HomeMy WebLinkAbout30142502 - PermitProiect Address: 1055 N Main Sta
Assessor's Parcel: 398-023-01 Lot:
Unit 600
Block: NA
BIdg: Address Range:
Tract: WITMER/SMITH Historic: No
Suite Range:
Zoning: SP3
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30142502
Pin #: 4980{
SIC 1015 Santa Ana LLC
PO BOX 17777
Beverly Hills, CA 902093777
Phone:
Tenant Name: County of Orange lT Department
Owner:
Address:
Contractor:
Address:
01 1 1 6002 51 602
01 1 1 6002 51 602
01 1 1 6002 51 602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type Amount
Sink 13.68
Garbage Disp 11.49
Tankfess Water Heater 70.64
Genera! Plan Update 23.19
lssuance 59.30
Microfilm Records 4.0S
Qty
1 .00
100
100
1.00
1.00
1.00
Fee
$13.68
$1 1 .4s
$70 64
$23.79
$5e.30
$4 05Savant Construction
13830 Mountain Ave
Chino, CA 91710
(909) 6144300Phone
State Lic #: 596646
Lic Type: B, C-6
Bus. Lic #: 0196439
Workers' Compensation lnsurance:Carrier. lnsurance Company of the West
Policy #: WSDS05269100
Expires: 0110112021
ronS0cf, I B
qnt Const
Generol Plon Updote
Ul I 160112- 51 6LlLltJ0Lr-Building Use:
Job Type:
Nature of Work:
Commercial
Tenant lmprovement
T.t.
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
I A, SPK
cPc 2019 Notes:T.l. to remodel breakroom.
Fee Total
Paid to Date:
Balance Due:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buirding Permit #: 1 011047 52
10t15t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#' 2020-1 61442
01 1 16002 51600
01 1 16002 51602
01116002 57770
$23 79
$155 11
$4 0s
$1 82 9s
$0 00
$182.95
a
PLU M BI NG.I NSPEGTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DEI,CARATION
I hqcby alfim undq pqalty of psjury that I m qmpt from thc CootracloE' Licw trw for tlrc following rcn (58.7031.,
Bwine ard Prcfsion Codc): Ary City or Couty which rcquin a pcrnh to coNtruct, alta, improvq danolbh or rcprir my
strucluq prior to ts issuucc, also rcquis rhc applicet for such Frmit to frlc a signcd Btatmat rhst ha or slE b licos€d pwril
to thc prcvisioB of thc Contretor's Liccnscd Law (Chapt6 9. Commming with Setion 7000 of Division 3 of thc Buim md
Prcfsions Codc) or that hc q shc is qmpt thftfrom ed thc basis for thc allcacd umption. Any violation of Sction 7031.5 by my
applicmtforaFmitsbjetsthc spplicattoacivilpmltyofnotmorcthmfivehun&cddollm($500).
_1. as owner ofthe property. or my employees with wages as their sole compersation,
intended or offered for sale (Sec.7044. Business and hofessions Codc: The Contractor's License Law does not apply to an owner of
the property who builds or improves thereon. and who does such wolt himself or herself or through his or her own employecs,
provided that such improvonents are not intendod or oflhd for sale. If. however. the building or improvemeflt is sold within one )ryr
of complaion. the Orrner Builder will have the burden of proving tha he or she did not build or improve the property for the purposc of
sale).
--1. as owner of the property, am exclusively contracting with licensed conlractors to construct the projed (Sec. 7044. Business
and hrofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracls for such projects with a Contracto(s) licased pursuant to the Contractor's License Law).
--larnexemptunderSection-.B'&P.C'forthisreason'
f)o la.
WORKERS' COMPENSATION
DECLARATION
I hereby affirm under pcnalty of perjury one of thc following declarations:
_l have and will maintain a Certificate of Consent to Self:lnsure for workers' compensation. as pf,ovided for by Soction 3700 of the
I-abor Code, for the performance of the work for which the pcrnrit b issued.
_l have and &s by Section 3700 of the Labor Code, for the pcrformance of
md policy numbo re: tthe work for
C9 V
Policy rl L
_l certi& that in the pcrformance of the work for which this pcrmit is issued. I shall not employ any person in any manncr
so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the labor Code, I shall. forthwith comply with those provisions..
WARNINC: Failure to sccure workers' compcrsation coverage is unlawful, and shall subject an ernployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the
Section 3076 of the l-^abor Codc intcrest and attornsy's fees.
D.,., \O rtS, >O \o*
DECT AIU{TTON
I haeby aflirm under pcnslty of perjury that I am licensod under provision of Chapto 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
Number:tLicense
W
I hcby affim unda pcn8hy of pqjury thd the b s otrsrudbtr lading agmy 6r thc pcfoIrwc of thc wrt &r u&foh thb pmit b
issucd (Se. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPLICANT DECLARATION
I hodqy affirm under penalty of perjury one of the following declarations:
Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Parl6)
-Required
lrtter of Notification
_l certi& that the federal regulations rcgarding asbestos removal are not applicable to this project.
-l
ceni& that I have read this application and state that thc above I agree to comply with all City and County
ordinances and State laws rclating to building construction, and of this City and County to erter upon the
above mcntioned propcrty for
Applicnnt or Agent D"t., Lolt6 relo
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Cla rifier
TOP OUT I
Waste & Vent l0 ul'?2 7
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back FIow Device
Roush Plumbins
Final Gas Test
Meter Release l
FINAL wv
INotes, Remarks, Etc.
Permitee name (print):
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