HomeMy WebLinkAbout30539796 - PermitProject Address: 2724 N Bristol St
Assesso/sParcel: 002-261-30 Lot: POR 25
Unit:
Block: NA
Bldg: Address Range:
Tract: POTTS, BORDEN &Historic: No
Suite Range: Building T
Zoning: Cl
E
Cify of Santa Ana 20 Civic Center Plaza (M-19) Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Permit #: 30539796
Pin #: 72824
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
JLLC PALM TERRACE APARTMENTS
16456 BERNARDO CENTER DR
80lr Diego, CA 9212A2582
Total Maintenance Group
434 Maravilla Lane
Brea, CA 92823
(714).228-9191
Fee Type Amount
01116002 51602 Wlr Htr (Res up to 50 g. 22.25
01 116002 51602 lnvestigation 96.78
01116002 51600 General Plan Update 22.09
01'116002 51602 lssuance 55.04
Qty
2.00
1.00
1.00
1.00
Fee
$44.50
$96.78
$22.08
$55.04
Phone
State Lic #: 919872
Lic Type: B, C-33
Bus. Lic #: 370006
WorkeIs' Compensation lnsurance:Carrier: State Fund
Policy #: 1877310
Expires: 0710112019
8otch9:45131 - al,,/aol& ID! CCUELI-AROffice: CTYH fronsi: {5 11 of 1?A(ct3: Refl! 305397?6
R.pti:0?3,t6206 - E/l/ml8 1:38 Pn
Tronsoct ion Totol 121581.11
Totol lloint€nance 6roup
G€nerol Plon llpdqte Fee
0l116002- 5t60m00-
Plurt inr
ol I16fi,2- 51602000-
V iso
CC+: rrl*;IIrlr**{+07
Noles: Replace range hood in units T-1, T-3.
_ t22.0s
i 196 .37
32r584.11
fti.h+:097098
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
08/01/2018
Account#
lvlisc. Receipt:
lvlisc. Receipt:
l\4isc. Receipt:
Total
Date:
Date:
Date:
R-2
VB
cPc 2016
Chavez, Dave
10597035
Every permit i$ued shall become invalid unless lhe work on the site
authorized by such permit is comnenced within 180 days aftet its
issuance, or if the wotu authoizad on tho site by such pemit is suspended
or abandonad tot a period of 1 80 days aflet the time the wo* is
commenced.
MID#: 2018-144628
0't116002 51600
01116002 51602
$22.08
$196.32
Fee Total:
Paid to Date:
Balance Due:
$218.40
$0.00
$218.40
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
Alter - n/v unit T-1, T-3 Code:
lnspector
APPROVALS DATE ID/SIG.COMMENTS OWNIIT BU! I,DF,R DTJL('A RA]'ION
I hcrchy ninnr untur |l.mlr, r,r t'crjury thln I unr.$nrnl lion, rhc Coitr.ror\' t,iccnsc li$ ln' rhc n,lbwirE L_aqr (Scc 70.ll 5
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Inrcid.d 01 oftnd lor $t (Se.7044. B8ift$ sd Pbfersions Cod.: Tnc Co.udorr Lic.nsc I,l* .Lei @t .pplv lo u o\rM of
rhcpsFny *h, tuilti or intmB thcM.0rd wt .ioe! sh eort hiFsclfor hsrtfot lhrcuE,l hls or ltr oln cnplove!.
prcvided lnd sEh inprevmnu e rcl i.rcnd.d dof.Ed lor sk. If. hoEE tlE t{ildii8 d inprDvlEi h sU wihi. om )4,
of odphlbtr rlE O*Gr Btrildd will h,s tlE bonlsr of FwinS rlgl lE or dE dil Dl taih d itpmt Ut lolEly for 0E pltloE of
1.6 owrcr of rh. Impenr. tmcxclusivcly contturins qilh lkcnsd.onllldoslo on$od rhc lmj{l (Ss 7044,8tr\irs
ad troas\i, Cod.r Th. Conlrocrors Lic.n* L.w dGs nor,tplylo an o*ner oftm!.ny wno builds or idPovcs rhctmn
snd who contflch for soch ltuj<rs wnh a ConLacto(O lt.r$d plrM ro lhc Conlrelols Ltcns L!*)
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TOESEII.COMPINTAIA!
DECLATAIION
I hcr.by lfatrm undci peoalry orFiury onc ofln fouowin8 dekfrlioB:
I hdrc rktwill nrtrr!ir r Ccnifi.rrc ol ConscN t) S.ll.lr{trc lin so'kc^ .otrrlf,trsilnn1. rs nmvidcd tur hy Sccrion 37U)ol'rhc
LihrCo c, f{tr rhc Frlnrnrnccollhc sork ftn which rhc l.nnn i\ issucd
-l t!v. rfld *ill minloin *orkcre'cooFns ion insEtuc. as r{uird by Selhn 3?m of thc Llbor Co<,e. for lh. pc.fodftc of
fic mrt ftr vhtn lhb Dcnit iq issuad. My wort.B omp.nsarion insurec cdi.r .nd Policy numbet @:
S'rare €v .,\
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cenity rhar in ih. p.rlorm!rc oflh. worl f.t whth rhis F mn k isslcd. l ihuu @r cnpk y $v rc6on in rnv ronmr
s !s ro b.om subrc.l lo lhc q,Adi mnpcnelbn ltrws of Calirohi!. atd {rE tnd if I should b.c.m subjdl io llE
w6rkc( onpcnsalion t Dvisions of Scrrio. lT0O ol rhc t$or C.de, l slblt. fonheith mq,ly Pnh llss povisions..
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DECLINAIION
I hcrcbr 0m n udcr t nllry or r.rjury rhd l 0m lieN,l undct Drovtioo .r Chnprcr 9 (connmocins snh s(tior TOtx) oI l )ivi\k,. l
of rhc Burin.ssand Pofc$iorrsc('dc. ad nryli..n* is in hll6rcc atdctt(r'
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ttrued (Scc.109?.Civ. C ).
AffI,Ic1 ILDESAAAfIOIi
I llnhyifiimu cr prnrhy orpcrjury.trc oflhc following dNhrrrion\:
Dcmolirn,n P.i,nits- sh.nos Nolificlrio. Fcd.dlR.Sulalioisllirlc.l0- l'an6)
Rcqun d lxrrcrof Nolili.ari,n
-lccniiy
rlu( rhc r.dcrrl mguhrioN rcrnrJirs nsh.(o\ rcnnnrlrr. nor rrnric$l o rhn nr+cr
ft -.niryrru r r',vc,cu rrri\ ilpliclri.nNd (srcrhar rhc oh.!c inrnnsrn i\ cotrccl I rArccloconrdysirhrllCilytnd cou ry
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,tiNr nrtrrion.d pmp.riy for inspcclion $[ii- rz_Applie orA8enlSiAnuluB:(-(-(>
UNDEB GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouoh Water Healer
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Lrne
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL 9a/rg ,c k2r6.
Notes, Remarks, Etc.
PLUMBING-INSPECTOR RECORD
TOP OUT
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