HomeMy WebLinkAbout30139709 - Permit (2)Project Address: 3751 S Harbor Blvd
Assessor'sParcel: 414-261-12 Lot: POR 3
Unit: C
Block: NA
Bldg:
Tract WLLIAMS
Suite Range:
Zoning: Ml
E
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
Permit Counter: 1714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: 1714],647-5853
Owner:
Address:
Phone:
Tenant Name:
Amount
44.51
28.87
22.08
55.04
D&SlnvestmentsLLC
3751 S Harbor Blvd Unit# C
Santa Ana, CA 927047902
(714) 366-7156
Beyond The Baguette
Win Nguyen Construction
13172 Sandra Place
Garden Grove, CA 92843
(7't41 326-3124
Fee Type
01116002 51602 Gas Line repair/replace
01116002 51602 Min Fee Adj
01116002 51600 General Plan Update
01116002 51602 lssuance
Qty
1.00
1.00
1.00
1.00
Fee
$44.51
$28.87
$22.08
$55.04
Contractor:
Address:
Bsrch;:4.(877 - 7/ t8/20t8 I0: i,tGARcIA0ffice: CTYH Trods+: 48 Z ol :Acct+: R€ft: 3ol397tr9
RcDti:02327373 - 7/18/20t8 2131 pt1
Tronsoct ion Totol t30f.00
|lin t{gusefl Construct i on
Phone
State Lic #: 955157
Lic Type: B
Bus. Lic #: 363678
Workers' Compensalion lnsurance:
Carrier: Exempt
Policy #:
Expires:
Generql Plon Updote Fee
01116002- 51600000-
Plurb i ns
0r116002- s1602000-
V iso
CC+ ! *rr*rr r*rrr*4512
_ $:??. r:r{
_ $12i1.4'.
$Ju1.tx.
Auth+ ! 062726
Building Use:
Job Type:
Nature of Work
Commercial
Alteration
Change Out Equip
Occupancy:
Constr Type
Code:
A-2, N/A
V B, SPK
cPc 2016
Planning Conditions:
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Every pennit issued shall become invalid unless the wo* on the site
aulhoized by such permit is commenced within 1 80 days after its
issuance, or ifthe wo* authoized on the site by such peinit is suspended
or abandoned lot a peiod ol 1 80 days dftor tho time the wo* is
commenced.
07AAt201A
Account#
01 1 16002 51600
01116002 51602
$22.08
5128.42
Notes: Remove & replace kitchen equipment. Per PW memo, a
Gravity Grease lnterceptor is existing.
$150.50
$0.00
$150.50
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Permit #: 3Ol397Og
Pin #: 92927
AddressRange: 3751-3801
Historic: No
Fee Total:
Paid to Date:
Balance Oue:
lnspector MID#: 2018-'144727
PLUMBING.INSPECTOR RECORD
ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping PI\YtQS.I r-1-ttr yl,+10'
Roof Drain -IEo t"('n''
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
Meter Release A
FINAL "1-lt-lY )twq
Notes, Remarks, Etc
OTVNEII IIT]ILI)ER I'EI,CARATION
I hcrchy rffinn lnddr Niahy .f fqury rlu , fl.xc ,pr lnnn rhc C. ktr.tu^' Li.Ttr* Lf,w tur ihc Llhsin8 rcnqn (Scc.7oll 5
Dusincs rnrl Pnitssnr Codc) Any Ciry or Counry {hi.hicquir* r pc.mt r, connrucr- nlr.r- n.p.ovc. Jcd)li\h o. hn1n rn,
srdcrurc. prior ro irs hruancc. also rcqunc\ rhc lprliconr ttrsuch p.rnir b lil. a \i8ncJ idcn*nr rhd h.o. shc n licctrscd !u^u r
ro lhc B)rnfiN olrlI coDlra.tu s Li.cn*d L,R (ch.Icr 1), cunnncmin8 wirh Scctiotr 7(In oa Divisior :l ofrh. Businc\s lnd
Prcrc{sion\ Codc)orrllrr lrcorshc iscicr.Dr rhcrclmnran! rhc h!sis li)rrhc allcscd c{cmrrt,n Any vn,hrk orS(hn70.ll 1by.try
.ffli.r nrn p.nnir ruhjdcrs thc inflicrtrr kr rcivil!rislrrofnor nxrcrhsn fivc hundrcJdollrs (!5rD)
-1.
6 ow6 of rh. ,rDFny. d ny ciqrbyc.i wirh ,rgei di rn sk @q,.Ndio.. wil] do UF vo* qn tlE $rI1w Ls mI
inrcn Ld or oficcn fo elc (Se.7044, Busimss ud PFfc$ioac Codcr Thc Cona.crol! Lt r$ Law dEs rct !!ply ro M oenf ot
rhc pmFny ql[ hilds or irtma ll.E@! ard *ho dN sEh erk himrclf or h.r*lf or tuou$ his or lEr ovn.mplorBs,
provitcd rhrr reh in{ftv@ s @ rci hrcndcd orofi.ed for slc. lf. howcq, iE tilildiog o i8porcmd ir Dh wilh om Fr
ol@nplcrioG rlt O{tur Build.r eil hrw th. h!&n of proving tur lE or rhc dil mr tdld or in{,ft llE pBtEiy for |hc p6!6s ot
-1.
as owftr olrlE tlbl,cny. @ .rclusiEly conh.ti!8 wirh liencd co Rlos ro .onsrru.t rlE l,rcirr {S(. ?O14. Blsitus
ad At'fcsion Codc: Thc Co Etols Lkc.sR La* does not .pply ro !n osrcr ol pr6ldt, who build. o, impr.v.r rh.rcon.
.nd who.onrmlslorsrttmtttswirhaCon'mto(s)liccns.dpuBusnrrorh.ConrractolsLic.n*liw)
-l
m excmpl un.lcr Selbn- B & P.C for lhis E&en.
Drl. Om.r
w()RI( FRS', C()[rPEt{S TION
DECIiIBAIION
I hcrcby al6l undcr Fnrlryofr.rjury.trc ofrhc h,Uowi.A d(l 0rions:
-lhavcu
will frrn nin a Gn i6!{rc or Con\cnr ro S.lf-lnstrc for wortcli comFn$rn,n, a\ roridcd li)r t y sdri.n :1700 of rh.
L*'or Codc,lor rlr p.ntimn c ofrhc wort for which thc prirnir is hsu.d.
-l
hlvc rtrd $illnRinr n sorkcF codpcnslln'n insurancr. $ rcquircd b,Scclb.:l7mofrh. tf,hor Codc. ror
'h.
p.nbrBrEc of
rhc work ror which thh pcrnir is k$cd. My *o.kcs compcnsatiotr inslrare cnid ml polky numb.r dc:
-l
€cnify thor in rhc pcrformncc of rlE wort for whici rhis permir h hsucd, t slallnoi cnlPloy dy F*on i( any nmnd
b N to b.ftm subix! Io lhc wmkeu omp.ns0tion lars ol Calironrh. nnd tr8N thol if I should beom subi{l lo tlE
roicN'conp.nelionpovnionsofScclion37{DoflnchhorCodc.lshall.bnhwithconPlywilhlh,sp,orirhn..
WARNINC: Failurc to suE &rleF .-np.ns{ion corEsc i\ !nl0{lul, drd shau subjc.r ,n.nplo)$ ro ain nrl Fn0lti6 and
olco.rrcn\dnrn. dimecs .s prolidcd for lhc
1
9 (cunnEncins wirh SrclionT(xn).rDivnion l
of rhc OusiN$ ad Pofcssiois Codc, ail ory li..sc h i. tull f e {!l cflacr
199 (s7
(
I hcrchy itltnrundcr pcnrlryollcrjtrry I
r!\u.d rsLr 1097. ( iv c.r.
tocri,n lcndiig qcn., tor lhc FrfolmRc of lhc wrt l'or *hth rhis Fflnir ir
-l
arrily rhir rhc tueBl rcgul.rions Ee..ding artErros Gmvd e mr rfl'licrbk b lni. prcix1
ead rhis amlicarion Md star. rhd rhc.borc informrion h cotrccr. t aExe ro ohpl, wirh nllCi', and Cou.ly
fl':i,ii::,w*%-"'tr atul h.r.by lurh.riz rcprcscnrorivcs of rhis Cn, ! d Couoryro c
Pemxeq(*rl .?,^:
t"r.f,t0 7;;-
APPROVALS DATE
a\
I hsby dlirn und.r ,cmht of Friury
I fldcr's Andr.r{
-
ATTI.IqANTDECI,Af,AIION
I no!6y dlnn nndcr p.n.lly oa pcriury om of lh. lollowirg &{l[orions:
lxmlhaon Pomir!-Ast os Norificarion Fcdchl R.Suhlk ns Gnh 40, Pan6)
R..luir.d t rl.r ol NolifEolim