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HomeMy WebLinkAbout30138633 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 Permit #: 3O138633 Pin #: 35524 Proiect Address: 1901 E First St Assessor'sParcel: 400-081-08 Lot:POR 15 unft: 136 Block:NA Btdg: Tract:MAYBURY Address Range: 1901-1903 Historic: No Suite Range: Zoning:C5 E Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Lyon Realty Advisors lnc 4901 Birch St. Newport Beach, CA 92660 (949) 838-1239 Por-Ovita Juice MITCHELL GENERAL CONT 52 TESLA lrvine, CA 92618 194913874477 01 1 I 6002 01 I 1 6002 01 I 1 6002 011'16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 16002 01 1 I 6002 01't16002 s1602 51602 51602 51602 51602 51602 51602 51602 51602 53602 51 600 51602 Fee Type Amount Water Closet 13.69 Sink 12.23 Dishwasher '11.52 Floor Drain 15.53 Floor Sink 15.53 Wtr Htr (Comm up to 50 21.42 lnstallWtr Htr Comm 21.42 Backflow < 2" 21.42 GreaseMastelntercept 36.15 PIC - 650/o 0.65 GeneralPlan Update 21.25 lssuance 52.98 Qty 1.00 5.00 1.00 2.O0 2.00 1.00 1.00 1.00 1.00 228.12 1.00 1.00 Fee $13.69 $61 .1 s $11.s2 $31.06 $31.06 $21.42 $21.42 $21.42 $36.1 5 $148.28 $21.25 $52.98 State Lic #: 831334 Lic Type: B Bus. Lic #: 352269 Workers' Compensation lnsurance:CaTTieT: EVEREST NATIONAL INSURANCE COMPANY Policy #: 2690000014 Expires: 03/08/2018 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Mixed-Use occupancy: Tenant lmprovement Constr TYPe: Tl/Card Reader/Roof Mtd EqrCode: B, R.2 iltA cPc 2016 Notes: NOTE: A gravity grease interceptor is not req'd per PWApplicant to install a Hydro-Mechanical Grease lnterceptor. West, Glen Link, Patricia Date: Date: Date: 1210712017 02t20t2018 Account# Misc. Receipt 70184 Misc. Receipt: Misc. Receipt: TotalSubject to Field: BuildinsPermit#: 10194534 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days after its issuance, or if the work authorized on the site by such permit rs suspended or abandoned for a period of 180 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51602 $21.25 $301.87 Fee Total: Paid to Date: Balance Due: $471.40 $148.28 $323.12 Permitee MID#: 2017-139449 PLUMBING.!NSPECTOR RECORD APPROVALS DATE !D/SIG COMMENTS OWNER AUILDER DELCARATION I hcrchy affirm undcr [Enalty of Frjury that I m erempl fmm the Conlraclors' Licens kw for the following rcason (Sr.70.31.5 Business and hofcssion Code): Any Cily or County which rcquircs a Imit Io @nslruct, alter. imprcve. dcmlish or rcpair any structurc, prirr to its issusnce. also rcquires lhe applicanl for such Frermit lo filc I sigred statemnt that hc or she is licenrcd pursuanl lo the prcvisions of thc Contnctor's Licersd txw (Chapter 9. Commencing wilh Section 7000 of Division 3 of thc Eusincss and PrcfcssionsCodc)orthathcorsheiscxemptlhercfromsndthcbasisforlhcallegcderemplion. AnyviolationofsrctionTO3l.5hyany applicant for a pcmit subjects thc applicsnl k) a civil pen.lty of not mrc lhan fivc hundred dollss ($50O). _1. as owrer of the prcperly. or my employees with wages as lheir slc conlEnsdion. will do the wot 8rd the stMtw is mt interded or offercd for sle (Ss.?044. Business and Professions Codc: The Contmctor's Licens lxw d(Es not apply to an ownct of the polErry who builds or irn{mve 0mn, and who des ruch wort himself or her*lf or lhmugh his or her own employees. provided rhat such impmrcmnts m ret intended or offered for sb. lf, howcw. the boiHins or imptftmnt is sH withir ore )Ee of corphtion, the Owrcr Buikhr will harc tlE burden of pmving that h€ or shc did mt buiH or impmrc the prcFmy for the puqrs of sh). _1. ts owncr ol'thc prcpcny. am cxclusively conlr&clilg wilh licenscd conlraclors lo con\lrucl lhc proFcl (Scc. 7()14. Busirrcrs tlxl PNfcssinr C(xlc: 'l-he Contrnctor's l-iccnsc Law (krcs not apply b nn osner ofpropcrly who builds or inrprovcs fhcrcon. and who conlracls li)r such projccts wilh fl Colilrack)r(s) liccnscd pursuxnl lo lhc Conlract)r's l.iccnsc hw). liln|cxcD|DtUndcrsc.li(nl-.B.&P,C.li)rthisrclson, ITQE6EBLI]QMfIN&IIIAN DECIdBAIIAN I hcrcby affirm undcr pcnalty of Jrrjury orc of lhc following declarations: _l harcanrlwill maintninoCcnillcntcofConscnlk)Scl['llsurcli)r$1nkcr\'conllEn\ilion.as fovi(lcdli)rbySccti(tn.l7(X)oflhc Lak)r (i)dc. f(tr thc pcrli)riluncc ol lhc work li)r which lhc pcilnil i\ is\uc(|. _lhavcandwillmaintainworkcrs'compensalioninsurrncc.as requircdbySclion-17fi)ofthctiborCodc.forlhcperfomurccof tlE work for which this permit ir issued. My workers' compcnsulion insurance carier &rd plicy numbcr m: Policy _l ccnily lhat in lhe pcrforronce of lhc work for which this lErmit is issued. I shall nol employ any FErson in any munner $ as to bccom subjcct lo the workcrs' compensation laws ofCalifomis. and agre lhal if I stnuld tHom subjctl lo lhc worktrs'comlEnsalionprcvisionsofScclion3T0OoftheLrborCodc.lshall.fonhwithcomplywiththosprcvisions.. WARNIN(i: I;tilurc to *curc workcrs'compcn\dtion covcrrgc is unlawtirl. aml shall suh.icct an cnrploycr lo critninal Jtnnltics and civil lincs ul to onc hundrc(l thorsund dollrrs ($l{X).(xX)). in addilion lo thc cost ofcompcnsalion. darnagcs as frovi(lcd lbr thc Scclioil 3{)7(, of thc l-xh)r Codc. inlerc\l ond atkrrncy's fccs I ICENSED CONTRAC'TOR UECLABAIIAN I hcrchy nflirm undcr pcnxlly of Frjury lhat I anr licenrd undcr provision of Chaplcr 9 (cotrnncncinS wilh Sccliotr 7(XX)) of Divisiil -i of thc Busincss and Proltrsions (iilc. aml my Iicensc is in full lbrcc ud clfccl. Liccnsc Chss:-Liccnsc Nunlhcr: Contrsclor:__ CONSTRUCTION LENI)ING ACENCY I hcrcby rlllrnr undcr Frcil0lty of pcrjury that Ihcrc is d constructk)n lcnding {gcn(y li)r thc Jrrfonnancc of the work for s'hich lhis frcrmit is issucd (Scc. .1097. Civ. C.). Lxn(lcr's Namc: - lrndcr's Addrcss: AfIIICANIIECI.AM.IION I hscby affmundcr penally of perjury onc of the folhwing dGleetions: Dcmlition Pcrmits-Asbestos Notification Fcdcral Rcgulations (Title 40. Part6) -Rcquircd kltcr of Notifrcatkrn -l cenify thal thc fcdcralrcgulalions rcBarding asbcslos rcnrvalarc not spplicablc lo lhis proFcl. _l ccrtili thut I huvc rc[tl this application an(l slrtc thrt lhc ahrvc inlbrntrlion is coffccl. I aSrcc h conuly wilh all ('ily and Counly ()rdinnnccs nild Stalc Irws rcltling to building constrctbn. ind hcrchy rulhorizc rcprcscnlrlir'cs ol this City and Counly lo cntcr ufon lhc atx)vc nr0ti()[cd propcny for inspccli()n purp(,scs. ApplicHnl or Agent Signslure: Pemiae nrme l)nlc UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildino Sewer Area/Storm Drain I nterceptor/ Clarif ier TOP OUT Waste & Vent Water Pipinq 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 Sewer/Cap Back Flow Device Rouqh Plumbinq Final Gas Test Meter Release I FINAL 7 /,2-T/llf 49.t t Notes, Remarks, Etc /v l)slr: ApplitnDl: