HomeMy WebLinkAbout30141576 - Permit (2)Project Address: 3152 S Main St
Assessor's Parcel: 410-231-02 Lot: 83
Unit:
Block: NA
Bldg:
Tract 7408
Address Range: 3100-3260
Historic: No
Suite Range:
Zoning: CR
N
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 #z 3tJ141576
Pin #: 20944
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Decron
3124 S Main St
Santa Ana, CA 92707
(7141s46-5220
American Power Solutions I
14355lndustry Cir
La Mirada, CA 90638
(714) 926-0300
01 1 16002 51602
01 1 16002 5160C
01 1 1 6002 51 602
01116002 5777C
FeeType Amount
Tankless Water Heater 68. 14
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
P,nIrhi : i31,jj - | i / ?.'i /' ?tt1,'i
ilf;i,: et r.TYil flsrsE|: ('1i
Ar:r:t * : ftef',}
Qty
1.00
1.00
1.00
0.00
Fee
$68.1 4
$22.95
$57.20
$0.00
301 4
Rcpt*:02811861 - tt/22/2tt19 3:i
Tronssction Totsl S2t6i
State Lic #: 804648
Lic Type: C-35, C-10, C-20, C-38
Bus. Lic #: 373173
Workers' Compensation lnsurance:
Carrier: Benchmark lns Co
Policy #: CST5015362
Expires: O3lO1l2O20
Amer i con Pouer Solut i ons Inc
Generol Plon Updote Fee
01116002- 5160('000-
Plulb i ns
(rl I 16002- 5l6t:r2000-
ICL Check CI25818
Notes: Change out within existing enclosure.
Fee Total
Paid to Date:
Balance Due:
Building Use: Multi-Family (5 or more uni Occupancy:
Job Type: Miscetlaneous 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 #:
KLrp"'
I \ Date:11t22t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Zuniga, Allissa
Every permit issued shall become invalid un,ess the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on the site by such permit ts suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#. 2019-156031
01116002 51600
01116002 51602
$22.95
$125.34
$148.29
$0.00
$148.29
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS ()lr\l:R lll ll.l)l.R l)l:1.( \R 1 I I():,{
I hereby aflirm under [Enalty of pcrjury lhal I m crcmpl ftom lhc Contraclos' Liccnse hw for the following rcBsn (Str.7031.5
Business and Profession Codc): Any Cily or Counly which rcquircs a fremil to construcl. altcr, improvc. dcmolish or rcpair any
structurc. prior Io ils issuance. slso requires lhe applicant for such Frmit to filc a sigrcd statcrcnt lhat he or shc is licens{ pursant
to lhc prcvisions of thc Contractor's Licenscd [:w (Choplcr 9. Commcncirg with SNlion 7000 of Division 3 of the Busincss and
Prcfessions Codc) or that hc or she is exempt lhercfrom 0nd thc basis for thc allcged cxcmption. Any viotation ofScclion ?03L5 by trny
applicant for I lf,rmir subjccls lhe applicant to I civil pcnalty of nol rerc than five hundred doUes (9500).
-1.
as owncr of th€ prc[Eny. or my employees wilh wages as their solc compcnsalion. will do the wort and the strctw is not
inlcnd€d or offered for sh (S€.?(X4. Busircss and Prcfcssions Codc: Thc Contractor's Licens llw does not apply to an owrer of
thc polrdy who builds or improves themn. md who des such work himsclf or hersclf or lhrough his or her own cmphyees.
provided that such impmwmnts e ml inlerdcd or ofllred for sle. If. howcwr. thc building or ir{,mvcmnr is sold within ore }cq
of complction, thc O{ner Builder will haw tlrc burdcn of pmving thal he or she dii mt buik or irprcrc fE pmlmy for lhe purlbsof
sle).
-1.
as owncr oflhe p()pcny. am exclusively contracting with liccnscd contraclors to construct lhe pmtrct (Scc. ?044. Business
.nd PmfcrsbnCode:ThcContractor'sLicenscLawd@snolapplykranowncro[propcrtywhobuildsorimprovesthcrmn.
.nd who conlEcts for such prcjsts with a Crnlncto(s) licenEd lrursuut to lhc Conlrelor's Licens kw).
-l
amexempt under Section-. B. & P.C. for this rcasn.
-__._ Owner
WORXPRS' COIIIPENSATION
DECI ARATION
I hcrcby affirm under pcnalty of perjury onc of the tollowing delarations:
-l
havo and will nuinlain a Ccrtillcilte ol Conscnl lo SclLlnsure for workcrs conrpensation. ns prrvtlcd lt)r by Scction .17fi1 of lhc
titnr Ctrlc, for thc pcrfornrancc oflhc work ti)r which lhc 1trmit is issucd.
_l
thc
havc and will maintain workcrs' compcnsalion insurarcc. as by Setion 3700 ofthe tibor Code. for the [Erfomsncc of
i caricr urd policy numbcr uc:pcrmil is issucd. My comlEnsstion
Policy ,
-l
ccnify that in thc perforroncc of lhe work for which lhis pcrmit is issued, I shall not employ any pcmon in uny ronncr
* astobecomsubjcctlothcworkers'smlrcnsationlawsofcalifomia.andagrcthatiflshouldbecomsubjsitothe
workcrs' compensation prcvisions of Scction 3700 of thc kbor Code. I stull. fonhwith mmply with ttnrc pmvisions..
WARNING: Failure to slrc workcrs' compcnulion is unlawful, snd shall subjcct an cmplo)cr to riminsl Jrcnaltics and
civil lincs up to onc hundred thousud dollars in rddition b thc cort damges as provircd for lhc
Scclion 3076
Dale: U 71vfr1
'ilcrcsl and
I hcrcby aflirm undcr pcnalty of perjury lhat I anr under provision ofChaptcr 9 (comrcncing with Sccrion 7000) ofDivision 3
of thc Busiress 8nd Professions Code, and my liccnw is in full fore and etT$t.
Z 6Liccnsc
Date:_
coNs't Rt,c'il0N t,ItNDtNG ACt.rNC't
issucd (Ss. 3097. Civ. C.).
knder's Namc:
-
Lcndcr's Address:
APPLICANT IIECLARATION
I hcrcby allirnr undcr penalty of perjury onc of thc following dcclarltions:
Dcmolilion Pcrmits-Asbcsk)s Nolificnlion Fcdcral Regulalions (l itlc.l0. Pril6)
-Rcquirctl
lrttcr ol Notilicatk)n
_l c.rtify that rhe fcderalrcgulalions regarding asbcstos rcmvalare nol spplicsblc lo this project.
_l ecilily lhnl I Iravc rearl this rpplitali()n nn(l\trlc Ihtl tlE ahrr'c inlirrrrratiorr i\ c()rrccl. I wilh all City and County
ordinances and Slatc Laws rclating to
atnvc rrcntioncd propcrly for
Appllcant or Agent
Pemile nsme
und aulhorizc
Dnle.
aild
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill LineiBack Flow
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 4 tqw l)ftrul(\--*Yl
t\qteE, Rqmarks, Etc.,fTI
tLl lhl 14 c l(L 4rla-3n
I t (t
I
DBle:
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