HomeMy WebLinkAbout30141851 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853
Plumbing Permit #:3O141851
Pin #: 30.292+f
Project Address: 2313 W Manly Ave
Assessor's Parcel: 4'12-253-50 Lot: 84
Unit:
Block: NA
Bldg:
Tract 8343
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Conlractor
Address:
Phone:
Jesus Mendez
2313 W Manly Ave
Santa Ana, CA 927046030
1714!.722-2757
Affordable Water Heaters an
28358 Constellation Road, S
Valencia, CA 91355
(855) 345-9087
011 16002 51602
01 1 1 6002 51 60C
01116002 51602
01116002 5777C
Fee Type Amount
Wtr Htr (Res/Comm ove 94.86
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
Fee
$94.86
$22.95
$57.20
$3.91
State Lic #: 627368
Lic Type: C-36
Bus. Lic#: 194604
Workers' Compensation lnsurance:Carrier: lns Co of the West
Policy #: WSA503249703
Expires: O1lO1l2O21
Building Use:
Job Type:
Nature of Work:
Plannlng Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Water Heater
lrt '"""'dez' Kathv
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2019 Notes
Fee Total
Paid to Date:
Balance Due:
interior location
auth on file
01128t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid un,ess the work on the site
authorized by such permit is commenced within 360 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.
0'1116002 51600
01116002 51602
01't16002 57770
$22.95
$152.06
$3.91
$178.92
$0.00
$178.92
lnspector MID#: 2020-157405
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby afftrm undcr Frcnally of perjury that I m erempt fmm thc Contractos' Licens Law for lhe fotlowirg rc&sn (Scc.7031.5
Busincss and Profcssion Codc): Any City or County which reqlires s pcrmil lo conslruct. alts, imprcvc. dcmlish or rcpqir oy
struclw. prior to its issumc, also rcquircs thc rpplicent for such lEmit to fik a siSned statcrcnt lhat he or sh€ is liccnred pmuant
to the prcvisioN of thc Contretor's Licensd law (Chaprer 9. Commercing wilh Section 7000 of Division 3 of thc Busiress and
PmfcssionsCodc)orlhathcorsheiscxempllhercfromandthchasisfortheallcgcdexcErption. AnyviolstionofsctionT03l.5byany
appticant for a pcrmil subj$ls tha spplicsnt to 8 civil pen.liy of nol rurc lhan fivc hundrcd dolles ($50O).
-1.
as owncr of lhc prcpny. or my employees wilh wagcs as thcir mlc compcnsation. will do lhc w6k ed thc stMtw is ml
intendcd or offcrcd for sh (Se.7(X4. Business and Profcssions Codc: Thc Contraclor's Lkcnse llw does mt .pply to an owrcr of
lhe preFny who huilds or ifilpmres the@n. and who d@s $ch work himsclf or hcrsclf or thrcugh his or her own cmployces.
providcd that such improwrcnls m mt intended orofferc{ for sb. If, lxrwcvcr. th. building or itrqrreremnt is sH within onc Ftr
ofcomphlion. thc Owncr Builder will hare the burdcn of pmving that hc or shc dll mt buiH or ir{,rcve the prcFrty for thc purps of
salc).
_1. ns owncr of lhe pmpcny. anr cxclusively contracting with liccnscd contraclom to construct the pmjcct (Sec. 7O44. Busircss
and PmfssionCodc:ThcContractor'sLicenscLawdocsnot0pplyloanowncrofpropertywhobuildsorimprovcsthereon,
and who conlmdsforsuchpmFctswithaContraclor(s)liccnscdpursuantlolheContractor'sLicenw[jw),
-l
smeremDt under Setion-. B. & P.C. for this re&son.
()$ner
IY!}EBESLCQDIPINSAIION
DECI,AEAII!]N
I hcreby affirm undcr pcnalty oflqjury ore ofthc following dcclarations:
-lhavcardwill
mintainaCcnifrcateofConsnttoSclf-lnsurcforworkers'compensalion.as prcvidcdforbyScction3T00ofthe
tabor Codc. for thc performrce of the work for which thc permil is issucd.
/hou"und,3700 oflhe Lahor Codc. for lhc pcrformncc of
lhc work lbr and policy numbc, uc:
Policy 4astvlT a )- ?-zt
-l
certify lhal in the pcrfbrronce of the work for which lhis pcrmit is issucd. I shall not cmploy any pcrson in any monmr
so as lo bccom suhjccl lo lhc wo*crs'compcnsalion lsws ofcalifornia, and agrcc tha( ifl should bccom suhjcct to lhe
wo*crs' comFEnsalion provisions of Scclion 3700 of lhc Lrtnr Codc. I shall. forthwith omply wilh thorc pmvisions..
WARNING: Failurc to scurc workers'com;rnmtion covemge is unlawful. and shall subject an employer to ciminal Jrmlths and
civil fincs up to onc hundred lhousmd dolltrs (gloo.fi[). in sddition to thc cost of compcnsation. damges as providcd for the
fes.
I hcrcby afllrnl undcr pcnillly ofperjury that I nm liccnwd ofChuptcr 9 (commencing with Section 70U)) ofDivision 3
of lhc Busincss and Prelcssions Code. md my liccnsc is in full forcc and clfccl.
Liccnsc Nilnrhcr:62736(
Conlractor:1 P-' P,.-,.,^.-^^ -*-T
CONSTRUCTION I FNDING ACENCY
I hcrchy alfirm undcr Jrnolty of pcrjury thal therc is a conslruclion lcnding l8cncy for thc Frfomnce of Ihc work for which lhir ffrmiI is
issucd (Sa. 1097, Civ. C.).
Lcndcr's Narnc:
Lendcr's Addrcss:
APPLICANl' DIICI ARA'I'I()N
I lrcrlby alllrm un(lcr pcntrlly ol'pcrjury orc of thc lblk)wing dcchrtt ionr:
I)ctrx)lition I'crillils-Arhcslos N({ilicntion Ftdcral Rcgulnli(ms ('l illc.10. l'nrlf))
-Rcquirc(l
l.cltcr ol N(nilicalion
_l ccrlily lhal lhc fcdcrill rcSulalk)ns rcgarding rsttslos rcrilovalrrc [(il {pplicahlc k, this projcct.
4 ccnily thrt I hrrc rcad lhis applicalk)n aild stalc lhal lhc rtnrc iilli,rnEltrn i\ corcct. | ilgre to conrply *'ith all Ciry and County
ordinanccs and Statc l-a*'s rcllting to buildinS conslruction. nrkl hcrchy ruthorizc rcprcscntalivcs ofthis Cily and Couilty to cnlcr ulmn the
{bovc mnlioncd pmpcrly for
Appli(rnt 0r Agent
Pemritee trame (print)Otc Gn t-.O f
zg-20
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 Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release I
F!NAL 2 U/z,r'l ,M14n
Notes, Remarks, Etc.
S
"*$ ?-)0'26