HomeMy WebLinkAbout30139521 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139521
Pin #: 97lEE
Project Address:515ED ver Rd
AssessofsParcel: 411-052-26 Lot: NA
Unit:
Block: NA
Bldg:
Tract: 43
Address Range:
Historic: No
Suite Range:
Zoning: Ml
E
Phone:
Tenant Name:
Contraclor
Address;
515 Dyer Property Owner, LLC
4000 MacArthur Blvd.
Newport Beach, CA 92660
(949) 313-2200
Hines
Mission Landscape CompaI
P.O. Box '15026
Santa Ana, CA 92735
(714) 918-0379
Fee Type
01116002 51602 Lawn Spkr, per valve
011 16002 51600 General Plan Update
01116002 51602 lssuance
Amount
9.78
21.25
52.98
Fee
$254.28
$21.25
$52.98
Qty
26.00
1 .00
1 .00
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Tnanssct ion Toto
I iss ion LflndEqop
State Lic #: 342278
Lic Type: C-61, C-27
Bus. Lic #: 142990
Workers' Compensalion lnsurance:
Carrier: Old Republic General lnsurance Corporation
Policy #: A1CW07751804
Expires: 0410112019
6eneral Plon Upd(rt
(r1 I 1 6(10?- 513r:r00tll:r
Plunb ine
(tl I 1 6n(t2- 5l 6r:r2f r_'(l
lloeter tand
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Building Use:
Job Type:
Nalure of Work:
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
[fxernanuez, ratny
Date:
Date:
Date:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
Commercial
Miscellaneous
lrrigation System
B
V B, SPK
cPc 2016
05/31/20't 8
Account#
$21.25
$307.26
$328.51
$0.00
$328.51
Every permit issued shall become invalid unless the wod< on the sile
authgized by such pennit is commenced within 1 80 days after its
issuance, or if the wotu authoized on tha site by such pemit is suspended
ot abandoned tor a period ol 1 80 days after the timo the work is
commenced.
lnspector MID#: 2018-140837
01116002 51600
01116002 51602
Fee Total:
Paid lo Date:
Balance Due:
Owner:
Address:
t.ROSALEloll
Phone:
$3117. ?t
Noles:
Occupancy:
Constr Type:
Code:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Houqh Plumbinq
Final Gas Test
Meter Release
FINAL t0-il-lt
Notes, Remarks, Etc.V
OWNEf, BUILDER DELCARATION
I hcEby slfim ud* rEn.hy of p.dry rhar I m .x€mpt tDm th. C.niracro6 Liros Lrw for th. tollovil8 EaFi (Se..m31.5
Bosinc$ and Profission C!dc): Any Cny or Couty vhkh r.quifi ! Ign! ro oinrucr. .llq. iqrcE &mlhh or Elst sy
$rucrE pri,r lo nr i.strc. rls E4uics rlE.I,tlisr to. iuch Fmir lo lih. siSn d st.Lmnl tlEl ltd 3lE h lidBd Pullar
ro rhc provhions of $e Conr.cro r Li.enrcd Llw (Ch.prcr 9. Comtrrcin8 wi$ Scclior ?0m of Division I of thc ausi..rr and
Prcf.sio6 C.dc) o. rh.l & o, dE k .rcrtrpr rh.Elion.nd $. b8is for rh. dLrln crcmFrioi. An, vi,bdon ofSp.lbn 7011.5 hy..y
appli.s for ! !.mir slbjcls rlE lp?ticlnr to ! civil Ftulry of tul mE thd fo. hundrd .lolldi (1500).
_1. a ow, olrhc pDp.ny, or ny coploFq with wt8s a rlEt ek onFetio.. wiu &' rlt d* ad tlt nf,mrc n @i
inldd or offcEd fo. sk (Sc.?O4a. Busircss ud Prcfsions Cod€: The Conlrelor's Lems Lrw da ml.pply lo m owr of
rh.porEny *ho buildr 6r iqmB tlE6n. lid vho dB Mh mrk hims.ll or Lr$lt or ttEust his or ltr 6M.n4loy..s.
providd rh.r such irymwirs e IDl i .txlcr! orofiotd for $L. la.lrsE tE birildine d inproEm.l ie $ld wnhin nt )st
of corphrion. tE Owrcr Buildcr will trw dE t'lll&r of ptuvin8 rtd & or sh. dil hr build or irpr.w tlE Fotsty tor tu ,upoE of
-1.
asown*ofrh. pmp.ny. !mcrclusivclyconlr.clinS wilh lia.sd conlracro^ ro conndcr lhc Pn,icl lse.7t}:l4. Bu$nc$
and t'lntr\sion Codc: The C.ntra.roas Li.cnac Law d@i nor apply ro a owmr of proF.ly who builds ot iry,rots licren.
and wh. 6n'tu1s ror such nmils wnh a C.nrE to(s) liccns.dl,usu]Ir ro rlE Co 6.toar Lieos rrw)
I mcx.hDl undcr Sdlion , a. & PC. forlhntMn
Orner:--
UAf,TEf,UI]OMPJNSAIIAN
DECIAX4IIOtr
I hcEhy alftarundcr pcnaltyofpcrjuryorc orrhc lnll{,qins d(hBlions
Ihrrdr lwillnuintrirrCcni6carcofCo.\cnrloSclfl.surclbr*ortcrs.omp.n\di.n.a\ pmciddrllorbySlrlion:1?(lOolrhc
t]hirc{xlc. turhcp.rror. r.olth. work tur which'hc pcrml n hsucd.
_l hlv€ and will roinroin *orkc^ .or{En\!r ion in.urakc. ar rcqun d by sccrion 1700 of thc Llbor Code, for rhc Frfo@n.. or
lhc work ld {hkh rhis F.mir iq i!su.d. My worknc @rp.nsrlion insur0ncc clEicr o rricy nomhcr de:
Policy Nudber: FxpiEs:
-l
enify lhat i. rhc perlorNfte ot fi. w6rk to. which lhia p.ron t hsucd. I shall mt nploy any ,cr$. i. &y mtnmr
$ $ ro b.om subiEt to rh. mrks'or{rc,stion laws of Califomis. ard aglc rh{ if I should b.{or s!bJ..l to lL
uortss' conp.nsrion povisions of SNtion 1700 of lhc Lator Codc. I rhrll, tonhwnh .omtly wirh lhoe tmvisions..
WARNINC: Faal!rc ro s.re workcR' ompesrtion cov68c i! u.hwnil and snsl subid m dPlor!, lo dhin&l FMlrias lnd
civi! 0es up ro oe hundrcd thousand dollG {5100.000), in addirion r. lnc .ost of cotrrpcretion, drmgcs o! previd.d aot lt.
Sdiotr l{)76 oflh ljborCndc i cen ahd,nomy 3 tcci
t
I hcEby .lIm qd.. FDIy 6f pniury ln.l I m liensd u.der Flvi,ion of Chetld 9 (omEmi.g sith S4tbo ?Cr00) of Divirio. ]
of rhc B$ift3. ed Profc$ions Cod.. nt my liccn* is i. tull for .d .6e1.
o*", S/t 9/ t?t ,*,*,*
APILICANLDECIAf,AIIIIN
I h.nby ollmr u.d.r t nally ol ticrju, one of lhc folbeing dcclealio.r:
D.nsliridn Pcrdn$Asbcsos N.lificllion Fcdcnl Rcaularions (Tnlc 10, Pon6)
-Rcqut.n
Lct'cr of Norificalion
-l
ccnify rhar rhc lcdcnl (s]lhrio.s Esoding asbcsros rchovd @ n t {plicnblc ro
'his
poi{.
-l.cniryrhur
I hnv. rcod tht trt'pli.nlion and slalc th0l lhc etrvc itriorrorion h corer. I tsre rocon0ly wirh t[ Cnyand Counl]
.dinrn..\ rnd Sr3re u*lrclnrint bu i ld i.8 .oh{rucr ioo. .*1 h.rcby aul hortc rcprcsfltltivcs oflhis Ciy lnd Connryl..n!cr upntr th.
lbow mtrtion.n Dmpcrly for
Appli(rnl or AEonl Si[mlo
L<,1it)
(-3t )(,
liEgzil
IOISI3ICU!,INIENDINS.AOEN.CI
I hcEl,y aflinn undcr lEnalty of Frjury rhd rhor ir . onsrud ion hndang !g.n.y for $. pcrlormre of thc work fo. which rnis lrrmil t
issu.d (S.c.3097. Civ. C.).
lldca\ Nom'-
Fill Line/Back Flow
Miscellaneous