HomeMy WebLinkAbout30139364 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{39364
Pin #: 3769$
Project Address: 2603 S Main St
Assessor'sParcel: 016-052-08 Lot: 5-12, PORS 4 & 1
Unit:
Block: NA
Bldg:
Tract: 159
AddressRange; 2601-2607
Historic: No
Suite Range:
Zoning: C2
Owner:
Address
Contractor:
Address:
0'l 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 '16002
011'16002
01 I 16002
51602
51602
51602
53602
51602
51600
51602
Qty
1.00
1.00
1.00
78.99
1.00
1.00
1.00
Phone
Tenant Name:
Gardena Group Holdings LLc
10240 Geary Ave
Santa Fe Springs, CA 90570
(552) 699-8611
T L M Petro Labor Force lnc
909 N Alameda St
Compton, CA 90220
(3101 639-2227 Eot.h + :4401
IH
n F'et
6enerol Pl6n
State Lic #: 791755
Lic Type: B,A, HAZ, C-10
Bus. Lic #: 364698
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1541150
Expires: 01101/2019
I Ofgl
-obor
updol
01116002
PIu b ine
r:r1116002
V iso
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By
Permil lssued By
Subject to Field:
Commercial
Tenant lmproYement
Grease interceptor
Arabe, Jill
West, Glen
Amsden, Julie
04t25t2018
05/10/20t8
ost29t2014
Account#
Misc. Receipt: 70893
Misc. Receipt:
Misc. Receipt:
Total
A.2, B, M
VB
cPc 2016 Notes: lnstall grease interceptor in parking lot
Building Permit #:
Evory pemit issued shdll become invalid unless the work on ahe slte
euthoized by such permit is commenced within 1 80 days afret its
issuance, or if the wo* authoized on the sito by such permit is suspended
ot abandoned lor a wiod of 1 80 days affer the time the wod< is
comhen@d.
$270.44
$51.34
$219.10
lnspector MID#: 201 5-1 19845
01116002 51600
01 116002 51602
$21.25
$197.85
Fee Total:
Paid to Date:
Balance Due:
FeeType Amount
Add'l Sewer Connection 21 42
Each Add'l '100'Sewer 21.42
GreaseMastelntercept 36.15
Ptc - 65yo 0.65
Min Fee Adj 65.88
General Plan Update 21.25
lssuance 52.98
Fee
$21 .42
$21.42
$36.15
$51.34
$65.88
$21.25
$52.98
Phone:t,
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
-1
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER IIUII.T'ER DEI,CARAIION
I hcchy.lft undcrlcn llyol E rtury lhri l{ncrc n ftoD rht (ir n.rn l-i.crsc ln$ lilr rhc tulk'wtrrg !.r!r (Sc.7o:ll5
lru\i,rc$ rnd Pmicsri,,n C(dc): Ar) Cny r C.!trry trhi.h rcqunc\ n Nnnir h c.n( cr- rlrcr. irnpiinc. d.Nnin, or rcntr r !
nrucru!.. pri,n io it i*uatrcc. al\o rcquncsthc 0lplrrtrr ror such Frnir lo filc ! \iskd {dc f,trr rh l'. or shc is li(tr{d nnr\uafr
ki rh. nntririrN .f th. Conkrclor\ l,iccn\cd I n{ lChr,,rcr 9. Coinncn.r! snh S(.lion 70(x) ol l)ni\n,n .1 oi rhc rr$in.\\ !.d
rlplicrnr tffapcnn subj..r\ rl[ rpplicrtrr to tr.ivilt'ctrrllyol tu' nu. rhrn lir. hunlr.d d.ll r(55(x)).
-1.
Ec o*E of tlt ptuFn!. or ny crploFer *nh srgcs s the n bh otr{Enslion. eill.h th. e(t !!d tlE drtE b hl
inrsd.d orofrcEn fd eb (Se.704. AusiEss&d P,Dr..rkrnsC.d.: Ttc Co n lo,'i Lktr€ trw do.! El.Oply lo u owM ol
rlE FoFny sho buil& or iqmB dEe'! sid who dG nEn ftrt hiNcll or lrelf or lnrcql his or hs 6m .nplor..s.
pDvidcd rhlt s.h inlmwm.ls N ml hl.d.d olofr€Ed for slc, lt l-Ew( llE buihinS or inprcwrnl is $ld,ihin on Fa
of.omphdon. $c Oq6 Auildd wil lErc tlE hr&n of pmvinS tur lE or shc dil el hild o, inplrN lhe P'DFlty for th. Frqne of
-1.
uso$n.r.lrhc pn,lrdy, r cklusircly.oilr.rir! witI lrccnsrdcontucroFb.on{tucrrht pt,].cr ls( 7(},l4.lruri"rs
rid thrlissi,tr Cod. lhc(onlricktr\l,iccnscl,,*doc\norapplyk,MowncrofPa)Fnyrhobuild\orn Pi{,rcs rhcrc.n.
rn sho ..nrracr\l(lr\uchrrr..!r Nirh rConh.ktrl\)li.cnscd puhurnr n, ihc Coft(rol t Li.ctr\c Lrw)
-l
n cxcmpr unicrscdio B & PC tur lhh,s,s'i
WORI(FIL\' COMPENSAT!(IN
DEIIATAIIAN
I hcrcby aUiro undcr p.n.lry of pdjury oE ollnc lollowin8 dslelions:
lhr\c mlsill.ui'nri0 x C.dil,.rrr ol C.tr\cnr b Scllli\urc tur \ork.t\'.onrr.n\rri{nr, r\ pm!idcd ntr hrSccri,)n.17{xrolrht
t]htr C(xn, tur rhc trr li,r N .c ol rh. (ork fi r shicl rhc t^-nni i\ n\ucll
_l hr!. rn<l wiu n$inrliri sorkcN comFnsalion in\utunrc. as rcquncd b, Sccrnr .r7(r) of rnc L.bor Codc. lo. rhc tFrormn.. oI
rhc erk for whi.h rhh Dcrmh is nsln.
ystrlcB
mn{.Ndion in$, ncc rMitr rd Fricy nnmt'lr ,rcl
sl-l- €--
a
iayrh in rhc Dcrlormmc of rhc wo* fo, whichthisFrnn k issud.l shlll mr cnDloy dy,E sni!lnyruftr
y, r\ h l{.r r q'l+.r tr) rtu { o'k.'\ .. rt)ctrsriotr liEs.l (rlifornii. nnn r!rc. rhd ifl nuld b.r rt !ul,F.r [, df,
\Frkcri.oDrIcf\nri,rtx,vi\n)i\ofSc.r(nr:17(X).irh.l-nhtrCinlc.l\hrll Inrhw:rh.,trnIly qilhrlr)\c fn)!isi,nn
WARNINC: Frilurc ro suc $o*c* con rtrdi.n .0BBEE is un,.wtul. ad ihall slhj.tl & .mnlolcr lo sihinol |xollis and
€ivil fincs u, ro om hufldGl lhousnd doll6 ($l0O.O00). in addilbn lo lhc c.sr ol cot{Enerion, dtm8.s !! fovidcd for
'hcSerion 1076olrhc hhor
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(olc, in'cron dtnftt s lccs
'rPPl*nr' Vtetq'€4f t tro-t +-
UrliNELEANlBAl]l)A
LuilLAa raN
t hcrch, lltn,tr rrp.iilryorI[rjMrrl rIinrlico\L\luodcr!!ori\nn'olch,flde(!\rnnrncins*ilhSc.rion7fx))orl)irision.l
ol rlE Bulms .nd Pmi.ssn'ns Codc. dd 'ny li( \c h r tu ll ri&r itrd c lltcl
K
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I
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I hcrc$y rlrirmrid.r l.nalrr.r!.4trtrh lncrcisacon(ru.lionhndinsarcN!rorlhcPclforNreolrhc(orklor*hichlhnP.rmin
ksuc ls$. 3()97. Civ. C.)
AIILlcANfDIilL/BLlIAN
I hcNby o,lim undcr pcnalry.rptrjury orc ol rhc l'olhwnrS dNlnrarioni:
Dcmlirion PfnitsAsbcnos Noritu i,,. Fcd.rrl RcBUhrnJrs lTirlc&. Pan6)
-Rcqut.d
l.rrcr olNorili.rli.n
lrodilyn r rhr lr(lcrilrcAulili.f\ r.!rdingN6.n,N'rnn)rtrlxt ornl,drrhl(hrhi\nn!.tl
-l.clifyrn
l tuvc rcad lhn!!,l,licali.n arn nr&lhai $. arDrc inlormlion h coml I agtc '. @nq,ly *nh . Cn,mdConnry
ordi@er od Shr. l:qs Ehrins lo blaldan8 .onsro.Ikn 6nd rEEby,uthriz. Eprc*nllrivcs .l lhk Ciry 3nd Counly lo cnlcr us,n rh.
rtrit nrrrioncd prur.dy ror insFdion
f,,,*,or A€n( SiEnrhrre:
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UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Rouoh Water Heater
\
POOL/SPA
P{rap/Drain Line
lVlain Drain/Pool Pipino
Fill Line/Back Flow
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meler Release /n\
-27-7a r,w\(\
Notes Remarks
\
Pool Heater/Gas Line
Gas Service
FINAL
Etc.
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