HomeMy WebLinkAbout30121285 - Permit (2)City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702
PermitCounter:(7141U7-5800 lnspectionRequests:(7141667-2738
Plumbing Permit #: 301212A5
lnspecto/s Section: (71 4) 647-5853
Project Address: 2618 N Louise St Suite:
Block: NA
Bldg:
Tract 1980
Address Rang6:
Historic: No
Suite Range:
Zoning: RlAssessoisParcel: 001-145-05 lot 27
Owner:
Address:
Dan & Barbara Dutcher
2618 N Louiso St
Santa Ana, CA 9270614'15
(714) 558-2975
Fee Type Amount
Wtr Htr (Gas) Res/Com 8.55lssuance 34.00
Qty
1.00
1.00
Fee
$8.55
$34.00
Phone:
Tenant Name:
Contractor:
Address:
Fast Water Heater Compan
12601 l32nd Avd NE
Kirkland, WA 98034
(800) 454-8955
Botch+:251{ - O3/2O/07 I0: llG0ltZALEZoffice: CTYH Trons3: I I of IAccti: Refi: 30t2l85
Rcati:00118136 - 3/20/2007 9.13 Al1
Tronsoction Totol l{2.55PXB controclor
Fost lloter Heoter Colcong
Phone
State Lic #: 877/tE9
Lic Type: C-36
Bus, Lic #: 3'19396
Workers' Compensation lnsuranceCarier: State Fund
Policy #: 1761660
Expires: 1AO1|20O7
Plurb ine
Ch eck 2S11
t42.35t{2.55
Single Family Dwelling
Alteration
Water Heator C/O
Occupancy:
Constr Typ€
Code:
R-3/U-1
V-N
cPc 2001
Notes: Water heater direct change out. Mail-in permit.
Planning Conditions:
Planning Approval By:
Plan Checked By:
P€rmit lssued By:
Subjecl to Field:
Verduzm, VioletJ
J
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:03120t2007
Building Permit #:_Fee Total:
Paid to Oate:
Balance Due:
$42.55
$0.00
$42.55
This pemit sha expirs by limitation and become null and void if the wotu authoized by this pemit
is nol commenced within 180 days from the dato of this pemit, or if lhe wotk authodzed by this
pamit is suspended or abandoned at any time after the wot* is commenced for a period of 180 days
Belore such wo,* can be recommenced, a new pemit shall be frrct obtained to do so.
Account#: 011-01-5912 lnspector MID#: 22608
Building Use:
Job Type:
Nature of Work:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
Notes, Remarks,tc.
Oc-A!il& D..Lnb!
I haty.firo ud6 p.r!y of FIry rh.rl6 daB 6m tb Cod.qon Lle t w 6.6. hlb$a8 !!$! (870!1., Bui...
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Codr.a.r'. Licd.d rre (ClrP(. t, C.ffiint til Sai.h ?dx, of Divi.bn ! of rt Buina Dd Pr.L.!b! C.&) or O.t !. s.[. n @F i!.don.d l[. b..i io. O. d]q.d dorio! A!, vi.Ldon ors.cil. 7o3t 5 ty uy .l?li.r 6r. FEi our.ar 6.
.rrli:n b r .ivil ,.!.iy of d d6 ib! n6 lEd,td &ll,r (iJOo}
_I. { o*E of rh. D.oFty, or hy 69Lr- wilh r.a. u th.i eL @nl,a4rbn vill do ib wqt &il tu dru.rr. a Dt ldidC
d olla.d ld.r. ( se 70.a, B'l,iE rrd Pr!ft..iE Co&: Th. Codrso.l Lid L.r &{ Dl..olt !o u or€ oflt. FiFr,
wio lcili. 0r iE€.!v. 6d66, d *to do. nd ,o.t li016 !.xU o. &o|{! ti d lr oE .dpbr-, FlviLd lbl''dihprot*llt e rct illai.d or oir.d 6t ,.L I(, h.e.E, t!. hildi{ d bprmerr i .old wilti! oE ,!, of corplt ioA tr
OrE Buildg sil h.rr $. urdd o, Foiui t t L or O. d tq'lll o, iap.or hr O. D.rrp... ofd.)
_1, u o9g of lt. FlFty, u a.l]utirt cooEla!| en' &.'..d @elqDr b oEla lb Fois ( Se Xa., Bui'.. .!d
Piotsion Codi IlCo r@l Li(@ Usrld er.rptlo uorr of FoFty*llo loilL ( !EFo{ tt ..on. Ed rno
6e.6r tu rxl Foi'ar si[ . Coard(.) Iia.d F ut to ll. C.ctdor'r rj.-r. L.r ).
_l d adpt lndd S*tio.
-4.
& P.C. lor tli i.&n
D.e OrI:
lalfrBrcalrlEtArroa.prcu8axlQd
r h..!, {rm u!d. Frt, of Fia, @ of t!. folb'q d..tndE
_l t v..!it will dir.i.. Clti6or. olcorrd !o s.fllr. tu Frt-' @ororia l. F@id.C f.r tr S.aion 3100 of li.
Lho. Cod., tu lb F6,t.E of O. Ei tu !.'til l!. FEi i ia.a
_I hv. .it ,ill dinri! Et- 6q.dio! nEJru.., .. ,qund b' Lai.n troo orrb rrbd C.d., Sr rh FbrEE orlbElt lbr wti.:t 6it F6i i. ir.u!4 My mll.'r' coEgdrtirr. iMc. (rnii rld poli., tiltnlt rr.:
Ons4crboddt @oob.d if tb FDr n for OB htld.d &lLr lll@) d b.)
_l cdriry br Dl!. FforE d ofu. wr fo. rti.t Di FEn i ite 4I rt ll m. Epb,.ny Fron buy!.,re r io
had &br.(r D 6. st-r coqdrir ty o(C.li&ri.d {E lbr ifl.to!5 t ood.6jd !,lt rulrt'
6npdrih ,.@i6a ofs.cd !700 of $. Lbd Cod., I ll.[ bdlril .ol4t ri! tb.. Ftriri.E..
r-E4-
WAtNlxG. F.b6 ro B! wl6 6|qd.riD .otna. i @lrtul .!d tb[ Nlj.a e cpbF lo 6bial ,atb rld .ivil
tlE u, ro oF hD.L.d rtoulrl do[.r (tl oo.oQrtr d.litioa b U. .!d ot @aoilir\ drdar. u Fdid.d br tl'. 3..&n !116 d
dr Lbd Co.L. irarr .!d 6c8yt &..
uclNtrD.coNrracrar!,.DrcutdE9!
I b..!, dl6 u!& FrLy ofFiuy t!( I 6 li..!r..1 u!d.. royiioa of O.p.- 9 (6Dad.iit vin Sdir 7@0) of Diviio. t of
tu aaiE. .!d ?r!todoo C.d., lrd a, li.r. i b tu[ br .rd .fd
Llou Clu:_ Lioa!. NuL
D.rl Co!i..rE
COlqI&Eq[l.lloEqIGllCI
r t.$, .!t! u!d. r-rt orFiE, rLr lht i r dtdE bdit rF, t tFt rD.t6. 'qt a. r'ti.l rli,rrr a
h.d (!& !09r, Civ. C)
arrl-rcax?l nlcr {I Ttox
Dcl.nr P.ailAb-- No.illorir F.d.rl [ra!5iE (IiL aq rIr 6]
_ arq!i..! Lnq ofN.iil'G.tild
_l 6dry Or tl. 6dr.l ,.8uLtir Elrrdr8 sLao. r@hl E or .pplt bL lo tti p.oir.,.
_ I dtt fit I h.v. r.d lii. .p9liqlb! .rd ftn d\ t .t !r irfordrb. i 6ia I .tlr ro @89! ei! .ll Ch, .!d Coudy
odi E. .d Stl. r:m Ebdnr to hiui.! 6m{&a .d hrdry l'Ilolia l?i.adE of$i Ci, .!d Cod, to .nr l+.. O.
.!.E rarin d For.ny 6. in .cih Frp.€
4?li..d c .|d lti; D.r.
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OWNER.BUILDEB DECLAAATON
I HEFEBY AFFIR' UNDER PENALTY OF PERJUFY T}IAT ,I AM D{EMPT FROM THE COi{IHACTOBS UCENSE LAW FO8 THE FOIIO],,IIAIGEE @N (sEc. mol.5, BuolNESs AND pBoFEs{$s-_gqDF A}ry cny oA corniry !fuLi BiEoJinE-a iifriirlci cc,usr*'o', n,=o .lMPRovE DE''tousE oR HEPAJB At'ty srnrrcruBE, pRroR To rs rssuar,rce, aGd neritifieriile;$Fuc ifi iijRs'rii
"eosrr ro nrt aslGNEo STATEMENTTHAT HE of, sHE,s UCENSED punsurrr.ro rre pRovidriNs or rue Cormncrons'uiler.r#Gi"tur,qrrm s( coMMElloll{G_wml sEGIloN moo} oF Dlvtslo_N3 oF THE BUstNEss AND pRoFEssto}.ls cooE) oB Tt|At xr on sge s ri}Mpr THEFEFRoI,AND IHE BAsls FoR rllE AtlrcEo Dq!S!qt.Ar.{y vtot ATloN or secror.izosrs sy ANy Appuc,qxr ros r, pEtr/|rili-rulili i#.APPTICAJ'IT TO A C[i4L PEMLTY OF NOr MOPE T}IAN FIYE TIUNONO POI-LIN6i+6OO.I:
J.49-9ryq ql!!E PRoPE?TY, oa- rY ElrpLoYEEs wrH wAaEs as inni solr ooi.rpENs{trofi, wnr Do r}tE woR|! A!{D THElEtlglllE F ig-.r $rrEtlDo oR OFFERED FoR 9ALE 1ssc. zoll, eusnesd lHo pnoressrolts cooe riqe coMrnAcrons ucENsE LA\yDOES NoI APPLY To AN O{rl{ER oF r}lE PR@EarY WHo Eutt-bs oB tMpfiovEs THEREoN, uro wtro, oOrs surin woax musa_r 6nHEffSEtr on THBot GH Hrs oR HER o.rrN EMptoyEEs. pBovtDEo llAT sucx iuinovEuefrc drE tgt tmettoo on C,imp Fofl sArE tF,
!!'lryE_vq& EF. I'JltDlNG oq nrPBovEuan B slLo WTFHIN oNE yaAn or couplEnolr, rxe oivNEiiiijrujEh wrli ne-vE nre aunuer oapaovNGTHAT HE oR sHE DID NOI BUtt"D qn tMpBc)\,tE FoB TltE FunposE oF EAIE).
-J':Ao OvrNB oE TllE PnOPEBTY. AM P(cu,stvELY @+IIRAfiHo wmr udelso cot{IHAcrofls To coNsrBUcT TuE pRorEsr (s€c7o'+4, Btr8lNEss Al'o PqoFEssloNs coDE:llE coNrRAsroRs ucErce I w DoES Hor ApFLy ro Ax i]wNEn oF iEopErirv wno zuus oelMPaov_Es_fiEFEoN, Alo.wtto coNTRAcrs FoR sucH pnqrEcrs wm A oolnucron(s) ucelrseo rurisueln ro ire cor.rrnng.ronsUCETISE IA!iIJ.
_I AM EGI,IPT (hDER sEA
-
, B.(P. C. FOB IHIS REASON
arA l
.UCENSE c36
LEE}TSED CONIRAC'OBs DECLARATION
I HEFEBY AFFIRM ullDEB PEI{ALTY oF PER.IURY T}[AT I AM ucENsED UNDER pRor,nsrcNg oF GHAPTERq!9.o\rygsryg_qtt_wno|,r 70oo) oF otyEtor{ 3 oFrHE Eu}tNFss ANo pnoressrors 6r,.rxb r,ii uidiss rs $tFUI,I FORCE AND EFFECI-
877489
gllls sEcTlO{ NEED NOT BE CO|TIPIETED tF THE peRllr lS FoB oNE HUiDRED OOLT.AFS (trml oR LFSS.
_ r cElry}ry N.rtlE PEnFOFI!4fEF OF THE woft( FO8 WHIOH THrg PEBr T tS tssuED, I sftAlr Nclr EMpLay ANy p.ERsorJ tN ANyrt NNER so a9 To EEooME &,,Ei,Eor ro rHE yyo6re$ oot{FENSATIo LAv{s. oF cAllFofllllA AND AGREE nur r t grour-oigeor,r
EI|{$ffiH tHE WoRKERS'o:oMPENsAxo\t PBovlsloNs oF eEqrtoN szoo oF rHE t-eeori cooi, i aHAi itnnrwmr cot'rpt-i wmr-rrcse
DArE 3114107 a-,@Y)kPa.,ka?
WONKERS @IIPENSATION DECLABATIOT{
I HEF€BY AFNBM I'NDER PENALTY OF PERJIJBY ONE OF THE FOI.T-oWINO DEd-qFANO}TS:
J [!E8!o:wtLL lrAlNrArN A cEFnHcArE oF c-o$EiENT To srEtr.{NsuRE FoR IToBKERE coi/rpENsA'noN, As pRol4DED Foff By sEclorr
3?OO OF II.IE LABOR COOE TOB THE PERFOFMANCE OF tHE WOFK fuH WI]ICH T!8 PERMTT ls E{IUED:
' ' ' ' ' ' ' '
!'. ryye-4ryg1qt q44ryrn wofiKEns, colrFElrs roN rrilsuaANcE, As moumED By sEcnon eroo oF rHE r BoR cooEFoB rI{E PEFFoBtIA}'lcE oF rHE vYoE( FoB wHEt nts pe$fir s ts6ueo. uy woFxens coMpeNserix iltsuRANcE cnairEn mo poucv
NUHEERARE
CAFIRI California State Fund
POLI 1761660
APPUCAI TS DECtrqRANON
DEMOLITION PERMTTEASEESTOS NONNCATION FEDEML BEGUIATIONS OITLE 40, PART O)
BEOUIFED LET'M OF NOflFICANON
I CEf,TIFY THAT THE FEDEML FEGUI.ATIoI.IS FEGARoING AsBEsTos BEMoVAL ARE Nc,I APTCAaLE To THIS
PflO.IECT.
X
X
(b,;*72 qz,.-zaa?
slcl'lArunE oF APPucAtgrcB ffiFW RrnO"ll
ICERTIFf fiAT I HAVE FEAD THIS APPUCANON A}ID STATE THAT THEAEOVE INFORMAI]ON IS CORRECT, I
AGHEE TO COMPLY WIT}I ALL OITY AND COUNTY OBDINANCES AND STATE IAW FETANNG TO BUILDING
COi.ISTHUOIO . AND HEREBY AUftIONTZE REPRESENTATIVES OF THIS
'IUNTY
TO ENTEF UPON
'TiE
AAOVE.
MENnoNEo pAopERTy FoR tNspEciroN punposEs.
3t14t07
DATE
PER,\,ITTEE NAI/IE (PNIffi)1025/m FOR S/BN