HomeMy WebLinkAbout30139599 - PermitProject Address: 1831 E Carnegie Ave
Assessor'sParcel: 430-021-01 Lot: 13
Unit:
Block: NA
Bldg:
frud: 5771
Address Range:
Historic: No
Suite Range:
Zoning; Ml
q
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit #: 3O139599
Pin #: 55106lnspection Requests: (7 141 66J -2738 lnspector Section: (714) 647-5853
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Sabic lnnovative Plastics
I Plastics Ave
PITTSFIELD, MA 012013662
Crandall's Plumbing lnc.
18291 GOTHARD STREET S
Huntington Beach, CA 9264
(714) 46s-7819
F6e Type
01116002 51602 Gas Line repair/replace
011 '16002 51602 Min Fee Adj
011't6002 51600 General Plan Update
01116002 51602 lssuance
Amount
42.85
27.79
21.25
52.98
Fee
$42.85
$27 .79
$21 .25
$52.98
Qty
1.00
1.00
1.00
1.00
Eotcht:{{3t7 - 6/2O/2OLS I0! CCUELLAR0ffice: CTYH Tpons+: 70 1 of 1Accti: R€fi: 3013959?
Rcptt!0?U?9{82 - 6/2O/2Afi I:f7 ?n
Truosoct ion Totol tf {4,82
Crondoll's Plurb ins Inc.
State Lic #: 927449
Lic Type: C-35
Bus. Lic #: 349710
Workers' Compensation lnsurance:Carrier: PACIFIC COMPENSATION INSURANCE COMPANY
Policy #; WA0015800
Expires: O6l11l201a
6enerol Plqn Updote F€e(r1t 16002- 51600000-
Plurb ins
01116,s92- 51602000-
V iso
(:C: : rr***r*I*rr*3675 t 144 .87
Auth+:051516
t21 .?5
t123.62
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
lndustrial
Miscellaneous
Gas Piping
Occupancy:
Constr Type
Code:
B, F-l, S-t
lllB
cPc 2016 Notesl
,d
Date
Date
Dale
Misc. Receipt:
Misc. Receipt:
Misc Receipt:
Total
Hernandez, Kathy
Every permit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within 180 days after its
issuance, or if the wo* authorized on the site by such permil is suspended
or abandoned fgt a period of 1 60 days aftet the time the wo* is
cornmenced.
lnspector MID#: 2018-144171
011 16002 51600
01116002 51602
Fee Total:
Paid lo Date:
Balance Due:
Phone:
o6t2012014
Account#
$21.25
$123.62
$144.87
$0.00
$144.87
PLUMBING.INSPECTOR RECORD
tD/stG.COMMENTS
UNDER GHOUND
Waste & Vent {
WaterUnder f loor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Piping 6-zt-tB J)tdolD ,64
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test L-r3-lg J)oJol ,rtQ
Meter Release
FINAL .-2/- i$'/rD
Notes, Remarks, Etc.
OWNER AUILDER DELCIRATION
I hccby e rtrm undcr p.noty of pcrjury thsl I m cxemar for rlE C,ntn to( LitM Lr* ior rhc tollo{irg Eahn (S(.m3 ,.5
Bosincss a Pofssion Codc): Any Cir, or Courty sticn Equic. i Fmi io @isrrud. allci impoE n mlsh or EI,!n sy
irtucrurc. prtu lo irs i$!afc. also ,.qlarci rbe et lta tor such pcml lo 6L a *ign d slalctunl rlul lE or slr it lie.si l,umol
ro lh. Fovi3io.s of rtu ConrBcrtr s Liccnscd Liw (Charrcr 9. Conftrcing with Scclion 7000 oa Diiision 3 of llE Blsincs and
Piofe$ions Cod.) orrhar lEo, shc ir.icr9l rhcrcnon d lh. bsis for rl* dhEcd erchption. Aiy liol.lion otscdion 7011.5 by.ny
lppliclnl flr r Fmi ilbj6c rh. s,plicur to a civil ,tn![y of nol mE lhln fiw h!'tt ed dous ($500).
-1.
!s ownd ofrhc propcny. or my cmplorrri with wagcs ai lhct ek @,{Ensrio.. will & llE *oik u'd d. srrele h nol
i c.dad o, ofr.rcd for src (Se.7{x4, BBiftss sd Prof.$hff Codq TIE Conlr&1d s Lic..s |.lw dGs mt tplly lo & o*nd or
thc polxn, wlb hiildr c inircB ll!c@o. .d wlb rte! skh w* hinsclf or lENlf or lhough his or h.r om .nlplofcs,
provlLd thar sh inprNmnaEful hr..d.d oroltu for $jc. r. nowffi. rtE t{ildirS 6 inpmEmrl is hU wilhi. onc )Bt
ofotrplction, fi. qrNr BlitL. *iI lEw ,E lrrdcn of pE!,lng tlrr lE or slE dii el h[ild or inprDw 0E propdly for d* FlFe of
-1.
!sowmrolrncrmr.ny, an.xcl!.iklyc. odir8 wirh li.cnsd contldos roc.nsrtuclrh. pNjccl (scc.7o4a. Busim$
.nd Ploi:shn Codc: Thc Contrsroas Licchrc kv docs nor uDply to an own , of polEd! wno builds or iry,ror.s lherNn.
lnd sho o 6.rs ,., such poiecrs *irh ! cobhdo($ lic.nscd puBmr to rnc contEcrols Lian* tie)
-l
anr *cmI,l under Sdaon-. B. & P.C ror rhis rc8$n
lll8f,Exs:cqMriN$laN
DECI,AMIII}!
I h.Eby trfiirm md.r p.mlly of !.rjury orc of lh. following dKluotn nsl
I hrvc rxl willnuiduirnCcnif'cri!olConscor roScll ln\uru n, workr* dnnpctr\ on.$ pnrvidcd l'or$ySccrion lT0oolihc
ljlxr c(xlc,Inrrh. p.'ro nun.c orrhc sork lor w[ich rhc lrci,nn h hsucd
_l hlvc and will @inrain wortctr compcns ion insuroncc. ar rcqltcd h, Sdion lr0o ol rhc tjhor Cod., for lhc l,crformne of
rhc work ror ehich rhis l).mil is isscd. My workss onpcnsrirn anslnrcc.6tr !i Flicy oumb.r m:
Il,lryNun,h.r ,lrtnd\
-l.cnily
thd in thc p.rformme oflhc *ork for whi.n thk p(mn ir issucd, I shall nol cq,loy any l,cson in any @nF
$ &\ ro b.6m rubjer k! thc sr[n mmpcnsdlion lnes ofcdifomia. and lsnc thd ir I shouu b.lom subill lo tlr
qorkcn mmncns0tion povlsions oI Sdion 3700 of lhc LilDr Codc, I {Ell. fonhwitn Nrply wnh 0Es lmirions..
TV^RNING: t;lilurc kr scurc $ortcr( dn pcnetnnr cov.rec is unltrwiul. ond shall sunlccr un cq)lo}!. lo dinindlJxnihis ind
civil 6ncs !p ro otrc hlndEd thou$nd dolld (S100.000). in
G Lo lr)
DFCI AIIAT|oN
I hcrcby iflinnundcr p.nohyoipciury llEr I !d lien{rJ undcr lf.lisioi ofch+r.t 9 (connrencin! wilh S(rt'n 7(x[] orDivisio l
or rhc Bu\incs\ and PnnasionsCodc, urd mylicctrs k h fulliorcc {n citcr
L.I
ATILTANIDECIAf,AIIIJN
I hdr6y 6finn undcr p.nony olrrjuryonc ol'lhc lollowin8 dcclaations:
Dcnbhion PcrnirrArlx{os Noiiicnlion F.dcEl Re8uh' ions (Tnt 4r, Pan6)
Rcquhd r/icr of Norificalion
-l
ccnify rhar rhc ledcrrl Egllsrions rcSadin8 asbcsros rcmMl rc ior apdi.abk ro lht pmjc.L
-l
ccnify lhlt ! hlvc Ead rhn lppltatio. ard $arc lh'r ihc ,!ovc intoimrio. is .(rel. I !8re lo oq,ly wi$ all Cn, ad Counry
ordin.mcs lnd Sratc Llws Ebrin8ro $oilding connrudn,n. rnd
.bovc ncnlioncd php.dy for iNpc.l
AppliGnl or A46l Signnlo T1-r
rlrn ( irf, tr(l(,r(ryn'.nrd ntn, rlt
,,," 6 1 z,frt,
WEGE
APPHOVALS DATE
C(TNSTRUCTIoN t ENDIN(: AGXNCY
I hcto$y l]irntrnds!.noxyolpcrur,rhdrnc,cn!c.nrrruclionkidins,!.ncyr.rlhcpctfoirumcofrhc*orlt'shichrhhr.iiniris
irsu.d rSL{ 109?. Civ C.l.
trnJr, . \,1.t,..\
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