HomeMy WebLinkAbout30139055 - Permitcity of Santa Ana 20 Civic Center P|aza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139055
Pin #: 8665{
Project Address: 607 E Santa Ana Blvd
Assessor'sParcel: 398-301-07 Lot: 15
Brdg: Address Range: 6Ot.6i 3 '
Tractr FRUIT...SA EAST Historicr No
Unit:
Block: E
Suite Range:
Zoning: SD84
E
Owner:
Address:
Phone:
Tenant Name:
Core Holdings
1923 North Westwood Ave
Santa Ana, CA 92706
(310) 213-1976
E2 Beauty Lounge
Dilworth Construclion lnc
'1227 E First Street
Tustin, CA 92780
(949) 433-5535
01'116002 51602
01116002 51602
01116002 51602
01116002 51602
01 1 '16002 51600
011 16002 51602
Fee Type Amount
Sink 12.23
Clothes Washer 13.45
Gas Line alter/extend/a( 63.12
Wtr Htr (Comm up to 50 21.42
General Plan Update 21.25
lssuance 52.98
Qty
3.00
1 .00
1 .00
1 .00
1 .00
1 .00
P hone
Botch+!44011 - 1/29./?tt!
0ff i(e: CTYH Trsnsl:Accti: Re
R.ptir02?83366 - :,/?9/
Tronsoct i6n Totol
LROSALES?ot ?
39055
{6 Ar
' 4Lt
D illronth ConEtnuct ion tr,
ils7.3d
t491,49
Authi:(ti134(.
I
27
201S
Ganerol Plon Updotr Fee
01 1 r600?- El 6!:t(r0t(l-
Plurb ing
0111600?- 516tr20t:r0-
Ui so
C(:i: **rr**tIr*rr77Z9
:5
Building Use:
Job Type:
Nalure of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
TI
Occupancy:
Constr Type
Code:
B
VB
cPc 2016
Date:
Date:
Date:Hernandez, Kathy
Every permit issued shall become invalid unless the wofu on the site
authorized by such pomit is cornrnenced within 180 days after its
issuance, or if the wo* authoized on lhe sito by such permit is suspended
or abandoned for a peiod of180 days after the time the work is
commenced.
05t29l201A
Account#
lnspector MID#: 2018-141582
01116002 51600
01116002 51602
$21.25
$187.66
Contractor:
Address:
Fee
$36.69
$13.45
$63.12
$21 .42
$21.25
$52.98
State Lic #: 925275
Lic Type: B
Bus. Lic #: 345163
Workers' Compensation lnsurance:Carrier; Liberty Mutual Fire lnsurance Company
Policy #: XWS57426099
Expires: OSl01l2018
\W
Notes:
Fee Total:
Paid to Date:
Balance Due:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$208.91
$0.00
$208.91
PLUMBING-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER DUILDER DELCAIATION
I lrEby am.m u.der Fully of Frjury th8l I m.rcnpl t n lt Conlr&lm Lian$ L3* for llE follo*in8 rcen (S.r.7011.5
Ausincss anl Ptoa.$ion Codc): Aiy Ciry or Cou.ty whi:h rcquircs a Dcmi ro coi$od. alr*. inlt)ovc, &mli.h or Epon dny
srtuctuc, t ior ro irs issude, also rcqlircs llE {ppli.u for such pcmn ro ,ilc a siged srarE.r thar lr or she is liccnsd p!N@l
ro th€ p@vhiotu of d'. Conrrmrols Liedscn bw (Ch,prc. 9. ConBming wirh Scction ?000 of Division 3 of lhc Blrires .nd
Pmfcssions Code) or rhd lE or sl* is cx.trpl rh.Enonlnd tlE blsh aor rlr alkB.d crcnprbtr Anyviolaiio.ofSc.lionT0ll.5hylny
ap?lica foral)cm subj.fls rhc qrplic.fl ro !.ivil t'.tulryotnor mr $ar firc hrnrlr.rl dolrB ($500).
-1.
as osi6 ofrhe topcny. ah.x.lurivclyc.nrrudins wnh liccn€d .olnru.ro$ i. onslruc! lhc Irorcct (Scc.7M4, Busncss
0d PiolL$simCod.r Thc Conrrocrols Liccns. t w d.cs ml rypl, to er owncr of pmlcn, who blilds o. impors rhcrmn,
and who 6.lacrsfors!.hllfoif,t.wnhaC.6ctodOli.cn*dpurrMrbihcCo.rfrctolsLiccnFL!w).
-l
dcrcmpl uido s6rioo- B. & P.C. ror fiis EM!.
Dar.: O*Rr
IAatrEBECAMTJNIAIION
DECI.A8AIION
I hcrcly ,lfirn und$ ttuly of ndjurr o.c .f ih. follo*iog d.cl,nrhn\
-l
h.vc nnd qillfluirrain r CcdiaElrc olConscnr ro Sclt lnsurc aor *ork 6 conFndnrn,.s F,vidcd ror bySelion ll7fi)oirh.
tibor Codc.ln thc l). nrmrccof rhc wolk ror vhich thc psmir i! issucd.
dI havc
'd
w iU nrinrain workcE conpcn\dion insurutuc, as toqun{d hy sccrion l?Oo of the tjbor adc. lor rhe l]crft,n&e c of
rh. *orl aor *hi.h rhn pc..!ir is G\krl My {orksa conf..sarion in\uftncc cdicr ud loliy numbn m
a)t\1D- 4a, r -tA'. t
Jr-9zooq.t 5-- ?- 11
-lenifrlhar
in rhc p.rformmc of lhc wort fd whichlhtpcmit is nsu.n.l sh,ll mr.nploy any FMn in any mnmr
v, 6 ro tE onE srtirr ro rhe sdt6a .otr{t.$raon lu*r 6l Clljlomia. {Id agre rhar if I should bcsft subjel lo llE
wo*qi ompcniar ion pmvirion\ of Scrion 1700 or ihc kbor C.d., I sh,ll. ftnnvnh conDly *ilh thos pmviions.
WARNINC, friturc t, ycud w.rkc* .omten{rn,n crv.nec n unhwful. and sholl subrccl un em0bycr lo cri,nind pcMhic\ und
.ivil linc\ u, b .nc hr6dr.i lh.uund dollds (Slfi),ooo), imddibn k, lhc cosl oi conrI]cnsrion. a ul.r ,1 lrovid.d ror rhc
oi lhc Bu\irc\\ ud f!,lc*i{usCodr. rtrd i,t licriv n i'r full nrcc dtrlcl1c.r
qzrz
o*, -5:-L1-:-!L c.or"ua,'
CO!$AIj(:IION.LDNIIIN(;.ACENCX
I hcrb, uniifl xndd Fn,hrollcrjury th,l ficrc is ! snsruclion b.dinA ascmy nr 0E rst)rroft. orlhj work lor whthrhn rr.lt ir
iss!.d (tuc.:l(r7, Civ. C )
AITLICANLIIiIIAEAIION
I h.n'by dilinn undf p.trr[yoltrrjuryonc ol rhc followin8 dslamri.ns:
Dcnlnii,n Pcrnrih Ashc*o\ Norificarion FcdcrJl Rtaoh bns (Tillc 40. Pd6)
-Requtcd
tdrs of No'ifEBri,)n
lit ccnilt rhor I lElc rcld rhis amlicarion 0r'd \l!tc rhar thc abovc inlonuri.n h.6'trr. I 0grft tosmplywirh allCilyand Counly
ordimrccs lnd Srorc L8ws Elarii8 ro io..8rd hcrcby au horie r.Fcr.oralircr oflhh Cilyond Counlylo cnrcr q,on lh.
at w nEnlioncd,mp.nyfor i
Alpll.rtrl or Asenl SlsEluE D,r.: 5' "n -18
I
Waste & Vent 6/ x /rx .&6,)
Water-Under floor
Gas-Undedloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Venl
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
lvlain 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
Meter Release t
FINAL 7 7-7//Y .-flry|)
Notes, Remarks, Etc. 7-
ID/SIG.
UNDER GROUND
Final Gas Test
-1.
.s owncr of lhc tmFny, or ny .ry,lolEs wilh wtr8.s I lhct $lc onFcnsolion. vill do ltt wk lrl lh. snrnE is rcl
inrcdcd or oficrcd for $lc lSe.?M4. Business lnd PDfcssions Codc Thc C.m.!.t r. Li.cn* tlw ilo.s nol lpply lo an owm. of
rhc pbFny wh6t ikLr or idpmrs llsstr.rn {h. d6Mhmlk hin$lf or hcmlf.r thDu8h his or ns o*n cr{'loyc.s.
prolidcd r,ut such inl,@\(fu'rs G Dr hrcn<tcd o,ofr.En fo, Fb. li noea. dE trildinS or ir+,sEnnr ir eh wilhin or Fe
ofconplclhn. trE OwE Buitl6 will lEe dE hrdcn ol Flvi.g rlEr tc or nr dn ml hild or iqmE rh. p@Fly for llE l,urros oa
Serior 1076 olrhe t borC.dc, inlcEsl.nd romr\
o.r.' 5 21 ' lQ epol,,nt
_l ..niry rhnr lh. tcd@l bguhrnlnr EgaidinB dlBlor nmrd m nor dpt li..bh lo lht pDj.rl
-.2<-,4 w.
.r. \\,eo.?-'t\|
tl
CITY-OF.SANTA ANA
DEVELOPMENT FEES WORKSHEET.. PLUMBING PERMIT
NEW BUILDING E ALTERATIONS/ADDITIONS ET
ProjectAddress: ful t$I *N1ft Htn DWO Contractor:
TenantName: AL WftVt7Y hUxAL Address:
Building Owner: kW Hott>t t'lt-S City:QT zip.
Address: (427 Xmtn nWffnD iyTAti/,f Contractor License No
cirygryffr frtn st.: fu zip QzTqp
Phone: bl| -A1-lqtO Phone
contactPerson: C,llRrj-Y At M
Contact Phone: 1t(Dn 0OW1
Contact E.Mail Strongly Recommended PLEASE PRINT:
clurr{i)twtnerel,hm
ITEM NO.EACH TOTAL ITEM NO.EACH TOTAL
Fixtures Miscellaneous
Water Closet or Bidet 13.69 Water Heater Res E Comm E 21.42 u,clz
Urinal 10.47 Water Heater Tankless oJ. tl
Tub, Shower, or Tub/Shower 21.42 Water Heater over 50 gallons 87.87
Whirlpool Tub or Foot Spa 21.42 Water Service/Piping- each '100'42.85
Sink, Lavatory, Laundry or Utility 12.23 19,2?Re-pipe (residential) - each 100'42.85
Clothes Washing Machine ,l 13.45 l? +s Primary/Secondary Roof Drain Set 42.85
Dishwasher 11.52 DecUArea Drain 9.26
Garbage Disposal 10.26 Rain Piping (buried) - each 100'20.85
_Floor Sink + _ Floor Drain =15.53 Storm Drains - each 100'27.54
Drinking Fountain (one location)8,62 Water Softener - Residential 21.42
Cap Fixture (each)6,69 Water Softener - Commercial 42.85
Sewer Lawn Sprinkler Valve (each)9.78
New Sewer - flrst 100'62.18 Backflow less than 2"21.42
Each 100' Sewer (or any portion)21.42 Backflow 2' and above 42.85
Additional Sewer Connection 21.42 Efrb Sewage Ejector oJ_ tt
Repair/Alter Sewer 42.85 Sump Pump oJ. tz
Cap Sewer 96.18 Hose Bib with Vacuum Breaker '14.89
GreaseMaste lnterceptor
Gas Dental Unit
New Gas System (first 4 outlets)me Medical Gas Piping - each 100'
Each Additional Gas Outlet 6.80
Extend or Alter Gas System 63.12 64 )2-Appliance Not Listed Y 63.12
Repair Gas Piping SUBTOTAL $)a rffi
Cap Gas Outlet - each 8.1s P/C 65% OF SUBTOTAL $
Swimming Pools MlN. FEE - (Nonresidential)$ 70.64
Pool Trap 21.42 ISSUANCE & aeneratPtan surcharge g 52.98 + 2'1.25 = 974.23
Pool Heater 69.94
Pool Pi 42.85
BLDG PA,IT #DATEotutb
TOTAL $
OCCUPANCY
CONSI ryPE P/C #L)
Contractor e-mail:
*^
36.15
31.10M42.85 48,85
Alteration to Drainly'ent 42.85
42.8s
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Office Use Only
P/C FEE PD:BY: