HomeMy WebLinkAbout30138918 - Permitcify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (/14) 647-5800 lnspection Requests: (714).667-2738 lnspector Section: (714) 647-5853
Permit #: 30{3E9tE
Pin #: 53E37
Project Address: 515 E Dyer Rd
AssessoisParcel; 411-052-26 Lot: NA
Unit:
Block: NA
Bldg:
Tract: 43
Address Range:
Historic: No
Suite Range:
Zoning: M1
vr
Owner:
Address
Phone:
Tenant Name: Hlnes
Contraclor
Address:
MDD PARTNERS
17111 RED HILL AVE
lrvine, CA 926145607
0'1116002
01116002
01116002
01116002
0'1116002
011'16002
01116002
01 't16002
01116002
51602
51602
51602
51602
51602
51602
53602
5'1600
51602
Qty
8.00
2.00
8.00
4.00
1.00
3.00
362.O2
1.00
1.00
Fee
$109.52
$20.94
$97.84
$62.12
$6.69
$64.26
$235.31
$21.25
$52.98
Fee Type Amount
Water Closet 13.69
Urinal '10.47
Sink 12.23
Floor Drain 15.53
Cap Fixtures 6.69
Wtr Htr (Comm up to 50 21.42
Ptc - 65./o 0.65
General Plan Update 2'1.25
lssuance 52.98
Oltmans Construction co.
10005 Mission Mill Rd
Whittier, CA 906080985
15621 9444242Phone
State Lic #: 86393
Lic Type: B, A
Bus. Lic #: 175797
Workers' Compensation lnsurance:Carrier: Travelers Property Casualty Co
Policy #: WC2JUB2789L89717
Expires: O7lO1l2O1A
8otcht143582 - 3/7/20lgnff ice: CTYH hqnsi: 63
Acct+: Refi I
Rcptl:02255545 - 5/2/2OLB
TroBsoct ion Totol
ID: C(:UEI?ol
3013s? 1l
12!25 PI1
31 r 215.3,
Sl t2
Auth+:04373
0ltmns construct i on (:o '
6Enenol Plon Update Fee
01r16002- 51600000-
Plurb ing
01116002- 51602000-Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Commercial
Tenant lmprovement
T.t.
Occupancy:
Constr Type
Code:
B
V B, SPK
cPc 2016
Notesl R"..tdF1 fdfl gtd l*tu m, o -
V isa
CC+: f*xffrlrr***0144
Plan Checked By
Permit lssued By , Teri
Subject to Field:
Building Permit #195329
Every pemit issued shall become invalid unless the work on the site
autlrcrized by such pemit is commenced within 180 days after iE
issuance, ot if the wo* authoized on the site by such pemit is suspended
ot dbandoned lor a perigd of 1 80 days dftet the time the work is
commencecl.
Date:
Dale: O4lO4l2O1A
Date: OslO2l2OlA
Account#
lvlisc. Receipt: 70548
Ivlisc. Receipt:
lvlisc. Receipt:
Total
$670.91
$194.51
$476"40
lnspector
01 1 16002 51600
01 1 16002 51602
01116002 53602
$21.2s
$414.35
$40.80
Fee Total:
Paid to Date:
Balance Due:
MID#: 2018-140837
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG,COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
AreaiStorm Drain
lnterceptor/ Clarif ier
TOP OUT
,A o dzl
Water Piping a)-'- \)"'g
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
P{rap/Drain Line
Main Draini Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
Meter Release A
FINAL ia-l -/Y V^L,l$)
Notes, Remarks, Etc
{''N-. t0 l^nk 4,-?ac, j logxffi4t
OWNER BU!LDI* DDLCAR.\TION
I hcruhy oiftm undcr ncnllly 0f Frjury rhlr I !m cxcmnr riom rhc Ornlrlcl,,r l-i..n\c tiw tor rh. fi,lk,*in! (rts,h lscc 70ll 5
Buli'iN\ snd Pruf.*tnr Cdl.) Any Ciry or Colnry shiclr r.qutc\ d Fiinir !o .on(flct. rlto, inrrrovc. d.mli\h nr rcpon Jny
nru.iua. riMI. irs issu,tra. lho rcqutc\ rhc.tJli.Mr ro! su.h pcnnir!) ilc. si8md n.remnr th fcor snc i\ lico\cJ puruanr
kr rnc ,roririon\ .t rhc ConrEctn\ l-i.cised tjw tcilnrcr o. Commcncins sirh sc.rion 7fln .r Divindn I oi rhc Busirirs n d
Pturr\\n,n\Codc)orrhr hcor\hr i\.rrmpr rhrcftufrmd rhc hrsi\ for rhL lllc8cd cxctrptn'n Anyvioldi()nofScdi,n7lr.ll5l,yany
rptlicrtrr lor rNnr subjccB rhc npplicdn' ro!.ivilpcnDllydlnor nucrh$ firc hund.cd dollus lssr](rr
-1,
6 o*ftr of thc rhF.ry. or Ey .nll)loyEs whh *dgcs !r rhen $b conpcB0lion. sil do tlt sort !n llE sr.Etb h hl
inlc .d orofcrcd 6r *L (Se.?044. Busincss &d ftDfssions Cod.: TIE C.nka.rols Liens L€* docs nor arplyL !oowN, of
rh. pFt ri, uho builds d i.proh thetr.id who &*s sEt w.t hituclror h.mlf or lhmugh his c hd own cnployccs.
l)ovid.rl thlr such ih9brcmnls.rc ml intcldcd orolIcrcd f.r$b.ll ho,cwr.llt tioiBins o, in{,olccor i.sU whhinon. rld
ofmn{,hlk ! rh. Ow.cr Build.r u harc lrE tord.n ofpsvine lh, hc or sh. dn ml hild or inpmvc lhc pmpsry for Oc puqbs of
-r.
as owmr olrhc pmpcnr. !m cxclusivclr ronrrucrirg vith liccnsd €onrracron ro coasrtoct rl^. n8)j(l (ss.7()4":l. Bu$nesl
dtul Pnrf(\i,nCodcrThcCont,cror'.Li..nscL.wdMsnorstnlyhunowncroftmpc y pho builds or im[ovcs rhcrcon.
and who conracts for such roirrs wirh a Conhcxtr(, liccnrcd puFu rorhd CoorE.ior's Lkcnse L,w).
-l
!mcxcnrrt undcr Ssl B. & P.C. turhis rulion.
lllBf,E8S:C!)!|lldSArr0N
DEITASAIIITN
I h.dby !fiirn !nd.r t nrlry of Fjlry one of rhc fotlowinS dc.hdrioB:
_lhivc ald w ill roinhin n Cenifi. cotConenrroSclrlnsurcro.*o'kcrrconF.sarion,aspbvid.dforbtSLrli{,nl70Ooirh.
L'hrr Cqlc, for rh. ldloirnNce ol Ihc work fitr which rhc Frnril rs hcucd
_l h&vc lnd wiu torintain eo1*6 corpens.lion i6snhe., di rcquiicd b, Sdion l?00 of rh. llbor Codc. for th€ pcrfomtc of
rhc w6.k for shi.h rhh pcmir is Lssu.d. My wor*.N .oop..sr io. insurdcc cekr a policy Nmber m:
-l
ccnily rhd h rhc p.raormna olthc work aor *ni.h rhis ,)crmn is isilcd. I sh3ll.or erploy any |lcnon in dny 'flnncr$ ds ro bco'ft sltftr to rhc M*6 con{*.sdrio. hws 6ic!lil'or.i,. and !8r& lhtrl if I should bcco,r subjscl lo tL
wdrlcB conFnsrrio. pbviiilmofS*rion l7m.frh. t txtrCdlc.I $rll. fonhwirh
WARNINC: FailuE to surc workc6'comDcnpl
civil fims up to orc hundr.d thousnd dolles ($
!n cq,lo}tr ro dimjo.l Ffltics and
Slrri.n 1016 of rhc I ilnr C.d. inrscd
I hcrcbyrlftnundur |xmlryol t{rjlryrhll I !n liccnsn wilh Sslhtr 7000) of Division :l
oa rhc Busims md Pbf.sio,s Codc. ind my liccns is in ni
I h.rhyrfiirIuf .r r!trrryol p.r]uryrhJr rh.rnrcotr lcndinr agcicy ror rh. t rfom0cc olfic qork for *hicn rhis Fnril i!
AIIIICAITDEO.IIXAIION
I holt'y afrnu undcr Dcnalt y of rrjury om of rhc follosins dcL,6l ions
ocmliriotr PcnnirrA*b.sosNorificalion Fcdcrll Rc8uhliotrs(Tnb40. Pd6)
Rcquircd t ilnofNorifica on
dtx,lc irirnBrnr i{coft.cr La8reroconrplrwilh!llCilvandCou r,
s oflhis Cny oad Cou.ry b c d xF)n rt
Waste & Vent
POOL/SPA
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