HomeMy WebLinkAbout30118441 - 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 #: 3O{,l&44tl
lnspecto/s Section: (714) 647-5853 [t''1"
Project Address: 4 E Hutton Center Dr
Assessor's Parcel: 41 1-092-30 Lot: NA
suite: 1000
Block: NA
Blds:
Tract:NA
Address Range:
Historic: No
Suite Range:
Zoning C2
Owner:
Address
Contractor:
Address:
Phone
Phone:
Tenant Name: The Credit Exchange
Triple Net Properties, LLC
'1551 N Tustin Ave, Ste 200
Santa Ana, CA 92705
Gene Tribolet
25801 Obrero #5
Mission Viejo, CA 92691
(949) s83-9300
FeeType Amount
Sink 8.15
Garbage Disp 8.15
Add'l Sewer Line 8.15
Sewer Alter/Repair 16.00
Wtr Htr (Elect) Res/Con 8.15
lssuance 32.50
Notes:
Fee Total:
Paid to Date:
Balance Due:
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$8.1 5
$8.15
$8.15
$16.00
$8.15
$32.50
$81.10
$0.00
$81 .1 0
State Lic #: 480519
Lic Type: B, A
Bus. Lic #: 0169201
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1381076
Expires: 1210112005
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
TI
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
B
!-F.R. SPK
cPc 2001
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:Serna, Janet 11t02t2005
Building Permit #:b
This pemit shall expire by limitation and become null and void if the work authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wofu authorized by this
permitis suspended or abandoned at any time after the wofu is commenced for a period of 180 days.
Before such work can be recommenced, a new permit shall be first obtained fo do so.
Account#: 011-01-5912 lnspector MID#: 2005-65410
ffifi}#%
APPROVALS DATE rD/srG.COMMENTS Owna-Builda Dcclantiq
I hmby aftim uds pqBlty of pcrjury thar I m omp fm rhc CorEroa' Li@!c Lr* ftr thc followint Bm (16.7031.5 BBin*
md Prcf6ri6 Codc)r Any City or Couty which rcquis a pcmit to cdrtrucl, rlt6, improvc, dmolich c Epoir uy 3tuctuc, ptriq to itt
issue, also requie the rpplimt fq ruch pcmit io {ilc r tigncd ttatanot thal hc d lhc is limcd pG@t !o thc Foyilim of rhc
Cdrrdff's Licmcd ls (Chaflq q Comadng with Sctim 7000 of Divirim 3 of thc Buins od Prcfaim Codc) ff thst hc tr
shc is ampt thmfrom ed dlc bBtu fc thc allcgcd smptid .Any riolatim of Scaion 7031.5 by uy applimr fn s pemit subjccts thc
applimt !o a civil pcnrlty of nor mm thu fivc huM dollm (t500).
_I, o omc of thc Fopcrty, 6 my mploya with wagc u thcir solc mpcrouim, will do thc wort md thc ttrustuc is not intodcd
u offmd fc sale ( Sc.7044, Bain6s md Prcfsim Codc: Thc Contrrct6'r Licruc Llw dm nor aprply to u m6 of thc propcrty
who buildr n irprovc thm, ud who dm tuch wtrk hiruclf tr tmclf c thrcugh hir r hs om mployd, provi&d that ruch
improvmmi! rc not intmdcd ff offmd fc sdc, If, howw6, thc building c improvmmt is rold within mc ycr of complction, thc
Ownq-Buildc will hav€ thc buda ofproving that he r rhc not build o improvr for $c purposc of sslc).
_I, a om6 of thc Fopqty, m cxcluivcly cmtrrctir8 with lic@cd @$etm to mtruct thc projcct ( S4. 70/14, BEinqs ed
Profosim Codq Thc Cmtractor's Limc L{q dG not oprly to I omo of propcrty who builds r improvs thmn , ud who
cotracts fc such prcjcctt with 8 CoEetor(r) limcd puuur to thr Conr&tor's Licosc Law.).
_I m ampt unda S6ti@
-B.
& P.C. for this rcson.
Datcl
t hmby afiim uda -r, or*,u' -ffi
_Ihavcmdwillmint8insCatificlt ofcmat!oSdf-Ituwftrwortm'cmpcnsstiq,r povidcdfcbyScction3T00ofthc
kbd Codc, ftr rhc pcrfme of thc work for which thc pomit it isucd.
K*a*itt*;nrainrqlo'ffipcot8ti6iilwe,s requircdbysetion3TooofrhcLsbacode,ftrthcpcfmeofthc
work fc which thir pqrnit ii i!$cd My wott6' mpcmtim ime cui6 ud polisy numb6 uc:
Policy Nmbcr: Expiru:
(Thtu setid n@d no, u".or4t*a ir,l@1 . t*y
rn ey tmnq ro a to
thc work6'
o,(-
WARiIING: Fsilre to i@rc workc' cornpquariil covaagc is unlswful,
fin6 up to onc hu&rd thoued dolln (t I 00,000),in 8ddition to thc cGt of
thc Labor Codc, iilct md anmcr's fq.
and civil
1076 of
LICENSED CONTRACTORII DECLANATION
I hacby affim u&t podty of psjury thrl I m limcd u&r prcvisim of Chapta 9 (cmmacitrg with Setio ?000) of Divisim 3 of
thc Buinc md Prcfsi@ Cod., &d my licmc i! in full fre ed clfd.
Licosc Clu:_ Licmlc Numba _
I hmby affim uda pcndty of pcrjury thst thqc agilcy pcrfomucc of 0rc w6k for which this pcmit ig
Civ. C.).
Lmdo's Ad&es:
ATPUCANT'S DECLARATION
Dcmolitio Pmit!-Albet6 Notificrtim Fodlnl Rc8ulrtiN (Titlc 40, Prt 5)
_ Rcquircd Lcn6 ofNotificrtion
I ccttify that thc fedml rc8ul8timr rcssdin8 abstd moyd ac not eplicabl. to thi! projcl
..2ffi-ty tn"ttt "c Ed thit spplicstim ed rbrr 0rrt thc sbovc infmtion i! cmet. I lgre !o cffiply yifi .ll City md Countyr ordinms md Sotc km rclrting to buildinS cdrtructim, ed hffiby suthorirc rcprGatdivca of thir City md CMty to atcr upo6 th.
abovc mmtioncd propmy for inspcction purposa.
Applicet
Pcmittcc nmc
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
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 //. 0.; t'/h//-
Final Gas Test
Meter Release
FINAL rJ.//.atf //)ulnr
Notes, Remarks, Etc.
PLUMB!NG-I NSPECTOR RECORD
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