HomeMy WebLinkAbout30139647 - PermitProjectAddress: 1500 E Seventeenth St
Assessor'sParcel 400-241-01 Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: cl
q
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139647
Pin #: 3tE5E
Phone
Tenant Name:
01116002 51602
01 1 16002 51602
0'1 1 16002 5160C
01 1 16002 51602
Owner:
Address:
Contractor
Address:
First Church of Nazarene
1500 E tTTH ST
Santa Ana, CA 927058502
(303) 956.4119
Racing Green Ltd
3873 BERRY DRIVE
Studio City, CA 91604
(310) 9s14080
Fee Type Amount
New Sewer (First 100') 64.60
Water Service (Each '10 44.51
General Plan Update 22.08
lssuance 55.04
Qty
2.00
2.OO
1 .00
1 .00
Fee
$129.20
$89.02
$22.08
$55.04
Phone
Stale Lic #: 992206
Lic Type: B, C-10
Bus. Lic #: 369902
Workers' Compensation lnsurance:Carrier: Employee Sevice Group
Policy #; RWCC64385070
Expires: 06/01/2018
Botchi:44593 - 7/3/2t:t19
off ice: CTYH Transi: 6(Acct+! Fel+:
Rcpti:023182?3 - 7 r3./?tr19
Trcnsoct ion Totol
ID;1-Pg541Et3of3
3rl s?647
1?1!g Pl1
$.449.r'19
Rflc ins Green Ltd
t22.0s
+?73 .?6
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subjecl to Field:
Buildins Permit #: 10196763
Other Occupancyi
Alteration Constr Type:
Change of Use - Temporary Code:
Date
Date
Date
E
VB
cPc 2016
S649.tJq
AuLh+ |577?7P
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600
011 16002 s1602
$22.08
$273.26
Fee Total
Paid to Date:
Balance Due:
$29s.34
$0.00
$295.34
Every pemit issued shall become invalid unless the wo* on the site
authonzed by such permit is commenced within 1 80 days after its
issuance, ot if tlE wod< authotized on the site by such perfiit is suspended
ot abandoned fot a period ot180 days after lhe time the wo* is
commenced.
lnspector MID#: 20't8-'144081
6enernl Plon t pdote Fee
0ll1600?- 51600000-
Flunb ing
flI116002- 5l6D200rr-
llsster Cnrd
CC+ ! *******r**rI6379
07lo3t201a
Account#
Notes:
PLUMBING-INSPECTOR RECORD
(,IVNI:R IIT'II-DDR DF]I,('ARATIoN
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rhc pmFny who t'uildr or impoF\ rh.mn. ud $ho des \!ch MrI hn \.llrrh.rsclr.rrhrcu8hhi\orhcr.wncnDbrcD\.
pn)liilcd rhd sudh im,n^ctrEnrs m ml inrMltal or oficEd ,itr \ih lI nov.vq. lnc hoildir8 or impmtnrnl i\ $Ll *iihir .nc ttt
of.rrnlLii,n. rhr Os,rr Auiklrr willhx\r rh. budoofrovin8 rhar tE.. \h. dil mr hoilil or ir{,rovc rh. p6lcn, ior Ihc pur[,{ of
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and EDn*shn Cod.: Th. Conlra.lols Li.cnsc Llw dms nol apply lo 0n osncroftmpcnywl$ $uildsor im!rctes rh6con.
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DECI,ATAIIO!
I hcrby afiirn undn p.nally of p.rJury oB oilhe aollowinS delralionq:
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rhc sorl for *hkh lhhD.rmili. isu{d Mysorlai comnctrshtr
'nsurmc
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Sdion l7O0 olrhc t$or Co<k. for $e p.rfollre. of
@hr .!d polhy nunbs a.:
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lor which rhis t'€rmil is issucd.I snlllnor ant lEron n my mmlr
w' rski h..om nlbi.r t,rhc trork.r\ .onplisnrtntla*\olCrliaonrir. md +rcc
*.rkd\ co.rpcn{rii pmvisk,nr.lSc.rion :17fl)of rhc u}sr (idc, I rhril.
WARNIN(i: Flihrc b sc.urc w(rkc* .omlcnsdnr .ov.ragc is rnlr$aul M cmploFr lo cininal I*Mlras dnd
.nc hund(d rho$rnd dollns ($10O,0O0). in sddirn,n ro ion. darogcs rs providcd 16, rhd
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I hcEby lmrm undcr p.n!lr, of pcrjut, rhar I rn ltqe{ lndn Fovirior of Ch.prd 9 {6nmeing shh Sfttion ,000) of Divisior l
of lhc Busims aBd Pmfcsions Codc. oid my lk.M is in nil foN on cild.
-t0
I hcrby lnhr unds Fnahy of pcrjury ltul rhLE h a construclion lcndirE rsency tor rh. IEdnrM cc of lhc rort for vhich this FrmiI k
issucd(Sc .1097. Civ. C )
AIILICAN[DSCLATAUON
I h.njry alttn undcr Nnilryofpcrury orc olrhc r'ollowirB dccliri'ions
D. dirion Pcrnlii\ Askn.s Noriturrbn F.dcfulRr8uldioi{ (Tiilc.10, ftn6)
RcqMc'l lr orufN.ria. i,nr
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I rc 'fyrhxr I h !c r.rd rhn rppli.rridrlil {rrct n cm.t{. I o8,s ro coq,ly wirt all Cir, rnd Counry
orth rn.c\i n Srrlo lr(vvchri horiz RpEscntllircs of lhis Cily hd County
$ovc mnriorcd ,ronc y lor
Applica orAg€trtSiaml
APPROVALS DATE COMMENTS
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Bough Water Heater
Ptrap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing e/e-//8 4PAd n-bd t
Final Gas Test
Meter Release
FINAL 3/3//8 +FZv ZtwGor-
Notes, Remarks, Etp.ub "1il-(J *o (-Lo-". R,'77 Z<tfe Ja.r s
ID/SIG.
UNDER GROUND
POOL/SPA
Back Flow Device
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