HomeMy WebLinkAbout30139766 - Permit (2)city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139766
Pin #: 89565
Project Address: 4907 W First St U nit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: C2
E
Assessor'sParcel: 100-301-09 Lot: NA
Foo Typ6 Amount
01116002 51602 Wtr Htr (Res up to 50 g. 22.25
01116002 5160C General Plan Update 22.09
01116002 5160i lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$22.25
$22.08
$55.04Phone
Tenant Name:
Contractor;
Address:
Phone
State Lic #: 987398
Lic Type: C-36
Bus. Lic #: 319396
Workers' Compensation lnsurance:Carrier: Liberty Mutual
ptti"y *, wc22g1461563}27
Expires: 12,l01l201a
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Water Heater
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2016 Notes: Change out
Planning Conditions: water heater to remain at existing exterior location and maintain existing
enclosure
;";:V 07t10t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
07 t2612018
Account#
Ewry pennit issued shall become invalid unless the work on the site
euthoized by such parmit is commenced within 1 80 days after its
issuance, or if the wo* authodzed on the site by such permit is suspended
ot abandoned lot a peiod of 1 80 days afrer the tima the wot* is
commenced.
$99.37
$0.00
$99.37
lnspector MID#: 2018-144547
01116002 51600
011'16002 51602
$22.08
$77 .29
Fee Totat
Paid to Oate:
Balance Due:
Owner:
Address:
Mary Tanaka
4907 W First St
Santa Ana, CA 927033109
17141775-6129
Fa6t Water Heater Company
'11715 North Creek Pkwy So
Bothell, WA 9801'l
(425) 636-7084
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date:
Date:
Date:
PLUMBING.INSPECTOR RECOHD
COMMENTSAPPROVALSDATEIDiSIG.
UNDER GROUND
Waste & Vent
Water-under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release 1 ,/
"h*l11lt?.Tlvvtt-tt
Notes Remarks Etc.
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!d qho conrrh lor \u.h pmj.cr rnh a G'nbrrdn e lntn\'i Porunnr t) rhc conrrrcttr\ Licctrs I !*)
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DECIAEAIIOtr
I ncrcby afiirm undn p.Mlly of ,,6jury om ol lhc lollowitB dnldarions:
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ha\ftJri will trinrain a Cenifrarc or Consnl ro Sclfln{re ror workcF .onr.nsolion. ,s prcvid.d lor bv S<rion 1700 of ltc
Libor Codc. for lhl Frtomncc oflhc woik r.r which li. !soi! G issucd
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haE lnd sill mainraitr workc^ c.mpensarion insurrtut s\ i4ltcd b, Sc.riob l?00of lhc ljhortuc fot rhe p'rfolmre or
ir$cd Myworkcn conpcn{rrion nNuramc udi.r rM P.licynumh.rd.
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w, ns ro hccom \ubhd t, rhc q orkcr' o'nl,.n\dion lrss ol Cllii.rnir. nnd .8rcc lh irI shotrld hccom subjcct lottE
{orkcN c.mpcnsrion pmlisn,nr ol Sccl i{,n ]TOO of ihc klior Cqlc ! \hnll forrh*irh ..mlly enh rhrr p$vnions '(
WARNIN(;: F3ilnrc ro yclrc $DrkcF $mpcnsitio n erduge h u.lawtul ud ihnll subiccl u cnplo)tr lo diBiBl F,,Xi3 aid
b.* htrndrcd rtn,usi.d dolles rSlm.OUO), in sddirion ro rhc d!roBcs L\ Irevid.d for rnc
I hcrchv rrrirm und.r D. nlry ollrcriuryrhd I dn li.cnql;nd; !n'r'\nr olChJPrcr 9 (r.mtrtrn.ins sirh sc'rir't ?oOJ) I'rDn1\nr l
or thc llu\inc\s dnd tnnts\i.rEc.dc. rnn nrrliccn.c ii ir tullldcc uxl;llc.r
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Llnddt Addcs:
APPI tCAlYT NT'CLARATTON
I horq atrm !81c. pcn.lry or Frjuy orc or 0E rouD*irs ddl@rions:
D.mlirion P.rmhrAsbcalG Nolification Rdc,{l R.Sulalions (Titk 40. Pan6)
-Rcquir{
bll6or Noriiqtion
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c.niry rhd th€ fedcrul ,cllhrbns rc8lrdins $hc\ror tfr)v,l !rc nol +pli.ohlc lo lhis !nj.rr'
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ccnify rhar I h.lc rcd lht aptlicalionmd stalc lhal $c ah.!c infonmrion is cotrccr' I a8re ftr complv wnnallCnylnd Counrv
ordimm.s Md Srar.li*s Ehlii8 lo
lhovc mnrion.d fotcny for iost c'
ho.izc rcrre$nrsrivcs of rhk Ciy and
Aprll.lnl or ag6l SiENlu s.2
Gas Service
FINAL
isGrt (Se. 3097. civ, c.).
L.nd6 s Nam:
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