HomeMy WebLinkAbout30139908 - Permit (2)city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: C/14) 647-5800 lnspection Requesls: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30r39908
I Pin #:6243i{
Unit:
Block: NA
Bldg:
Tract: 1290
Address Range:
Hisloric: No
Suite Range:
Zoning: SPIAssessor'sParcel: 004-111-22 Lot: 18
Owner:
Address:
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 927032124
(714) 647-5664
Foe Type
01'116002 51602 Cap Sewer
011'16002 51602 Fee Exempt
01 1'16002 51600 General Plan Update
01'l'16002 51602 lssuance
Amount
99.92
-177.04
22.08
55.04
Qty
1.00
't.00
'1.00
1.00
Fee
$99.92
$-177 .O4
$22.08
$55.04
Phone
Tenant Name:
lnterior Demolition lnc
2621 Honolulu Ave
Montrose, CA 91020
(818) 2494932Phone
State Lic #: 603409
Lic Type: B, ASBS, C-21, C-12
Bus. Lic #: 337823
Workers' Compensation lnsurance:Carrier; State Fund
Policy #: 1977624
Expires: Ogl27l2O1A
Building Use:
Job Type:
Nature of Work:
Mixed-Use
Demolltion & Clear Lot
Cap Sewer
Occupancy:
Constr Type
Code:
R-3, U, B
VB
cPc 2016
Notes: Cap sewer. City rob/fees exempt.
Planning Conditions:
Planning Approva
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lBy Date: Misc. Receipt:
Date: Misc. Receipt:
Date: 0al29l201B Misc. Receipt:
Account# Total
PAID
?9
97539 $0.00
$0.00
s0.00
Every pormit issued shall become invalid unless the wo* on the site
duthoized by such pemit is commenced within 180 days after its
issuonce, or if the wo* authoized on the site by such pennit is suspended
or abandoned lor a peiod ol 1 80 days dflet tho tine the wo* is
commen@d.
lnspector
N/A - No Balance 2 nt a Ana
Project Address: 1302 W Eleventh St
Contractor:
Address:
Fee Tolal:
Paid to Date:
Balance Oue:
MID#: 2018-145741
DATE COMMENTS
UNDER GROUND
Waste & Vent
Gas-Underfloor
Building Sewer ilnln gl w/*^ fr 2--
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rou gh Water Heater
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Hough Plumbinq
Final Gas Test
Meter Release Ir
radlt-lsFINALzIiltfi fn )-.
Notes Remarks Etc.v I-\l f
PLUMBING-INSPECTOR RECORD
O14 NEII BUILDER DEI,CARATIoN
I turchy lififln undcr pcndty of pcrjur] lnd I 0n cxcmfl nonr rhc C.nklnl Liccn\c Law lir rh. fdlowing rcasn (Scc 70:ll 5
ausiic$ ulj Plnision Cdcr: Ai, Cir, or Counry n hich rcquncs tr I'eir.ii ro co.\1ru.1. rlrLr. nvrovc. d.rmli\h ", rcrrJn . 'y{ru.lurc. prirtr r, irs is\u3n.c. al\. fuqui(\ rhc.pplicrnr n, \!chlcnnitro lilc r \i-s.cd \rarcmnl tl hcorshe i\ liccn\cd p!^otrnl
tu n'(.,)t,!hi,,ni or itu ContD.trr l.iccn\L.d l-aw (ChnDr.r 9. CoDnrErcir.( wirh Sccrn r 7lx[ of Division ] oi rhc B!rin.\s n.d
Itoicsiotrs(ndc)orrl hc.rrhetcxcmflrhcrcrionandrhchr\i\forrhLallcA.d.rcnlnrion Anyvi(,lrri()norSc.rhn70ll.5hy,iy
,pplicrnrlur rErmir suhrccl\ rhc lpnlicurro rcivilpcnalryol mr nnr.rhinn\c hundrcd dollirr ($5ur).
-1,
at owno of 0E prcNny, o. my cmplolBN sirh qagcs as rhcn sb .onlEBtlhn. eill & tlE wdk dt $e sm$e h mt
lnl.nd.t or ofEd aor eh (S*.r044. Busift$ Dd PrDtEssioB Co<!q Thc Conr@toC! llrrc ttw d.cs mr Aply b e owmr of
lhclmFdy Blx) buildr o. idproBs rtEMn. nd who &B Mn w* him.ror hcffilf or lhmld his or hsoM. ployccs.
,,rovitLd rh6l skn iqrctlm s e ml inl.nd.d ff of.rcd ftr sb.li h.mw. ttE bdiiting 6r irpbwEd h sU aithin om )&
of@nplcriol rlr O*M Blud.r *i[ har rtu hod.n ofFoving t]er lE q slE dad mr hild or hproE l,E pmFry for rlE po4D$ of
l. a ownc, or lhc poFny, ,m g.lorirly NnrEritrg rirh liccnsd mnlmdoF ro onsrruct rlE projcr (Sec. 7044, Burircss
ad P,DLs\iu Codc: 'l hc Conlrrclols Liccns ljw dGs rcr.Iply lo anowmr orflop.ny qh6 buildr or imtov.s lhcrco..
and who .onrhch tor swh l,.j.Ets wnh r C.m@b(o licenkd ,uBudr ro lhc Conradols Ltcorc Liv),
I m*cmd uDdd S(Don . E. & P.C. fo, rh6 Econ
O*mi_ _-
El}atrE8S:C!.t[IfrNSAlt!]N
PECLAMIION
I hcrchyrlni, udcrpcnnlryoln rlrryoicofrhctnlL'*in8(lcch.di,ins
II'r!cr *illmrirrui'r!Ccninclrcolcon\cntloScllln{,cturworkcrrconllrcr\alion.ss prov cdlorhySccli '1700orllrl-rhtrCo(lc.l ihc p.rlornBnccolrhc work rbrwhich rhc Nnnir r tsucd
I hivc n.d will nrinrain wo'k.ri.onpcnsnrion inslruce. as rcqutcd hySccrin.lT(nolrhc l-lnn Codc. tor rhc r.if.fl1r.r of
lhc wort fttr which rhi\ F.rmn is i\\ucd. My worl.rs .onr--n\ali(,n in\unrc cutricr ud Flic, nlmbcr m:
Poli.ylutr$.r: Erpirc!
WARNING l'dlu'. tu sxrc ad*.rs .6nDcns'in,n corcr0sc i\ unlu$rirl. ond shlll \uhjccr an cryhrrr to dininll IEtulrEc and
ciril finc\ un lo om hundrcd lhouxund dollan (SlLx).(xJo), nr rddnion to lnc cosl ofcomDcnsarion. d0nB8cs as proeidcd for lhc
,'T.trasPxiz
ugiNtu.[aN1&lql)n
DXTLLBTIIION
I tcEhyrtlilmundn F.nallyoftErjury rhar I on utrdc. povirim ofChi|nd q (onxrrncnr! snh tucrion 7m0).iDivismn 3
or rhc Businc\\ Md Prcfc*tr.s ftdc, ,nd ny lt.nsc is in aull forc l8r cflsr
-cz?
N it
I h.rc$y afllrD lndcr pcn.lry of llcrjlry rtlr t
issucd (S.T. 109?, Civ. C.)
hndinB lgcncy for rhc pcrfonmne of rhc work for shtn rhis Fflil h
AIPI.ICANI.DECIIAAIII}N
l,tttby imlndcr pcnohy ofpcrju,y om ofthc folloeing dc.lu{n,ns:
Dcmoiion Pcrmns-Ash.sos Nori,l..rion Fcdcra! Rcguldtk,ns (Titlc 40, Pun6)
-Rcqutcd
trllcrof NodlE rion
os r.mval trrc ml ,p,,lical,lc lo lhh pmjRl
hclh)vc ir,nnD io i\comci I .Ee to otll,lyaith aD Cnyand Counry
snlariws ofrhis Cny.nd Cohry ro .n
,re
r
APPROVALS ID/SIG.
Water-Under floor
-l.criiry
rhd in rhe l.rformtr@ dtrhc wdrk for sfiich this Firtril is issucd.l sh.ll nor cmploylny pNn i, any danncr
m aslotrsm bhd lo tic mlkcs €nncnsario.laws ofcllafomh..nd rg'!. ihar irl siould b..om hirr rorhc
*orksf oqrnsolion pmvisions of Sali,tr 3700 of ih. tjbor Cod.. I shdl. fodhwnh mnply wirh ltb$ pmvirions.
I rr rhi\ rffln"rnrind {rrcrhlr