HomeMy WebLinkAbout30134028 - Permit (2)City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing Permit #: 3Ol34O2E
Pin #: 26553Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647'5853
Project Address: 100 E MacArthur Blvd
Assessor's Parcelr 41144126 Lot NA
Unit:
Block: NA
Bldg: D
Tract NA
Address Ranger tOG14O E.
MacArthur
Hisloric:No
Suite Range:
Zoning: SD75
Lyon lntegral MacArthur Place, LLC
100 E MacA(hur Alvd Bldg# D
Santa Ana, CA 927075779
(9/r9) 252-9101
Fee Typ.
01116002 51602 O/T lnspection
Amount
85.31
Qr]
200
Fee
$170.62
Conlractori Slater Builders lnc
3100 Pullman St fB
costa Mesr, cA 92626
/.71414341487
state Lic#: 575E32
Lic Type: A
Bus Lic#r 348171
Workers Compensation insurance:
Car er: State Fund lnsurco
Policy#: 0000294-2010
Expires: o2116t2012
Building Use:
Supplemental
OT lnspection 09-30-20'14
Constr Type:
Code:
R,2
IIIA, SPK
cPc 2013
at--o-*
Noles: OT lnsp€ction (Drywall)uesday, Sept.30, 2014
OK per K- Kiker (For
commercial kitchen at rec. deck)
Planning Conditions:
Planning Approval By: Oate:
Plan Checked By: Datel
Permit lssued By: Link, Palricia Datel
subiecl to Field:
Buildinq Permir fl: 10179983
Every pemit issuecl shall become invalid unless lhe wo*
on lhe site aulhoized by such pemit is comnenced within
180 days after its issuance, or if lhe won< aulhoried on the
site by srch pemrt ,s suspended or abandaned fot a penod
d 180 days after lhe ltne the won< is comnenced
o9129t2014
I\,,liscReceipl: 62624
M sc Receipl:
Total
lnspector MID#: 2013-110768
Paid to Dale:
Balance Due:
$170.62
$170.62
t0.00
S{
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS O\\ h.rBuild.r D(limri.n
I hcr.bv.lT"nr uoder p.mtvofp.rlury ihrr Lfl.\.n,pt aorfl Ihe ('onrndo6 Lrcenselr!forrh.lolro\y'n!rasonG..7orI5B6:ri.$
8nd lrof6sFn(od.) A., Ciry or Cou.iy shth r.quir.s a p6nir ro coNr(d, alr... imrro(. d.nnniih.r r.lii. dny irucruc, priorlo ns
issuinc...kor.qun.srh.arpli.rnrlirsuchp.rnrittofil.rsiSn.dn.t.n.nr rharh.orsh.islic.ns.d rucuan othcpmviiotrsofrh.
(ontacnn'\ L'c.nscd L,w{Ch8Drq e, (omnr.ncrnc w hS(r'on?o00ofD'vt'on:lofrhell6'n.rstr Profsno.! Cod.) or rhnr hc or
sh. G crcmpt rh...lromand rh. b.!k forrh.dll.g.d.r..$tion Anyviol.rionofS.criotr?011 5 lrv .ny .pplicanl f.r. p.nnir n6j.clrltc
.pali..nr to r cnil p.nahy olnor Eorc rhn.lir. hondr.d d.lla6 ($500)
I. a owM or lh. pmp.ny, or ny .hployct with {196I thrt solc cohp.hs.lion. qill do th. worL &d thc alruct@ i! nor i @d.d
or ofi.r.d aor el.( S( 7o,{a. B6ind..d Prof6.'od Cod. li.Con.cloltLi..B.bwdo.snor.pplyro.nowndolfi.poFny
wno builds or improva rh.Eon..nd who doe rwh wort hirMlror h.h.lf or throlsh hb or h.r own cnrloyd. protid.n lh.r.!ch
inpm!m..l'aEnori.nd.doroll6.dlor$1..litow.vr,rh.l'oildi.8orinprev.ndBsold*irhinofty...ofcodplaion.rh.
Oc M.Buildd will hlk llt tnrd.n of proviq lhlr h. or rh. mr bdld or imp.o\. lor rh. puaos. of !!t.).
_1, a o{ftr of lh. prop.ny, rn dclNiv.ly cont@iins qith li.cN.d co.tnctor to @romcr thc lojftt ( Scc. ?044, Busina3 6d
Pbfsioh Codc Tl.Co dcror'r t,iens L.w do6 nd rDgly ro .n o\l@ ol prop€ty *ho boil& or ioprov6 lt.r@n , .nd who
@nrncrs aor ruch pror.d! *nt ! co.'Edo(3) lica.d Dua@nt !o th. co r.ctoi. Li@o* t w )
I m cx.itrpr und( Sdtion .B.&PC ror rht r.don.
Oun r:
WORKf, RS COMPENSATTO]I DECI"{RATION
I h.r.by rmm und.r p.nalry olp.rjury on. of rh. followi.! d*h.rtioB:
I hav. tnd Nillmainltin a Cc! rific . of Con*nl ro S.la.lhsur. ro, *orr.rr' cof,p.nston, 6 pro\ d.d aor byScrnn l70oorrn.
lrtrerCodc. tor lh. p.rfonnrnc. olthc *ork lo, qhi.h rhc pmi is issu.d.
I h.v..nd willnlinrrrn *ort6- @mp.@tion insurne,!r r.qutr.d by S..tion 3?0o of t. lrh.r Coda aor th. tdlormncc of rhc
wo.k for which $B p€rmir ir issu.d My wort.R @mp.n$ion iBue.c .eir ud policy .uobd ec:
{ThLrccrionn..d nor b..onpl.'.d ifth. pcmn ii for (h. hlndrcd doll3c l$1001 or l.s)
_ l enily ih'l i. rh. p.rtomr. ofrh. wo,t for whkh rhis p.nnn i! ku.n.l3hll.or anploy iny p.Ron in n, nrn..rso s to
b@m€ hjet to th. sdr.R' emp.nsrion bws ofC.liforni.,.nd.sr* rlut ial should b.com.subj.cl
'o
drc !ork.6'
conrpcn$rion pblisioos ofs*rion lT0Ooalt Llbor Cod.. l rh.ll, lonhwnh compl, wirh rhN. prcvision!..
ff nri
W,{RNINO Fsnorcro rccure*o,keB'conipcnsd.oncorcras.Ennh*ful.sndshsllsubj.cran.opL*rrocriri.rlr.nalri.sa.d.ivil
fitr.s uD ro otrc hundrcd rhotrsand dolh6 ($100.000).in rddirion r. rhc cosr oacomp.ns.rion. damascs trs pro\ id.d lor Ihc Sccrtun 1076 or
rhc La6or C.d€ 'nre'e{ ind r ornrv's f.6
LI(ENSED CON RACTORS DECL Rl\'T!ON
I h.'chy iffion undo n.nalryoap.rjLtry rh ldftI'c.ns.d!nd.rpro\nionolChrpterg(commcncin!sirhSccrion7(X)0,orDi\6ion:l.f
rh.11'Nin.ss ind PiolcsioB(.d.. atulny li(.sc i! !n aullto!.c and.llel
CONSTNUCTTON LiNDINC AGf, NCY
I h.r.byafirmund.rp..rhyorp.ioryrhar rho. i3 . coBrrudion kndins.s.ncy for ln p.rf.mn€. of rh. work ror ehi.h thie pcmir is
i.sucd(Sa. 3097.Cir. C )
AtflttANflDtq4aallo!
D.m,ni6n Pmis-Arb..r$ Noili ion Fcddl Rcgulrtio (Tirk 40. P.n 6)
* R.qunc.l Ltts of Nolific.lion
I c.nify rtat rnc f.d.rl r.sulir io.r r*,rdin! abclo! r.movrl a. nol applicsbl. ro fib prcjst
_ I cnit rhar I hlv. Md lhi, lpplic ion ard sr . rhlt lhc !bo!. info@lrion i! comd. I igre lo comnly {irh !l! Chy .nd Cou y
ordienc6lndSlllrLlwrElllinSrobuildiiS@cftdion.rrdhdcbyr!$o.iercpt6mlllircsofoirCity.odCountyto.c]uoortn!
rbovc m.diorcd prcFny f.r icp€Iion puroc.
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
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
Rough Plumbing
Meter Release
tl
FINAL t0il il\/lfir
Notes, Remarks, Etc tl
orms\PluDbing lnspeclor Record.doc 03.31.06
Final Gas Test
F
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