HomeMy WebLinkAbout30440267 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30,440.267 $
Pin #: 35894
Project Address: 1638 E Seventeenth St
Assessor'sParcel: 400-251-03 Lot: NA
Unit:
Block: NA
Btdg:
Tract: NA
Address Rangel
Historic: No
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
Trinidad Cisneros
1125 E Seventeenth Street, W-17
Santa Ana, CA 927O'l
Owner-Builder
01116002 51602
01116002 51602
01 1 16002 51602
01116002 51600
0'1 1 't 6002 5'l 602
Amount
6.95
8.47
55.87
22.O8
55.04
Fee Type
Cap Fixtures
Cap Gas Outlet
Min Fee Adj
General Plan Update
lssuance
:
ety
1.30
1.00
1.00
1.00
1.00
i r .11-11.
Fee
$9.04
$8.47
$55.87
$22.08
$55.04
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
17-
Totol
rgneto9
on [,edote
Building Use:
Job Type:
Nature of Work
Planning Conditions: lnterior demo only
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Alteration
lnterior demo - n/v
B
VB
cPc 2016
Occupancy:
Constr Type
Code:
Noles
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Llpdqte Fee
600uon-
i0200rJ-
1tr28Amsden. Julie
Buildins Permit #: 10498362
Every pemit i$ued sholl become invalid unless the wo* on lhe sile
authoized by such pemit is commenced within 1 80 days dfter its
issuance, ot il the wotk aulhoized on the site by such permit is suspended
ot abadoned lot a pedod ol 1 80 days afrer the time the wo* is
commenced.
11t14t2018
Account#
$1s0.50
$0.00
$150.50
lnspector MID#: 2018-147302
01 '1 16002 51600
01 't 16002 51602
$22.08
s128.42
Fee Tolal:
Paid to Date:
Balance Due
Suite Range:
Zoning: C5
o T :
Non-structural demo of all interior walls/ceilings
(complete gut of ofriceslre6trooms) on the lst & 2nd
floors,5800sf. Letter of auth on file.
t
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEi BUILDER DEI,CARATION
I tEEtry rrm u.d.r !.Nlry of FrJury rh5l I a q.npl tDe rhc CoftEclm Lic6* L:w for rlE 6llo*in8 lten (Se.70]1.5_
Buin*r lnd Pmfdion Co{.)r A.y Cir, or Cou,ry ehi.h EquE, o Fhn to 6 rto.i .ltd, iorrev., dcmlirh or rcron ey
,rcn!!t ,rior ro ir! irs@e. lbo Eqund th. $pli6r for $.n pcm ro file . rieftd sliftni lhlr lE o. dE k lic.E d luddlr_
ro rh. Dmvtuio e of tL Co turd r Li.cnr.d Llw (Chlord 9, Commctuins *nh Sddon 7000 of Division I of 0E Buiins! .nd .
Prcf.$iotr Con.) o. lh.t lE o. rhc i! .x.spl rlEEism ..d rh. h.ti-r h. tlE alk8.d qcdrerion. Any viohlion ofs..rion ?01 LI by lny
aDpliq fom p.mil oldlr th. lpplica.t lo a civil p.mlty of oot mE lh6 fiv. hwdod doll&c {!500).
-1,
ar owM olrh. !m!.ny, o. ny .mplor6 wnh w6s.s I rlEir $lc 6npcneliot'. wi[ & {E wlt a,ld itE dndw ic ml
inl.d.d or of.Ed ft. sL (Se.704d AusiB ed PDa6liou Cod.: |1. ConlEcltr r Lic.n.. t w .bR ml qrlly to d owr of
th.,bp.rry who trild! or ir?mB llE6,r, drd vlD &B ch h* hitu.lfor h.klfor tteud hi! or lr om.oplotr.s.
pmvit d lh.t sch homrEEiB E ml id.i.Ld o,E rd &r sL. ll hw.c. ilE boildi4 or in{,lEmrr i, bld within o( rs
of@nDhrio,L ilEoqffi Br d.. willh.E E hdcn ofpmvi4g rhn h.ordEdd d hnld or invDE ih. F.psty 6r dE po.Fxof
_I, arowEr.frh.!mr.ny, dn.rctusiv.lym @cri.g wirh li*ded o ocro6rooNlrud ilEImjdl (S{.7044, BuiE$
ald Pnf.ssion Codc: 'l hc Coor..ctoa ! Li€GnF Law do.e mr aDply ro an ovE of pmD.ny wno b!il& 6r imprcv.r rh.r.on,
rnd who onulcri hr ch rmj.cts virn. Coorndo(3) lic.h$d t)uM to lh. Conrr0crols Li.m% l,v).
_l @ .r.@pr und( Serion- B. & P.C. for thn rc,$n
D.t.: Om.r:
.EA85!8S-CA!!!ENSAIOB
DECI.A8AITO!
I hdby omrm und.. pcmhy ofFjury oft ofth. folheinS delmibm:
_l havc rd will ruior.jn. C.nifsr. otco.mr lo S.lll@E for mrt6' ompd3niotl Frvid€d for bySelion1700 ofth.
Lrbo. cod.. for {ic p6folll@. of lh. wo{ f6r s,tich rh. pmi i. is.d.
-l
hovc and will n.inloi. wo*.n compcns.tion insum^..c, as r..NiRd hy Set ion 3?00 oI rhc Lahor Gdq for th. fdforunc. ol
tht qort for shich thie p.mit is is.d. My worldt coq,.nsrion insuEnce cldcr aid F,licy nunb.r d.:
-l
c.diryrhd in$. Frformm olth. wo* for stich rhis D.rmn t iro.d. l3h!U mr.mpLy!.yp.Nn in.ny MnM
s ar to lEom otr.l b fi. *ort(6' otrlpdrdio. l,w. ofc.lifomir, $d .sr ltal if I stFuld b.c.tu tubjer lo lt!
vortm' smp.Mlion tmvisiotrs ofs.clion l?00 of ln bbor Cod., I slEll, lb'lt*ilh mDply silh rtb* IlmvisioB.
lv^tNlNc: ljailure ro sr!.e wnrh.6' compensrrim srcmse is unlswiul, and rhall r!6jd dn . Dlort ro mmin0l pcmlrK rtrd
.ril fines !p to om hhdrd rhourand dollam (Sl
S<tion 10?6 ofth. tjbor Codc, int.rcir ond ftork,
lddrtrn h rhe co! .lcoup.nr.rio( dimg.s .s ,mrid.rt for rh.
Ihcd,afl_mrnddF",ofpcriuryrhrtIMlieracdu.d.rpoviio.ofch6pldI(otlll'ftingwnhs..rion7000)ofDivtuionl
.f lh. Builm,.d Pof*io,r Cod., dd By licm* ir ir tull for.rn.,E 1.
cox$aucll{lNtllllllc.AcENlr
I hs.hy .mrm und.r pcMhy of I}crjlry rhnt lhs€ E . @rrruction kndins !s.my for th. Derlbrtunc. . t rht s.rk lor whrch rhB pcflnn $
hsud(S{ 1097. Civ C )
AttucAN.fDr,ctASauo!
I hclby a,Um und.r ncnahy oI n.rjlly o.c of rh. following d.cla,ationr:
Dcmlilion Pmils.A!b.$.r Norific.lion Ld.ml R.SUhrhn! (l.nt 40, P0n6)
LR.quEd L.fldorMtrrsrhn(t
aal cdl,ryrhlr rhc t d.tul EsuhrhN Er.rd,ne a.lrno! rcmrrlu. tur q'pl(rblc ro lhB nDFr
4(1..n,5, ,. , *," * ,* .*,{al. Oll $. abovc intumrin 6 coa.o I rlr ro or{,ly wirh all city 0d counr,
orlnr !.\ JDri sr i.I r\\ rr tr ,!co.srrudoi\ dd h.r.hy rurhoriz. Enre$nbriv$ oa'hr Cily0.d Counlylo olB un nlh.
.boe€ m.nriofl.d po!.rly for
Appll..nl or AScntSl*n.luE: -
,,^r*^ ,r"n,yrfgJ
-/4-6
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pi ptng
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{raplDrain 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
Rough Plumbing
Final Gas Test
Meter Release I
FINAL bn//ta -4Yr/
Notes, Remarks, Etc.
^/&-/€9
L.ndei3 Addls:
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