HomeMy WebLinkAbout30539795 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA 92702 Plumbing
PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30539795
Pin #: 897E9
E
Assessor'sParcel: 002-261-30 Lot: POR 25
Unit:
Block: NA
Bldg: Address Range:
Tract: POTTS, BORDEN &Hlistoric: No
Suite Range: Building R
Zoning: C l
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
0'1116002 51602
01116002 51602
01 1 16002 51600
01'1 16002 51602
JLLC PALM TERRACE APARTMENTS
,I6456 BERNARDO CENTER OR
84fi Diego, CA 921282s82
Total Maintenance Group
434 Maravilla Lane
Brea, CA 92823
(7 141 228"9191
Feo Type Amount
Wtr Htr (Res up to 50 gr 22.25
lnvestigation 96.78
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
1.00
1.00
Fee
$22.2s
$96.78
$22.08
$55.04
Phone
State Lic #: 919872
Lic Type: B, C-33
Bus. Lic #: 370006
Workers' Compensalion lnsurance
Carrier: State Fund
Policy #: 1A7731O
Expiresl 0710112019
Botch+:45131 - 8/!/?oIA
Ofl ice: CTYH Tronsi: {5Acctl: Ref+
Rcpt?:023,16207 - 8lVml
Tronsoct ion fotol
lotnl llR intenonce 6rouD
Notes: Replace range hood in unit R-2
Generol Plsn llpdote Fee
0r I160@- sl60(m0-
Plud i nr0lu60u- 51602000-
Vis!
CC?: rrtrrrrlr*r*{407
t2? ' r'18
*,17 !; -117
t21584.11
Arthi:097098
IO: CCUEI.I.AF
8rt
l7 ol L2
305397?5:38 Ptl
2r584.II
$ 196.1 5
$0.00
$196.15
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Sub,ect to Field:
Buildins Permit #: 1 0597035
R-2
VB
cPc 2016
Date:
Date:
Date: 08/01/2018
Accou nt#
Masc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
lnspector MtD#'. 2018-144628
01116002 51602
$22.O8
$17 4.O7
Fee Total:
Paid to Date:
Balance Due:
Project Address: 2724 N Bristol St
Building Use:
Job Type:
Nature of Work:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type;
Alter - n/v unit R-2 Code:
Every pemit issuod shallbecone invalid unlesslhe wo* on the site
authoized by such permit is commenced within 1 80 days after its
issuance, or if the wo* authotized on the site by such perrnit is suspended
or abandoned for a peiod of 180 days aftet the time lhe wo* is
comfiencecl
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER NUII,DT]R DI]LCARA ION
I hcrchy aiir utulcr runllry of F juy lhlr I rn crcnu liorn rlrc Conrtrlots l-i..nrc trw nn lhc nnk,wiig rcrsn ( 5(.?011.5
ad\inc\\ dnJ Pnntssh C{nle): Any Ciry or C.trnl, whi.h rcqute\ ! Ilcrnrl tu ..n{ru.r. 3lrcr, inrrort. d.nrlth ot EPan 8nv
(ru.ruic, trior lo ns hsuan... rln) rcquncs rhc lPplicanl tx \Lch litnxr h filc I {irncd {dcnunr Ihll lt., dr n li.c td Pursunnr
tr rh. pnri\i, i ol lhc Conrrcl{tr\ l,ic.nscd tjw (Chqrrer 9. Comnthcnr| trnh Sc.lion 7t)q) or Divisi'n 3 ol'rhc Au\nr\\ ,nd
Pmrcssi.nsCodc)orrhalhcorshc k .rc.rrr rh,rclior Mn rhc h!si\ r.r rhc,llcBcdcxcr.Prion Anyvn 0lionofSrcrir.TOll5bv.nv
drpli.a lbrr pcflnir sohjc.Gthu ,mlicanr ro r.ivilpctrtrlryormi nn cihatr 6rc hundhd d.lhts (5500)
-1.
ar owmrof ln porEny. or ny.n!loF6 wnh w!8.s er lh.n sh @rFnsalion. eil do tE *o* &d tlt rB@ ii 6i
i.Edn or o,Lrcd fo; sJc (Se 1044. Buritusr md Ptuf.sioN C.dc: TIE Co.lr[Iolr Liene bw dd! tul uiiplv to u owmr of
$e pepdy vtb ttrikk or iJrpoB Ill@n. and wt dms sh wtt hinrctlor IEMlIor lnreogh ht ot lEr osn cnploy.cs.
Eovidcd $ar ilch in{m$mnlsmml i cid.d orotu for $lc.lf,IDEE E building or in{rcEcnl b oU widiinof vw
otcoophrio., llf Owtur Buildd will tuw tlE bmlcn of proviiS $s hc or dE dn d boild d ar{mw dE l,oFly tot th purpog of
-1,
as osffi ol rhc pmp.rly. d exclusa{ely co.hcri.8 wilh liensd .on!.eron to o.sltucr tlE Ftiel (Sc- 7Oa4. Bu.iic$
ord PrDf6sim Co<k: Thc ComEror's Lic.nsc Llg dG ml smly lo afl o*ns of Prepcny vho buil& or innrcrs lhcr6n.
lnd eho conn .ls lor such prc,xl, wirh a conr!..io(o liM*d I,!6uim lo thc Conlrdlor's Li.cns t w).
-l
amcrc'rrr lndcr Sccr
Osn.r:
TAETESS:COMSINTAIIQN
DECL/T8AIIITN
I hcEby alrrmun&t FEllyof,crruryoe oftlE rollowinS dcla iorql
IitxtrcGlc. rirlhcpcrtonmnccorrh. w.n{ n} shicn rh+ P.nnir n n\ucn
I hlvc lnd sill tuinhi. wo*m cohpensarion instrBncc, ds Ellitd by S.criotr 3?00 ofthc Llbor Codc. for ltc lcr[otrl1!@ of
rhc work for whi.h rhis p.mil is issu.d. My *dlc( 6np.Ds{ior inslec cmt. aIId poli.l nuf,bf e:
S-og F""D,
14-72 4to ?- (- ?.o(a
l .cn ili rh.r in rh. nlrr'ontu'n.d or rhc quk tur whi.h lhn p(nnir i\ isu .I stullnor.ill,l()v rnv pctson innntm,trncr
w nskrh.(nm \ubjcd n)rhc wo cn comp.n\r ion ld*( of Crlifonriu. rnd agN that if I should tr$tu subtd ro t hc
tro*c'\ co lPh(di, provnion\ ol Scdnr :l7t)o oi rlt trtxtrCodc.l d ll. Ldhqlhc.nr ,*irhrho*tnrvisius
WARNIN(;: ljiilurc t, {cur. workcrs .on{crs'li{n,.ovcn!. i\ unhwrul. rnd \hrll \lbjccr 0rr cmPbvcr h..rnrimlPcruhics 3.d
.Nil llrcs un k' otrc hundrcd rh.usdn dollars (SI(x).OlX)). i'r rrufnr h lhc co{ uf.o'nfcnsrrirnr. drnu!'s n( ProYid'J for rhc
Seion 3076 oa rhc L!h6r C.dc. i.l.rcsl od lllomy s fft'
o",., D-(: Ltpu*t, ?+tP @L_
LICFNSFD (:ONTBACToR
DICLA8&IION
I hcrby linnundcrNnrltyotptrpryrhdrI lic.cd undcr !o!irn,nofL'i! cr 9 (snnm(ine silh Sccl ion 70fi)r ll. Divi\i'tr :l
or lhc Burircss and Pmt $ionsCodc. and my liccn\e ii in lu ll rd.c .tv.l clisl.
qtat 8 )2--R
9-1- 13
(l)Nir8lJ!:rl()IilllDllcloENrI
I lErcb, trflirn uM$ ,En.lly ot pcrj!ry rhdr rhcE t a con{tocrion tnding i8crcy fot rh. Frlnnnn.c olrhc work fd which rhk lsmil is
i(!u.drse.' :1007. Civ. C )
AITI.ISANI.DECI,AEA:IION
I lEnlry lrm undcr ncoalry of D.rjury orc of rhc lollowing delmations:
o.mlirion Pcdits-Aibcard Nolificdbn F.ndd RtgolllioN lTnt aO, Pafl6)
-Rcquircn
L.ucr of Norilicarion
-l
cenify ihar rht fcd.r,l rc8lhtions 6g,.din8 0sb.sos remvol arc nor lpplic0hlc Io lhh [or.r.
\Ll ccnrfyrhd I huw rcld rhhrFtlKorrfl0d sarcrh,rlh€at vc inro.motion isconc.r' I lsrc ro comrlv wnh nll Cirv.nd Coontv
ord lmcs lnd Sl.tc liws El,ring to huildin8 consrtucrio( ard hcr.by aultbri& tqrcscnr,'ivcs ofrnis Citv and Cou.tvlo cnls ulo. rh.
ny lor insp.{ion l)url[ss.
Applicsnl or Ag.nl SiEn.tu p)+Fr2L
a
_ Drte:_6>-dg
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rouqh Water Heater
P-trap/Drain Line
Ir,4ain 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 It
FINAL q \9,\\9.l l,w4(\)
Notes, Remarks, Etc
COMMENTS
POOL/SPA
?-Xect-
*-n*--"rn,,, Ph;lliP