HomeMy WebLinkAbout30137619 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Aiia, CA 92702 Plumbing
lnspection Requests: (7 14) 667-2738 lnspector Section. (r't4) U!,-5BU1 jil
Permit #: 3O{ 376{ 9
Pin #: 3469E
Project Address: 1666 N Main St
Assessor'sParcel: 005-153-19 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: SP3
State Lic #: 712732
Lic Type: B
Bus. Lic #: 12345
Workers' Compensation I nsurance:Carrier: Everest National lnsurance Co.
Policy #: 7600015708
Expires: 1110112017
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Building Use:
Job Type:
Nature of Work:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
EN OSTENDO HOLDING CORP
3 PARK PLZ gTH
lrvine, CA 926148505
Westport Construction lnc
125 W.Maple Avenue
Monrovia, CA 91016
1626l 447-2448
Multi-Family (5 or more uni Occupancy:
:Alte,retion c+rfA,+rul Constr Type
Adaptive Reuse-Main gu;16;sCode:
01 1 16002
0't116002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
51 602
51 602
51 602
51 602
51 602
51602
51602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
Fee Type Amount
Water Closet 13.69
Shower/Bathtub 21.42
Sink 12.23
ClothesWasher 13.45
Dishwasher 11.52
Garbage Disp 10.26
Floor Drain 15.53
Floor Sink 15.53
New Sewer (First 100') 62.18
Each Add'l 100' Sewer 21 .42
Gas System 14 42.85
Wtr Htr (Res/Comm ove 87.87
Water Piping (Each 100 42.85
Primary/Secondary Roo 42.85
Deck Drains E 9.26
Storm Drains (Each 10C 29.65
Qty
62.00
60.00
121.OO
10.00
60.00
60.00
7.00
1.00
1.00
4.00
1.00
2.00
4.00
8.00
20.00
2.00
Fee
$848.78
$1,285.20
$1,479.83
$134.50
$691.20
$61s.60
$108.71
$15.53
$62.1 I
$85.68
$42.8s
$175.74
$171.40
$342.80
$185.20
$59.30
1116002 51602 Backflow>2" 42.A5 , 1.00 $42.85
Planning Conditions:
A_3, B, R_2, S-2 01116002 51602 Hose Bibb 14.89 ,, 5.00 $74.45
I A, V B, SpK 011'16002 51602 Sump Pump 63.12 ,
_,-,_1
O9 $126.24cpc2013 3ll1333;;ffif'::'ffirff*t:L::#,ff"tronsa?&fr#b'"'"*'l'f::
01 1 16002 5'1602 lssuance 52 S8 1 .00 $52.98
Misc. Receipt: 69004
CSG Consultants
Link, Patricia
0112012017 Misc. Receipt:
0712612017 Mlsc. Receipt:
Account# Total
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authoized on the site by such permit rs suspended
or abandoned for a period of 180 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
$21.25
$6,601.02
Fee Total:
Paid to Date:
Balance Due:
$10,741.63
$4,1 1 9.36
$6,622.27
lnspector MID#: 2016-127286
Date:
Date:
Date:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMTJIENTS OWNER BUILDER DELCARATION
I hscby affm unda p@8lty of Frjury thar I m crcmpt from thc ContractoB' LicGc L8w for thc fotlowing rwo (Se.7031.5
Buinqs and Prcfesion Codc): Any City or County which rcquir6 a pqmit to sDstruct. aha, imprcvq dorolis& or rqab u1v
structuc, pdor to its issuoce. also rcquire thc sppticet for such pcrmit to filc a signcd statm@t that hctr she b licoed puruari
to thc provisioB of thc Cootretor's Licensed Law (Chapto 9, Comocirg with Setion 7000 of Division 3 of thc Buine md
Prcfcssiom Codc) or that hc or shc is qqnpt thocfrom sd thc basis for thc allcScd qmption. Any violation of SBtbn 7031.5 by my
applicet for a pqmit subjets thc applicatrt to a civil pcoalty of oot morc the fivc hundrcd dollffi ($500).
-[.
I om6 of thc popety, or my mployu with wagc r th.t sle compqMtion. will do thc work ad tlrc sfirrtuc b not
ird6d or offacd for sale (Se.7044, Busins ild PrcfsioE Codq Thc Contraclor's LicGc Law do6 not apply to il osnd of
thc ptopqty who builds or impove thqoq ud who doe such wrk himsclf or hmelf or thrcugh his or ho om mployce.
provided that such imprcvmots m not intmded or ollqcd for slc lf, howwq, thc building or imprcvmmt is rcld within onc yw
ofcomplaion thc Orvna Buildq will have thc hrden ofproving lhd hc or she did nol tuild or improvc thc prcpqty for the purpos of
sle).
-1,
6 oms of thc propsty. m cxcluivcly contncling wilh licscd contracloE lo co6tBci tlE projct (S*. 7044. Buine
ed Prcfosion Codc: Thc Contraclor's LicGc Law doc not apply lo e omq of prcpqty who builds or improvG thq@n.
md who omncls for such prcj{ts with 8 Contracto(s) licmscd pmun to thc Contractor's Liccre Law).
-l
m cx@pt udq Setion-. B. & P.C. for this r@o.
Onn"r'@
I hqeby aflm unde penalty ofpcjury one
- woRElAf coMPENsATroN
TIiCIABAIION
of the follorving deluations:
-l
havc rd will mintain 8 Cdificatc of Comt to Sclf-lrourc for rcrkc' omposation, re povided for by Sction 3?00 of thc
labo Codc. for thc pqfoffic of thc wolt for which thc pqmit b isucd.
-l
havc ad will mainlain work6' compcNation iBllffic, r rcquircd by Scrioo 3700 of tlE tabor Codc, for thc pqfomcc of
tha work for which thb pomil b isucd My worke' ompqsaion iroumc wia and policy numbo rc:
c.;-,Avu/e* tl)al-io,-v^l T-€orcvrCo Q=o .
poticyNumbq: 7 booo l5 ?o I I L-l Expir6.
-t
certiry thd in the psforunce of the work for which lhis pamit is issued. I shall oot mploy ey pqson in my mmns
$ 6 to bccomc subjet to thc wort6' compqtsation laws of Califomia ed agrc that if I should bccomc aubj(t to thc
worko' compqstion prcvisioro of Section 3700 of thc t bor Codq I slull. forthwith comply with tho$ prcvisioN..
WARNING: Failuc to suc worko' compcnsdion covqage is unlawful. ed shall subj€l I mploF to qiminal pquhics ud
civil fua up to onc hundrcd lhownd dollss (S100.000), in addition to the cost of compcrution. damage s providcd for thc
Sation 3076 of thc t bor Codc itrtocg ud anomey's fc6.
I )r tc::-lz.t-l t1
T r
I hwby affm undo poalty of perjury that I m licmsed 9 (commcing with Sation 7000) of Division 3
Numbs:
I hrcby affm undo poalty of ptrjury that thtrc is a construction loding agmcy for thc psfomancc of the work for which this pqrnit is
issued (Se. 3097. Civ. C.).
lf,nds's Nme:
Lodq's Addrs:
APPLICANT DECI,A.R,ATION
I ho*y atrnu uoda poalty of pojury one of thc following deluatioru:
Demolition Pmils-Asb6tos Notification Fcd6al Rcgulstioos (Tillc 40, Pan6)
Roi<ed Lcttcr of Notilication
'6@)r rn^n he fcderat rc!ularions regu<ling mlxsr.s rcrnovat arc nor applicablc ro rhis projsl
-l
cqtiry tha( I havc rad this applicalion and statc that thc abovc infomation is concct. I agc lo comply with all City ud County
ordinec6 ed Statc kws rclating to building coBirucrion. ,nd hcby authorir rcprMlativc of this City md County to ot6 uJx)n thc
above motioned prcpqty for irepcrion purpose.
Applicana or Agml o"r", 1l%l11I'
Pemits nrmc (print):
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Cla rifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
Ptrap/Drain Line
Main Drain/Pool Piping
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 ']/z* t)rLc-I r7
Meter Retease J
FINAL b-1 -tO Q-cts N e o*7 +2n
Notes, Remarks, Etc.
lZt-B - Dt*t*t- Jlr.I il*<m- 2-1-+rttn,rut*Lt tz*<.l,yl.^* JLrtr-t1 '?plt,[.*., bdu ?-i-O 9-/tlz Diii6)t
o"",'?lz-cltl
of the Buins od Profeioro Code. ad my licmc is in full forcc md effet.
liwcrm,6
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