HomeMy WebLinkAbout30139517 - Permit (2)Address Range: .1325-1335
Historic: No
Suite Range:
Zoning: SDl2
qProjectAddress: 1325 E Dver Rd
Assessor'sParcel: 411-131-30 Lot: NA
Unit:
Block: NA
Btdg:
Tracl: NA
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714], 667-?738 lnspector Section: (7'14) 647-5853
Permit #: 3O13951 7
Pin #: 526,42
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Amount
't2.23
46.14
21.25
52.98
Nesbift Partners OC Venture LTd
3250 Oceanpark Blvd #350
Santa Monica, CA 90405
(310) 556-1106
Embassy Suites Hotels
lntegrity Builders & Associa
1220 Pioneer ST #D
Brea, CA 92821
(7141526-7491
Fes Typs
01'116002 51602 Sink
01116002 51602 Min Fee Adj
0'1116002 51600 General Plan l,Jpdate
01116002 51602 lssuance
Qty
2.OO
'1.00
1.00
1.00
Fee
$24.46
$46.1 I
$2',t.25
$52.98
State Lic #: 919891
Lic Type: B
Bus. Lic #: 366068
Workers' Compensation lnsurance:
Carrier: exempt
Policy #:
Expires:
Botch+:44036 - 5/30/2018 I0: (:c
office: CTYH Tronsi: .{2 2Accti: Refi: 30139
Rcpti:02284443 - 5/30/2018 l:56
Trcnsoct ion Totol t2S9.7
Intesr its Builders & Associot
Generol Plon Update Fee
r:ru 16002- 51600000-
Plurb i ns
01116002- 51602000-
ICL Check 00636tBuilding Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
Tl-Kitchen
10194766
A.2, B, R-l
II A, SPK
cPc 2016 Notes:
(,/krernana"r, xatty
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
05/30/2018
Account#
011 16002 s1600
01116002 5't602
$21.2s
$123.62
Fee Total:
Paid to Date:
Balance Due:
$144.87
$0.00
$'t44.87
Evory permit issued shall become invalid unlass th6 wo* on the site
authoized by such permit is commenced within180 days after its
issuanco, or if the work authoized on the site by such pemit is suspended
ot abandoned lot a peiod ol 1 80 days after the time the work is
commenced.
lnspector MID#: 2O18-142763
Phone:
Planning Conditions:
Occupancy:
Constr Type:
Code;
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWN!]R AUII,DOR DEt,CARAl'ION
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ro rh. pmvrids of r)f cotrtr.rois Licctrscd Lnw ichrnlcr 9. Com cncing $i!h s.criod 7un or Divkion .1 ot rlrc Bu\in.s rnJ I
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snd P,trtusk n Codc: Th. Conlrocrols Liccnsc Law docs not aptlylo !. ownfolproPcny who builds or improvcs liereon,
and who onlracc lor suh pmjccrs wirha Coiracro(, licc.scd lu4ud' b lhc Conlracloas Lien$ L{w)
-l
!n cxcmpr rndcr Sccfion- B. & ?,C. fn rnis r.ason
Drt€:- OPmr:_
IOIf,E8S:.COMTEIIAIION
DICIdBAIII]N
I ficrcby aflnmundcr pcBlry of F,jury ok ofrh.lolhwi.g dNlamrions:
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Irtxr(:iatc. f{r rhc pcrf{nmn .. ofrh.work tu whichrhc llcflni k n{rcd
lhavcandwillm0inlrinworkerscompcnsalioninsurancc.asrequtcdbyScdion3T0ooflhctrborCodc,forrherdform..ol
lnc work for wnkh thh pcrmil is Gscd. My *orkcE sipcnsalion insurdc. .dnicr tnd Plicy numbcr rc:
-l
ccdit, thlt in rhe l]erfo@rcc olrhc work aor which this pcrnl is nsucd,I shlll nol cdploy,ny tcMn in lny manncr
sb as to b..o@ subid ro lnc wortsl smrcnsalion hws of Califo.niu. dnd ag@ rhar if I shonk bBom subject lo lh.
w6ike,i @mpeosarion provisions ofSction 3?00 of rlrc L3&, Codc.l shlll. foahwirh@mplyvithrhos. povtions..
WARNIN(;] Fsilurc lo *curc workcs' comlensafion @lcEac ir unlnwlxl. Md sh l suhirl an cmployer lo dioinal Fmhics otrd
.ivil nncs u, ro onc hutrdrcd tholsand dollds ($l
Q,;-;.*
-:-s !c p.ovidcd for thc
Ser ion 1074, nf rhc I ilnr cidc. intcied and diomv
,-n2-z-o/8 ,*z
DICLASAIPN
I lfrby altlrn undc. lcnolty of pcrjury lhol I !m lie *d onAcr povtion of Chaprq 9 (comncins $ilh Seclidn 7l)00) of Divkn,n 3
of rhc ausinc$.nd Pofcsrn,ns C.dc, &d my liccns. is ir full foN ard cftccl
o-
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i\\tcd (Src .1097, Civ. C )
AIPII{;ANLDEIIABAIIAN
I ln$y fiiro u.dcr pcnllty olFrjury onc orrhc r.llowing dc.l,rarnrx:
Dc.blirion P.nnireAshcslos Norificlrion Fcdc.ll Rcsulario.r Onk 40. Pan6)
-Rcqutcd
L.!cr of Nolifi .ario.
l.cniry rhri rhc fcdcr0l Egulllions Esudins a\bc\ro. rcR)vd rc nor,ptli.ablc ro Ihn pmjccr
-l.cnify
rhal I hivc rad rhn amlicdrion Md {arc Ih0i thc obv. nrfornrnlbn n corcc!. I ase ro.omply *nh o0 Cilrand Colnry
o_d'rJn.c.JtrdsrrtcLJtr\'cLrinEr.bu'lii,:l!.rq{ru,r'o..{lrmh\xurnorucrcFc{nkr',r.i,lrhFCyand('ounr)rocnlc,uF,nrhr
il;:-::.:,il:*-XQ= Q --'----- z u^", 9'7o'z"t b
UNDER GROUND
Waste & Vent
Water-Under floor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
FINAL b-4"/g //*5/.@)
Notes, Remarks, Etc.
Gas-Underfloor
Meter Release
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