HomeMy WebLinkAbout30137398 - PermitProiect Address: 106 W Fourth St
Assessor'sParcel: 398-264-07 Lot: POR 8, POR 9
unit: 600
Block: ll
Bldg: Address Range: 102-.106
Tract: TOWN OF SANTA Alistoric: Yes
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 #: 3O137398
Pin #: 96369
Owner:
Address
Phone:
Tenant Name:
Contractor;
Address:
Ted Tapfer, VP (Miller, Burg, DuPont, lr
106 W. Fourth St. Suito f211
Santa Ana, CA 92701
(949) 244-9040
Owner-Builder
01116002
01116002
01't16002
01116002
01116002
51602
51602
51602
51600
51602
Amount
13.24
'fi.83
3't.44
20.56
51.26
Fee
$13.24
$23.66
$31 .44
$20.56
$51.26
t20.56
$119.60
t719.21
Fee Type
Water Closet
Sink
I/in Fee Adj
General Plan Update
lssuance
Qty
1.00
2.00
1.00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Botchi:35984 - 10/26/2016 I0: NGARCIAgj1lse: CTYH lran:i: 4 3 of 4
Acct,: Refi: 30137398
Rcpli:01654337 - 10/2612016 g:44 An
Tro,lsocu ion Touol ,719.2t
led Tqofenr VP (tliIlerr Burgr
Generol Plon Updote Fee
01116002- S16110000-
Plurb ins
01116002- 5!6[2000-
ICL Check 000014$7
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Commercial
Tenant lmprovement
Bathroom upgrade
Chavez.Dave
B
III B, SPK
cPc 2013
Buildins Permit #: I 01 88564
Evety permit issued shall become invalid unless the wo* on the site
authoizod by such permit is commenced within 180 days eftet ils
issuance, gt if tha wo* authoized on the site by such permit is suspended
ot abandoned lor a peiod of 180 days after lhe time the wo* is
commenced.
lnspector MID#: 2016-127430
10126t2016
Account#
01116002 51600
01116002 51602
$20.56
$1 19.60
Notes: Upgrade existing Bathroom to accessible bathroom.
Shell only, Tenant improvement under separate permit.
Owner-Builder form on file.
$140.'r 6
$0.00
$140.16
N,lisc. Receipt:
Misc. Receipl:
[,lisc. Receipt:
Total
<'7-?
Suite Range:
Zoning: SD84
Building Use:
Job Type:
Nalure of Work:
Occupancy:
Constr Type:
Code:
Date:
Dale:
Date:
Fee Total:
Paid to Date:
Balance Due:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDIR DELCARA ION
l hcrcby drlrm undcr pcMlly oI p€rju!) rhd I on.x.nfl 6dn rlr (onr.ck s l-iccnsc l-aN fo, rhc finl \irr!r.atn(i(rurl5
t]'6in6s and Pordsion Codci An, Ciry or County \hich r.qrir6 fl psnril ro coNlrud- nlr(, nn0o\c. d.ndish .r '$ an)
srndur., priorro its issuanc.,al$rcquiBlheapplicanllorsuchpemihnle{silnnsaEh.nr rhal neotshc is lics\Rl ,u6ua.t
ro rhe Forisios of thc Conra.Mt Li.c,scd La\r (chaprd 9. ( onnEncin8 \virl Sccron 7(xl0 !l Dn isi I ol thc lnrins .nd
Pmr6si6nscod.)orrhdhcorsh.isci.rlpilhcrcllomandrlr66isrorlheallcsctl.r. rtriotr Aiy viohlbnolSatiotr 70.11.5 byo.y
.ptlic0 for a pd.rn suhj(ts lh. applicanrlo..ivilpcnahyornolmorcrlhnfil.llundr.ddolltrs(S50lr)
t. d osncr ol the propenr. or my cnll,oys \!irh \v.86 rs rlrt $lc compdsal tun. Nill dn nt \rort tu rhc uclueisnol
into ql or orer.ll rirslclse.7044. BNins.trd PnlsstunsCode 1he (inrrAlrr!'s Li.ense t-.u doBnol applyromotrn(ol
ine prolqly \rh. tn'ilrs or ihp(N6 rhdsn, md rvho dod srh \tl{ hnns.lforh.6elforrkourh his or hd o\$ enrploy.'ls.
po ild thar such iDp.ovowrs e Nr i.r.nd.d dr olIotn ror sl. lf. M\e66. rh. hiildiu or iq,nn .nen a nnd $i ri. onc )4
olmnDl.lion. rhc (\'n6 lruildd \sill haE lh. trrd6 of rrorias lhar hc ot sh. did frn bdkl or nnlyo\ c rhc Frrny ror rhc tiu4s* of
!G tl ro o" nr o t rtrc pr.pary, dn c\ ( lun\ clJ conr racr
'ns
$irh licd{d c.ntturou o .o.$rrcr rhc poicl (s$ 7(!4. Btrsil.s,
,nJhohsionCod.'l'h.Conria.rorsLi..trscLi{do6norapDl}k,snosnsolrror.'l!1rn(buiUsornnprolesllacon.,nd uho.ont6.ctorsuchprojc.lsrlnhaContracio(s)licqstdpuBtrdrhtlE(ot0clorsl.icctrscli\).
I m .r6d unda Sdhn L -lodr..to l.IblzolL o".".,
tl)IlL tlulal
I h6cby .mrm und6 p..!ly oaFjory on. of lh. aollowinB delastioff:
-l
hlE ed will @i.i.b . CqdfE.t of Col$t 1o sdfisurc for wrl6' 6Epddio& a FD$d.d for by sdlioi 1700 of ft.
tdor codc fd th. pdfollMcc of thc mtt for qhicn Ur. Fi.il i! i$u.d.
-l ha!. ed will maiorai. work6 conp.malion iNUBnca s rcquil.d by Sdlion 3?00 of rh. t{bor Cod.. lor lhc !6firmec. of
rh. work ao. which thi! p@il is is.d. My worl6 cohFaarion imomc. can r ud lolicy nunbr uc:
$r -niry tm . rt t{.runnarce ol lh. $or ! fo. $hich lhis pqnrir t isn'.!,lsli.llnor.ntlov rny pcFon in ao! 'n!n er
F skr becornc srbj(r ro lh. \ro'r* conrtosrion la$s of( alia.r'i., and aSrcclhd ilI should h.cotu subi{r ro
'hc\orksl co'.p.{slion provisr( nrsd i('n .r 700 ollhc l-,Irtr (i\li I shall. fonh\ilh con,nl} \irh rhos.pnNGi.ff
WARNINC: F.iluE ro Gur. sork6' codr.Glrio. .ov@s. i! oiblvaul. rnd sh,ll subjdl an flployq lo oninll p.iEhis Md
civil lins up ro on hundrcd lhoMid dollm ($100.000). ii lddili.n b rn. cosl ofcomp.N.tion. dadasd a rrorided for lh.
Scrli,nr rrr?L otrhc t.ittn (od.. inrftsr
,,.,.,. i 0/zulzolt
UE(].ABAI]qI
I hrcby amnnundcr rqnlry o i peiury rhat I tun li..n*n undd pir\ision ol( h.rls I ($nnnorinr \irh sdion 70lr(r) !l l)irision I
ol the D$ir6sand l\ofNnrns Code, toid 'ny
lircrse is in rulln ..tu cilNr
Lic.M Cta$:-Lic.N. Nuntd:
Drt.: Contmclo.:
AtttlcaNfDEcraa4ua!
I haEl, atrnn und6 !..trlly ot psjury on. oalht lollowitrB ddlratio 3:
ttinolirion P6nn$Asb6ro! Norific,lion F.d6dl Rclulalions ( I nL 40. Pan6)
R.quircd ldr.r of Nolifralion
-lc6l,lyrhat
lh€ l.dorlr.uLlal'o Ecd J'ns ab6ros r.hu\ 01 n' e rot aml'(ablc ro rhr r('jccl
6,-,,r,nr,,*'.,.0,nb apphcarion mdsrdt.rhd th.ablc inrom.rion is coFar I a!x6 ro comrl, q nh all c t. .nd(ou y
odinMe ed $ar. L.s! Ehiry ro hiildiig codrudior ad t6.b,r.pr6o ati\'6 olrhB Ciry..d ('otrnrylo 6t6 upon tnc
abovc m.ntioncd Forcrry aor iapdtion
(Appllc!nl or AEenl SlgnrluRl
K
lol2u
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
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
Final Gas Test
Meter Release I
FINAL v/7o/t7 I -&4 t) +4xc+ *€
Notes, Remarks, Etc.
-t
Area/Storm Drain
CONIAIJCIIOXIENDIM.AGEIS}
I hcby amm undd poElly o fpdjur, $al fi@ i! aororo.lion Lnding ago.y tor llt psfodatuc otlhc*orl{ lor shicfi ihir Fmn i!
is.d (Sa. 1097. Civ. C ).
l!od6 s Nm..
T