HomeMy WebLinkAbout30141584 - Permit (2)}P
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CA927O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:3fJ141584
Pin #: {6907
Proiect Address: 3030 S Main Sta
-
Assessor's Parcel: 410-311-02 Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
AddressRange: 2902-3058
Historic: No
Suite Range:
Zoning: CR
Owner:
Address:
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
01 1 16002 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
't.00
1.00
0.00
Fee
$68.1 4
$22.95
$57.20
$0.00
Botchi:53133 - 1tl22/2019 IDr P
Office: CTYH lpqnsi: 66Acct*: Ref*: SCIl4
Rcpti:02811854 * lt/22/2tt19 3:2
Tronsoct ion Totol 12t67
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: 0310112020
Anerican Porer Solutions 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
Generol PIsn Updote Fee(rlll6002- 51600000-
Plurb i ns
fi1116002- 5r602000-
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 #:
Zuniga, Allissa 11122t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
01116002 51600
01 't 1 6002 51602
$22.95
$125.34
$148.29
$0.00
$148.29
Every permit issued shall become invalid unless lhe work on lhe site
authorized by such permit is commenced within360 days after its
lssuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156041
Phone:
,,-./*u, *o-r NSPEcToR R EcoR D
APPROVALS DATE ID/SIG.COMMENTS oIVNT]R BIIILI)ER DT]I,CARA'IIoN
I hcrchy allirnr uildcr pcnally of pcrjury lhrl I anr cxcillll iiotrl lhc Conlrilckir\' Liccnsc Lrw lirr lhc folk)wing rcrson (Scc.7o.ll.5
llusincss aril P()lisskill Codc): Any Cily or County which rcquircs n pcrillil lo conslnrcl- ahcr. irnprrrvc. dcntrrlish or rufnir any
sln,clurc. prior k, its issunncc. dlso rcquircs lhc alplicdll li)r such lrrnlil k) lilc a signc(l {lnlcrrcnl lhrl hc or shc is liccnscd pursurnl
nr thc pnrvirirrns ol'lhc (-'onlrrckr's l-iccnse(l hw (Chanlcr 9. Cornilrcncing wilh Scclkln 70{X) of l)ivision J of thc Busincss and
I'rolcssionsCodc)orlhathcorshciscxcnrptthcrclionrrrdlhcharisforlhcrllcgcdcxcnrption. Anyvk)hlionolSc.tionT0.]l.5hyilny
xpplicaillli)rrpcrilrilsubjcclsthc applicrnllorcivillc0ahyolnoltrrcrclh!trllvchundrcddollars($5(X)).
-1.
as owrcr of thc prcFrly. or my cmployces with wages as lheil slc @mpensation, will do thc work ud the strutw is nol
intendcd orofferedforsle(S(.T044.BusinessmdPrcfcssionsCodc:TheContractor'sLicen$lrwdocsnotapplyloanowrerof
thepmpcny whobuildsorirprcuthcmn.atdwhodessrchrcrthimselforhcmlforthrcughhisorhcrowncmployees.
providcd th.I such imlrercmnts e mt inteldcd oroffercd for sh. lf. howevtr the boiHing or inprcvcmnt is sH within one }{U
of otr{,btion, thc Owrer Builds will hlve the burdcn of prcving that he or she dil rct hrild or itr{,rove thc prcFrty for the purpoc of
sh).
_1, as owncr of lhc po[t,ty. am cxclusivcly conlracling wilh licenscd contractos lo conslrucl thc prcjcct (Scc. 7044. Busincss
and Pmfssion Code: Thc Conlractor's License Law docs not apply to an owner of prolrcny who builds or improves th6sn.
and who contGcls for such prcjccts wilh a Conlmclo(s) liccnsd pursuanl lo lhc Conlraclor's Liensc law).
_l um cxcnrpt undcr Scction-. B. & P.C. lor lhis rcason.
Drte:- O*trer:-
--WORKFRS' COMPENSATION
DECI.ARATION
I hcrcby aflirm undcr pcnally of pcrjury onc of lhc follow ing dcclualions:
Lrtarr (ixlc. lor lhr'pcrlitrillxlcc i)l thc $o,k lirr shich th0 pcrtrrit i\ i\\ncd.
-l
have
the work
and qill mainlain workers'Scclion 3700 oflhc Lntx)r Code. for the pcrfornuncc of
which this is issucd.carier and policy numbcr m:
6Ar
Y
Policy cs J ilt / >o
_l ccnify thal in lhc Frformnce of lhc work for which lhis pcrmjt is issued. I shall not employ any person in any manncr
$ as to hccomc suhjccl to the workers' compcnsution laws of California. and agrcc that if I should tKom subjcct lo thc
workcrs'comlrcnsalionpmvisionsofScclionSTU)oflhcLrklrCodc. lshall.fonhwilhconplywithtlpsJ,rcvisions..
WARNING: Failurc to surc workers'compcnsation covcra8e is unlawful. and shall subjecl an employer to simind pcnaltics and
civil fincs up to orc hundrcd thous&nd dollars in addition to thc compensation.$ providcd for thc
Scclion 3076 of lhe inlcrcsl fccs.
-[(l(
I hcrchy affirn unrlcr pcnalty ofpcrjury that I am 9 (commncing with Scction 70OO) of Division -l
of the Business ald Profcssions Codc. and my liccnrc is in full forcc and cffect.
c3()
l-iccilsc
rq
I hcrchy allirm untlcr ;rcnalty of pcrjury lhal lhcrc is a consldclhn lcndirrg agcncy for thc pcrlbrnhncc of thc work lbr Bhich thi\ Jrrillit is
issucd lScc. .1097. Civ. C.).
[-cndcr's Ndilrc:
[rndcr's Addrcss:
APPLICAN'T DECI,ARA'I'ION
I herthy aliirm unrlcr pcnnlty of pcrjury onc of thc folkrwing dcclrrations:
l)cn()lilir)D Pcrnrits-AshLslos Nolificrlion lrcdernl Rcgulalhns ('l illc {0. Pxn6)
_Rcquircd Lcltcr of N(nillcation
-l
ceaify that thc fcdcr8l rcgulalions rcgsrding asbcstos rcmval are not spplicsble to this pmjcct.
-l
ccnify lhat I hove rcad this Bpplicatbn and slstc that lhe atnvc informution is corrct. I agre to comply with all City and County
ordinarces and State hws rchtirg to construclion. arxl hcreby suthorizc reprcscnlalivcs ofthis City and County to ents ulDn thc
atxrvc mnliorcd propcrty for
Applimnt or Agetrl
lDrrnrilet ntrnr(
s?7-1--
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
N/ain DrainiPool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL 'l-r1 ao b*rat L# s<
Notes, Remarks, Etc.
n. Lc,2-
*,", ,l(b>/4