HomeMy WebLinkAbout30141908 - Permit (2)a City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30141 9O8
Pin #: 66766g
Project Address: 2001 S Main St
Assessor's Parce!: 403-164-01 Lot. 1, 17, POR 2
Unit:
Block: B
Bldg:
Tract. 284
Address Range: 2001
Historic: No
Suite Range:
Zoning: Cl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
BANK OF AMERICA NT & SA ASSESSTI
NC1-001-03-81
Charlotte, NC 282550000
(980) 335-3561
Deb Construction
2230 E Winston Road
Anaheim, CA 92806
17141 632-6680
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
51 602
51 602
51 602
51 602
s1 602
51 600
51 602
57770
Fee Type Amount
Water Closet 14.78
Sink 13.20
Ffoor Sink 16.77
Drink'g Fountain 9.30
Min Fee Adj 18.30
General Plan Update 22.95
lssuance 57.20
Microfilm ReCo-n.',,,,, 3:9{,,. I,', _,
i ':', ;
!l
t;t."
Qty
1.00
1.00
1.00
1.00
1 .00
1.00
1.00
1ido
Fee
$14 78
$13 20
$16 77
$e 30
$18 30
$22 95
$57 20
$3 e1
?: 2S
$318.
II
F,I
+State Lic #: 372419
Lic Type: B
Bus. Lic #: 159001
Workers' Compensation I nsurance:Carrier: OLD REPUBLIC INSURANCE COMPANY
Policy #: MWC31521819
Expires: 05/31 12020
BIi =.t
7
I Building Use:
Job Type:
Nature of Work:
Commercial
Tenant lmprovement
T.l.
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
B
VB
cPc 2019
..
Notes: Plumbing for interior tenant improvements related to
accessibility.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Building Permit #: 1 01971 98
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2018-145049
Y.o'
02t06t2020
Account#
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 s1602
01 1 16002 57770
$22.es
$12e.ss
$3.91
Fee Total:
Paid to Date:
Balance Due:
$1s6.41
$0.00
$156.41
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby lffrm undcr penrlty of Frjury thsl I m excmpt fmm thc Contraclon' Li€€ns lrw for thc following rcasn (Ss.7031.5 .
Busincss and Prcfcssion Code): Any City or County which rcquircs s pemit to snsiruct. ah6, impmrc, dcslish or Epair uy
srucnrc. Jtrior to its irsusme, ds rcquires the applicanl for such lEmit to filc 8 signed statcmnt that lp or she ir lienscd plmmt
lo thc prcvisions of thc Contractor's Licens{ tlw (Clupts 9. Collmrcing with Strlbn ?fi)0 of Divirion 3 of thc Busir&ss and
PrcfcssionsCodc)orthsthctrsheiseremptlhwfromrndthcbasisforthcalhgedcrcmplion. AnyviolationofssfbnT0.ll.5byany
applicsnt for r tEmit subjcgrs thc rpplicant to 8 civil ,Euhy of nor mrc rho live hundrcd dollars (9500).
-1.
as owner of lhe Fnopcrty. or my cmployces wilh wagcs as lhcir sole comlrcnsation. will do the work and thc stnrturc is not
intendcd or offcrcd for salc (Sec.7044. Busincss and hofcssions Code: Thc Contractor's Liccnsc Law does not apply to an owner of
the progrerty wtrl builds or improvcs thcrcon. and wlxl does such work himsclf or hersclf or thmugh his or hcr own employees.
providcd that such improvcnrents are not intended or offered for sah. lf. howevcr. thc huilding or improvcntnt is sold within one )car
of conpletion. thc Owner Buildct will have thc burdcn of proving that he or she did not build or impmrae tlrc profrny for thc purynsc of
salc).
-1.
as o\t'ncr ot'thc propcrly. artt cxclusivcly conlracting with liccrrsccl cotrtraclors to conslruct thc projcct (.Scc. 70"14. Busincss
tnd Prrrt'cssion (irdc: 'l'hc Co nlraclor's l-iccnsc [-nw docs not app ly to an owncr o l' propcrt y u'ho hu ilds or ilnprovcs I hcreon.
and rvho conlracts fbr such projccls rvith a Cortlractor(s) Iiccnscd pursuanl lo thc Conlraclor's Liccnsc l.aw).
-lirtncxt.!llptundcr.Scctirln-.B.&P.C'lbrthisrcastln.I)ittc ( )lllrer:
IVORKERS' COITPFNSATION
DT'CLARATION
I hcrehy affirm undcr Jrcnalty of Jrcrjury onc of thc following dc.clarations:
by .Scction -17(X) of thc
for the pcrfonrrancc of
L (cttt
Policy a
-l
ccrtify that in thc performancc of lhc work l'or which this pcrnrit is issucd. I shall not employ any person in any manncr
so as lo bccome subjcct to thc workcrs' comlrcnsation laws of California. and agrcc that if I should bcconr subjcct lo thc
workers' compcnsalion provisions of Scction 3700 of thc l.abor Codc. I shall.with lhosc provisions..
WARNIN(i: Failure to sccurc workers' cornpcnsalion subjcct an crnploycr to criminal penaltrcs and
civil lines up to onc thousand dollars (S 100.ftn).<lf compcnsation. damages as providcd for the
Scction 3076 intercst and attorrry's fccs.!w
I
I hercby afTirm under pcnalty of pcrjury that I am liccnscrl provision of Chaptcr 9 (commcncing with Scction 7fin) of Divisi,rn 3
of thc Busincss and Professions Code. and nry liccnsc is in full alxl
t
Liccnsc
a
I hcrcby allirm undcr pnalty of Frjury th8t thm is r onstruction lcnding agcrcy for lhe ]rcrfornErce of thc mrk for which this lErmil is
issued (Scc. 3097. Civ. C.).
l-cndcr's Nanrc:
Lcndcr's Address:
APPLICAN'T DI.'CLA RATION
I k'rttry aflinn unclcr pcrralty of pcr.fury orre of thc lollowing dcclarations:
Dcrnolitiorr Pcrrnits-Ashcstos Nolil-icalion Fcdcral Rcgulutions ('Iitlc ,{0. Part6)
-Rcquircd
Lcltcr of Notilication
-l
ccrtify that thc fcderalrcgulations
atnve nrcntioncd proprty for inspcction
Applicnnt or Agent
I'rrnrilee nitnre
asbcslos rcnmvalare not applicablc to lhis projcct.
UNDER GROUND I
Waste & Vent 7l to 20 .+fl
Water-Under floor I I rl
Gas-Underf loor
Buildinq Sewer
ArealStorm Drain
lntercepto r I Clarif ier
TOP OUT
Waste & Vent tlrq ao
Water Pipinq iltu 1o *n
Gas Piping I ,ll /
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
lVlain Drain/Pool Piping
Fill Line/Back FIow
Pool Heaterlcas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release ll \-I ,rt
FINAL t)LKH'ilzt +TD(
_llqtes,Femarks, EtQ.I U .rI2/ lzlus-DClft r',1 > fr-,Oot J
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aCarricr:-lL
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?O contracto*DA
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