HomeMy WebLinkAbout30139771 - PermitProject Add ress: 3779 S Plaza Dr
Assessor'sParcel: 412-131-12 Lot
U nit:
Block: NA
Btdg:
Tract NA
Suite Range:
Zoning
q
city of Santa Ana 20 civic center Plaza (M-'19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3lJ139771
Pin #: 69983
Phone
Tenant Name:
0'l 't 16002
01116002
01'116002
01116002
01116002
01116002
51602
51602
51602
51602
5160C
51602
Owner:
Address
Contractor:
Address:
BSG west Bristol LLC
5 Park Plaza
lrvine, CA 92614
Goldline Construction
3004 Gainsborough Dr
Pasadena, CA 91107
(6261222-6174
Commercial
Tenanl lmprovement
T.t.
Foe Type Amount
Water Closet 14.22
Sink 12.70
Wtr Hlr (Comm up to 50 22.25
Fee Exempt 24.21
General Plan Update 22.08
lssuance 55.04
Qty
1 .00
1 .00
1.00
1 .00
1.00
1.00
Fee
$14.22
$12.70
$22.25
$24.21
$22.08
$55.04
State Lic #: 994034
Lic Type: B
Bus. Lic #: 370002
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9134311
Expires: 06/03/2019
Building Use:
Job Type:
Nature of Work
4rr
ktcht:{502 - 7lfilzglg I0! CCt ELLAn
0ffice: CIYH lrsns+: {l 8 ol ?AcctSr RQffr 30139771
Rcpt+:@34{{?9 - 71fi/m$ ll:15 An
Troncoction Totol tl r 693.20
Goldl ine Consirl,Ct i on
Cren.rol Ploo lbdote Feeo t6lrc2- S!6IIIX|O-
Plu.b lns
ott t6fir2- 5t6(8flt0-
ICL Che* g}ZV,,
t22 .08
t128.{2
tl r693.20Occupancy:
Constr Type
Code:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allis
Subject to Field:
Buildins Permit #: 101 96857
07 t3012018
Account#
01116002 51600
01116002 51602
Fee Total
Paid to Date:
Balance Oue
Notes: T.l. - Demo partition walls and inslall new walls to
create festroom.
$150.50
$0.00
$150.50
"(
Date:
Date:
Date:
lvlisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
$22.08
$128.42Every permit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within180 days aftet its
issuance, ot il the wotu authorized on the site by such pormit is suspended
ot ebandoned for a poriod ot 1 80 days after the time the wotu is
commencad.
lnspector MID#: 2018-'144079
Address Range:
Historic: No
t\
Phone:
DPEIE
M
V B, SPK
cPc 2016
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNEN BUI t,DER DELCA IIAI'ION
I hcrct! nlfifln undcr pcnrlly oI ncriury rh l !n crc'npr rmm rhc Conka.t,^ Lien* Ijw i(tr thc lollo*in8 rcavD (sc.70:rl5
llu\ircss od Pi{'rcsion Cod.): ny Ciry or Counry whi.h rcquircr r pcnnir k' lrn}]ruci, alrcr, n {'vd, ddnnnish .r tFn rn,
eo.lrtrc. ltrinb irs isulncc. lho rcqntcs rhcnnplicurr i, \!(h F(nnir b rilcr \]strcd ( cnrd rnd hcor shc is liccnscd prdanr
h rh. prolrions or rhc (htrlncroir t-iccnrcd Ljw (Chrptcr 9. Comncncing *irh sccrit,n 70([ of Divisi.n'-1 oi rhc Bu\inc$ lnd
Profc\iotrsCodc) orrlrl h orshc hcxcnpr lhcrcfronr d lhc hr\i\ tu.rhcallcsrd dc.llnidr AnyvnnirionofSdinr T{r.r.r 5 hy,.,
!pplicn rbr rrcrnril suhjec15rh. lpnlicanr (' acivilpcnalryolnornkrcrhrn fiv. hx.drcd dolltr((35(m)
-1.
as wM ol lhc nftpcay. .r my .nl|)Llrcs wilh w,se. ,s rh.n $t onrFn.aliotr. will do ltE wodr a.d dE srErh is tul
i.lcndcd or oficEd for elc (3(.7044. Dusircsr and Profcssionr C.dcr Thc C.nl$cbls Lheis L{w dms not lpply lo e oso ol
rh.lm|Edy wtb ttrikls or nr{m$ rhcm[ a wiodc!shh him.la or h.Mlf or lnmugl hit or lEr oq ctrployecs,
providcd rhdr Mh iq'mwnts G ml inlcnded doifcisl ftr sL. lf. ho*E ltE hildinC tr inpmwmnl Ls sld *nhi. oe Fd
of codpkri,D. rhc O**r B!ild.. wil hee dE hnlcn ot !reving lhdt ts d {E dn d b'ild c in{eE tlE l,oPgty fd rlt puF* of
-l.
rsopncr.irlt nmpcnr- rrcr.]usivrltc.nhdi,,g wirh 1i..tr\.d.onki.kns h cotr(nrcr rlrc lojccr lsc.. 7ol.l, Bu.i'rc*
tr l,h)t*ii, Cid.r l hc Co ntr ckx's l-lccnsc l,au do$ nor !|tly ro an o*nrr of F,Nn! a ho builds or iDporc\ rltrcon.
a.d who conr(.rslorsuchpx'jcrhsirhrG,ntknrirli..tr{druNun k' rlE Cotrhcntr \ l -i(i\c kw)
-lrnrcicnlnr
und.rssrion .a &PC li,rrhisrrlnr
-
Ortr.i-
laBtr[8l:CollSENlArIAN
DECI"Af,AIIQN
I h.Eby.flirmundcr ll.oahrolF,juiyonc of rhc rollowine d&lrorions
-l
hoh drrl will tuinrli. a Ccni6.ar. ol Cons (o scllltrsur.lo. workcn conqE.\arion. as FDvid.d ror b, Scclio.3?00 otrhc
tib Codc. for lhc I.nbmncc o{ thc solk lor which lhc pcmil ir issudl
_l hovc aDd willmainrdi. workdc co p.trsalion insnrarc. os mqutcd by Sccrion l?00 6flhc L!&rCodc.lor lhc pqlornuncc o,
mFnsarion hsurre caFi6 dn Flby numbe. ft:
/3 L ,/>/rq7(
-l
c.nify rhal if, ihc r.rform@ of lhc worl for Bhichlhis0.rmn is irsucd.l stull nol cmployanyI'cson in any.unrcr
s s lo beom slbiEr ro rlt w*w onpcnerion lM ofc8liiomin, and a8rc. lhlt if I sholld b.com subjel ro ltE
workEl onlt.trstior lturiiionr 6f Secdo. :1700 ol thc tih.l Cod., I shall. fonhwith omply wnh lnoe povisions..
WARNING: Failur r. wurc *.rkcr'
civil fincs up ro om hundrcd thousand
scrion 1076 olrhc tihor Codc. inrcrcsl
corchsc is nila*rnl. Md sh.ll eubirl n. cmplorcr lo oimnll Fmxix and
i. addirbn ro rh. cosl olconpcnslion. d!rusci xs ptovidcd rot
'h.
o,r,' --1'o'gn
l)r:cl. tslllQl
I h.rhtrr,-rmundcrptnrllyotPt,ilryrhd I sfl lienen u!,lcrrn*hn .rg!I/J,kr 'r iorn{R irr8 w h\c x,n7l{r0rrrr)ivisintr1
ol rhcBLik\\a Pn',c\, un) CuJc. .nl N h.r.{ s n lnllnrcc mJ (Ifc\r
B Vz/a s/*"*n,
-'?-=o-/ /;#o
(.ONSTRII(.TION I flTDNG A(:ENCY
t hcrcby afam lndcr |.dlry of ,.dur, &rt fim t a oirrelbi hndine .8.ry aor dE Pcrfolr1m. of P m.t for *hih rhis Psmn b
ksucd {se. 1097, civ. c.)
AIILICANI.IECIdMIIAN
I My !trm lndcr pcndry of |leriury onc of dE tollowing deherions:
Dcmlirh. P.rnil!-AstEsros Nolific.tion tu ol Reslkrion. (Tirlc 40. Pdr6)
Rcquind t llcr of Nolilimlion
-l
c.nify lhar Uc rcdcnl tgllntions rgddjn8 &sbesbs ,cmvsl !rc not 0pplicobk lo lhh loirl.
-l
ccnify rhlr I hlw Eod rtn alrlicdio. a.d ll'rc rhd lnc ab.v. irformrio. is coral I lsE lo @nrly with .ll Cily and Counly
ordiMnccs snd Slorc b*s Ehr iotr .rn h.rchy luthmiz rqrc$nmiw. ot rhi3 Cny fld Counry lo cnlq ltDn l,E
ahovc ntrnlioocd pmFny for
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SeweriCap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL
Notes, Remarks, Etc
Z6HqL-4---
Lrnd.l\ Addr€rt.
-
4A **,'12:-J(