HomeMy WebLinkAbout30137123 - PermitProject Address: 120 S Pacific Ave
Assessor'sParcel: 007-320-04 Lot: NA
Unit: 38
Block: NA
Bldg:
Tract: NA
Address Range:
Hisloric: No
Suite Range:
Zoning
q
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3lJ137123
Pin #: 43568
Owner:
Address
Conlractor
Address:
Phone
Tenant Name:
Phone
011
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Olson Company
120 S Pacific Ave Unit# 34
Seal Beach, CA 92703
(s62) s964770
Olson Urban Housing L P
3020 Old Ranch Pkwy *1400
Seal Beach, CA 90740
(s62) 596.{770
16002
't6002
16002
16002
16002
16002
16002
16002
16002
16002
16002
16002
16002
16002
51602
51602
51602
51602
51602
51602
5'1602
5'1602
s1602
51602
51602
53602
51600
51602
Qry
3.00
2.00
5.00
1.00
1.00
'l.00
1.00
't.00
1.00
'1.00
2.OO
407.39
1.00
1.00
Fee
$41.07
$42.84
$61.15
$13.45
$1 1.52
$10.26
$62.18
$42.85
$63.12
$42.85
$29.78
$264.80
$21.25
$52.98
Fee Type Amount
Water Closet 13.69
Shower/Bathtub 21.42
Sink 12.23
Clothes Washer 13.45
Dishwasher 11.52
Garbage Disp 10.26
New Sewer (First 100') 62.18
Gas System 14 42.85
Tankless Water Heater 63.12
Water Service (Each '10 42.85
Hose Bibb 14.89
P/C - 65% 0.65
General Plan Update 21.25
lssuance 52.98
Notes: Plan 4B/fees pd on M-
State Lic #: 939166
Lic Type: B
Bus. Lic #: 363131
Workers' Compensation lnsurance:Carrier: Cypress lnsurance Company
Policy #: 1NWC904693
Expires: 0l/01/2019
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Condominium
New
New Condo dgarage
West, Glen
Zuniga, Allissa
PAID
}1AY OB 2OIB
Occupancy:
Constr Type
Code:
R-2, S-2
V B, SPK
cPc 2013
Date:
Date:
Date:
03/03/2017
o't02t201a
Account#
01116002 51600
011'16002 51602
01116002 53602
Fee Total:
Paid to Date:
Balance Due:
City of Santa Ana
Buirdins Permit #; 10190462
Every permit issued shall become invalid unless the wo* on the site
authorized by such permit is commenccd within 180 days aftet its
issuance, ot if the wo* authoized on the site by such peftnit is suspended
ot abandoned lor a period of 1 80 days after the time the worl< is
commenced.
MID#: 2016-130953
Misc. Receipt: 68297
Misc. Receipt:
Misc. Receipt:
Total
$21.25
$474.05
$26.00
$760.10
$238.80
$521.30
lnspector
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.
UNDER GHOUND I I
Waste & Vent (L,{ltB icl}-
Water-Under f loor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent ,*
I
2?
Water Pipino
I c7-rb
Gas Piping tioo loz-tA 2e Art //4k/9//'i<.u?.*42
Rool Drain 5A< .ba/arz- 4E
Tub/Shower Test a)a^.t L^^^/
Rough Water Heater /
POOL/SPA
P -trap/Drain Line
Ir/ain Drain/Pool Pipinq
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing la4t-tb Zc A1
Final Gas Test
Meter Release /z-f-/B 4e-z
FINAL /2-3-/6 6c z-z a21 //rr/
Notes, Remarks Etc e 27
)
,/z->-zD
OWNOR BTJILI}T,R DI]LCARATION
I hcrcby JInnD undd l.ndry of pr.,ury rhd I m cxcmpr fi.m rh. ContrckB l-i.cnsc lje lor rh. tolb*in8 rcasr (S.r 70ll 5
Busines and Prolc$iotr Oicr A.y Ciry or Coutrly whi.h rcquircs . lcm ro construcl. alls. im!r.ic. dcfldish .r rcndt Jtry
srucruic. prinb ir\ isluakc,.lv,r.qun(rhrrtplicrnrli,.{(hIElnirr(,fi[r\igmJdarcnEnr rhdr hc.r \hc i\ li.cn*l pu^unr
k, rh. prori\iotrr ofrh. Conrrlckr\ Li.cn\cd l!, (Ctlprr q. Coalmcncitrr wirh sccrioo ?lx)(, d Diltn,n 3 ofrtc Bu\in.$ lnd
l'rofcssn,n\Codc)oirhrrh..rshcis.rcmfrrh.rfromsndrhch\islorrhculklodcxcrprn'n. Anrv$lrtimofSc.rionT0Sl.5byiny
qrpli.anr loru pcnnit subjcch rlN orDli.u l ro acirilpcndrrolnot nxrcrlM livc hutrdrL.ddollls (S5&).
-1.
ds .Bn$ of rh. r.Fn r, or ry cnrl loyccr wirh s+cs r\ rhrn s)h .onrrn\arotr. will do rh. lork rd rhc $nf,-lurc is ml
inlmdcd or ofclcd tu $lc ( Sa 7l).1,{. lhsimss lnd PNfc$ions ctu]e lhc Conlracrols Licensc l i* docs nor !ppl, t, an .ei.r or
rh.pn,Il.nt $ ho huild\ or nl\ton\ rhrtr,n, dwhodocs\!chso*hinsclforhcrscltorrhnrshhkorhcroMcmrk,ycc\.
phvidcd rh.r \och imPlomr hmton idcndcd orottcrcn h. lrL llilr$c!cr. rhc tnildin! or imtovctuir t {nd wirhinuncru
ol conlrLrir IltrOsncr IJuiUcr {ill tur rh( htr' dln.f !ii)!ns rhd h. ur shc dil,u t{rikl or inDNvc rhc pn,Fnr ln rl.. purF,*.f
p(. o. n*,", ur,n" n,n*nr. un cxclNir cly colnraclirS wirh liktr{d .onriclor lo consruct lh! pmrcr ( scc 7(x,1. Bu\incs
rtol Pnris\irn Codr ThcOnrrrcr{n s l.i.cnsc li$ (locx nor llpllyro rnosncroltropcnysho huild\or inrrrov.( rhcrcon,
rnd \ho .onrd.r\ lir such pk)lccrs wirh. conr.rcrtr(s) liccn\cd prrnrair ro rhc conkkrr\ Li. sch*).
l omcrcmnr undcr Sftnon .8.&PC.forrhFE.sn
D.t.: O*n..--
'Pn'
lQ8trE8I.gQMPiNlA:IIlrN
DEUAAAION
rmrm u&ln lEoly of ldiury oft of rlE follo*ing dshdrions:
qi,hlve lnd $iU nuirrninaCcnificareofConrnr ro Sclf'lNurc ld worksi compcnsrrtun. as rolidql rr by Scdioo.lTfi) olrhc
r Gic, hr thc lErforrome .I lhc w.rk rd *hich dc Ffldr Ls issucd.
_l h8vc a.d eill nri.rrio w.rkcrs con{En$rbn in*um.cc. $ rquncd by S*iion 3700 of lhc tihor Codc. lor rll. !.rfoMc of
Itc qrk fo. which rhh Fmir Lr isdl. M, wo*6 cdnpcBarion imu@c cmi( ard policy nunbq m:
I c.nifr rhar in tu lctormn( olrhc work fd shi.h rhis ncrm is isiucd.l shEll nor .mploy rny p.Mn indnym.nmr
$ s to tE onE slbrd b lhc workcs' con{Ensalion kwsorcdlifornid.ond tr8N rhol if I should hcco!rc suhicl lo lhe
wo*crs' .ompcns.lion povnions of Setion 3700 ol th. titnr Codc. I sholl. fonhwilh cooq,ly vilh rlnc pmvkions..
WARNINCT F8ilurc lo *c!rc workcB compcnsation otrlsc is unl.wtul slhjod rn.mpk)ycr t) di'ni'r! F_ruhi.\ trd
civil fincs uD lo orc filndred Ihorsnd d.llas (5100.000). in addilior d!mg.. as ,"ovid.d for rlE
- t.t
DIEIdNAIION
IhcRhyalllr unarrt^-nrlryoIF-rturyrhiIimlicctrrdu rrpR,vnionolChJpl.r9rco'nnf,ir,!sihScdi({7(XXr)nfl)lvisi($1
o, llr llu\irc1\ rnd Ilolc\\.r\Codc. ud nry lr.tr\c n ir,ulll,r.c:!rl.llc.r
5'ts'13
APILICANI,IECLASdIIIN
I lE6y afiim undcr p.nliy of F+ry om oa lh. lollowing d.chroihf,s:
Dcmlilion Pcrmils-Albcslos Nolificalion k.ral Rrguhlions (Tirh 40, P!n6)
-Rcqunrn
Lcncr ol Norirro'ion
I
triFl cEriI tho' rhc rcd.ml ,c8lktn'N rcsa'd'nB ostriosrcmralm nnrJpnln$hro rhn nmrc( I
-l.cnifylhal
I huic rcod lhis lpplic ionerd I lgre ro.{mply wirh dllCily.nd Coutrly
ordinln.csa Srarc liNs rcllliry l{' huildirg rd C.unr, k, r rr trt,nrhc
o6o!c nrcnliorcd pmpcdy for inspcclio.
,\ptrliunr or.\X(nr Silnnturr:
COMMENTS
Fill Line/Back Flow
S..ri.n ]076 oi ihc khr C.dc, i crc{ aod lrrorry's rcc\.
CONIIBI]I:IION.I,EBDINIiICTNIJ
I tcEl,y affrmunds !'cnaltyolrcrjury th lh.rc is0consrru.liotr hnditrB n8crc, for lhc,crfnmtc ofthcwotk for shich rhjs txmi is
issucd (Scc. 1097, Civ. C.l.
l.ndcr'iN,mc _
*,., i 9-rg