HomeMy WebLinkAbout30141586 - Permit (2)aIrCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Plumbing Permit #: 3O14{585
Pin #: 64672
Project Address: 3018 S Main St
Assessor's Parcel: 410-311-02 Lot: NA
Unit:
Block: NA
Bldg:
Tract NA
Address Range: 2902-3058
Historic: No
Suite Range:
Zoning: CR
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Decron
3124 S Main St
Santa Ana, CA 92701
(7141546-5220
American Power Solutions I
14355lndustry Cir
La Mirada, CA 90638
(714) 926-0300
01 1 1 6002 51 602
01116002 5160C
01 1 I 6002 51 602
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
Bolch*f53133 - lt/22/2019 ID: PZun
0ffice: CTYH Trons*! 66 3 oAccti: Ref*: 3014158
Rcpti:02811852 - Ll/22/2019 3:29 F'
Tronsoction Totol 12t673.t
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
Americon Porer Solutions Inc
Generol Plon Updote Fee
01116002- 51600000-
Plurb i ng
01116002- 516112000-
ICL Check 025818
Notes: Change out within existing enclosure.
Fee Total
Paid to Date:
Balance Due:
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 #:
Zuniga, Allissa 11t2212019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Date:
01 1 1 6002 51 600
01 1 1 6002 51 602
$22.9s
$125.34
$148.29
$0.00
$148.29
Every permit issued shall become invalid unless t ?e work on the site
authorized by such permit is commenced within360 days after its
rssuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a peiod of360 days after the time the work is
commenced.
lnspector MID#: 2019-156043
PLUMBING.INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS OWNER BUILDER DELCARATION
I herchy amrm undcr Fnalty of tErjury thal I m excmpt fiom thc Contractom' Liccns hu for rhe following *n*niS*.1;.li.S I
Busincss and Profcssion Code): Any City or Counly which rcquircs a 1rcmit Io construct. oltc. improve. dcmlish or Epair any
struclurc. prior lo ils issuarce. also rcquires the applicsnt for such lrrmil lo filc a signcd statcmnt thal hc or she is licenred pusanl
lo the prcvisions of thc Conrsctor's Liccnrcd tiw (Chapter 9. Commncing with Setion 7000 of Division 3 of the Busircss and
PrefcssionsCode)orlhalhe orshcisexcrplthmtromandlheb6sisforthcslhgcdcrcmption. AnyviolationofSsrionT03l.5bymy
applicant for a pcrmit suhjccts lhc applicant to a civil penalry of nor mrc than fivc hundred dolltrs ($500).
-1.
as owncr of the prctrdy. or my cmployes with wages as their ole conrpcnsrtion. will do thc wo* ard the stndre is ml
inlefrrcd oroffercdforulc(Sa.?O44.BusiressmdPmfessionsCodc:ThcContrsctor'sLiccnrckwdoesnolapplytoanownerof
lhe pmFny who builds or itr{rmws theon. and who des such work himsclf or herslf or thmugh his or her own employecs.
providcd that such improvcmnls rc mt iilended oroffcEd for ele. ll, howcvcr. lhe building or inprorcmnt is sld wilhin one fu
ofcomphtion. lhc Owncr BuiHs will hsve the burden ofpmving that hc or shc did not build or impmvc tie pmpcrty for the purpos of
slc).
ilrrl wh() c()nlncl\ li)r such pr(lccls wilh a Corilraclor(c) liccnsc(l pursunill lo lhc (i)nlrict(il \ l-iccn\c l-r!v).
-l
m excmpl undcr B. & P.C. for this rcrson.
lrntc:
WORKERS' CO]\IP}'NSA'I'ION
DECLAIL\1'ION
I hcrehy uffirm undcr penalty ofperjury onc ofthe folloping declarations:
l,ahor (iilc. li)r lhc pcrlirrnurcc ofthc rvork for which thc pcrilril is issuc(j.
_l havc and
lhe work for
will nuintain Sslion 3700 of lhe ljk r Code. for the pcrforroncc of
lhis caricr aml Jxrlicy nurntrcr arc:
o vl
3/t />oPolicyt3e
-l
ccnify lhal in lhc ,rcrforrorce of lhe work for which this permil is isscd. I shall not employ any Frcmn in rny rmrcr
s ai to bc@m subjel to thc wortss'compcnsation laws of California. and agrcc thot if I slpuld bccore subjst to thc
workss'comlf,ns.lionpmvisionsofScction3T0OoflhetitnrCode. lstull.forthwithsmplywithlhospmvi3ions..
WARNING: Failurc to surc workcrs'comJrcnsalion covcmgc is unlawful. ond shall suhjcrt an cmploycr lo oiminal 1rulties and
civil fircs up to onc hundrcd thousand dollm ($l tn lo lhc compcnsution. damgcs as providcd for thc
Sccti(rr
Yi
of lntnr Code. iotcrcst and>>
I hcrchy atfirnr undcr pennlty ofpcrjury that I am licenscd undcr provision Chaplcr 9 (commncing with Scction 70OO) of Division 3
of lhc Busincss and Professions Codc. trd my liccnsc is in full forcc md clTcct.
[-iccnsc c36 L{
t 4.
irruccl (Scc. -1{)97. ('iv. C.).
I.cnrlcr'r Nrm::
lxndcr's Addrcss:
APPLICANT DECLARATION
I herdry alfirrn undcr pcnalty of pcrjury onc of the [olk)wing dcclarationsl
Dcntr)lilion I'crillils-A\hcslos Nolilicalion Fcdcral Rcgulations (Tillc 40. Pan6)
_Rcquircd [-cttcr of Notilication
-l
cslify lhal thc fcdcml rcgulations rcgsrding asbcslos remval m not 0pplicabh to lhis pmjcct.
_l ccflily that I havc rcad this ard stale thal lhc atbve informtion is conccl. I agre to comply wilh all City and County
ordinanccs snd Statc hws ofthis City and Counly lo entcr upon the
abovc [E[tioncd pmpcriy for
Applicort or Agenl
l'emrilee nome {
and
l)ote:
UNDER GHOUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Fina! Gas Test
Meter Release
FINAL 7 n -7,b&nnc 1*&q
Notes,,Remarks, Ftc.ll
t4 l1-It -clrL ),-fiOaz#''t'?
ru
I)ille: