HomeMy WebLinkAbout30138019 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requesls: (714') 667-2738 lnspector Section: (714) 647-5853
Permit #: 3Ot38O{9
Pin #: 2o6,47
Assessor'sParcel: 400-12l-01 Lot: 1
Unit:
Block: NA
Bldg:
Tract: MAYBURY
Address Range: 2000-2278
Historic: No
Suite Range:
Zoning: Cl
\g
Owner:
Address
Phone:
Tenant Name;
01116002 51602
01116002 51602
01116002 51602
01116002 51602
01116002 51602
0'1116002 51600
01'116002 51602
Doug Gasperik
1421 S Manhattan
Fullerton, CA 92831
(714) 300-6483
Albertson's/Starbucks
John M Frank Construction
913 E Fourih Street
Santa Ana, CA 9270'l
(714) 210-3500
Fe6Typ6 Amount
Sink I 1.83
Floor Drain 15.03
Floor Sink 15.03
New Sewer (First 100') 60.'16
Add'lSewerConnection 20.73
General Plan Update 20.56
lssuance 51.26
Qty
3.00
1.00
2.00
1.00
1.00
1.00
1.00
Foe
$35.49
$15.03
$30.06
$60.16
$20.73
$20.56
$51.26
Phone
State Lic #: 589230
Lic Type: C-36, B
Bus. Lic #: 188360
workers' Compensalion lnsurance:Canier: Arch lnsurance Co
Policy #: ZAWCi2514500
Expires: 0110112018
Occupancy:
Constr Type
Code:
B,M
III B, SPK
cPc 2015 Notes: lnstall Starbucks kiosk lnside existing Albertsons
store.
Planning Conditions:
Planning Approval By: Date:
Plan Checked By: Date:
Permit lssued By: Chavez, Dave Date: 0412612017
Subject to Field: 7F Account#
Buirdins Permit #: 10192404
Ewry pefinit issued shall become invalid unless the wo* on the sito
aulhoized by such pemil is commenced within 180 days afrer its
issuance, ot il the wo* authoized on the site by such pemil is suspendod
ot abddoned tgt a podod of 1 80 days after the time the wo* is
conmen@cl.
01116002 51600
01116002 51602
lnspector MID#: 2017-135013
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$20.56
$212.73
Fee Total:
Paid to Date:
Balance Due:
$233.29
$0.00
$233.29
Proiect Address: 2000 E Seventeenth St
Conlractor:
Address:
Building Use:
Job Type:
Nature of Work:
Commercial
T6nant lmprovement
TUKI03k
APPROVALS DATE ID/SIG.COMMENTS OWNER EUII,DDR DET,('ARA']loN
I ha.t,.flntu und( p.trAhy of p.rjury rhn I an.rdnfl frorrrh.(onrricro's'l.icos L rnyrh.aoll \iDr rcarr (Sd.7oll5
Busin€s and Prof6sion C.d.) Anyanyor Counrt $Ii.h r.rtutr6 d tmil k' Nnitucr. !ltE. imnrorc. donrl'rh.r Elst dy
(ruclB.. prior to ns isu c., ale rcqonB th. optlicatrl for n,.hF n ro fil.asittr.J nnrondr rhd hc.r sn. a li..N.d puedl
lo lh. proririons ol rh. conri.ro.s l-i.di.d l.aN (( haDr( 9- (irnrcn ins rnh S€(ion ?tr00 ol l)n ision I .frhe hBinN ed
PlofNio (od.).rlh.rh.orshcis.r.mflrhe.fromddrhctEsrs,irrhcallcg.d.ronprion nyrioldrionofsdionTlrll5 by rny
lpplicantlor.FflnnsubjcGlh.dpplicanl'or.irilp.n.hrolnornk&rhtuljv.htr.Ji.rld.llrist1500)
_l. B owMofrn F.Fty. or my.mplor6 wirh w!8d 6 thdr $L coop.n dion. sill & rh. $rt ind $. sntlE ! mti s!d.d orotro.d for $L{Sc 704:1. BsilB dd ProftlrioBCodc Th.Co.'lr.croi! LtN l.wd,6 ml.pplyr. so*Gof
lnc FlFty who lxil& d iigrs6 thadr dd *ho dc sch wn hirulf or h.elf or ihEush hn or h6 own mphr.6.
prcvi.Ld lhi t!.h idporqElr! e mr idald.d q o&!d tu, bL. l[ ho6q. [E hildins o. irsol€G'r h hld *ihin an. )r
ofonpldblr dEorid Blild(r *illh!* tlr hldor ofF.vnu rhr lrorlhcdn @l h d r inlg.!v. $c FDrqty fM tlE purpo.Gof
l. a osc oarh. pmp.ny, M q.luri!.ly .od.&1i.9 wnh li.d!.d coitracroB ro disrtu r llE pmrd (Sd 7014, BBin6
rid PEto d Codc: Thc Conmdorr Licd3c L.w dod mi.pplyro rf, owr6 ofprcnslywho buil.t!.r nIpmvd ihdsn.
bd who o ri.i! ror tuch FDj*r3 wnn r Cor&!.lo{, lkdB.d p!6ud ro rh. conr.clr't Li.dg L!w).
I m.roD| udnsnrion .1,. & P.(. for thir rmso
\t(rRKt:Rs'( o\ '[ifrs,\ I t()\
DU( t.'\llA I ll]l
I ls.by arum !nd? p66lry of psjury om .alh. aollo*iig &.lurioB
lh.\.rnd\ill'nrinr.in r(ni'ic.r.of(i,is.nrro ScltlDstrrc llrr(ork(r conrtmv!qr..s tr.\ntd f(r h\ S.!ridtr rrl)0otth€
tjbo. ( od.. f{yth.tEfonnanc.oflfi.\orl ftx*hich lh.tErnil is is{r.d
I ha\.nnd \rillnran iin \ort6i confansatnrn iN ranc.,N rcqrn.n h! S(li('n:1](x)olrhe l.ihor (ode. fin rtu nnhrnMc.ofthirffin n isad Mv q.rLd' .onlEdi.hAttU, Ziura,oc-e
iEuruft ffi6 d lolicy nuhb.r E
,^.,", o,-L-.4d4-L-SE L o
"::,":^:':,,,:(k::.^.-l
cslify thd in lh. Ff.mrde olth. "orl f.r shich rhi! pcmit i. i.su.d. I
$ dlo bcom 3ubjtl lo th. worl6 mmFE lion l.wrolc.liaomia rnd.graihd ifI should b..orc rubjd lo trE
@*d conpnsrion phyLio6 ofS.dion 3T@ otrhc llbor Codc.l {Ell. forrfirnn Nmply wirh th.FDmvisn nr
WARNING: Fsilurc l. snrc *orls'
civil ,ii6 up ro on huidd rhowid
Seiion 1076 ol rh. ttbor Codc. intcBr
mnpcG.lion cov6g. is unllwtu!. !.d shlll subjd dnplorr lo simintrl Futil dd
. {'z
I hd.tly.0lrm unds p.nolry o f pgjlry rhar I am I'cqsd und( Fovision oa( haprq I (co'n'nocm! s'rh sNri.n 7lr(r1r).l l)i\i!io.l
of th. Busin6s ed PmlsioN ( od.. dt 'ry lic.s i5 in full lorc. .rd .fiEr, B csl Stlz.<o
1-Zt-O @ fuJe cruk
to!ffaucroN-Lllt lxc-ac[N(r
I hRby!fli undd F.llyof pajuryrhd rhs.t. snrMlion laldints.8dcy forlh.FaoflMnc. of th. qort for rhi.h rhis Fnn i!
i$ucd (Se 1097, Civ C)
AIIIICA.N[DECTAAATQ!
I rE!|* amm undd p.n0lly otFjury o..otrhc lollo$inB d{hrdrirtrs:
Donohion Pdtr!tu-AstBros Norificarion lj.dd.l R.8trld ion. {1 ir l. .10, P0n6l
R.qut.d Ldt6 of Notifi cdlhn
r.g8{i.U ah6rG imvrl nr. mr .rpli.!bl. lo rhi p$j.<i.
ndc rh6r rtu atFv. iifonndion ir cotrc.1 I
'srE
to conpl, n'ith lll cirt and ( 6unry
is.byourh.rtir.Ir6nrdiv6olrhn( ir,andC.un'rro.trrdupo. .
rbovc @lionql pDpqty fo,
Appli.nnl orAtenl Siqnitu ,,,","'l'/l'l/
P.mile nrne (prlnr) lC
f
TiqamtY
UNDER GROUND
Waste & Vent
Water-Under floor Is Jt,W ({t)
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier /
TOP OUT I
Waste & Vent [. 'C&61'. ,n"E1lrc{z,nJ
Water Piping t"yt'
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Healer/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL
Notes, Remarks, Etc.
-?t-t .s
PLUMBING-INSPECTOR RECORD
5-tLt,l
*-11
Miscellaneous