HomeMy WebLinkAbout30139986 - Permit (2)City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana' cAg27o2 Plumbing
Permrt Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853
Permit #: 3O139986
Pin #: 4172A
qProject Address: 201 E Sandoointe Ave
Assessor'sParcel 411-081-24 Lot: NA
un : 125
Block: NA
Bldg;
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: S076
Phone
Tenant Name:
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
0'1 1 16002 5160C
01 1 16002 51602
PM Realty Group/Richard Hart
201 E. Sandpointe Ave. ,1470
Santa Ana, CA 92707
(714) 540-s655
The Stellrecht Company lnc
15361 Transistor Lane
Huntington Beach, CA 9264
(7r4) 898-7s57
Fee Type Amount
Sink 12.70
Sewer Alter/Repair 44.51
vvlr Htr (Comm up to 50 22.25
General Plan Updale 22.08
lssuance 55.04
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$12.70
$44.51
$22.25
$22.08
$55.04
Phone
Ihe Stellrecht Coi9one Iric
Generol Plon updste Fee0 16002- 51600000-
Pluab ins
01r16002- sl602000-
U iso
CCi::**r***i***r1618
I rla
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
T.l. - Conference Room
Occupancy:
Constr Type;
Code:
B
II A, SPK
cPc 2016
Autf,::120
Notes
Dale
Dale
Dateernandez, Kalhy
Buildins Permit #: 10197458
Every permil issued shall become invalid unless the wo* o, lre siig
authorized by such permit is commenced within 1 80 days aflet its
issuance, at if the wo* authorized on the site by such permit is suspended
or abandoned fgr a petiod of 1 80 days aftet the time the work is
comnel6ed.
09/18/2018
Account#
$156.58
$0.00
$156.58
lnspector MID#: 2018-'145588
01116002 51600
01116002 51602
$22.08
$134.50
Fee Total
Paid to Date:
Balance Due:
Owner:
Address:
Contractor:
Address:
State Lic #: 497453
Lic Type: B
Bus. Lic #: 327827
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9017146
Expires: 0710112019
Sotcii:45t85 - ?/la/zittg I0! LR0SALES0fficE: CTYH Tronsi: 4 3 of 3lccti: Ref+: 3r:1139996
Rcpt+:02386303 - ?-/18/2[119 l(!I:rg Al1
fronsact i on Totol t8:1.67
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OrlNI]R Bt]I I,DER DEI,CARATION
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{fl.rurc. l'turo ir\ i$uncc. al\orcqrtcs lhc llnplicr n, \u(hlf,nnn b fih0 sigtud stilcn{nr rhar hc$ (hci\ liccnscd 0lNnnr
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'Nrimc ld orolTrr.dlnrsrlc(S.{?(l1.l,Br\inc\\xndPrclts\ions(-odql'hcConracroi\l,icenscliwdr$norlpplyr,'nnosncrol'
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*1. as ow.o otrh. popcny. mcxclusilclr.o.t0criiB eirh liccn*d conrncro^ ro snsrdcr rlrc lmjd (Scc 7044, Blsitu$
a r PdtasbnCodc: Ttc Conltrtols Liccnsc Llw dBs rer dptlr ro olnrrfrmpcnywh. bnildr or impbvc! rhcr.on.and who cont{cls for su.h pmje$ wilh r Co.li,conr) liccn$d purla 16 rhc C.nr.d.toas LieiE Lr,)
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TOf,f,IIf.CAMIIISAIIAN
DDI;!$A.IION
I hcEby afirn undc, pcnnlry ol pqjury ok ofrhc tul,owinB dsldorions:
l hrve 3d {ill nEinluir e Ccrl iarcole of Consnt losclilnsurc n, qorlcrlcotrf.ns nnr. ds ttr vidcd forbyslr'ionlT0Oofrhc
t{hor Cdc. forltc pcrLrnEncc of lhc !or* for which th. fcnnir i\ issu.d.
_l h!rc .nd will mainiain worlrcs comF.srioi iBulMc. $ 'rq!i&{ by Sfttion 1700 oa rhc kbor Co<tc.lorthc l'erf()lrr@c of
lhc vod( for wnich ln! pcmjl is ia €d My sorkfs coq)cnerior i.sur,e @h, nnd oolhy Nmh6 d:
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ccnifr rhlr in ll* r.rformkc oflh. *ort for which$k p.rmn k issu.d,l sholl nol cmploy lny p.Non itr ony m.nrct
s *tob..omslbiurorhch 6 onpcnsdioi laws of Calitonio, and urrcc rh ilI sholld tccom subjcd lorh.
workcr( enpcngl ion peviri,,nr of S*rion ]TOO o, rlE L{t{. clnc, I shlll. forlh*irh coq,ly vith thos rmvhions..
WARNINC: Flilurc lo surc workcs .onr.ns ion orcmCc is unhwtul. &nd shell subir' !n mplor.r ro cimiMl JrMhis dd
thousand dollus ($lm.00o), in rddirion to rhc cosr ofcompcnsarion. damgcs as lovidcd lor rhc
Ihcrct'ynrfi n undcr pcn0lrr oiterjury lh l ofChlllcr 9 (mmmncine wilh Sdio, ?fiD) ofDivnion 3
!f lhc tsosids lnd Pmfssions Coilc. dt ny lt.B ir in aull t6re 8n ctf&t
( (rNs'rtllt( - o\ t_titiDtN(;,\llIj\cr
I hcrcb, dlirm!ndc!IEnihrofterjurylhlltherchnconslfl.rion tnditrB08cncy for
'h. Frform0ncc oflhc"ork for whjch rht Frmil is
issucd(sN 3u97. civ. c.)
AITUIANLDE(LASAUAN
I My alin ututr F.alr, of F.jury otu of rh. nnbwins dehrnrio.s
Dcmlirion Pennih-Ashcstos Norificelion Fcdcrrl Rcguldions (Tnh 40, Pnd6)
_Rrquircd lrncr of Notifi clrion
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-lccdifytl
lhrvcr.adrhhappli.srionrkl{trrcrhrrrhcak,rcinlonn ion i\cotrccr l{C(rhconrplywirhrllCirytrndCounr,
orditun.c( r Srrrcli*\ ruhtngt, hu
aholr nf,flliorcd pn)pcny for
aurhlnx rcI'c\enllrivcs of t
::""iliil;{*
UNDER GHOUND
Waste & Vent qlttlttl ifintot)
Water-Under f loor t u I
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent
Water Pi prng
Gas Pipinq
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Gas Service
Water Service
Lawn Sprinkler
$anitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release 44,
FINAL zh lut rtux VgAt^)
RemarksNotes , Etc.rrT UI
TOP OUT
Pool Heater/Gas Line
Miscellaneous
<a_
L.ndcir Addr.is: _