HomeMy WebLinkAbout30141575 - Permit (2)Proiect Address: 3148 S Main Sta
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Assessor's Parcel: 410-231-02 Lot: 83
Unit:
Block: NA
Btdg:
Tract 7408
AddressRange: 3100-3260
Historic: No
Suite Range:
Zoning: CR
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Plumbing Permit #:30141575
Pin #: 2116,8
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Decron
3124 S Main St
Santa Ana, CA 92707
(7141546-5220
American Power Solutions I
14355lndustry Cir
La Mirada, CA 90638
(714) 926-0300
01 1 16002 51602
01116002 5160C
01 1 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
$68.14
$22.95
$57.20
$0.00
Botch+:53133 - ll/22/2tJt9 ID: PZ
0ffice: CTYH 1p61sf! 66 lAccti: Refi: 30141
Rcpt*:02811862 - ll/22/2019 3:29
Tronsoction Totol t2r673
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: O3lO1l2O20
Anenicsn Fouer Solutions Inc
Generol Plon Updote Fee
01116002- 5160000CI-
Plurb i ns
01116002- 5160200Cr-
ICL Check 02581S
Notes: Change out within existing enclosure.
Fee Totat
Paid to Date:
Balance Due:
i?
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
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
11t22t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Date:
01 1 16002 51600
01116002 51602
$22.e5
$125.34
$148.29
$0.00
$148.29
Every permit issued shall become invalid unless fhe work on the slfe
authorized by such permit is commenced within360 days after its
issuance, or if the work authorized on the site by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156030
Zuniga,Alli.*V
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS OWNI:R IIUII,DI:R I)I]I.('ARATIoN
llusirtcss antl Prolcssi()il Codc): Any Cily ()r Counly which rcquircs a Jtrnrit lo construct. altcr. iDlprovc, dcnrrlish or rcpair any
\lruclurc. ri(tr lo it\ i\(urncc. illso rcqilircs thc Apllicul lbr \uch Frmil k) lllc a signcd slillcrmnt thal hc or \hc is liccnscd pursuilnt
lo Ihc frovisi(,ns of llt Conlrilchr's Liccnscd l-uw (Chilplcr 9. Conrrcncing with Sccti(nr 7U[) ol l)ivision -] ol thc Busincs( a0d
ItolcssioilsCodc)orlhilthcorshcisexcnlpllhcrcfoilnn(lthcbasisli)rlhcrllcgc.lcxcirpli(n. ArvviohlionofSccti(ti70ll.5hynny
ilpplicxnlli)ral^-flnitsubjcclslhc applicrDlloacivilpcnrltyofft{nx)rclhrnlivchutr(lrcddollxrs(S5(X)).
-1.
ss owncr of lhc proFny. or my emplolres with wsgcs as their slc compensation. will do thc work md the stnrctre is not
intendc{ or offercd for slc (58.70{4. Busircss and Profcssions Code: The Contmctor's Liccns [!w dcs not apply to e owrer of
the pmFrty wlb huild.r or ir{reEs the@n. ard who dcs sh work himself or hcrslf or thrcugh his or hcr own employccs.
provided that such imprcvcmnts rc not inlcndcd or offercd for slc. lf. howcvcr. lhe buiHing or imprcvercnt is sld within onc )rtr
of corplctk n. thc Owrcr Builder will harc thc hrdcn of pmving thil he or shc di, mt boib or irpmw the prcFdy for the pu{ns of
slc).
-1.
ss owncr of the pmlErty. am exclusively contracling with liccnsd contracloF to conslruct tlE pmjst (Scc, 7044. Busircss
and ProfssionCodc:TheContraclor'sLicenseLawdoesnotapplyloanownerofprolrrtyw]nbuildsorimprovesthcreon.
and who contracts lbr such pmjects with a Contructo(s) licensed pursuant lo thc Contrsctor's Licensc Law).
I am cxemDt undcr Setion-. B. & P.C. lbr lhis rceson.
l)alr ()$r!(r
WORKERS' COilIPENSATION
DECI,AaAIION
I hercby alYirm under pnalty ofperjury ore ofthe following dcclarations:
l.rhr Crrlc. lirr thc pcrli)rilrrilcc ol lhc \r(,rk lirr *hich thc pcrnrit is issuctl.
_l have and Scction 3700 oflhe t{bor Code, for thc performncc of
lhe work carricr rnd Iplicy number m:(,,44 7,,
Policy -c3 t
-l
cenify lhat in the performnce of thc work for which this pcrmit is issucd. I shall not cmploy any pcrsn in any manrcr
s as lo hccom subjcct lo thc workcrs'comlEnsalion laws ofCalifornia. and agrce lhut if I should bccont subject to lhc
workcrs' compcnsrtion provisions of Seclion 3700 of thc Lsbor Codc. I shall. forthwith comply wilh thoE prcvisions..
WARNING: Failurc lo scu,c workers' compcnsation ovemgc is aM shall subj(l an emplo;cr to aiminal Frcmlti{s and
civil fincs up lo orc hundred lhousmd dollars tI to thc cosl of corrlEnsation. damgcs as provided for the
Scction .l{ )?(r Llbor Codc. intcrcsl and
I hcrcby alnrm undcr pcnnlty ofpcrjury lhat I am liccnxd provision of Chapter 9 (coltmncing with Scction 70OO) of Division 3
of lhc llusiilcss and Profcssions Codc. and nty liccnsc is in lull firrcc and cffcct.
,,^
l-iccnsc C3
[rsle:_
I hercby aflirm undcr pnalty of Frjury lhat there is a @nrtruclhn lcnding agcncy for thc fErfotmrce of rhe work for which this Jrmit is
issucd (Scc. 309?. Civ. C.).
kndcr's Namc:
bndcr's Addrcss:
APPLICAN'I' DECLARATION
I hcr+,y {llim undcr pcnalty ol pcrjury onc oI thc i,llowing dcclarat ions:
Dcnx)lili()n Pcrilrits-Ashcsk)s Notificali()n Fcdcral Rcgulutiots (Tillc 40. Ptn6)
-Rcquircd
l-citcr ol Notilicatior
-l
ccrlify lhsl lhc fcderal regulations rc8trdin8 asbcslos rcrnovalarc not opplicablc to this nrojet
_l c(atify thal I have rcad this application ald slate thul thc above infomion is corect. I
ordinanccs and Statc [aws rclaling lo huilding
stx)vc menlioncd propefly for
,\ppli(nnt r)r AgeDl
Pemite name
UNDEH GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ 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 Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release I
F!NAL ').rq '1,O {-fr67
Noteq, Rema;ks, Etc
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