HomeMy WebLinkAbout30139634 - PermitCity 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: (714) 647-5853
Permit #: 3O139634
Pin #: 323,lD7
Project Address: 2677 N Main St
Assessor'sParcel: 003-013-18 LoI MANY, SEE COM
unit; 1 10
Block: A I B
Bldg:
Tract:721!315
Address Range:
Historic: No
Suite Range:
Zoning: SD31
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Muller Company
1100 W Town & Center, Suite 8'10
Orange, CA 92868
(714) 543-0100 ext. 202
Sanctuary Hospice
Buildrite lnc
1609-D East McFadden
Santa Ana, CA 92705
(7141 547 -7737
01 1 16002
01 1 16002
01 't 16002
01 1 16002
0't 1 16002
011 16002
51602
51602
51602
51602
51600
51602
Amount
12.23
11.52
10.26
39.63
2.t.25
52.98
Fee
$ 12.23
$11.52
$10.26
$39.63
$21.25
$52.98
Fee Type
Sink
Dishwasher
Garbage Disp
Min Fee Adj
General Plan Update
lssuance
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Phone
State Lic #: 830308
Lic Type: B
Bus Lic #: 310487
Workers' Compensation lnsurance:
Carrier: Everest Nat'l lns Co
Policy #: 7600007095
Expires: O4lO1l2O19
Bltchi:+4508 - 6/27/2
off icE! CTYH Tronsi
Acct+:
Rcpti:02304637 - d.j?
Tronsoct ion Tot6I
18
t?
el+t
,/111
IOI LROSALESS0l 5
l1 r 755.,53
P,u i Idn ite Inc
Generol Plon Updote Fee
0111600?- 516tr0000-
Pluqb ins
01116002- 51602000-
ICL Check 000(r(112574
i?1.?i
$126.6?
91 ,785.63
B
II A, SPK
cPc 2016
High-Rise Commercial
Tenant lmprovement
TI
Notes: New fixtures.
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field
Building Permit #:96s86
Every pennit issued shall become invalid unless the wo* o, the site
authorized by such pemit is comrnenced within 1 80 days atter its
issuance, ot it the wo* authoized on the site by such pefinit is suspended
or abandoned tot a peiod of 1 80 days eftet the timo the work is
commonced.
ri o6t27t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$147.87
$0.00
$147.87
lnspector MID#: 20'18-143657
01116002 51600
01116002 51602
$21.25
$126.62
Fee Total:
Paid lo Datel
Balance Due:
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
APPROVALS DATE tD/stG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Buildino Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Helease il
#,.J-1,FINAL Y//l//4 )
Notes, Remarks, Etc rt Z: TEz
OWNER BUTLDf,R DELCARA ON
I hercby arrm undcr p.mlly of lErrury lh.l I m ercm lmn lhe Conlreto6 Liccn$ L!* for th€ louowing rcNon (Sc..7011,5
B!.incss lnd t\ofcssio. Codc): An, Ciry or Crunry shi.h rcqui$ a lcmir ro @nrlrud. ahr, iq,mvc d.molhfi or EI,an lny
ntu trc, Fior ro ili hsuocc. al$ Equins rh. irpltonr fo! skh Frmn b lih a siBncd shrcmnr rt r hc or ste ; lis.€d NNrnr
ro rh. Fovirioos o, rlt Conr&lois Li..n*rt ttw (Chrpkr 9. Comrtring wnh S.clion 7m0 ol Divisior 3 of lhc Busires md
Polcasions Con ) or rnnl E d sn k .xempl llmfron .rd the hasis for rhc dkecd crcmdion. Any liolsrio. ot S&1br 7011 5 by a.,
.ppliclnr for ! Frmil suhj€rs thc apllicdnr ro a cieilrcnllryofnol mrc rhln fivc hundEd dolk. ($500).
L r\ oqncrol ih.!i{,ltny. or rycnln lc.s sirhNrsc\ r\ rhcir n,lr ror|Ensari()n, qilld. itEaork n rhc {ur!rc i. ftn
rnrcMcd or ofcrcd nr *rk r S(.r(X-l. 8usirEss and l,l olcrsidn C(lic: l hc (td racttr \ Liccn{ Lru' des nor aprly h m o$ cr of
rhc pRl*ny wh' huikl\ or i'q,ro*\ rhcn{n. u $hod(f,s\uchsorthi'n\cllorhcr{lforrhn,uthhi(orhcroBtrcmflq.c\.
Imvi(lc rhrr luch i'n|]rirN* aru nor inrc ldt or ofiL:rcn ,i,r eL ll h,wcr (, rhc h itlii! or i,ntmlcnx nv,&lqirhr.k)ur
oiconDlction, rh. owns lluildcr willhrvc tlu burdcn ol pr.ving rhu hcor\hc id nor huild or i'npmvc rhc F'If,ny lnr rlE ,'utx){ of
-1,
!sowNorrhcpnl.ny. rn.iclusilclycn rrdnrs *nh li.coscd onln.lo6 ro con\md rlr pNFr (S.. 70t4. BusiB
oJd Ptbisri{ Corlc: Thc Conkrbas Li.cns. Law &Er nor atplyio tr, o*n r olpoFny eho huilds or ihp.orcs lh.rcofl.
snd who co mcti lor sch,mJ.crs wirha ConrEct.(s) lkcnscd,,unurnt ro rhe Conra.t.r'r Licc.sc Li*).
B. & PC for rhis rosn
lloaf,Eal:coMfrNsAllo!
DECLAEAUO!
I h.Eby atfirm undcr pemlry ot periury orc olrhc lou6wi.8 dd@lions:
-l
hrw dd will mi.llh . CdirE ic of Co.*nr io s.lt- l.snE f.r *ort6s omFnslhr, os Fovklcd for b, Sccrkrn 1700 ol fic
tlbor C.dc. for rhc perfo.1113G of fie m* lor which
'h. ldnl n issRd.
_l h.w lnd *ill nlointaitr wortcG cohocnsation insurBncc. $ rcqlidd h, Sed ion l70O of rh. Ljbor Code, for thc paformrc of
lhc wort aor shkh lht Frmil Lr nsled. My,orksl coftpcnstion inslrure cdicr od Polic, ntrmh.r ml
PolicyNumh.r:Jll)nc.:
_I cnify rh ii rhc lxrformft. ofrhc wort ror which ihis pcflni n issucd.l shall not emlloy an, pcnon inany@ner
e aslo tE om suhjcct to thc wo*6 .lnpcnstiofl bws orcsliaomia. and asr rhlr if I should b..oE 3ubFl to lh.
wolt6 comF.salhn prcvisions of S.crion 3'700 ol lhc L8hor Codc, I snal. fonhsirh 6oply sith th.$ l,mvisions..
\yARNIN(,: Finnc ki {curc qork$l co rl.nuri(.ovcrnsc is utrhwiul. rd sh0lr suhj.ci an cmplorcr 1,, simind pcnalric\ and
civil finc\ up b om hun r.d rhou\rtrd (51 :i;codpcnsation, d!tuscs ,s lovid.d lor rhc
r. +<n I
.t
tlI(:L,Ia ll()I
I h.rhy sllirhrndfi p.n|lry or pcrrury rhat I o'n liccns.d undcr povkion ofchaplr 9(co.rmncins {nh Sccrirn 70uo) otDivisio.l
"g^'*'Codc. lid ny liccn{ is in tlll ibN aJrl cfircr.ffiog
zrl rt C-
, herchy lmnn und.r Fndly of p.rjury llEr
hsued (Se. 3097. Cir, C,).
isoconstdclionlcndinSagcncyforrh.pcrfotunccotrhcwor*lorwhichlhispcmitis
dIruc NLI2ICL n iIoN
I rrrhtrnnduid.r |f,nrh, ofp.rjry.nc ofrhc lnllo$n8 d$l iiidrr
II niri{rn t!.flnns A\hr{ \ Noiricrri( Fcd.ol Rc8olari(n\ (l irlc.10. Pnn6l
Rcq0ncd lxxcr of Norifi carrrl
rcmval .rc nol 6l,!ltat lc ro rhh tojel
infortulbn ir coner. lagR lo mmllywirh rll Ciryedl Counr,
rcprc{nralivcs ollhis Ciryud Counl,
ApDli.$l or Aa€nl Si8nalu
L,
L ft
PLUMBING-INSPECTOR RECORD
Lcndcr'r AtldRs
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