HomeMy WebLinkAbout30139738 - Permit (2)Project Address: 1971 E Seventeenth St
Assesso/sParcel: 396-321-21 Lot:
Bldg: Address Range:
Tract A.B. CHAPMAN Historic: No
Suite Range:
Zoning
q
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
Permit Counler: (714) 647-5800 lnspection Requests: (714], 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 39738
Pin #: 87695
Owner:
Address:
Phone:
Tenant Name:
Contraclor
Address:
Hoblob 17 LLC
1234 E t Tth St
Santa Ana, CA 92705
(7'14'l245-7400
Batteries +
Botros Construction
3'1831 Paseo Tarazona
San Juan Capistrano, CA 9i
(949) 632-7716
Fee Type
01116002 51602 Sink
01'l'16002 51600 General Plan Update
01116002 51602 lssuance
Amount
12.70
22.08
55.04
Fee
$12.70
$22.08
$5s.04
Bctchi:4{944 - 7 /23/2r1tg I0:
ofl ice: CTYH Trorsi: 43Accti: Refi! 3Ll1
Rcpti:02330331 - 7 /23/2018 ltl
Tronsoct i on Totol t7t{
Qty
1 .00
1 .00
1 .00
Phone
State Lic #: 716566
Lic Type: B, C-33
Bus. Lic #: 370071
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9029788
Expires: 1110112018
Generol Plsn Updnte Fee
nl116002- 11600000-
f'lurb ins(r1116002- t1602000-
ICL Chectr 2368
Eotros construct ion
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By;
Subject to Field:
Building Permit #:
Commercial
Tenanl lmproYement
TI
M
t B, SPK
cPc 2016
Notes: First time Tl-lnstall partition wall, counters
Chavez, Dave:c'0712312018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
10196660
Every pefinit issued shall become invdlid unless the wotu gn the site
authorized by such permil is commenced within 180 days after its
issuance, or if the work authoized on the site by such pemit is suspended
ot abandoned lot a peiod of 180 days aitet the time the work is
commenced.
lnspector MID#: 2018-143818
01 '1 16002 5'1600
01116002 51602
$22.08
$67.74
Fee Total:
Paid to Date:
Balance Due:
$89.82
$0.00
$89.82
Unit: B
Block: A
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date;
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNDR BUILDI'R DI'I-CARATION
I hcr.ny !fim undcr li.nally of pcrjury rhat I m c(mrr riorn thc G'niodo^ l-iccnsc t-r$ r(n rhc rollo*ing rc.qrn (Scc 70ll5
Du\incss rl Prcic$ion Codcr: Aiy Ciry or Cornrv shich rcqtrt \ r Fn r io tun{fl.r, rlr.r. i'nptuvc. d.nrri\h ,{ rc0.n rny
iru.ruic. tnkrr, n\ nsuii.c. rl$ rqxncsrhc amliclnr ru su.htcmirb ilc l siEncd slarcnEd rhll hcor nrc is licci\cd nurunr
n' rhr pn)!i\n,ns.frtr Conkrctr \ l-'..i\.d l:a (Chrlrcr 9. Gnn'ftn.i.g sirh Sc.rion 7(X) of D,rismn I oi rhc ltusincs and
l"ola$i.nsCodc)orrhrt h.orrh. is crcnDr rhcrclion lnd rhctu\is lir rlrc trl|Ecd cxcr.prion AnyvnnrriooofSErion?0.r15$yriy
rprlicanr lhr! p.rnrir suhjccrsrnc rppliclnr h n.irilpcmllrolmt morclhrn nvc hundrcd dolh6lssm).
L ownd orrhj lri,trdy. or m! cnyl,,trc\ wirh qrrd nlrhdr $L onrNNdn,n. wil,do rlE wort uld lhc sruluE i\ tri
irlcrxL{ or olt'cr.d ,tr srh (Sd 7(}4r. Busims\ and ltd'csi.ns Cod.: 'rhc O,ntx.ttr r Li.n\c lrw docs n.r al)llly to on osncr ol
rhcmrlMy who huild\ or inDn)vcs rhmn. rel wll' docs snch woi( r,inrcllor h.^elaor rhK,x8h his ot hf own cnDhyccs.
pmvidcJ rhrr rurh i'npmrtunbrE ninrc lrlororl:rdfireL ll howurs. rhchoildin8or impmrm h $[l wirhin onc jqr
oi conDhlion. thc Oqmr SuiEcr will I'r\t l h. hunLo ol ,arvin8 lhlr it or shc di{l mr hoitl or i!r{r t rhe prop.iy iv lh.IUrF,{.1
-1,
as owrcr ol rh. lmpdy. .m.rclusiwl, conr.ding wiln lien*d coninctoc ro mnsrtucr llE Faj.cr (Sd. 7044. Busftir
aid PDftssion cldc: Thc Conrrcloa r Liccnsc Lrs d6c$ @t lnDly ro u o*nd 6t propeny who builds or inpmEs lncrcon.
d who @nm.k ror sEh Foids wnh. Co.rndo(.) ltunsd pusuanr ro rlE C.nrn rois LicrE L!w).
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u .x€mpr undcr Sedon- B. & P.C. fo. Ufi Ea3on
D.r., Ose.
UOBtrEES:IIIMIEIIAIION
DECIAXAIIO!
I ficrcby lmrm udd pendry oI p6jry om of rhc followhg .t cldari6.1l
I nhtrCoJ.- tnrrh. nrfoi,,utrc..lrfu $o,l tur trlirhrhc jrnnr iisuctl
_l hawand*ill mainlain workcs comp.ns.lion ny Sd ion 1700 ot rh. Libor Codc, ror thc pcrfollrjm. of
@icr !d Flky ntrnb.r se :
L
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enify lhlt in th. FrfolmN of lhc wort t'd whth rnir pcrmil is issEd, I shall mt cmploy qry p.r$n in any MM
$ as lo bcom subjcct ro the wo*c6'omp€nsution har of Cllifomia. .M !g@ rhd il I should bc.om subj.{l lo lhc
wortds onuEnsnrion rovhions oa Scdi.n 1700 of
'hc
Llliq Codc I srEll, lonhwnh.omply wnh lho* pDvisiotrs..
WARNIN(; Failut ro kdrc workcrs srip.nsrion .ovrn8c is unh{ful. {.d shal, subFl m cmplorr ro sjminal r@lrar and
k) onc hu dr.d rhou\rtrd dollnr\ ($l(x).{Xx)). in jddirion r iotr. duqcs as provid.d ftr rh.
serion 1(,76ofrhc Lr&r Codr, rnrcrc{ snddhm}r
o,,", . A l'ru 14
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I heEby {fiim under pcmllyolperjury lhal I am li.cnsd unds !rcvnior ofChapr.a9(on'Ercing wnhs.dhn 7{xn) ofDivkion 3
ol rhc Busi,rcss d Prclcsions Codc, 0d mv lic.ns. i\ in 6,ll fom nn l.ff(rB J
-T (r)Ns t Rrrc't't()N LlrNl)tNC ,\GriN( r
I hcrcby Illltm undc. ,.nrlry oi psjury rhd thcrc is a coNtdcrio. lcndinS agcncy for th- rr.Tfoxumc 6f rlt w.rl ror which rhis ldni' is
issucd (Scc..1097.Cir. C ).
AITLICAII,I]ECI.ATAII!]N
I h.r'by {ltim nid.r I.ndlry of Frjury onc of rh. folbwi'rg d(lrd bn\l
Dcnlniion Pcrnrils Ashcnos Norirrclrion licdcrol Rc8uldions (Tnt40, Pan6)
_R€quircd lxrre, of Norifi cdrioo
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ccnify lhar lhc lcdcml rcgllllions rcguding asbcsros Emwl m mr opdiobk ro rhh pbi,
I ccnllyrhJ I hrvcr.rdrhi\ {plicin,nrnd\forMrio. h .om.r. I {ge ro onl|)ly vilh .U Cny
ofllimm.s rn(l Si!rc Ir'{s rcLri',g k, hu, nr!Nlhorie rcprc*nr,tivca of rhis Ciry and C,unty lo
lbovc nrctrlioncd pmlcny for insrcrion
Appli.&l or AEenl Skn,lure:x
UNDER GBOUND
Water-Under lloor
Gas-Underfloor
Building Sewer
AreaL/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent {//6//f -.p4)
Water Piping \--,/
Gas Piping
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Pool Heater/Gas Line
Miscellaneous
Gas Service
Waler Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing 8/zrlr ."1ff2f
Final Gas Test
Meter Release I
FINAL Q/6/ t f /vkh )
Notes Remarks, Etc
-s
Waste & Vent
Roof Drain
Fill Line/Back Flow