HomeMy WebLinkAbout30139908 - Permitcity of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: C/14) 647-5800 lnspection Requesls: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30r39908
I Pin #:6243i{
Unit:
Block: NA
Bldg:
Tract: 1290
Address Range:
Hisloric: No
Suite Range:
Zoning: SPIAssessor'sParcel: 004-111-22 Lot: 18
Owner:
Address:
City of Santa Ana
20 Civic Center Plaza
Santa Ana, CA 927032124
(714) 647-5664
Foe Type
01'116002 51602 Cap Sewer
011'16002 51602 Fee Exempt
01 1'16002 51600 General Plan Update
01'l'16002 51602 lssuance
Amount
99.92
-177.04
22.08
55.04
Qty
1.00
't.00
'1.00
1.00
Fee
$99.92
$-177 .O4
$22.08
$55.04
Phone
Tenant Name:
lnterior Demolition lnc
2621 Honolulu Ave
Montrose, CA 91020
(818) 2494932Phone
State Lic #: 603409
Lic Type: B, ASBS, C-21, C-12
Bus. Lic #: 337823
Workers' Compensation lnsurance:Carrier; State Fund
Policy #: 1977624
Expires: Ogl27l2O1A
Building Use:
Job Type:
Nature of Work:
Mixed-Use
Demolltion & Clear Lot
Cap Sewer
Occupancy:
Constr Type
Code:
R-3, U, B
VB
cPc 2016
Notes: Cap sewer. City rob/fees exempt.
Planning Conditions:
Planning Approva
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lBy Date: Misc. Receipt:
Date: Misc. Receipt:
Date: 0al29l201B Misc. Receipt:
Account# Total
PAID
?9
97539 $0.00
$0.00
s0.00
Every pormit issued shall become invalid unless the wo* on the site
duthoized by such pemit is commenced within 180 days after its
issuonce, or if the wo* authoized on the site by such pennit is suspended
or abandoned lor a peiod ol 1 80 days dflet tho tine the wo* is
commen@d.
lnspector
N/A - No Balance 2 nt a Ana
Project Address: 1302 W Eleventh St
Contractor:
Address:
Fee Tolal:
Paid to Date:
Balance Oue:
MID#: 2018-145741
DATE COMMENTS
UNDER GROUND
Waste & Vent
Gas-Underfloor
Building Sewer ilnln gl w/*^ fr 2--
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rou gh Water Heater
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Hough Plumbinq
Final Gas Test
Meter Release Ir
radlt-lsFINALzIiltfi fn )-.
Notes Remarks Etc.v I-\l f
PLUMBING-INSPECTOR RECORD
O14 NEII BUILDER DEI,CARATIoN
I turchy lififln undcr pcndty of pcrjur] lnd I 0n cxcmfl nonr rhc C.nklnl Liccn\c Law lir rh. fdlowing rcasn (Scc 70:ll 5
ausiic$ ulj Plnision Cdcr: Ai, Cir, or Counry n hich rcquncs tr I'eir.ii ro co.\1ru.1. rlrLr. nvrovc. d.rmli\h ", rcrrJn . 'y{ru.lurc. prirtr r, irs is\u3n.c. al\. fuqui(\ rhc.pplicrnr n, \!chlcnnitro lilc r \i-s.cd \rarcmnl tl hcorshe i\ liccn\cd p!^otrnl
tu n'(.,)t,!hi,,ni or itu ContD.trr l.iccn\L.d l-aw (ChnDr.r 9. CoDnrErcir.( wirh Sccrn r 7lx[ of Division ] oi rhc B!rin.\s n.d
Itoicsiotrs(ndc)orrl hc.rrhetcxcmflrhcrcrionandrhchr\i\forrhLallcA.d.rcnlnrion Anyvi(,lrri()norSc.rhn70ll.5hy,iy
,pplicrnrlur rErmir suhrccl\ rhc lpnlicurro rcivilpcnalryol mr nnr.rhinn\c hundrcd dollirr ($5ur).
-1,
at owno of 0E prcNny, o. my cmplolBN sirh qagcs as rhcn sb .onlEBtlhn. eill & tlE wdk dt $e sm$e h mt
lnl.nd.t or ofEd aor eh (S*.r044. Busift$ Dd PrDtEssioB Co<!q Thc Conr@toC! llrrc ttw d.cs mr Aply b e owmr of
lhclmFdy Blx) buildr o. idproBs rtEMn. nd who &B Mn w* him.ror hcffilf or lhmld his or hsoM. ployccs.
,,rovitLd rh6l skn iqrctlm s e ml inl.nd.d ff of.rcd ftr sb.li h.mw. ttE bdiiting 6r irpbwEd h sU aithin om )&
of@nplcriol rlr O*M Blud.r *i[ har rtu hod.n ofFoving t]er lE q slE dad mr hild or hproE l,E pmFry for rlE po4D$ of
l. a ownc, or lhc poFny, ,m g.lorirly NnrEritrg rirh liccnsd mnlmdoF ro onsrruct rlE projcr (Sec. 7044, Burircss
ad P,DLs\iu Codc: 'l hc Conlrrclols Liccns ljw dGs rcr.Iply lo anowmr orflop.ny qh6 buildr or imtov.s lhcrco..
and who .onrhch tor swh l,.j.Ets wnh r C.m@b(o licenkd ,uBudr ro lhc Conradols Ltcorc Liv),
I m*cmd uDdd S(Don . E. & P.C. fo, rh6 Econ
O*mi_ _-
El}atrE8S:C!.t[IfrNSAlt!]N
PECLAMIION
I hcrchyrlni, udcrpcnnlryoln rlrryoicofrhctnlL'*in8(lcch.di,ins
II'r!cr *illmrirrui'r!Ccninclrcolcon\cntloScllln{,cturworkcrrconllrcr\alion.ss prov cdlorhySccli '1700orllrl-rhtrCo(lc.l ihc p.rlornBnccolrhc work rbrwhich rhc Nnnir r tsucd
I hivc n.d will nrinrain wo'k.ri.onpcnsnrion inslruce. as rcqutcd hySccrin.lT(nolrhc l-lnn Codc. tor rhc r.if.fl1r.r of
lhc wort fttr which rhi\ F.rmn is i\\ucd. My worl.rs .onr--n\ali(,n in\unrc cutricr ud Flic, nlmbcr m:
Poli.ylutr$.r: Erpirc!
WARNING l'dlu'. tu sxrc ad*.rs .6nDcns'in,n corcr0sc i\ unlu$rirl. ond shlll \uhjccr an cryhrrr to dininll IEtulrEc and
ciril finc\ un lo om hundrcd lhouxund dollan (SlLx).(xJo), nr rddnion to lnc cosl ofcomDcnsarion. d0nB8cs as proeidcd for lhc
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DXTLLBTIIION
I tcEhyrtlilmundn F.nallyoftErjury rhar I on utrdc. povirim ofChi|nd q (onxrrncnr! snh tucrion 7m0).iDivismn 3
or rhc Businc\\ Md Prcfc*tr.s ftdc, ,nd ny lt.nsc is in aull forc l8r cflsr
-cz?
N it
I h.rc$y afllrD lndcr pcn.lry of llcrjlry rtlr t
issucd (S.T. 109?, Civ. C.)
hndinB lgcncy for rhc pcrfonmne of rhc work for shtn rhis Fflil h
AIPI.ICANI.DECIIAAIII}N
l,tttby imlndcr pcnohy ofpcrju,y om ofthc folloeing dc.lu{n,ns:
Dcmoiion Pcrmns-Ash.sos Nori,l..rion Fcdcra! Rcguldtk,ns (Titlc 40, Pun6)
-Rcqutcd
trllcrof NodlE rion
os r.mval trrc ml ,p,,lical,lc lo lhh pmjRl
hclh)vc ir,nnD io i\comci I .Ee to otll,lyaith aD Cnyand Counry
snlariws ofrhis Cny.nd Cohry ro .n
,re
r
APPROVALS ID/SIG.
Water-Under floor
-l.criiry
rhd in rhe l.rformtr@ dtrhc wdrk for sfiich this Firtril is issucd.l sh.ll nor cmploylny pNn i, any danncr
m aslotrsm bhd lo tic mlkcs €nncnsario.laws ofcllafomh..nd rg'!. ihar irl siould b..om hirr rorhc
*orksf oqrnsolion pmvisions of Sali,tr 3700 of ih. tjbor Cod.. I shdl. fodhwnh mnply wirh ltb$ pmvirions.
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