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HomeMy WebLinkAbout30138879 - PermitCity 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 #: 30r 38879 Pin #: 73643 Proiect Address: 2101 E Fourth St Assessor's Parcel 400-04'l "03 Lot: POR 6 unit; 150 Block: NA Bldg: B Tract 678 Address Range: Historic: No Suite Range: Zoning: P vT Phone: Tenant Name: Think Together Owner: Address: MVP ARBORS LLC 325 5TH AVE 1OO INDIALANTIC, FL 329034226 Fee Type Amount Waler Closet 14.22 Sink 12 70 Garbage Disp 10.66 Floor Draan 16.14 Floor Sink 16.14 New Sewer (First 100') 64.60 Wtr Htr (Comm up to 50 22.25 Wtr Conditioner 44.51 Ptc - 654 0.65 General Plan Update 22.08 rssuance 55.04 Qry Fee 1.00 $14.22 2.O0 $25.40 1 .00 $10.66 1.00 $16.14'1.00 $16.14 1.00 $64.60 1.00 $22.25 1.00 $44.51 206.57 $134.27r . 1.oo $2z.oa' 1.00 $s5.04 Sllno Construction lnc 125 E 2nd St Tustin, CA 92780 (7r4) 734-9393 011 011 01 1 0'11 011 011 011 011 0'11 011 0'11 51602 51602 51602 51602 51602 51602 51602 5160i 53602 5160C 5160i 16002 16002 16002 16002 16002 16002 16002 16002 16002 16002 16002 Contractor Address: State Lic #: 851254 Lic Type: B Bus. Lic #: 3599/f4 Workers' Compensation lnsuranceCarrier: State Fund Policy #: 9040377 Expires: 01/01/2019 Planning Conditions: c of o req'd Euilding Use: Job Type: Nature of Work Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Commercial Tenant lmprovement TI West, Glen Zuniga, Allissa 10195158 Occupancy: Constr Type: Code: B VB GPC 2016 05131t2018 0710612018 Account# Misc. Receipt: 71035 Misc. Receiptl Misc. Receipt: Total Every pe.mit issued shall become invalid unless lhe ivork on the sile authoized by such permit is commenced within 1 80 days after its issuance, ot if the wotk authodzed on the site by such permit is suspended or abandoned for a period of 1 80 days after the time the wo* is commenced. $425.31 $199.88 i225.43 lnspector MID#: 2017-140620 011'16002 51600 0't'116002 51602 $22.08 $203.35 Phone: li rtrr ,ri t ruct ion I nr. on Updot,: Fee 5 1 6(r 0r.r0r-l - i1602urx:r- ***rlr*6713 Notes: Fee Totat Paid to Date: Balance Due: Date; M::, PLUMBING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OIINER BUILDER DELCAR TION I hcrcby affim udcr pcnalry of pci!ry lhar I t.rch,r frln $e Contr.cro6 Lhns Llw fo. thc followirg EeD (Ss.7031,t Businc$ a.d Prcftlsio. Codc)i Any Ciry or Cou.ry whach rcqote ! p.rnil ro @N .r, dls. inpmvc dctulish or Fpan lny srdcruc Fior lo ns iqswc. aLs r.q Rs rh. +plaer lor s.h pemh to ,ik a sismd sl.rcmnt rh ln or 3lE b liensd t'!ls@r ro rh. pbvisions of tu Conrreror's Li..rcd Law (Chlpt€r 9. Conmmine with Secri.n 7000 of Divi3ioD 3 oflhc Busincss !trd P,ofc$ioN Co.tc) or thar tl or sh. is.rcmpr IhcEfion md $e bsis for rh. dLg.d crcmplion Any liolarion of SNrion ?01I 5 by !n, lplicanr for s Fmir slbtrrs rlE applio to ! .ivil pcnllry of nor mrc rhs fivc hlndrd dollds (3500). -1. s o*m, of rhc pmFny. or my coplotEi wirh wr8.s ar rhch slc oqE!$tio.. wiu &, tlE *ut md tlE slrEle ii tul inl6d.d or ofr.rcd ftr sL (Se.r044. Busb.ss lnd Pmacsionr Codc: Th. C,nlrslor's Licctr* L.w do.s ml apply lo e owE ol U* prp.rry sho boildr or inlma dffi., 4n wh dqs Mh *o* hisFlror hcelf or lhmu3i his m lrcr oun.tr9lor!... provtcd rtsr such in{mEmnlr e an in&'rH o,oftrd fq sL. li LcE rlE traldjrg o, inpmrcrd n $! *hhin om ru, ofco'rddn[ {. Osr Builtcr *ill IEE th. hd6 of pmunS dEr lE or sll. dA bl tu d or i.qDr dE r.rclory fo ft purFs of I. Nown.rofthc tmlcrly, 0r cxclusivcly coftaclin8 wnh li.cnscd cofllmdoBlo consmcl tl* rmjccl (Scc. ?O44. Bu\inc* !'n hDic$iotr Codc Thc Conrracrol s t,i.cn{ l-aw doc\ tur ot Fly lo an o*ncr of l'6p.ny eho blilds o. improws thcron, Md who onbJ.8 fttr such pmj.lk wnh a C.n'h.ti(s) Iil.nsd ,,!Bu!n' ro rhc Co.lractois Lien* L,*). -l M crc'npMdcr Scclion- A. & P.C. lor thh rcason. WORKT'{(' COMP|rNSAT(TN DECIJIAIII}N I hcrctly !fiiih ondcrycnohy of rcrhry one of lhc folloviq d.cltrBlions: -l hlvc afrl s ill nuirhi. a Ccnific c or Con\cnr ro sclt ln\uru t, sorkcr' coqrn{ri, , trc ,rtuvidcd ror bt Sccrtutr ]7m.t rhc L.tq 9,a hr thc rtllorruncc otrhc sorl fn'which rhc n._n,ir tr i\Jcd I hJlc Jfrl rrllmoinrJin tr,trkcn' .i'nrncnsJriin insurr'tr., a\ rcqrircd btsccrinl?o0oirhc L.bo. codc. for rhc l,crloi,Mrcc of h hsucr My sorlcc' conw.slrion iosuraM cutr md lblhy numh.r m /n -l ccdilythar in lhc ,.rlormrcc of thc wori for whkh this p.rmit k issucd.l shsll nol "ffi;ffi;".,*$ N to heam s!bj.i-r lo rl* ,ortsl conq*trqrhn laws of Califohi!- and lere lh r if I itDuld tNm $bj6l lo llE workcs'smFnsalionpDvisn,NofScclionlT00oath.tjhorC{xlc.l.JEll.Ionhwirhomply*ithrh.ePovhbns.. WARNING: F ilurc ro su. srkc6 mq*ns,lion o!c6e. is un t.and sltrll slbj.rl an cmploys ro (idio,l FMlri.. tnd civil fincr up r, om hundrcd housnnd doll.rs ($100.Ux)J. d ion. damgcs ds Dmridcd for rhc I hcrcby!finrundcr pcnrlty ol'pcrjuly rhar I !fl li(tr undcr pmvhion otchlprd 9(coonftncirg wnh S.clion r0tl0) olDilision l of lhc Busin.sr Md Pmfcsionr Codc. ! ny lk.ns is in tull loE and d.cr. ATILICANI.IIEII.AIAI]AN I hm{,yrtrmund$ p.tr,lry otp.rjuryonc of rhc ltllowin8 ddldarions: D€mlirion Pcrmih'Aslf,slos Nolificatio. r{dc.al ReEllal ions ('rnb &, Pan6) -ltcqutcd Gtts ol Noiifrolion I ccdiiyrh rhc fcdcrl ' cpl,ti.ns ngddi'U asb.{o\ rcnr,valrrc nor artli.rhlc ro'his pbjccr -l ccnify thal I hrw E.d lhis rpplic.l ion 3nd slatc rh0t rlrc !hov. i.fornur ion is coret. I lsN toomply wnh aU Ciryand Counry ordinanscs !.d Strlc bws rcLlin8 rcprcsnt.livcs oilhh City abrc nf, ri.n dptupcnytd ii Arpli(nl or Aaenl Sl*nut UNDER GROUND I Waste & Vent 7/2/./tt ,o%,h WaterUnder floor Gas-Underfloor Buildino Sewer Area/Storm Drain lnterceptor/ Clarif ier TOP OUT Water Piping Gas Piping Roof Drain Tubishower Test Rough Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbing Final Gas Test Meter Release FINAL /o/>z/t{ a *qr Notes, Remarks, Etc. Waste & Vent Fill Line/Back Flow lrsle: Orn€r: I (NIIAUCUOIIENDIIGIC.ENCI I hcEby ,flim xodcr ltElry of prrury rhd $m Ls , snsrrudio. bndioS sgcFy for d. pcrformrcc of lhc so* fot whhh rhis Fmir ir i$ucd (56. 1097, Civ. C.). t ndcis N.mc - =