HomeMy WebLinkAbout30141818 - Permit (3)City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CAg27o2 Plumbing
PermitCounter: (7'14) 647-5800 lnspection Requests (714) 667-2738 lnspector Sectionr (714) 647-5853
Permit #: 30{4{8{8
Pin #: .tr!f.l
Project Address: 2135 S Birch Sl
Assessor'sParcel 015-082-12 Lot; l9
Unit:
Block: C
Bldg:
Tract: 597
Address Range:
Hisloric: No
Suile Range.
Zoning: R1
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
LOUISE GERKIN
2135 S BIRCH ST
santa Ana, cA 92707
(714) 2s8-6960
Fast Water Heater Company
11715 North Creek Pkwy So
Bothell, WA 98011
(425) 636-7084
Fee Type Amount
011 16002 51602 Wtr Htr (Res up to 50 g. 23.12
01116002 5160C General Plan Updale 22.95
01116002 51602 lssuance 57.20
01116002 5777C Microlilm Records 3.91
Qty
1.00
1.00
'l.00
1.00
Fee
$23.12
$22.9s
$57.20
$3.91
Stale Lic #r 987398
Lic Typer C-36
Bus. Lic #: 319396
Workers' Compensation lnsurance:Carrier: lns Co of the West
Policy #: WLV505206900
Expiresr 1210112020
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit f:
Single Famaly Dwelling
Miscellaneous
Plumbing
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2016 Notes: Plumbing
v Misc. Receipt.
Misc Receipt:
Misc Receipt:
Total
Date
Date
Date 01t17t2020
Account#
$107.18
$107.18
$0.00
Evory permit issued shall become invalid unless the work on the site
authoized by such permit is commenced wilhin360 days aftet its
issuance, ot il the wotu authorized on the site by such parmit is suspended
ot abandoned tor a peigd o1360 days aftet the time the wo* is
commenced
lnspector MID#: 2020-157188
N/A - No Balance
N/A - No Balance
Fee Total
Paid to Dale:
Balance Due:
Phone:
web_user
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/srG.COMMENTS OITNIR BIIILDIJR Dl'I,CARATIoN
I hcrcby lmrm loder p.MIiy of D.rju.y lh.l I m .iempl lmm rh. (onl..clors Lic.nse La* lor rhc nnbwnf Bsn (ss ?0] l 5
B$in.sr nnd Profcsion Cdc)r Any Ciry.r aoudy which r.qntcs . n€rm ro con{rucl tlrs. imFrovr, d.n hih o! RNt 0try
,ru.rurc. nrsr lo its issuad..l$ rcqutr.r lhc .rnlcinl fo. suct pem i{' nLd sisftd skrc Enr rhtl h..r $. h lic.n*d puts.nl
ro rh. nmvNons oarh. Conrhrroas Lic.n$d Ijs (Ch.nro q. ComnEmins {dh s.ctio 700t) of DilirNn I of(he Busines ond
tmfesiions Cod.) or rhar h. or sh. k cxcmpr thcr.fmm 5nd lhc hrt nr rh. illcs.d .xempri.n Anyvi,n.rionolS(lon?0:ll5ltv.nv
l'tlicnd lor a pmn subr{li rh. a0thc,nr ro i crv il lr.ml'y n f no( nDr. rhan lik hundr.d dolltrs (5500)
-1,
s owftr of $. pFp.ny. or my .q,lortd eilh *!rd 4 th.ir $L shF6rioc sill <b ttt vqt td llE ldturc ii Dr
inrdd.d or o{f.rd lor el. (se.?044, Bsikt Md Pmf*hB Cod.: Ti!. codrocldt Lb.e L.v do.i ml opplv $ !n o9G ol
th. |'mFrty *4D hil& or inFoB rtE@.. ..d who .lH Mh wd( hid*lfii h.elfor thmush hh or lrr 6M .nplov.6.
p6!id.d rhar sch i,emwr'ls c bl !!qd.d otu ftr sk. l( tFilE. dE hrildins M inpmw, i. sld wih'. om ,4,
of6sp!.ii,4lh. owB BuiH.r will l{E tlr bud.. otpov!ts ilE tE or !h. did d htild or illImw lt r,olrry 6r E puposof
-l..somrofrfi.
pmpeny. d.xclusiEly cohlh.lins eirh lic.lltd c.nldcroBto mnslruct lh.Imj..r (Se. 7044. Aurrncsr
And PFlsri.. c.d.: Th. Conlacloas Li..nsc l,w dG Bn alplyro m oqn.r ofpFp.nywno builds or inpmc. 'h...on.and wno cohtBcts lbr such !oj6h wirh o Conrmclo(t licdrd pueant lo th. Conlocloas Lic.n.. Llw)
I rnexcopl undcr secr D. & P.C. tr lhr reason.
!!aEE8!lO!r&dSAllA!
l2ECtAEArp!
I h.r.bylltrrnlndcr,.nahy6f Dojlry.n .f fi. louoqinl d(lmlio.s:
-l
h.vc ud wilt @i.r0ins C.nificrlcofconE ro s.lt l.sE for sorkdt @npnelior as ,mvid.d for bv Sftrirn J70o of th.
Lator Cod.. Ior th. pdo.mam. o fth. *orL tor {hich rh. tdnn ii ks.d
-lhrv.rndwill@inlainwo.B@mnBarioniroEm.,nrtqundbysc(ionl?ooofth.bhotCorh,lorlh.dfoMcoftll. *brt lor vhicn ihis p.mi ir i.!u.d My work6 onp.nsdion im.@. ffi.r trd nolicy tumb., e:
PolNyNumbcr-[xlnes
-l
c.rlrty th{ rfie !.rf.rroNc of th. oo* f.r which thi. Frmil i! irsocd. I shall ml.mnlov lnvl.mn in tnv nnnrc.
s I to becom. iubj.cl lo lhc wodd @n ,..slion hws of C.lifohit dd t8E rhal if I stFud tldom 3ubjd lo lh.
uork(C comp.nsolion penitBofs.ction l?00 oflh.lihor Codc,l rhall. fo.lhwilh oiDly eth rl$*Pmvisio.3
IIARNINC fa'lu.c10scctrrcworkerconpensxr(nrcor.$x.'ttrnh!ri'|.xnddhllsubJe.rrn.mt'lrtycrhcnrnol ntllE,rr!
Sc.rn r lllT6oil[cl-ihtr(.nc, inlercsnDdorfitrq s n.s
Dri.:_ APPl,..ntr-
uclll[LQNrlAcra8
DICI48AUAN
I hcEby.mrm und.r D€nahyotp.riuty rhd I m li..tr*d undcr DDvir'o.ofch.nl6 q(sllweirg wtrh Setion ?qll))olDNnioh I
of !h. B!ri6. ahd P6a*sio$ Cod.. and fty li..nrc ir in tull forcc ffn .f€cr
LieBCLs: Lh.M NuEb.r:
CoNS'TTIICf ION LENDING AC}'NCY
th.Ehy.mrmu.d.rFmllyofp.rjuryfidrh.r.iaonn.tonLndin!as.eyfotth.,.rformnccofrh.*brkfor,hichthrodndI
ms.d (Src. 1097, Civ. C ).
ll[llcltrLllliclAaarlo!
I lEr$y nfllm undcr pcnally ofperjury om ofnE aollolin8 d.cladri,)ns'
Demohion !.rmn*Asbesros Notincalion rjcdcrtl R.8ul,lions ( l nle 40. Pan6)
-R.qumd
Lett.r of Norifi canon
-l
ceaity lhd lh. t{.61 rcsllal inN tn ding dsncno. Em\51 sr. nor .pdi.abl. ro rhis pm"i.{r.
I c6rr,rrh.r I have Ead rhh dnrlcariondi nd.Ilsr lhc aln!. infomrio. is coE cr. I a!,a ro 6mrly*ilh lll Clv..d Counlv
odl'Mm4 and Slar. lj*i Fldiie to tdildins .onrrucl ion, ad hr.l,y t!fionz rq,rc*,!d'vd ofrhis Citv ltd C.lorv ro ..!6 unon lh.
0tnv. Gorio..d pmp.ny for in!&rion purFs
Appll.,nt or Agrnl SifnNlure:
Pcrnnt.c ncn. (prlnl)l
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOUSPA
P{rap/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
Rough Plumbing
Final Gas Test
Meter Release
FINAL i/t0/n )['y4 )
Notes Remarks Etc.