HomeMy WebLinkAbout30139917 - Permit\
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit #: 3O{ 399{ 7City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 3124 S Main St
Assessor's Parcel: 410-231-02 Lot:83
I nspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853 Pin #: 9173 {
Unit:
Block:NA
Bldg:
Tract 7408
Address Range: 3100-3260
Historic: No
Suite Range:
Zoning:GR
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Decron Properties Corp
6222 Wilshire Blvd #400
Los Angeles, CA 90048
(323) 556-6600
J - Squared General Contra<
1780 E McFadden, #112
Santa Ana, CA 92705
(714) 8844590
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
0'r 1 16002
01 I 1 6002
01 I 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
0't1't6002
01 1 1 6002
01 1 16002
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
53602
51600
51 602
ary
3.00
2.00
5.00
2.00
1.00
1.00
1.00
1.00
1.00
1.00
2.00
1.00
482.59
1.00
1.00
Fee
$42.66
$44.50
$63.50
$32.28
$16.14
$65.57
$6s.57
$44.51
$1 0.1 6
$22.25
$30.94
$44.51
$313.68
$22.08
$55.04
FeeType Amount
WaterCloset 14.22
Shower 22.25
Sink 12.70
Floor Drain 16.'14
Floor Sink 16.14
Gas Line alter/extend/ar 65.57
Tankless Water Heater 65.57
Water Service (Each 10 44.5'l
Lawn Spkr, per valve 1 0.16
Backflow < 2" 22.25
Hose Bibb 15.47
Alter DrainA/ent 44.51
PIC - 650/o 0.65
GeneralPlan Update 22.08
lssuance 55.04
State Lic #: 918485
Lic Type: B
Bus. Lic #: 34/727
Workers' Compensation lnsurance;Carrier: Everest Nat'l lns Co
Policy #: 7600015996
Expires: 0A01|2019
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued
Subject to Field:
Building Permit #:
Commercia! Occupancy:
Tenant lmprovement Constr TYPe
Fitness/Ctubhouse Building Code:
CSG Consultants
Date:
Date:
Date:, Julie
10197 557
Misc. Receipt: 71464
Misc. Receipt:
Misc. Receipt:
Total
B, R-1
VB
cPc 2016
Bol0ff
Ac<
Rrp
Trt
$873 39
$313.68
$559.71
01/03/2019
01t24t2019
Account#
$22.08
$537.63
Notes:
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01116002 51602Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 1 80 days after its
rssuance, or if the work authoized on the site by such permit is suspended
or abandoned for a peiod of 180 days after the time the work is
commenced.
lnspector MID#: 2017-135549
I
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/S!G COMMENTS OWNER BUILDER Df,LCARATION
I hcreby aflirm undc. p€nalty of p€rjury that I m exempl fmm the Conlraclors' License Law for thc following readrn (Sa.?01 Li
Business ard Profession Codc): Any City or County which requircs a pemit lo conslrucl, altc, improvc, dcmolish or rcpail any
structu.e, prior to its issuarce, al$ requires the applicant for such pemil lo file o signed statemcnl that he or shc ir liccnsed purNdnt
lo the pmvisions of th€ Contractor'3 Licensed Law (Chapter 9. Commencing with Scclion 7000 of Division 3 of thc Business ond
PmfessionsCode)orthathcorshcisexcmptthcrefmmandthchasisforthcallegcdexcmption. AnyviolationofsslionT0Sl.5bysn,
applicanl for I pcmit subjcts the applicant lo a civil pcnaltyofmt more than five hundrcd dollars ($500).
-1,
as owrcr of thc pmperty, or my cmployes wilh wagei s their mle compc[qtion, will do thc work ud lhe strutw is mt
intcndcd or offcrcd for slc (Sc.7044, Busincss and Pmfessionr Codcr 'l hc Contractor's License Law docs not apply to an owner of
thc pmpny wln build.r or inpmvcs themn ard wln dos wch mrk himsclf or hcreclf or thmugh his or hcr own cmployces,
provided that such impremnts m mt intsdcd oroflcd for slc. I[, tnwffi, the huiHing or itr{rmrcmnt is sld within orc }car
of ar{,htior\ th€ Owrcr Buil&r will have Ihc hrden of pmring tha he or she did mt buiH or itrpmrc lhc pmlEty for thc purgre of
olc).
_1, os owncr of the prcperty, am cxclusively contmcting with licensed conlmctoB lo onstruct thc pmjst (S(. 7044, Busircs
and PmftsionCodc: lhcContractor'sLicenseLawdocsmtapplytoanowncrofpmpcnywhobuildsorimproveslhcron,
and wln conlmctsforsuchpmjetswithaContmclo(s)licensdpu.sontlotheContractor'sLiccnrclaw).
-Iamexemptundersection-,B.&P.C'forthisreason'Ihac:_O$ner:
lvl28tsEBg.Cg II!2B
-D&C!A8AUO!
I hercby afl'irm under pemltyof ptrjuryone of the following drclarations:
_l have ard uill rointain I Ccdificatc of Conrenl lo Self-lnsure for workeB' @nrpcnsotion, as previdcd for by Section 3700 of thc
kbor Code, forthe psfomncc of the work for which the prmit is issued.
-l
have and will maintain workers' compcnsation insurance, as rcquired hy Sction 1700 ofthe Lahor Code. for the performance of
lhe work for which this permit is issed. My workrs' comlcnsation insrance canier ard Jnlicy numher re:
c".*. 6v€l? rT Nzrlio^ a(
-?--t -lcl
-l
cerlify lhat in the pcrformarcc of lhe work for which lhis permil is issued, I rhall not cmploy any pcnon in any manner
m as to becomc nuhjct lo the workcN' compensation laws of Califomia, and agrc that if I stnuld b€corc sbj(t to the
workm' ompenmtion pmvisiors of S(tion 3700 of the Latnr Code, I stull, forthwith mmlly wilh ttnr pmvisions..
WARNING: failurc to s[e workcB'comp€nslion @vemge is unlawful, and shall subj({t an mployer to qiminal pcMllis and
civil fincs up to orc hundrcd thousnd dollars ($100,000), in addition to the cosl ofcompcnmtion, damagcs as previded for thc
Scction 3076 ofthe Labor Codc, interert and atto.ney'g fec8.
I hercby allirm undcr pcnalty of ,erjury that I am licensed undcr pmvision of Chap(tr 9 (comrercing wilh Setion 7000) of Division 3
of the Business and Pmfcssions Codc, and my licenre is in full force arxl efTect.
D,t-, L3t-to_Conaraclor:hcJ
CONSl'RUCI'ION LENDTNG AGf, NCY
I hcrcby afirm umler penalty ofperjury lhfll lhqe is a conslruclion lending agency for the perlirrnmnce oflhe work fi)r whiclr this pcrmit is
issued (Sec. 1097, Civ. C.).
Lenrler's Nanre
Lender's Addrcss:
APPLICANl' DECLARAI'ION
I herttry affim under penalty ofperjury ore of the following delarations:
Demolition Permits-Ashes(os Notillcation l;ederal Regulalions ('l itle 40, Parl6)
-Required
[,etler of Notification
-l
certify that lhc fedeml rcgulations reguding astrslos rcmorrl are nol applicahle lo this projed.
qfl cenrfy that I hrve read thrs applcf,lion orxl stale that lhe atnve infomation is cotrect. I agre lo comply wilh atl City and County
orltinances and State Laws rlatrng to building consruction, aftl hereby autlsrize represenlf,tiles oflhis City nnd County to enlr ulnn lhe
abovc rcntioned pmpeny for
Appllcant or Agent Slgn.tu
PerDllee trame Grrinl):5 an ol {,'rt
l)xlr Y?I:Q
UNDER GROUND
Waste & Vent $-'r'- 19 )r.Vm
Water-Under floor ttr:rf ttl^rg{r t 4-1 -t1 \.wn)
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent LltLc 9sttaz-
Water Pipinq Uul n r.* lo'a
Gas Piping Doi-crnr-cluln *ara9/o\
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/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
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL l.7o.zo Ex.+t la3
Notes, Remarks, Etc.
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