HomeMy WebLinkAbout30539789 - PermitAssessor'sParcel: 002-26'l-30 Lot: POR 25
Unit:
Block: NA
BIdg: Address Range:
Tract: POTTS, BORDEN &t{istoric: No
Suite Range: Building K
Zoning: Cl
q
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 #: 30539749
Pin #: 557(J7
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
JLLC PALM TERRACE APARTMENTS
I6456 BERNAROO CENTER DR
84fi Diego, CA 921282582
Total Maintenance Group
434 Maravilla Lane
Brea, CA 92823
17 141 228-9191
01116002 51602
01116002 51602
01 1 16002 51600
01116002 51602
Fee
$22.25
$96.78
$22.O8
$55.04
Fes Typ6 Amount
Wtr Htr (Res up to 50 g. 22.25
lnvestjgation 96.78
General Plan Update 22.08
lssuance 55.04
Botchi:{5131' 8lll20lB
off ice: CTYH fronsi: 45Acct+: Ref+
Rcpti3(r2346u9 - 8/l/201
Tronsoct i on Totol
Totol no inteftonce Group
Plr.b ine
otr 16002- 51602000-
Generol Plon llodote Fee
01116002- 5r600frm-
Viso
CCi ! rrrlrtfirr*r{407
Notes: Legalize water heaters in unit K-l
Qty
1.00
1.00
1.00
1.00
Phone 8lt
4ofl?
3053?789
:38 Pll
2158{. I I
JL7 4 't-t?
t22 .0.3
t2t594.11
h,thl:097098
IO: CCUEI-LAft
$ 196.1 5
$0.00
s196.1s
State Lic #: 919872
Lic Type: B, C-33
Bus. Lic #: 370006
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1877310
Expires: 0710112019
Building Use:
Job Type:
Nalure of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Building Permit #: 10597035
Multi-Famlly (5 or more uni Occupancy:
Alteration Constr Type
Alter - n/v (unit K-l) Code:
Date
Date
Date
R-2
VB
cPc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
08/01/2018
Account#
01116002 51600
01'l'16002 51602
Fee Total:
Paid to Date:
Balance Due:
$22.O8
$174.O7Every permil i$ued shall become invalid unless the work on lhe slte
authotized by such permit is conmencod within 180 days aftet its
issuance, or if the wo* authorized on tha site by such permit is suspended
or abandoned for a period ol 180 days atler the time lhe work is
commenced.
lnspector MID#: 2018-144628
Project Address: 2724 N Bristol St
PLUMBING-INSPECTOR RECORD
DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
WalerUnder floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
Waste & Vent
Water Pipino
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heatericas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
ll
FINAL I s Ig,/..(W(tj.,
Notes, Remarks, Etc ll
OWNER AUILDER DI]LCARA'I'ION
I hDrchy rfinm udcr ncnnlry,)l IcrJury rnd I rm cicarpr ft,m rhc Conrrxcn,i Li.cns Ldtr for rh. ft,llosi'rt rci$n lscc.701l.5
aosinc\\ d Pnnrsion CDd.): An, Ciry or Ci)unry shrh rcqunu\ r Jtnnir lo cuNrrucr. altcr. nlrl]rovc. dcnxni\h or rcplt t
!flr.tu.c. I'rid ro irs i$n0ncc. {1$ rcquncs rh. a,rplicM ltr nrch llflnirro nba ri8ncd { cnrnr rhnrhcorshc i! lir.nscd tuAurnr
n, th. Frviii(rt\ of rh. C'ontr.r.fs Li..n*d hw (Chd cr q. C.nnrtrking wirh S.dion 7(XD oi Divnio. ll oi lhc Bu\incs lnd
I'tuic\\idrsCodc).rrhrthcorsl[iscxcmprrhcr.lrom!tdrhcbrsnfrthcrllcEcdc\cnrrli.n.Anyvii,brn,torsccri,,n70.]l5hyrn!
applicanr tu rFnnir subl.ch rhc npplicanrroocililpenahyoaiornrrcrhrnlivchu drcd dounrs (s500)
-1,
ss ownd of rh. prDlf,nt, or my cmployss *ith wsEcs G rhen mh compcns on. will do rhc aqt ltd tlE slnEnn is ml
inrdrtcd or ofredd lor slc (Sr,7044. Auiircsr aod Profcs*toB Codcr TIE Co.trclols Lt nE Lr* do.s not a0ply ro !n owncr or
rhcImFny who hillsor iqmwsllEmr a vh. dG sh hrL hii.clt or hc6clfor lnmu8h his or h.r oBn cn loyccr.
providcd rhrr ikh inprrE.B @ mr inl..d.d trottu atr de l( how.E dE buildk or irymtmnt h &ld winrin om JEr
of otr{,htbn, lbc Owncr Blillc. wil hsw tlt hirdcn of pmvinS rhll lE d slr dil rcl hoiu or iqmrc 0E ,,olsly for tr pu4,s of
_1,4{ownf .lrhc poFny, an.rctusiv.lyconrmrinB wirh ric.nscd .onlEdor toconsmd rhi pni(l {S(.70d4. ausncs
ond hrision Codc:1hc Contrcrois Liccnse l,ar dcs nor aprlylo !nown.i of p.or..ly wfio builds or nnprcrcs lhcreon.
and vho onm.rs Lr .uch poicds wilh r Conrr.crorl, Ii.cMd l,uBmr ro thc Con[actois Liccne L!*)
-l
m cx.npl undd Sftion- B. & P.C, for tnis Ben.
]lAatrDIN:g}lUENSAIIq!
DECLAAAIO!
I h.Eby a,llrm undcr lxmltyofpcrhryom onn followin8 delmtions:
-l
hlvc a1d *ill minlain, C.nifrarc ofcoEit lo Seltlosurc for edkm omp.f,sdhn. !s pmvided for by S(lion l?00.fllE
Llhor Cde for rhc pdfommc of rlE wotl f6 qhth rhc Fmn i! issucd,
I hrvc rn sillnuinrrin $orkcrs conlxNrri(nr irsurri.c. r\ rrqutrcd bySLrri(nJ7{x) l rhc lrhor(ndc. lnrrhc ncrlnn'$1rcol
rh qork tur shith rhnl.nn i\ h{Nl. My sor k.tr' .o'nNis nr NumNc.(nEr rfrllxllisynumt.ruc
c,",", S-r4'rc: tr\i,jD
\l'71 '3 i o '? - | -'z-.1<
-l.cnify
lhll in thc pcrformrce of llE work for wtth lhii psmil is irtlcn. I .hall no'.mrloy an, Fson in any munncr
s !s ro hcmrc subjd ro lh. *ort 6 omFnslion hws of C,lifofria. lnd a8m thrl if I should tccotu slb,f,r ro rlE
No*nr @nlf,nstion pmvisions of Sdion 3100 of tn Labor Codc.I shau. fonh*nhsmdy wirhrh6e pDirions..
WARNINC: FliluE ro wE aortc6' ompensrhn skEse is lobstul, lnd shill subict & cniplo,cr lo qinind petullix sd
civil lincs !! ro oE hlnded rholslnd doll6 (t100.000), i. addnion ro th. coil of mqE.$lion. drNg.s rs pmeid.d for lhc
Scclion 1076 of lhc tjbor Cdc inbrcn lnd aflor*y s fecs
ai-rppr.-,r, TrtP Q+_
LICI'NSFI) CoNTRACTOII
I]ECIA.BAIION
Ihcrubydflnmund.rl)Lnshyorr.qtrryrh l.D li.rnst undcr tmvtionolChlpter I (ommncins rirh Seclbn 7000r ofoivilion l
of lnc BusnEss rnd Pnfcssion\ Codc, uxl ny liccnse t ir tull,orcc udc(t cr.
l-,**"
"t..,
B Liense Numb.r
qtalg'72_
EL
COISIBICUI)NIINDINC.AA$IqI
I rrrby dfllrm undcr tctr,lry olr.lurythtrt thcrc n r con(ruclhn lcndinS oacncy lor ihc pcrronnMcc.lrhc work tur qhich lhis IEmril i!
i\\ucd (Sa.3047. Civ C)
AfIUIANI.DESAAAIION
l6y oltim undcr pctrllty oa pcrrrry onc orrhc n,llowinl d(leurions:
D.nFlilion PcrmirsAsbcsros Nolilic,rio. Ftdcn I Rclx lar iohr (Tir lc 40, Pdn6)
-Rcquncd
L.nc. of N.riicdiotr
I ccdiry rhd rhd lcdcralrcguldiotrs rc8udin8 !stE(o\ rcrmvulrc nor {'Ili.ahlc lo rhn poj.rr.
El ccnily rhrr I havc md rhis ntrlicar ion and shrc rhlr rhc rtovc infornu ion i. coft.r. I .gN ro onDly wirh lll ciry lnd Counr,
ordiru.ccs and Srare Llws EIlrins r. huildins con(d.!ion. !.d nfthy lurhori,x rc,,.r.nrariv.s orrhis Ci'y otrd Counry ro.nid rB,n rlt
ahovc mn'iomd pbpcny for insF.rion ile+Appli.onl o. g.nl Signolure:YZL-
t^ill;
("r- l7
IAPPROVALS
TOP OUT
Gas Service
Meter Release
Dri.:O*n.r:
,*", 6-(-lX ".**"* {