HomeMy WebLinkAbout30133655 - Permit (2)Unit:
Block: NA
Bldg:
Tract: NA
Suite Range:
Zoning: SD59
EProject Address: 301E Jeanette Ln
Assessor'sParcel: 041-212-04 Lot: NA
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667 -2738 lnspector Section: (714) 647 -5853
Permit #: 3O133655
Pin #: t7806
Owner:
Address:
Conlractor
Address:
Phone
Tenant Name:
PR SANTA ANA INVESTOR LLC
17771 Cowan Avenue
lrvine, CA 92614
(949) 355{618
WP West Builders Californi€
17771 Cowen Suite 200
lrvine, CA 92614
(94s) 260-9960
Fee Type Amount
New Sewer (First 100') 58.31
Water Service (Each 10 40.18
Backflow > 2" 40.18
PIC - 650/o 0.65
General Plan Update 19.93
lssuance 49.68
Notes: On Site SewerMater
Qty
3.00
2.OO
2.00
336.30
1.00
1.00
Fee
$174.93
$80.36
$80.36
$218.60
$19.93
$49.68
Phone
State Lic #: 908220
Lic Type: B
Bus. Lic #: 351103
Workers Compensation lnsurancelCarrier: U.S. Fire lnsurance Co.
Policy #: 408708350
Expires: 10/30/2015
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
New Constr Type
On Site Sewer/Water Code:
West, Glen
Chavez, Oave ?
10181757
MID#: 2014-115121
Misc. Receipt: 66764
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Dale:
10/01/2015
1010212015
Account#
2
01'116002 51600
01 1 16002 51602
0't 'l '16002 53602
Fee Total:
Paid to Date:
Balance Due
$19.93
$385.33
$90.14
$623.86
$128.46
s495.40
Every permit issued shell become invalid unless the wotu on the site
authoized by such pemit is commenced within 180 days aftet its
issudnce, ot il the wod< authoized on the site by such pgrmit is suspended
ot abandoned fot a period of 180 days after the time the work is
comnenccd.
o o olnspe
AddressRange: 27613001N
Main l0l-199
Historic: No
0l'116002 51602
011'16002 51602
01116002 51602
01116002 53602
01116002 51600
01 116002 51602
Building Use:
Job Type:
Nalure of Work:
B, R.2, S.2
V A, SPK
cPc 2013
PLUMBING-INSPECTOR RECORD
APPROVALS DATE lD/stG.COMMENTS O*n..Buitd.r D.cta.tion
I h€r.by rmrm unda p.m lr y ot p.qury tlsi I !n .r.nrfl lorm rh. Conlnctos LcB. hw lor rhe lollowins rason (s.c ?or I 5 Busi.6s
Md PruGssion Code): Any Cny or Counry whi.h icqut6 a p..mir to cosrrud..h.r. impro\.. dcmotih or rcpair rny sltuclur.. prior ro irs
ilsuncc.lls r.qtrts rhcappli.rnl rorru.hp.mit to fi1.. sisn.d d!r.m.nt rhst h.orshc i! li(.ns.d puEunnltorh.pro\istr6.lrhc
Cont..ror's L@tu.n Ltw(Chlprs e. Coomc.ci.! w'lh s.cldn T00oofDivD$n.] oarh. Busin6srnd Proi.sionr cod.) or rhar h. oi
!h. ii.rctrrfl lh...fron .nd rh. h.rir f.r th. .ll.rcd .r.nption .Any violarionofserion 70ll 5 by any.pplic! ror ! rcmn lubj.cls rh.
lpplictnlIoicivilp.n.hyoln rmi.$.n liv.luodr.ddolls(1500).
_1, a owns ol lh. pbp.rly. or my mploy.6 *alh w!a.r a lh.n sk conp.n! ion, will do lh. worl dd lh. nrucru. ir n6r intcndcd
.r offi.d f6r sl. ( s4 704{. B6rn63 hd ProlBrotu cod. Th. co.k...oas Lic..!. Law do6 .or .ppty io rn own6 of rh. prcpdy
who build. or inprov6 rhqon, ud lho doa iucn s6rl hiotclfo. h@llor rhmu3h hk or ha onn.dptoy*s, provid.d rhll ruch
impr.vcn. i r. mr inrcnd.d or ofcr.d for iil.. I L ho*cv6. thc buildirg or imporfr.nr i! rold *thio on. y... of coipl.tior. rh.
Oso6.Build.r will n!v.lt. burd.n ofproli.8 thrt hc orrh. nol build or inpov. for (h. porpos ol!iL).
._1, c oenr of th. propcny. d .xcl$iv.ly conln.li.B siih lic.rscd .ontrsctoB ro coNrtud thc Foi.d ( S*. 704a. Buii$ 6id
kof.sion Co.L Th. Conr6croa3 LE.ns. tlr dod nor lpp,y to rnoM.r ofpropaly who bu,l& or improv6 rhd@n..nd who
.onl.t.t lor luch prorers with r conr.cto(, lic.nlcd puBunl lo lh. co.t...ror'r Lic.nr. h* )
_l m.x.mpi undd S..rion _.& & P.C. for thi! ,.en.
WORXERS CONTPf, NSATION DECLARATION
I hcr.by.,Iim ufllq p.nalry of pcrjury on. olth.follo*in8 d.clrr.tions
I hi!. tnd will minnin 6 Cfi ifictl. oacons. $ S.lf-lnsur. for wort.rs conrpcn$riDn. is pror'd.d lor bys(ron ll?ooofth.
Labor Codc- iorthcp.raormnc.oflh.work t.ishi.h th. ponit is isskd.
_I h,v. !.d lilldlinllD wolt.E 6Bp.@rio. '.su6nc., re r.qutr n ny S.dir. ]r0oollh.kbor cod.. forrh.Ddfor@nc.ofthc
wo,k for whrch rnis p.rm i3 issued MyworkcR c.nrp.Mlion insurdnc. clridmd poli., oumb.r arc:
. U,". t -J 9lr-t -s F.r* \*<., CO..
Por'cy Nunb.r . 4q31o8 3So.--I e+i'*, tlO 2Q.lS
(Tnis 3.dion ,ftd mr b. .onpl.rcd ifrh. p.mn i br o|t. hlodrcd dolhR lS l00l or l.s)
_l c.rlify rh in rh. p.rfoMc. of rh. worl for which rhL Frmir i5 i!ru.d. I ,hill Ft .oploy ..y p.Bon in .ny m.nn.r so rs ro
tiernEsutrdcr brh.*ork€rs enrp.nsrnn hNs olcrlilornr. ani a-lrcc rhai 'rl t,t
con!.n$lhn p,ovitioB of S(rion 1700 oarh.lrb(rrCod.I shlll. aon
"*')4
WARNINC F.ilur. ro r€cu.. *ort.6 @mp.Mtioi 6vs.s. !. lnLqtul, tnd .h.ll !u$j..t m cnployo io oimi.al p.Dlt i6 lhd .iv il
fin6 up lo onc hun&.d rhoE .d dollm ($t 00.000).i. .ddnior 1o th. cGr .l cosp.@rio.. d!@g6 s prcvid.d tor rh. Selio, 1076 ol
thG Lrbor Cod., 'nrddr tid ilrorn.y i ts
LICENSf, D CONTILAC'f ORS DECLARATION
I ht.by itnm udcrpcnallyoapcrjury rh l am lic.B.d undcrproyision ofCn.ptc!e(commcn.ir* $irh s.crion 1000)dr[,ntiotr ! ol
rh.liusin.$ and Prolt$ions ( od.. and ny li..N. i! in i'll ioE. and elTecr
riccnscCre: . 6
D"., '/O. o2.l<
l-iccor l,mua a Q 92!Qy. LIP B,,a U C*
( oNslRl ( t l(,\ t.t Nt)tN(:.\(;r\( \
I ndcby afiim udd p.mlly orp..jory thrt rhc,. is, coGtruction r.ndin8 ra.n y for rh.
isiu.d (Sec. l097, Civ. C )
AIPLTCANI"S DECLARATION
D.eolirion Pmits'Alt or Norifiuliotr r.dad R.rubdoa (Thk 40. P.n 6)
_R.quftd t nnof Nodfiorion
lccniaythrl th. l|d.Bl Eaul.lio6 r.sedins &.b6los r.60\!l!r. mi hpplicabl. ro rhir proj.cl
@-l cgriry lhlr I h.v. rad rl !appliorionlndstrt.tl ln..bovc intom.tion L.or.<t I .sr..lo comply * nh rlt Cil, lnd Coufly
tn..i rd Sur. Lwr.clriDg .nd hs.b, aulhoria rpr.s..ralitts ofthis City rnd Counly io mr.r upo. $.
abo\c n.dio..d prop.ny fo!
eppricant or tgcm sig. I
rcrmirrcc mnctprlal: K e (
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
M isc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device )tb 9[t)lr5
Rough Plumbing L
Meter Release
-'FINAL /o-S-/3 J/e{.-t-@)-t
Notes, Remarks, Etc.
lnsp3clion Foms\Pluftbin9-lnspaclor R6!od.doc 03.31.06
Tub/Shower Test
Final Gas Test
o". {e- <22.!l
*o-d.e+-'q",,
:1(2 a2-15