HomeMy WebLinkAbout30141833 - Permitt Project Address: 848 N Garnsey St
Assessor's Parcel: 005-14248 Lot:12
Unit:
Block:NA
Bldg: Address Range:
Tract: WAKEHAM Hisloric: No
Suite Range:
Zoning: P
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3Ol4{833
Pin #: {2sqlJ
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
State Lic #: 370609
Lic Type: B, A
Bus. Lic #: 0001239
Workers' Compensation lnsurance:Carrier: Zurich
Policy #: WC106094600
Expires: O4l21l2O2O
Baltech LLC
16027 Brookhurst Street, #1240
Fountain Valley, CA 92708
(714) 251-3060
Art Gautreau lnc dba AGI Gr
8210 Katella Av #1
Stanton, CA 90680
(714) 934-8066
01 1 1 6002 51 602
01116002 51602
01116002 51600
01116002 51602
o1116002 57770
Fee Type
Cap Sewer
Min Fee Adj
General Plan Update
lssuance
Microfilm Records
Amount
103.84
0.00
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
1.00
ie iee
' ru0u0-
ren ts
Turrtiii-
Fee
$103.84
$0.00
$22.95
$57.20
$3.91
t22.91
t3. ?1
$ 161 , r-r4
$418.31
tlof,
Off i ce
Acc
Rcpti:
fron
'22i2fr20 ID: qmorolesl.i
Tr'trns*: 1[0 I of ?fref*: 3014 1833n - ii22/202u 3:17 Pt1i 3419.3t
Inc ribo AGI GenerArt Go
uen(
01 I 16(iii
rl1 I 16(r
Pir
Bll16iiL
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
subject to Field:
Building Permit #:
Single Family Dwelling
Demolition & Clear Lot
Cap Sewer
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
ulLttru-
33t
Notes: Cap sewer @ point of origin. AQMD posted. Bond on
M-74041.
o1i22J2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
02901
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 days after its
lssuance, or if the work authorized on the site by such permit ls suspended
or abandoned lor a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-152928
01 1 16002 51600
01116002 51602
01116002 57770
$22.95
$161.04
$3.91
Fee Total:
Paid to Date:
Balance Due:
$187.90
$0.00
$187.90
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS ()IVNI.;R I]t]II-DI.:R I)F:I,CARA'I'ION
\lnrclurc.pri(trk)ils i\suuncc.ahorcquirc\lhcxpplicanlli)r\uchFrtrilk)lilcxsigncd\lrlcnrcnl lhhlforshci\liccD\c(l pur\lanl
t(' thc provisionr (,[ tlr (irntrrctor'\ l.iccnscrl l.aw (Chnflcr 9. Crrnrntcncinc s ilh Scclion 7(D0 ol- I)ivisiln 3 of thc llusincss.unrl
rpplicrnllirrrncrnlilsuhjcclslhc applicilllk)!civilpcnallyofn(ilnr)rclhanli\chundrc(l(lollursl35(X)).I
_1. rs owncr ol thc fro|tlly. or ilry ctrrl)loyccs with silgcs is lhcir {olc conrpci\rlt)n. rvill(lo lhc work rnd lhc stnrlirc is n(i
thcproFny uhohuildsorirrprorc\tk'rc\nl.rn(ls'ho(l()c\\nch\\orkhinrsclf()rhcr{cllorthroughhisorhcro*ncnrpkryccs.
snlc).
_1. a\ os ncr ()f lhc propcily. am cxclu\ivcly contrxctiDg \ ith liccn\cd conlraclor\ t() .onstruct tlE p()jcct (Scc. 70,1.1. Ilu\inc\{
iln(l Pfi)ltssi(ntC(xlc:'lhcCoillrdclor'sl-iccn\cl,ilwdoc\n([flpplyl()rlowncrofpropcrlywhohuildsorirnprrvcslhcreon.
xnd s'ho coltracts l()r such projccl\ wilh il (i)rilrrclo(s) licc[scd pur\uilnl l() lhc C()nlruclor'\ [-iccnrc I-aw).
I amexempt unds Setion-. B. & P.C. for this rc8son.
l)xlr ()rrilrr
lV()RKr,'RS' COilr Pr-NSA',n0N
DECLARAl]ON
lh('r+yallirnrun(lcrlennllyoftrcrjrtryonc('IlhclirllirsrrE(kcltrilli(,n\.
l.atyr Crrlc. hr thc pcrkrnr:rncc ol'thc rvork lirr shich thc pcrtrril i\ i\\ilcd.
thc $r)rk li)r which this pcrrrit is irsuctl. My Nrrkcrs conrlrtrsrli(xr in\rrilncc carricr flnd F)licy llumhr ilrc:
Policy bo o6 oq- zGZoZd
Jfl ccdih rhxr in rhc pcrli'rilril0.c ill lhc $r)rk liir shich lhi\ pcrtrrit i\ i\sucd. I \hnll nol cnrpk)y rny pcrs(,n in rny nranncr
ro rstohccrnrcsubjcclt()lhcuI)rkcr\'coiltpcnsrlioillil\\{,1'Cillili)rrir.undnSrcclhrlill\houklhcconr\ubjcctt()llr
$lrrkcrs'conrt--nqxlionprrrisionsr:lScclir)tr.]7(X)ofthel.xh'rC{xlc. l\hull. li)rlh!r'ilhconrply*iththo*provisir:ns..
WARNING: Failurc lo *curc workcrs'comlrcnsation covcmgc is unlswful. and shall subjccl an cmploycr to ciminal fEmlths trnd
civil fincs up lo orc hundrcd thousand dollars ($100.flm). in addithn lo lhc cosl of conr;rcnution. damges as providcd for the
Scction 3076 oflhc titDr Codc. inlcrest and ttcs.
l)ille:ZZ-ZA
I hcrcby rll'irnr undcr pcnulty of pcrjury that I am liccnrcd undcr oIChaptcr 9 (comrrcncing with Section 7{XD1 of Division 3
of lhe Busircss and Pmfessions Code. ard my licenre is in full fi)re ard effel.
37o6a ?Liccnsc Nunlhcr:
lhlr
I hcrcby aflrn undcr trnalry of perjury thd Ihc.c is a consrrucrion hnding agency for the pcrfomrce of the work for which this Imil ir
issucd (Sec. .3097. Civ. C.).
[aodcr's Nnrre:
Lcndcr's Addrcss:
APPLICANT DECLARATION
I hcrL*,y allinn uildcr p(nalty ol pcrjury onc ol thc lirllo$'ing dcclarattrns:
DcD(iliti(!n Pcrnrits-Aslxstos Nolillcrlbn [:cdcrrl RcSuhlions (Titlc.l0. Pxrl6)
-Rcquirc(l
l-cllcr (,I Nolilicali(in
-l
ccnify that thc fcdcralregulalions regtrding nsbcstos rcnroval urc not applicablc lo lhis pmjcct.
I rcad lhis applicdion srd stalc lhal lhc atnvc irfonnation is corEl. I agle to comply with all Ciry and County
0rdinrnccs rcluting to huilding rcprcscntalivcs oIthis Cily and County lo ents uF)n thc
abovc
Applicant or
l'ernrilrr
for inspcction
nftl hcrcby
D,r", o/-7 ?'7o
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler ,l nl - o-t
Sanitary Sewer/Cap 2t t/7)Wtrlv:t qo ,
Back Flow Device lu
Rouqh Plumbing
Fina! Gas Test
Meter Release I .l
FINAL ',t{IL DtTN,tu+rY/
Notes, Remarks, Etc.I I
(
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