HomeMy WebLinkAbout30139732 - Permit (2)Proiect Address: 3233 W Harvard St
Assessor's Parcel: 408-14'l -01 Lot: 3
Bldg:
Tract 3236
Address Range:
Historic: No
Suite Range:
Zoning; Ml
aFUnit:
Block: NA
City of Santa Ana 20 civic center P|aza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139732
Pin #: 8{94{
Owner:
Address
Phone:
Tenant Name:
Contraclor
Address:
David Mersereau
3233 W Harvard St
Santa Ana, cA 927043917
(206) 794-1180
ORCHID MPS
Xpress License Schools lnd
500 Bencamp Street
San Gabriel, CA 91776
(626) s51-81r2
Fee Type
01116002 5160i Sink
011 16002 51602 Min Fee Adj
0'1116002 5160C General Plan Update
01116002 51602 lssuance
Amount
12.70
47.98
22.O8
55.04
Generol Plon Lrpdote Fee
01116002- 51600000-
Plult in5
01116002- 51602000-
Cosh
ICL Chech Ulll
Qty
2.OO
1.00
1.00
1.00
Fee
$25.40
$47.98
$22.08
$55.04
Bqtch+r{4915 - 7/2n/2918 I0: CCt
Phone
State Lic #: 1028785
Lic Type: B
Bus. Lic #: 364742
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9222854
0fficPr CTYH Tronei: 4 2Accti: Ref+: 30139
Rcpti:023?8251 - 7/20/?01S S:36
Trongoct i on Totol i388.8Robert CoI ixto
xrr.ess License SchoolE Ind dbd
7
AI
7
912S.4i
l. uLl
t-97
lndustrial
Tenant lmprovement
Upgrade Restrooms
B
V B, SPK
cPc 2015 Notes: (2) additional sinks
Planning Approval Bla
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Every pemit issued shall become invalid unless the work on the site
authotized by such permit is commenced within 180 days after its
issuance, ot if the wotk authoized on the site by such permit is suspended
or abandoned fot a petiod of 1 80 days afrer the time the work is
commenced.
lnspector MID#: 2017-140657
07t2012018
Account#
01 1 16002 51600
01116002 51602
$22.08
$'t28.42
Fee Total
Paid lo Date:
Balance Due:
,t/
,"""\
Date:
Date:
Date:
l\4isc. Receipt:
l\4isc. Receipt:
l\4isc. Receipt:
Total
Zuniga, All
10195178 $150.50
$0.00
s150.50
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Occupancy:
Constr Type:
Code:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OlINEl{ NUII,DT]R DI]I-C,TRATION
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Bnsincs r.d ltofr\\i('n CRl.) Any Ciry or G)u r, trhi.h r.qrnc\ r lrnrir ro..trsrrucr, llrcr, iNn()vc. dc rli\h.. nBir !!y
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rnpliQtrr li)rnI].rnrir\ubjccr\rtE rpplic!nrn' a civillrrnrliyotr.r Rrc ihad firc htr.drcd dollan (S500)
-1.
s owffi of th. pmncny. d my.mployes wirh wl8es as ln n $k odp.nsrio'r, will do *E woll ,td rlE sErxrr is noi
inEnd.d or ofi.r.{ tor elc (sd.7ol4. B!.iNs dd Pmr6sions codc: TIE cnrlracro s Lirtrs t w &B mt +ply ro M oq&r of
$cpropdy aho hrill! or ilpt B 0EEa &d vho dc sNh mtt hirelltr h.mltor lhrcud ht or ltr own cnplores.
prcvidcd lhlt sh ihpownls N ml i"ldrhd MoflE d ln $h. ll howE, the boihinS tr inprMd issldoilhin6e)@
oaodFhtiol! t rc Owmr Bdt6 wil hrw lh. bui!.. ol pmving rhd lE or sh. dil ml hoild or inprDrc dE tbpdy lor tlE purl[$ of
-1.
!sowrcrofrlE nmpcrry. ancrclusirely€oorracling with lien*d co racroNlo consocr tlE pnj.d (Se.7044, Bsinc$
ord Pbfcasion Codc: Thc Conrerof. I-iccnsc La* doc. n6r aptly 16 an own.r ol prop.ty who builds or impmvcs lhcrcon.
dd *ho .onrEcts for slct F)j.crs with a ContBciro(s) licnscd purs@nl ro th. Conr.!.toas l.icd* lru).
-l
smcicmpr u.dcr Sar
uaaf,Ef,s:loMtENtAltaN
PECIJAAIIAN
I ncEby amrm utrdcr lcdlly of !*rlury otu of rhc l'ollowin8 .lcclarsri.nr:
lhsvr rn'l sillnuinrrin r Cdilicrr.ofconr r b tuli:|tr\tr,c litr sork.^ .. rfc s.rof. s f^,vdcd lir hyS.sion lT0Oollhc
Lrtxr, (iri.. Inr rhc plrlorNnEc oirhc *ork lnr {hic[ lhc |En'ir i\ i\{nl
_l hrve aM will minmin sorkcr' .onwn*arion in\uh.c.. I rcquircd by Scrion 37m ol lhe L,hor Codc. for fie pqfortuncc .f
rhc suklarshi.hrhi\ p.rmir i\ issu.d Mysurkcri com f\rri{,n i'r \uM!c .oricr orn ,olicy nuq$cr e.:fu. Furc'l.f ie cl la
LL
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ccnify thol in lh€ pcrrormmc oltk work aor $hth this l)crnir h is*ucd.l Nhrll rel tmploy ry peMn in any monncr
h N ro bc.om subirl & rhc wo,tds co,rF.sarioo liws .f Crliromi.. dd .Em fiar if I should tEcom slbjccr b rlr
M*c( &mpen.{ioopovtionsofS€tion l?00 ofltu trbor Cod..I stdl, aonh*nn o,nDly withlfto* Dmvnioos..
WARNINC. Flilurc to sure workc6' .onpcnerion !a*cEg. ii unlaerul, and shdl suhjd m cmploycr lo aimitul lt@hics ,M
civil fincs un ro orc h!.drcd rh.usaod dotl,B 151 in lddition ro rhc con of cohFnsalion. dlnq8cs .s Polid.i r.r ih.
Serion 1076.frhc LrtDr (bdc, inrcrc{ ahd an6@y xLs
DECIJMI'ON
I hcrcbysfirmundcr pcnalryofncrjury lh l aF lEnrd ondcr lrolisjon of Chapr.r 9 (.ommncin8 *ith SNlb. ,OOO) of Divhior 3
of $c Busimssand PrcfcsiotrsCodc. uld myliccn* is ir tull aorcc tclri.r
Liccnscchss:' L{cci
coNsTRUct(lN r rrND|NG AGt:NcY
I hcrchy arfin,undcr Fnrltyoi!.rjuryrhlr lhcrc h a con\rnrcrioD lcndi'rs rlcncy rn rhc pcrruiitun c o{rhc work nn $hich lhn pcnni n
ir\ucd (Scc 109?, Cir C.l
A.TTLIQTNLDtsCIJNA A!
I lr tr$y.nnn urdfi Ntrrly ofp-rjury orc nlrhc lolkJq'nB dcc[r[n,nr:
Dcm.lnn,n P.rnrir\ Ash.ios Notfi.art,n Fcd*rl Rc8ul i. \ (lirlc 40. PrnO
Rcquircd tlncr.l Norii.di.n
l.dify rhd I tuvc E d rhh 0rnlicnrion ord s.rc Ihlllhc,trvc inlbmurion h cord.I acr lo cnmply wirh ,ll Cny ,nd c.nnry
odinam.s rnd Stal. tiws rcklin8 aurhorizc rcrrcsnrariles o{rhisCiry Md Counryto.nrd ulon tlE
rh,vc rr riinrd pnipcnyi(tr in\
!hre .h+g*ry8
Waste & Vent
Water-Under lloor
Gas-Underfloor
Buildinq Sewer
lnterceptor/ Clarilier
TOP OUT
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Helease /a-;)
FINAL 7."-/E /t/r.uc,'oY
Notes, Remarks, Etc.
UNDER GROUND
Area/Storm Drain
Waste & Vent
Fill Line/Back Flow
fu,,thuoh rrn
/ozg
-l
ccnifr rhlt Ihc fedcEl rcs{larions es{dinB.\bcsros rcmval arc nor ltplic,blc tu rhis pbj..r.
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