HomeMy WebLinkAbout30139638 - PermitProject Address: 1851 E First St
Assessor'sParcel: 400-071-02 Lot: POR 16
unit: 750
Block: NA
Bldg:
Tract MAYBURY
E
city 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: (7'14) 647-5853
Contractor:
Address:
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 '16002
,I851 E FIRST STREET
2020 Main Street. Suite 800
lrvine, CA 92614
(949) 390-5s04
CNA lnsurance
Coastline Development
13911 Enterprise Dr
Garden Grove, CA 92843
(7141265-0250
5'1602
51602
51602
5160C
51602
Fee Type AmountSink 12.23
Garbage Disp 10.26
Tankless Water Heater 63.12
General Plan Update 21.25
lssuance 52.98
Qty
1.00
1.00
1.00
1.00
1.00
Fee
s12.23
$10.26
$63.12
$21 .25
$52.98
Bcrtchi:{4531 - 6
off ice: CTYH T
/28/2t1lg I0r t:CllEt.
ronsis 84 4 ol'Refi: 301396J$- 6/28/2tJ!& 2?10 Ptl
Acct+:
Rcpti:02305545State Lic #: 445187
Lic Type: B
Bus. Lic #: 161044
Workers' Compensation lnsurance:Carrier: Everest lnt'l lns Co
Policy #: 7600014215
Expires: 01l0'll2019
Tronsoct ion Totol
Coqst I ine Develop ent
t4r 56,t.97
t
tr
94 tti
Generul Plon Updote Fee
01116002- 51600000-
Pltf,b ins
01116002- 51602000-
ICL Checl Otrlzf7
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
By:
High-Rise Commercial
Tenant lmprovement
TUCard Readers
Occupancy:
Constr Type:
Code:
Dale:
Date:
Date: OGl2Al2O18
Account#
B
I A, SPK
cPc 2016 Notes: New breakroom w/plumbing fixtures
l\4isc. Receapt:
Misc. Receipt:
Misc. Receipt:
Total
96361
Every peflnit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 1 80 days aftet its
issuance, ot ifthe work authoizad on the site by such permit i8 suspended
or abandoned for a peiod c1180 days aftet tlle time the wo* is
commenced.
$21.25
$138.59
Fee Total
Paid to Date:
Balance Due:
$159.84
$0.00
$159.84
Permit #: 3O139638
Pin #: 3a141
Address Range:
Historic: No
Suite Range:
Zoning: SD54
Owner:
Address:
Phone:
Tenant Name:
Phone:
01116002 51600
01116002 51602
lnspector MID#: 2018-143205
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent \tQ . c-$s /
Water Pipinq '1-lt't0"fi01
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Bough Plumbing
Final Gas Test
Meter Release
FINAL 6-ls'tb .-Aa*}-to '9
Notes, Remarks , Etc.
OWNEIR BUILDER DELCARATION
I hcrby anird lndcr FMlry of pc4ury rhr I d cxempr 6om rlE ConhcIoB Ltcne Law for rnc folh*i.g @en (S.t?011.5
Businc$ dl Protcsri.n Codc): Any Ciry oi Co!.ry which rcquies a Frnir lo con$ocl, a[6. inprcve. rhrc,ish or Ep.ir ey
slruduE prior ro ils issurm.. d$ r.qut*lh. aldtd lor suct Fmit io 6L ! si8md sl.lcmnl lhrl tf, or sh. is lk.ncd plmalll
m fic prcvhions offt. Conu&rols Liccnscd Lrw (Chlprd 9, Conmming *i6 Secion 70m 6f Divisioo I oflh. Busir.s ed
Pof.ssionr Codc) or rh{ lE or slE is erc"lpt ll*r.tomod ltc bdsis for llE rllc8cn excfrllioD. Any violrtio.ofSelbn ?031.5 by sny
aprlicanl for o n ndl subJ.rls lhc lpDlkant b e civil !.mlty of not mE lhu fivc hund(d dolles ($5m).
I. $ owncr ol rh. lx)tcn). o! nrr cnUlorrs wirh qnScs Ds rh.ir vnconl0.tr\rrion. silldo lhc trork nd lnc\lBlm is En
irrc cd or ofltBl ror slc ( Sa 7Iu. Bu\inc\{ ord [,lott(io.s Codc -l'ic Conh.roa s l-iccn* ljw docs nor amly t, ,tr osn r ol
rlr fm|rty wh) builds or irroR)vcs th!a'n..nd *lx, de\ {rh w'lk hnn\ellor hcrsellor rhmugn hi\ or hcr own c'npk,yccl.
prcviJ.drlri su(h i'nprr!'m m ftn i.tnd .r onbrud for $k ll. howclrr. rh( t{ikiin! .r in mvcmd h arld wilhitr orc frxr
ofconrtncrhn. rh. O*n r Buildcrwillh.vc EhurdctrolrrcvinBrhdh,or\hcdid!dhildoriNprovcrhcpmlcn,rorrhcpurrnEol
-1,
s o*M of rlE !op.ny. .m cxc,uiav.l, co.n&rin* airh licosd .onl.ero6 b o.crud tlr p,ljd (Se. ?O44. ABim*r
ad hdc$b. Cod.: The Contrmroa s LiccNc lj* do.s nor spply ro u o*n.r of prop.ny aho buildi or inporc. $ercon.
ed qho @ n ls fo. su.h prcila wilh a Contndo(s) lixtr$d pursua lo thc Codndtr'r Liens bw}
-l
lmci.npr tndd Saion- B. & P.C. forrhk Eeson.
]TOAAEBS:IIJMEEIIA.IION
IECI,AMIXTN
I heEby affrm und.r p.nalry otne.jury om of rh. followins dehdriom:
Irtitr(ixi.. rd rfu plr,oflun.colrhc $orl ntr Nhich rhc rnnii i\ i\\u.d
,l hi$ 0nd will minlain worl.N' co,penslion insnmc, B Equir.d by Selion 3700 of lh. Ldbr C.<lt. flr Uc p..Io.rl@c ol
lhc wolt lor wnkh fiir Dcmil is i.${d. My *o c @mplnsalion inruluc cyicr sd Iblicy nlmbcr G:
-l
cenify rh in th. pdformrcc of fic qork tor sta.h rhh n rmn i! i$ucd. I shall not cnploy .ny ptEo, in a.y ,Mns
$ is ro b.or subF lo lhc srts omlEn$lion hws of C.lifomix. r.d {gN that if I sholld bccom $biBl lo tlt
wo.t$ orlxn$ri.n prcvl\iois ol Srlion 3r0o or rh. kbor @c. l dull. fonhwirh comply vith rno$ pmvisions..
IVARNINC: Failum lo scurc Rortcrs conpcnslion covcmec is unlawtul. lnd shrll subj€d an cnploy., ro qininul pc'ukrs &d
civil fifts u!
'o
oE hundrcd ll$usrnd doll&s ()(l,ofi]), in Mdiii,n b rhc co\r ofcomlxnerion. da.EE$ aq lmrid.d fur rh.
Sc.rio. 10?6of rhc lii-rCo<lc inr.nd
L nvb"**,.. b-)x-l{L
I hcruhvrrlirmu .rJ^- rlrt.rt{lurrrhrr I li(nwl undcr |,ro\ (t,n ol Clqiid 9 (dDtxtc rtr ! [h SLrtlr 7(xx rr oi l )n ni{m .r
ol' (h.llu!iN\\n l'(n.$nnnCoJc. M.i uvli.ctr{ is ir tnllln.cc rid.lfucr
B t\t ty7
r//,-
I hcr.by rllimu .r nlnrlr!of pcrj!ryrhrr rh.'ri\ 3.on{
i\srd(S.. :r(,7,( iv. C.)
i6n hndins aecn y f.r lh. pcrrorlMc. of ll* work tor $hkh lhh lrmil is
APPLI{;INTDETJI.AXAIIO!
I tf,rhy a0in, unds pcnrlry ol p.rjury onc ofrhe followins dccluuln'nsr
Dcablirion Pcimik Asbcstos Norificalion Fcdcrul Rcr!larions (Tirlc40. P!n6)
_Req! ncd I.r rcr.a Noriardrio.
Egtrldions mg..di.g Nb.sros 6fr,!!l d. nor q,plic lc to rhis pmtd
rcld rhh erplicarion rd srarc rhor rtc ftovc i.fonndirn n cotrsr.I dsB roco6pl, wirhall Ciryrnd count,
L.rs rcldtins ro buiklir8 connrcrion. ut hcr.byaulfiori^ Ep*senrarilcs oarhh Cn, und Cou.ryro.nrr uF)n rtr
b-s-/t
I
TOP OUT
Fill Line/Back Flow
D.l.- Om.i_
_1_
Lendd\ AddEs:
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