HomeMy WebLinkAbout30138823 - Permit (2)AddressRange: 100-230.
Historic: No
Suite Range:
Zoning: SP2
EProiect Address: 100 N Harbor Blvd
AssessofsParcel:'198-061-17
unit: C-1
Block: NA
Bldg:
Tracl: NA
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Owner:
Address
Phone
Tenant Name:
01116002 51602
01116002 s1602
01116002 51602
01116002 51602
01116002 51602
01116002 51600
01116002 s1602
GARFIELD BEACH CVS LLC
'1545 W iTTH ST
Santa Ana, CA 927063300
Federal Building
15870 Curtis Ave
Fontana, CA 92336
(909) 428-8007
Foe Type Amount
Sink 12.23
Floor Drain 15.53
Floor Sink 15.53
Sewer Alter/Repair 42.85
Wtr Htr (Comm up to 50 21.42
General Plan Update 21.25
lssuance 52.98
Qty
3.00
1.00
4.00
1.00
1.00
1.00
1 .00
Fee
$36.69
$1s.53
s62.12
$42.85
$21.42
$21.25
$52.98
Phone
State Lic #: 374153
Lic Type; B, C-39
Bus. Lic #: 365882
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 9038073
Expires: 0l/01/2019
t,:hi:43901 - 1/22/2018 ID: qri
fice: CTYN TPanei: 113 4.ti: Ref+: 3013S
ticpti:02269144 - 5/22/2(Jl8 11il
Tronssct ion lotol 11t64t
Federol Bu ild ins
Commerclal
Tenant lmprovement
TI
B
VB
cPc 2016
F'lU b ins
r:rl I16002- 51602000-
tieneral Plan Updote Fee
rrt I 16002- 51600000-
I i:t Checir 003281
Notes:
Planning Approval By: Oate:
Plan Checked By; Oate:
Permit lssued By: Chavez, Dave -, Date: 0512212018-Ot'-'
Subject to Field: Account#
Planning Conditions:
Buildins Permit #: 10195042
Every permit issued shell becpme invalid unless the work on the site
authoized by such permit is commenced within 1 80 days aftet its
issuance, gt il lhe wod< authodzed on the site by such peflnit is suspended
ot abandoned for a peiod of 1 80 days dftet the time the wo* is
commenced.
lnspector MID#: 2017-140384
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51602
$21.25
$231.59
Fee Total:
Paid to Date:
Balance Due:
$252.84
$0.00
$252.84
Permit #: 30{38823
Pin #: 767E1
Lot: NA
Contractor:
Address:
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/srG.COMMENTS OWNE'I BU!LDtrR DDLCARATION
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+rlicrnr nr d pcrnrir \ubjcckrnc lmliclnr lo r.ivilpcntrhyolnol nnrcrhan rirc hundrcd dolln,r (S5(h).
_1, as owM of rhc D'sFny. or n, enploy€s wilh wtr8.s .i rhcn $b .ompef,erion. will do 0E sdt !d llx nndu h mt
inl.nd.d or oficrcd lor sh {Sc.70421. Eu.ifss ed Prcfc$ions Codq TIE Conrtu loas Licns L{w iloc! nor aptly |o an 0*6 of
lh€ FotEly wlb tlillls or iqm*s tlEmr ud whD dce sch mlt hiN.lf or h.Rclfor fimueh his or h.r osn cnphycs.
pmvi&d rhd ien i!'prDvlml{s a mt iotodcd nofcEd lor sL.It novcw. dE ttrildinE or inpr$rmnl h $ld vhhin orc rsr
ol orphtiotr dE arwE Blildcr *ill her tu burko of provine rhd lE or slB dil mr build d inr'te Ltc potEi, td tr pupos of
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]IOSTESLCAMIEXSAIION
IECI,If,AIIAN
I hcrcby oflirm undcr Fnalry oi !.riury om oa rhc following d(l@rk'nr:
-J h.E.rd will mint inrC.nifslcof Co.F ro Sclt'tnsc for ertft @m!.ns{ion. &. previicd for by Selion 17q) of th.
Lrbor Codc. for tL p.rfoM of fi. erl( fm *hhh dE pcmit is hscd.
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[E vnt for shbh lhi, p.mil is iis.d-.r'mpcnsltn,n n$ulrrcc c!fli( and ,xnicy nlnb€r m:
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ccnify dat in lnc Frfoirmre ofrhc wort for which ihis p.rmil ir islucd, I shallnor.n:plo! rny pcr$. in a.y nMn$
s. a ro bccotu slbiccr to rhc po*m ompcnsdn,n hvs ofcdifomia. and aBr rh, if I slould b$om subFr ro r,r
w.rtsi.ompcnsationtrolisionsofSoclionlT0OoflnehhorCodc,lsh.ll.tonhwilhcotrplysiln$o$tDvisions.
WARNINC: Failurc ro wur. work s' mmpcnerion covcngc is unl0wtul. e.d ddl subrc.r atr .npl.rcr ro rininal ,cmllis mn
€ilil fincs {I, lo om nundEn lhousrnd dollds (Sloo.0o0). in lddirion lo ltE cosl olcoqrns0lion. drm8cs !r provitcd for lhc
Sc.r ion 1076 of rhr Llbor C.dc. int Esl and arrofty\ aes
IIIqdAAIIIJN
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IAIEIAICUONIENITINI;.AGENST
I tctoby affirmlndcr pcmllyolr.@rylhol lhm h a.oNtdclhn hnding rgcncy fo. thc,crfortuncc ofltc e tu which lhh,rmil h
issucd (s(. J09?, civ. c.).
dIILIIANLDIiCL BrlII0N
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_l ccnify rhlr I lElc rcad rhis ippliqrion3 l shrc rhar rhc rvc informtion isco,Br.I a8re lo@nlly*ithrll Ciryaod Coonry
ordh!ftB 4d Srar. ti*s Ebrin8 ro buiMioe consmcrion. Dd nmby auho.i. Elrc*rrdrilri of rhjs Cny and Coumy ro cnro updn 0E
oh,vc mnrt'n(l lrropcny ttr inspccrion
UNDER GROUND
Waste & Vent h-l?-tY ).J MA
WaterUnder f loor
Gas-Underfloor
Buildin g Sewer
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent b"tz-tv
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-t raplDrain Line
Ivlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
/t ./A
Rough Plumbinq 1''t'tg
Final Gas Test
Meter Release
FINAL z-\]t'l\
Notes, Remarks, Etc.V
-----A t
Area/Storm Drain
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