HomeMy WebLinkAbout30137620 - Permit (2)Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
I nspection Requests: (7 1 4) 667-27 38 lnspector Section: (7 1 4) 647 -5853
Plumbing Permit #:3lJ13762lJ
Pin #: 63{06?
Project Address: 1665 N Sycamore St Unit:
Block:NA
Bldg: I
Tract: NA
Address Range: Bldg 1&2
Historic: No
Suite Range:
Zoning:Assessor'sParcel: 005-153-19 Lot:
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
EN OSTENDO HOLDING CORP
3 PARK PLZ gTH
lrvine, CA 925148505
Westport Construction lnc.
125 W.Maple Avenue
Monrovia, CA 91016
(6261 447-2448
01 1 16002 51602
01116002 51602
01116002 51602
01116002 51602
01 1 16002 51602
01 I 1 6002 51 602
01 1 16002 s1602
01 1 16002 51602
01 1 16002 51602
01 1 1 6002 51 602
01 1 1 6002 51 602
01 1 1 6002 51 602
01 1 16002 53602
01116002 51600
01 1 16002 51602
Fee
$191.66
$257.O4
$256.83
$94.1 5
$80.64
$71.82
$62.1 8
$42.85
$20.40
$44'1.84
$171.40
$29.65
$1,082.59
$21.2s
$52.98
Fee Type Amount Qty
Water Closet 13.69 14.00
Shower/Bathtub 21.42 12.00
Sink 12.23 21.00
Clothes Washer 13.45 7.00
Dishwasher 11.52 7.00
Garbage Disp 10.26 7.00
New Sewer (First 100') 62.18 1.00
Gas System 1-4 42.85 1.00
Gas Outlet, each Add'l 6.80 3.00
Tankless Water Heater 63.12 7.00
Primary/Secondary Roo 42.85 4.00
Storm Drains (Each 10C 29.65 1.00
PIC - 650/o 0.65 1,665.52
General Plan Update 21 .25 1.00
lssuance.,. ,:t S2pA ., 190
State Lic #: 712732
Lic Type: B
Bus. Lic #: 12345
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Co.
Policy #: 7600015708
Expires: 1'll0'll20'17 i-tf f ice: CTYH Trons*: 55 3 cf 1?A,:cti: Ref*: 31J1376?0
ltcpti:019589?3 - 7/26/2(Jl7 1;52 t'li
Trqnso':t ion Totsl 110ir518.3!lBuilding Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
New Constr TYPe:
Townhomes-Building 1 Code:
R-2
V B, SPK
cPc 2013 LJesLport Construction Inc.Notes:
Fee Total:
Paid to Date:
Balance Due:
qienersl PIon Updste Fee
r-r1116002- 51600000-
F'lurbing
r_ri 116002- 51602000-l(:L Check 0001100203
r21. ?5
$1t?73. 4.4
tic,:, i18. Js
CSG Consultants
Link, Patricia
0112012017
07126120'17
Account#
Misc. Receipt: 69004
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Date:
01116002 51600
01116002 51602
$21.25
$1,773.44
$2,877.28
$1,082.59
$1,794.69
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
r,ssuance, or if the work authoized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2016-133706
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent 5>?-t7 [Le z.tl ls Platz-
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent l&+q l7eq,
Water Pipinq 9-3 -t I '{Lu?')
Gas Pipinq
Roof Drain
Tub/Shower Test 1-?-*(Lc t-1
Rough Water Heater
POOL/SPA
Ptrap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous.Gar.Serrice-
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing g.3 -t7 I cz')
Final Gas Test
Meter Release
FINAL '*q-3 @ t /L Qsk€/ray?,
Notes, Rem4r[s, Etc I IIt(nJea I Lc Uat ; Ult t *8o
I hocby affm undo pemhy of pcrjury that I m cxmpt tom thc ContractoB' Licffi tjw for thc following llen (5€.7031
Businas and hofsion Codc): Any City or County which rcquire a po-mh to coctruct. ahc. improvc, dsnolish or (pair
structue, prior to its isuace, also requirG the applicet for such pennil to filc a signed statmdt thsl hc or shc is licffcd
to thc provisioB of tlp Contmtor's Licoscd Law (Chaptq 9, Comocing with Scctioo 7000 of Division 3 of thc EBins
Prcfsions Codc) or that hc or shc is crmpt lhqcfrom md thc basis for thc allcged crmptioD. Any violstion of Sccrbn 7031.5 by
applicut for a pcmit subjats the applicant to a civil pmalty of not more thm five hundrcd dollus ($500),
_1. u omq of thc prcpcty, or my mplole with waga s thcir sle compcmation, will do tlE work Ed thc stnrlr b rct
intodcd or offscd for sslc (5€.7044. Bwine ud hofesiom Codc: Thc Conractor's LiccN tiw do6 not qply to u oM6 of
thc prcpCty who buil& or irprovc thon. md who doc such Mrt himsclf or hwclf or thrcugh his or ha om cmployc.
providcd that such improvqErts e rct intodcd o olkcd for sh. lf. howdq. thc buiHing or irnprovomrt is mld within one )s
of onplctiort thc O*nq Buildq will havc thc hrdan of poving tha hc or shc did rct hriH or inprovc rhe prcpcty 6r thc grpor of
ele).
-1.
6 ow6 ofthc Fopsty, m qclsivcly contracriog whh licoEcd contractoE to @nstrucl tlE pojet (Ss, 7044. BEin6
and Prohsbn Codc: The Contractor's Licmsc Law do6 not apply to m ownq ofpropcrty who builds or improvB thr@n,
and who contncts for such projccts with a Contmclo(s) licmcd pm@t lo thc Contraclor's Licffi L6w).
_l meimpt ud6 forthis rwn.
"",,1lLalll
I hoeby allirm under pmalty ofyrjury one ofthe following
-lhaveudwillmintainaCqtificateofcomttoSclf-lmurcforwork6'compcnsation.r
prcvidcdforbySetion3T00oflhc
t bor Codc for the psfomocc of thc wo* for *trich thc pannit is isucd.
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havc md will maintah work6' compcMtioD isuanca s rcquircd by Sdion 3700 of thc tabor Codc. fot thc pafomcc of
thc wrk for which this pcrmit is iso<t My workm' compqB{dioo iremcc cmiq and policy numba rc:
Policy
-l
cediry thst in thc psfomcc of the work for which this pmit is issucd. I shall not mploy my pmn in ay mmo$ 6 to bccomc subjet to thc work6' compcnsation lam of Califomia od agrc that if I should bccomc subjGt to tlE
workm' compwlion prcvisions of Section 3700 of thc Labor Codc. I strall. forthwith comply with thor prcvisioro..
IflARNlNG: Failuc to suc workc'
civil fins up to one hundrcd lhowd
Setion 30?6 of thc Labor Codc inlqGt md attomcy's fc6.
compcnsdion ovaage is unlawful, md shall subjct u oployq to qininal psuhics md
dollm ($100.000), in addition to thc cost of compemtion, dmag6 I providcd for thc
I hccby affm unda poralty ofpcrjury that I u ticemcd provision of Chsptq 9 (comocing with Setion 700O) of Division 3
of thc Buine ud Prof6ios Code, md my licmc is in full force ed cffet.
".r",
'7 lzt-l11
Licme
Drie:1
ZJmlrv rrrat trrc fcdoal rcgulatiom rcgilding cbstos rqnoval tre not applicable ro this projcct.
Numbs:
I hwby aflim undo penahy of pcrjurythat th6c is a construction lmdiog agmcy for the pofonnilcc of thc work for which this lrrnit is
issucd (Se. 3097. Civ. C.).
lrndq's Namc: _
tsdq'sAd&s:
APPLICANT DECLARATION
I hslby athrm unde pcf,slty ofpqjury onc oflhe following dsldations:
Dcmolition Pmits-Asb6tos Nolification Fcdqal Regulations (Tirle 40. Pan6)
___Requircd t,etts of Notification
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cqtiry that I havc rad this application erd state that thc abovc infomdion is cor6t. I 8grc to comply with all City snd Counly
ordimcG ud Slate law rclding to building construclion, and hqcby suthorizc rcprMtaliv6 of this City ild Couily to 6tq upon the
abovc mationcd pmpcrty for
Applicrnt or Agent
Pernrilee nsme (print):
PLUMBING.INSPECTOR RECORD
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