HomeMy WebLinkAbout30125196 - Permit (2)/
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 #: 3O125{9G
lnspector's Section' (714) 647-5853
Project Address: 610 E First St
; Assessor's Parcel: 398494-01 Lot: POR 5
Unit:A
Block: A
Bldg: Address Range:
Tract: P S & BLEE ADD Historic: No
Suite Range:
Zoning: C2
fiL,
Owner:
/,ti.iless:
Plrclne:
Tenant Name:
Mohammad S.N. Esrahani
323 E Olympic Blvd
Los Angeles, CA 900151813
(818) 577-6510
Soltani
01 1 16002 516p2
01116002 51602
01116002 51602
01116002 51602
01116002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01116002 51602
01116002 53602
:, ! 41;i-\02 5-1500
01 f irjiio2 5i eiuz
Fee Type
WaterCloset
Sink
Floor Drairr
Floor Sink
Add'l Sewer Line
Gas System
Gas Ouflets, Add'l
Tankless Water Heater
Backflow < 2"
Greaserr'Vaste i ntercep
Pic - 65Y,.
General Pian ijpoate
: SSUi.ii,.
ti, ,'
;
Qty Fee
1.00 $11.625.00 $52.00
2.00 $26.402.00 $26.401.00 $18.20
1.00 $36.40
2.AA $ 11 6['
1 00 $53.e(r
1 .00 1,18 2r.
1.0c i30 7(.
185 77 jjE5;I
,1[r il?L i)l
.0C' . 4: .:,-.
Amount
11.62
10.40
13.20
13.20
18.20
36.4C
5.80
5s.60
18.20
3fi 70
.4.
18.CC
.'|5.CL1
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #.
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
/L
t.
R
I1
Building Use:
Job Type.
Nature of Work:
Plal rning Conditiorrs:
Plili rl riilg ;ipprOVat By
Plan Clrecked By
Pcrmit tssLred By
Subject to rreld:
Btiriding rermit #:
Commercial
Tenant !mprovement
TI
Kiker, Kraig
Negrete, Barbara
Notes:
Fee Total:
Paid to Date.
Balance Due:
6enerol P1
011 16trtr2-
Fluilb i ns
r:tl116t'0?*
P/(: Plurb i
01 r 16002-
Checlr
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
VB
cPc 2007
Iloh nnmsd
01t10t2011
0111112011
Account#
Misc. Receipt: 56065
Misc. Receipt:
Misc. Receipt:
Total
141677 54
Every pemtit issued sitell become invalid unless the work
on the site authoized by such permit is commenced within
1 80 days after its rssuancq or if the work authoized on the
site by such permit is suspended or abandoned for a peiod
d 180 days afterthe time the work is commenced.
01 1 16002 51600
01116002 51602
0't'116002 53602
$18.00
3;330.12
$23.66
$533.87
$162.09
't371.78
lnspector MID#: 2010-89942
a
ID/SIG.COMMENTSDATEAPPROVALS
UNDER GROUND
/2w r )Waste & Vent
//'UWater-Underfloor
Gas-Underfloor
Building Sewer
IArea/Storm Drain
T YTYY,/l?lnterceptor/ Clarifier
tt
ltTOP OUT .Mql )Waste & Vent C
Water Piping Z
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
'f lut '/1.;wHbRough Plumbing
/a Ml{/\/Final Gas Test
Meter Release ,l\."lll ,z
lp L
^)
FINAL
Notes, Remarks, Etc.
I hacby affum unde pcmlty of pojury that I u acmpt fom thc CoilndoB' Lie8e hw for thc followilg rmn (re.7031.5 Buiaer
rnd Profasioo Codc): Any City or Couty which rc4uiro a pcrmit to @Etrud" rltq, imEorc, dcmolirh or rcprir my rtrucfuq Fior 1! G
irsuncr, alro rcquira thc appliesr for ruch pcrmit o filc a signcd ltrtmcot dtt hc or lhc it li@Ecd punut to thc provirioro of thc
Contrsctor'r Li€Ead hw (ChEptcr 9, Commcncing with Setion 70O0 of Division 3 of dE Buinil rod Profdrior Codc) or dnt hc or
shc ir ucmpr thocfrom and thc bcsis for thc rllcgcd qcmption .Any viohtion of Setion 7031.5 by uy EPpliont for r p<mit rubjrcts thc
spplient to I civil pcmhy ofnot morc dun Iivc hundrcd dollan ($500).
-I,
a om6 of tbc prop6ty, or my cmploye with mgc u thcir rclc ompcmtio4 will do thc work ud tho rtructuc is nor intcndcdl
mfrsod for slc ( Sc.7044, Buircc rnd Profc$ioro Codc: Thc Contactor's Li*N kw do6 not apply to u ow of thc propsty
who buil& or improvo thqort ud who dos ruch work hirelf or hmclf or tlrough hir or ha om employa, providcd thst luch
imProvcmcntsucmtintandcdoroffcrcdforsle.I{howwc'thcbuiIdingorimprorcmcntigroldwithhorcyaofomplaioqrhe
Omq-Buildq will havc thc budcn of proving th8l hc or shc not build or improvc for tlE purpos of slc). t
_I, r omo of thc propcny, am aclurivcly @otnctinS with liccEcd @ntncloB !o aNrua thc projat ( Se. 7044, Buin6! md
Profacion Codc: Thc Cotrt[dor'r Liere lrw doc mt rpply to m oma of propoty who buildr or improva thoon , ud who
@ntrrct' for iuch prcjcats with s Cootrs6or(s) lic$cd PWWI o thc Contnctor'a Liere hw.).
& P.C. for this
I hcrcby unda pcmlry ofpcrjury onc d6la0tio6:
_t hsvc md yill mintlin r Cdtifiotc of CotHt to Sclf-IN[c for rcrkm' ompcutiort B providcd for by S6tion 3700 of thc
labor Codg for drc paformm of rhc work for which tbc pcrmit ir irsuod.
I hEvc ud will roiotlin workss' @mpcmtiotr irour8ne, 6
iorh for which this psmit is icaucd. My workm' ompcuation
rc4uircd by Scction 3700 of tbc hbor Codg for thc perfotrrua of thc
irulme 6ris md policy numbe rc:
Poticy Numbc Eryircr:
(rhi! r€rion nccd m, r" *.pr.n a co*fri rE6Ilo,.a,Eiun-iloo) or h$)
_l cgtiry dEt in thc pcrformne of t}lc work for which this pcrmit
b€smc rubjdt to thc rcrko ' ompcution lews of Califoruis, ud
i! isuc4 I lhrll rct mploy rny in 8ny tms co a to
the workm'agre that ifl should bcomc
with thosc
u mploys to simiEl pcmltio ard civil
provbios ofSEtion 3700 ofthc Lrbor Codc, I
(\
Failuc to seurc wortqs'
finc hundred thousnd dollan
covmgc is ulawful, ud
Eddition to thc @rt of damrga u providcd for thc Setion 3076 of
ompcution
(c100,000),itr
the llbor ud rtromey's f6.
LICENSED CONTRACTORS DECLTRATION
I hqcby rffum unds polty of pajury thtt I u lierocd undc provision of Chapta 9 (omcncing with Scrion 7000) of Divirion 3 of
thc BuiH rod Profodou Codc, rnd my liccre fu h full for@ srd cffcet.
Lieroc Clas:- Lieroc Nu.bs
-
Drtc: CoDir8clor
W
I hacby affm unda pcElty of perjury thst thqc is a ortruction lcnding agacy for thc pqhme of the work for which this p<mit ir
issucd (S@. 3097,
lrnds's Nlmcl
Civ. C.).
Ipnder's Ad&s:
A8ILICANT:S.DECLABAIIQN
Pqmitr-Asb.stos NotifiCtion Fcdml RcgulslioB (Titlc 40, Psn 6)
cstiry dBt thc fedml rcgulatioro rcgarding ubqtos rmonl sc not Epplieblc to thir prcj@i.
_ I @ni& tlst I havc rod thir applietion ed statc OBt the Ebovc hforution i! @r6t I lgrc to 6mply with lll City snd County
ordimocG rnd SEtc IrB rclsting to building mrotructioq md ruthoriz repr*ntativo of this City md Couty to 6tq upoo tlE
mcntioncd prop€rty for iNpcction
or agmt sig.
Eme (print):
PLUMBING.INSPECTOR RECORD
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