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Home My WebLink About30142713 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing PermitCounter: (714)647-5800 lnspection Requests: (7141667-2738 lnspectorSection: (714)647-5853 Proiect Address: 1241 E Dver Rd Unit Bldg Permit #: 301427{3 Pin #: 12124 Assessor's Parcel: 411-131-36 Lot: NA Block: NA Tract: NA Address Range. 1231-1241 Historic: No Suite Range: Zoning: SD63 Owner: Address. Phone Tenant Name: Contractor: Address: Greenlaw Partners, LLC 1231 E Dyer Rd Ste 240 Santa Ana, CA 9270s (949) 331-1 316 KPRS Construction Service: 2850 Saturn St Brea, CA 92821 (7141 672-0800 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 01 1 1 6002 s1 602 51 602 51 602 51 602 53602 51 600 51 602 57770 Qty 26.00 7.00 25.00 1.00 831.93 1.00 1.00 1.00 Fee $398 32 $81 97 $342 00 $9 64 $540 75 $23 79 $59 30 $4 05 ',, Fee Type Amount Water Closet 15.32 Urinal 11.71 Sink 13.68 Drink'g Fountain 9.64 P IC - 650/o 0 65 General Plan Update 23.79 lssuance 59.30 Microfilm Records 4 05 'l .:. I Phone State Lic #: 751130 Lic Type: B, A Bus. Lic #: 188704 Workers' Compensation I nsurance:Carrier: Everest Premier lnsurance Policy #: CA10004028201 Expires: 10/01 12021 RS (:onstruct ion Ser t Building Use: ' Job Type: ' Nature of Work: Commercial Tenant lmprovement TI-ADA Upgrades Occupancy: Constr Type: Code. A-3, B V B, SPK cPc 2019 ' Gerrer'nl F'Inn Updnt,e Fee 'it:i3.,r t-l1 1 lotttt?- il. 6l-tt-t[tt-tt-t-- f'l i,:r'oliIm & Do,:unent; 't4"tt l-l 1 1 1 6LlLt2- l-i777t-tt-tt-rLt-- F'Iumb i ns "'iij,71 . .,,i r-r111,slrlr2- :;1S[r?r:r[rri* -: I i.L r.:h er:il t_tt_t'/ ,,',ii-l .F ':' I ? . t_t Plumbing for-Tl on first floor includes door exit modifications for ADA and Tl on second floor includes restroom ADA upgrades. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Date: CSG Consultants Date: Chavez, Dave Date: =a 01t19t2021 07 t14t2021 Account# Misc. Receipt: 75090 Misc. Receipt: Misc. Receipt: Total Notes: Fee Total: Paid to Date: Balance Due: Buildins Permit #: 101 1 05577 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuanc e, or if the work authorized on fhe site by such permit is suspe nded or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $23.7e $8e 1 .23 $4 0s $1 ,459.92 $540.7s $9t 9.07 lnspector MrD#'. 2021-163553 il PLUM BING-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER, BT,ILDER, DELCARATION I hcrcby atrrm undcr Fnrlty of pcrjury that I m cxctrDt ftom thc Contrrlos' Lkem taw for the following ren (Se.7031.5 Business ard Profession Codc): Aoy City or County which requires 8 Ismit 1o @ostrucl, altc, imprcw. dcmlisbor rcpoir uy smcrurc. prior to ils issrc, also rcquires thc 8ppliml for such pemil ao file s sigrcd ststemil th8t hc or dr is licnscd pusmt to the prcvisions of thc Crntretor's LLrcnscd Law (Chaptq 9, Comrcing with Scclion 7000 of Division 3 of thc Busircss and PrcfcsshnsCodc)orth8thcorshciscremptthcrcfromedthcbasisforthcatlcScdcxemption. Anyviol8tionofSstionTO3l.5byiny applicsnt for I lrrmit subjccts thc spplicant lo a civil pcmlty of mt mrc thar fivc hundrcd dollus ($500). _1. as owrrcr of the propcrty. or my employees with wagcs as their soh compcnsalion, will do the work and thc stnrture is not intcrded or offered for salc (Soc.7044, Business and hofessions Code: Thc Contractor's License [aw docs not apply to an owncr of thc propcrty who builds or improvcs thereon, and wln docs srch work hirnself or hcrsclf or through his or her own cmployces. provided that such imprrrvcnrcnts arc not interded or offerd for salc. If. howevcr. the building or improverrnt is sold within one )tBr of comphtion, the Owner Builder will have the burden of poving that he or shc did not buiH or inprove the profrrty for the purpose of salc). -1. as owner of thc propcrty, am exclusivcly contracting with liccnsed contractors to construct thc proict (Scc. 7W, Business and Pmfe.ssion Code: Thc Contractor's Licensc Law does not apply to an owner of propcrty who builds or improvcs thcreon, and who contracts for such projects with a Contracto(s) licensed pursuant to thc Contractor's Liccnse kw). -l am cxempt undcr Section-, B. & P.C. for this reason. l)atc: WORKFRS' COMPENSATION DECI ARATION I hcreby affirm undcr pcnulty of pcrjury one of thc following dcclarations: -l have and will nraintain a Certificatc of Conscrrt to Sclf-lnsurc for workers' compensation, as providcd for by Scction 3700 of the labor Codc. for thc Jrcrformarce of the work for which thc grcrmit is issucd. _l havc and will maintain workers' compcnsation insurance. as requircd by Scclion 3700 of thc labor Gde. for thc performance of thc work for which this prmit is issued. My workcrs' compcnsation insurancc carricr and policy nunrbcr arc: sur;"r. ' ,ttlierf li,,;..tl Scrrrrccr, lrto a poricy lu-,,,"r: U^ lQOll'eEP t Expires:- Dl' lzozt _l ccrtify that in thc pcrformancc of the work for which this pcrmit is issucd. I shall not cmploy any pcrson in any manncr so as to become subjcct to the workers' com;rnsation laws of California. and agrce that if I should become subject to the workcrs' compcnsation provisions of Section 3700 of thc L:bor Code. I stull, forrhwith comply wilh thosc provisions.. WARNING: Failure to sccurc workers' comgrcnsation covcragc civil fincs up to onc hundrcd thousand dollars ($100.000). in r is unlawful. and shall subjcct an cmployer to criminal pcnaltics and addition to lhe cosl of damagcs as provided for thc Scction 3076 of thc Latnr Codc, intcrcst and attorncy's lbcs. o,rc,' T ltil0tl t I hcreby affirm undcr penalty of perjury that I am liccnscd Chapter 9 (comnrrrcing with Secrion 7000) of DiJision 3 of thc Business and Professions Code, and my licensc is in full forcc and effcct. Liccnse ctorr, | ]EA License 3 Dare: ' TlHlUZt W I hcrcby affrm undcr Jrcnslty of lErjury that thcrc is a @nstruction hnding agcrcy for thc ;rcrfomcc of thc work for which this pcmil [s issucd (Sa. 3097, Civ. C.). Lrndcr's Namc: Lcndcr's Addrcss: AELICANI.DECI.dMTIgN I hcrcby atrmundcr pcnrlty of lErjury onc of thc following delarations: DcnDlition Pcrmits-Asbcslos Notification Rdcrol Rcgulations (Titlc 40, Pff6) -Rcquircd txttcr of Notifrcltk n -l ccrtify that the fcdcral rcgulations rcgarding asbestos rcnnval rc not rpplicabh to this pmj6t. I ccrrify ttat I harc read this application and ststc that thc abovc informrtion is coret. I trg@ to comply with all Cityand Counry ordinanccs and Statc kws rclating to building construction. ard hcrcby luthoriz rcprc*ntalircs of lhis City snd Countyto cntcr ulDn thc atrovc nrcntioncd proprty for inslrcction Applicant or Agenl Permitee name halo. O zlqluzt UNDER GROUND Waste & Vent Water-Under floor Gas-Underf Ioor Buildinq Sewer ArealStorm Drain I nterceptor/ Clarif ier TOP OUT I Waste & Vent /lXgll,(.t:>t{rtHs 7 Water Pipinq Gas Piping Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line N/ain Drain/Pool Pipinq 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 tt FINAL vlt6l'/)t>w ,q ltNotes, Remarks, Etc. -) a 0wner: 'ff| ;