HomeMy WebLinkAbout30139426 - PermitProject Address: 3100 W Segerstrom Ave
Assessor'sParcel: 4'14-201-01 Lot: POR 2
Unit:
Block: NA
Btdg:
Tract l0l3
Address Range:
Historic: No
Suite Range:
Zoning: Ml
E
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714) 647-5800 lnspectlon Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{39426
Pin #: 44416
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
Airborne Systems
3100 W Segerstrom
Santa Ana, CA 92704
Bennett's Plumbing lnc
3030 S Fairview St #B
Santa Ana, CA 92704
(714) 963-697s
Fee Typo Amount
01116002 51602 Gas Line aller/extend/a( 63.12
01'116002 51602 Appl Not Lisred 63.12
0'l116002 51600 General Plan Update 21.25
01116002 51602 lssuance 52.98
Qty
1 .00
1.00
1.00
1.00
Fee
$63.12
$63.12
$2',1.25
$52.98
Phone
Botch+:43697 - s/!L/Zt1tg ID! LR0SALE1office: CTYH Trons+r ? I of 1lcctt3 Ref+! J,-t1r-+4 ?aRcPti:0?261368 - i/l1./?fiS S:3i AH-Tronsoct ion Totol t2t:,U.42
P'ennett's Plurb ine I n,:
6enerol Plqn UDdote Fee
01f 16002- 516[(r(r(rtr-
Plulb ing
011l6tr02- 516(r?0r.[]-
ICL Check tlt:t2'u
s.r l
tt?9.22
s2ttl.47
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lndustrial
Miscellaneous
Gas Line
$ ternanoe., x"ttrv
Date:
Date:
Date:
Notesr ok to issue per Glen West
Occupancy:
Constr Type
Code:
ost1112018
Account#
lVisc. Receipt:
l\4isc. Receipt:
l\4isc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authodzed by such permil is commenced within 1 80 days attet its
issuance, ot il the wo* authoized on the site by such pemit is suspended
o( abandoned for a potiod ot 1 80 days aftet the time the wotu is
commencad.
lnspector It/lD#: 2018-143306
011'16002 5'1600
01116002 5'1602
Fee Total:
Paid to Date:
Balance Due:
$21.25
$179.22
$200.47
$0.00
s200.47
State Lic #: 424124
Lic Type: C-36
Bus. Lic *: 167944
WorkeIs' Compensation lnsurance:Carrier: Cypress lns Co
Policy #: BEWC8,|2716
Expires: 12,/0112018
A-3, B, F-l, S-t
t B, SPK
cPc 2016
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Buildinq Sewer
Area./Storm Drain
lnterceplor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pi ping
Rool Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
Meler Release I I
FINAL slts lNotes, Remarks, Etc.
OWNER EUILDER DELCANATION
I hmby aftun und6 Fndly of Frrlry rnd I o qrcorr film rlE C4DrracroE Liccnsc Lnw for rhc folbwing rcasn (S...m11,5
Bosiicss !!n Pmfcsrion Cod.): An, Cily or Counly ehth rcquiEs s Fmit lo onsttuL ell6 nqtrcve. &mlish or mpiir my
{rude. rior to ils nsu!rc. dso quirc3 rhc q'plisd for sun pcn r ro ,ik , siS*d sr.tcm thar lE or shc iq liccnsd pursml
lo lhc nDvisions ot rlE ConlEctols Liensn rrw (Chrpir 9, CommEine vilh Selion 7000 of Division 3 of lhc Blsin.is lnd
Prcfcssions Codc) or rlur h. or shc h cr€mlr thcr.tom ad rlE tEsis for tlE al4.n .xctrrprion. Any viotdrio. otscdi'n 70! L5 by !(,
arplicafl fo, a pcmi slbiccri tnc {!t li.aot to a .ivil pc@lty or ,ot mr lhd nve hrndrcd dollei (silo).
-1,
s o*m! of rlE FlFny, or ny cqrloyes wnh wascs s rh.t $lc @mp.nsirion. *ill do rh. wt and lhc sr.rr.lw Lq ml
inr.ndcn o. o$.rcd tor sh (56.7()44. AusiE3! ard Prolcssions Cod. Thc Conh&rn's Ljc.nsc ttw d.er mt q,!ly lo !n o*mr of
lh. pDpcrly vlb hrids or irymws llEs( .ri sno d.$ sh mlk him.€lf or h.tr.,aor thrcl8h his or h6 own crlloyc*.
pmvi.lcd lh:l seh inprewdni! e ml inl.n&d troltu lor eL I nosrwi lh. hliEinB or inpoEm nst{i$in@r@
of otr{,lclbn. dE Owrcr Bui6.r pil hls th hn!.n of prcvin8 tlu ls or 3hc did mr boild or inp,lE $. pmFty ltr dE FrpoE of
l. a1oercr of$. tmFny. ro er.lusivclr.o.rrad ing *irh liencd.onhcb6 ro con{dcr rtE !,mjd (Sc 7044, Bt{rcsr
and PrDfersin Codc: Thc Conrncroas Lkcns. L!* drcs mr aFply ro .r owncr of prcpcn, *ho brildr or inpovci rhcEon.
lnd who omnds ror su.h nsirrs eirh ! Co.ln ro(s) lk n*d pursumr io rh. Conlro.tors Lt r$ L!w).
I am crcmrt un&r S(uon , B. & P.C. for lht rcrmn
IOBf,EXS:COMIENIAIION
PEILASAIITIN
I hcrcby lmm undcr ncnllry ofpgFry orc ofrlE tolldwiig deleario.3:
-l
hlvc md *i11 mrinhin r Cen ificorc o, Conscnr ro Sclt l.sure for sortc^ i,mp(nern o- !s lF)lidcil for by sccrio. 1700 or rl[
tihtr Codc. for rhc pcriominccoitnc woll n)r wnahrhcFmrir is isu.d.
_l have!.d will mainrlin *o.kcr' codlcnsrtion insurancc. r! rcqutcd brSari{,i:1700 ofrhc L*,or Co<lc, ror d. rsnnEns ol
rh. s.rk for whi.h rhic tcmir is isncd. My workdC .ompctr{ari.i inqurr&c sri.r $d plicy numbcr m:
-l
ccnify lnal in lh.IErlornErc of lhe wort for whichrnisp€rmil is issued., shallnol emplor,ny pcEo. in dny @nf
s a'o rE oft subtcr ro rh. wort.B comp.nstion l0ws orc,lilonrid..nd igm lhr' ill.hould bcom subjcd lo llt
worksl onl')cnelion lmlisions of Scdion l?00 of lh. t tnr Codc, I stu!|, fonhwilh comtly wilt l,Ds !,mvisionr ,
WARNING: Fi'ilurc h s.urc soikc^ cotp.D\alnu .okrllgc i\ tnla\rul, rtrd \hnll {hJ..lmtloycr to nimind lEnohics lnd
a.n. danu*$ as providcd for lhccivil fi.es rt lo om hundr.d rhousnd dolla ($100.000). in .ddirio. ro thc cnn of @
S(l ion 1076 of lhc Libor Codc. inlcrcsl and anomy s fes {. tt tt6Dol€: Arpli@l
DECLARATI(IN
I hceby trluh nndcr pcnfllry of Frjui, !ha' I xn li.cn*d und( ln,lisi.n.r Chdl)le I (conftftin8 wilh Sdion 7000r otDivhion 3
.f rhc Busirc$ lnd Pmfcssion\ Codc. arxl my liccnsc t in tull forc ud eifsl.
-(g
caN,5IISilJIrN-Ll;NlttJliJ$INct
Ih.rrhy lfNund.r IrmlryoflErju!yrhrr rhc'c i\ r.onnnr.ri(,n tidi B rBctcy ln. th. rcrloirnrNc olrhceork li,r shi.hthi\ Ifnnir is
is\u.d lscc .109?. Cir,( )
AIELICAII.DECIdIAIION
I hoEby .nim undc. Fcn.lry of psiury orc of rh. follosing d(holione:
DenDlhiof, Pcrnils-Asb.slos Nolifidlion tu Bl Rqublions (Tnb 40. Pon6)
-Rcqund
Lcttcr ol Norifrarbn
-l
ccnifyrhrt th. acdcml rcglhtions rcSdding &6csros remhl arc nor ryrltabk lo rhi. p&j..l
Iccnilyrh8r Ihn\ercadrhisatplicrrionaflln ciharrhxabkintunturnn!
or'liix'...s Md Srarc lr*r elarngb building consrucrion.,.d hcrchy uurlltrizc
I r8re lo condy wnh oll Cnyand Counry
lrivcsofiht Cirylnd Colntyro c.ter uton thc
h,r D*nrioncl F)ncnv ntr
,\pplionl nr Aq(nr SiBn.tum:<- u-
IFIflIMfirt
*-u-**,on"r, -TF,
Gas-Underfloor
Pool Heater/Gas Line