HomeMy WebLinkAbout30139847 - PermitProject Address: 1720 S Grand Ave
Assessor'sParcel: 403-121-25 Lot: 25
Unit:
Block: NA
Bldg:
Tract:7729
AddressRange: 1720-1730
Historic: No
Suite Range:
Zoning: Ml
q
city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139847
Pin #: 34249
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Southside lnvestment co
1420 E. Pomona Street
Santa Ana, CA 92705
(213) 263-7759
Corvgirl Cafe
lnno Construction lnc dba P
7425 Orangethrope Ave #F
Buena Park, CA 90621
(213) 500-'1877
01116002 51602
01 't 16002 51602
01116002 51602
011'16002 51602
01 1 16002 51600
01116002 51602
Fee Type
Water Closet
Urinal
Sink
Floor Drain
General Plan Update
lssuance
Amount
't4.22
10.87
12.70
16.14
22.O8
55.04
Qty
2.00
1.00
2.00
2.00
1.00
1 .00
State Lic #: 887068
Lic Type: B, C-39
Bus. Lic #: 3673'10
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9109036
Expires: 042312019
Bot,:hi:
oflice3
tirDt+ I !
Trtrnso(
Notes: Upgrade restrooms for accessibility.
AutBuilding Use:
Job Type:
Nature of Work
Commercial
Tenanl lmprovement
TI
etl
Occupancy:
Constr Type
Code:
Planning Conditions: lnterior work only. No exterior alterations or modifications
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit 195872
A-2
VB
cPc 2016
oan4l201a
Account#
01'116002 51600
01'116002 51602
$22.08
$152.03
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invelid unless the wo* on the site
authoized by such pemit is commenced within 1 80 da$ aftet its
issuance, or if the work authodzed on the sito by such pemit is suspended
ot abandoned fot a period of 1 80 days afier the time the wotu is
commenccd.
lnspector MID#: 2O18-143175
$174.11
$0.00
$174.11
i36? - 8/1412018TYH Tnonsi: 48
Reli I
1+627 - 8/14/2lr1r
on Totql
Fee
$28.44
$10.87
$2s.40
$32.28
$22.08
$55.04
Phone:
lon lnc dDo
Date:
Date:
Date:
Fee Total:
Paid to Date:
Balance Due:
COMMENTS
4r
Buildin Sewer
lnterce tori Clarifier
UNDER GROUND
Waste & Vent
Water-Under Iloor
Area/Storm Drain
0'-(t,rffWater Pi tn
Gas Pi rn
TOP OUT
Roof Drain
Waste & Vent
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary SeweriCap
Back Flow Device
U-trRouh Plumbin
Notes, Remarks, Etc.
FINAL
Meter Release
Final Gas Test
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OWNER BUILDER DELCATATION
I hmhy iffm unds pendry or F.iury thd I @ cx.trrpr fmm thc Contrelos Litn* ljw for lh. followir8 r.&$n (S.t.70.1!.5
Blsiicss snd Prcfcsion Codc): Any Cny or Coln|y which Equies r lEmir lo 6.srrucr. rlr{. imprev., rhmlbh rlJ Epair any
$ru.t@, Itribr ro irs hsurrce. al$ Equies fic amlher lor such Fmi ro fih a s'ei.d !t!te@l lhal tp or snc ir lic.nsd plMa ' .
ro rhc prcvisio.s oa tlE C,nrmrols LiccnFd L!* (Chlprc 9. Conftming enh S{Ihn 7l0O of Divilion 3 of lh. Blsin.ss and
Pbacsiofls Codc) or ltar lr tr dE ir ei.nlol rh.Efrom rId thc b.ris for rlt .lkgcd .xcauion. Aryviob6nofS.dhn?03,.5byany
apd'crfl for ! ,cmn ilbjNr. tlf, lpplic. ro ! .ivil ocNly of rcr mc tun iivc hundFd dollin (t5m).
.--1.$own.rolr[cpr)pcny.nrnrlcDrnk)yccssilh$trrc\n\rlEirsolc.onr i\!itr)n. $'lldo dt tru* drh.{nrhnisml
rh.I()jrdy rr()hrld(orirnD.vc\rlN(rn.!,nlqhod'E{{r.htrukhmsclirrhcr{llorlh'ouAhhi\ rncr.si. [nyccr,
tmlid.dihsrruchi'nnntrcnr srrnrri'cidcdorollceallnr!'L1r,lrN.\cr.ih(huiurrSo!nv(r,xlEnri\$lllsirhnronc\rr
olc.nlPtrion, rh. Osncr Auiur $ill lNr rh. hrrdcn ofpn,r'ng rhrt h..r nr id nor htrild o.irnpn,\. rht Imtdytu' rlf,lfurrx,{ol
-1,
as ow*r oi rnc pmlJ.rry. m cr.hsivcly conrracrin8 with liccnscd contscroii ro onnrud *E Dmi*l (S(. 7044. Busms
ad EoftrsihCodciThc Cofiacroas Li.cns. Law docs.or applyro a6own.r ofpmp.rly eho huilds or imrowi lhden.
md who .onimk lor Mh l,mtrrs *nh ! Conkro(t liccn$d puGunr ro rllc Contradols Liensc t s).
lme!.m undcserb. . B. & P.C.forrhnEsn.
IVORKEIS' COMPENSAI'TON
DECI/AAIIO!
I hcrcb, a,firm und6 Fnahy of pdjury oE of lhc lolLwing dmldaionq
-l
h.v. and *ill @iniain o Cenifrltc of Comnr ro Scla lnsnrc for *or*cm oqf,netir,n, eq thvid.d lor by sdrion 3700 oa llE
Libdr Code. for rhc rEfolr1@e ol h. h.t fo, ahich UE p6nir & hsBd.
,l hlvc snd will minroin workcft comFnsrrion insurlre. !s rcquircd by Stl ion l'700 ol rhc libor C.d., lor thc p.rfommc of
llE work for which lhis p.mi is L$kn. My *ork6 coq,cnstioi in$rftc cekr ald !6li.y nunl*. m:
_l ccrtiry rhar in rhc pcrrormnrr oirhc work ftr which lhk pernrn is issucd. I sholl not cryrloy any pcron in any mnner
v, os to ttsm subirr !o rhc wo*.R mmFcnsorion hqs ol C.lifomi.. and osEc rh,t ir I shuld bc.om subF.l lo llf,
mrtcs omp.nslioo pmvisions ol Sdior lT00 of lhc LalEr tuc. l shlll. fonhwnh.dn{,ly wnh lh,e pmishns.
WARNIN(;: ,:rilurc b s.-^ue workcn cotr,p.trur l. {nd shall subJc.l 0n cmnlo}cr lo siniial FeX.3 ojd
rhc cosr ofcomrcnstioi. damgcs ns lmtidcd fo, thccivil linc\ !t ro .nc hrndrcd rhous'nd dorlrs
.r8 -""' g^^ L-' ,-t4 l
I hcruby amrn undcr p.ndry ol rerjury ,D liansn und.r tovisnrn ol Ch0ptcr 9 (ommncirs wirh Sdion 7m0r ofDivision l
ol rhc llu\inc$ lnd PRntsbns Codc. dil rylic.n\. i\ i.ltlltu.c rndcl,icr.
t3 C_3 88t"1{-6,Fr"ltic-tr;tct/ t*9
I hcrchy ofirnr unds rnalryorp.rjury rh
i\\ucd (Scc.1097. Civ C ).
ir{ con{ dbn kndin! rectry lor lh. pcrformncc ofthc work n,rshi.hrhis lrnrir is
AITI.I(ITNLDECIJ&IiTIAIi
I h.rc$y,Rnfl uMcr !$0llt ol Frjury onc ol lh.,nlhq ire {!(lararion\:
Dcnlrirtun Pcnnirs A{b.sbs Nor ili.d ion F.dcralRctuhtions (TirL 40. Prn6)
Rcquncd hlrcr or Mnifi calinl
Essdinx ast csros rmvd arc not lppliclbLro rhn nmrccr
n n sarc rhnr rhc rh,k inronndn n.onNr I.srerocomplywirhlllCiryandCounr,
ing corM.rion. \rd h.r.by.urhorir rctEs.nrdrilcs ofrlis City and Couoryro.md uron rtr
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PLUMBING-INSPECTOR RECORD
-71
a
APPROVALS
Gas-Underfloor
e\
Water Service
{
DATE J rD/SrG.
i-i-