HomeMy WebLinkAbout30139440 - PermitCify 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 #: 3O139440
Pin #: 7O2E1
ProiectAddress: 1551 N Tustin Ave
Assesso/sParcel: 400-211-04 Lot: POR 5
U nil:
Block: NA
Bldg: Address Range: 1537-1551
Tract: FELIPE YORBA HistoTic: No
Suite Range:
Zoningr P
ry
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Jennifer Durant
1551 N Tustin Avenue, #150
Santa Ana, CA 92705
(949) 331-1313
HlLBuilderslnc
15611 Product Lane, Suite E
Huntlngton Beach, CA 9264
(714) 89s-2200
01 1 16002
01 116002
01 1 16002
0'1 1 16002
011'16002
01 1 16002
51602
51602
51602
51602
51600
51602
Amount
13.69
'1o.47
12.23
8.62
z',t.25
52.98
Qty
10.00
4.00
11.00
2.00
1.00
1.00
Feo
$136.90
$41.88
$134.53
$17.24
$21.25
$52.98
Fee Type
Water Closet
Urinal
Sink
Drink'g Fountain
General Plan Update
lssuance
State Lic #: 425119
Lic Type: B
Bus. Lic #: 132424
Workers' Compensation lnsurance:Carrier: Everest National lnsurance Company
Policy #: 76000i8436i7i
Expires: 1213112018
Eotch+343822 - F/l
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Accti !
Rcpti:02263139 -
Tronscrt ion TotoI
HILBuildersIr
?Ap 4n
Building Use:
Job Type:
Nature of Work
B
A
cPc 2016
Notes: c/o
Commercial Occupancy;
Revision Constr Type
common Areas gth 6, 191611Code:
,tN Hernandez, Kathy
6enerol Plnn l-lpdnt e
01116002- 516000r1fr-
Flurb ins
01 I 161102- 516020r1r:r-
V isa
CC+: r*r**;Irrlrr27
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #; 101 95353
Every pemit issued shall become invalid unless the wo* on lhe site
authoized by such permit is commenced within 1 80 days dfter its
issuance, or il the wo* authotized on the site by such pemit is suspended
ot ebandoned fot a peiod ot 180 days aftet lhe time the work is
commenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$404.78
$0.00
9404.78
lnspector MID#: 2017-139800
01116002 51600
01116002 51602
$2't.25
$383.53
Fee Total:
Paid to Date:
Balance Due:
Phone.
Autt*fl:rl
05/16/2018
Account#
Date:
Date:
Date:
PLUMBING-INSPECTOB BECORD
APPROVALS DATE ID/SIG.COMMENTS OIVNUR NUII,DF:R D!:I,CARATX)N
I hcrchyrtftNu d.r Nillry()l !.4ury rhrr Iin.rclnrrrc rhcG m.ttr! t.i.ctr* L,w turhu illoqin8 rciu lscc ?1t:11.5
Bu\ir.\\ u ltoltsi(r' Coder A , Ciry or Counry which rcttuir$ r pcn.ir ro con\lnr(|, lllcr. i'nDlrvc. J.nnnin' r rltr'tr rtrt
{nr.rurc, p'inn, irs n\urnrc.trhordqun\rhc$l]li.rnrir\d.h|Innik,ril.rn!i.d{rrcnf rlrrrh.orshcislic.n\cllF.suitt.
t, rhc ,ovni{nN oi rhc (ntrrrrr{r'\ Li.cn{d ljN (( hlnlcr 9- (in ncmin8 *ilh sccrion ?(xI) ot Diri\ion I ol rh. Bu(inc$ rnd
PR,f.\\iotr\Co c)orrnrr hcor!hc ircr.'np! rhdrulionrrnd rhc hrsi\ n,rir rllcgcd dx. rlrii,n Anyvnnnrn ofSNtiinTr)11 5hy{ny
rml1.ntrr tur r Nnnir $hj..r{ rhc aplli.ntrrbr.ivil|)cnrlryoffortrtrtrcrhrnlivchundrcddollfts($5U,
-1.
as o*.cr ollhc pmpcny. ({ nry cmpkrycc\ sirh \la8cs rs rhcn snc cotrlPcnulii,.. ailldo rhc work rftl lrt {turm i\ to
i,n.nddd.rollcrrdn)rql.(Sc..7Oj4,Burirosrtr{tPturr\\ioisC(xL:'lhc(i,.hrcrtr\l-l.cnsLowd,*snotonDlyro!nouNrol'
rhcl,^)ncny $lntuilds.r i,q,ols rhcNn. and sho d€s such sor* hiNcllor h.r{lrorrhmurh hG or hcr osn cnlpkryccs.
pnridcd rhrr\kh i,npnr(r (d ,int lrl oronaR{ f(n sL ll ln)}r\ ur, ttr huiBnE ur i,qrmEmnt isv)tlwnnin m}rs
ol ory,lcltru. rtE Owncr Luildcr *ill hlvc lhc hurno ol pmri,g lh{ hc or shc did nol ttrild or irrrN! lhc i,n,rEny lor rhc luqrt ol
-1.
er o*ft, of thc Impdy, am d.hrikly conrrrctin8 *irh licensd coflradoF io conner rlE pN,ccr (Scc. 70,a4. ausincs
end ftD6:$bn Codc: Thc Conlrutor's Li.cns. L.w docr.or applr ro r. owner ofpmp.ny sho builds or improws rhc@n.
and qho o.rmrs for slch loFcls *ifi r CoflrEclo(s) lt.nsd plau ro rte Contracloir Liitre Li*I
]IOAtrI&i:CIIMIENIAIION
DDIIA8AIIqN
I lEnby afrirn uodc. Fn,hy of Frjury onc of rh. following dechorionsl
IhrvcnMsrlliBi'rrrCrni,i.{.ofCunsctrrtuS.llln\urclorB.rkcr'.onrFn\arnnr,Npmvnbdturh,Sciionl7{l(roirhc
lrtxn Cdc.lbr rhc EnbnrBn.c olthr wor\ (trwhich lhc Dunnil i\ issucd
I h0vc ,nd will m0i6rri. workcn' conp.nsdion i.suroftc, as Bluimd hy Sdlion 1700 of $. , ibor Cod.. for thc lErfolmre of
thc work for *hich lhis p.rnil is issu.n. My *orlcB @rq*.srrion iosur4€ caEk. ut polky num6.r m:
Polic, Nunrber:Jxpi c.
-l
c.rlify lhd in rh. D.raormrc oflhc work lor shi.h lhk lErmil is issucd.l sh.ll nol.mploysny FNn nt any maner
*, N k, hcsft slbrcr ro fic ertqa on cnglion hws of Catifoni!. aid ase lhd if I slbuld tEom iub.itrt lo rtr
sorts'conpcnsdionpmviriorsofSerionl7mofrhckborCodc.Idull f.nhsirn onply {irh lto* pmvicions..
WARNINC: Frilue ro surc work.s .omp.nsrrion covcE!. is unhwful. ed stull subjcct oplor€r lo qi itul pcruhi5 dd
civil fincs up
'o
orc hundr.d lnouend doll0s (tllx,.ulo), h oddnion l. rhc.ost of cohl,cnsslion. damBcs ar revidcd ir rhc
S.{rhn 3076 of lhc Lrbor Coda inrcrcs &d
5*re 'B
ufJ:lAnallltN
I hcEhy.ffirh undcr pcnih, oa lcrjury rhol I !m li$n{d undcr pmvhion ofChaprcr I (.ommei.-! wirh Seri,n 7m0) olDivisn,n l
of rhc alsiFss..J Pmrcssions Cqjc. alt
'ny
liccnsc is h rull for.c,fil.fitcl
Y
- /b-19 c-r*u".)4*
carsrf,lJ(lt()Nttitutcna[ll;r
I lf,r.l,f rflinn rnd.r lEnrlrytrftrrjuryrhi rhdr. i\l.ond c!r,nLdingr!.,f,tforrhc|1.rfonn.Nc.lrhcworkhrshichrhispcn.ilis
isxuL\ lsc. 10t7, Civ. (l )
ATTI.ICANI.DECIdBATI}!
I tora'y rmd lid€r pc.llry of,criry om 6f ttr follo*ing dehrrions:
Dcmlirion Pcrmirs-Ashcstor Nori,iorion F.ddal Regohhns (Tirlc 40, P3n6)
-Rcqoircd
llllcrof NoliLz on
-l.cnifrrhurrhcfcdc.alregulllionsrlardin8$lr{osrc'novrlurenorlPpli.{blctorhhpmjcr.,["-,ry,r'", I ro,".,a,r"" "ppr",,on/orllmm$ rnd Sitrtc t e{EhrinS rohu,ldr
ic coddi I !8re lo .ondy *irh !U Ci! y !d County
,urhoriz. rctmscnrotivcs ofrhh Cny lndCounryb cnr.r qr,d dr
ehoh mnri.n.d pmFdy to. in+.dio.
ApDliclnl .. A|tcnl SlAtulu
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underlloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Rool 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 lh1 tt(fuuorw-ltl/
Final Gas Test I
Meter Release
FINAL &r/\.rL ./t?---'-
N otes, Remarks, Etc.Y
POOL/SPA
-l
am crcn! tnds S€clion-, B. & P.C. lor lhis Blson
Drlr: Om..:
,"", S--1€-/9
-------r-----
I
=
STATE OF CAIIFORNIA
INDOOR LIGHTING
CEC.NRCI.LTI.Ol.E 06/1 CALIFORNIA ENERGY COMMISSION
SCOPE OF RESPONSIBITITY
Enter the dote of opprovol by enforcement ogency of the Ceftificote ofComplionce thot provides
the specificotions for the energy elficiency meosutes for the scope of responsibility for this
I nstq I I otio n Ce rt ifi c ote.
CERTIFICATE OF INSTALLATION NRCr-LTl-01-E
lndoor Lighting (Page 1of 2)
I-APIfA L- trt ArU ucr4ffi)""*^.*u*yA*,frC Ah)A 'w)rz'€ ?_,bsP''i"6-*79 J / tu. ru9flN 4ut SnpTr4 a az0
GENERAL INFORMATION
DATE OF BIJIIDING< /i*/PERMIT
t{>
PERMIT '
BUILDING TYPE ! Nonresidential E High-Rise Res (Common Area)
PHASE OF
CONSTRUCTION E New construction E eddition \Efitteration
Document Title or Description
Date Approved By
the Enforcement
Agency
fiO$frvL PLAA)'s./
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance .lune 2013
z-or 6 S aag
El Hotel/Motel (common Area)
E Unconditioned
Date:
ln the toble below identify oll opplicoble construction documents thot specify the requircments for the scope of
responsibility reported by this I nstollotion Ceftificote (continued).
Applicable sheets or Pages, Tables, schedules, etc.
STATE OF CALIFORNIA
INDOOR LIGHTING
CEC.NRCILI.Ol.E 06/1 FORNIA
Document Title or Description Applicable Sheets or Paget Tables, Schedules, etc
Date Approved By
the Enforcement
Agency
OOCUMTNTATION AUTHOR'S DECI.ARATION STATEMENT
1. I certifythat this Certificate of installation documentation is accurate and compl€te
Oo(umentation Author Name:€elE zL,b L€t e*f,erta|],on
^u/.not
wvf /f \
Do.um6tetion Autho. Com p.ry N.me:€ztz d. a <.€6 61g11ai(-/t/ ot /ts
z7 f6y4 a rtou{ 3r-C€Al HEn5 Cenifi@tio; Bentifi6tion (lf .pplicable)
cnvtst"t"t4fzA t< t,(_o C.tgl,,VaN ( A qk11
REsPONSIBLE PERSON'S DECLARATION STATEMENT
I c€rtify the following under penalty of perjury, under the laws ofthe State of California:
1. The information provided on this Certifiarte of lnstallation is true and correct.
2. I am eliSible under Division 3 ofthe Eusiness and Professions Code in the app,lcable classification to accept responsibility for the
system design, construction, or installation offeatures, materials, components. or manufactured devices forthe scope ofwork
identified on this Certificate of lnstallation and attest to th€ declarations in this statement (responsible builder/installer),
otherwise I am an authorized representative ofthe responsible builder/installer.
3. The constructed or installed IeatLrres, materials, componehts or manufadured devices (the installation) identified on this
Certificate of lnstallation conforms to allapplicable codes and regulations, and the installation confomsto the requirements
given on the plans and specifications approved by the enforcement agency.
4. I reviewed a copy ofthe Certificate of Cohpliance approv€d bythe enforcement agencl that identifiesthe specific requirements
for the scope ofconstruction or installation identified on this Certificate of lnstallation, and lhave ensured that the requirements
that apply tothe construction or installation have been met.
5. lwillensure that a completed signed copy ofthis Certificate of lnstallation shallbe posted, or made avallable with the building
permit{s}issued {or the buildin& and made available to the enforcehent a8ency for allapplicable inspections. I understand that a
completed signed copy afthis Ceitificate of lnstallation is required to be lncluded with the documgntation the builder provides to
the buildln8 owner at occupancy. - ,/
Responsible Suilder/|tutaller Narne:€.2(C 4,,oLFC Retponrible Builder/hstalle, sisns
Company Name: {l6t lllngSukontEcroror Gene6l Co.tracro. or
Bui e,/odnB) €Ete A- o <.€€ 6T-car'z t a Position With Company trnbl /,.,t t/2...,/r€ft-
2-l fot?A NAorL gf,e41za3'"'''?rihtst., 1,oLYa'}.r, lA lzitc "n
*qe.q LlzZ- ig4 g *ns"*,/,r/or/(g
N
CERTIFICATE OF INSTALLATION NRCI-LTI-01-E
lndoor Li8htinB (Paee 2 of 2)
e'*ax'*' 4"RP/7-Ac ltat / 2-o LEruAv=;E o@iat^$r.1sn|r-A &^ /l zvFyesbs
*"i'a tudff 5 I at. ToSTl tt AL€SanrA AlvA
CA BuildinS EneBy Ef{iciency Standards - 2013 Nonresidential Compliance l0ne 2013
** qr/q-.1/ZL- (8q 8