HomeMy WebLinkAbout30137122 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Countel (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Assessor'sParcel: 007-320-04 Lot: NA
Address Range;
Historic: No
Suite Range:
Zoning
ry
Owner;
Address:
Phone
Tenant Name
Olson Company
120 S Pacific Ave Unit# 34
Seal Beach, cA 92703
(562) 596.4770
Olson Urban Housing L P
3020 Old Ranch Pkwy ,1400
Seal Beach, CA 90740
(562) 596.4770
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'16002
16002
16002
16002
16002
16002
16002
16002
16002
'16002
'16002
16002
'16002
'16002
51602
51602
51602
5'1602
51602
51602
51602
51602
51602
51602
5'1 602
s3602
51600
51602
Qty
3.00
2.OO
5.00
1.00
1.00
1.00
1.00
1.00
1.00
1.00
2.OO
407.39
1.00
'1.00
Fee
$4',t.o7
$42.84
$61.1s
$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
Waler Service (Each 10 42.85
Hose Bibb 14.89
Ptc - 650k 0.65
General Plan Update 21.25
lssuance 52.98
Notes: Plan 4Blfees pd on M-
Phone
State Lic #: 939156
Lic Type: B
Bus. Lic #: 363131
Workers' Compensation lnsurance:
Carrier: Cypress lnsurance Company
Policy #: 1NWC904693
Expires: 0110'112019
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Condominium
New
New Condo dgarage
West. Glen
Zuniga, Allissa
10190461
Occupancy:
Constr Type
Code:
R-2, S-2
V B, SPK
cPc 2013
PAID
NAY 08 2O1BDate
Date
Date
0310312017
05to2t201a
Account#
Misc. Receipt: 68297
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless lhe wo* on the site
authoized by such permit is commenced within 1 80 days aftet its
issuance, ot il the wofu authoized on lhe site by such permit is suspended
or abandoned fot a petiod ot 1 80 days aftet the time the wo* is
commenced.
$21.25
$474.05
$26.00
$760.10
$238.80
$521.30
lnspector MID#: 20'16-13095'1
01 1 16002 51600
01 1 16002 51602
01 1 16002 53602
Fee Total:
Paid to Date:
Balance Due
Permit #: 3lJ137122
Pin #: 11347
Project Address: 120 S Pacific Ave Un ;37
Block: NA
Bldg:
Tract: NA
Contraclor:
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
$_
City of Santa Ana
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDI]R DELCARATION
I h.rcby,llirrn uM.i Nnalry ol Frjurr ln!' I arn cxcnDr lmm rhc ContrachF l-iccn* LL* lnr rK( r lluqing rc.sr rscc.70ll.5
Busirr'\i n Pnntssion C.dc): Any Cil, or Counry which rcquircs a pcmir k, ..n{rucr. ulrcr. irprovc. dcm.li\l' or (nrir rny
nruduc, lirx !, ir\ h\!aocc. rlyr ftqxiBs rh. ippli.rnr iitr skh li.rhir h [h. si8nL.d qarcmN rhnr h.orshc h li..n\cd l,u^ar.r
ro rh! pm+nnrs oi r,r Conlracntr \ l,iccn*d l-iw lChuprcr ,. Con,ntdtr! *irh s..rion 70(x).f Division 3 olrhc Busincs trnd
PDlts\i,)n\Codcrorrnnrhcor\lr i\rx.'nfl rlrrcfi.nrlld rhc ha\i\ nrrhc rllcBcd cxcnr!rion. Any !iohrn,trofSccr6n70.ll5 byan!
rmlicnnr n n!.rmirsrl'j..rsrhc.|llicrnrto0civilrtr,lryornornlxdhrnlnrhundrcddolla$($5Ol)
l. u\ osrcr or lhc popcny. o!mrcmtloyccs wirhwrs$nslheir solcconrp.n\rrt{. silldo rh.s(/k{ rtbsruduEi\nol
ntrc'iicJ orolf.rud frr{lc(Sc..7(}!. Busimssa PkntrsonsC{xlc:ThcConni.tnsLi.cn*tawd€xnol.rr,!ylo!nowncrof
thclfi)Fny El$ l{ilds or iryrrorc! lhcEnn- ard *ho d(rs ssh wo hn.s.llorhcrclforrhou8hhisorhcrDwi.'npkJyccs.
pmviicd rh r such imnrcvcn.trls 0'c nol inlcnded or oriqcn tu {t. tt h$rr, rhc huiktinS or im|^nt'n ir sld wirhin o.c )w
orcoDDldk^ r ()wtrcr Buildc! will hrrc !h. hxd.n of l(Jvin8 rhrr hc or shc dil Dor huild or inltlm\c rhc pDImy n, d. llqrM or
-1.
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did k,r6\irn Codc: Thd Co.kr.ror'\ l-i.cnsc Law do.r tro! rpply ro nn oqicr ol[op.rly gho build! or nnpro\c\ rh$.oi.
rrd wh..unh.Bio.suchrmlcds*irhrConrdon9liccflscdpunulnlr.rhcContdr'sl-i.cn\cLrw).
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rm cxcnlit lndr Sdlior-. B. & P.c- for lhis t&{n
l)dr ()sn(
IA8f,E8S:.COMEEIIAIIAN
DFCi ,ll t.|oN
I h4Ebyu,nrmun&rOcmlryof Fju.yomof rh.followhedelnralio :
-lholc.ndvill'run
liiiCcnilrdcofcoi{nrk,Scllln\urcfors.rkcn.omr.nsdion.as tmvidcd lor by Sccri.o l7m oirhc
LrtxrC(x]c, lorrhcpcrfornurccof lhcwork forwhth lh.pcnnil is nsucd
_l hdvc {nd sall @i6l,in *o,kcn .onFmarion insuram.. aq nqdFd by Scciion 3?00 of thc tit or Cdc. for rhc ldfo,fucc of
rhc w6rk ld which rhl{ ,cmir is issEd. My wortcu @npcnerion iNurm. cmiq dn policy tumbcr ac:
-l
cenifyrhd in rlr lcrfortuncc ofthc w6rt tor whichrhhpcrdit h h.ued.l shrll.or emptoy lny Frsn in rny hd*r
$ er ro b..oft subrer lo ih. wort.s .onp.oelion lows ofcalifomi,, od ogM lhll if I sholld bcsft rubiftr ro rh.
wo,lcs Nmpcniario. povhions of SNlion 3?m of th. tjhor Codc.I ntrI. aonhsilhomPl, wnhrlbsl,ov ionr..
WARNIN(: I.rilr. io {curc sr crl $n,mn\ rion ovcmrc a sh,ll suhj.rr M dnplo'tr lo
crvrl finc! ut t. urc hundrcd rh,,u.,nJ d ll,'\ ,llcro.{mo,.
S6rion 3076 olthc Llbor Codc inrcrcsr lnd arormrt fes.
fr d- rdo
D[cl.tr8rr.1DN
Ih.Eh,altrnloncrEndryotfrrjuryrh l rnr liccns.d ututor |r.risio oiChrlrcr9lcomntrcingrirhSc.rion70U))ofDivirbn:l
ol rh. BNi',.ss 3nd Pror'cs\ionsC(dc :unl 'n! licnsc h i'r lullforcc aftl ctltcr
9-9-,4
COISIIIICUONIENIIIILAGENCI
I hceby xmnn und( Fnnlry ol p.rury rtu rhcr. h . con{dcrbn lcnding agcrcy for the n domn.c of I h. sotk for whih lhis Fmt t
hsucd lsa. 3097. Cir. C.).
AITLICANLDECI,AEAUAX
I h.rct'y trfitn undcr pcnal'y ol Fr.jury om of rne nnhs ins dcchnr n,.c
,_Dcnblir n P.nni$A$.\lo\ Norificaln F.dcrrl R.8ullliotrs (Tirlc 40- Pan6)
,ra-Rcqurcd krkror N.nierEn
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rsodrns u+tqo\ rco,val . nn! 'mlrshlc to ths fmFt
_l.diry lhar I havc rad rhh.rDltarion dd llc lhar rh. abovc I asE bomnly,irh dll Cirynnd Coun'y
.rdi'rn.cs Md Srrrc Ltrssd.rir8 h
ator mnrioncd rroFnr l i.spccr
ivcs ofrhis Cn, lnd c.xnrytu dnrd xro.lh.
,\pllicsdl or Artnl Si,inrlu
-9-t3
UNDER GHOUND I I
Waste & Vent SIZ.l l8 &3+
Water-Under Iloor lr
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
?
<\
Waste & Vent 1D'i0 7)
Water Piping
Gas Pipino b)-te ;*a\t€ (,E-*-e-t-
Bool Drain /t-u-tq 4? 4?
Tub/Shower Test fu9 tt4Vte /hL-L
Rouqh Water Heater -, *; n'---/
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq (04(-ta aeA n
Meter Release /z'?/?'Tczz
FINAL /z-3-/8_4zz)?2) /br4
Notes, Remarks, Etc.
h(?, /k' a,c //'6 -/RWL od ./-u.*,*<- //e€d4P nt fir.a
L.ndcrs Addrc*:
-
Fill Line/Back Flow
Miscellaneous
Final Gas Test