HomeMy WebLinkAbout30140490 - Permit\
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Plumbing Permit #: 3O{4O49O
Pin #: 41274tlnspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853
Proiect Addressi 1022 E Fourth Sta
-
Assessor's Parcel: 398471-02 Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range:
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) s60-4145
Tight Quarters lnc
2031 S Anne St
Santa Ana, CA92704
(714) 5s7-9701
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Ref *;- i,i io.i?tl
Fee Type
01 1 16002 51602 Cap Sewer
01116002 5160C General Plan Update
0'l'116002 5'1602 lssuance
Amount
99.92
22.08
55.04
Qty
1.00
1.00
1.00
Fee
$99.92
$22.08
$55.04
Bt
State Lic #: 584915
Lic Type: C-61, C-21, C-12
Bus. Lic #: 133416
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9243055
Expires: 0'llO1l2O2O
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Building Use: Commercial
Job Type: Demolition
Nature of Work: Demo Building
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
N/A
N/A
cPc 2016
Planning Conditions: Addresses need to be deactivated once demolished.
01t10t2019
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. (lncludes
addresses 1022,'1026,1028, and 1030 E 4th St.) AQMO
on file. Bond posted on M-72052
"**Storm Water Pollution Prevention Plan Req'cF**
$177.04
$0.00
$177.04
Planning Approval By:
Plan Checked By:
Permit lssued By:Zuniga, Allissa
Subject to Field:
Buildins Permit #: 1 01 98891
Every permit issued shall become invalid unless the wo* on fhe sife
authorized by such permit is commenced within180 days after its
rssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
$22.08
$154.96
lnspector MID#: 2019-148706
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PLUMBING.INSPECTOR RECORD
I hcrcby aflim undcr pcnalty of pcrjury that I m cxempt frcm thc ConlractoN' Liccns Law for thc ftrlowing r.en (se.7031.5
Busin6s and Pmfesion Codc): Any City or County which rcquircs a pmit lo conrtrucl, altc, impmve, dermlish or refat tfo/
structure, prior to its issuance, alm rcquircs the applicant lor ruch permit io file a signed statement thal hc or she is licenscd purruIz'l
to lhc pmvisions oflhc Contractor's Licensed Law (Chapter 9, Commcncing with Section 7000 ofDivision I ofthe Business and
PmfcsionsCode)orthathcorsh€isexcmpttherefromandthebasisforlhcallegedexcmption. AnyviolationofscthnT03l.5byany
applicant for a pcmit shjels the applicant (o a civil pcnalty of mt more than fivc hundrcd dollars (3500).
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as owr of thc prcpcny, or my cmplolces with wagcs as thcir sl. mmpenstion, will do the woft a.d tlE stnrc{w ir mt
intcrdcd oroffcrcdforslc(Ss.?044,BusiressmdPmfcssionsCode: lhcCorfractor'sLiccnrcL6wdocsnotaF,plytoanomcrof
thc popcrty sho tilil& or ftpmB thomG and wtn doe sch mrt himsclf or hffilf or thrcu8h his or hcr om employces,
prcvidcd thst sch impmvmds m mt intcrdcd or olltrtd for slc. lf, howd6, th. tililding or itrpmrcmnt ii sld within orc ,€r
of mrplctkl]l, thc Oryrcr Euikler will haw ttE bordcn of pmving tlEt hc or slE dil mt build or impmrc thc pm]Ety br thc purfrs of
sh).
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&rowr of lhc pmp.rty, am cxclusivelyconbacting with licenscd contmctoB to coNtruct the prcject (S*. 7044, Busine*s
and Pm&sbn Codc: Thc Contrrctor's Liccnse Law docs mt opply lo an owrcr ofpmpcrty who builds or improvcs thson,
and who @ntracti for sch prcjcrts with a Codmcto(s) licm€d puEuanl to thc Coniractor's Licenr lrw).
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mcxcmpt undcr Srction-, B. & P.C. for this rcasn.
Date:()$tr(r:
\1 ()R|l t-RS' ( O]\t t't.NS,1 I t()N
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I hercby affim under p€mlty of p(juryorc of thc following delaations:
_l havc and will minlain a Cenificate of Conrent to SclfJnsre for workffi' compensation, as pmvided for by Setion 3700 of the
lrtnr Code, for thc pofomrcc of thc work for which thc pmit is issucd.
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havc and will maintain workers' compensation inrurancc, as required hy S(tion 3700 of lhe Labor Code, for the perfomnce of
the work for which this pemil is issed. My workqs compenslion insurarce carier Ix)licy number are:
o 2-OvPolicy
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cenify that in thc performance of the work for which this permit is issued, I shall not employ any person in any manner
w as to bccome subjecl to the workers' sntpensation laws of Cal ifornia, and agrce that i f I stnuld bccomc subject to thc
workerC mmpe[stionpmvisionsofSeclion3T00ofthcl.atnrCode.lshall.forthwilhcomplywirhrlmsepmvisions..
WARNING: l'ailurc to *cre workcm'compenstion @vemlre is unlawful. and shall rubjat an mplolcr to Gimiml JEmltid nnd
civil fines up to ore hundred thoumnd dollars ($in addition to the cost of comp€nstion, damges as provided for thc
Seclion 3076 Code, interest and
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I hereby aflirm under pcnoltyof pcrjury lhat I am
NFCLARA'I]ON
under pmvision ofChaptq 9 (commencing with Sstion 7000) ofDivision 3
of lhe Business and Prefessions Code. and my license is in full force and effect.
Licc[3e ^,.*,, f8t{1lf
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CONSTRUCTION LFNDING AGENCY
I tmby allim under pemhy of pcrjury that thqc is a cordructbn lending agcrcy for thc pcrfom€ of th. mrk for which thk lrmit is
i8scd (Se. 3097, Civ. C.).
Lcnder's Name:
Lender's Address:
APT'I ICANI' DI.'CI.ARA'I'ION
I heruby allinn under penahy ofperjury onc of the Ii)lhwiilg decloratt)ns:
Dctrx)lition Permils-Asbcslos Notification l:ederal Rcgulati()ns ('l itle 40, l'an6)
-l(crluired
Lercr of Noti,ication
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cerlify that lhe fedcral regulatbns reguding asbestos removal nre not applicablc h lhis pmject.
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cerlify that I lurve read this applicatbn ard stalc lhal lhe ah)ve informalion is corecl. I agre to comply with all City aml County
ordimrcd ard Statc lrws ElatirE cpr*ntalivd of this Cityand Countyto otcr upon thc
above rentioned pmpcrty for
Applirililt or Agcill
Pernrltec n{me
APPROVALS DATE ID/SIG COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
Ptrap/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
Rough Plumbing
Final Gas Test
Meter Release
FINAL 7*7"70 trMiv)
Rema Etc.
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