HomeMy WebLinkAbout30141585 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa nna, CnglOz Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
s Permit #: 3O{4{585
Pin #: 536{3
Proiect Address: 3038 S Main Sta
Unit:
Block: NA
Btdg:
Tract NA
Address Range: 2902-3058
Historic: No
Suite Range:
Zoning: CRAssessor's Parcel: 410-311-02 Lot: NA
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Decron
3124 S Main St
Santa Ana, CA 92707
(7141546-5220
American Power Solutions I
14355 lndustry 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
1.00
1.00
0.00
Fee
$68.14
$22.95
$57.20
$0.00
Botchi:53133 - tL/2212fi19 ID:
Office: CTYH 1pqlsf: 66Acct*: Ref i: 3rl
RcptS:02811853 - Ll/22/2019 3
Tronsoct ion Totol 52tState 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
Americon Po*er 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 Fee(tlll6002- 516001100-
Plurb i ng
01il6002- 51602000-
ICL Check 025S18
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:
Date:
01 1 16002 51600
01 1 16002 51602
$22.95
$125.34
$148.29
$0.00
$148.29
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within360 days after its
lssuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156042
" IELUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby allrm undcr Jrnahy of Jrrjury that I M exempt fmm thc ConlractoF' Liccn* law for thc followinS rc&sn (5(.70.1 1.5
Business ard Profcssion Codc): Any City o. County whkh rcquircs a lrmit lo construcI. altq. improvc. dcmlish or rcpair any
structurc. prior lo its issuarce, also requires lhc applicanl for such [Ermit to fih a sigred statcmnt lhat he or shc is lianrcd pu]ruanl
lo the prcvisions of the Contractor's Licensd tiw (Chsplcr 9. Commencing with Section 7000 of Division 3 of thc Busircss Bnd
Pmfcssions Codc) or that he or shc is exempl lhercfrom snd thc bosis for lhc slleged exemption. Any violarion of Scdhn 703 L5 by 8ny
applicsnt for a pcrmit subjects the applicant to a civil pcnalry of not mrc thsn five hundred dotlars (S500).
-1.
rs ()wncr ol t hc l)roNily. or nly cnrl)k)yccs wilh wrgc{ {s I hcir s()lc cotrrl}drsnl k)r. will do thc work ilnd thc stnlclurc is n(il
lhcpr)lEilv whohriklsrrinrprovcslhcrmn.{ildwho(locssmhworkhiillscll'orhcrrcllorlhroughhisorhcr(,wrrcntphyccs.
qlcl.
-1.
as owncr of thc pmpc.ly. am exclusively conlracling wilh liccnscd conlraclom lo construct lhc proj$t (Scc. ?044. Busincss
and Pnrfssion Codcr 'l'hc Conlraclor's Liccnsc Law docs not upply lo sn owncr ofpropcrty who builds r)r improvcs thcrcon.
rnd who conlracls for such proFcls with a Contmclo(s) liccnscd pursuanl lo lhc Contraclor's Liccnsc [jw).
-l
am cxcnrpl undcr Scclion-, B. & P.C. for this rcason.
I)lrlr ()$ilrr
WORKNRS' CoNTPFNSATION
DFCLAN,ATION
I hcrcby afnrm under pcnalty of perjury onc of lhe folbwing dcclnror ions:
[,ilh(n (ixh. lin lhc fcrli]rnHncc ol lhc work l'()r which lhc l)clnit is i\suc(l.
_l hrvc and
thc work for
lvill rnilinlain Section -1700 oflhe lrhor Codc. for thc perforroncc oI
lhis caricr and Jblicy nunlbcr sc:
Yv|0{t1 LI 1>oPolicy
-l
ccnify that in lhc IErformrce of lhe work for which lhis pcrmit is irsucd. I shall not employ any pemon in any mnrcr
s as to bcmm subjel to lhe workeB' compenetion lsws of Califorris. ond sgre that if I should becom subjst to thc
workns' @mJrcnsation pmvisions of Sslion 3700 of the tatnr Codc, I shall. forthwith @mply wilh IhoE pmvisions..
WARNING: Failure to scurc workcrs'comJrcnsalion covcmgc is unlawful. and shall subhct an employcr lo fiiminal fEmltics ard
civil fincs up to om hundrcd thousand dolles in addilion lo the cost of compcnsation. darogcs as provided for lhc
Scclion l0X) (,1 lhc Latx)r Codc. inlcrcst and
Deter t\-a @tq
ol' lhc llusincs\ xnd Prrfcsrirms Codc. aml nty Iiccns0 i\ in litll li)rcc oil(l cll'cct.
as(Liccnsc
I)illr lL/>>/q
I hcrcby rfftrm undq pen8lty of perhry that tlm is I onstruction lcnding ogercy
issuod (Scc. 309?. Civ. C.).
thc performaNc of lhc work for which this Imil is
Lrnder's Namc:
L'ntlcr'r AriL'csr
APPLICAN'I DIICLARAI lON
I lrcrchy allirnr undcr pcnrlty ol pcrjury onc of thc li)lk)rving (lcclilrat ionst
I)cnx)lilioD I)crnrits-Ashcslos Notilicdti{rr l:edcral Rcgulations (-l itlc.l0. l)ril6)
_Rcquircd l-cllcr ol Nolilicali(nl
_l ccrlity lhat thc fedcral rcgulalions rcgtrding astrcstos rcnxrval lrc not applicablc h lhis pmjcct.
_l ccnily lhal I havc rcad this application.ud slalc lhal lhc atnvc inlbrtrEti(,n is corcct. I agre lo conlply with all Cily and Counly
ordinsnccs and Statc kws rcIilhg to of this Cily ed County to entcr ulDn the
abovc mntiorcd prcpcrty fo.
Applicant or Agent
l'rrnrilcc ilsme
arxl
Dote:
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
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL ?110(Xr2 Dkttnr --*H
Notes, Remarks, Etc I tl