HomeMy WebLinkAbout30127389 - Permit (2)city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing permit #: 3Ol
lnspector's Section : (7 1 4) 647 -5853
2?3Sq
Project Address: 4 E Hutton Center Dr
Assessor's Parcel: 41 l-092-30 Lot NA
unit: 1000
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning:SD76
Phone:
Tenant Name:
Contractor:
I Jdress:
)hone:
Birtcher Anderson Realty Management
4 E Hutton Center Dr, Suite 330
Santa Ana, CA 92707
(714) 850-1703
Sterns Lending
Crew Builders lnc
6191 Cornerstone #101
San Diego, CA92121
(8s8) 587-0900
01 1 16002 51602
01116002 51602
01116002 51602
01116002 51602
01 1 16002 51602
01 1 16002 51602
01116002 51602
01116002 51602
01116002 53602
01 1 16002 51600
01 1 16002 51602
FeeType Amount
Sink 10.50
Dishwasher 9.90
Garbage Disp 8.80
Floor Drain 13.35
Drink'g Fountain 7.40
Sewer Alter/Repair 36.80
lnsta Wtr Htr Comm 18.40
Water Service (Each 10 36.80
Ptc - 65% 0.65
General Plan Update 18.25
lssuance 45.50
Qty
2.00
1.00
2.00
2.00
2.OO
1.00
2.00
1.00
201.05
1.00
1.00
Fee
$21.00
$9.90
$17.60
$26.70
$14.80
$36.80
$36.80
$36.80
$130.68
$18.25
$45.50a
State Lic #: 753428
t-ic Type: B
Bus. Lic #: 332227
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 7600001803111
Expires: 0410212012
utl tcei L.lIn
Accti:
Rcpti:0079184
Transoct i on T
Building Use: High-Rise Commercial
Job Type: Tenant lmprovement
Nature of Work: Tl
Planning Conditions: lnterior Ti Only.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
I A, SPK
cPc 2010
i IderE Inc
5l6Lturu:u
Kiker, Kraig
Every permit lssued shall become invalid unless the work
on the site authoized by such permit is commenced within
1 80 days after its issuance, or if the wofu authorized on the
site by such permit is suspended or abandoned for a peiod
d 180 days afterthe time the work is commenced.
Julie
12t26t2011
02t09t2012
Account#
Misc. Receipl: 58542
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
r:r1 t 16(tr12
Flunbing
rJ11161102
F/(: FIum
rJl t 1611112
Check
01 73959 $394.83
$130.26
$264.57
01 1 16002 51600
01116002 51602
01 1 16002 53602
$18.2s
$245.90
$o.42
lnspector MID#: 2011-100593
Owner:
Address:
PLUM BING-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS Omer-Buildcr Declaration
I hcreby aflirm unda pcmhy of pc.jury thEt I rm qcmpt form the Contractors' Liem taw for thc following r6on (w.7031.5 Bulin6s
and Profesion Codc): Atry City or County which rcquiro r permh to @Ntruct, 8her, improvc, dcmolish or rcpair aoy rtrucrue, prior to iB
issune,alsorc4uircthcsppliqntforsuchpcrmittofilcEliBDcdstrtcmcil thrtheorrhcisliccrocd pursuurtotheprovisiorcofthc
ContEctor's Li@Ncd hw (Chlpter 9, ComcnchS wiih S*riotr 7000 of Division 3 of thc Buinas ud ProfqrioN Codc) or thst hc or
shc is qempt thac&om and thc basic for thc lllcgcd .xcmption .Any violation of Saion 7031.5 by any appliont for ! pGmit tubjccts thc
appliont to a civil pcn!lty of not morc thrn fivc hundrcd dollars ($500).
-1,
rs omer of thc propcny, or my cmploya whh mgc as thcl solc @mpcNEtioq will do thc work ud thc structuc is not iotctrdcd
or offercd for ule ( Ss.7044, Busirc! ud Profqsionr Codc: Thc Conrsctor's Liccm. Llw doq not rpply to e omcr of the prop€rty
vho builds or improvG thcreon, ud who dos such work himselfor hcrrclfor tluough hie or her om cmployc, providcd that such
improvements uc not intcndcd or ollcrcd for sle. lf, howcvq, th€ building or improwment is sold within onc ya of omplerioq thc
Omcr-Builda will have the burdcn of proving that he or shc not build or improve for tha purposc ofnlc).
_1, a oM* of thc propcny, am dclusivcly contractiog with lieEcd contractoG to @Btruct rhc projcct ( 56. 7044, Buin6s ud
Profc$ion Codc: Thc Cotrtn6r'3 LieBc hw do6 not rpply to m oMcr of p.opqty who builds or improve thqon , aad who
@nt!8ct! for such projct! with ! Contnctor(!) liccnscd purlunt to thc Contndor's Li@nsc law.).
_l rm cxempt utrder S6tion
Datc:
& P.C. for this r6on
WORKERS COMPENSATION DECLARAI'ION
I hereby alTirm under penalty ofperjury one ofthe following declarations:
_l havc and will mainbin . Cenifiote of CoNcnt to SelfJNu,e for workets' @mpcNation, as provided for by Setion 3?c ) of Ihc
Iibor Code, for thc performance ofthe work for which the permit is issued.
_I heve and will roinlrin workcrs'@mpcMtion irounne, u rcquircd by Secrion 3700 of the Labor Codc, for thc pcrforure of thq
My workcri' @mpcn$tion inlume orrier and policy numbcr uc:work for which this is issued I
Carricr:
(This section need not be completed ifthc permit is for One hundred dollars {$l0O) or less) ' ,
_l cenify that in thc performncc of the work for which this permit is issued, I shall not cmploy any person in any manner so as to
became subjot to the workers ' @mpensation laws ofCalifornia, and agree thst ifl should become subject to thc workers'
compenstion provisions ofSection 3700 ofthe hbor Code, I shall, forthwith comply with those provisions..
WARNING: Failurc to seurc worhcrs'
fine up to one hundred thousnd dolhrs
@mpeNrtioo @vqsge is unlawful,
(S100,000),in sddition to the cost of
.od lhall lubjed.n cmploya to oiminal pcmltiq and civil
@mpcnstion, drroges u provided for thc S@tion 3076 of
the Labor Code, interst snd attorney's fces.
LICENSED CONTRACTORS DECLARATION
t heeby aflirm undcr pcmlry ofpcrjury thar I sm liccnlcd undq provilion ofChspter 9 (ommcncing with Scaion 7000) ofDivirion 3 of
the Businss and Profosioro Code, rnd my liccroe is in full fore md clfct
Lieroc
Drte:'2,/sh2-Contractor
-T CONSTRUCTION LENDINC AGENCY
I hereby aflirm undcr pemlty ofperjury that there is a coNtruction lending aSrncy for the performnce ofthe work for which this permit is
issued (Ss 3097, Civ C )
Lendcr's Name:
Lender's Address
APPLICANT'S DECLARATTON
Demolition Psmitr-Asbcatos Notifiotion FeicrEl Reguhtions (Title 40, Part 6)
_ Rcquled Lctta ofNotifiotion
_l ccnify that thc federal rcgulations regarding ubotos removalsrc not sppliqble to this projct
_ I ccniry thit I hlve rad thir appliotion md rtlte tlat thc rbove information is concd. I agr€ to @mply with all City rnd County
ordimncq and Statc I*ws rclating to building coGtructior\ and h?reby authorizc reprB.ntrtivci ofthis City snd CouDty to entcr upon the
rbove mcntioncd propcny for irupcction pupo!6.
Appliont or rgcnt rig.:
Pamitte mmc (prht):
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ C larifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing \Ir{I lll,^/
Final Gas Test l .l
Meter Release
t I I
FINAL 1 /7h,/,l ,/Notes, Remarks, Etc.
,*, zfi/lz 4priun, Luca. L / Ur
-- r.icense Number as*ce--
-o^," 44y'2
l1