HomeMy WebLinkAbout30139859 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{39859
Pin #: 943OO
Unit:
Block: NA
Address Range:
Historic: No
q
Lot: 51
LEILANI DE CASTRO
1245 SOUTH SHAWNEE DRIVE
Santa Ana, CA 92704
(714l-878-8773
Feo Typo
01116002 5160i Wtr Hlr (Res up to 50 g.
01116002 5160C General Plan Update
0'1116002 5160i lssuance
Amount
22.25
22.08
55.04
Qty
1 .00
1 .00
1 .00
Fee
$22.2s
$22.08
$55.04
Tenant Name:
Contractor
Address:
Fast Water Heater company
11715 Nodh Creek Pkwy So
Bothell, WA 98011
(425) 636-7084
State Lic #: 987398
Lic Type: C-36
Bus. Lic #: 319396
Workers' Compensation lnsurance:Carrier: Liberty Mutual
Policy #: WC2291464563027
Expires: 12lO1l2O1A
GOPY
Building Use:
Job Type;
Nature of Work
Single Family Dwelling
Miscellaneous
Plumbing
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2013 Notes: Plumbing
Planning Conditions:
Date
Date
Date o8t16t2018
Account#
Misc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
Every pamit issued shall become invalid unless the v/o* on lhe site
authorized by such permit is commenced within 180 days aftet its
issuance, ot if the wo* aulhorized on the site by such permil is suspended
ot abandoned for a peiod of180 days after the time the work is
commenced.
$99.37
$99.37
$0.00
lnspector MID#: 2018-145462
N/A - No Balance
Project Address: 1245 S Shawnee Dr Bldg:
Tract 3855
Suite Range:
Zoning: RlAssesso/sParcel: 109-661-01
Owner:
Address;
Phone:
Phone:
Planning Approval B)t
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:Fee Total
Paid to Date:
Balance Due:
web user
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER A!ILDER I'I'I.CARA'I'IoN
I htr.by illtn und.r pcnih, ol pcr.Jury rh.t I .m cx€nrtl fnnn rh. Conrndor'l-rc. s.1.r( f(tr rlE follosin!..ai'n (S.{7llll5
lrusinc$ xl Profes{on Cod.I Any Cily or Cornry slr'cl r.quics r Fmi b constnrct. .kci imrole. dcmltl or qtrtr anv
{n'crurc.,rn.r kr trs issBm.. nho rc+r.i rh..pplcnnr for Nch !.nn b il.. ssnd slar.n rnarhcorsh.6l'..n\.d puN.
ro rh. prcvG'onr oflh. contrcror s Li.etrsed l..r (chrri.! e, CornmcEiry \'irh Sc.rion ?0orr ofD'rson I ol'th. Buen.* .tu!
Itotcs{on{Codll orlltrr lEorsht ir.r.ml rhcRion and lh. basis 16rrh..ll.scdcxcnrlltrn Anyv'olrrionofSccri.nT0ll 5hv..v
amlrddlorir.nnilsuhl$rsrh..ptlimntto.crvilr.nillyotnol'er.rhdnnvchundredd.llih(s500)
l. ., owner of rhc lnrlEny, or my cmlloyei w,lh wi3.s ,s rhtr rnc comncnsrrbn. wll no rhe wo* and ttk studuE N ni
'nifrlcd orolf.rcn for slcISE 7 4. ausins.abd Potasrcns C.dc lhtaDnlnctds I rc€nkl.a*do.s.olnPplvIoin.qMrol
rlicpmpcny wno tunds or ionn,ycs rh.6[ ad wl{ &'s sc[ ultrk hnns.llor hertlrorrhftnsh hf or her osn.rnrlovces.
prorid.dthrrsochihrotmnFnrcmt'nrc.rlor.fl&.dloreGI[hotror.rtf,tudnrnSornnpm\€nEnr($klsihinnEvd
.i conrrkrnu rhc Owkr Rurlder sill l[E lt. bun n ofPm$ns rh.t lr or ctre J an huild or inDmw Ih. pmPdy lili lhc puqxr{ of
l. iso*nerolnrrrmrcny..m€xcluqv.lyconticr$Ew[i licens.dcontr ckJNr)con(rucl rh. nN]ecr(Scc 71M4. BNinc$
. l Pmliacnncod.:lh.ConkacknsLi.€ns.l,awdo6*,arnlvro.n.*n.rotntupcnvuMbu'l.lsornDnror.irhcrnrn,
nd wlN conlBcc fo! such rrrrcrs wnh . Commclo( n licensd DuNu t' lhc ( ofiicktrt l-E.nse l-!r')
woRKtlRl' coll, PltNsarloN
llEcLAsarlq!
I her.by lmrn und.r n ndlryofp.rjuryon ofrlE folhwmS del,rtrion.:
, lwe trd sill Dainr,in . Ccnifc.lc ofcdn*or ro s.lf_lnsurc for *orleu onrp{s0tion. ar i,nrvidcd for bv Selin 17rn nf rhe
Lab.. co&, fo. rhc prf.ms. of rh. $ott lor s nich lh. ,*ft ii kscd
rlr. \u litr*hEh(hLs|tn rs6scd ltly*o'lsE (n,ndrnr( N xDr. rrrrc. runl Fni.'" nunrh.r tc
I'01'c! Numh.r-Irl
-l.cnirylholi.rhcpofolmNeofrhcworkforwhtrhrhisp.rmnhis.d,I3nallmlemplov6n,p.mninonvndcr& as ro b.6m. sbj.rt lo lhc sttd' oDp.n$l ion Lss oacdlitomi.. t d lsr lhal if t rtbuld b.sm sbjcct to li"
worlcF' onpmtion pmri ons olsorion l?0O oflh. Lsbor C.d.. I dDll. fonhwnt 6q,lv with llne pmvllioN
\YARNINC l:rilurc ro *cnrc tr6.k.is' o ,ffntaro ..\tm-{c r\ unl3thl. md d$ll snbJ.cr !n .hpkrrcr l. smiml nt lrie and
cNil fines un roonc hundrel rhoustrnd (lolla( (Sl0lr,lr(r01, rn addtr!'n h rhc c.* olcon'pcnsriotr d'nuses r! l,n'r rl r'rrhe
sdtrn 1076ollhe l,rlx,r cdlc, mrctcs and,tunr!'s l!$
Drt.:_ Appll".nr,-
I rcl'NSliD C()N Ill'{cIoR
lll:cldSalra!
I h.Ebv lmm under,,.Mhvofpertrrv rhar l0h licen*d und" pmvisio' ofcluplE 9(c'hnMcrnS wilh scctk'' 7000)'tllivhion l
ol rhe Busi..$ B.d Poa*sions Codc, !ftI my lic.nsc ir in tull loc mt elt cr
I enJc''( A.l.l'c$
-
AIIUCANT.!}:CLAEAIIqX
I h6tlry.flim undd p.n.hy olp.rjuryonc oflh. followins dcclaix.ns:
D.nmlirion Pcrmils AriElios Norilicatio. l;cd.ol R.!ul.ridF ( f nlc 40, Padr,
RcquiEd t..rr.r of Notic.thn
-l
ccnily thdr llr ted.ral re$htiods EE.rdins ashcitoi e6.vsl 6r. not apnli.abl. ro rhis fmi{t.
-l
c.n iry rhor I lEt. Esd rhir arplicstion .d Bral. rhlt fi. .iove infonMlion G comd I 6sra lo mmPl, eirh al Cnv and Colnrv
orli.rrc* nnd Slar. tj*sElrint ro l,uildins @n{tuclio .nd h.r.nynurlnrir. r.pr.s.rx.rir6 oflhis C v t d C.untv to trl6 {l.n rrE
,tnc mdio..d tmFny for iqdion lulxB
Appllcrnr 0r Agcnl siqn,rur.
P.mllc n.n. {Drltri)r-
UNDER GROUND
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
Ptrap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq ///q///fuort /oz-
Final Gas Test
Meter Release
FINAL u/9/rf rylDA //n
Notes, Remarks, Etc.
Contrt.lorl
cQllr8llcrl0N-trNluNa{;-ENcr
I hccty amrn undd p.nnlry of p.rjury rh.l $ft is ! on(ruc1nrn kndmS .8.my for fi. pdfom.cc of th. sork frn sti.h lhis pcmir ir
Bsu.d (S( 309?, Civ. C )
L.r.i!.is )rrmc
-
Waste & Vent
TOP OUT