HomeMy WebLinkAbout30442180 - PermitProiect Address: 309 W Third Sta
Assessor's Parcel: 398-591-07 Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: Yes
Suite Range:
Zoning: SD84
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 30442{80
Pin #: 3{633
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Borbo Realty
309 W. 3rd St.
Santa Ana, CA 92701
(7141 862-7375
El lndio Botanas Cerveza Restaurant
LSR Builders
225 North Broadway, #216
Santa Ana, CA 92701
(8s8) 4374247
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
_) 1116002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
51 602
51 602
51602
51 602
51 602
51 602
51 602
s1 602
51 602
53602
51 60C
51 602
5777C
Fee Type Amount
Water Closet 15.32
Urinal 11 .71
Sink 13.68
Floor Drain 17.39
Floor Sink 17.39
Gas System 1-4 47.95
Gas Outlet, each Add'l 7 .61
Wtr Htr (Comm up to 50 23.97
GreaseANaste lntercept' 40.46
Ptc - 65% 0.65
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
2.00
4.00
4.00
3.00
1.00
1.00
1.00
1.00
335.1 I
1.00
1.00
1.00
Fee
$15.32
$23.42
$54.72
$6e.s6
$52.17
$47.95
$7.61
$23.97
$40.46
$217 .87
$23.79
$s9.30
$4.05
State Lic #: 964743
Lic Type: B
Bus. Lic #: 343456
Workers' Compensation lnsurance.Carrier: lnsurance Company of the West
Policy #: WVE505553400
Expires: 0 511212021
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Alteration
Add'l Fixtures
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
III B
cPc 2019 Notes: lnstall
floor s
(8) additional fixtures includes urinals, toilets,
inks and a floor drain.
CSG Consultants
Hernan dez, Kathy
07t08t2020
07 t09t2020
Account#
Misc. Receipt: 74462
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 201 8-141277
01 1 16002 51600
01 1 16002 51602
01 1 16002 53602
01 1 16002 57770
$23.79
$394.48
$140.36
$4.0s
Fee Total
Paid to Date:
Balance Due:
$640.1 I
$77.51
$562.68
_)
PLUMBING-INSPECTOR RECORD
COMMENTSAPPROVALSDATEID/SIG.
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf Ioor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Itlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool HeaterlGas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv SewerlCao
Back Flow Device
Rouqh Plumbinq
Final Gas Test
)-Meter Release
FINAL /24'Za 2-Cg/J21@6ryry
Notes, Remarks, Etc.,bd h =id-e- lvli*L V
.. .a
II -fr^-Lil @ 9e lEr -o/2-6 t*L ry Dzsa /ze'z'
T
\l
0I1'N I.]R II I.I I I,I)ER
I hercby offirm undcr pcnslty of ttrjury thrt I m cxctrrpt frcm thc Contracton' Liccnr Lrw for thc following rcs$n (56.7031.5
Busincss snd hofcssion C(de): Any City or County whhh rcquircs a ;rcrmit to construd. sltfi. imorovc. demlish or rcprh my
structure, prior to its isruamc, alo rcauircs the applicsnt for such lEmit lo tilc I sigm{ statemnt lhst hc or slE h licmsd pwut
to thc |rovisiom of thc Contractor'r Liccnscd Law (Ch8pter 9. Commcrcing with Setion 7000 of Division 3 of the Busircss 8nd
PmftssionsCodc)orthathcorshciscxemptthseftomandthcbssisforlherlhgcdcxemp(ion. AnyviolationofsctbnT03l.5byany
applicont for r lrcmit subjNls thc opplicsnt to a civil Fnolty of nol mrc th.n fivc hundrcd dollrs ($50O).
_1. as owner of thc propcrty. or my cmployces with wages ss their sole compcnsation. will do the work and the slnlcture is not
intcrdcd or offered for sate (Ser.7044. Business and Professions Codc: The Contractor's License [.aw does not apply lo an owner of
thc property who builds or improves thcreon. and who does such work himself or hersclf or through his or her own employces.
providcd that such improvcnrnts are not intended or offered for sale. lf. however. thc building or inprovcrrcnt is sold wilhin one )aflr
of conphtion. thc Owncr Buildcr will have the burdcn of proving that hc or she did not build or improve thc propoly for thc purynsc of
sah).
_t. as owncr of thc propct-ly. aln cxclusivcty corrlractirrg u'ith liccnserl contrilclors lo cotlslruct thc prtrjcct (Scc. 7(114. Busincss
and ltofbssiolrCode: 'l'heConlractor'sLiccnscLawdocsrrolapplyloiurowncrofpropertywhobuildsorintprtlvcslhcrcon.
and who contracts for such projccts with a Contraclor(s) liccnscd pursuanl lo thc Conlraclor's Liccnsc l-aw).
-lattlcxclllptundcrSectitttt-.B.&P.C.lirrthisrcastltt.l)nlr: ()u'ltt'r:
WORKERS' CONI PF'NS {'TION
DFCLARATION
I hcrcby affirm undcr penalty of pcrjury onc of lhe following dcclaralions:
_t havc antl rvill nmintain aClcrtificateof Conscnt to Sclf-lnsurc f<rr workcrs'compcnsation. as providcd for bySection.3T0Oof the
Labor Codc. for thc pcrlbrnuncc of thc work for which the pcrrnit is issucd.
-t
havc and will nraintain workcrs'conrpcnsation irrsurancc. as requircd by Scclion 37fi) of thc Labor Codc. for the p*rfnr*un.".lf
thc work lbr which this permit is issucd. My workcrs' compensation insurancc carricr and policy numhcr urc:
Policy
_l ccrtify that in thc perlbrmance of the work for which this prmit is issucd. I shall not employ any pcrson in any manner
so as to bccorne subjcct to thc workcrs' comgrcnsation laws of California. and agrce that if I should beconrc subjcct to thc
wrlrkcrs' cornpensation provisions o[ Section 3700 of thc Lahlr Code. I shall. forthwith comply with thosc provisions..
WARNING: Failurc to sccurc w<lrkcrs' compensaliot't covcragc
civil fincs up to onc hundrcd thousand dollars ($lm.fin). in
is unlawful. and shall an cmployer to criminal pcnaltics and
to lhc cost damagcs as provided ftrr the
Scction 3076 of the l.abor Code, intcrest and attorney's fecy
,r,", 1-) '%2 Applrcanr: K
I hercby alfirm undcr pnalty of prjury that I am licensctl undcr
of the Busincss and Professions Code. and my liccnsc is in full
9 (commcncing with Section 7m0) of Division 3
cfl'cct.
Liccnse e
o"", 1-f -'ZO
I hcrcby afTirm undcr penalty of grerjury that there is a
issucd (Scc. 3097, Civ. C.).
agcncy for thc performancc of the work for which this J:crmit is
APPLICANT DECLARATION
I hcrcby aflirm undcr penalty of perjury one of the following declarations:
Dcmolition Permits-Asbestos Notification Federal Rcgulations (Title 40. Part6)
lrttcr of Notification
that the federalrcgulations rcgarding asbcstos rcmovalarc nol applicablc to this projcct.
ccrtify thirl havc rcad this applicltiott and I hlt thc alxlvc irr lirrrttal iort ls corrccl,agrcc Io colnJrly with all City :ttttl Courrty
lttrl Statc [.aws rclating County lo enlcr ulx)rt thc
abovc mcntioned propcrty for
Applicant or Agenl
Pernrilee nonle
to building
sliltc
c)
hcreby aulhorizc rcprescntativcs of this City and
8-D
7
Contractor:_
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