HomeMy WebLinkAbout30141577 - Permit (2)s Plumbingcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #:3O141577
Pin #: 69157
Project Address: 3160 S Main St
Assessor's Parcel: 410-231-02 Lot: 83
Unit:
Block: NA
Bldg:
Tract 7408
AddressRange: 3100-3260
Historic: No
Suite Range:
Zoning: CR
Owner:
Address:
Phone
Contractor:
Address:
Phone:
Decron
3124 S Main St
Santa Ana, CA 92707
17141546-5220
American Power Solutions I
14355 Industry Cir
La Mirada, CA 90638
(714) 926-0300
01 1 16002 51602
01 1 't6002 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
$68.1 4
$22.95
$57.20
$0.00
Botchi:53133 - lL/22/2019 ID: PZun
0ffice: CTYH lpsnsf: 66 1lAccti: Reft: 3011157
Rcpt*:02811860' lt/22/2{J1.9 3:29 f'
Tronsoction Totql t2t673.1
State Lic #: 804648
Lic Type: C-36, C-10, C-20, C-38
Bus. Lic #: 373173
Workers' Compensation lnsurance:Carrier: Benchmark Ins Co
Policy #: CST5010362
Expires: O3l01l2O2O
Americon Pouer Solutions Inc
Generol Plsn Updote Fee
cltI16002- 5l60tr000-
Plurb i ng
01116002- 51602000-
ICL Check 025818
Notes: Change out within existing enclosure.
Fee Totat
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 #:
Zuniga, Allissa 11122120',t9
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Date:
01116002 51600
01116002 51602
$22.95
$125.34
$148.29
$0.00
$148.29
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced within 360 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156032
Tenant Name:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS (,l.. t:R RUll,t)ER l)1,]t,CARA'ilON
ilpflicilnlli)rnpctrnit\ulljcclslhc ilpflicilnlloacivillcnahyolnotnxircthilnlivchundrcddollxrs(55(X)).
-1.
as owrcr of lhe pmIErly. or my employees wilh wagcs as their sh cotrUEnsation. willdo tlt work and the stffitrc is mt
intcrdcd or offercd for slc (58.7044. Busircss snd Professions Codc: The ContrBctor's Licensc Lsw docs not apply to on owncr of
lhcprcIErty whobuildsorirTrrcvesther@n.mdwhodocssuchworkhimsclforhcrselforthroughhisorherownemployecs.
providcd that such imtmvercnts e mt inlcnded or offered for eh. If. lmwcrci thc boilding or itrpmrerent is sU within orc Fn
of corplclion. thc Owrer BuiHs will havc thc burden of pmving that hc or shc did mt huild or imprcvc thc pmfrcrty for thc purlns of
sle).
-1.
as owner of thc pmpelly. amexclusively contracting wilh liccnscd conlractos to consrruct lhe pmj$t (S(. 7044. Busincss
and PDfessbnCode:ThcContmctor'sLiccnscLrwdGsnolapplyloanowncrofproperlywhobuildsorimprovcsthcrcon.
snd who conlmclsforsuchprcjcclswilhaContEctor(s)licensdpursu8nltothcContmctor'sLicenscLaw).
-Iamcxemptundcrsfftion-'B.&P'c.forlhisE8on.Dsle:_Owner:_
WORKERS' COIIIPFNSATION
DECI.ABAIIAN
I hercby aflirm undca [Enahy of pcrjury one of thc k)llowing dccluat ions:
-l
havc and will ntainlain a Ccrlifictrlc of Conscnt lo Sclf-lnsurc lbr workers' comFnsalion. as providcd for by Sstion 3700 of lhe
latxrr Code. for thc pcrforroncc of thc s'o* for whirh lhc pemit is issued.
_lhavcandwillnuintsinworkcrs'conrpcnsrlioninsurlncc.as rcquircdbySccthn-17fi)ofthet,oborCodc.forthcpcrformnceof
lhe work which pcrmit is issucd. My compcnsnlk)n insurancc can)t
Lo
and plicy numbcr rc:
,/a l3
Policy N sTSb
_l ccnify that in lhc pcrfornuncc of the work for $'hich this lcrrlil is issucd. I shall not cilrpby lny pcrson in uny manncr
so x\ lo bccotrr suhjccl lo thc workcrs'conrpcn\rlion laws ofCnlifornid. rtrd agrcc lhrl if I should hccoillc suhjcct h lhc
workcrs corrwnsrtion provistrns ofScction 37(X) oflhc Latnr C(xlc. I shilll. lorthwith contply silh thos p()iisions..
WARNING: Fnilurc b rccurc workcrs'compcnsalion covemgc is unlawful. and shsll subjsl an cmplo}tr to oiminal [rmltk$ and
civil fincs up to onc hundrcd thousand dollars (S|0O.UD). in addition to rhe cosr of dsmges 8s provided for thc
S&tion 3076 of Codc.and attorrcy's Iccs.2f
ol- thc Busincss rnd Proltssiurs Codc. arrl nrv liccnsc is in l'ull li)rcc ilnd clfccl
"L36Liccnsc
I hcrchy all'irrl undcr Jrnalty of pcrjury lhilt thcrc is a construclion
issucd (Scc.3097. Civ. C.l.
agcncy for thc Frformancc of the work tor which lhis Frmit is
Lrndcr'. Nunrc:
Lcndcr's Addrcss:
APPLICANT I)I'CLARAIl(IN
I hcrchyallirrrundcr pcnrlly ()l pcriury onc ol lhc li)lk)wilg dcclilrnti(,ns:
l)eilr)lilion ['crnrils-A\bcslos Nolilic{lk)n Fcderrl Rcgultlt)ns ( l itlc 40. Ptrl6)
_Rcquircd I-ctlcr ol N(ililicrli(nl
-l
ceflify that thc fedcral rcgul8tions rcguding asbc.tos rcmvalarc not applicabh to this pmj$r.
-l
cenify that I havc rcad this applicalion ed strle th6t thc rbovc infonmtion is corccl. I agr€ to comply with all City snd County
ordinances and Slatc llws rclaling to building drl oflhis Cily lnd Counly lo cnlcr ulnn rhc
D*- i1/2>l?atrrvc nrcntioncd propcny lbr
Applicont or Agent
Pemritee nrme
'n t^c
---7-l-L
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq 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
It/ain 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 Plumbinq
Final Gas Test
Meter Release tl
FINAL 2 lot 7d D*v ot 1-kn
Noteg, Rgmarks, Etc.JI
Ittl nlfi- * clfl - l>ffn2,n-.*F,7
I ,I 'U
Dsle:
Dster-