HomeMy WebLinkAbout30141792 - Permit (2)Plumbingcity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Project Address: 300 W Fifth St
Permit #:30141792
Pin #: 85680
Assessor's Parcel: 398-255-30 Lot: POR 16
Unit:
Block: NA
Bldg:
TTact BIRCH ADD
Address Range: .420424N
Brdwy/300,
Historic: Yeg19
Suite Range:
Zoning:SD84
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
S & A Properties
300 w Fifth st
Santa Ana, CA 927010000
17141949-7227 ext.4OO
La Riconada Mexican Restaurant
Athos Group lnc
10775 Business Center Dr #
Cypress, CA 90630
(714) 713-6311
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 I 16002 51602
01 1 16002 5160C
01 1 16002 51602
01116002 5777C
Fee Type
Sink
Floor Drain
Floor Sink
SewerAlter/Repair
General Plan Update
lssuance
Microfilm Records
Amount
13.20
16.77
16.77
46.25
22.95
57.20
3.91
Fee
$13.20
$16.77
$16.77
$92.50
$22.95
$57.20
$3.91
Qty
1.00
1.00
1.00
2.00
1.00
1.00
1.00
Bofch*r5sgCI4 - t/9/2tt20 ID: NGAR(:II
officel CTYH lrsnsf: 32 2 of iAccti: Ref*: 3l:1141792
Rcpti:02861356 - t/9/2t12(t 9:49 Afl
Tronsoct ion Totnl t379,71
State Lic #: 997813
Lic Type: B
Bus. Lic #: 374686
Workers' Compensation lnsurance:Carrier: National Liability and Fire lnsurance Co
Pollcy #: V9WC052597
Expires: 10lOAl2O2O
Athos Group Inc
Building Use: Commercia!
Job Type: Tenant lmprovement
Nature of Work: Tl
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Zuniga
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
A-2
VB
cPc 2019
01t0912020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
\r iii r t.:l ri i. i' .i. ttl i i., l, d tr ''. i.r i: ::
',,:
r-r.[ I L,ir_rr.r,j-- :.; 1 6t.rUI.tt:tt:l-
i'lirr*Lr ir'l
r-r i I I {ir_il.r:t.- :";1 6r:r.trlt.il.l
i t t ,: r'$l i i.,i it :-)t,'-.t.,,fr;i:tr'i. 1.,
l"r I j 16r_{r:l:7* i7 i;rt-ll.rl-ll-l-.
t [.i. t li i.i,...1; , tt_r 1 t-i,i,r
Plumbing for Tl includes the installation of a new bar.
NOTE: Grease interceptor not req'd per PW memo on
file.
$223.30
$0.00
$223.30
Buirdins Permit #: 101100907
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced wrthin 360 days after its
rssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 5't600
01116002 51602
01116002 57770
$22.95
$196.44
$3.91
lnspector MID#: 2019-153236
Planning Conditions: lnterior work only. No exterior alteratons or modifications.
PLUMBING-!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS 0WNI.:R BI III,l'F,R I)EI.('ARATIoN
I hcrchy alfirnr untlcr pcnrlty ol pcr.;ury thrt I urr crcnrpt l'ronl thc Contr:rct{)r\' Liccn\c Law f('r thc li'lkrwing rcasoil r8..7lt.l1.5
Busincss and Profcssion Codc): Any Cily or County which rcquircs a prnril to construct. altcr. iillprovc. dcmolish or rcpair any
slruclurc.priort)ils isslrncc.alsorcquircslhcapplicanllorsuchpcrlritk)filcnsigncdslalcftDt lhalhcorshcisliccnscd pursuanl
to lhc nmvisions of lhc Conlrnclor's Liccnscd Lrw (Chrptcr 9. ConrnEncing u,ith Scrli([ 70U) of Division ] of thc Busircsr and
ProltssionsCode)orlhalhcorshcisexcnlptlhcrcliomandthcbusisfotthcallcgcdcxemplion. AnyfiolationofScctionT0-3l.5byany
applicantforafcrmilsuhjcclslhc applicanlloacivilpcnaltyofnotnx)rclhanllvchundrcddolldrs(S5U)).
-1.
ils owncr ()l'l hc pfi)Nrly. ()r nry crnp l(,yccs w il h wil8cs ils t hcir solc cortpcnsat trn. will do thc work ancl tlE slructurc is n(il
lhc pmpcny who huikh ()r inprolcs llErcul. ilnd wh() (l(rcs rlch rvork hirnscll or hcrsoll or through his or hcr own crrployccs.
ol conrplclion. Ilr O* ncr tluiklcr t ill havc thc burrlcn ol pror irrg that hr or shc did [(il huikl or itnpro\c rlrc pffrFf], li)r thc purFx)* ot
salc I
-1.
as owrer of lhc prolrcny. am exclusively conhacling wilh liccnrcd conlrlcbF to conslruct thc Imject (Sc. 7O44. Busircss
attd Prnfcssion Codc: The Conlraclor's Licensc Law docs nol apply to an owncr of propcny who builds or improves thcreon.
{nd who conlracls for such troj€ts wilh tr ConlEcb(s) licenscd pursuant lo lhe Contractor's Liccnsc [rw).
-lamexcmptundcrscclil)n-.B.&P.C.forlhisrcason'Dste:_Ornen_
WORKERS' COMPENSATTON
DECIIEAIIQN
I hcrcby afnrm undcr Fnally of fErjury onc ofthc following decluations:
I -nh(,r Codc. lbr thc pcrli)irhncc of lhc work li)r which thc pcilnil is is\uc(!.
_l havc and 3700 of the [rbo, Codc. for the psfomncc of
lhc work fot ud grlicy numbcr uc:
llxnircs:Policy Numhcr: ./
^!crlily
lhill ilr Ihc |crl'nrHrcc (,f thc work l'(n s'hi(h this pcrnril is isrucd. I rhall n(il crtlpk)y rny l)cl\oi in any mltlncr
so artohccorrrcsuhicettorhcworkcrs'cotrrpcilsnlionhw\ol('alilbrnix.artrlrgrccthrtiflsh()uklbcc(Jntsuhicclk)lhc
workcr\'conlpcilsalioip()\'i\ionsoiScclion.17(X)ollhcLahrrCrxlc.Ishrll.lirihuithcoitplywiththoscprovirions..
WARNING: Failure lo surc workes'@mlEnsalion covcmgc is unlawful. and shall subjel an cmploycr to aiminal puhics and
civil fines ul to oE hundred thousnd dollm ($l in addilion to thc cost of compensalion. darmges as providcd for thc
Scction 307( of'l-thc lntDr Codc. inlercsl andq
I hcrcby affrm undcr pcnalty of fErjury that I am liccn*d ol Chuplcr 9 (Sccli(n 7(XX)) ol Dirishn l
of thc Business and Prcfcssions Code. and my licenre is in full fore afld effcct.
rc-JLiccnsc
C()NS'I'RI'C'IION LI:NDINC /TCI.'NCY
I hcrchy aflirm lndcr frnally of perjury lhal lherc is a construclion lcnding sgcncy lbr lhc Jrrformncc of thc work for which lhis ltnnit is
issucd (Scc. -3097. Civ. C.).
lxndcr's Nam:
kndcr's Addrcss:
APPLICANT DBCLARAl'ION
I hnhy aflirm undcr pcnrlty ol pcrjury onc ()f thc li)lk)wing dcclxral ions:
l)cnxrlition Pcrmits A\hc{tos N(nillcrlion Fcdcrrl RcSuliltions (Titlc rl0. Pnn6)
-Rcquircd
Lctlcr ol N(rilicrli(,n
_l ccnity lhal lhc ftdcral rcgulati(nrs rcgarding n\hcsk)s rctnoval rrc n(x tpplicablc k) this fr+ct.
{orif y ,f,n I hrvc rcnd lhis apf lictrtion nnd slrlc lhal lhc ntnvc inlonn{iion is coftcct. I ilgrcc lo conlply wilh 0ll City flnd County
ordinanccs and Statc hws rclating to building construction. and hercby aulhorizc rcprcscntatives of this Cily and County to cntcr uFnn thc
ilrvc rcnttnrcd propcrly for
Applicont or Agent
Pemite mme
D,1". / -? -ZO
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
[\Iain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
Meter Release .r\\r \\r ttl
FINAL '1\N\%iu up[]ilvJ JU rb
Notes, Remarks, Etc.
,
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