HomeMy WebLinkAbout30140649 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbipg
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-58$e/
Permit #: 3O{4O649
Pin #: 49873
Project Address: 1951 E Dyer Rd
Assessor's Parcel: 430-221-13 Lot:
Unit:
Block:
Bldg
Tract:
Address Range: 1951-2001 E
Dyer Rd
Historic: No
Suite Range:
Zoning:
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Heritage OC LLC
450 Newport Genter Dr #550
Newport Beach, CA 92560
(949) 706-8487
AMPAM Parks Mechanical
17036 Avalon Blvd.
Carrson, CA 90746
(310) 835-1532
01 1 16002 51602
01 1 1 6002 51 602
01 1 16002 5160C
0't116002 5't602
Fee Type
Drink'g Fountain
Min Fee Adj
General Plan Update
lssuance
Amount
8.95
64.43
22.O8
55.04
Qty
1.00
1.00
1.00
1.00
Fee
$8.95
$64.43
$22.08
$55.04
State Lic #: 775747
Lic Type: C-36, C-20
Bus. Lic #: 193982
Workers' Compensation Insurance:Carrier: lnsurance Co. of the West
Poliry #: WVE5035003
Expires: 1110112019
80tch+:48550 -Office: CTYH
Acctl:
Rcpt*:02537735
Transoct i on To
Ton
AllPAtl Purls l1e
2/28/2fit9
Trons*: 97
Ref*- 2/29/2t]
ol
Sn i thson
honicol
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Other
New
Drinking Fountain
Zuniga, Allissa
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
!I!A, SPK
cPc 2016
02t28t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Genersl PInl
111116002- 5
Plud i ns
01116002- 5
Cnsh
Notes: New drinking fountain in common area
Fee Total
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51602
$22.08
$128.42
$150.50
$0.00
$1s0.50
Every permit issued shall become invalid un,ess lhe work on the slte
authorized by such permit is commenced within180 days after its
lssuance, or if the wo* authoized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days afrer the time the work is
commenced.
Permitee MID#: 2018-140705'
Tfi:
tl0
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS OWNI]R BI III-DI:R DELCARA'TION
I herchy aflirrn undcr penalty ol perjury thtt I ailr eicntpl lionr lhe Conlr.clors License Law for the firlkru,ing rea$n (Sec.?0.ll.5
Business and Profession Code): Any City or County $'hich requires a pnnril lo conslrucl. nller. inlprove, denrrlish or nTair any
structure.nriorloils issuancc.als()requirestheslplicantlilrsuchJrermiltrlileasigncdslilement thxtheorsheislicenkd pursuant
to the provisions oI Ihe Contrrclor's [,icensed Law (('hapter 9. (irn]mencinE with Scclion 7000 of Division -'1 of the Dusiness anrl
Prolisstr)ns Code) or thnt he or she is exempt thereliom ard the basis for llrc allegerl exemplion. Any violxlion ofScclion 70-1 I 5 h!'ony
applicantforaperiltilsuhjcclsthc applicanttrocivilpenahyofnotnmrelhaillilchun(lrc(ldollars(S500).
.l
_1, as owrer of thc pmFrty, or my employes with wa8es ai lheir sle comfmmtion, wiltdo lh€ wo* ad lh€ struclw is ml
intcndcd orolferedforsle(S$.TM4,BusiressandPmfessionsCode:'lheConttactor'sLicmseLawdocrmtapplytoonownerof
thc pmFrty wtn builds or impmvB themG arxi wlb &B mch mrk himself or hcmlf or lhmugh his o. hcr own employee,
prcvided rhar sch impmwnts m mt intcrdcd oroIiH for sle. I[, tnwev6, lhc tililding or irpmwmt h sld within orc ]ce
of complaioq thc Orvncr Builder will haE tlrc burdo of pmving that he or she did mt build or impmrc the pmpsty for thc purporof
ule).
_1, as owner of thc pmperty, am exclusivcly conlractinS with liccnsd contmcton lo mn$rud th€ prejccl (Sec. ?(N4, Business
ard PmfessirnCode:'[heContractor'sLiccnseLawdocsnotapplylo0nownerofpropertywhobuildBorimpmvdthermn,
and who conlmcts for such pmjects with a CoilBclo(s) licensed pursuant to the Conlractor's License Law).
-lamcxcmptundcrsstion-'B.&P-C.forthisreasn.D{tel Owner:
I hereby affirm undcr penalty of perjury onc o f the following
_l haveamlwill nuintainoCeflillcateof(i)nsenltoScll:losurelirrrvorkers'contpensalion,as nmlidcdforbySeclionlT0(loIlhc
Lahor (irde, frrr lhe perfomnce of the stlrk for q'hich the pernil is issued
lhavelnds,illnraintainworkers'conlpcnsrtioninsurance.ns rcquiredhySeclion3T00oflheLahor(bde,lirrlhenertormnnceoI
the s1)rk lilr which lhis permtl is isrued. My rvorkers coorpensatbn insurance carier and Jxrlicy nunrhcr rre:
Policy Number: Lxpircs:
_l cenify that in the performance of the work lor which this permit is issued, I shall not employ any peNon in any manner
so as (o become subject to the workers'conrpensalion laws ofCalifomia, and agree that ifl should become subject to the
uo*ers'compenmtionprevisionsofSslion3T00oftheLatnrCqle,lshall,fonhwithconrplywithlhrrpmvisions..
WARNINC: [:6ilurc to wurc workerr'smpcfication covemgc is unlawful, and shall suhjet an mploycr to oiminal pe@hi6 ond
civil fincsuptoonchundredthousnddollars($100,000),inaddiliontolhecostofcompensation,damSesasfrovidcdforthe
S(tion 3076 ofthc Lshor Codc, intercsl and anomey's fcs.
.{ppllcrnt:
IJCIN,TED-CONIBACI$A
Df,CI.ARATION
I hereby ollrm under penalty of perjury lhal I am licened under pr)vision ofChapter 9 (omrnercinS with Sstion 7{}00) ofl)ivision l
of the Business ard Pmfessions Code, and my license is in full ft)rce and effect.
Liccm Clffi :-Liccroe Numbcr:
Contractor:
coNs l R[rcTloN LI NDtN(; A(;1'NCY
l hen'hy a llirnr rulcr pcnalty o f pcriury thrl lhere is a consl nrcl ion lcilding agency for lhe perli)rmancc o t lhc work fi)r which llris pcrnil is
issued (Sec. .1097, ('i\'. C.).
Lender'9 Name:
Lenrler's Ad<lress:
APPLICAN'I' DECLARAIl0N
I herhy aflinn under penalty ofperjury one of the following declaratrrns:
Dem)lition PerDils-Asheslos Notification l;c(leral llegulalions ('l illc 40, Pnd(,)
-Rcqurre<l
Leller of Nolilic.lku
-l
ccniry lhat lhc federal retulationr rcgarding asherkrs removal are nol applicsble to lhis pmjecl.
_l ceatify that I havc rcad lhis application and state that thc atnve infomtion is coret. I aerc to comply with all City and County
ordinanccs and Statc Law rclating to building constructior\ and hcrcbysuttnrize representativcs ofthis City and Counly to enttr ulnn lhc
above mntioned pmpcrty for iftcpcction purtoses.
Appllcana or Aprnt
Pernriter name (prlnt):
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Cla rifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOUSPA
P{rap/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 |-Zy-2!/4t > Jd.t ;@
Notes, Remarks, Etc.