HomeMy WebLinkAbout30140827 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plum
. PenmtCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection. (714)647-5853
bing Permit #:3O14OE27
Pin #: 32379
Project Address: 1951 E Dyer Rd
Assessor'sParcel: 430-221-28 Lot:
Unit:
Block
Bldg:A
Tract:
Address Range:
Historic: No
Suite Range:
Zoning
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Heritage Village LLC
450 Newport Center Dr #550
Newport Beach, CA 92660
(949) 706-8487
Aquatic Technolgies
32232Paseo Adelanto Ste. I
San Juan Capistrano, CA 92
(949) 493-9548
01 1 16002
01 1 16002
01 1 16002
011't6002
01 1 16002
0't116002
01't16002
0't116002
01 1 16002
51602
51602
51602
51602
51602
51602
53602
51 600
51602
Fee Type Amount
Gas System 14 46.25
PoolTrap 23.12
Pool Heater 75.50
PoolPiping 46.25
Water Piping (Each 100 46.25
Backflow > 2" 46.25
PIC - 650/0 0.65
General Plan Update 22.95
lssuance 57.20
Qty
't.00
1.00
2.00
2.OO
1.00
1.00
405.37
1.00
1.00
Fee
$46.25
$23.12
$151 .00
$92.50
$46.25
$46.25
$263.49
$22.95
$57.20
State Lic #: 744177
Lic Type: B, C-61, A, C-53
Bus. Lic #: 351280
Workers' Compensation lnsurance:Carrier: Zurich American lnsurance Company
Policy #: WC4503556
Expires: 1OlO1l2O19 II
A.2, B, R-2
IIIA, SPK
cPc 2016
Botchi:50673 - 7 /3/2019
Office: CTYH Trons*: 6Acc[*: Refi:
Rcpti:02678984 - 7/3/2fi19
Tronsoct ion Totol
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Multi-Family (5 or more uni Occupancy:
Swimming Pool/Spa Constr TYPe:
Swimming Pool/Spa-Bu1161n,Code:
Notes
Fee Total:
Paid to Date:
Balance Due:
Aquotic Technolgies
i, Teri
Date:
Date:
Date:
04t1912019
07t03t2019
Account#
Misc. Receipt: 72467
Misc. Receipt:
Misc. Receipt:
Total
Genersl Plon Updote Fee
0r116002- 51600000-
Plurb i ns
01116002- 51602000-
P/C Plurbins
01116002- 53602000-
ICL Check 002024
Buildins Permit #: 10199810
Every permit issued shall become invalid unless the work on fhe site
authorized by such permit is commenced within360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
01 1 16002 53602
$22.95
$462.57
$96.72
$749.01
$166.77
$582.24
lnspector MID#: 2019-150840
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
?- z< - /f JJ*<s *r,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
POOL/SPA
t ?/ty'OPtrap/Drain Line
Main Drain/Pool Pipinq I qil.
Fill Line/Back Flow tt \v@9()Pool Heater/Gas Line Y
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back Flow Device
4
Rouqh Plumbinq 9Jo- /Q ,l^b[trl D
Final Gas Test
Meter Release _41
Notes Remarks Etc.
FINAL
owNuR BUil.l)t:R DEt.( ARA',ilON
lo I he pro\ isioils o f thc ('onlractor's Licensed l-as ( ( hapler 9. ( irmnlenc in! ftit S(Ntu jO(x) of Ditision J of the Busincss and
al)plicanlforapermilsubiectstllc applicflflltoaci!ilpcnaltyofnotmorelhnnfivchurdreddollars($5(xl)
_1. m orwr ofthc popcry. or my mplole wilh rvag6 6 lhcir ple com[mution. rtill do thc wott and thc $nrtuc k rct
intodcd oroffqcdforslc(56,T044.BusinsmdhofsioNCodqThcContrac'tor'sLicoscLawdoBnotapplytoiloMoof
thc propsty who tuil& or imprcvc thqon md who doe such uort himself or hmclf or through his or ho oun cmploycc.
providcdlhatsuch improlsE|lsrcrctintadcdoroffucdforsb. lf,houao.th€hilildingorimprcl'ffitis$Hsilhinone)@
ofcompl:tion. thc Omo Builds will havc thc hrdan ofproring tha he or shc did rcl tuild or improvc the propqty for thc purpoeof
slc).
_1. rorwa of the Jrcpei'ty. m cxclusivcly contmcting rvith licmscd conl.acloE lo construd the prejecl (Sd. 7044. B6ins
and ProfushnCodc:ThcContractor'sLicsseLawdo6notapplytoanotrntrofpropcrtywhobuildsorimprovesth(sn.
and sho contmcts for such prcjets with a Contmcto(s) licenscd pursuant to the Contractor's Licqsc kw).
_l an crenlpl undtr S@tion . B. & P.('. for lhis reason.
()lrncr'
\\ ottKElts' ( out'1,,\s,\ I l()N
l)t.:( l.,Ul,\ I loN
I hereby aflirm under penalty ofpojury one ofthe follorvirrg declarations:
lharemdsill nrairlainaCcnificateof('onsmlloSelf-lnsurcforrrrrkcrs composalion.as proridedforbyS(lion-1700oflhc
t-ahor Codc. for the pofomance of lhe *trk for thich the pmnil is issued-
_l havc and will maintain workos' compcnsation irourancc. as rcquired by Sction -1700 of thc t bor Code. for thc pcforocc of
thc work for rvhich this pcmit is isucd. My workm' compeution insurmcc cmio and policy numba rc:
( rrric|
lblicr Nunthcr:l rlircs
I cstify that in lhc p€rformancc of thc work for which this ponit is issued. I shall not mploy any pcmon in aoy mmnr
$ B to b6ome subj(l to thc rvork6' comfEnsaion larvs of Califomia. ud agrc lhat if I should bccomc subj(t to lhc
wor*m' conrpnsation provisioro of Seaion -1700 of thc Labor Codc I shall, fonhrvith comply rvilh tho* prcvisiom.,
WARNING: Failurc to sure $ork6' compcnsation colqagc is unlas'ful. and shall subjat and
civil fines up to one hundrcd lhousnd dollsB ($in acldition lo the cost of lhe
Setion Codc. intersl and
I hocby affim unda pcnalty ofperjury that I m liccBcd unds fovision ofChaptq 9 (commmcing uith Scction 7000) of Division 3
of the Busins ild Prefesions md nry licose is irt full force and cffet.
Numbcr:
qt
I hereby aflirm unde ;rcnally ofpsjury thal
issued (Sa. 1097. ('iY. ('.).
l.endr's Name:
rsa lmding agocy for the pqfomancc of thc work for which this psmit is
Lmds's Addrs:
APPLICAN'T DI](]LARAl'ION
I rrwry* aflinn under pcnalty of pcrjury onc of the [ollo\ intr declaralions:
l)trnolition Permits-Ashcslos Nolification Federal ReSulalions ( I ille {0. Parl6)
Requited l-elter of Nolilicatior
-l
cqtify that thc fcdml rcgulatiom rcgoding ubetos rmoval are not applicablc to this prejcct.
lcmifr I ud stale lhat lhe atnve in is co[crl. I agreto comply lvith all City and County
ordinancs reprffitativG of thb City
atrevc
Apllicent or
l'(r nrilro
this
ion. od hqcby
m.,1
to f,16 upon the
'o-/{ -/?J/n9"*'(,r1
Liccce Clas
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