 40, Pan(, -Required Letter of Notifi cation _l cffify that the federal relulations rcgrdin8 acheslos removal are mt spplicablc to this pmject. -l certify (hal I harr read this application srd state that lhe ordinnnces and State Laws relating to huilding conslruction, above mentioned propeny ft)r inspstion Applicatrt or Agcnt Pentrilee name \,o UNDER GROUND Waste & Vent )-l -J ^/ t,rt /ld\ Water-Under floor > I 17r)/w1 I -v Gas-Underfloor I Building Sewer Area/Storm Drain I nterceptor/ Clarifier TOP OUT Waste & Vent rsltdt4 ,.{,1/L{,/ Water Pipinq I Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P{rap/Drain Line Main Drain/Pool Piping Fill Line/Back Flow Pool Heater/Gas Line Misce!!aneous Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device I / Rough Plumbing 418 '/g rk4l 7277C7/,b Final Gas Test I Meter Release FINAL I ?-1{-202A J/adt La> Notes, Remarks, Etc. o.,", ' 8t16-[Q. . &S.Zgt q I[t"^^-, tA)_ Data:j 8-lo'lt