HomeMy WebLinkAbout30141588 - Permit (2)-City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
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Permit #: 3O141588
Pin #: 2161A
Project Address: 3010 S Main St
Assessor's Parcel: 4'10-311-02 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 92707
1714)-s46-5220
American Power Solutions I
14355 lndustry Cir
La Mirada, CA 90638
(714) 926-0300
01 1 16002 51602
01't 16002 5160C
01 1 1 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
$68.14
$22.95
$s7.20
$0.00
Botchf:53133 - Ll/22/2frt9 I0: P
0ffice: CTYH 1rq6s!! 66Accti: Refi: 3014
Rcpt+302811850 - Ll/22/2(t19 3:?
Trqnsoction Totsl t?t67
State Lic #: 804648
Lic Type: C-35, C-10, C-20, C-38
Bus. Lic #: 373173
Workers' Compensation lnsurance:Carrier: Benchmark Ins Co
Policy #: CST5015352
Expires: 0310112020
Amenicnn Pouer 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 Plon Updote Fet
trl116CI02- 51600(100-
Plurb i ns
[r1116002- 51602800-
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 11t22t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
011't6002 51600
01116002 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 is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156045
I
BING.!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oWNER RTIII,I)UR I)I.:I,('A RAI]ON
I hcrcby rll'irnr u[(lcr pcnxlty ol pc{ury lh{l I rill cxcmpt lil)ilr thc C{,rilrackns Liccnsc l-aw li)r Ihc li)lk)wing rcason (Scc.70Jl.5
lJusincss aril l'rolcssiol Codc): Aily ('ity or Counly which rcquircs n lrrn]il lo construcl. altcr. inlprovc. dcnmlish or rcpair uny
slruclurc.priorl(,ils issuancc.ulsorcquircslhcalplicantlirrsuchprrnritlolilcasigDc(lslrtcnrcnt thrthcorshcisliccnscd fursunnl
Io lhc [)r)!i\irnrs ol'lhc Conlruck)r's l,iccnscd liw (Chaplcr 9. Connrcncing wilh Seclion 7(XX) ol l)ivishn .3 ol thc BusilNs\ xild
rpplicrnt li)r x prrmil suhjccls lhc xpplicrnl lo s civil pcnally of not trx)rc thun livc huil(lrc(l dollrrr (S5(Xl).
-1.
r\ (tr\rEr ol'lhc profEfly. or nry ctrrnl()ycc\ wilh wilqcs ils tl[ir s()lc conrl)cnsrti()rr. rvill rlo Ihc *ork and thc slmturc ii iot
lhc fftrrcilv wh() huilds or itrUovcs lhcru,n. rnd who docs such work hintsclfor hcrscll-or lh()ugh hi\ ()r hcr owrl cnlpk)ycc\.
salc).
-1.
as o{tcr ol lhc propcfly. !m cxclusivcly conlrncting with liccn{cd conlraclors lo conslrucl lhc projccl (Scc. 7044. Busincss
and lkrllxsir Codc: Thc Contract)r's Liccnsc l-aw docs nol npply k, rn owncr ofpropcrty who builds or improvcs lhcrcon.
and who conlracts for such projccls wilh ! Conlraclo(s) liccnrcd pursuunl lo thc Conlractor's l-icclsc lnw).
-lilillcxctrlDlUndcrsccli()n-.R,&P,C.lbrlhisrcason.
WORKERS' COMPENSATION
DECLARATION
I hcrcby alllrn undcr Jrcnalty of perjury onc oflhc ,bllowing dcclilrsti(trlsi
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havcandwill rminlainaCcrtilicrlco[Con*nlloSclf-lnsurcli)rworkcrs'compcnsatio[.as prolidcdforbySNlion.lTU)ofthc
hh)r CodL'. for thc lErformnce o[thc work for which the [Ermit is issucd.
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havc and will mainllin workcrs' compcnsfllion insuruncc. ds rcquircd by Scclion 3700 ofthc lakrr (irdc. for thc lErfortrlancc of
lhc work trtr wliEh this pcrmit is issucd. My workcrs' contpcnsfllion insurance cafiicr erd Fx)licy nunlbcr arc:
c,ricr, -\5e^ch,ra,tl< f,as6r6n-r Ce- Lw-ott'l
CSr 0 3 )[-----7 3/r 1>oPolicy
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ccnify that in lhc [Erformrce of thc work for which lhis pcrmil is issucd. I shall not cmploy any Jrcrson in any mmrcr
m as nr bccom subjert to thc workcrs' @mpcnsalion laws of California. Bnd agrce that if I slhuld hccom subjsl to tlr
workcrs' comltnsalion provisions of Scclion .1700 of lhe titnr Code. I shall. fonhwilh comply with thorc provisions..
WARNINC: Failurc lo rccure workers' compcnsalion is unlilwful. and shall suhjcct an cilrplolcr lo qiminal pcnaltics rnd
civil fincs up to one hundred thoussnd dollars h thc cost as providcd lbr thc
I hercby sffrm undq [Enally of perjury that I am liensd under pmvision of Chaptc 9 (olrmrcing yilh Section 7000) of Division 3
of the Busims and Prcfessions Code. ard my licens is in full forc 8rd eflect.
c3Liccnsc ,v,#*,, BA L( 6Llfi
Dale:_tcl Ltt
CONSTR.UCTTON LENDING AGENC:Y
I hcrcby aflirm under penalty of lrcrjury thrt th@ is I @nslrution lcnding agercy for thc perfomme of the work for which lhis pcmil b
hsed (SE. 3097, Civ. C.).
kndcr's Namc:
Lcnrlcr's Atldrcss:
APPLICANT NECLAN,A'NON
I hoebyaffmunder penalty of pcrjury ore of the followif,S dElestions:
Dcmlition Permils-Asbeslos Nolification Fcdcrsl Rcgulations (Titlc 40. PM6)
-Requircd
Lrtler of NolifEstbn
_l ccnify lhal lhe fcdcralreguloli(lns rcgsding asbcstos rcmovaltrc not opplicable to this prcjccl.
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ccrlily lh8t I havc rcad this applicati()n and slatc that thc ahovc inlornulion is conccl. I agrcc lo comply with all City and Counly
ordinances and State lxws rclating lo oflhis Cily and Counly to enter ufDn lhe
ahove rcnlioncd property for
ApplicaDt or Agenl
Pemrilee nsnro tY
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
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool HeateriGas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL 2111 20 WN)oz frf,\
Notes, Remarks, Etc.
lz/tz//at - C//L -b*rrt
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Dsle:
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