HomeMy WebLinkAbout30141518 - Permito City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing
Permit Counter: (714)647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 301415{8
Pin #: 9{ 362a
Project Address: 2130 S Bristol St
Assessor's Parcel: 408471-17 Lot: NA
Unit: A
Block: NA
Bldg:
Tract NA
Address Range: 2104-2160
Historic: No
Suite Range:
Zoning: C2
Owner.
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
State Lic #. 693310
Lic Type: B
Bus. Lic #: 375302
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9132832
Expires: 0812412020
Landlord: HOA Dao, Newmark Merrill C
2180 E Lincoln Avenue
Anaheim, CA 92806
(s62) 4844351
Ono Hawaiian BBQ
Ho's Remodel Corp
3553 Meeker Ave
El Monte, CA 91731
(626) 27e-6s40
Fee Type
01 1 16002 51602 Revision
01 1 16002 5160C General Plan Update
01 1 16002 5777C Microfilm Records
Amount
230.87
22.95
3.91
Qty
1.00
0.00
0.00
Fee
$230.87
$0.00
$0.00
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Commercial
Revision
Revision
CSG
Occupancy:
Constr Type:
Code:
Date:
Date:
A-2
V B, SPK
cPc 2016 Notes: Revision to 3141160. Adding a sink per Health
Department request.
12t02t2019
03t05t2020
Account#
Misc. Receipt: 73767
Misc. Receipt.
Misc. Receipt:
Total -
Zuniga,
Subject to Field.
Buildins Permit #: 101 100815
Every permitissued 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 fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Fee Total
Paid to Date.
Balance Due:
$230.87
$230.87
$0.00
lnspector MID#: 201 9-153039
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNERBUILDERDEI(ARATION r
I hmby aIlirm undcr paalty of pcrjury that I m qcmpt ftom thc Corilmton' Licmc tiw for rhc following Itor'1Se.70-!1.5 '
Buincs ard hofeion Codc): Any City or County u,hich requirc a pcmit lo construct, alto. improve donolish or rcpair-any
structuc. pdor to its issuucq also rcquiG thc spplicut for such pcmit to filc a signcd statmot thd he or shc b licsc{ pm'uant
to rhc provbioN of tlE Contrrctor's Licmscd taw (Chapt6 9. Comocing rvith Sction 7000 of Division f of thc Busins ud
Prcfcsions Code) or that hc or shc is crcmp thccfrom md thc bsis for thc allcXcd exmpion. Any violation of S61ion 7031.5 by any ,'
applicant for 8 pqmit subjets thc applicmt to 8 civil pcnalty ofnot morc thm five hun&cd dollus (S500).
-1.
as owner of the propcrty. or my employees with rvages as their sole compensation. willdo the work and the stnrclure is not
intended or offered for sale (Sec.7044. Business and hofcssions Code: The Contractor's Licerse l-aw does not apply to an owner of
the propa'ty who builds or improves theron. and who does such wo* himself or herself or through his or her own employees.
provided that such imp,rovonenls are not intendcd or offened for sale. l[, horvever. the building or improvement is sold within one ]€ar
of complaion. the Or,vner Builder will have the btrrden of proving tha he or she did not build or irnprove the popoty for the purposeof
sale).
_1. as o\\'ner of the properly. atn erclusively conlracting rvith licensecl conlractorc to constnrct the project (Sec. 7044,llusinc'ss
and l\rrfession Code: l'he ('ontraclor's l-icense Larv does not apply to an owner oIproperty u'ho builds or improves thereon.
and s'ho contracts for such projects s,ith a Contractor(s) licensed pursuant to the ('ontractor's l,icense Lalr').
__l am exernpt undcr Section__ _ . B. & P.C. for this reason.
I)nte:( )rr ner:
$'() nx r.ns' i'Oirt pi.Nsli'r()x
I)11('t.AR,\'l'l0N
ottc of' Iltc [oIlorvinu tlcclaral iorrs:I hereby aflirm under penalty of pojury
-l
have and will maintain a Certifrcate of Consent to Self-lnsure for rvorkers' comp€nsation. as provided for by Section 3700 of the
l-abor Code. for thelgf$$ance of the rvork for which the po'rnit is issued.
ffi :Iffi i'ltHffiiilliH't;ffii,H,,fi iili',lJ;Section 3700 of the Labor Code. for the performance of
carrier and number are:
-,
Policy l;rpilt's ?0
-l
cerrify that in the performance of the rvork for rvhich this permit is issued. I shall not onploy any person in any manner
so as to become subject to the workers' compensalion lass of California. and agree that if I should become subject to the
workets' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply rvith those provisions..
WARNING: Failure to secure u'orkers'is unlarvful. and shall subject an employer to oiminal penalties and
addition to the cost of cornpensation. damages as provided for thecivil fines up to one hundred thousand dollars
Section 3076 of the Code, interest fees.
I hereby aflirm under penalty of periury that I arn licensed 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
,^
License Class: g
l)ate:-.<lsl?ort
I hrcby aflirm unda pqlatty of psjury that thqc is a enstsction lcnding agmcy for thc pcfomce of thc worl for which this pEmit b
issued (Se. 3@7. Civ. C.).
knd6's Nmc:
-
Lcnrlt'r 's r\tltht'ss:
A PPLICANT DEC LARA'TION
I hertt,y a{linn under penalty of perjury onc of the follou,ing declarations:
I)emolit ion Perrnits-Asbestos Notil-rcation Federal Regulat ions (Title 40. Par16 )
_Re<luired l-etler of Notification
-l
certi& that the federalregulations regrding asbestos rcmovalare nol applicable to this project.
@ereadrhis and state that the above infonnation is correct. I agree to comply with all City and County
ordinances and State l-arvs relating to construction. and hereby authooze.qccntatives of this City and County to cntcr upon the
above mentioned property for
Applicnnt or Agent Signatrrre:
Permitee nRnle
k r)nre: s\t\v
UNDER GROUND A
Waste & Vent -( - [-Vo Wtt]il ,{l{"/ RaLl /r,L
Water-Under floor \-/
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarifier (tlahn,t ,'(\^r}€ilI ?D)
{t U\\ar-
TOP OUT A
Waste & Vent 1'7-Za Mtl-,Ih
Water Piping 7-7-74 '),lLJyll
Gas Piping 'v
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/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 Plumbins /r\
Final Gas Test 1-W-'Ia um#d\
Meter Release 1^lt-h VJmqrI
FINAL
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Notep, Bemarks,Etc.