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Home My WebLink About30133271 - Permit (2)PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Project Address: 2130 N Grand Ave Unit: Assessor's Parcel: 396-19144 Lot: POR G.L. RUSSE Block:A Bldg: Address Range: Tract: A.B. CHAPMAN Historic: No Suite Range: Zoning: Rl city of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing Permit #: 3O{ 33271 Pin #: 7OAO2 Owner: Address: Phone: Tenant Name: Contraclor: Address: Phone: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Alliance Church of Orange 2130 N Grand Avenue Santa Ana, CA 92705 17141542-0777 Alliance Church of Orange Rindtek 1440 E 28th Street Signa! Hill, CA 90755 (310) 696-8271 01 1 16002 51602 01 1 16002 51602 0'1116002 51602 01 1 16002 51602 01 1 16002 51602 01116002 5'1602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 01 1 16002 51602 Fee Type WaterCloset Urinal Shower Sink Dishwasher Garbage Disp Floor Drain Drink'g Fountain New Sewer (First 100') Add'l Sewer Connection Gas System 'l-4 Gas Outlet, each Add'l Wtr Htr (Comm up to 50 Primary/Secondary Roo Deck Drains E Hose Bibb State Lic #: 966844 Lic Type: B Bus. Lic #: 346862 Workers Compensation lnsurance:Carrier: Benchmark Policy #: CST50049i l Expires: 0211912015 Building Use: Job Type: Nature of Work: Planning Conditions: Other Occupancy: New ConstrType: New Church/Roof Mtd EquiPCode: 111600253602 P/C-65% Amount 12.53 9.59 19.62 11.20 10.56 9.38 't4.23 7.89 56.94 19.62 39.24 6.23 19.62 39.24 8.48 13.64 0.65 19.46 48.52 Qty 12.00 5.00 2.00 10.00 1.00 1.00 1.00 2.00 1.00 1.00 1.00 8.00 1.00 7.00 3.00 4.00 919.32 1.00 1.00 Fee $150.36 $47.95 $39.24 $112.00 $10.56 $9.38 $14.23 $15.78 $56.94 $19.62 $39.24 $49.84 $19.62 $274.68 $25.44 $54.56 $597.56 $19.46 $48.52 A-3 VB cPc 2013 01116002 51600 General Plan Update 011 16002 5'1602 lssuance Notes: Date: Scott Fazekas & Assoc. Date: Hernandez, Kathy Date: 09t08t2014 10t02t2014 Account# Misc. Receipt: 61837 Misc. Receipt: Misc. Receipt: Total :t*:Lt1;J7 RrrSoct r or \N Buildins Permit #: 10180945 Every permit lssued shall become invalid unless the work on the site authoized by such permit is commenced within 1E0 days after its lssuance, or if the wo* authoized on the site by such permit is suspended or abandoned for a peiod d 180 days after the time the wo* is commenced. lnspector MID#: 2014-113352 01116002 51600 011'16002 51602 01 1 16002 53602 $19.46 $987.96 $14.25 Fee Total: Paid to Date: Balance Due: $1,604.98 $583.31 $1,021.67 PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.gOMMENTS 0wner-Builder l)eclar8lion I hereby affrrm under penalty ofperlury thal I anl exenlpl form lhe Conlrsclors [-rcense liw for the following reason (sec ?0:l l. 5 B.sin6s. and Profession Code): Aily Cily or Counly which requircs a permil lo construct. altcr. improve. denrolish or rcpair any structure. prior to its issuance. also rcquite the applicant for such petmit kl filc 6 signcd slalenrcnl that hc or shc is liccnscd puBuanl to thc prolisiom oithe Contractor's l-icensed Law (Chapler 9. Conrmencing wilh Seclion 7000 of Divisfun 3 of lhe Business and Prof*srons Code) or that hc or shc is exempl thereftom and lhc basis for the sllcgcd excntption .Any violation of Seclion 70.1 L5 by any applicant for I penbit subj.:ts lhc applicant to a ci!il penalty ofnol morc lhan li!c hundrcd dollars ($500). _1, s own6 of lhc prcpcny. or my cmploycG with wag6 as lhcir solc compcnsation. will do thc work snd thc atructuc is not iot.nd.d o, offctcd for $lc ( S*.7044, Busin6r rnd Ptofasions Coder Thc Cootrsclo.'s Licc6c Lrw dos not .pply to an omer of thc prcpcny who buildr or improvB thqcon. and who do6 $uch work himsclfor heBclfor th.ough hir or hcr own employecs. providcd thsl such improvcmcnls arc not inlcndcd or offcrcd for ralc. [f. howevcr. thc building or improvcmcnt is sold within on. ycar ofcomplction. thc Ownq-Buildcr will hrvc thc burdcn of proving thst hc or shc not build or imp.ovc for thc purposc ofsalc). _1, I ownq of thc propcny. am crclusivcly conlracling with liccGcd cont6ctoG to coNtrucr thc projcct ( Str. 7044. B6io6s and Profcssion Code: Thc Contttdot's Liccnse llw do6 not apply to .n oM.r ofpropdty who builds or inrprove th.ron , 6nd who contracts for such proj*ts with a Contractor(s) liceNad pursusnt to lhc Contracto.'! Lic.nsc law ) _l am cxcmpt undcr Scction _____.8. & P.C. for lhis rcason Datc:()uncr: WORKERS COMPENSATION DECLARATION I hc.cby aflirm undfi pcnally ofpcrjury onc ofthc following d(laratios: _.1 have and u ill mainlain I Ccrtificalc ofConscnl to Scl[-lnsure for workers compensation. as provided for by Section 3700 ofthe l-atx)r ('odc. for the perforrnance ofthc work for which lhe pennit is issued. _l have and will rointsin workers' @mpenslion insunnce, as rcquircd by Section 3700 of thc trbo, codq for Ihc performncc of thc work for which this pâ‚¬rmit is isued. My workos' ompcnstion irsumce canio and policy numbcr uc: ( rrrrcr Policy Numbcr:__Ii\pircs (This scclion nccd nol bc conrplcled iflh. pcrmil is for (he hundred dollsB l$1001 or less) _ I cenify that in (hc performancc oflhc work for which this pcrmit is issuld. I sh&ll not cmploy any pcmon in any manncr so as to bec8me subJEl to lhe workers ' compenution hws ofCalilornia, and sgre that rf I should beconre subj(t to the workers' ('rxlc. I forlhw thosc coverage is unlawful. and shall to qiminal penaltics and civil fm6 up to onc hutr&cd thoMd dollm ($100.000).in ddition to the cosr of thc Lsbor Cod., intcrBl and attorncy's f6 damagcs r providcd for thc Setion 3076 of LICENSED CONTRACTORS DECI.ARATION I hscby aflim undcr pcnalty ofpetjury thst I m liccnscd undcr provilion ofchsptcr 9 (commcncing with Scction 7000) of Division 3 of thc Businc$ and Prof6sio6 Codc. and my liccroc is in full forcc md cffcct.?8//Liccnse Nunrbcr 6 6 .Contrsclor: I hrcby aflirm undtr pcnalty of pcrjury thsi thcrc is a coNtructiotr lcnding agcncy for thc pâ‚¬rfomrncc of thc work for which this pcmit is issued (Sec. 1097. ('iv. C.). Lender's N!mcr Lender's Address APPLICANT'S DECLARATION Dcmolition Pmits-Asbcstos Notification Fcddsl R.gul6tions (Titlc 40. Pan 6) _ Rcquircd t ttcrofNotification _l ccnify that thc fâ‚¬dcralrcgulations rcgarding sbestos removal ilc not applicablc to this projcct. _ I cc(iry that I hsvc red this applicEtion and statc that thc sbove infomation is concct. I agrcc to comply with all City and County ordinancB snd Statc lrws rclating to building coNtruction. ud sulhorizc rcprGcntalives ofthis Ciry and abovc mentioned propcrty for inspection ApplicEtrt or agcnt sig.: Pcrmittcc namc (print): Dalc:p 0 lo upon lhc UNDER GROUND l) llt,//L -rbWaste & Vent 4'l b///.Ubq,@) Water-Underfloor Gas-Underfloor Building Sewer Area/Storm Drain I nterceptor/ 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 Final Gas Test t Meter Release Jl nl th 'frS/(0//t41 . I FINAL Notes, Remarks, Etc. Datc: WARNIN(; Dale: