HomeMy WebLinkAbout30139853 - Permitcity of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: 17141667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139E53
Pin #: 3{858
AddressRange: 3600-3798
Historic: No
Suite Range:
Zoning: C2
E
Assessor'sParcel: 412-131-12 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Owner:
Address:
Contractor
Address:
Phone
Tenant Name
Metro Town Square
3719 S Plaza Drive
Santa Ana, CA 92704
171415464255
Spruce Grove lnc
3719 S. Plaza Dr
Santa Ana, GA 92704
(714) 54542s5
01116002
011'16002
01116002
01116002
01116002
01116002
01'116002
51602
51602
51602
51602
51602
51600
51602
Qty
1.00
'l.00
1.00
1.00
1.00
1 .00
1 .00
Feo
$14.22
$12.70
$22.25
$24.21
$-150.50
$22.O8
$55.04
Fes Type Amount
Water Closet 14.22
Sink 12.70
Wtr Htr (Comm up to 50 22.25
lilin Fee Adj 24.21
Fee Exempt -150.50
General Plan Update 22.08
lssuance 55.04
Building Use:
Job Type:
Nature of Work
Commercial Occupancy:
Tenant lmprovement Conslr TYPe
change of Contractor-TlrNeGode:
B
V B, SPK
cPc 2016 NOTES: CHANGE OF CONTRACTOR/LETTER ON FILE/AUTH.
FILEO.
Planning Condilions:
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:197372
Every pemit issued shall become invalid unless the work on the site
authoized by such petfiit is conmonced within 1 80 days aftet its
issuence, ot il the wo* authoized on the site by such permit is suspended
ot abandoned fot a petiod ot 1 80 days after the lme the wo* is
commencad.
efl
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
08/15/2018
Account#
$0.00
$0.00
$0.00
lnspector MID#: 2018-143695
N/A - No Balance Fee Total:
Paid to Date:
Balance Due:
' Project Address: 3750 S Bristo! St
Phone:
State Lic #: 229077
Lic Type: B, C-12
Bus. Lic #: 135425
Workers' Compensation lnsurance;Carrier Safety First lnsur
Policy #: FCL4058142
Expires: O'llO1l2O19
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Buildinq Sewer
Area/Storm Drain
ln terceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing 1->J-l r I}.v/)t)
Meter Release -A
FINAL I Y*hl
Notes, Remarks, Etc.v
OWNER BUILDER DELCARATION
I h.Eby .frm undcr Fndry 6t pcrjury fi,l I m cxcdpr ios rh. Conmcto^' Ltens LiD for rh. followa.g Ea$n (5(.7011.5
Busincss !,n PrDfcssion Codc): Any Cily or Coudy which rcqdrcs a p.mil to coneNct. rld. imlrovc. dcmlsn or Epat dy
srocle, fior to irs issure. als rcqliEs thc apllicMl for scfi p.mn Io filc . siBrcd sllrcmnr thar l* or shc n Uansd I,urtudr
lo ttr pDljsioff of llE Contrctols Lie.sd rnv (Ch,pr( 9. Commai.S snh &.tion 7000 of Divisi.n I of lh. Busin$s ud
Prcfcsions Cod.)or rlid h.s d! h.rcm rh.rciiom$d rlE tEsis for rnc.lL8cd cktrlPrhn. Any vbhrin oa Sanbn 7011.5 bt 8ry
anplicani lo, a Fmi $bjds rhc appli.! loacivilp.mlr,oanor mrc rhu fivc hundr.d dou&s (5500),
-1.
6 owrcr of lhe FoFny. d ny.trploy..s wirt vleca &r rlrct $h moFMiotr wil do tlE w* s,n d* $urR b mr
i c,'d{d or otreEd fd $lc (Se.?044, BNiftn .nd kofcasions Cod.: Th. Conrrdm s LiccN L.* .lo.s mr .ppl, ro !n ond of
llE potfiy slb hilds or in{r.ks lh.6[ aid s]b dd3 kh w,t hihsclf or h.rklf or lhmugh his 6r lf,r own cmploy..s,
oaidcrl rhlr iuch imp,oEftiis G mt i'{.idcd qofrcrn for slc.lt,Dtu6. rhc h,iuing or i'rircrmnl b sld wnhhor t@
ofoqrlciiotr tlE OwF Buildn win hrw tlE hlno of Fvir8 t,l lE or dr dn d huiu or itr+iorc lhc pDpsl, for lhc porpos of
-1.
!so*trcrnlthcpop.ny- ir.ciclu\ivclyconrrcring virh li..n$d c.Nacntrs to c.nsrrucl rh( ooj0cr (SLr 7(144. Bu.inc\r
afrl Pioli:$i.nCod.r Th.Conttrctr\ Licctrsc l-awdoc\ noi nFlykJMo*icrofprolPrtywhohuildsorirnr.vcslhcrcotr.
and qho co rlcls Inr nEh fiqccr s qirh r Conrrrcx"( s ) licc.scd purunr ro rh. Conrructols l,iccn* Lr* )
-l
umcicnrpl undcr Sc.l 8.&PC forlhisrcoson.
llaxffB!:toMtExsAllo!
D[CUAA.u0!
I hcrhy rffirm undcr p.naliyolpcrpry.i..frhc lhlb*in8 dcclorions:
-l
haE dd *ill minrain ! Ccnificlrc of Conrcnt to Scla l.suE for vortds omp€fletion. s povi&d for by Srcrhn :1700 of thc
tjbor Cod., aor llE pdfomrc. of lhc MrI fo, vhhh lhc lldml ii i$.d,
_l n v. .ld will mintlin wort r' com!.nsdion insuEtrcc. !s rcquiEd by Sction llo0 of
'h.
trbor C.dc. for tlE Frf()lmtrc of
lhe work ftr whicn lnis Fmi ir t$d. My *orkctr smpcrelion insurare ceic rd Flty numbcr e:
Poli.yNumhci Expncs:
-lcenityth
inth.I,€rtormarccoflne,o for *hich rhh pcrmil is issuct.l shollnorcmtloya.rrcson inonyddncr
$ asb b.coft subj.cr ro rh. worlcs .onFn$rnrn hws oacaliforoiu, Md a!rcc lnnr iiI should bccom subl..' io lnc
*0116' sn ..salion pn,visions of S.ori.n l70O ol rhc btb, Cdlc. I rhdl. fonhwili smply wiih rho*
WARNIN(;: F ilrc l. \c.trrc workcrr conDcnw(covcma. is onhwtul. lnd shall slhie.r d cmnloltr ro oiminal
ilion to rhc cosr oi cod!.ns ion. domacs !s prov
I h.Bby alirm u.dcr D.n0lry of Frjury lh0l tdcr pmvkio.ofClDprs 9(conmncin8 wirh Sstion ?000) ofDivhion l
of rhc Buiincsi d Pr.r.sion\ Code. ard fty liccnrs h in tull ihN a.d cfrccr
Vt
I lcEby dlm u.ds Fn lry of r.du.y thir
ilsed (Se. 3097. Cie. C. ).
rudhn Lndins aCctry for rh. pc.fonBec ol rh. work lor Rhich lhir Frmil ii
AIELICANI.DEII,I IBAtrON
I hcEt y .trm undcr penally of poJury orc ol $c followins dcclanrionsl
Dcmlir ion Pcrnirs-Asbcslos Nolif,c ion F.dcBl R.Suhrions (Tillc /o. Prn6)
-R.qlircd
krld of Nolifroriotr
I ccn,ryrhd rhd l.dcnl.c8r!,ri,rtr\ 4gu&li0! J\h({o\i(irBnrlrrc 0orrpnliclhld h rhi\pDjc.r
Gas-Underfloor
Final Gas Test Lf,ndcr'\ Addr$
I h{w rcsd rhis lpplica'ion md rurcrhlr rhcfirvc
*6:ELg
Mlh*?l#
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