HomeMy WebLinkAbout30139434 - Permitcity of Santa Ana 20 civic center Plaza (M-]9), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Reouests: 1714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139434
Pin #: 4E67E
Project Address: 419 N Broadway
Assessor'sParcel: 398-257-01 Lol; 7,10
Unit:
Block: 13
Bldg: Address Range: 4.fi419.
Tract TOW$ OF SANTA A}listoric: Yes
Suite Range:
Zoning: SD84
q
Owner:
Address:
Phone
Fainbarg lV LP
129 W Wilson St #100
Costa Mesa, cA 926271586
(9491722-74O0
Long Beach Tattoo co LLc
Owner-Builder
Fee Type
Water Closet
Sink
Min Fee AdJ
General Plan Update
lssuance
Amount
13.69
12.23
32.49
21.25
52.98
Fee
$13.69
$24.46
$32.4S
$21.25
$52.98
01 't 16002
01116002
01116002
01116002
011'16002
51602
51602
516C2
51600
51602
Qty
100
2.OO
'1 .00
1 .00
100
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires;
6en€rol Plon Updnt e Ij?
rl 1 I I 6002- 5 I 600r]rlr't-
Plufi! ins
trll16002- 516 rl? r-lrlr--r -
l, ieo
CC+! *ir**Irr**r+5I lg
Batch+!4372,1' 1/ 11 /21'.ttg
Off ice: CTYH Trnn:+r IAcct+! Eei
R(pt+10?2639{'3 -'-./1i,1
Tronso€t ion Tot oi
ID: LROSALE?cf?
:rrti i94:{4
Fo inboPs M-P
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Miscellaneous
Plbg Tl
Occupancy:
Constr Type
Code:
B
VB
cPc 2015 Notes; auth on file
1[ n",n,n0",, *u,n,
Date
Date
Date o511412018
Account#
Misc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
Every permit issued shall become invalid unlass the wo* on the site
authoized by such permit is cornmenced within180 days after its
issuance, ot if the wo* authoized on tho site by such permit is suspended
o. abandoned for a period of 180 days aftet the time the work is
commenced.
$21 .2s
$123.62
$144.87
$0.00
$144.87
lnspector MID#: 2018-143349
0'1116002 51600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
Tenant Name:
Contractor:
Address:
Building Use:
Job Type:
Nature of Workl
PLUMBING-INSPECTOR RECORD
APPROVALS rD/srG.COMMENTS o$NER Bt ltDUt Dt:t,C,\RA',U('N
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f|]llcrtrrntriJ{rnnr\uhjc.srl.( r,'fli.nfrtur.i!ilpctrrlr!of or kr.rhd fik hutrtlrrddullr\ (S51X)r.
l.r\o$n.roirhcpn)pcny.or,,crl,,yc.\$irhwi-ac!r\rh.ir{lcdnnpcn\!ri,,n.$illJolic\ortr rhc{drestu,
inrcMcd or oficrud lif qlc(SLr 7{}l-1, Bu\irc$ rnd Pnilc\\i,,n\ C{xl.: Tlr Coirr.ktr \ l-tunsc Lsdoc\fr, imlyroatrosDdof
rhc lln)F-ny trlx, idild\ or iqroN\ rhcNr and who de\ s'.h u.rk hnnscllor h.r\cli.r rhmu8h ih or hcr owncmployccs.
r3. N osN of lh€ l,spcny. !m crlusivcly conlrading wnh lc.*n conlraclm lo .on(ru.r lhc p'oiEl (SN. ,O44. 8usrc$
3,n Aoftssirn Cod.r Thc Com@'ofs Li.cmc Liw der nor artly io d 6qm, oa pr6ncn, who hilds 6r inpruv.s rh.r.on.
znd who ontmcls for slch IFrccts sith ! Contzcro(9 lt..ed puBua ro rhc ConrEcrols Licene L!w)
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DECLABAIION
I h.,cby {flirn und6 F.ahy or pcrjury oft of rhc tolloeiff delsnriods:
-lhavcMdwillmi
ninuCeniric .olConsctrlloScllrnsurct{,rsorkcN conrpcnsarion. as rmvidcd fo.l,y Sccrion l7lr0 orrh.
hh.r Codc.l rlt rcrLrnnMcc olthc *o lor whi.h lhc ncn r is is\Dcd.
I hrvc rid willnrinr'io sdrkcri conpcisrrirn io\!6ncc. ns rcqlircd b, Sccrioo.l? )otrhc hbor Cod.. foi rhc p.rf()lruRc of
rhc $ork fn uhi.h rhh p.mir i( icsk{. My *ort.B .uqrnqrnn, i.\!tunl..rEic, !fi1 Fli., nxn$.r e.
btcnilylhal in lhc p€rforMmc oarhc work ior vti.h lhh lEnnil h issud, I shlll nol cmploy lny r.rsn in any mnmr
$ trs ro t sm subirt $ rhe eoA6s con{Ensaiion lnwr of Calitorna!, lnd .er $!r if I stEuld bcem subjsl lo lh.
sortc.r'conlxmrionpoviihBofSdion1700olrhcL$orCodc.Idalltonhsifi@nplywithllb*Imvisior!..
WARNINC: fril!rc ro surc workcn'compcn\alioo ovcruac bjccr .. cdplortr ro aion.d Fruxas &d
civil fincs uI ro onc tundrcd lhousand d.ll.rs (SIoo-UX)). in 6ddil r. rhc cosr of comNnsarion- dr,rogc\ a\ pn,vidcd lnr rhc
rhc libor Cdc. inrcrc( d
4
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of lh. ABifts dd PtufBioB Cod...rd my li.cN k in tull foE &d.llftr,
caxsralsloNrllDtNci!(llcr
I hcrchy afinn oi cr Fnalr, or rdjxry rhrr th.rc n n conrrtucr ion knding asctuy ror rhc Frro.tu.. or rhc wdrk tu which rhi\ tE nil is
h\ucl(S(-^ 3rr9r, Civ C)
APPI I('ANT D[(]I IRATIoN
Itmh,dnnnru drrp..a[yof trrjuyoNolrh.rdk)srn8J.rhrrrn \
t).nxrliri{r ltcirnik A$c{os Nori,lcrrnri Ftdcrrl Rrg!hriotr\ flirl..l0. P3n6r
Rcqun.d Irrr.r of Norifi .di,rr
-l
ccnif, rhlr rlE fcdcrrl rcsll.r ions rcBddi.-q lshcsros cnnvrl N nor .I,pliclbk ro rhii ,rtuirt.
fi.oriry rr', t r'"," *,a ,r* eppltsrion .id sltr $d rh. dhJvc intonrDri{rtr is cor.cr I oer{ ro comFly wirh all Ciry and Cou.ry
;rdinr.t\rdrlSrrtt'$s(lrrin!krhu,ldirB aJrl hrby r h.n2.rpr.\cirrlircsof
abvc nEnlioncd pmrcny lor inspcrl
Appli(anl or ,laenl Si*nolu strr Beooa-.-.,
::au:
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing
Final Gas Tesl
Meter Release
FINAL l.l1-t0..Dcs*b @v)
Notes , Bemarks, Etc.
DATE
I cr,L,l \ A,lJ'r$
Back Flow Device