HomeMy WebLinkAbout30141852 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
Permit Counter: (7'14) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: i'714) 647-5853 Pin #: 9352
Project Address: 1114 E Beechwood St
Assessor's Parcel: 396-231-15 Lot: 14
Btdg:
Tract 4531
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
NeilZerger
1'114 Beechwood St
Santa Ana, CA 927056704
17141647-0729
Affordable Water Healers an
28358 Constellation Road, S
Valencia, CA 91355
(85s) 345-9087
Fse Type Amount
01116002 51602 Wtr Htr (Res/Comm ov€ 94.86
011'16002 5160C General Plan Update 22.95
01116002 51602 lssuance 57.20
0l'116002 5777C Microlilm Records 3.91
Qty
1.00
1.00
1.00
1.00
Fee
$94.86
$22.95
$57.20
$3.91
Phone
State Lic #: 527368
Lic Type: C-36
Bus. Lic #: 194604
Workers' Compensation lnsurance:Carrier: lns Co of the West
Policy #: WSA503249703
Expires: 0110112021
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Nguyen, Tam
Occupancy:
Constr Type
Code:
R.3, U
VB
cPc 2019
Notesr in garage/auth on file
p,\
Date
Date
Date
01t2a12020 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
$178.92
$0.00
$178.92
lnspector MID#: 2020-157408
0'1116002 51600
01 1 16002 5't602
01116002 57770
$22.95
$152.06
$3.91
Fee Total
Paid to Date:
Balance Oue:
Permit #: 3O141852
Unit:
Block: NA
cl
ill'r
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Water Heater
Every permit issued shall becomo invalid unless tho wotk on the site
authorized by such pemit is conmenced within 360 days after its
issuance. or if lhe wotu authotized on the site by such permit is suspended
ot dbandoned tor a petiod of360 days eftet the lime the wo* is
commenced.
0112412020
Account#
PLUMBING.INSPECTOR RECOBD
COMMENTSAPPROVALSDATEID/SIG.
UNDEII GROUND
Waste & Vent
Water-Under floor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Draini Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release I ,..,N
FINAL WI )
Notes Remarks, Etc.
OWNER BUILDEN DELCARATION
I lEcb, .f,irm undtr Fully of lErjtry lnal I an cx.npl fiDh rh. Coil do6 Ltcn* Ljw lot thc following Easn (Se.7oll.J
Alsinc$ lnd Prolcsshn Codc): Any Ciry or Colnry which rcquies . lrmn lo .onsrucl. .116. imrroiq d.mlirh or EFn 4y
(tuctrrc. pri,r ro its isiu c.,lsrcquiF.rn .rplka fo.3kh Fmil lo fiks sisRd nlrcmnr rhll lE o, d* i lienFd FUNrnl
ro rhc,ovhions ofiE Conr&rofi Liccnsd t s (Chrpr.r 9, CommminS lirh Sftlion 7(x)O of Divi.i.n I oldE Busi*3s.rd
Pof.$ions Cod.,6r thd lEor slE is cxctr{,r tlEcliom. rhc b,sis for rnc rllcled d.nDlio.. A.yviol,lionofstrtionT0Sl.Sby!i,
a,,Ilicrnr for a l,cmh subists thc lmlics ro a civil !.elr, ot nor mE rhu ,ive hundEd dolles (t5m).
l. isosnc'olihc pr)Nnr, r r.xchtriv.ly .ollirNr n+ *nh lr.c0{.(l u{n.rtr k, dnr{td rh. proId r Scc r(!-l.ltr*itl\
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woxl(Ens' colllPFNsaTl(lN
DECIdBAIION
I hmby aftlrm undcr !.n*y of p.rjury om oalhc fotlowinE d(hnlions:
IhrvcandwillnEintrirrCcnific.lcofCo.s.nl!,Sclf.lnsurcibrworkcB.o6pcns iotr..s pruvidcd nxbyScction lTmorrhc
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e !i 16 lism ruhif,r 16 rhc s*.8 @mpcnrdion hws ofcrlifomi& !.d l8r lhtl if I stolld tEcom .!bi{! ro ttr
so*s onpenerion povi\b.s of S6rhn lT00 of U. tjhor Cod.. l sh,ll. fonhwilh mndy {ilh lltc PDvirio$..
WAXNING F.iluE lo surc hrtcs' mnDcnsslion ovcnsc is !.la{aul. und shlll sub.ic.r an mplortr ro ftinrindl lcnlhis and
civil fin.s up b otrc hundrcd lhouend dollas (Sl(x),(rr0), ifl addnbn ro
'hc
on of .oflr,. nsal ion. damScs N,troeil.d f.r lic
Scction .1016 oi rh. titxtr Oxjc. inrcrcsr nod omy \ res Z; A,*/ -?t- z<)
U!lL\!!l!.]A!d-
Ihcr.byrllr nui cr |xnnlryoftctu.yrh I am licctrwlund.r pnvi\i(nrofCn!n!c.9lcomnricin! sirh sc.rim 7000) .l Divisi.n l
of thc Bu\incs Md Pfl'tc\si,,i\ Cod.. d nryli.cis. n in rull ftr.c md cffccr
C c2?>a{
D^,.. / - zt'26
CONIIBUCIIONIIN]UNG.&GENgI
I h.oby ifllnn undn ,rMlty ol l)(rirtry thd rhcE is sconsrruclion hndins lrcocy tbr rh. pqrDnN.c. olrhc wurk ror whi.h rlk Firnir is
nsucd lscc :1097, Ci!, C.).
APPI (IANTDI'(]I ARAII{IN
I br.by rninn u Md lrfr lr! of l'.!ury icor r r(nk)trnr! dc.lnrdion\
I)cn!n(i,rn lti,nii\ A\h.\ro\ Nor'll.rri(r Fr crrl Rogohri{ N l1 [.10. I'Jr)
Rc0uncJ IrI.rol Norill.rrir
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rho!. nrnrion.d pmr^-nr lnr iisFcrnnrlurt,s$
Appli€nt or Agent Signnlu C (on q.D-/ -Zg-zo
gtflfltlllNEttT L
Orn.r:
c*'*". /=%
Gas-Underfloor
Miscellaneous
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PLOT PLAN
REAR PROPERry LINE
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I liSPECTrcr\{ REOUTREO)CUGH r F|NAL-_--NONE
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LAHS FOR FUTURE REVIslOilS,
rO ITELIS CI-IECKEN A.ND CONDITIONS
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AFFORDABLE
WATEH flEATERSAND PLUIVIBING INC
Date: Novcmber 5. 2019
LETTER OF AUTHORIZATION
"1, understgned, give permission to accept any of the signatures that appear below, on apermit being issued. in lieu ofmy signarure at thc counrJr. I hereby certify rnde. p.nartyof per1ury. that I wiu comply wrth all declarations and agreements on the permit, which
bears my signature or my representative stgnature, a-nd as required by'the city,,
The following authonzed representatives have my permission to sign and take receipt of
construction permits in the name of my company:
Eric Conrl'ar
Leonce Roux 5 r*,'t1O
Contractor turc Date
,\ffordablc \Yater Heaters & plumbing, Inc.
28358 Constellation Road # 698
Valencia, CA 91355
Phone: 855-345-9048
Contractors State I-icen se Number:627368- Class C 36
Workers Comp I nsu rance:
lnsurance Companv of the West wS4503249703 tixp. 1.1.20
See ra.aulu.
Acknowledgmr ..
28358 Conste ation Road, Suile 698 . Valencia, CA 9135S
(855) 345-9048 . FAX: (661) 259-9556 . www.waterheatersandplumbing.com
CA State Lic #627368
Contractor Name
Contractor Information :