HomeMy WebLinkAbout30141999 - PermitProiect Address: 3900 S Bristol Sta
Assessor's Parcel: 412-131-22 Lot: NA
Unit: B
Block: NA
Bldg:
Tract: NA
Address Range: 3800-3950
Historic: No
Suite Range:
Zoning: CR
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 30141999
Pin #: 137frru
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone
Arne Youngman, SDG/Pacific/Youngma
One Corporate, Suite 200
Newport Beach, CA 92660
(949) 760-8591
Hobby Lobby
Hobby Lobby Construction
7707 Southwest 44th Street
Oklahoma City, OK 73179
(405) 745-1557
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
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
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01 1 1 6002
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
53602
51 600
51 602
57770
Fee Type Amount
Water Closet 15.32
Urinal 11.71
Sink 13.68
Floor Drain 17.39
Drink'g Fountain 9.64
Cap Fixtures 7.48
Sewer Alter/Repair 47.9s
Wtr Htr (Comm up to 50 23.97
Water Piping (Each 100 47 .95
Hose Bibb 16.67
Alter DrainA/ent 47.9s
Ptc - 65% 0.6s
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
6.00
2.00
6.00
3.00
2.00
15.00
1.00
1.00
300
2.00
1.OO
1,206,05
1.00
1.00
1.00
Fee
$91.e2
$23.42
$82.08
$52.17
$1e.28
$1 12.20
$47.95
$23.e7
$143.85
$33.34
$47.es
$783.93
$23.7e
$5e.30
$4.05
State Lic #: 948265
Lic Type: B
Bus. Lic #: 371314
Workers' Compensation I nsurance:Carrier: Ace American lns Co
Policy #: WLRC66044129
Expires: 1213112020
I
Building Use:
Job Type:
Nature of Work:
Commercial
Addition
TI/Addition
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
B, M, S-1
V B, SPK
cPc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By: CSG Consultants
Permit lssued By: Chavez, Dave
Subject to Field: E C'/
Buildins Permit #: 101103381
Misc. Receipt: 74251
Misc. Receipt:
Misc. Receipt:
Total
Notes. Plumbing for ti/addition.
Fee Total.
Paid to Date:
Balance Due:
06/1 2t2020
07123t2020
Account#
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 3ffi days after its
issuance, or if the work authoized on the site by such permitis suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector MID#: 2019-155793
01 1 16002 51600
01 1 16002 51602
01 1 16002 53602
01 1 16002 57770
$23.79
$737.43
$3s8.69
$4.05
$1,549.20
$425.24
$1 ,123.96
PLUM BING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby rmrm urd€r Fmlty of Jrcrjury thst I m excr{,t fmm the Contnctffi' Lien$ lrw for thc following rer$tr (Soc.7031.5
Busincss srd hofc$ion Code): Any City or County whbh Bquircs 8 lrcmit to onilnrct. alls. impmrc, dcmlish or rcprir any
structurc. prior 10 its issuance. also rcquircs the applicant for such pcmit to filc a signcd slstcmnl that hc or she is liccnsd pumsnt
lo thc prcvisiom of thc Conlnclor's Licused law (Ch8pler 9. Comming wilh Sstion 7000 of Divbion 3 of the Busircss ang
PpfessionsCodc)orthathcorsheiscxcmptlhercfromandthebssisforthcallegederemption. AnyviohlionofsetionT03l.5byrny'
applicsnt for a pcmit subirts thc applicsnt to I civil lrcnslty of rct mrc tho fivc hundrcd dollus (S50O).
-1,
as owner of lhe property. or my cmplolaes wilh wagcs as lheir sole comlrcnsalion. willdo thc work nnd the structurc is not
inte:rdcd or offcred for sale (Scc.7044. Business and Professions Code: Thc Contractor's License Law docs not apply to an owncr of
the propcrty who builds or improves thereon. and who does such work himsclf or hcrsclf or through his or hcr own employees.
providcd that such improvenrcnts ere nol intended or offcrcd for sah. If. howevcr. the building or improvenpnl is sold within onc )tar
of completkrn. the Owner Buildcr will have the burden of proving that he or she did not build or improve the propcrry for the purynsc of
sah).
_1. as owncr of thc proprty. anr cxclusivcly contracting with liccnscd conlrccl()rs lo conslruct thc projccl (Scc. 7W. Busincss
and Pnrfssion Clode: The Contraclor's l.iccnse Law docs not apply to an owncr of proJrcrty who builds or improvcs thcreon.
and who conlracls for such prrrjccts with a Contruclor(s) liccnscd pursuanl lo lhc Contractor's Liccnsc Law).
_l arrr cxcnrpt urrdcr Scction_. B. & P.C. for this rcasorr.
l)ale:()u'ner:
IYORK EIIS' CONIPENSA'I'ION
III'CLARATION
I hcreby aflirm undcr pcnalty of Jrcrjury one of the following dc"clarations:
_l have and will maintain a Certificatc of Consent to Self-lnsurc for workers' compcnsalion. as provided for by Section 37fi) of thc
Labor Codc, for the performance of thc work for which thc pcrmit is issucd.
_l havc and will nraintain workcrs'insurancc. as rcquircd by.Scction 37fi) of the labor Code. for the pcrforrnancc of
thc work tbr which c<lmJrcnsation insurancc carricr and Jnlicy number arc:
-
Policy a
_l ccrrify thal in thc perfornuncc of thc work for which this pcrmit is issucd. I shall not cmploy any pcrson in any manner
so as to bccomc subjcct to thc workcrs'conrpensation laws of California. and ugrce that if I should becomc subjcrt to thc
workcrs' conrJrcnsation provisions of Scction 3700 of thc Latnr Codc. I shall. forthwith u'ith
WARNING: Failurc to sccurc workcrs' comJrcnsalion covcragc
civil lincs up lo onc hundrcd thousand dollars ($100.m0). in
ls criminal pcnaltics and
as provided for thc
Section .1076 of thc l-abor Codc. intcrcst and attorney's fccs.
,rr",'7'cZJ-"2!0
I hcrcby atlirrn undcr pnalty of perjury that I am liccnscd under provision of Chapler 9 (comrnencing with Section 7m0) of Divisidr 3
of thc and cffcct.
Liccnsc
Dil", '7;ZJ--bfu
CONSTR.UCTION LENDING AG ENCY
I hereby affirm undcr penalty of pcrjury that lhere is a construction lending agcncy for tirc performance of the work for which this
issued (Scc. 3097, Civ. C.).
ls
Lcndcr's Narnc:
l.cnder's Addrcss:
APPLICANT DECLARAI'ION
I hcrcby allirrn urrtlcr pcnalty of pcrjury olrc of thc folkrwing tlccltratiorrs:
Dcnrolitiorr ['crnrits-Asbeslos Nolifictliorr Frcdcral Rcgulations ('l'itlc 40. Prrl(r)
-Rcqu
irctl l-cltcr of Notifical krrt
to lhis projccl.
I agrcr to conrply with all City and County
of this City and County to enter ufnn thc
abovc rncnlioncd propcrty for ins;rcction
Applicant or Agent
Itermilee n&me
asbcsl<ls renmval arc not
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Building Sewer
ArealStorm Drain
I nterceptor/ Clarif ier
TOP OUT n
Waste & Vent 12n-Zl vtLl4t\
Water Piping V-q'-?l 'UJllhr,)
Gas Pipinq U il-/
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
N/ain Drain/Pool Pipinq
Fill Line/Back FIow
Pool Heater/Gas Line
Misce!!aneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCao
Back Flow Device
Rouqh Plumbinq
Fina! Gas Test
Meter Release //.a_
FINAL
Remarks Etc.
.tl
iln
r,_Licensc
rcgardirrg