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Home My WebLink About30141587 - Permit (2)City of Santa Ana 20 civic center Ptaza (M-1e, ,;; cAs2Toz Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 N Permit #:30141587 Pin #: 1A255 Project Address: 3002 S Main Sta Assessor's Parcel: 410-311-02 Lot: NA Unit: Block: NA Btdg: Tract NA AddressRange: 2902-3058 Historic: No Suite Range: Zoning:CR Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Decron 3124 S Main St Santa Ana, CA 92707 1714l'546-5220 American Power Solutions I 14355 lndustry 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 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: O3lO1l2O2O IU'IO I I 1 15r1[L Ch 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 #: o,',rv 11122t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Zuniga, Date: Date: Date: Notes: Change out within existing enclosure. Fee Total Paid to Date: Balance Due: 01 'l 't6002 51600 01 1 '16002 51602 $22.95 $125.34 $148.29 $0.00 $148.29 Every permit issued shall become invalid unless fhe work on the site authorized by such permit is commenced within360 days after its issuance, or if the work authorized on the site by such permit ls suspended or abandoned for a period of 360 days after the time the work is commenced. lnspector MID#: 2019-156044 PLU rvfENAlNS PEcro R R Eco R D APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hereby affirm undcr pcnalty of Frjury thal I ar cxempt from the Contraclors' Licensc Law for thc following rcason (Scc.7031.5 Busincss and Profession Code): Any City or Counly which rcquires a lrermit to construct, alter. improve, dcmlish or rcpair any slructure. prior to its issumce. also requircs lhe applicant for such permit to file a signcd statcment that he or she is licensed pursuant to thc provisions of the Controctor's Licensed Law (Chaptcr 9, Commencing with Scction 7000 of Division 3 of the Busincss and Prct'cssions Code) or thal hc or she is exempt thqcfrom and the basis for the allegcd excmption. Any violation of Section 703 I .5 by any applicant for a pcrmit subjccts thc applicant to a civil penalty of not more lhan five hundrcd dollars ($500). -1. as owner of the prclrcrty. or my employees with wagcs as thcir sole compcnsalion, will do thc work md the structw is not intcndcd orolTered for salc (Se.7044, Busincss and Prcfcssions Codc: The Contractor's License Law docs not apply to an owner of the prcperty who builds or improves thcmn. and who does such work himsclfor hersclfor through his or hcr own employees. providcd that such improvcrrcnts tre nol intcndcd or offercd for salc. Ii howcvei thc building or improvcmnt is sold within one ,rd ofcompletion. the Owncr Builds will havc the burdcn ofpreving that hc or she did not build or improve the pmFErty for thc purlbs of sale). -1. as owncr oflhe propeny. am exclusivcly contr{cting with licensed contraclors lo construct thc prejcct (Sec. 7044, Busincss and Pmfession Codc: The Conlractor's Licensc Law docs not apply to an owner ofproperly who builds or improvcs thcrcon. and who conlEcls for such projects with a Contmcto(s) licensed pursuant to thc Contractor's Licensc Law). _l iltrr cxcilllil undcr Sccli{rn_. B. & P.C. lirr thir rcnson. WORKERS' COMPENSATION DECLART{TION I hercby affirm under pcnalty ofpsjury onc of thc following declarations: -l htvc and will nraiDlair u Ccnillcalc ofConscnl lo Scll:lnsurc lbr workcrs' cotrUcnsalion. rs providcd lbr by Scction 3700 ofthc t-rhor Codc. li)r lhc pcrlonnilncc of lhc work for which thc pcrDit is issucd. -l have and will mainlain workers' compcnsation insurancc. as required by Section 3700 of the Labor Codc. for the perforroncc of the work for this is issucd. My workcrs' compensalion insurancc caricr and ;nlicy number uc: Policy 36>7o _l ccnify lhat in thc perfornuncc of the work for which this pcrmil is issucd. I shall not cmlloy any person in any manncr so rs lo bccorrc subjcct to thc workcrs' compcnsation laws of California. and agrcc that if I should bccorre subjcct to thc workers' comlrcnsatit)n prcvisions of Scction 3700 of lhe Labor Code. I shrll. lorthwith comply with thorc provisions.. WARNING: Failurc lo secure workcrs'compcnsation coverilgc is unlawful. and shull suhjcct an cnrploycr lo criminrl Jrcnallics and civil fines up b onc hundrcd lhousand dolles ($lm.m0).additim k, thc cosl of compensation. damges as provided for thc Scction 1076 ofthe Labor inlcrcsl and tccs. l4 I hcrcby altirm undcr pcnalty ofpcrjury that I r,lr under provision ofChapler 9 (commencing with Section 7000) ofDivision 3 of the Busincss and Professions Code. md my liccnsc is in full fbrce md clfcct. Liccnsc L56 *oq e ,+g t\!-1 CONSTRUCTION LFNDING AGENCY I hcrcby aflirm undcr pcnahy ol pcrjury that lhcrc is a conslruction lcndinS rgcDcy tbr thc pcrfttrnrxncc of thc work lbr which this pcrmit is issucd (Scc. 1097. Civ. C.). [,cnder's Nilnrc: hndcr's Addrcss: APPLICANT DECLARATION I hcrchy rllirilr undcr pctrdlty ol periury onc of thc lblkrwing dcclarltions: Dcnlolilion Pcrmits Asbcslos Notification Fcdcrnl Rcgulatioils (Titlc 40. I,r(6) _Requircd Lcllcr of Nolillcation _l ccrlify lhal lhc fcdcral rcgulations rcgtrding asbcslos rcmoval dc not applicable lo this prcj&t. -l certify lhat I have rcad this application and state thal lhc atDvc informtrtion is corect. I agrce to comply wilh all City and County ordiftnccs and Stalc Laws rclatirg to building nuth()rizc ofthis City and Counlylo enlcr upon thc abovc rrcntioncd propcrty for Applirant or Agcnl I'emrilee nanre and fi. 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 Pipino Boof 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 l F!NAL L[gl,?/2 Di.(\(Y,r1/+ A'-/ Noles, RemarKs, Etc.-T tzlt?h"r - cl(L b+nrtoz-t +&7 t o,,"c J!/22/fI