HomeMy WebLinkAbout30137605 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: 014) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: 014) 647-5853
Permit #: 3Ot37605
Pin #: 51069
Project Address: 1220 W Hemlock Way
Assesso/sParcel: 110411-21 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
N{
Owner:
Address:
Contraclor
Address:
Phone
Tenant Name:
KEYSTONE BLORS
4212 E LA PALMA AVENUE
Anahelm, CA 92807
(714t.572-1123
Koystone Buildera lnc
4212 E LaPalma Avanuo
Anahcim, CA 92807
(71,1) 582-1123
011 16002
011 16002
011 16002
01 1 16002
011 16002
Amount
13.24
10.13
18.49
20.56
51 .26
51602
51602
51602
51600
51602
aty
3.00
1.00
1.00
1.00
1.00
Fee
$39.72
$ 10.13
$18.49
$20.56
$51.26
Feo Type
Water Closet
Urinal
Min Fee Adi
General Plan Updale
lssuance
Phone
State Lic #: 951489
Lic Type: B
Bus. Lic #: 339512
Workers' Componsation lnsurance:Catier. W6sco
Policy #: WWC3218184
Expires: 0710112017
Bstcht:37101 - l/23/2O17
Ofl ice! CTYH Trons+: 8Acct+t Refi:
Generol Plon Uodote Fer
01116002- 51600000-
Plurb i ne
0t u6002- 51602000-
V iso
CCi: rrrlrrrrrr**{812
ID3 ororoleslS3o{
t2(r. i6
i119.
1r'r 137 6rl5
Rcpfi:017?1963 - L/?3/2(!17 2l
Tronsoct ion Totol tlr
Keestooe Builders Int
L7 ?t1
375.81
tl r 37!
Autht:019016
Planning Conditions:
Planning Approval By
Plan Checked By:
Permil lssued By:
B
VB
cPc 2013 Notes
Oale
Dale
Date 0112312017
Account#
Misc. Receipt:
Misc. Recelpt:
Mlsc. Recsipt:
Total
ti
Subiect to Field:
Building Permit *:
Ewry pomit issued shall bec!.me invalid unless lho wo.k o, lhe s,te
eutpized by such pemit is @fimonccd wi[rin 1 80 days afret its
issuance, ot il the wo* authatized on thg site by such permil is suspended
ot abandoned lgr a pedod ol 1 80 days aftet dB time the wod< is
comrnencgd.
0191700 $ 140.16
$0.00
3140.16
$20.56
$119.60
lnspector MID#: 2016-133573
011 16002 51600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
Suite Range: l!t Floor
Zoning: C2
Building Use:
Job Type:
Nature of Work:
Commercial Occupancy:
Tenant lmprovemont Constr TYPe:
lst Flrcommon Aroa Restrccode:
PLUMBING-INSPECTOR RECORD
APPROVALS COMMENTS
UNDER GROUND
Waste & Vent fi).\,,9k
Water-Under floor l|-.lto"' -)"- lvt-t
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
,li /r (-^I
Water Piping Lfft Y' r.sy
Gas Piping
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 Plumbing
Final Gas Test
Meter Release
FINAL 5'E- tt J,l,GJ"-vD
otflrEt tuturEa DaLrcIn tKlNIH, t E o!& rdlrof Firr ttr I e ddF tl.ll $. Codnd Li(!E t^ t!. rlE nnb*n| l*D tseTorlj
DuntB .n Ptotrih Cod.): An, Cny d Cqlry rti.n mqui6 t Ffri ro d.'ur. !. i'tr.oc &Dlilll d rq- -!i!6rc Fiiro il. b-rg.ro rlqsiBtLTrltn 6. ut FDi lo fl.. rtF.d rr.rE : Lq rl* i lia..it pi d
io lh. FoliiE of tlE Cortrrd . Li..!a.d be ((t$6 t. CMi.g wan S6iir ,000 ot Dirib. ] of llE &!i!G. d
ftDft.bo Cod.) d rh. lE d .lE i aanB {Edui rd rlE bi fo. rlE dkrd aal?lFn. Aiy vtrhid olsdbi 'r0! L5 b, -yrrpltrd fo..FDn &U6t rh. qlidr ro.civilrdlyof @t oE rh- ivc huid.d &lhr. (3500)
l. a o$c oflh. Fopary. or ny .rplor6 wnh w.r6 D rci. $1. 6npo!dio.. will & $. *qt !d rl' nnf,l@ i. x
iiflad.d or otrE.d lo rh (Sc 70.1. BBiB &d Profcr.hN Cod.: TIE C.f,rdn! Li.!e lrw &E mr .pply ro D o{E of
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-1.
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lm.rmpr trnd- Sar'nn
woRl(ERs, contPEIsa'fl oN
TESJiAIIO!
I hatlt !,Im und.. Futy ol Fju.y oft .fllE folh*h8 &.lsdioB:
_lt E.d si[ n&idt. Cdtif.r.ofcoc to Sdf-|.r(r &r 6td o@6!.i,... Eortd.d tu t, Sclii ]r(D ofrtL6. c.da &. dE Fbitre ol0r EI &. *ni$ dE F a a-.4
-l h.! od eill rid.in Lst6 dE@rio. ieiita - .!qui!d by SetLo lrQ otdE lrt r Codc.6. tlE F6.@ oftu 6r tn wftt llli Fnil i bd. My 6ld oqqrabi irrft. dri(i.!.!!olt, Nitq c
-l
c6d8 tha ii tlE psfonur. of rh. &rt rd *ttt rhi. Fmh h ir!.d. t tull @l inpLy dy Fbn in &y lffi
t a lo hcoc et,<r b rlE wtd omFldin Ls olc.lironrr .d .8c $n if I rlbold b..!E ot.F lo tlEsda' orpoadr tmvtbB of Sdin tr@ olrl! lr!.r Co.t I ldL bnhsih ordr wnh th.r Fovii6
s.rFE ih orq.s. ir 6L*tu\ rn lhl -bi.r r .'PbE ro airid Frrir d
@itD.rEtn dlrE ! FsYilql fo.ft
-{1/-\
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of rh. Auin6 ud PNlsbM Cod., &d Er lk.M ir h tuU fod !n.,Iar.
I lEtt1 .116 'r!& F.l, of Fjrtry r t
i$.d (SB. !097. Civ. c.).
ttn<b ! Nhc
i . ollnxlbn laldi1t .acy fd llE F&dlsc ol E hrl br rtth Ob lrnn i
lrlt tc tt DT]IL I IIo
I Hy.frE !d6,@.r, olFiry c 6f E btbrta d.cbnbDl
D@dib! Fa6ir^lb6 iaorifldin tudd t aubir (TiL {O. P3r6)
-R!q{d
Ldlaof tbihi.
.t ad lftld r. mr +da.H. ro rhi. FDirl
lhd llE .b.y. i.fomilior ir coEd LlG to !j nfl\ tr h rll( 'r\ rn(l(i\inr)
htr( \ itr(!( fr n1\ n, or5 ulirnrlE
I
C- lt 11 ftnt4rel'r.L 1,44
DATE I ID/SIG. I
Waste & Vent
I
Notes, Remarks, Etc.
,7
l4I
I