HomeMy WebLinkAbout30139649 - 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: (714) 647-5853
Permit #: 30139649
Pin #: 37512
Proiect Address: 2313 E Grovemont St Unit:
Blockr NA
Bldg:
Tract: 2989
E
Assessor'sParcel: 396-274-18 Lot: 23
Owner:
Address:
RENE BURGOS
2313 E GROVEMONT ST
Santa Ana, CA 92705
(7',t41470-8118
Fee Type Amount
01116002 51602 Wtr Htr (Res up to 50 g. 22.25
01116002 5160C General Plan Update 22.08
01116002 51602 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$22.25
$22.O8
$55.04
Tenant Name:
Contractor
Address:
Fast Water Heater Company
11715 North creek Pkwy So
Bothell, WA 98011
(42s) 636-7084Phone
State Lic #: 9E7398
Lic Type: C-36
Bus. Lic #: 319396
Workers' Compensation lnsurance:Carrier: Llberty Mutual
Policy #: wc2291461563027
Expires: 12,l01l201a
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:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
web user
Date
Date
Date 07 t0312018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
Every permit issued shall become invalid unless the wo* on tho site
authoized by such pemit is commenced within 1 80 days atlet its
issuance, ot if tlr€ work authotized on tho site by such pemil is suspendod
or abandoned fot a peiod of180 days altet the time the wo* is
comnenced.
lnspector MID#: 2018-144450
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Phone:
$99.37
$99.37
$0.00
PLTIA4BING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNBR BUILDER DEL(}RATION
I hcrchy alfrm urd.. nelalry ol pcrju.y rhar I m excmDr fmrn th. C.ntw_1oN Liccnsc Lrw tor lhc folloshE cen (S.r.7031.5
Btsin.ss and ftof.*rion Codc): Ary Cily or Cou y whi.h Equircs a pemi' to @Elo.l, rlt6. irqrcvc. d.mlLh or rcpan y
rtrudurc. Prior h ils hsuarc., ako Equtd lhc amlicel lor $cn Fmit lo 61. r si8md sl3l.mnl lha! hc or ihc h liccnscd plrsanl
ro rhc l,nvlsions of tlE Conk&rols Licflsd Lrw {Chlprtr 9, Conrcndng snh Sr.tion 7000 of Division .3 of th. Busincss and
Pref.xsions Codc) or rhll lE or shc is crenfl rhcrcftbn ad rhc h6si3 for lhc allcS.d crcmr,tion. Any !hl,ri,n of S.cliotr ?031.5 b, lny
q,plic.nr for. lcm iubjftk lh. appli.!fl roa.i!ilpcnlltyofnor morcrhan filc hondrcd dollds (S500).
-1,
ai owmr of rhe protEdy. or oy .nployEs wi$ *agd &{ lhcn $E comp.Bdion, wilt do the mrk ard tE slrucl@ is m
irtcdH or otcEd for $lc (Se.?044. Busifts srd PrDfcsioN C.de TIE C.Mor's Ltcn* trw rlo.s mt .pply lo { opffi of
llE pmFny vho hl*r! o Ly{ms tlE@n. .d sho d(a s.h }orlr him.lf or hcMlf or rhrcugh his d lEr own cmphrrs.
pmvkLd th.l slch in!rcllmlfl e 'bt inloicd ffotu for elc.IL lmwi dE trildinS or irprcEmnr i! sb widin orc t@
or onpLrbn tu Oeftr Brild.. *ill hre tlE tonhn of Fovir8 rlr.r h. or sh. dil mr txild u inprDw 0E p'DFry for rh. puFe of
-1,
!s o*mr ol ihc popeny, d qctusiwly .onr.cirg enh lan*d conlr*roh ro ensuucr rlE rftjc.r (S(. 7044, Blsirc$
8rd FDfssbn Codc: The Contulolr Liccnsc lj* docs ml aprlylo mo*nr ofproF.ly who buildsor iq,rolcs ltcrcon.
and who o Bc ld .h p'!id3 *nh i Conr&b(s) lixned lu|\@r ro rhc Co!u6r6i. Lien* t:w)
I amcrcm und6 S*rDn .4.&PC lorrhirE.bn.
llt8xEBt-ctlMPasallaN
Dncr.al"{.I.roN
I heE$y lmrn und.r l,cElly oalEjury om oath. r.[owi.B &.lrrdjons:
Lrhrcodc.l({rhcNrfon rtrc.of rhc{orklartrhichih.p&nir i\issucJ
_l h!!c and qill m.inlah worlcB omp.nsllion insuramr, as equiBl by Selioo ]r00 oflnc tlbor Codc. aor thc Frforrorcc of
rlE work lor whi.h lhn pcmil n hs.n My eort.R ompcnslion i.sur0ft cai. ud polky numb.r m:
Policy Nurbcr jpiEs:
-l
c.nify lMl in ihc lcrlormna of lh. v.rk ao! whi.h lhis pcrnn is issuc.L I shall nol cmpk'yany p.Mn in my tmmt
s N ro h@m sun c.r ro rh. workql conlE.s|bn Lws of Califomi0, and sBE rlEr if I sholld bc.otu $h!.r lo rlr
wtc 'coq,cnsrrionpmlirionsofsdlion3T00ofth.t h.r Codc.l nr[. fnrltviltoq,lywilhlho$ ptuvisio.s..
WARNING: Faiturc lo surc m.k6 .ompcndion @vc6gc is unlawtul. a.d shrll subirr o enDlorrr to dininrl pcmhiB.nd
civil fin s u! lo o* hu.d.cd riou{.d dollo( (1t00,000), h eddiln n lo rlE cosr ofconFBdion. d!mg$ pmvid.d forllE
Sdhn 1016 ol rlF L.bor Cod., 'nr.E{ .nd dofty s 16
D.ler Applol:
LICENIEIIjANIIAEIIIf,
DES/AAII!]N
I h.nb, ar,ln. nnd.r rEnlhy ol pcrjury lnar I ai liccnsn undcr rrovisionofChlplcr 9 (ohnrmio3 wirh S(rb.70d)) orDililb.l
or rhc lru\incssand Prclcrsions Codc.0nd nryliccnsc is h full fd.c !c8!cl
caNsrx!!.:rDtru;NDlNc-tcliNr.r
I hcrhy .ll trn udcr Jrnrhy of p.rluy rhnr rh.rc i\ a .onndcri,n t.ding rg.ky lu rhc l.rtordM.c dt rhc $otk br uhi.h rhis Isnrir Lr
i\sucd(SN :1097, Civ. C.)
ATTUIANfDICLd.ITUQN
I lrlrny dninn r nd.r Ilcnali, orF j!r, ooc ofrhc follo*in8 dsl({rbns
I)emlibn l,crnitsAshcsros Nori,icolion l;cdcrol RcBuldiotrs (Iirlc40, Pin6)
-Rcqund
bii$ of Norifi cllhn
l.difyrhd rhc tcdcrrl reg lart,nvcltdillg !sbc\ro( rcmovll !.c fr, omlicahk b rbt pnjccr
-lccnifyIhaiIh.v.rcadrhhapplt{ionadn.rhrrrlEdbov.inrolmrionh.mr.IogieiosnplyeithallCnyandCounryordiMftcs snd Sratc L{ws Elaling ro huildin8 coNtru.tio.. s,n hcEby aurh.riz rcIJrenklircs oa rhis Ciry and Counry to cnts upon th.
lbovc mflrioncd lot ny ror insF.lion purrbs.s.
ADlrlicnnl.r ABcnl si*nsluft :
P.@lte ,.@ (prl!t):_
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underlloor
Building Sewer
Area./Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas P iping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq /?*z,t-1t\6
Final Gas Test t
Meter Release
FINAL l%ll't'.\4f6
Notes, Remarks, Etc
Dbr.:
lrn'lci\ AdJrr\.: