HomeMy WebLinkAbout30139477 - Permit (2)city of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: 014) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30139477
Pin #: 32307
Project Address: 3771 S Plaza Dr
Assesso/sParcel: 412-131-12
Bldg:
Tract NA
AddressRange: 3701-3795
Historic: No
Suite Range:
Zoning: CR
q
Phone
Tenant Name:
01 1 16002 51602
01 1 16002 51602
01 I 16002 51602
01't 16002 5 t60c
01 1 16002 51602
Owner:
Address:
Contractor:
Address;
Metro Town Square LLC
3604 S Bristol St
Sanla Ana, CA 92704
(714) 546-2856
Goldline Construction
3004 Gainsborough Dr
Pasadena, CA 91107
16261222-6174
Fee Type Amount
Water Closel '14.22
Sink 12.70
Wtr Htr (Comm up to 50 22.25
General Plan Update 22.08
lssuance 55.04
Qty
2.OO
200
100
100
1 .00
Fee
$28.44
$25.40
$22.25
$22.08
$5s.04
Phone
Stale Lic #: 994034
Lic Type: B
Bus. Lic #: 370002
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9134311
Expires: 06/03/2019
Eotch + :,(
off ice:Accti:
Rcpti:0?
Tronsoct
benerol(rlt 16001
Plurb ins
0111600?
ICL Chec
780 - 7 /12/2018tYH Tronsi: ?5
Refi:
232+9 - 7/t2/?A$on Totol
6oldl ine tonstruct ion
qn t pdote Fee
11600000-
fr2(rrl0-
Ir:r2027
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type
Code:
Commercial
Tenant lmprovement
Upgrade Restrooms
Notes
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 101 96544
Every pemit issued shall become invalid unless the wotk on the site
authorized by such pemit is commenced within 180 days after its
issuance, ot if the wo* authoized on the site by such permit is suspended
ot abendonad lor a petiod ol 1 80 days efter the time the wo* is
commenced.
\ Hurr"no"r, x"tt'y
Date:
Date:
Date:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
07t12120'18
Account#
$'153.21
$0.00
$1s3.21
MID#: 2018-143563
01 116002 51600
01 116002 51602
$22.08
$131.13
Fee Total
Paid to Date:
Balance Due:
Loti NA
Unit:
Block: NA
M
VB
cPc 2016
lnspector
PLUMBING.INSPECTOR RECORD
DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent 7-Z+1v X-E- n-W gat,1oB @l!.xwxti
Water-Under lloor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent tl>iltr -'r,- t ll
Water Pipino '1 ha\ i*/t" (/
Gas Pipino I' I
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Ir/ain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbing lMlt?lJttn)
Final Gas Test I
Meter Release ,a.\
FINAL zlplrS lllolW/2A/V
Notes, Remarks, Etc.IJ tt
A// gMl0rAA A\l e/rv,
OWNER BUILDER DELCARATION
I ncrcby.mrm lndcr tculty of rcrrury lhor I m.xcnnt 6$m rh. Co ncroF Li{rre tjw tor llE followin8 rcasn (36.7031.5
Blsioes !d Profcsbn Codc): Ary Cny or Coniry vhict r.quir8 a Imi! lo on.ltu l. u[d. iml,otc. &mliih or 6Fir &y
suucruE. prbr lo irs irsu.re, ako rglircs rhc lpplicant for $ch !.mn lo fib , 3igncd rrarctrnt rh,r lE or 3h. is liccn$n puNrnl . "
io dr t/ovisionc of
'h. Conrmlor's Liccn$d tzw (Cn:p'd 9. Com.min8 wilt S.clhtr 7000 ot Dieieion I of lhc Buitrss tnd
Pofc$ions Codc) o. thrr lE or shc Ls cxcq,r lhcrctoD srd rlE b6sn tor ihc elhgcdcrcrflbn. Any viobrhn of Serbn 7o31.5 by r.y
aptlicrnl lor a p.m sutirts lhc llplionl lo a civil pon.lly of ml mrc than fivc nrodtd dollur {$500).
-1.
&s ower of th. pnlFny. or ny crlploF. wirh eaeet 6 |hcir $h onpenslrbn. wil rlo itr wrt dn dE sErE ir ml
iflc.dcd o..nc6i for $L 1sa.?o44, BusiBss .rn Prof4sioN Cod.: Thc Conrh.rols Li.cn$ kq des er lpply lo N owM oa
rh. pmld, wk' bnlds or inp6B rtEotr dld qho &$ skh us* him.ll or h.r*lf or lhDu8h his or lEr oq chrloy..s.
prorid.{ rhat soch inqroEcnB@ m i cflhd dofEnd ror sh. If. ho*E, rh. l[ildiry or ir{rNmn! is sld *inh oN }et
ofotrpkriotr thc OwEr Bui!:lcr *ill hrE dr tnE&n of nsvins fisr h. or ihc did ml boald or ir{,bw dE pmFiry for llt !q!e of
_1. {s orvncr olrh.Jl)fu'ry. rncrcluslclyc.nrrrrri',9 $irl' liccn\rd.ortx.tn\k,..rsrr.rrhc fojccl (Scc 7l]r4. Bu{nrs
rki l\nrssir(,)Jc-lh.Cotrrr.roirl.i.ctr\cLdvdrc!trorrf!lthrtrostr.rolnm|Eny*h.6uiUsornrpn)lcsrhcrcui.
xnd $l,o..dricr\li,r$.hpftUccr\uithrC.ntrctn(9li.co\.dpr'\udt)rhcCotrLr.ttrsl-i.cnscLi*)
-l
d cr.nIl undcr s..1ion- B. & P.c. for lhi! EMn.
-l
taw ud *ill Einllin ! Ccnirrlrc oa C.trsfl ro Sclf lBurc fd worlcB .ompcnslion. as previdcd for t y SNion 1700 of rhe
L o Cod.. for rhc lErfomftc of rlr *o* fn whi.h rh. Fmn b irsucd.
-l hlr aod will roinllan wort(6 .on{rBalion irouEN.. !r Equhd by SNlion 1700 of ths ljl,or tudc, fo. lh. pqaol|l@. of
rh. *ork lor which rhk pcml is issEd. My wq*6 .onwosarion insurm 6hr on plicy .!hbd &:
Poli., Nuhh.r:
-rtn'rcr
-l
cdifyrh{r ii rhc n d.rmanccorrhc work ror which thk ltrnir h isucd. r shrll ior cmployanypeBon inu, B,nn$
s s io tEcom uhjccl ro lhc wortc,l corynnsdion laws of Californi( und a-!e rhll if I slk)uld b.co,E subjccl to llE
wo (tr sn .nsarion provisions of Salion 3?00 of lhc Lrtnr C.dc. I shlll, aonhsith cdndy wirh rhos pmvl\ions..
WARNINC: Failurc ro $curc sorkc^ .omr.isdnrn covchts. is utrlnpful. rtrd $rll \uhjccr sn cmDloycr t di riml lEnukts,nd
ciyil rin.\ up kJ oft hundri lhousand dollss (Sloo.troo). in lddil rhc cosr ofcohpcn$trion. d,nugcs os provilcd ihr thc
Cdc. inlcEsl lnd ormy s
DICIJBAIIAN
I hcrcby afitm un cr p(nnlrr of p.rjurr rhd I am li.cnrd rnJcr thvision .l Chtrnrq 9 (.ommn.inA sirh Sccrion 7ffX)) .r Divhbn -1
or rh, Busin.ss aM Pmrc$hns Code, !d mr liccnrc h in lull forec ann c,Lcr.
C0!illI&IrlJliI!NIUNii-[0[N!1
I hcrcb x,nirnunds Fnilryorp.rluryrh0! rhcr. is r connrudion Lndi.8 trscncy fn lhc rcrturro.c. ofrh. work aot whi.h rhn Fanir is
h{ucdlsa :l0r7,Civ C)
a.ttuc6 fD[cldxalll]N
llmhy imxtuhr Fnrlry ortrrjury om of rlE iolb{nre dc-ldnrn,rr
Dcnn,lirion Pcrnrils Asll(\los Noriticarn,n F.ddrd R.SUhri,n\ (Tirl.Jll,I'd6)
-R.qun
d Lcrtcror Nolifuli0r
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en jf, rhrr rhc Ldqd ,cgnl,rions rcE.rdi.e asbcslos Emld -c ml olpligblc lo lhii ptuitl
l..dilyrhrt I tu\c rc0d rhh lpplicnrn,n and starerh.r rhc nvc infnMrt'n i\ cotrc.r I agr@ to .onDly * irh all Cil, lnd G,lnty
ordinutucs and srlrc liB Elaling r. buildirg consr dd hcrchyourhori4 El'rcscnrltivcs ofrhh Ciry a.d Counlylo cnlc! upon th.
ahvc rmtrriorcd floncny io. inspccrion Dlrr,oscs
*,., 7/2/zr,\ppliunl trr,\[.nl Silnnr r.2
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APPROVALS
I)ule ()$ner:
ll}BlilrBiraurursrllQ!
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I h.rchr_ rllrn, n,l.r Nmlrvoltrru.yfnrol rhc ln1[i$i',g,tu.lrrrrnr
Lcndclc Nam:
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