HomeMy WebLinkAbout30140741 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3014fl741
Pin #: 35445
,
Proiect Address: 3540 W Warner Avea
Assessor's Parcel: 414-231-11 Lot: POR 7
Unit:
Block: NA
Bldg:
Tract: 1024
Address Range:
Historic: No
Suite Range:
Zoning: Ml
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Minh's Meat Company
2520 S. Yale Street
Santa Ana, CA 92704
(7141 825-1638
Minh's Meat Co.
Ca! Coast Plumbing
1508 Ocean Ave
Seal Beach, CA 90740
(7141 606-262s
01 1 16002 51602
01 1 16002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
Fee Type
Water Closet
Shower
Sink
General Plan Update
!ssuance
Amount
14.22
22.25
12.70
22.08
55.04
Qty
2.00
1.00
3.00
1 .00
1.00
Fee
$28.44
$22.25
$38.1 0
$22.08
$ss 04
State Lic #: 493848
Lic Type: C-36
Bus. Lic #: 372310
Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company
Policy #: KEWC000588
Expires. 0110112020
Bobchi:19010 3/27 /2019 ID: f,
Office: CTYH TrqnEi: 7$
Acctl: Ref t: 3u1t4t
RcptS:02567169 3/27/2019 11!4
fronsoct i on Totol t+81 ,
Col Coost Plurb i ns
6enrir(1 Plnn UPdote Fee
01 I 16002- 5160U000-
FIurb i ns
01116002- 516t12000-
Ilnster Cord
CC+ : rr****r**x**85 79
2
Lt7
E.J
7+
ELLAIof3
4L
AH
b22.
Building Use:
Job Type:
Nature of Work:
lndustrial
Tenant lmprovement
TI
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
B, S-1
ilt B
cPc 2016
r 143
$481
Planning Conditions:
Planning Approval By.
Plan Checked By:
Permit lssued By: Verduzco,
Subject to Field.
Buildins Permit #: 1019901 8
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 180 days after the time the work is
commenced.
03t27t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Tota!:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51602
$22.08
$143.83
$165.91
$0.00
$165.91
lnspector MID#: 201 9-149063
PLUM BING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OTVNT.:R BUILDDR DDLCARA'ilON
I herchy aflirnr under penalty of perjury rhfl I am exempr linm the ('ontractors' License l-aw for the folbwing rc.$n (s6.703 L5 r
Business an! Profession Code): Any City or Couily which requires a pemil to snslruct, .hs, impft)\t. demlish or repair any
slructurc. prior to its issuarce, also requircs thc applicant for such Jrcnnit to filc a signed shterEnl lhfl hc (lr shc is licensed luNanl
to lhe pmvisions of rhe Contractor's Licensed Lau' (Chapter 9, Commencing silh Section 7fi)0 of Division I of thc Business and
Pnrfcssions Code) or lhat hc or she is exempr rherefrom and rhc basis for thc allcged cxemption. Any violation of ScIkrn 703 1.5 by any '
applicant for a pemit subjects the applicant to a civil pcm[yofmt morc than live hundrd dollars (S500). t?
$ u" no.n.. nf Ih. pmJErty. or my ernployces with wages as their slle smpenglion, sill do lhc work aill the stmclurc is ml
intcrxld or oflercd fur mlc (Sa.7M4, Business and Prrfessions Code: 'l he Contractor's Liccnrc Llw ckrcs mt apply to rn o$ner of
lhepmff,rly u'hobuildsorimpmvslhercn,arxlwh)dosschworkhinselforherselforthmughhisorhcrownemployecs,
Jrrevided that such inrpmwnts arc mt intenddl or off.rcd ftrr mle. Il, h)wevq, the buiHin8 or impmlemnl k sH within one ]tar
of strpletion, lhc Owner Builder will havc the hurlen olpmving thtrt hc or shc did mt huild or impmtr the pmpcrty for thc puryneof
sle).
_1, as owner of the pmperty, an exclusivcly conlmcling with licensed conlraclom to construcl lhc pmjst (Src. 7(X4. Businesq
orxl PmEsirn Code: 'l'he Contractor's l-icense Lsw doer not apply to an owner ofpmpeny who huilds or imprcver lhereon,
and s'ho snlmcls for such pmjftls wilh a Conlmclo(s) licensed pursunt to the Contractor's Liccnse ljw).
-l
am B. & P.C. lbr this reason.
Owner:
WOU('R-' COMPENSAT
DECLARATTON
I hereby amrm under penalty of perjury one of the ftrlkru'ing declarations:/
V. lhavearxlwill maintainaCertificateofConselrt to Self-lnsure ft)rworkers'contpensalion, as p()vi(led forhySectionlT00ofthe
Latxrr Code, for the perfornrance of the \r'ork fi,)r which the pernrit i.s issued.
_l have and will maintain workers' conlpensation insurance, as required by Section 3700 of the l-abor Code, for the perft)rmance of
the work lirr u'hich tflis permit is
Itlo LcLl
issued. My workers' compensation insurance carrier and plicy number are:
A
l'olicy c t1
_l certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the workers'compensation laws of California, and agree that if I slrould become sub.lect to thc
workers' cornpensation pro!'isions of Section 3700 of the Latnr Code, I shall. forthwith comply with tlnse prot'isions..
WARNING: l;ailure
civil fines up lo one
to secure workers' compensstion coverage is unlawful. and shall zubict an ernployer to crirninal pennlties and
hundred tlrousand dollars (S100,0m), in addition to the of compensation. damages as provided for the
Seclion -J076 interest and attorney's fees.
3 v
^JI ICENSED C()N'I'RAC'I'()R
IIECLAR.\'I'ION
I lrercby nf firrn under penalty of perjury thal I arn licenscrl uncler provision of Chapter t) (commencing rvith Section 7000) of Division 3
of the llusiness and Prolbssions Code, ancl rny license is in full ftrrce and effect.
License
Date:
Number:
(lontrnctor:
W
I hccby aflirm urda lEmlty of ptrjury that ttm ii 8 onlrucrion lending ogcrcy for thc pcfomre of thc rcrk fo, which thir pcrmil i3
ir$cd (56. 3097, Civ. C.).
Lender's Name:
Lender's Address:
APPLICAN't DECLARA'I'ION
I trrebyalfinnuncler penalty of perjury <lne of the fullowing cleclarations:
Denrolit ion Permits-Ashestos Noti fi cation l;ederal Regulal ions ('l'itle 40, Part6)
-Requirerl
Letter of Notification
_l certifythat the federalregulations regarding ashcstos rernovalare not applicable to this pmject.
-l
certify lhal I have read this application and state that the atnve information is correct. I agree to comply with all City and County
ordinances and State Laws relating to building and hereby autlnrize representatives of this City and County to enter uFlon the
ahove nrenlioned properly fur inspection il4luAppllcarrt or Agent t/I'ernritee nRnrG / gr.tO L AS
Date:
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarifie r
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipins
Fill Line/Back FIow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release //
FINAL 5/*r//t TtXl(zb )
Notes, Remarks, Etc.ll \rrr-