HomeMy WebLinkAbout30116072 - Permit (2)City of Santa Ana
20 Civic Center Plaza (N4-19), Santa Ana, CA9270?
Plumbing Permit #: 30116072
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Suite: K
Block: NA
Bldg:
Tract: NA
Address Range: 2709.2121
Historic: No
Suite Range:
Zoning: C'l
q
Assessor'sParcel: 101-131-36 Lot: NA
Owner:
Address
Fee Type
Cap Fixtures
Min Fee Adj
lssuance
Amount
4.00
'16.00
30.00
Qtv
1.00
1 .00
1.00
Fee
$4.00
$16.00
$30.00Phone:
Tenant Name:
Contractor:
Address:
Tenant is Contractor
Phone P0|7 / 612tr04
(:IJST:
ul45 0002
TRAI,ISACII()}.I
8u i 1d ins
CA
(:HAHGE
ID: ENAI
IH
r'lu$75i
lOTAL:
,L
(r1
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
STti0
t61tl rl
l-l
4
Building Use:
Type of work:
Nature of Work
Commercial
Alteration
Fixture Cap
Constr Type
Occupancy:
Code:
VN
B
cPc 2001
Notes: Auth ltr on file.
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
d rales, Janet
Date
Date
Date 0710612004
Misc. Receipt
l\,lisc. Receipt
l\,lisc. Receipt
Building Permit #$50.00
$0.00
$50.00
This permit sha expire by limitation and become null and void if the wo* authorized by this permit
is not commenced within 180 days from the date of this permit, or if the work authorized by this
permit is suspended ot abandoned at any time after the work is commenced for a peiod of 180 days
Before such work can be recommenced, a new permit shall be first obtained to do so.
Account #: 01 1-01-5912 lnspector
Project Address: 2709 Westminster Ave
T. J lnvestments Co.
2596 N Crossgate
Orange, CA 92867
(714) 998-4362
Amigo Food Mart
Fee Total:
Paid to Date:
Balance Due:
PLUMBINGNNSPECTOR RECORD
APPROVALS OATE ID/SIG.COMMENTS Owo.narild$ D.cleation
I h@by clfid und.r pdalry of p.rjury $rl I d cxdpt fm $. ColtetoE' Licas. Law fot rh. followinS rson hd 701 I 5 BGinBs
dd P.ot6io Cod.) Ary Cily 6 C4,ty which rc4uiB t Fmil lo @slt!d. alG, imPtov.. dholish or Eplr ay srrulrur., Pnm b ilr
isru&cc, ako rcquiB $. applic l lor such pmn lo fiI. . sign.d tl.l.h€d $al hc or shc is li@srd PuRUel lo $. piovhitu ol t'!
Conr@td! Lic@€d tlw (ch.flo q Comocing with S.clid 7oo0 of Diviliof, I of lh. BusiiB &d Prcasio.s cod.) d fia Ic d
shc is dmpt rh@flm &d lh. bsiE fd 0E sll.scd .xoFioD .any eioladon of Sation ,031 5 bv ev aptli@l fd B pc6n tubJ@tt thr
.pplimt o eqivil p.nslty otnotmoc th fiv. hun.lr.d &rll4 (S500)
-1,E
owrd oi$. ptopcny. orn, @doyd with w.s6 s $. iol. cmP.$alion, eilldotl. Bort dd t.,h.lu. i5 nol inl6d.rl
*lt.df63.lc(S@704a,Bcineudlrcf*i@Cod.rTh.C.nl'lcl6'3Licftcl,wdGnotr9Pl,lodMdofrh.PDpdtv
pno buil& or imr.ovs th.@n, dd *ho dB such wdk hinlllf or hdclf r dircusn hi5 d h.r owr dploy6, Prolid.d fi such
inDrd ar. e nor in16d.d or offd.d fd ialc If, how.vq, t. building or improvmol it sold witirii oic y.& of complaio, dc
O$i(ruldd will h.vc $. budci ofpovinS$ h. or ih. nor build o mProvc for $. purPs. oi salc)
4, e o*"*.r tr,. p-pcny, *.rcl6rvcl, cmtmsnt with lidrcd conl@tos to coNrru.t lhc pq*l ( se 7044, BBinG 6d
Prcfqrio Codo Th. Cdtr&toi! Li@* llw do6 not +ply to & oMd of prop.dy wno blilds d ihProv6 ,'.r@n . ud who
cdE&t, ror such Fojett with . cmtero(, li@cd Poslut ro dq Co.tuwt Lie6. L.* )
Del Q.n"u
!-sE{l85!SUrE!SA!9!!rCl48drO!
I hd.by nlfim undcr pcn.lty ol pnjury on. of rh. followinS delaEdons:
_l h.vc ed *illnliilli, !C.ni,i.c!ofcoE! bS.ll-ltuuc ldso*@'@nP.n$ri6. a Prcvid.d fdby S@don l70o ofth!
L&or Cd., fd $. p{dmnc. ofth. wort fm *hich fi. pdmh i! is@d
_l hrlc dd *iU m{nldn wd(cR' conposaiioi ituuecq s rcqliEd by s.clion l70o olth. Labs Codc. for th. P.domecc ot$c
*o.t lo which lnis pahn is i$ucd My wdk4' c@Fs.lio iNllruc. clnd 4d policy nunb.r .
Policy Nunb..-ExPtcs
(This $clioi nc.d hor bc compldcd rifi. pomit tr for On. hundrcd doll s l$lo0lorl6s)
1Gadfiy U,al i^$c wronse or th. sort ls sh'ch tl'E p.mtr E ,su?d, I
lich. suble o th. *ork.E cor.!.n$rion las3 ol Calrfomr.. ed.8re fiar
shall nol dploy uy paon in 6y ,M.o ro q ro
if I should b.@m. subjd ro $c wort!6
l7o0 of d!.I$d Cod.. I rhall. ld0tsi$.ompl, wirh
WARNING FailoE ro s.cu!. qork.ls comp.nsarion coloas. is unl,wiul. d shailsubJc€l .mPlo).t to Bminrl p.ntni6and civil
6n.s up ro onc hun&cd $o6dd dotl6 (l l oo,ooo),in rddition lo . c6t of compcnsdion. dmaBes s provid.d fd fic S.clio. 1076 of
thc Labor Cod., inr.lcsr md.noh.,\ ac6
LICENSED CONTRACTORS OECLARATION
I hcr.b, afllm undd p.nlhy of p.rtury rhd I o lic.nscd und.r protision ot Chaprcr I (cmmcncins *ilh S.ction 70cr0)ol Diviiioi.r of
rh. Busin.s d Prof.$ions Co'd!, md my lie.ns.ls in iulladcc dd.ft cl
CONST'RT'CTION LENDING AGENCY
I hdcb, .flim ud.r p.nalty oa pdury thar rhd. i! a coislructioi lc.din! .s.ncy ror rhc Frfom&c. of $. work lo, wiich $i5 pcmn ii
issu.d (S* 1097, ci! C)
APILICANT'S DECLARATION
Dcmolilion Pmils'tub6r6 NotfiQli@ F.d.r.l R.suldim (TnL 40. P.n 6)
-
&cquircd Lrn.r of Notificdd
I ccniry llat fi. r.ddlr.8lratims !.adina sb6!s rmovdu! nor applicablc 'o{hk
prol.cr
-/lAify dlr I havc csd rhis .prl'cario. Md n . thd (h. abov. i.fmlrion n cor.cr I.gt.. to 6mdy wnh nllCnyandCourry
ordinoco ed Srar Lnws rclat,nB ro buildi.g comlfudion, and h.&by $one rcp.dcnrarivd of thi! City dd Couiry ro .ird upoi $.
,bovc Mion.d prop.ny for insp.crion purFs.i
h,^*r*,*&,
"^*.yd,,
t7-? Qd
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main DrainiPool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing I Z-t a-. L)
Final Gas Test 5o\r;:rwtH. -
Meter Release 7)
FINAL z/zz/sr / 09il12 7
Notes, Remarks, Etc
Roof Drain
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