HomeMy WebLinkAbout30140006 - PermitI
City 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 #: 3OI4OOOG
Pin #: 6,iJTA7
Unit;
Block: l/6
Bldg: Address Range: 3i5.a51
TTACT: BLEE'S'J&F ADO HiStOTiC: NO
Suite Range:
Zoning: C5
ry
Assessor'sParcel: 398.516-18 Lot: 5-9, PORS 14 & '
Owner:
Address:
The Kroger Company
1100 W Artesia Blvd.
Compton, CA 90220
(310) 900-3200
Food 4 Less
Fee Typs
01116002 51602 Cap Fixtures
01116002 5'1602 Min Fee Adj
01116002 5'1600 General Plan Update
01116002 51602 lssuance
Amount
6.95
52.53
22.O8
55.04
Qty
3.00
1.00
1.00
1.00
Fee
$20.85
$52.53
$22.08
$55.04
Phone:
Tenant Name:
Contractor
Address:
CTS Mechanical
5171 Edison Avenue, Unit A
Chino, CA 91710
(909) 46s-6361P hone
State Lic #: 956045
Lic Type: B, C-20, C-38
Bus. Lic #: 370627
Workers' Compensation lnsurance:Carier: Evere8t Nafl
Policy #: 7600016353161
Expires: 05/01/2019
Building Use:
Job Type:
Nature of Work:
Commercial
Alteration
Reach/WalkJn Cooler
Occupancy:
Constr Type
Code:
M
III B, SPK
cPc 2016 Notes
Planning Conditions: lnterior work only.
Planning Approval By Date:Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ki
Date
Date 09t24t20'18
Account#
196178 $ 1s0.s0
$0.00
$150.50
lnspector MID#: 2018-142798
01116002 51600
0'1116002 51602
$22.O8
$128.42
Project Address: 315 E First St
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:Fee Tolal:
Paid to Date:
Balance Due:
Evory pornit issued shall become invalid unless the wo* on the site
authotizod by such pemit is comfienced wilhin 180 days after its
issuance, or if the wo* authoized on the site by such pemit is suspended
or abandoned fot a peiod of 180 days after the time the wotu is
comfienced.
PLUMBING.INSPECTOR RECORD
DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under lloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Boof Drain
Tub/Shower Test
Rough Water Heater
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
Meter Release ln ll
FINAL lot a7lfi n.lX)I 'tNotes, Remarks , Etc.H
rnn a 1r.4 n1-.. Jt'-r 4.V
,Ar'I Ita*\r
()nN!:R nulI,DER I)Ut_CAll/lTt0N
I furcby rflirn uidci ttrtrr]ry of Frrury rhd I n'n c\.mnr tnm rh. Cotrrxcon l-icctr{ tr\ ntr rh. i.ll',*irg fttrsn (Sc.7oll 5
Arsind\\ rtr(l l'rorisi{r CdlN): An, Ciry or G'utrr! {hich rqrnc\ | |xn ir k, .onnni.r. .lr.r, mffovc. dcNni\h or Eltr'ir iny
nDctuc. pri{n ro ir\ i$uanc.. !l\o rcqunc\ rhc {Ilicrnr nn \u.h pcnnlr ro nta \isncd nricf,rnr rhl hcor\h. i\ li.cn\rd Drr\a.nr
h llN ,rtri\iors ol tltr Conrracroir l-ircn{d Lrtr {ChrDrcr 9, connmDcirt *nh Sccri,r 7000 ol l)ivi\ion I or rhl utrsin.s hJ
Pnri*i{nr\ Codc)or rhrlh.or\hc nc\.trrpr lhcrcrio rnd lhc hasis lorrhc illc8.dc\cmprion An) !i{nrrt,oisc.rioiT0rlS hyr y
rmlicrrnlrr!.rmirsrhjc(lsrhrflpfli.airt,icirilpcnrlryoln{lnnncrh!01_'v.hrnd.cdd.ll ^(!5U))
-1.
&s owmr of rhc pmpcrly. or ny cmployes whh *!Ers as lhct slc comFnsat ion. will do thc wk a,'d tlE $nxlE ic ol
ilrod.d or o,tered tor eL (56 7(x4. B8iftss od ProLs.ionr Codci Tht ConMols Lhcn$ Lxe doc. td tpply io an owNt of
Ihc riRrrEny sk, noikls or nrqeB tu@n. .d who d6 sh *o* hims.lf or h.Mlf or firoqn hn or tcr oq cn'ploFcs.
tmvid.d rhd such inpmwrcnrs e ml hlcd.n or otrctd for elc. l( lekrr. tlr hiuiig or anweft n eU wilhii om )ax
of coqt rm 0E Osn$ BuiB6 *iU h.w tlE hld.n ol poing rhar lE or shc dit not t rE o. itpmw thc pmpoly for x plrpo$ of
-1.
as o*ncr ol th. Inolcny, ddchsieclyonhcrins wnh licenscd conrEcrosr.nsmd rh. pmlr (Ss.7044, aunmrs
end Pislssion Cod.: Thc Contuclor's Lic.nr. Law docs .ol atply to e owncr ol prot ny vtn builds or inrrmvcs thcEon,
u i sho @ntmcrs for such pmFrs qilh a C,nhcto(, licnsM ,unulnr ro inc Conrrabls Liccnr L!*).
-l
arcrcnDr udrr Sdio
Orner
TQA(EIILCO!4IENSAIION
IECIASAIIQU
I h.,.by 8ffrn u.d.r !.nahy of rcdury o.. of thc follopa.e &{la,'ionsl
Ihdvcddlilltui ni. a Ccnmcaic orconsnr b sclr-lnore for so.kcrs. conD..sarion, G pmv edrorbySslionl7molltc
Lrhor Gnc, aor rhc I].n'ormrmc oftli worl f.r which rh. pcrmil is issucd
2(.hrvc ana wirt mrlntain wortcB compcnsali{,n insDrancc, as tuqutcd bysccrnrn 3700orlhc ljhor codc. Inr rhc lcrfotmnce of
thc *ork for which lhk Fcmir is issd My wortcn coht nsarion insurlncc cuEicr un plicy numbcr uc:
c^.x,, F-v&A-ts4- L*TL
'|L Oaa &3 S )LLt Og-ot-t?
WARNINC: ljailurc io rcu. *orkcn con,ncnsrrion .ormsc i\ unh*lul. and \hrll suhi.r rn .mployf ro .nn'iml FNltic! ard
civil fine\ up to otu hundrcd lholend do
secri.i 3076otrhc hbo. Codc. imcrd rnd
oq -)4- t8 r4--2
l)l( r \11\ I r(,\_
I hcrcbyalltDundcr pc.!ll, ol rErjuy rh l liensi undcr nrovision of Chlptcr 9 (.a,6'tuNins wirh S.dion 7000) oi Divh iotr 3
ol rhc Busirc\srnd PtufcsionsCodc. rd uy liccnsc h nr tull fttrN md cl'fsr
c78 c I S4o qS
,,,,, Oq-21'( 6 --4,__-
I hcrcby nrinn u crFmllyol!.rjuryrh{rlhclcis{conrhcliotrtoilirBrAcncyn,rhcpcnnrtunccofrhcaorkrarwhiclrhlsFnnirir
irsmJlss .rm7. Civ. C.)
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AIIIJCANLPIILdXAIIO!
I llnht ndlnn uMcr pctrrlryofpcrjury om of lh. followi.E d(10ru'ions
D.nrlirior P.nnirrA\h.sos Norin.arion Fcdeful Rceuhn \ (Tirl..l0, Pul6)
Rcrtui.d kricr oiN.tifldk)tr
guding lsl$los rcnrlol arc nol applic,blc b rhis rtujdr.
n,n n.om.t I oBra to conDly qirh all Ciryand Coury
riz. rrEscnrdrv.s olrhis Ciryed Countyro cnrcr lllon rlr
rtul nnrc rld rh.nh)!r i'rr(nrur
.otrsrorrnnr,. t h..cbr_rurln)
--zA,r"o Lora
o"", O 9 -)t-tf,
IAPPROVALS
Gas-Underfloor
POOL/SPA
(/
-l
c.rrity rh in r he Fcrlortuie of rhc Borl Iu shi.n thi\ Dc.mir h n\ocd. l shall nor cmploy aoy pers. in any fr0nmr
s N .6 txrom srbrc.[o rhc wo*c( coqrncarion hws of Californid. lnd agm
'har
if I should bc.otr subrccl lo lhc
*orkc^' ooFnrario. pmvirions ol Serion :r70.J .r rhc tir.r C.rte. I shnll lonhwnh cohrly with lho* pmvisions..
in tudnion k, fi. coel of conlEtrsli6n. .l,m8.s .s providcd aor tn.