HomeMy WebLinkAbout30139896 - Permit (2)City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
Permit Counter: (714],647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (71q 447-5853
Permit #: 3O139896
Pin #: 55602
Project Address: 11 30 W Sierra Ave Unit:
Block: NA
Address Range:
Historic: No
Suite Range
Zoning: R1
a?
Assessor'sParcel 410-251-37 Lot: 2
Owner:
Address
TIM HARVEY
1130 WEST SIERRA DR
Santa Ana, CA 92707
(714) 914-39s4
Foe Type Amount
01116002 51602 Wtr Htr (Res up to 50 gu 22.25
01'1 16002 5160C General Pian Update 22.08
01 116002 5160i lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$22.2s
$22.08
$55.04Phone
Tenant Name:
Contractor:
Address:
Aftordable Water Heaters an
28358 Constellation Road, S
Valencia, CA 91355
(855) 345-9087Phone
State Lic #: 627368
Lic Type: C-36
Bus. Lic #: 194604
Workers' Compensation lnsurance:
Cafiier lns Co of the West
Policy #: WSA503249702
Expires: 0110112019
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Plumbing
Occupancy:
Constr Type
Codel
R-3
VB
cPc 2013
Notes: Plumbing
Planning Conditions:
Planning Approval B)r
Plan Checked Byi
Permit lssued By:
Subject to Field:
Building Permit #:
Date:
Date:
Date:08t27t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the wo on lhe site
authorized by such pormit is comfienced within 180 days after its
issuanco, or if the wo* authonzad on tha site by such pemit is suspended
ot abandonod for a peigd of 1 80 days after the time the wofu is
commenced.
$99.37
$99.37
$0.00
lnspector MID#: 20'lB-145663
N/A - No Balance Fee Total
Paid lo Date:
Balance Due:
Btdg:
Tract 6906
*./
*"0 ,"", \
PLUMBING-INSPECTOR RECORD
APPROVALS DATE COMMENTS
UNDEH GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
AreaiStorm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool P rprng
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
FINAL 0 (Y tv 1 lKt /
Notes, Remarks, Etc.[' r
OWNER BUILDER DELC:ARATION
I hcrcby aftnm undc. Fn.lry of lcrj!ry rhrr I m cxcnfl tmn rh. Co 0.106 Liens Liw for rlE aollosing rcrsn (s"c.7031.5
Businc$ ad Pmfession Cod.): Any Cily or Cdnly shi.h requiG, Isnir b @oq@( dt6. inprow, deDdlls,t !! rcp3i sy
slruclue, prior ro ns isslaftc, s]$ lqliEs rhc applica aor such Fmil ro ,ilc ! sigtud sr0r.mnr rhol lE or shc ii lisnsd';irfuur
ro rh. pmrisions of tE ConrEctols Liccnsn bs (Ch4rc. 9. C6nmGing wirh Sdiio, 7000 of Divisio. I ol rlr B$in..s aod
Pmlcsioos Cod.) o, thar L or shc h cxctrrt r rhcrcfioh lnd thc hlsk for rhc auc8cd cxcmprion. Any viotalion ofSc.lion ?031.5 by any
llplicanl for a Fftil subjets ihc olplic$t lo . citil pcBhy of et mc ih.r filc hundrcd dotles (1500).
-1.
* o{er of lhc lmlEnr. or nt cn ,lotss *ilh *!8cs as rh.n sb .o.Fns,lion. wil (l! dE *Mt ard lh. rlllxle is ml
i cnded m olIccd for sale ( 5&.?044. Blsincs and Prsfessions Cods Tnc Conrractols Licc.F Lsw docs nol q,ply ro an owrcr ol
llE toFly who buildc or itrpmEs llE$n. .id wth &B Mh wt* him.lf or h.*lt.r lhrcllh his d h.r ow..mrk yes.
lrovid.d thri such iotre\trenB@ ml hrd'dcd orofrcEd for sh. lf. to*r$. rne hiildin8 or inFmmr Lr $ld qithin orc Fr
otoq'lctbn. rlr Owr AliEs * hlr rlr hlrd.n of Fovirg oEl hc or shc dii mt boild or iqmh lh. pDFny,or tlr purpocof
-1.
3s owftr ol lh. lmrErr, ad crchsilcly conrraclins virh liftnpd conlr.clon lo mnsirud llE !,oj.{r (Sc. 7044. Blqrcs\
and Pmflsirn Codc: Thc Conrmrols Li.cnsc ha doci nor sptly ro M ownr otproprriywho builds or inpbt.s &.r.o..
aod rno conrEcls tu sct proj.rrs wirh ! Conrmro(O lk nFd pusuel ro rh. C.nrd.tols Ltcn$ k*).
-l
rm excnDl undcr Scl
Osner.
TOBf,EXIII:OMTBSAIIO!
DECIABA.IION
I h.Eby affirn undcr pcelly of po,trry or ot fic touda hC dNlmrionr:
-l
hrv. ad will @i.hin r Clnifrc{c of Cooscnl lo Sclllosuc fo. *ork6 @rpc.!dion. I povid.d for by Ssrion l70o of lta
t ho. C.d., for rh. rE fo.rl1.E of dE elt for sti.h lhe Demir ir isslcd
_l hovc and will nlinrain work r' conFnsrlion imumrcc. as eqxid, by SNt io. lr00 ol fi. Labor Cod.. lor rhc pcrlormc ol
lhc $ort for wnich lnh lcrmn is isscd- My workctr coEl,cnrori.n insu.mc carhr rd B,lty numb.r uc:
PolicyNuD6..: Erpir!!
-l
enifrthar in lic rcrfotmM of llrc worl for whi.h lhis pdmil is issucd.l sh.ll ml cmployrnylcMtr in onyronmr
s 0s lo b..onr srbhcl ro rhc rcr*cc mnpc.erion h* ot ClliloDia, $d aglE fiar if I sh.uld tEcorE iuhjccl lo rte
workcm ool,cndion omvjsions of setioo lT00 6l rhc t$or Gn . l slEll fonhwlh 6nplr wirh rho* novhio8 .
WARNINC: Flilm b sw wort R o"pcnsslion .ov@gc ii unbwtul. .nd rhdl subFt an.mployrr lo aimiml p.Mhics.nd
.ivil fincs !p lo onc fiundrcn lhous d dollm (S100.000), in rddirion lo llE.osl oaconp.nsalion. drmg$ as pmvidcd for llE
S.crlon 30?6 of rhc L{tEr Codc, inrost $d rnomy's fes.
D.ler ADpliml:
CONSIA!]Cru}I{IEIDINGIGEICT
I hcrcby arrm uadcqemlry ot pciury lld lhrcE h a .oneerio. Ieodir8 aScmy ror rh. Fnommc of rnc wort for whicn thh FJmh b
hsucd (Se 1097. Cit. C.).
AITLICANLIIEO.AAAUON
I h.El,y omn undcr t.n,lly of!..jury onc ofrh. followinS delrario rl
Dcmliltu. Pfnir* Ashc{os Noln rrion Fcdcr,l Reguhtio!\ l'Int.{). Pad6)
-Rcquir.d
txrlcr of Nolifiorbn
_l ccdify filt rhc fcderal rcSukrions ESadinS ashcsros Emvd m mr ,prliabk lo this pDjcd.
_l ..nity rhat I h& rod rhh lpplkaridn urd starc rhar rhc lbvc informrion is cor.d. I agrc lo ootly *irh lll Ciry and Count,
ordinaeer and Slarc Li*s Ellri.s to huilding .onsltucrion, an hcEby aurhorirc EFr*nrali!.s ol rfiis Cny and Counry ro cnr6 ll'on iE
abor mnriorcd pDrcny for inslerion IuIxEs
Appllcani or &€nl Sisnotum
P.mltE qn. (D.lnl):_
'iWlgil,Z
ID/SIG.
uglsEDiaNlxacraf,
DtrCIABTIION
I hcrcbr rl'ltm uMcr r..rlrt ol pcrjury rhm l N li.t.{d und.r I&,viri,)n of Chapr& 9 (.o xmRing snh S..rim 70([) ol Divisidr :]
of lhr Bu:i'rc\\ xnd PmtDssnnN Codc, dd my license is in tlll Iirrcc !d.l.lr.r
Li.cns. Cla$:-Li.cnic Nuib.i:
frsre Conlmror
troddl AddE r:
-
Water Service
Meter Release
,,-SANTA
NA,',i[]ffi
Planning & Building Agency
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-.19)
Santa Ana, CA 92702
(7t4) 647-s800
www.sanla.ana.orq
Smoke & CO
Alarm Aflidavit
fhis document moy be lound dt..,http://www.san ta-ana.oro/Dba/
(please use a black or blue ink ball-point pen)
state of c
buildings.
alifornia requires that smoke and carbon monoxide (CO) alarms are installed in residentia
tne,)
California Residential Code (CRC) Section R3L4.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. cRc section R314.3 and R315-3 define
the requ ired locations.
$a"rnboxes betow must be checked:
El carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedroo-ms and also on each level of the dwelling. Alarms are recommended in bedrooms with gas-fired
app/bnces (i.e. hot water heater, cooktop, furnace) or a fireplace.
[S-ot " alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire Marshall (SFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional.
(check onel tr Licensed Cont cto r F-Property Owner
NOTE: Ihis sef-certilicotion is only used for projects thot dIIect the EXTERIOR ol the structure. This
process is dpplicoble ONLY to projects where dccess to the interior of the dwetting by d Sontd Ana
lnspector is not required.
Have this completed lorm and the lob-card readily available on final inspection!
ll30 w.6ierra *. .4tnta ilrv, 0/ 4a
Permit Number:30Bq8q[,7
Property Owner:-Ti... t '/Yh"r^ ]6,TVQV
Contractor:fr,ffP:dau^< v,u.afef be?3License #:
Signature:J-J \a./twr,t Dote q \ ..-t )?
Proiect Address: