HomeMy WebLinkAbout30137949 - PermitProiect Address: 2757 N Grand Ave
AssessofsParcel: 390-171-11 Lot: POR 13
Bldg: Address Range: 27os-2761
Tract: A.B. CHAPMAN Historic: No
Suite Range:
Zoning: C5
E
city 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 #: 30{37949
Pin #: 83658
Phone
Tenant Name: Buccaneer Pizza
Dano Construction
1010'l Edye Dr
Huntington Beach, CA 9264
(7r4) sr04298
Owner:
Address
Contractor:
Address:
0't 1
011
011
011
011
011
011
011
011
51602
51602
51602
51602
51602
51602
53602
51600
51602
16002
16002
16002
16002
'16002
'16002
16002
'16002
16002
aty
1.00
1.00
1.00
1.00
1.00
1.00
't73.O2
1.00
1r00
Fee
$13.69
$10.47
$'12.23
$1s.53
$63.12
$63.12
$'r 12.46
$21 .25
$52.98Phone
State Lic #: 986824
Lic Type: B
Bus. Lic #: 366873
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
i,i on6[.r'uaL I o
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Commercial
Tenant lmprovement
Tl/New Restroom
Occupancy:
Constr Type
Code:
A-2
VB
cPc 2016
- 51602000
b ins- 536021100
Notes:
Date
Date
Date
West, Glen
Hernandez, Kathy
04t1712017
09/06/2017
Account#
01116002 51600
01116002 51602
01 1 16002 53602
Fee Total:
Paid to Date:
Balance Due;
Misc. Receipt: 69385
Misc. Receipt:
Misc. Receipt:
Total
Buildins Permit #: 101 92546
Every pemit issued shall become invalid unless lhe work on the site
euthoized by such pemit is comnenced within 180 days aftet its
issuance, or il the wo* aulhoized on the site by such permit is suspended
ot abandoned lor a peiod ol 1 80 days aftet the timo the work is
commen@d.
lnspector MID#: 2017-135312
$364.85
$'t02.27
$262.58
Unit:
Block: D
GVD Commercial Properties lnc
1915 E Katella Ave #A
Orange, CA 928675110
Fee Type Amount
Water Closet '13 69
Urinal 10.47
Sink 12.23
Floor Drain 15.53
Gas Line alter/extend/a( 63.12
Tankless Water Heater 63.12
Ptc - 65% 0.65
General Plan Update 21.25
lssuance 52.98
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:\k
$21.2s
$231.14
$10.19
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG,
Waste & Vent
Water-Under floor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Meter Release
Notes Remarks Etc.
FINAL
OWNER BUTLDER OELCARATION
I h@by rlfrm unda pa.lty of Fj!.y lt'r I @ Bdpt too fi. Cltnr816 Lic@ bw for fi. followiq lg$n (se.7011.5
Blsins ed Poadio. Cod.): Any Ciry or Coury whicn Equt6 . Fnt lo 6nsn.1 ala. inpre!.. &noli.h or Epan ey
rud6c Fiorlo tu irBte., ato rcqlnB rh. @pli6l lor sh pqnii lo fiL r siSn.d nndndn thi h. or sl'. b lic@r.d puMl
ro thc FovirioB of $. Co &lor's Li.aa.d Ijw (Chr!t6 9. CoMd.ing vth S.crioo 7O0O of Divilio. 3 of lb. Busind .nd
Prol*ioa cod.) or lh.r h. d JE b qopl $6.toF ard lhc bosi! lb. thc .ll.gcd q@p{ion. Any vioLttro ofsslion ?01 Lt b, 6y
applicel fot !r6on !ubj.$ln. rpplica to !.ivil p.lrllyof@r mor.lh6 fiv. hud&cd dond (S500).
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s oMd oflh. propaty. or nyddord with qag6 s rh.n sb @mpGdion, wil & tlE@ ed 0'. drude is mr
nndd..l or olra.d for !.lc (Se,r044. BBilB od Preft*iioB Cod.i Th. C.r rrroi3 Li:tu kw &e @r eplr lo e ol,G ol
thc Flpdty {ho hlU& d iaplc t@r ed who &G such mll hid.llor h.s.lto. llElsh li5 or bd oM dploy.*.
providcdth.t ru.h iry€rsElrtdml inloxlcd orotu aor3&.1[ no*l€. tlEtrilditlsor ids!!6E neBvinn!@ rd
of@mptclio( lh. 0'*{6 Aliilq wil ltrv. fi. tE&r ofFDli,g thi lE or sh. dil ml huild or inprcrc th. FDFIy 6r $c F[!o* of
l. 6 ownq oarh. FlFry. m qcluiv.ly o EctinB wnh ficdal co,trddoa h coNtrucl rh. @!xl (56. ?044. &8i.6
arxl Pot sion Cod.: Tlc Conl@to. s Lictu. L6w do6 ,or appl, ro a own6 ofpop.ny * ho builds or improvs tnden.
6d who @nn!.lsror su€h lirjd3wnh. c4ird.ro(, licss.d putso&r rorh.contradors Li.!@ trv).
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6 .rdf, uftk s6$on- B. & P.c. for tbb t6$r
UOATEErcOMIEIIAUA!
DECI.AI^IIO!
I h@by arm lnda pariy ofFjury oE oflh. fouowins d..hr iod:
_l nrv. sd vill 6ai,rain a CeliaF.r. ofcoBa ro SElf-lnJ@ for w 6 onpqudiotr. B Fovid.d for by Sdion 3700 ofllE
Labor codc- for rh. pcfolllj.N of$. sll fo. $,tich $c pqmn i! hs!.d
I lBv. and will mainlain wori6 comFsalion iroorance. B r.quircd by Set ion 3700 oflhc Lrbor Codc. for thc pqfolr@.c of
fi. mrt tor vhich lhis Fmil ir Lsu.d My work6 .onpmsslion iNursc. .eiq &rd policy oumbr d.:
PolicyNlmb.r: Expi6:
I cdiry rh.r in th. Flolmrcc olrh. wort for *hkh rhiu psnir is irsu.4 I slall oor .nploy e, Fson in @y men6
e a lo bcoN 3ubjd to thc @116'conpo$rion la$! ofcrlifonia. ad d3R lnrl if I should t .onc aubjal lo lrt
srt6'@mpqBdionprctilioBofS.dionlT00ofrh.tlborCodelsldl.fonhwilhtohplywithlhospovisioB..
WARNING: Fril(. io c@ erl6' 6mpoB rior cov@C. i! 6lawaul. md sn.U d mdoF ro diftinal poa,lb dd
.ivil nnd up ro onc bundr.d lnou.nd dollm (Sloo.olxr), i. addirion ro rh. cosl ioa. damags as providcd ftn rhe
DICLIAAII!]I
I hftby artrr undd psrlry of pdj!ry rhar I m lic6sn und.r trovilion olChallg 9(connlmcinA {ilfi Selion 7000) ofDilisnin l
or rhc Busin6 dd Pref*oa Cod., adl my l((a i! i. ('ll aor.c at .lldr q
g]f!!!!! I_ft! !.!mr,!! \!
I h@by amm od6 !.nrlt, oap.rlory lld rhe is , sBttu.lion kfrlir8 sBdcy aor th. Flom c. otlhc vorl rot $ti.h fiB p6oir i!
isu€d {sd. 3097, civ. c.).
AftLtcANr..DEClrAS4IlO!
I halb 6ftum onda po.ly or Fjury o.. oir[. touoaiie dc.lrarioBi
Dsnolnion P.mirsAsbdrd Nodfi..rioi Fcdfrl R.s diotu (Tn1. 40. Pan6)
-R.quir.d
k r otNotiicnio.
I cdiry $at rh. f.d6d rcgukrioB r.8&diry ab6tN rmovo, e. not Eprlicdble ro rht pojc(l.
I c6r it thar I havc @d rhis .pplicalion dd $alc lhal $e ioo i. corc(l. I aer@ lo comply sm a[ Cily ad Coum,
ordinamG ed Sl.t. L3ws Ebliu lo bu lurlbiz. cF66idiv6 oalhb Cily dd
.bo!c mdriond prcpdy for
Appllgnr orArdrShn.rn 7
I
COMMENTS
UNDER GROUND
Gas-Underfloor
Final Gas Test
1/q9(/,t 5\ t+{
a,.."".a,* 3
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Ln.ra r A<ldB:
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