HomeMy WebLinkAbout30140488 - Permit,l
a
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
I nspection Req uests: (7 1 4) 667 -27 38 I n spector Section: (7 1 4) 647 -5853
Plumbing Permit #:3O140488
Pin #: 9O9{2g/
Proiect Address: 928 E Third St
Assessor's Parcel: 398472-03 Lot: 2,3,4,5,6,7,8,9
Unit:
Block: 2
Bldg: Address Range: 9OS-927,
Tract W Z COOK'S ADD Historic: No
Suite Range:
Zoning: SD84
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Toms Truck Center
909 N Grand Ave
Santa Ana, CA 92701
(714) 5604145
Tight Quarters lnc
2031 S Anne St
Santa Ana, CA92704
(714) 557-e701
Fee Type
01 1 16002 51602 Cap Sewer
01'116002 5160C General Plan Update
01 1 16002 51602 lssuance
Amount
99.92
22.08
55.04
Qty
1.00
1.00
1.00
Fee
$99.92
$22.08
$s5.04
r22.08
il54.96
Botch*:{787tt - i,il6/2019 t0! CCUELLAR
Office: CTTii Tnons*; ii 6 af ?Accti: Ref*: 3CI140{89
Rcpti:0250ii9i - iit6izii9 i!52 Pn
Tronsoctioo Totoi *1t218.23
Tisht 0unrterE inc
State Lic #: 584915
Lic Type: C-61, C-21, C-12
Bus. Lic #: 133416
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9243055
Expires: 0110112020
Genersl Pion ijpdate Fee
0r116002- 3i600000-
Plunb i ng
01I160112- 3i60:u00-
ICL Check io5ittl4 t4t248.23
Building Use: Commercial
Job Type: Demolition
Nature of Work: Demo Building
Occupancy:
Constr Type:
Code:
N/A
N/A
cPc 2016
Planning Conditions: Addresses need to be deactivated once demolished
0'll'|.012019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Demolish all structures to facilitate new residential
project. Founation and parking lot to remain. AQMD on
file. Bond posted onM-72052*'*Storm Water Pollution Prevention Plan Req'd"*
$177.O4
$0.00
$177.04
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buildins Permit #: 10198889
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within180 days after its
lssuance, or if the work authoized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
commenced.
Nd:.
01 1 16002 51600
01 1 16002 51602
$22.O8
$154.96
lnspector MID#: 2019-148703
PLUMBING.!NSPECTOR REGORD I
APPROVALS DATE ID/S!G COMMENTS OWN}]R BTIILDER DEI,CARA'I'ION
IhcrehyallirmunderpenaltyofpcrjurythattsDexernprfmmtheContraclors LicenseLawforthefollowirrgreasrn1Sc.7(l3lll!
llusiness arxl Pnrfession Code): Any City or Counly which rcquire a permit to conflrucl. altc. improrc, d€nt)lish or reTlcrt any
slruclure, prior lo ils issuance, also requires the applicant for such FEnnit to lilc a signed statctrcnt that hc or she is licensed purruan{'
ro lhe previsions ofthe Contractor's l,icensed Law (Chaplcr 9. Commencing with Section 7000 ofDivision J ofthe tsusiness andl
PmfessionsCode)orthatheorsheisexempllherefromandthebasisforlheallegedexemplion. AnyviolalionofSectionT03l.5hyany
af,plic.ntforapemilsuhj$tsthe applicantloacivilpenallyofil)lmorelhanlivehundreddollars(S500).
_1, as owner of the pmpeny, or my employees wilh wnges as their sle compcnsnl ion, q'ill do llE sod( arxl the strudw is mt
intemlal orofferedforsale{Se.7(N4,BusinessandProfessionsCode:'lhcConlraclor'sLicensel,awdoesnotrpplyt)anownerof
the pmpeny who builds or impreves lher@n. and who dos such work himselfor herselfor thnrugh his or her own enlpk)yees,
provided thal such impmlemnts 0re mt inlended or ofTerd lirr sle. lf, however. lhe buikling or impmvermnl is *rld within one leor
ofcompletio[ the Oivner Builder u'ill have the hurden ofprcung ltfl he or she did frl build or impro\e lhe pmpffy for lhc purtnc of
sle).
_1, as owner of the propeny, am exclusively contracting wilh licensed conlrack)m lo construcl thc lmj(l (Sec. 7044, Business
and PmfssionCode: lheContractor'sLicenseLawdoesnotnpplytoanownerofpropeflywhohuildsorimproveslhcreon,
and who contmcts lbr such pmjects with a Conlmck)(s) licensed pursuanl k) lhe Contraclor's License Law).
-lamexemplundcrseclion-.B'&P,C.forthisrex$n.Dete: ()h'nerl
E9SEBre9!!EI,!SAJ.!AN
DCCLARA'I'IoN
I hcrcby aIfirm undcr penalty ofpajury ore ofthe following d(larations:
_l have and will mintain a Cenificatc of Conrcnt to Sclf-lnsre for workrs' compenrtion, as pmvided for by Sction 3700 of thc
hhor Code, for thc pcrfomrcc of lhc work for which thc pmit is issucd.
_l have and will mainlain workers' compensa(ion insurance, as required by Section 3700 oflhe Labor Code, for the perfummce of
the work fur which this permit is comfensalion policy numher re:
Prrlicy
_l cenify thBt in the performnce of the work for which this permit is issucd. I shall no( employ sny person in sny manncr
s as to hecome subject to the workrs' compcnstion laws ofcalifomia, and Bgree lhat if I slnuld becom subject to the
workss' @mpenslion pmvisions of Scction 1700 of lhe Labor Codq I shall, forthwilh comply wilh tbs pmvisions..
IVARNING: l:ailure to *cure workers'compensation covemSc is unlawlll. dnd shall subjecl an employer h fiiminnl peMhis and
civil fines up to one hundred thousand dollam ($100,000), in to the cosl of damages as provided for the
Seclion 3076 Code, inlereil and fees.
0 I
I'ECI AIIAI'IoN
I hercby aflirnr under penalty of perjury that I am liccnrcrl under provision ofchaplcr I (commcncing with Section 7000) of Division l
of the Business and Professions Co<le, and my licensc is in full lbrce and effect.
License Numbcr:<-
CONS'I'RUCl'ION LENDIN(; A(;DNCY
I hcrchy affirm undcr penfllty o f perjury that there is a construcl ion lending agency fur the perfornhncc of the work for lr'hich this lEnnit is
issued (Src. 1097. Civ. C.).
Lender's Nanre
Lender's Addrcss:
APPLICANT XIFCLANATION
I horby aflim undr pcnalty of perjury orc of the following dalmtions:
Demlition Pcrmit3-Aibcstos Nolification Fedcml Rcgulations (Title 40, Pan6)
-Required
Letlcr of No(ilicalion
_l certify lhd lhc fedcral regulations rcgarding asbeslos removal are not applicable to this prejcct.
-l
ccrtiry thd I havc rcsd this applicalion snd satc that th€ above infomtion is comt. I agrE to @mplywith all Cityand County
ordimnces aod Statc Laws rclating to huilding construction, ard reprcsenlativca oflhis City and Counly to cnlq u[nn thc
ahovc mentioned prepcrly for
Appllcant or Agent
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipins
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release dl
FINAL 7-220 *,ilLtdl
Notes Remarks Etc.
l'ermitce name (prlDl)'
,)*," f ro,fr 1