HomeMy WebLinkAbout30139663 - Permitcity of Santa Ana 20 Civic Center Plaza (N4-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714],647-5853
Permit #: 30{ 39663
Pin #: 24495
Proiect Address: 2240 S Bristol St Unit:
Block: NA
Address Range:
Historic: NoAssessor'sParcel: 408.471-06 Lot: NA
Owner:
Address:
City of Santa Ana
20 Civic Center Plza
Santa Ana, CA 92701
(714) 647-s838
01116002 51602
01'116002 5'1602
01'116002 5160C
01116002 51602
Fee Type
Cap Sewer
Fee Exempt
General Plan Update
lssuance
Amount
99.92
-177.O4
22.08
55.04
Qty
1 .00
'1 .00
1 .00
1 .00
Fee
$99.92
$-177 .O4
$22.08
$5s.04
Phone
Tenant Name:
J&Glndustrieslnc
18627 Brookhurst St #302
Fountain Valley, CA 92708
(714) 903-2002Phone
State Lic #: 571859
Lic Type: ASBS, A, HAZ, C-21
Bus. Lic #: 160248
Workers' Compensalion lnsurance:Carrier: State lnaurance Fund
Policy #: oao2a47
Expires: 10/01/2018
Commercial
Demolition & Clear Lot
Demo & Clear Lot
Occupancy:
Conslr Type:
Code:
B
VB
cPc 20't6 Notes Demo existing commercial building and clear lot. NO
FEE PERMIT PER MEMO (memo on file). AQMD on lile.
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
Date:
Date:
Dale:07 t0912014
Account#
Misc. Receipt:
Misc. Receipt:
lvlisc. Receipl:
Total
10196952 $0.00
$0.00
$0.00
Every pemil issued shall become invalid unless thg work on the site
authorized by such pefinit is commenced within 180 ddys after its
issuance, or if the v,/o* duthorized on the site by such permit is suspended
ot abandoned fot a peiod of180 days after the time the wotk is
commenced.
lnspector MID#: 2018-144500
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
Bldg:
Tract: NA
Suite Range:
Zoning: C2
Contractor:
Address:
Buildang Use:
Job Type:
Nalure of Work:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GBOUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier bn,,.*
TOP OUT <.-l
Waste & Vent
Water Pipinq S2<
,L t-,-
Gas Piping Gz-- q t\r \
Roof Drain )
a E
Tub/Shower Test t daf+r..
Rough Water Heater
-)
POOL/SPA
P{raplDrain Line
Main Drain/Pool Pipinq 1
I
Fill Line/Back Flow
Pool Heater/Gas Line I
I
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL lAs ln *Ei-.\D I
Notes, Bemarks, Etcl t | -wopyl ZON-r
OIVNER BT]ILD!R DELCATLT''ION
I h.'chy rllirm uDrcr pcmlrt or Frjury rhrr I rm cxcmnr tonr rhc Gnnrr.t6 l,iccn\c li* lu rhc lollosiry tN,n (s(.?o.ll 5
ausirc$ trdP(n.si(,nC({.):,4dyCiryorCounryqhichrc{loncsrfrnnirt,cdi{tu.r..hdr.nnpruvc,..nni\horrcf'trnriy
nfldurc. nridr. irs t\uin.c. aho rclunc\ th. i|rlicinr ld\u.h Fnnir ro filca silncd n,tnrtrr rh lf,or shc is li.cnwl pursurtrr
Io rtu pmvntuns.f rh. C.itd.nr's l-iccn\.d t1w (Clh|]icr ,. Crnnncn.ils wirh S.crioi ?(xx) oi Divnnnr .l of'hc Bu\i r\r, d
Pmfc$i.n( (-odc)orrhar,*orshc iscx.nDi rhcrdionrr lrhchr\i\ fi* rltr rllrgrd drc rflioi AiyvxnrtuiofSNr6nT0]l5byii]
ppll.rtrlli,r rpcn!il suhjccr\ rhc anrlicinrhtrcivilpcn0llyolmrm'crh{nliy.hundrcddolhm(|t500)
-1.
a owmr oa lnc pbFny, or oy eoplorrcs w,lh waec! $ Uct sh mn ..suio( will do 0E wolt nld Esf,rrwkmr
iorcndcd or otr rcd for slc (Se.?044. Bleincss lnd ProLrsioN Codc: Th. Conlrrcror's Liccns Llw dds ml lrply lo m o*mr of
thc pstEry who hoilds or niproB ih.6n, ard slb ddi skh Mrt hisslr or hcMlf or rhmugh hi. or lEr own.mpLy.6.
provid.d rh,r slcn ihpb*EDls @ ml inrc'dcd or otu fd slc. li, hoM. ih. huildins or i'prcrcmrl i md whhin om yla
of.orrplelio( ltr O*rcr Auibd will haE tlE budcn of pmving lhal lE or slr dA d brild or inprow lhc I,DFry for llE purpo$ of
I. Bo*Mof rhc ltroIcny, Mcx.hsiElyconllsrins *nh lkcn$n conrrerm ro onrrud rh. pmjcr (sN. ?o14. Bulim$
art hDG$ir Cod. Th. Conrrcrols Licc.sc L.w do.s not rt ply lo m owncr of rrcr.ny wls huilds or inlmrcs rhvmn,
,nd eho mnrea for such pr.lxts wnh ! Co m.ror{r} ticcnrcd lJlB@r ro rnc C.nu!dor'. Lic..e ttw)
-l
am.rcmfl lndf Sccrion-, B. & P.C. forthh rcasn
I)nrr
WOnKFRS, COMPETISATION
DECI,AEAIIOtr
I hcrcby amrm u.dor ,.n!h, of p.rj!ry onc of lhc followi.S dcclMtioN:
-lharc
dsilltrui am0Ccnificatcofcons.nrrosclrlnsurcnrwork.'.ollcn\!rio..,sprolid.JlirhrSccrio.lT(Dorrhe
I-rh, Cnlc.lnr rhc lorf.nnocc.l rlr wo* toiwhi.hrlE ncrmir i\ i\skd
_l h,vc and e ill 'n.inlrin *ork B .omp.nsation in{arcq as Equircd by Serion l?0o of rh. t bor Codc. for lh. ,'crfotmre of
rhc work rorwhEhrha Ermt i\ nsucd Mvwor[cF conNo{arbn insurrrccJEf,rud p.lky numbcrm
.,",", - 9l<. \e t-.,n|
1l o2 9rl tc -j\-
-l.crlily
lh in rhc p.rlo,frftc of lh. wor* ro. *hkh rhk p.rnl is iqrucd.l shnll mrempLy ry pd$n inanymnrcr
s * lo trcom subi lo ltc workcB conrEnsalion kws of Califomk. and if,rc lhar if I sholld bccom subj6l lo dt
wortn' odpcnsrrion ,mvisio.s of S6tion l7m of rhc Lltnr Cod.. I shrll. fonhqi$ oq)!, airh $s tbvilions..
WARNINC: liihtrc ro s.urc qortcn' d,mpcnsol io. svcr,B. is unllwiul. and shall s,hjccl arr c'q,loycr to nin]indl lEmhics $d
cnil fitrc{ ut tu !rc hundr.d th,usand dolle( rtl(,r.o iJ), in ddnion lo 'h..on of co'rpcnsorio.. drnE8ca as pnrvilcd tu rfic
Sdi'n llo7a.f rh.lf,tbrCod. inrcrc{!nl, o.ruvr{c(
".,.
-l lLl l8 ^,,,i L.', L Cr-' cr
LICINSEDJONIIACIA&
DECIAMIION
I hctsb, llfirm und.r !.n!hy ol pcrjury lhlr I am liNnsl undcr Imvisn,n olChuprcr 9 (mmtuftinE wnh Seri.,n T()(xJ) dfoivhio! l
of lnc Busincss u.n Pmbsions Codc. and nry lt.ns is in tull tuc. trrd cqFr
A L7-("*5-l tqt (
ct b raD
CQNIIAIEEONIEIIIICjIi&NS
I hcehy uflirm u c. p.nblly of pcrjury rtul thcrc is i o.slru.tion hnditrE uecrey ror thc I'crformnc{ ol rh. krk lor {hi.h rhh Frtur ir
issucd (Scc. 1097. Civ. C ).
AfIIICAII.DESLASAIIIIN
I hsd', !ftinn urdcr F.ally of lErjury om of lhc folhwing ddlsmrions:
D.mlnio. Pcrnn* Arlxsor Nor irjcaiion FcdcBl Relllarions (Tirlc:t{), Pan6)
-Rcquircd
btrdof trorilkalhn
-lccnifyrhur
rh. fcd.6l rdglhrions nldding a\h.{o\ rcfr)vrl*. nor apduhlc ro rhi{ pm$i.
-l
ccni,r rhdr I h!rc rad rhn a0rlia starcrhal rhc al,vc infomrion is corer I llIe h onpl, onh all Cny
ordi'riccs aiJ Srrr.ljw! rclxri,,g t,
llbov. 'ncnrnnrd propcn, lbr iisprcr
n- ond hcrchy aurhorizc rcprcsnllrnc ot',rn Cirrand
ovla
,\pplicnnl or.\srnl Siqnatum
<t C oa.?
1 ct
IIII
Gas Service
}B
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