HomeMy WebLinkAbout30139284 - PermitProject Address: 1801 E Carnegie Ave
Assessor'sParcel: 430-011-01 Lot; l l
Unit:
Block: NA
Bldg:
Tract 5771
Address Range: 1801-1811
Historic: No
Suite Range:
Zoning: Ml
E
city of Santa Ana .20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (7141647-5800 lnspection Requests: (714].667-2738 lnspector Section: (714) 647-5853
Permit #: 3O1392E4
Pin #: 13921
Owner:
Address
Contractor:
Address:
Phone
Tenant Name
OC Labs
3176 Pullman St #124
Costa Mesa, CA 92626
(949) 329-8378
UBC Construction lnc
2147 E Brentford Avenue
Orange, CA 92867
(7r4) 380.9181
01116002
01116002
01116002
01'116002
01116002
01116002
01116002
51602
51602
51602
53602
51602
s1600
51602
Amount
21.42
12.23
15.53
0.65
39.50
21 .25
52.98
Qty
1.00
1.00
'1.00
49.18
1.00
1.00
1.00
Fee
$2',1.42
$12.23
$15.53
$31.97
$39.50
$21.25
$52.98
Fee Type
Shower
Sink
Floor Sink
PIC - 650/o
Min Fee Adj
General Plan Update
lssuance
Phone
State Lic #: 824643
Lic Type: B
Bus. Lic #: 369,f43
Workers' Compensalion lnsurance:Carrier: Callf lnsur Co
Policy #: 4G5031930.t0,1
Expires: 03/0112019
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oiL ion Totq
(:onsLruct ion Inr
XTI**T*T*II5RA
5/23t21)tS
Trons+:31
Refi i
- 1/23/2t18
lr:rl
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Industrial
Tenant lmprovement
TI
9 22
Occupancy:
Constr Type
Code:
B, F-1, S-1
mB
cPc 2016
o4124t2018
o5123t2018
Account#
01 1 16002 51600
01116002 51602
011'16002 53602
Fee Tolal:
Paid to Date:
Balance Due:
Notes. shower = eyowash
, Glen
Permit lssued eri
Subject to Field
Building Permit
Every pennit issued shall become invalid unless the wok on the site
authotized by such permit is commenced within 180 days after ils
issuance, or if lhe wo* authorized on the site by such petmit is suspended
ot abandoned fot a peiod o1180 days after the time the wok is
comnenced.
lnspector MID#: 2018-142249
Date:
Date:
Date:
lvlisc. Receipt: 70836
lvlisc. Receipt:
l\risc. Receipt:
Total
$'194.88
$18.04
$176.84
Planning Approval By:
Plan Checked By:
$21.25
$141.66
$13.93
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Waste & Vent \Lou
Water-Under f loor l"l)\Lv >0'' (4i)
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent
Water Pipinq L-5- ro Jlls'k -.-\??)
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOLiSPA
P{raplDrain Line
Main Drain/Pool Pipinq
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Meter Release
FINAL t t-l c--/g J),la Dr€4
Notes, Remarks, Etc
Oll,lTEF DUILDER DELCANATION
I h.rcby affi.m uid$ ,xrslli ol p6!ry lhat t m.,.npl lmm ihc Conlrtou LicN L3v for rhc followii! rcdr (Sa.7oll.5
Busines i.d Profc$t n Code)r Aiy Cny or County *hi.n fquircs a IEmn ro onsner. .ltB. iqmv.. dcn lbh or Epan e,
suucturc, ,,ior lo ns issulm. aL. rcquiB llE ,ppli6r tor such ,Emir lo filc ! siSncd sllcmnt thal tE or rlE ii lianscn tuNsl
ro U. pmvisions of dr Codr6crois Lienscn Liw (Chlptcr 9. Conmrcing snh S€rion 7000 of Division I of th. Busine$ .nd .
Pofcssion, Codc) or rhlr lE o slE k cxempr theE&omdd rhr bsi-s fo. lhc alhg.i cx.mlrion. Aiyviollli.nofSccliorT03l.5brany
lppli. l for r lEmir {biek th. aptli.mi lo , civil Fmlry of mt nEE lha. 6v. hlndrcd dollas ($5m).
_1, as osrcr of rhc Foltny. o, By cnlplolEs {irh pig.i &s rhcn sb .oopctr{rion. *iI do ilE edt .rd tlE slrBle b mr
intco&d or offeEd fd eL (Se.?04!. Busic$ ed Profcsio,s Codq Tnc CodEloar Lien* tiw ikEs nor qEly lo on owmr of
iE poFr,y *ho btr'ld.i or i,pr.s trE6( .rd wh d6 sh w* hin$lf or lEelf or lherdt ti! or hr oM cDploy.*.
,rcridcd rtar suc[ inprcEmds e hr int nd.d u ofiftrl for slc, lf. nosfti tlE t{itdii4 or in$mrmd is sld si{tin om Jat
ot@np&liotr 0r OwM BoatL, will hlE llE bod6 otpoving th.r he o. ilE dil mr tdild or inp.oE thc A!,Ely t , $c Frpos ol
l. a\ o*no ollhc |,6Fny. m crclusiwly contra.tinS wilh li.cnsd .ontmron lo oisldct ll'c roj.lt (Sd. ?OU, Busims
{d ttrfNim Codc: Thc Conrrkror's Liccnsc Luw docs mr ryply ro e os.( oftoljcny *ho blildi or imtowr lherm,.
and who.onrtursnrsuchnej(lswnhrContnto(glicen*dpuBumrolh.Co.lraclr'sLiccnsL,N).
_l rm excnfl under S*r
UABSEEa..CAIITBIAIIITN
DECI.AIAIION
I h.Ehy afatrn uld$ D.Mlly of D.riury om of th. followinr .lc.ldlhns:
-l
hrvc ard will minrain e CenifEarc oacotrsnr to Scl murc for rork6'coml'cni8lion. N nmvided for bySccrio.l7mofthc
tih6r Codc for fie p*fdmnc. ol rlE wort for Bhi.n lh. ncmir h ir.ucd.
I havc and qill tuinhin *orkcrs co'rFns,rn,. insun.c.. $ rcquncd by Setion :1700 of lhc t bor Codc, for rh. pdforuru ot
rhc Rtrk tbr whhh rhis rcrnil is issu.d. My workdJ coq,.ndio. insurlncc caEicr ard plicy nlmbcr m:
-l.cnify
lh0r in rhc Derlo.n4c of th. *orL for whi.h rhi. F.ni is issNd.I snall nol employony peMn in lny mMnd
so trs lo bcmm su6)d to lhr NorkcR'omFnsalion laws of Califomia. ud ued lhd ir I rhould b..onE slbFr lo rrE
worid onp.nsalhn pmvkio,s ol Sdion lT0o ol fi( tibor Coac. l shull. fonh*nh onlny wnh $o$ Imvisio.s..
WARNING: Faihrc b $.utu uorkcN cotrlF-nsdiur colcnlc tr unlrqful, rtrd bir' .f, cq,lorrr to sinJnll Ftulrics !.d
civil li.c\ up t, onc hundr.d rlk)u$nd dolllrl lfi),ouD, n rdrl irr)rhc ion. drm8* I providcd for rh.
S..rn'n -1076 of rh. tntr)r Colc. inrcrci
rl rhr Btr\i'ir*rntll,ror.\\irtrtr(irl.. d rr" lc.n.. tr n tulltur( r (l.l1r.r
I h.Eb, amrn undcr lEmlly of p.rjury lhll ttFrc is a
hsucd (Scc, 1097- Civ. C.).
fl.rion lc.dirB rScmy for lhc FrformrNc oa rhc work for which 6ii Fml i\
APILICANTDICIAMTI}N
I hfth, aiim lndcr p.nalry of pc,jury om of ttE lollo*ing &chnlionsl
Dcmlirior Pdmits-tubcsros Nori,l.dion Fcndat Rc8uhions (Tirlc 40, Pan6)
-Rcquircd
Lcllcr of Notifi olion
-l
ccnitr rhar rhc f€dcral r.gularbor rc$rding x\bcslor rctu)val !,c oor appli.nhlc
'o
nris tmjer.
I I hrkr. rhis {pl'.dn aid {rr.rhro i'rktrmrrnnr N.odrcr I aE e lo comlly wnh lllCilyand Counly
srrro lr$\rLri'r3 k) htrj[lnt aulrtrin r.prcs.ntu'ivci.rlhis Cny rnd Counlyto cnlcr ul:on ltr
^,, S)7'(9
I
UNDER GROUND
l -[.n- '
TOP OUT
Fill Line/Back Flow
Final Gas Test
l)irr o$Nr
W-.,