HomeMy WebLinkAbout30140330 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7141647-5853
Permit #: 30{4O33O
Pin #: 6624,J
"\)
unit: 156
Block: NA
Bldg: A
Tract NA
Address Range; 100-140 E.
MacArthur
Historic: No
Suite Range:
Zoning: SD76Assessor'sParcel: 411-081-26 Lot: NA
Owner:
Address
Contractor:
Address:
Tenant Name:
Lyon Community Development
4901 Birch Street
Newport Beach, CA 92660
(9491 252-9202
Lyon Living
4901 Birch St
Newporl Beach, CA 92660
(949) 252-9101
01116002
01116002
011 16002
01116002
01116002
01116002
51602
5160i
51602
51602
5160C
51602
Amount
14.22
10.87
12.70
35.59
22.O8
55.04
Fee
$14.22
$10.87
$12.70
$3s.59
$22.08
$55.04
Fse Type
Water Closet
Urinal
Sink
lvlin Fee Adj
General Plan Update
lssuance
Qty
'1.00
1.00
1.00
1.00
1.00
1.00
- 1L/26/2018 103
IPoosi:80
Ref i: 3llt9 - rl/25/2Btg 2Iotal ll r
i Llpdote Fee
16rJ0000-
16U2000-
r * +rx*5192
State Lic #: 682201
Lic Type: B
Bus. Lic #: 371199
Workers' Compensalion lnsurance:Carrier: EVEREST NATIONAL INSURANCE CoMPANY
Policy #: CA1000'1581181
Expires; 0710112019 0l
Vi
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
Condominium
Tenant lmprovement
TI
Zuniga, Allissa
10198128
Occupancy:
Constr Type:
Code:
M
III A, SPK
cPc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Partition rvalls, new restroom & gallery area to create a
marketing office. lnstall louver to vent existing a/c
equipment.
$150.50
$0.00
$150.50
11t26t2014
Account#
Every perfiit issued shall becorne invalid unless the wo* on the site
authoized by such pemit is commenced wilhin 1 80 days attet its
issuance. ot il the work authoized on the site by such pormit is suspended
or abandoned fot a poiod ot 1 80 days aftet the time the wo* is
comnenced.
lnspector MID#: 2018-147'146
011 16002 51600
01 1 16002 51602
$22.08
$128.42
Fee Total
Paid to Date:
Balance Due:
Project Address: 100 E MacArthur Blvd
Phone:
Phone:
Lgrin -
Building Use:
Job Type:
Nature of Work:
Date:
Date:
Date:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent //4 ?1hfl4 /tl)
Water-Under floor fr'trd)1,,l/ -..''
Gas-Underfloor
Building Sewer lta &ttl,tts
Area/Storm Drain
lnterce ptor/ Clarifier
TOP OUT
JLI -t1
Water Piping w I .',| 'fr 7
Gas Piping T l,
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
Ptrap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing (Valu/ta,/fr)
Final Gas Test u 'r.,
Meter Release
FINAL f-j"r XJ,
Notes, Remarks, Etc
OIINER BI]TLDEN DELC NATrcN
I hcEby !,IrD un&r ,.ulry of ,.ruy $at I m dcmrt fmm fic CottocroR Li.cnr Lls fo. rh. followin8 .!&. (s(.?011.5
Bu.inds .,n Pol.sioo Cod.): Ary Ciry o. Courry trlrch EquiB r p.mn b 6^rrucl, .1t6, inpmE, d.mlnh or i*t &y
srdct@, rri.r to ils irsd.,.bor.quimth.spplidforMhFmirrofl.!sisrEd0r.6rrlElh.orslti.ilic..sdluNll
to lh. povirioN of tlE ContEcld s Lic.f,ed Law (ChaDrd 9. Comm.minS wni Scclion 7000 of Divhion ! of lh. aui..$ md
Pmf.Riions Cod.) o. th.r h. or ih. i! .r.q,r rh.EIiDm and rh. hosir for rhc dll.8d d.mtlion. Any eioldion ofScclion T0ll.5 by any
rpplieln tu o !.mn sbjcr rlE rpplior ro a civil ,.ohy of mt ma rh.. liv. huidr.d .tolla! (1500).
-1,
s ownd of llE pmo.nx or ny.frployH with w!g.s s rh.t sk comF slion. pilltla lh mi( Md tlE fionrc ie ml
iirad.<l or olTd.<l hr slc (Se.?044. Slii*s sd Pmf.*sioB Cnd.: 1 h. Contoclols Limr. L,w do$ mr aqply to s ovnd of
lh. ,,Dp.rty wlb hln& or inFoB ltE6l\ .!d wts &E Mh mlt litu.lf or lEMl,or llwrrt hir or lE om .rpl6ycc.,
pmrid.d rh och riom$Ed.&El addtdcdffoftild litr$l.l[ hoqffi, dEt ildtr'B or inp,!\!mri i3$ld*ithnoft ]€r
olotrpkiin\ rtE OwEr Buitkr wil IEE tlE ttud.n orpoi.g rhlr lE or !h. di, mr blild or inEotr th. Fottdly h. tt! fllF- of
-1,
$ owM of th€ FDndy, ad.t hiiv.ly@ ddins wnh liccr€d co.rdcroFro6^d cr rlE,'mj..r (sr 7044, Bu.rl6
rnd Pmfr*bn Cod.: 1 h. Conlrrclol ! Lic.n.. L.w &H mr atply ro s owmr ofrmn ny wlF huilds or imrrcki rhdo,r.
rnd *ho 6, 6c1s for Nch ptoi.cri wnh a Conreto(r) lic.nr.d puM ro lh. Conrr..lols Lic.ne Law).
-l
d .x.hfl undd Sftrion- B. & P.C. for lhir @$tr
Drr.: Omet:
WONKERS' COMPENSATION
DESIJAAIIO!
I ha.$y stlim undcr D.Ehy otD.rjlry oE ofrh. foltowinp ddhrario*:
I hrle ifllwillm.rntoi..Ccnific0lcolConFent r. Scll.rnsure lor $ork6 conpens.rnn\ !r rr.yidrd Lrhts.crionlT00 ol'rh.
L.h.r Codc, lor rh.,rcrfonnirc. of lh. wol( for which rh. n mnr h hsusl
_lhar.rnd *illmainrain wo&e6' coon.nrarioi iaflr.nce, nr r.qt'Erl hys(rionl otth€ til,nr Cod., for lh. n fommeof
e r
_l edifrthll in ih. Frtu@m. oarh. wod( for which lhk r,@ir is is.n, l sholl nol .nploy any r.mn in rny manmr
m ae ro bc.oG rubFl ro lh. w*d' otrp.nsrion laE ofcalifomiq snd asE rhd if I iholld lE om mbirl h rn
*o*m' mmp.nFlion pmvhio* ofsar ion l?m ofrh. Lobor Cod.. I $ull, fonhenh @aply with rt$e ,,ovkioN .
IVARNINC l;ailur.lo €ur. workcs comn.n$rion is unl.q tul. nnd sh.ll ohJal rn opk,rlr r. oihiMl p.Mhi.s and
sivil fin.s up lo om hundr.d lhousnd dollan (tl io,! da@!.. as lmvid.d aor lhc
S('ion J076ot'h. t hr Cod.,lnrd.s
o,*, - Ul)a"/ltr ('
IhcRhyrflt ond.rp.nrlryol perjurrrhrr I rn,lrcn\drftk. nn^ si{mol ( h$tcr9l
ol rh.lJNnes r.(lftrn.sk,ns(ixl.,lDd orv l'..nsc r\ u i,llinc.ifrl.llo.)6U;
(l)lirallu0lLllDll(ljr!1M-I
I hcrchy rmnn und.r p.m rtoi!.rjuryrhsr rh.rc r r con{tu.rtr)n l.'!nn8 rlc .y Lr rh. Fcrlir
Nctrcd (Sc. :toq7. Civ ( )
uork 6. r'hrh lh's ,'{rn F
_l .cflit rhd rh. H.dl rcguLriom Egarding &rb.n6 rmsl a. mr qlpli.abL to rhis lmjer.
I cdiry$d l harc..ad lhi! applh,ion ad slat.lh, thc at v. infoml ion s coret. I nsta lo omdy snh lll Cny aod Cou y
onlimnc.s and sr . Laws El.ti.E to
aln)v. hcmon 'l nmn.ny n
appll.rnr or genr Slgn.lurc
h.rcl,y authorizc ,.presenl.riv6 o ll::Uiil;
railI
Waste & Vent
92<lu',
ffrucaNtDricLdBAlto!
I lEEby afllmr uodcr penolty ofpelury on. otlh. tollowins dal.rations:
D.molilon P.nnn*Ash.do. Nolificalion l.neral R.suhtion, ( I nlc 40. P0n6)
-R.q!ted
l!tt.r olNorrfi arion
QL.