HomeMy WebLinkAbout30441920 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: 3o,44192lJ
Pin #: 46359
Project Address: 2434 S Broadwav
Assessor'sParcel: 410-381-03 Lot: NA
Unit:
Block: NA
Bldg:
Tracti NA
Address Range:
Historic: No
Suite Range:
Zoning: M'l
Phone
Tenant Name
GENE L FELLING
2220 S LOARA ST
Anaheim, CA 928023914
(7141775-773s
Owner:
Address:
Contractor
Address:
0'1 1 '16002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01116002 57770
Amount
7.22
252.69
22.95
57.20
3.91
Fee
$28.88
$252.69
$22.95
$57.20
$3.91
Fes Typo
Cap Fixtures
Penalty
General Plan Update
lssuance
Microfilm Records
Qty
4.00
1.00
1.00
1.00
'1.00
Phone
Botch+:5{335 - 2/I.L/2O2O I0: nnoroleslF
office: CTYH Tr$ns+: l?l 2 of ?Acct+: fiefi: 30{41??0
Rcptt:02892048 - 2/ rL/?tt20 12:57 F',fl
Tronsoct ion Totol t970 ' 48
6EHE L FELL IHG
Genenol Plan l,pdote Fee
01116002- 51600000-
n icrof i li & oo(unents
011160u2- 5777(1000-
f'l u6b ins
01116002- 51602000-
Visn
CCi: ****rrr**r*r9669
t??.9s
t3.91
$338.7?
$97tr,48
Auth+: (rg$7?1
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approvai By;
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial
Tenant lmprovement
N/V - Bathroom
Chavez, Da
Occupancy:
Constr Type
Code:
B
VB
cPc 2019 Notes: Remove unpermitted bathroom facility and restore
back to point of origin.
Date:
Date:
Date:4o"o211112020
Account#
lVisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
104103093
Every permit issued shall become invalid unless lhe wo* on the site
authoized by such pemit is commenced within 360 days aftet its
issuance, ot if the wotk authoized on the site by such petmit is suspended
orabandoned for a peiod of 360 days aftet the time the work is
commenced.
lnspector MID#: 2020-157689
011'16002 51600
01116002 51602
01116002 57770
$22.95
$338.77
$3.91
Fee Total:
Paid to Date:
Balance Due:
Owner-Builder
State Lic #:
Lic Type:
Bus. Lic #;
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
$365.63
$0.00
$365.63
PLUMBING-INSPECTOB RECORD
APPROVALS DATE ID/SIG.COMMENTS oTVNER AUILDER DI:I,CATA'I'I('N
I hc'chy rfinm 0id.r fnrht., FrjrtrJ" rh l rm llcflrfl li.m rtu Onnrn ttq Li..n{ Lnw l.r rhc lnllrsi'rt rcN$ (Sc.70ll5
a$i'rcss nid ltoltsim (-rxlc): Any Cily or Counry *hich mqun.\ n Nnnir ro cotr\lnrl. lirrr. nnPtulc, d.arolish .r rcl'n rry
{r.nrc. nri(r hr ilr hnr rcc. rl\o rcquircs rhc ntnlirx r r,tr \uch Frnrirk' lilcr sirtrcd (trlcnfnr rhrrrfor \hc i\ llccned Pur$mr
b rlE p(ni\i,,n\ of rh. Conk rr's l-i.cn*d t-nN lchi0cr 9. Connn.n.i'!! sirh Sc.rion 7(Ix) ol l)ivi\ion :r .f rh. Bu!nt\\ r
Pmf.\!hh\ Codc r or rhd! lf,or lhc i\ .rcnrr lhcrfiom rnd rh. hr\i\ ror lhc (llcScd cxcr.Pri{,n AnY \n,LrkrofSccrion roSl5 hJ int
rfri.a.rInrrp.nnilsu$jc.r\rh.aIIlicirhr$'ll{trrlry.i.ornrtr.rhxilhrhuidrtJdoll(lll5rX))
t. is osn.rol'lhc ltro|Eny. orn,tc'nnloltc\ lvirh qdgcsNrhcn $tdnntlcn\xri,n,. sllldo rh. $.rk rRl rtE (uru n nor
idcBlcd or otitrcd f{n {1. (S(.7()4]l. Unsinc\s nnd ftolt\sions C.d.: 'fhu Cin ri.ntr sLi.cn\c L!$.locs nor nlPlyh uowncrol
rh.!n)F_ y wlN hu ilds or imnnn.s rhs(D, sd $tu dod nth *o* hnn\.ll o. hc^clI or rtrouEh his rhudrv .nPloyQ\.
pfuviln, rhtrr \o.h nnrror$Err\ dc.or idcRlcd ororltad lor! r ll. h){ Ntr. rh t'uildi'r8 or inwo\ cnEnr is {ld !n hin .nc $rr
ol.onroLliqr. rh.l)qrrcr Btiklcr willhrvc rh. bunLn ol pn)vinA llur lE or \t did nor t{ikl or rll['rn\c rhc pmFdy i, rlt PlrP{.f
l,.sowmrolrtu pnrdy, .m crlx\iv.ly conhcring with li.cnsdl.onrraclorlo consltucr rh. PDrer (Sc.. ?0.l4 Busirc$
and Plofesion Codcr Th.Contrclols Licc.sc tj{ docs nor lrplylo.nowncrorPmr. ywho huildsor imFovcs rh.rcon
rnd who co m.]ls for such pn,rcrs wirh a co.rn.bd, lic.ns.d l)Ununl to rnc c6nrro.roas Liccn* bw)
B
It-U o\$.r
DECIdIAIIqN
I h.Eby !flirm lidr p.uxy or Frjury om of llE followinB &.lmrionr:
-lhlru
\eillnuinrrinrC.diitrrrcofonrstrrn,S.lllnsuan{sork.^.o rf.i\rrinr.!s pmvidcd tuthySc.ri.n:17(X)tl rhc
Itrhor Colc.lo' rh. lrrfontun.c.f rh. wnrk tu which rlrr{nnil i\ i\{'c,l
rl[ $orI hr w[ich rhn pcnnil i\ nskd ltly $ork$f .o.rtt \rri($ irr{trrtru. (ri.' x'xl F,ltt trtrNhcr irc]
Poln'\ Nun$c' E\n
-l
ccnilylhlt ir thc pc.nrtun.r ofrhc wod( ror $hi.n fiis Fcrmn n nilcd. LhuU.or cnpn y any Fmn in any nmrr
$ as io bcnnB suhjer lo llE rortcN ompenslion hs\ nl C.lia6rnia dnn a8rcc lhd if I should ttcom suhFcl io rlE
*od6c.onlFnslionFovishnsoaSftlionlTqJofllrLlhorCod.,lrh.ll.bnhwilhoddywiihrhospmvthns..
WAIININ(;: liihtrc to scurc $ortcr\ conrpcn$ti{ni corcrS. is unrr{lul, rnd shall sut}cr an cmllortr k, sinrinal ,En0ltts !trd
civil fincs ut lo onc hun&cd lhousard dolla6 (5!O0.OO0). i. nddiion lo the^HriY'
t)tr(t 1BrluQN
oi rlE Bu\inc$ !.d lrofc\.i,in\ ftdc. d yli.crsc i! ir titll ln'.t rDd.llicr
Li.cn.cchs: Licns. Ntrtrrb.r:
Conlrn(lorl
gNqIaUSII()I{I!!DI!!iIGENCT
I hr.by .r0nn uMcr lEnrxy of pcrjury Inal rhcrc is a co.srtucraon t ndinS nScmy for lhc lrnb.tuftc 6r rhc *ort for whah
'hh
nc,nil ir
issocd (56. 1097. Civ. C.)
ATPI,IIANIIECLAEAISN
I hcr6, afl'm u.d.. pctrllry of pcrjury orc of lnc followint delelionsl
Dcmlition Pcrmns-Asti. .s Norific ion F.d.El RcBlbrionr (Tilh 40, Pfi6)
-RcquiEd
L.u.r of Norili.lti,n
I.cnilirh.t rhclcdcrulrcrul ion\ rsrdinB $h.(ori.n^!lnrc nor llpflicll,L lo rhn proicr
dt"Fr*tm;l*;'lr*u
,hovc nrnrn'ncd F)rcny for ins!.crior
n rtlrnrcrlrrrh.ruircinli,nnrli,)nn oSre tocomply*irh lll Ciryrn.l Counly
FslA a b
rhir Ciryunl Countyt, cnr$ uFr rlr
-,,,,L-L-aQ
UNDER GROUND
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
TubiShower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
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 Tesl
Meter Release
FINAL Llt>70 VKMV .*fl
Notes, Remarks, Etc.
-I>
o^", tL
Waste & Vent