HomeMy WebLinkAbout30139489 - PermitProject Address: 2677 N Main St
Assessor'sParcel: 003-013.18 Lot: MANY, SEE COM
unit: 440
Block: A & B
Bldg:
Tract:7211315
Address Range:
Historic: No
Suite Range:
Zoning: SD31
E
City of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
Permit Counter: (714],647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 394E9
Pin #: 37691
Owner:
Address:
Phone:
Tenant Name:
01116002 51602
01'!16002 51602
01 1 16002 51600
01116002 51602
MULLROCK LINCOLN TOWN
2677 N Main St Unit# 440
Santa Ana, CA 927056623
(714) 543-0100
Phoenix Group
Buildrite lnc
1609-D East McFadden
Santa Ana, CA 92705
17141s47-7737
F€eType Amount
Water Piping (Each 100 42.85
Min Fee Adj 27.79
General Plan Update 21.25
lssuance 52.98
Qty
1.00
'l.00
1.00
1.00
Fee
$42.85
$27 .79
$21 .25
$52.98
Bstchi:{{027 - 3129/20lg I0: onorr
0ffices CIYfl TronEi: 26 3 oi
Acct+: REfi: 3t:tl3?499
RrDt+:02283578 ' 5/29/2(ttg 12:57 Pn
TnonBdct i on Totol 111372't-rl
Phone
state Lic #: 830308
Lic Type: B
Bus. Lic #: 310487
Workers' Compensation lnsurance:Carrier: EverGt Nat'l lns Co
Policy #: 7600007095
Expires: 0410112019
Bu i 1dr ite Inc
Generol Plon Updote Fee
01116002- 51600000-
F'lu$b i n3
nI116002- 51602000-
ICL Check 000(1012506
Planning Conditions: lnterior work only.
Building Use:
Job Type:
Nature of Work
Planning Approval 8y
Plan Checked By:
Permit lssued By:
subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
Chavez, Dave
-zg.
10196199
Occupancy:
Constr Type
Code:
B
II A, SPK
cPc 2015 Notes
Datel
Date:
Date:
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
Tl includes interior demo, new partition walls to create
offices, & new 1.Hr rated interior door to common
corridor.
$144.87
$0.00
$144.87
o512912014
Account#
0't 116002 51600
01116002 51602
Fee Total;
Paid to Date:
Balance Due:
Every permit issuod shal becorne invalid unless the wotu on the site
authoized by such permit is commenced within 180 days afiet its
issuance, ot if tho wotk authoized on the site by such pemit is suspended
cir abandoned fot a pedod of 180 days aftet the tima the wo* is
lnspector MID#: 2018-142848
Contractor:
Address:
$21.25
$123.62
PLUMBING-INSPECTOR BECORD
DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{raplDrain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release IM",FINAL 1/73h.f, r,I
Notes, Remarks, Etc.
OWNER BUILDER DELCAIATION
I h.r.by.ffEn undcr Fmlry ol rEiury rlur I @.r.mpI tbo rlE C.nrh.rm' Li..ns l,w for rlE foloqing r&$n (S4c,7011,5
Dosituss sid Pmfcsion CodG): Any Cily or C,unr, whth '!q!iEs ! Icmi lo .oNlrud. dro. in'rtmvc. .hmlirh or EF, ry
$trt!rc. prir lD irs hsl!!e. &!o (quiEs thc applicm for such pcmi m nk ! riSrEd sralcEnt thd h. or slE ir licned p!N8
b lnc pmvilions of the ConlEcrols Liansd L3w (C'lEprr 9, Conmtuin8 sirh S*ion ?000 of Divkion 3 of lh. Blsire$ ed
Profcasions Codc) or lhar hc or rhc k .xcnfl rhcchom and ,E basir aor rlE dhged dcaprion. An, violdion ols..lbr ?01,.5 by any
! ,limr for ',cmit rubiccrs thc {ppli€.r lo . civil pcolry ot ior mrc lha ,ivc hundrcd dolhB (l5m).
-1.
&s owftr of rh. FotEny. or ny €.plor.cs with *ages !s rlEn $k oq,cnrdion. will do th. *(t &d r n 'ElE i! mr
iotcnd.d d offotd lo, $h {Se.7044. 0usimi! aM Plaf6.io.s Codci Th. Conhloas LieN trw &i.s ml .ppl, lo s owmr of
lhepoFny wh. hikls d itrptuGlncmi, !d wtn &E n mlt hinsclf.r hosltor lhDlgh hi! chdown.npl'r!6.
provilcd rh!| su.h inpolmiti e d hisid.d ft o,IcEd for $lc. l( lnew. thc t{ildins or nr$rNm ir $U qlnh onc te6
ofcorDlcrbn, ttc Os*r Blilds piu h.w te tddcn of nFvinB tlEr h. or snc did Nr hild or ittlN ln. poFny tor lh pulb* of
_1, a\ owndr ofrtc pnncdy. rn.rctusivcly.o.rEcrios wirh li.en{d.onrn toa ro onjo.l ltE |,oirt (scc.7044. BusinAr
otu Erfesi'n Codc: Thc Conlrucbls Liccnsc tjw docs tror trptly ro !n owncr oftr.pcny*ho builds.r imtmver rh.ro,n.
lnd who .o rocrs fu \u.h rbicck unh d 6.rrd.1or1s) li.ci*d plrxanr iu rhc Conhcrors Liccns rlw).
-l
am.r.nfl u.dd Sel
EOAf,EEIIIOMIENIAIIOB
DECIdSAIII}!
I hcrcby s,nrm und.r pctulry of pdjury om of rhc followinS deLmrionri
-,
hlvc o,n will minrain . C.nifr.rc of Con$nt to Sclf-lnsurc for *orlcn comgcns€lion. 6 prcvidci fo. b, Scclion 3?00 of ln
rr$ Cod.. lor rh. p..lo,mmc of lh. Mrk for ehth llE Fmi ie nsucd.
_l tavc and sill mainrain sortcs .onrFnrur iod inslEmc. as rquircd by SNrir 17m of rhc kbor Codc. for rhc pcrlormrc ol
o^t t{-,
o I I 4
_l ccnily lh,l in thc r,.rformNc ollhc qork for which thn Frmir is issu.rl.l shall ml cnploy any Fcrsi in uny om@r
s us ro t om subjd to Ih. *orkc6' .on{Enssrion hss of Cdlifomi!. ond !8e rhd af I should b€.m 3ubirl lo llE
*olt6 oq,.nsrion pmvisions of sdhn 37u0 oa rlE L.hor cod.. I slBll- fonlisirh @dply eirh rhoe pNvtionr..
MRNINGT F{ilxr ro sue aortcu $qrnstn'n .ovcmec is unlawful. and sholl \uhj$r $ cmplortr l. difrinol !.mlrie md
ro om hu.dr.d lhorsand dolles ($lur,fiD), h uddilbn lo lhc.osr io., damgca as [ovidcd for 'h.::ylL7tr nr.rcd,nd ntornv \ f.cs
tlt,( 1.,\R 1t t()t
I h.rcny nflnnr undc! l.nlllrotpcrjlry rhlr I am liccnsn undcr pnvnionorChlprE 9(.dmmkin8 wirh S{lbn rdJO) ol'Divhion l
oI rhc Busincss lnd Prcfcsriotrs Codc. 0 nry ltctrc ir itr {ull lorcc ad cfisr
YakXI,.tli
IA!flBIJqIIANIINI2IIGAGINCI
I hcrcbt l,lfln umlcr n nrlrvofllrjrry rhd ihcrc is r.otritucri)n hMirg rlcfty f.r rhc nrrlbnnm.c ofrhc $ort fir *hich rhi\ Fr.,ir is
i\sucd (Scc :l0i)7. Civ. C.)
AIIIICANLDECIIBAIIO]T
I ltfthy drm u.dcr pcmlry of pcrj!ry orc of lhe fo,lo*in8 d(larations:
D.molition Pcrmit3-Ash.slos Notifi.alion Fcdenl R.8!hlions (Tilh.O. PM6)
-Rcquired
Lllcr of NolifMlion
--zl (nify rhur rhc fdcml(Soldrionl rcgedrg d\be<o\ rcmv,l@ mr amlmhk ro rhs pmFr.
al cdrrt rhd I h,!. rcrd lhn.pl,lrruonsnd $atc rhd thc shorc inforrolion iscoml.l aSre to.omi,ly*irh aI Cnydod Counry
odinamcs lnd Sr.rc lr*s rchrii8lo building cnnstru.lion. uxl hrchyaurnorit rq,c*nkrivcs ofrhir Cnyaod C.unr
"bovc
ncnrioncd rmp.ny for in{,ccibn
I.{pplionl or AEetrl Sianolure
ulr(Z
r
IAPPROVALS
Water Service
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