HomeMy WebLinkAbout30141573 - Permit (2)Project Address: 3134 S Main St Unit:
Block: NA
Bldg:
Tract 7408
Address Range: 3100-3260
Historic: No
Suite Range:
Zoning: CRAssessor's Parcel: 410-231-02 Lot: 83
N Plumbingcity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA92702
PermitCounter: (714)647-5800 lnspectron Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 3O141573
Pin #: 35597
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Decron
3124 S Main St
Santa Ana, CA 92707
17141546-5220
American Power Solutions I
14355lndustry Cir
La Mirada, CA 90638
(714) 926-0300
011'16002 51602
01 1 16002 5160C
01 I 16002 51602
01116002 5777C
Fee Type Amount
Tankless Water Heater 68.14
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
0.00
Fee
$68.1 4
$22.95
$57.20
$0.00
Eotchi:53133 - ll/22/2$19 ID:
Office: CTYH Trnnsi: 66Accti: Refi: 30
Rcpti:0281186.{ - Lt/22/2019 3
Tronsoction Totol l2t
State Lic #: 804648
Lic Type: C-36, C-10, C-20, C-38
Bus. Lic #: 373173
Workers' Compensation lnsurance:Carrier: Benchmark lns Co
Policy #: CST5015362
Expires: 0310112020
Aner i con Fouer Solut i ons Inc
Building Use: Multi-Family (5 or more uni Occupancy:
Job Type: Miscellaneous Constr Type:
Nature of Work: Water Heater Code:
Planning Conditions: Ok per Planning
R-2
VB
cPc 2016
6enerol Plon Updote Fee
trt 1 16002- 516r100tr0-
Plurb i ns
trt 116('02- 51602000-
ICL Check 025818
Notes: Change out within existing enclosure
Fee Total
Paid to Date:
Balance Due:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date:
Zuniga,^,,,r." M3:ll'1112212019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.95
$125.34
$148.29
$0.00
$148.29
Every permit issued shall become invalid unless the work on the slte
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156028
01 1 16002 51600
01 1 16002 51602
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNER IttJtLDUR l)l,LCARA IT0N
I hcrchy rllirnt undcr pcnully of fcr.iury thul I dtrr cxcnrpl tionr lhc C(nilrack)rs l-icc,l\c l-rw li)r thc li)lk)wilg rcrron (Scc.70]l 5
lo lhc p()vi\iurs ol-llrc Cont.ackrr'\ Licco\c(l Lat! (('hrflcr 9. CoDnncncing !rilh Scction 7(X)0 ol I)ivisi<rn J ol thc Bu\incss atd
rpplicrrilli)rilpcrillil\uhjccl\lhc upplicrnll(,acivilpcnnltyofDolnn)rcthrnl'ivchun(lrcddollars($5(X)).
-1.
rs owrcr of lhc Jmpeny. or my employes sith eagcs as lheir sole mmlrnsalion. will do the wod( and the stn$rc is mt
intcndcrl or offered for sle (SN.7044. Busincss and Pmfcssions Codc: The Contrrctor's Liccnrc hw docs not apply lo an owncr of
lhepmFny whobuildsorimprcvcsthemn.srdwhodftssuchworkhimselforhcrselforthrcughhisorherowncmployecs.
providcd lhst such imlmvmnls rc rct intended or offcrcd for sle. If, howew, the buiHing or itrprcwmnt is eH within orc )rry
of comphlion. the Owmr Buildcr will harc lhc h[den of Fovirg tlut hc or shc dil mr buiH or irfrcre the pmpcrty for the purtD$ of
sh).
-1.
tr\ owncr ol thc lropcny. am cxchsivcly conlrncting wilh liccnscd conlrack)rs lo con\trucl thc pn)jccl (Scc. 70J.1. Busincss
artd Pnrfsshn Codcr Thc Contrrctor's [-iccnsc [,aw docs not apply to an owncr ofpropcrty who builds or improvcs thcrcon.
dnd who conlracls for such trojccts wilh a Corilracbr(s) liccnscd pursudflt kr thc Contrtck)r's Liccnsc hw).
I ail! cxcnrDl uildcr Sccti()il . ts. & P.C. li)r this rea(on.
()rtrcrl
W0RKERS' CO[IPENSA'T'ION
DECLARATION
I hcrchy affirnr undcr pcnally of pcrjrry onc of lhe fi)lk)whrg dcclnralion{:
-l
hrvc and will illainlain a Ccrtilicalc ol ConscDt lo Scll:lnsurc for workcrs' cotrrlcnsation. ns providcd tbr by Scction 37(n ofthc
hbor Cixlc, for lhc pcrfornuncc oflhc work lbr which lhc pcrmil is issucd.
-l
havc und will trtninlain workcrs' conrpcnsulion insurancc. as rcquircd by Scction J7fi) ol thc Lnhor Codc. for lhc pcrformancc of
lhc w(trk li)r whig[lhi\ pcrrpil is is\ucd. My wor!9!!' cotrrpcnqati(nl i[surancc carricr rnd Jxrlicy nurnhcr xrc:
,^n,",, \ X!91\wr4rk ')rJaran(c trln^{)ony.c tr3e z T :1l'rrlicy
WARNING: Failurc to surc workcrc'compcnsation covemge is unlawful. and shall suhjcct an cmploycr to oiminal IrcMltics snd
civil fincs up lo onc hundred lhousand m.om), in addition to the cost ion. dnrnagcs us providcd for thc
Section of l.ahrr iiltcrc\t rtr(l
I
I hercby affrm under penalty ofFrjury lhal I am provision of Chapto 9 (comrrcrcing wilh Setion 7000) of Division 3
of lhc Business and Professions Codc. ard my liccnse is in full forcc and cflcct
Liccnsc
,ts{6
c(
I herchy {l llrm u[dcr lEnally oI pcrjury lhnl lhcrc is a consldrction lcnding ngcncy Ior thc pcrlirrnunce of lhc wr)rk for which this lErnrit is
issucd (St'c. 3097. ('iv. C.).
Lcndcr's Nunrc:
1-cndcr's Addrcss:
APPI,ICANT T)ECLARA'IION
I hcnby aflirm under pcnillty oI pcrjury onc of thc tblk)wing dccldrat i(ns:
Dcnn)lilion Permils-Asbcstos Nolillc{tion Fcdcral Regulxttrns ('l'illc 40. Pun6}
-Rcquircd
Lcttcr (,f Notillcati)n
_l ccdify that the fcdcralrcgulations rcgoding asbeslos removalarc not spplictble lo this frojcct.
_l ccnify that I havc rcad lhis opplication ard statc that thc atnve inforrolion is corcct- I aBrc lo comply with all City and County
ordinanccs and St0tc Laws rehting to authorizc rcpresenlativcs oflhis Cily {nd Counly to enter upon the
above nEnlioncd pmpcrly for
Applicsnl or Agent
l'rmrilm Dxtrrc
ion.
t-z-
*," l(>n/r(
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh 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 Sewer/Cap
Back Flow Device
Rough Plumbing
Fina! Gas Test
Meter Release
FINAL 7 Al1/)D& ocf -*gc(
Notes, Relrlarks, Etc.
t7 ,t1 \h- f 0 7 L- *"fl
I t,
l)otei
-l
ccnify lhat in lhe pcrformtncc of Ihc work fo. which this JErmit is issucd. I shall not cmploy sny Jrcrson in any manner
s as lo bccorc subjccl lo thc workcrs' compensation laws of Calilornia. and trgrcc that if I should bccom subict to lhc
workers'compcnsalionprovisionsofScclion3?0OoflhctiborCodc.lshall.lbrthwithcomplywithlhoseptovisions..
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