HomeMy WebLinkAbout30139405 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714\ 647-5853
Permit #: 30{394Os
Pin #: {63{3
Btdg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoningi Ml
qProject Address: 3330 S Harbor Blvd
Assessor'sParcel: 415-023-07 Lot: NA
Unit:
Block: NA
Phone:
Tenant Name:
Contractor:
Address:
Tam Nguyen
3330 S Harbor Blvd
Santa Ana, CA 92704
1714't 241-0235
Robinson Pharma
Owner-Builder
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01 'l
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01 1
01 'l
01 1
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51602
51602
51602
51602
51602
51602
51602
51602
51602
53602
5160C
51602
Plannino Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every pemit issued shall become invalid unless tho !ro.k on the slte
authorized by such permit is comnenced within 1 80 days afier its
issuance, ot il the wo* authoized on the site by such permit is suspended
or abandoned for a poriod of180 days aftet the time the work is
commenced.
07 t0212018
07 t12t2018
Account#
FeeType Amount Qty Fee
Floor Sink 16.14 2.0O $32.28
Add'l Sewer Connection 22.25 '1.00 $22.25
Each Add'l 100'Sewer 22.25 1.00 $22.25
Gas Outlet, each Add'l 7.06 2.00 $14.12
Gas Line alter/extend/a( 65.57 1.00 $65.57
Water Piping (Each 100 44.51 '1.00 $44.51
wtr conditioner 44.51 1.00 $44.51
Hose Bibb 15.47 1.00 $15.47
Alter Drainly'ent 44.51 1.00 $44.51
Plc - 650 0.65 305.47 $198.56
Generar pflg$&k61l79 22ldd2/2t:rls 1 60; l-Roscbfsa
r..,u*" fllf!!' crYH 5sT.6fns+:Ff 1.r og,rr.f,[$sdo+
Rcpti:02323178 - 7/12/2tt18 1r.ti53 All
Tronsoct ion Totol i35 /, rls
Tnn Hsusen
Generol Plan UpdRte Fee t?2.1:tg
01r16002- s1600000-
Plunb ing t335.(r0rull6002- 51602000-
Tenand0bp&lwkent an8ld&l6ilor equipment $3r7. Llg
enclosure. Exterior concrete and curb work, New10'
high gate and exterior roof structure. New ceiling grid
and additional lighting forfirstfloor. Add one room
and vestibule on second floor and new lighting. No
new roof equipment
$581 .15
$224.07
$357.08
16002
'16002
'16002
16002
16002
16002
'16002
16002
16002
16002
'16002
16002
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work
lndustrial
Tenant lmprovement
T.t. -
Kwak, Jason
Link, Patricia
Occupancy:
Constr Type:
Code:
B, F.1, S-1
III B, SPK
cPc 2016 Notes:
Daie
Dale
Date
lvlisc. Receipt: 70931
lvlisc. Receapt:
Misc. Receipt:
Total
lnspector MID#: 2018-143150
01 't '16002 51600
01 1 16002 51602
$22.08
$335.00
Fee Tolal
Paid to Date:
Balance Due;
Owner:
Address:
Planning Conditions:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
,*w *Waste & Vent 4 flfl,7 nr)
Water-Under floor (u)'.
Gas-Underlloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent I I ic, )
Water Pipinq l1 t tqr,rlwc
dt*td,';Gas Piping I .b/
Roof Drain J\
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Linei Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
i
Rough Plumbing
;quPftn,Final Gas Test I \)
Meter Felease I I )MAFINALAtttclq tlrt ,6)
Notes, Remarks, Etc.VI
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OWNDR BUILDER DELCANATION
I herchy utfir undcr pcnllly of p.rFry rhlr I anr ercmfl fmnr lhe Conka.bN Li..n{ ljw Lr thc lbllowins rcason 1scc.70:ll5
Brsinds and Pn,fcssi,n Codt)r Any Cily or Counly Nhich rcquncs , lrirnit to conslrucl. alrcr improlc. ddnblhh or on ir My
slrxcruN. priorro its nsu cc. alu rcquics thclprlicrnt tor such rcnnil lo ilcr \isn..l {ar.mnr rhxr hcorshc is licctrscd lursudr
ro rhc folicn,ns of rhd Conlrdcrols Li.cnrd bw (Chr cr9. Connncn in8 wilh Scdi.n 7Ul0 oi Division:l ofth. Busincss rnd
PmlcssiousCodc)orrhrrhcorshchcxcullhcrcfron.ndrhebrskr'orlhcallcgcdcicmrrtrn.AnyvndionorS(lion70ll5byany
lpllicanrnnapcrmirsubjccrsrheappliconrroacililpcoahyolnrnEcrhMfivchrndrcddolltrs(3500)
*1. .s owncr ol lhc l,oFny, or my cmplorcs wilh wagcs as lhcir solc mmpcnsalio.- will do fr w6lk ,.d tlt slirhE is trol
inrcnd.n or oficrcd lor sk (Sd.?044. Busincss rnd Profcssions Cod€r Thc Coor&iors Liccn* rlw dms aol lplly lo M o*ner of
rhc pmltny wtn, bnius or ihpmB ilEmn. old who dms such work hims.lf n hcmlf o! rhmurl tis or h6 own cf,ployc.s,
toiidcd thar such irpl@ftds @ B, i c.d.d or oflcr.d ror ralc. li how.w, tE brildins or nrq:mrcmnl is mld wnnin .m F-
of@tr{,lelbn. the Owmr Buiklq $iU halc dc burdcn of proving $!t he 6r sht dk! ml bdld or in{,rcrc dc r,opcrly for llrc puqrs of
E r"rrcr,,rrrrc r,runcay. "mr\rlunvclyo'nhr.,fl! wirh li.c.scd . o ntacron roonsrrud rlE pmicr tscc. ?044- Blsinc*
,/htrd ft,hsrnn C.d. Thccotrr,crois Liccn\c LJwdocs not applyro m opnc! of Dropc.r, 'ho buildso, ionn,vcsrhceotr.
and wno €onrlack lor such rmrc.ls sirh { conrndo(s) liccnsed pu^lanr ro rhc G,ntr..rof s Li.cns tiw)
x,re 1
DECIdBAIIO]J
I hcEb, !ftm undcr pcMlry of p.rury orc o(rhc fouowine dNldlrions:
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c oNl qill minllir a Ccn i[cllc of Conscnr ro Scltlnslrc n, sork. d,nDctr,r'ion.as pruvidcd rbr bySdn]o ITOO orrhc
Lrhor Codc, rbr lhc 0crfomrrcc ofrhc wo* lhr qtichthelcmir h isucd.
_l hrvc rnd sill naintain qork.s conp..sarjo, insurarc.. ar rcquied by Setion 3700 oa lhc Laho! Codc, for lhc pcraomee of
rhe *ork for *hi€h rhis pcmi Lr ilrued My lorkdi @mp€n..lion inrueft .Mimrn pofty numbc! ae:
I..nily$ar inthc p.rfoi mncc of lhc work for which Lhn pcirnil is ksued.I shallnol employ un, n soo io tny nmncr
s as lo b.sm subj€l lo thc so*c6'ompensarion la$s ofcslifomia, dnd agt. rhlt ilI should becomc sunjal lo lhc
qorlc6' con{cnsolion pmvhions ol Strion ll00 of lhc tabor tue, I shatl. fonhwith .o'ndy wnh lhos pmvisions..
WARNING: Failurc ro $curc workcr ompcnetion covcm-lc h unlowaul. an'l snau sul,jccr sn cnrl.Fr lo annnDl ,sBlli.s atrd
!rrl ,incs un ro orc hundEt !h,{\!nd d.lle, rtl00.0il0,.
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DF](]I ARATIoN
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nnrcd (Scc. 109?. Civ C.l
I c.dilylh.r thc rcd$al rc8Ulations Eg.rdin8 Nbcslos rc'rcv0luc.or amlicablc lo rtis l,loitr
rh l hrlc rcad rhis npplic{ioi d srarcrhlrrhcah,vc iironnarn)n is.odc.l IagrccrocomplywilhallCilyandC.uniy
ordinanccs and Srare L!*s Elari.C ro nrdivcsofrhhCnya.d Co otyto enrdr Llrlnrl[
abovc m.riomd pmpcny for in
A ppli.oni or Agenl Slgnnture
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Co.lator
ATIIJCANI.DDCI,IBAI(A
I hrihy rnirn xndcr pcn,lry or rcrhry onc oithc followinS dcclafuriotrs:
Dcnrclilion Pcrnrih-Asbc(os NDlificarion Fcdetul Rcglltrriois (Tirle,l0. Pd6)
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