HomeMy WebLinkAbout30139639 - Permit (3)Cify of Santa Ana 20 civac Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853
Permit #: 3O139639
Pin #: 346.26
Proiect Address: 1650 W Cubbon St Unit:
Block: NA
Btdg:
Tract: 2355
Address Range:
Hisloric: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel: 109-363-13 Lot: 37
Owner:
Address:
Armando Lara
1650 W Cubbon St
Santa Ana, CA 927034604
(7141321-2823
Fee Type Amount
01'1 16002 51602 Wtr Htr (Res up to 50 gr 22.25
01116002 5160C General Plan Update 22.08
01116002 5160i lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$22 25
$22 08
$55 04Phone
Contractor
Address:
Futura Energy lnc
921'l Greenleaf Avenue
Santa Fe Springs, CA 90670
(s62) 941-74s9Phone
State Lic #: 985827
Lic Type: C.36, B, C.10, C-20
Bus. Lic #: 351485
Workers' Compensation lnsurance:Carrier: Property & Casualty Co of Hartford
Policy #: 76WEGGB73'17
Expires: 0712512018
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Water Heater
Occupancy:
Constr Type:
Code:
R.3, U
VB
cPc 2016
Planning Conditions
Planning Approval Byl
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
Date
Date
Date 07 t0212018
Account#
lMisc. Receipt.
Misc. Receipt:
l\4isc. Receipt:
Total
$99.37
$0.00
s99.37
lnspector MID#: 20'18-144393
01116002 51600
0'l't'16002 51602
$22.08
$77.29
Fee Total
Paid to Date:
Balance Due
Tenant Name:
Notes: Change out existing water heater
Every pennit issued shall become invalid unless the wo* on lhe site
authorized by such petmit is cornmenced within 180 days after its
issuance, or it the wo* authorized on the sito by such permit is suspended
ot abandoned fot e period of 180 days aftet the time tho work is
commenced.
PLUMBING.INSPECTOR RECORD
APPHOVALS DATE tD/slG.COMMENTS OWNl]|r BUILDER DOLCARA'I'IoN
I hcrchy nitr urdcr pcmlry of Brlur) thd | 8n crcnllr Iion rhc Cotrrtr.irtra l-ic.trt tiw f.r rhc f{,llosine rcNr (S'c']0.11 5
Businc\\ ud Proli\stun cdlc)r Any Ciry o. 6unry thi.h r.qoncs i ,'crmil ro lrrndturr- llrcr. iq)rovc. dc xnin' or rpr M!
dturru'!, |,nnb ir\ ssuflr.c. rho rcqutcs ihc uptlicdni lni ru.h Fnni ro,ile a sisncd {arcm r rlDr hcor shc n licciiscn lB\uqt
k' rnc r(trniotrs ol rlE ConrrncroCs l-i.cn{d LaB (Ch0prcr 9. ConlncncinE sirh S.cri.n ?(xD of Divnn,n :l of ihc 8tr\nr$ rnn
l,m,tsi,nr\ Codc) or rh l( or \h: ncrcnu rhcrctiorund lhct'!\h tu rh.rlL8cdcxcn9lnnl Anyridrrn orsstion?0.1I5bvuv
lpFlic.trr nlr a ll.nnir subtc.rsthc applicllr ro !cililpcEhyoln.r nbrcth 6vc huftlrql dullr( ($5(D)
-1.
n\ ow"cr orrhc ptuFnr. (tr,nycmtli')e\ {iih wuscs !s rhcn vrh.onwns n r. silld, rb. work,xi lhc nMrur. h n,
inrcndL{ or oflarcd foi slc ( Ss 7044- lltrsi',.* r d PnJf.*n,ns Codc Thc C.nlrucntr \ Liccn\c bw de\ nol aml, k' si osrk! ol
rhconli.ny *,ho In,ildsor nnlk^srhcElr. duhanocssu.nsorkhinrsclforhcr$llorrhroughhisorh.row.cn!'loyccs-
f,vnhd rhd {r.h inrlrlarcnrnlr e nur imcndcrl or ollcEd tu *rL ll &)w.vcr, rhc huildin8 o! hDmrcnEnl i\ nnd wnhinonc vls
ofconrrkri,., rhi Osncr BuikLr sillhlrtrh.ho.dcnolr !in! rh, hcorshcdil nol htild or inqrn,v. rh. Pn,Fly for rtE Nrlr*.f
-1.!so$ncrofrhcI[t
y, am.rctusiwlyco mcting Bith li.en$<l conra.bm loonslMt tlt,lojccr (scc. ?044 Butinss
ond Rof*sim codc: Thc Conhcrols Li.cne kw do.s nor 0!ply lo an o*rer or por.ny sho builds .r imlrov.r rhdon.
and who conlacri f6. .uch pmjels rilh a Co nclo(s) ltc.scd putrudrl to lhc Contra.lor'e Lteok kw).
B. & P,C, fo. this rcason.
woxxr.ns.coMPF{sarIoN
DEgldS{IIl}X
I hercb, affirm ufl4cr Fnrlry of Fjury onc of rhc followins d<laarionsl
I h0vc ord eill nuirrli. ! Crdirr. c ol Con$trr l(' SclUNut. l& *o!kc^ co\${rion.0s pmvnhd ror byScclim:17(I)olrnc
Lxhtr (idc, tor rhc F-rlbnuncc of rtu sbrk fd*hi.h rhc Firnir is irsucd
-l
hovc ond willnrainrain w.r*cs .onpcDsation inslmncc, ai rcqlncd bt Serio.l?00ollhc Ltb6l Codc. fo! thc P.rfomsc or
rhc *oll for whi.h thi! p(n t is h$.n. My qorkcG comllcn$rion insu.nncc cmicr md polk, nnnb.r rcl
-lccnifyrhar
in rh. p.rformncc of lhc vork a.t which rhis pdmn is ksucn.l ihlllnol.rDloy anv rccon i. a., Mncr
s as lo b.sm ruhjd ro thc workc^ .omr.nsalion laqs ofcllifomi!. Md ,eE lhol I snould hc.oi* iubj.ct loll'c
rorlcs comFnsarionpmvhioniofsNrhn 37mofihc t toi Cod..I rh'll, lo,rnqnh omrly eilh lh6s pmvisions
WARNINC: Failurc lo surc *o*cB comp.Ndn n ov.d8c t unh,hl. and .hdll subjd an cmPlovcr ro diniml FMIies $d
.ivil fincs up ro om hundrcd lho!$nd dotlm ($loo.mo). in lddilion lo rlE @{ of .onFMlion. dlmgc. as PmvirtJ ror rlE
Serio. 3076 of rtE bbor Codc. im.En tnd dromy s fes.
UCEISIDI;!.INIBAIIAA
0EC!.A8A[AN
I hcrcby.rtrnu.ncr Fnahyolpcrjury lhrr I rnr lienscd undcr rorhion ofchlptcr g (onnrcncins wilh sccliotr 70oo) oloiliiiotr l
dr rh. Bu\in.s ,nd Pmfcssions Codc, erl my liccnsc is in tull rbte .nd clltr
Drl. Contm.lor:
gaNsrBlI:IroNrENDni{ii$.sNcI
I hcrchy ulrjrm urlcr p.mlrtorFrjuryn rhdc is 0 omrrud i,n hnding agcn.y r'or rhc pcrlo,mtrt .r rhc q o lor $hich rhn Frnrir s
isrucd (Scc.1097. Civ C )
tJndcic Nrmo:
-
APPI ICANT NECI ARATiON
I lurby dtinn undcr Fnalryolpfijnryotrc oithc iollosinB dclTalions:
Dcnn,lirion P.nnii$As$c\ros Norificarion F.d.ral RcSul0riotrs (litlc40.l'un6l
R.quircd Ixncr ol Nolifrurion
-l
ccnily lhd lhc rcdcrdrcBul0lions rcsadins usbcsros rc.oval arc nor 0p/kablc lo rhis nruj.cr.
IcdilyrhrrIhj\cr. rhi{nptltarn,nrrlidr.rh rhc rbvc itrl'onn iM n cor..r' l l8.e ro onrply {iih rll Cirt !!d Coutrry
nrdinrnc.\ and sr rchssrchriogrobdi i'r!con(ru.rion.turdhcrchyrurhorircEprdsurlrivcs(,,lhnCiyandCoutrryrocnrcrunonrhc
ltnrc Nnrio.cd ropcny tu insFcriu nurF)\cs
Applienl or AEenl Slan{lue:
UNDER GROUND
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Tesl
Rouqh Water Heater t.?/d//t a rl/vr*l ,7/
POOL/SPA
P-trap/Drain Line
lvlain Drain/Pool Pipino
Fill Line/Back Flow
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq I 7/Or?c'rr1/er4-1 v
Meter Release
FINAL I 7/d/r&Y';vnttk llr->_-
Notes, Remarks, Etc.
Waste & Vent
Pool Heater/Gas Line
Gas Service
Final Gas Test