HomeMy WebLinkAbout30140304 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counten (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{40304
Pin #: 660{9
Project Address: 2245 S Orange Ave Unil:
Block: F
Bldg:
Tract 638
Address Range:
Historic: No
Suite Range:
Zoning: R2
E
Assessor'sParcel: 403-'143.12 Lot: POR 21 & POR 2:
Owner:
Address
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 92701
(714) 903-2002
FEe Type
01116002 5'1602 Cap Sewer
01116002 5'160i Fee Exempt
01116002 5160C General Plan Update
01116002 51602 lssuance
Amount
99.92
-177.O4
22.08
55.04
Qty
1.00
1 .00
1 .00
1.00
Fee
$99.92
$-177.O4
$22.08
$55.04
Phone
Tenant Name:
J&Glndustrieslnc
18627 Brookhurst St #302
Fountain Valley, CA 92708
171419O3-2O02Phone
Building Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code;
R-3
VB
cPc 2016 Notes Demo and clear lot. AQMO on file. *.FEE EXEMPT PER
MEMO-*
Planning Conditions
Planning Approval By:
Plan Checked By:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buirdins Permit #: 101 9841 3
11t20t2018
Account#
Every pemit issued shall become invalid unless the wod< on lhe sito
authorized by such pennil is commencod within 180 da$ after its
issuance, ot if the work duthoized on the site by such pemit is suspended
ot abandoned tor a peiod of 180 days aftet the time the wo* is
commenced.
$0.00
$0.00
$0.00
lnspector MID#: 2018-147755
N/A - No Balance Fee Total
Paid to Dale:
Balance Due
Contractor;
Address:
State Lic #: 571859
Lic Type: ASBS, A, HAZ, C-21
Bus. Lic #: 160248
Workers' Compensation lnsurance:Carrier: State lnsurance Fund
Policy #: 0802847
Expires: 1010112019
Single Family DrYelling
Demolition & Clear Lot
Oemo
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNf, R BUILI'EI DEI,CAR 'I'ION
Ih.rehyrmnnunddp.Mlryofr.rturyrhdI..x.hflfen,rhtConlrMlosl-icenseLnwi.rrlE,iJlbwiryEisn'(s.c?0ll5
Businc$ and P(rlession Cod.) Any Cny or Counry qhich ..quiEs n r.m tu connruct, ilin, inDr.\r, dcnnnhh { rcnin iny
srrucru.. p.ttrlo ns issafte, il$ requtrs rhc .pplicinr nr such p€mn lo lilc r srBmd srar.mcnr rh.r tEor shc n liEtr*d nuNad
h rhc rmvi,ions olth. Contactois l-iccn*d l-.s (chiprer q, Coonncncrns vnh Scciion 7000 of Uvhion:l ofthc ltusin*s 0nd
Pmf.arionrCod.)orlhll h€orsh. hci€mpl lh€relrom.nd rh.tlsis fo, lhe ollqcd cisfl ion AnyviololionofserionToll5ty0nt
np,!lica tu a p.mir iubjcls rh. lrtliclnr lo acirilp.nolryofnor mrurhan firc hundr.d dolltrE(5500).
_1, I owBr of thc trDFny, 6r my .ntploys wnn w.ed 6r rhcn $b omDaelioa will do tn work dn lhc fitd@ b e,
intsid.d orotrcEd for slc(S@.704rt, BuriIB a.d Pbl*ions Cod.:'l'h. co.lr!.lol3 Lidn* ttw&16 mr afl,lylo owroa
rh.rorEny who toil& or iqm6 th.@,r .td eho do6 tun hd. hi@lf oi hlelf o, lhrcu3h hir or hd own.mplorEn
pmvid.d th.l sch iq,owm.l! N ml id.i&d orolGEd lor $h. l[ hoM,lh. tuildirE or iq'dtrElr b mE enhin orc rar
of@mpl.laol}lh. Oaftr Blildd willh.E thc btfdd olomviie u hc or dr did ml hlld or irprlw $. plopdy for $c Flrhs of
l. osownd.fth.I,mFny, am cxclusivcly conlmcrin8 wnh lic..kd conrmctoN to consldct rh. pmj..l (Sa. 7044. BuriE$
lia Prolieioo Codc: 'l h. conra.rors Li*ni. lj{ doca mr ap,'ly lo snown.rofpol.nywt6 builds or impmve,lhcr.on,
rnd who s a.lr f.. och pmldts {irh r conrmdo(s) lift.ed pu6u0d lo rh. ConlE.lor's Licdr ta*)
_l .m .xemrl undr Sdio B & P c. ior this .a$n.
.uaaf,raftottlEltA]Ia!
DECI4XA]XA
I h.Eby .mm mdd p.n lly .f pijury oE ofrh. followinr d*lanrioB:
I h.vctudwrll min rin. Cenificar.ofconrnr ro self-lnsur. aor \wrksi..nrp.isornrn, ff nmvid.d fitrbyS6rtun 1700ofrh.
Lah.. Co{.. lirr rh. pdormm. oirh. tro& nr *hrh rlr tn. ir N.u.d.
_l hw. .nd will @inain mrk.B comp.n$tion ircmrcc, ar r.quircd by Ser ion 1700 of lh. L.hor Codc, for lh. l.rfomtuc of
'\c\,rkr w[rhlllBrcr'nr,s $rn vvLvolos nlF,lc]n''nrn"a.
,..., -SJ.^\a tr ., nI:z;dq 1 -\-
_l ..dily fid in rn l.rfof m. 6ilh. worl aor which rhis pmir $ issx.d. I .ha!l mt .mploy a.y rc6on in ony mmner
$ lo bdom sbjc.r to lh. wortd'onptr ion ln* of Crlitomio. and a8r thnt ifl slnuld h.com. $bi*r rorhc
10r*6r'mmp.NlioflnmvLionsofS.dion3T00oath.L.hrCodelshall,tonhwithcomplywilhtho*pol,fthni
!o *crr workn' mnPt.$rbn cokds. ir unhwtul. r.d .hall sublcr m .mtloy.r lo siminol !.mlti6.nd
in add rnr h rhc co{ .fcomp.nsN'ion, d.mgcs ar pmvided fo. rhe
Lc.,c\
lll!1,:!.!l:lll0:l
I h.Eby dmrmundfi p.ulry o t r.rjurr rhd I tui licchcd udd pmv6i6nof ch,,'rd9(co@in8 wiln Sdion 7000) otDivision l
ol rtl BNi*se nd PDfc$ions Codc. arxl ny liccns is in tull firc dd.fftr
5*l lBEl
o". 1
I cdiry rhd lh. i:d.6l E8ularionr r.8ard,nB a.bdt8 r.mml aE mr rpfli.abL h thh pmjd.
-l
ccrlity tld I tsv. rc.d this applicalion md rhar th.ohoE infomarion i. corer I .sa ro c.mply wirh lll
ndimnccs an<l Stilc bws El.tin8 lo ioq ind hcrcby aurh..izc .e,'i.$nhrns ofrh,r ciryand
ahove h.n'ioncd rmpcny fo!
ppli.{nl or Ag.f,l Signnlur.
a 0
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough 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 S prinkler ,"sr
Sanitary SeweriCap\1.1-lq x,\1.i1t)
Back Flow DeviP U
Rough Plumbing
Meter Release A
FINAL r-31"1'l ).vf-10
Notes , Remarks, Etc.
taNualJcIIoN-LElDllCICllCr
I h.Eby omm undcr p.Blty ofr.qlry th llrE iB ! connruclion LndinS ag.ncy lor rh! pofom.cc ofth. vorl fo. which lnis tEmit is
ksld (Sft. 109?, Civ. C.).
L.ndE's Nim. _
a.rrlr.c NLDtclaSAro!
I h.riy.limu derp.nrh,ofpcrjuryokofnpaollowin8ddlararmns:
DdD,l n,n Pqntrrs A(hdor Nd'fi tr,n t'hl.'tr| n.lull Fns(I a. 40. Pod^,
-Requircd
Letter ol Nolifi carhn
Final Gas Test