HomeMy WebLinkAbout30127557 - Permit (4)Project Address: { E Hutton Center Dr
Assessor'sParcel: 4'11-092-30 Lot: NA
unir: 1000
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: SD76
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#: g01275
lnspector's Section: (714) 647-5853
Owner:
Address
Phone:
Tenant Name:
Contraclor:
Address:
Birtcher Anderson Realty Management
4 E Hufton Center Dr, Suite 330
Santa Ana, CA 92707
(714) 850-1703
Sterns Lending
01 1 16002 51602
0 1 'l '1 6002 5'l 602
01 1 16002 51602
01116002 5'1600
01 1 16002 51602
Fee Type Amount
Water Piping (Each 100 36.80
Revision 2O7 .25
Min Fee Adj 23.85
General Plan Update 18.25
lssuance 45.50
Qtv
1.00
1 .00
L00
1.00
1 .00
Fee
$36.80
$207 .25
$23.8s
$ 18.25
$45.50
Crew Builders lnc
6191 Cornerstone #l0l
San Diego, C492121
(8s8) 587-0900
State Lic #: 753428
Lic Type: B
Bus. Lic #: 332227
Workers' Compensation lnsurance:Carier: Everest National lnsurance Company
Policy #: 76000018031I I
Expires; 0410212012
i
Building Use:
Job Type:
Nature of Work
High-Rise Commercial
Revision
Revision
B
I A, SPK
cPc 2010
Planning Conditions: lnterior Ti Only.
Permit lssued By: ,
Subject to Field: $
Kiker, Kraig
Amsden, Julie
Buildins Permit #: 10173959
Every permit issued shall become invalid unle$ tho wotu
on the site authoized by such pemit is commenced within
180 days after its issuance, or if the wofu authoized on the
site by such pemit is suspended or abandoned for a peiod
d 180 days after the time tha wofu b commenced.
lnspector MID#: 2011-100593
01116002 51600
011 16002 51602
$18.25
$106.1 5
$331.65
$207 .25
$124.40
Planning Approval BA
Plan Checked By: /
Date:
Date:
Date:
o2lo2l2012
o2to912012
Account#
Phone:
Botch+ r 17rl59 ' 02/49 /L2
0ff ice: CTYH Tr(nBi: 63Acctil Rel+:
Rcpti:00791S43 - 2/9 /2ttt2
Tnongo':t ion Totol
Genersl I
0r 1160'12-
Plurbins
0t 1l60112-
(:heck
lsn UDdata
516Ur:r000-
516020(rCr-
812(l
Occupancy:
Constr Type:
Code:
Noles: Revision to 30127389 - addition of plumbing lines in
break room & copy/coffee room
Misc. Receipt: 58687
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
PLUMBING-INSPECTOR RECORD
OqcFBu ildd D*llnrion
Iheebyatrrn! ..p. hy of pajury rhlt I m d.ftpr lom rh. Corm(.oR' Lienlc t w lor th. followin8 raen (iE 7ol I 5 AEiodr
. d Prof*ion Cod.): Any City or Colnry which r.quir6 . D.,dn lo @Brtuc( allr. inpIov.. d.molieh or !.p.i! !n, 3rodu.. pdor lo irti*rn a, rllo r.qut6 lh. ipplitut aoi .uct psmir lo nlc . ri8..d !r @fl d[r h. or sh. it li*M.d p!6@t ro rhc provalioG of rh.
Corhaofr L.eNcd trw (Cllpla 9. ComodlS eii Sc{tior ?000 of Divi.ion , of rh. Blrin€r Dd ProfsioE Corl.) or rht h. ot
sh. iq.n rhd.6om tnd th. b$i! fo. thc !ll.8.d emprior A,y viohrio. of Setion 7Ol l. t by uy +plistrl for . pmn subjccl! th..pplia rorcivil pcult, ol rct noB thu fiv. hundr.d doU.R (1500)
_1, s om.. of th. popcirr, o, oy .mdoy6 wid ug6 .r Utct iolc .o6pc6!tion, will do th. mrk ud th. luodue ir nol iir6d.d
or o,Is.d lor elc { Se 7044, alrn6r ed P,ote.ioro Cod.r Th. conhtu t LieM las do6 @r .pply b u oMs of rh. prop..q
*ho buil.Lr or improv6 $66,! .d wh. do6 rwt wo* hiN.lf or hcroll or rtuoud ,'ir or ha oM .mploy.a! provid.n rhr ilch
ioFolcncnl! .r. .ot inlcnd.d or offs.d tor nk 14 howda, rhc building or inprcv.n. i lold wihin orc yar of.omplcio4 rh.
OM.lBlildd will hrv. th! burdcn of proving rh.t h. or rh. mt blild or irp.ov. for UE pu,polc olsL).
_,1. u oma oltlE proDlrty,.s qclwiv.ly @trhdh8 wilh liccBod @ r.ctori !o @Blo.r th. prcjcr ( Se 1oaa. Bsin6! lid
PDesior Cod. Tn Co r..roa! Lk M lr- doa aor .ppl, ro 6 osa of prcpsty who buid! d inprov6 rh.6. . rn t etoo r.cll fol .u.l' proj*E *nh . Co r!do(, lic4.d pu6u to rh. Conurdol! LiaM bw )
I rh.i.hpt u.da S.crion _ ,A &PC forlhir rdon
WORI<'IS COMPf, NSATION DECLAX TION
I ha.by rmm lndn pcdry of pqjury onc of tlE followinS d@hdioN:
I hav.and willmlmia,n a C..lrfiat of Comem b s.lf-l NUre i.r *or[.( .on,pensrkrn, rs p,ovidcd aor by s{tion]70(, oarh.
Iihor Code,lor thc pc,forman.c orth. w.ik ior *hrh thc p.rmn is nsucd
I ltv. ttrd r'll mtintlin wo,t.R @np.6rrion iisu,!nc.. G r.qun.d by S.c1ion r'700ofrh.t bor Cod.,lor$e p.rform, eofth.
wort ao,whkh.hipdmn i5 i$u.d My wort.n @m!€nFrion iGuan@ aiii...nd policr.umbd are \cruid, Er'<.Z p,a.l
P"n"yN,.b. TCoOOO lt03l I I Expn.! lJ ,l/ozlLot2-
(Tht t clao, i..d nor b. @mpl.r.d if $. psmir it fo, Orc hundied dolhB lll00l or lcE)
_l ccnify tnlr in !h. pdformft. ol.h. wo* lor shi.i rhi! p.mn n eu.d, I rhlll nor.nploy.ny Ftun in..y mloo.6 s to
be!h. 6ubjet to llE mrk.6 ' @np.Mtion h$ ol C.liforni!. lnd Br.. tht! if I rnolB b.@m. lubj.d to rhc woikot
@mpe.srioi provnio.! ofsddon1700 ofth. Llbor Codq I !h!ll, lonhwirh @mply eirh iio!. prdhions
-lwri-^
L,,z<,s l.a L ll1
WAANTNG F.ilur. !o Fur. mrlcc coip.Mtion @v E is unhwful .(l .hlu Nbje! !. cmploy.r ro Bimiul p. hi6 lnd civil
fin6 up to om hund,.d th.usnd dollid (l100,000).in iddnion b tn. 6rt ot @mp.Mtioa drmgs s provid.d for rh. Sdrion 3076 of
rh. trbor Cod.. intsat lnd !{orn.yt f.6
LTCINSED CONTRACIORS DEICL{IIATION
I h6.by iftrih unds p. hy olpqju,y thl I m li@i!.d oda provnion ol Ch.pls 9 (@ftb.ncing wnn Scction Tooo) 6fDivirion 3 or
lh. BEiIE .flI Prof6sioB Cod., ud ny liccB. t in tull fore .nd .ffal
L,crcrtt, P C-lc.s->-t**"r" * 1S?1 L
Lrtqf rz-
cglsIB.UeroLtElDllGl.GlXCY
I hcrcby lttrrm unds p.ully oar.rjuryth the..isi con*u.tion l.ndr8ra.rcy ror rh.p.formnE olrh. work io. whichfiG p.rfrir is
nsucd(Se roe?, civ c )
DPLICANT'S DECT-ATTATION
D.mlition Psmi!.Atb6ror Notiliotion F.dsll R.sullrioro (Tnl. 4q Plrt 6)
R.jut.d Lats of Notifi @rion
I @nily rh.r rh. Ld.olrsullrions r.g.idinB $b6to5 r.Bovrl rr. norarDliobl. !o rhi rrojer
APPROVALS DATE tD/stG.COMMENTS
UNDER GROUND
Waste & Vent
Water-U nderfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/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 2.\\r \\\Itor/
Final Gas Test l'l t
12\->FINAL '//P// I
Notes, Remarks, Etc./ '/ ''-.
M \WP51\P6.Brl-lnspoclion Forms\Plumbino lnspoctor Ro@rd doc 03 31 06
Meter Release
_ I cdlif, th.r I hrvc rad thi! lppliqion rnd st . thlt rn .bv. inlormrio! n or.a I r8re b @Bply wnh nl Cny .nd counly
ordi nG rnd St r. LrE r.htinS 10 buildinS @6ru.don. lnd hd.by .urhori.r ,@r.6uriv4 ol this Cny rnd Co6ty 1o ore lpon ft.
rbov. h..tion.d proFny lor in.p..rion porroc
^pp,ien,or!sd,!is &--StzaZ .
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pc.hin6'm(p.inr l.S::t t ^/alb_