HomeMy WebLinkAbout30138099 - Permitcity of santa Ana 20 Civlc Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 38099
Pin #: 9786.2
Proiect Address: 2620 S Hotel Terrace Dr Unil:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: Ml
q
Assessor'sParcel: 411-131-06 Lot: NA
Owner:
Address
Phone:
Tenant Name:
Contractor
Addressl
Heritage Hotel Group
26240 Enterprise Court
Sanla Ana, CA 927055447
(949) 204-1101
Clarion lnn & Suites
New Eco Concept
7006 Dorland Street
Chino, CA 91710
(909) 837-8787
01 1 16002
01 1 16002
01 1 16002
01 1 16002
0'1 1 16002
Fee
$24.46
$1s.53
$46.83
$21.25
$52.98
5160i
51602
5160i
5160C
51602
F6e Type
Sink
Floor Sink
Cap Fixtures
General Plan Update
lssuance
Phone
State Lic #: 1008882
Lic Type: B
Bus. Lic #: 365795
Workers' Compensation lnsurance:Carrier; EXEMPT
Policy #:
Expires:utll6uu2- Sl6uuuuu-
Flurb ins
011160112- 51602000-
ll(leter Cord
CC+: *******rr**197llBuilding Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject lo Field:
Buildins Permit #: 101 91850
Hotel/Motel occupancy:
Tenant lmprovement Constr TYPe
Breakfast Arca/Utility StoragCode:
Date
Date
Date
B
V A, SPK
cPc 2016 Notes:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Remove interior wallg & (3) regtrooms to convert guest
rooms 112, 114, & 1'16 into a breakfast area & a utility
storage room n ith sinks. Add buffet counter &
equipment. B occupancy with occupant load of 45
Max.
$161.05
$0.00
$161.05
lnspector MID#: 2017-1338'18
01116002 5't600
01'1 16002 51602
$21.25
$139.80
Amount
12.23
15.53
6.69
21.25
52.98
Qty
2.00
1 .00
7.00
'1.00
'1 .00
gatch+: /
olf ice:
Acct+:
- 6/3/2$t8
Trongi: g
Reft;t4 - 6/3/2019fotolIrpti: t
Tronso,
t'let, Ec
Planning Conditions: lnterior ti only
Fee Total
Paid to Dale:
Balance Due:
06/05/2018
Account#
Every permit i$ued shall become invalid unless the wo* on the sito
aulhoi2ed by such pemit is cgmmonced within 180 days aftet its
issuance, or it the work authoized on the site by such pemil is suspended
ot abandoned fot a peiod ot 1 80 days aftet the lime the v/o* is
commenced.
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/slG.COMMENTS OWNER BUILDER DELCAIIATION
I h.Ety lrtrm udq p.nalry .( Frrxry rhd I m .r.opl fDm llE ConlB.lN Lttrs h* lot thc lolloviry rcasn (56.7031 5
Buiincis art Prcf6sion Cod.): Any Cily or Counry which rcqotcs a l.rnn ro sNrDd. dld, inPmt d.mlhii o q4t oy
smblu.. ptur ro ils issu.mc. lts Eqrircs rhc qJrli.lir for ru.h Fmi lo nh ! rigi.d slar.ft lhd h. or slE is lic.sn puunt
ro rhc lmvi(ions ot rhc Conm.|or'i Lhc.$d tlw (Cnnphr 9. ConffiEins wnh Sc.tiD 7000 ol Diviriof, I of llE Blrincs lnd
Potcrsioos Codc) or rhi & or shc is cxcnpt 1h.rc6!n and th. bost for ihc ilhgcd crcnplion. Any viohlhnofsdbn 70:l L5 by My
q,plicrnl for . Frmil slblrls rhc rrplicld $ a civil pcn.lr, ol @l mE thu fiv. hudtd doll&s {tt00),
-1.
&{ dwner of lhc pmlEny. or my cmnk rrcs wnn waScs e llEn sk onpcnslion, will .lo tlE *orl od ltE smrlle i! rcl
inrcd.d or otu for sk (Se.7044. A$iE$ and Prof.isions Codq Thc Conlracld s Lic.n* Laq doci nol alply ro u ovrcr of
rhc pmp.ny wtE hdild! or ilproB ln mn. sld wlE des sh kd( himlf or lEBellor rhbu8,l his or tEr o*n cnplores.
pmvid.d rhal such imPmrrcftnl! 6 rcl in.nLd orofrcr.t 61 3d.. tl hoEE, dr toiuing or iqloEftnt i! 5ll withi! om )Er
ol@nphrbn. rlE OwE &rild.r *i[ hlw tt hnhn ofFovins rh tEorCrdndbildtri,ptuwdf poFly aor llE Flrosof
-1,
as osmr of rlE nmp.ny, m ci.lurivcly .o.rB.ri48 *irh lic.n{d contstoF lo onslocr rL Ptr'j*r (se. 1}44, ausms
,d Eure\*i{ Cod.: Tnc Conltrlols Liccnrc tiv dms nol a!,'ly ro an 6wmr of prop.ny who builds or intmt. rhq€o(
and {ho mntEcrs for $ch pbj.crq wirh a Conhdo(n lkcn*d puBMl lo lhe Conrachls Ltcnsc tzw).
I m.r.mol urd.r SNlion .B & Pc.lorLh"Elsn.
uoB(!8tr-cl)r4PiltarlaN
DEIT.AMIUN
I hcrcby afirm und& p.Mlr, ol Fjury om of thc followins dehturionsi
-l
har ard eill milloi. . Ccnifral. ofcoMrl lo S.lf-lNurc for srt6 onp.Deli.n. rs Fllidcd for by !€lio. 1700 ofdE
L5hor Cod.. fd lnc pdtortlam or llE so* lor whict tlE pcmil ir istucrl
-l
harc .nd will @iblri. vorkcB compcnsatiotr insumflcc. ss rcquncd by sdrion 3?0o of lhc Llt or Codc. lo, tk pcnoru. of
rh. work ao, which lhis pcmil h issi.d. My comrc.slrhn i.su@ c tr srrd lDlicy numb.r el
WARNING: FailuE b surc *orkes en{Ensalidn @vcdec n unh*tu1. tnd shlu $bFrl 3n cmnhtlr ro @minll lf,Mlas and
civil fine ul) t6 om hudrcd ihousnd dollm ($100.000). in addirio. to lh. 6st of conPcnstion dlmgcs as prcvid.d for ihe
S.crion -107a, ofrhc uh, ('(xL. inrcrc{ lnd
I hcrchy lififlnundcr pcndryotlf,ijtryrhdr I unddr povhion ofChD/( I (conmncin8 *irh Scclion 7000) ofDivni.n l
of rhc Busiros und Pm{c{sions Cod€. and o, li..ns h in tull rbN aftltltKt
I hcrcbtlffirmhd.r pcndlry.rl(rjury lh lnm naonsrruclion bndingl8.kt for rh. P.rfornBrcc orrhcw6tk [Mqhi.hrhn Fcrmn n
isncd (Scc 109?, Civ C )
AIILfEANLOI'IIABAIION
I lmhydlnnrunJer nctrllly ofpcrjury otrc.frh. followin! dNlnrlrion\:
Dcnn'lir,on Pcrnrir$Asttslor Norilicrrion F.dcral R.auli ion\ (Iirlc ,(). P0nO
Rcqutcd L.tlcr olNorillcdi{,n
-l
edify rh,r
'hc
tcd(ij rcFlntiotrs ESadiflB sstxslos rcmval arc ml .pplkabk b lnh Pmi$t.
-l.difyrh$
I htrv. ud thh apnlicalio. aln slgr. th rhc lhow anformrion i,c(ret.l ase lo.omdy wi'h.U Cny and Coonl,
odininc.s drd Sralc tjm Ehr in8 ro buildi.! .oo{rucrion, a,rl h.rcby oulhoria Eprcstlarivcs of $i. Ciiy and Counll to .nld uton llt
ah,vc rc n,n d pft,lr y fo nsp€r
Appli(rnr d *enl Skmltr
UNDER GROUND
Waste & Vent l-h.-tb -,)>$tbt ry
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent > t -lt4 t-&
Water Piping l(uu-io f,
Gas Pipino
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
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 Release
FINAL il-i-G \D.ralza /r)
Notes, Remarks, Etc.
-l
ccniry rh in lhc Frfortun.t of rhc wort fo, which rhk p.rmn i$ kslcd, I shlll not cmrloy an, FBon in sy mn.cr
so &\ ro b€oft slbiccr ro rrE mltdc omFnsliof, loqs of Culiaonia. ud artc rhd if I should h.com sobj*l lo rh.
wol(sl .omFn\ari.n ntuvirhnsoiS.dion 3700 oflhc litnr Codc,I sndl fonhwaln drmply wilh lho* lmlisiom..
Nurbq
-
P€mile mme rprinl),
*,",67t/tt
I