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HomeMy WebLinkAbout30139380 - 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 Sectron: (714) 647-5853 Permit #: 30{ 39380 Pin #: 17097 ProjectAddress: 1513 E Aspen St Assessor'sParcel: 396-383-22 Lot: 48 Unit: Block: NA Bldg: Tract: 7891 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Conlractor: Address: RANRIO BELASCO 1513 E ASPEN ST Santa Ana, CA 92705 (714) 913-3577 Affordable Water Heaters an 28358 Constellation Road, S Valencia, CA 91355 (8s5) 345-9087 Qty 1.00 1.00 1.00 Fee $21.42 $21.2s $52.98Phone Tenant Name: Phone Stale Lic #: 627368 Lic Type. C-36 Bus. Lic #: 194604 Workers' Compensation lnsurance:Carrier: lns Co of the West Policy #: WSA503249702 Expires: O1l0'll2019 Building Use: Job Type: Nature of Work: R-3 VB cPc 2013 Notes: Plumbing Single Family Dwelling Miscellaneous Plumbing Planning Conditions: Planning Approval Blr Plan Checked By: Permit lssued By: Subjecl to Field: Building Permit #: Evety pennit issued shall become invalid unless the wotu on the sito authorized by such petmit is commenced within 1 80 days qftet its issuance, ot if the work authoized on the sita by such permit is suspended or abandoned lot a peiod ol 1 80 days after the time the wo* is commenced. n"O r""r\Q- \' Date Date Date o5to1t201a Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total $95.65 $95.65 $0.00 lnspector MID#: 20'18-143088 N/A - No Balance Fee Total Paid to Date: Balance Due: Fee Type Amount 01116002 51602 Wtr Htr (Res up to 50 g: 21.42 01116002 5160C General Plan Update 21.25 01116002 51602 lssuance 52.98 Occupancy: Constr Type: Code: PLUMBING-INSPECTOR RECORD DATE tD/srG.COMMENTS oWNER BI.'II,OET DTX,CARA X)N I hcrcby illlrm undcr ncmhy ol Nrju! rhd I un crc mFl r(,m rh. G,nt.clo$ Liccnsc Liw lor lhc lnllorin8 rcaq,n i S$ ?ol l 5 no\in.\\ nd ttofcs\ii,n C{xlc): Ah, Ciry or Counr, *hth rcqutc\ r p.rnir n, .oniru.r, alrc', i'rpdvc. dcnh)i(h.. rcprn . ry inr.turc. friortu ils issmtrcc..ho rcquncs rttr {r ica nrsu.h pcnni ro fik. si8trcd nilcnrd rhlr hcor shc is li.cn\cd poruanl t, lhc pmvi\i{nN of rhc Conrra.tr's Licd.{d ljw (Chlprcr ,. Co.nc.cio! $irh S..ri,,n lfiD ol Divi\iotr I olrhc Businc$ rnd PhlcrsionlCo.)urrhdh.Mshci{cr.nlplrh.rcfronan'lrh.tri{frtrrhcrllcgfrlcr.nui{)n.Anyvn,htnrnolSc.lhnT0ll.5byony lpplicanr n)r a ,.rnrir suhjc.h thc iprliclnr l(' 0civilFnnxyornor nbr'hs fivc hundrcddolhn lst{ro). -1. &r oeM olrlr !rctEfly, o. m, cmploy..s Dnn wleei.s rlEar $k onp..$io.. wi{ do rlr so.t,n ltl slrtr@ is ml inrodcd or of.nd fo. sL (Se.70,44, B$imss mn Pmf$.ions Codc: Th. C..tracrolr Lims L{w d{.s mr +pl, to u o*er of rhc rmtEny qho h)ild.s or inI,D6 ftnn. di *h dc Mh mrt hims.lf or hcr*lf or rhmudr hlr o, ltr os..mplotr.s. prcvidcd rhrt su.h impmemnb @ ml i c.di or oficEd lf eL. tt hosw, F buiBi,8 m inprosrc b sld witfiin one ,ut ofcorptcrio,L lnc O$rr Auilh. wil tuw tlE hrLn olpovinS tn lE or ilE dil rcr hiu or i,{mE dE l,Dpsly fd lh. puq*of l. $osn.rofthc Eorcny. o'n cx.lusiv.lycontucring wiih liftnscd contacloN lo.on(rucl lh. pojed (Ss. 7044. B6in$s Mii h.aBsiotrCode: Thc Conrdcrols Liccns t w .locs nor aptly ro m o*n r of fioFnr eho tuildr or inprovcs rh.rcon. {nJ *ho sn(@k fo. iu.h ptujcd. sirha clnia.ro(sl licc.ed pu*umr ro rh. atnrracrols Ltcns L3!). -l M crem0t lnd€r Sdion- B. & P.C. for thi! re@n O*n.r: llBtrEBli:ClrMfE$A8r! DECI,AIAIION ! h.r.by olfirm xndcr Fnally oa p€riury om of fic folhwinB dal alions: -l hovc r willm0inr.i,raCcnificolcofConscnr r. Sclf.ln{trclnr $or*er'comprn\ition. !\ pmvidcd fitr hys(rbnll70o.f(hu Lrh, Corlc. h thd p.nnnnrmcofihc worl Ior whichthcr.flnlr h i\sucd. -l havc and will miniain wort R comlcnsslion insr.Rc. 8 rcquircd b, Sd ion 1700 of ll* Ljbor Codc, for fic pcrroll]l,re of th. *or* for *hich this pcmi n &ucd. My workdC conrpcn$tior ins.mc fficr md policy nunbct aE: _l c.nifr rhdr in rh. lxrfurmrc ofrhc worl for whkh rhir p.rmii L k\uM.l shallnor cnllloy lny pcrsn in any morncr s s to h(om subid lo rhc so*qs omlEnuliotr l.vs oa Cilifomio. lnd lBr thlr if I should hc.om subr.tt ro rlr work n $mFnsarion protirions ofS.ction lr00olth. btor Codc,l shau.l'onhwilh.omlly ailnlhos ptr,visions, WARNINC: F.ituE h ysE {trk61 @hpcnqtiofl co(E8c is lnhstuL lnd ihall subirr s cnploF, ro dimi,n p6.hi. t.d .ivil fincs !p ro om hlndrcd rhousnd dolld ($100.000). in addirion ro rhc o.l of omfirsiion. d{dgls rr pmvA.n tu $c Serion 1076.frhe LllE Cod€, iitcrcn ud omyrles. UCENTEILCANI&IIAf, IIEI;LA&IION I hcrchy rllnrundcr Ntrlltyofpcrjury lhli I ar liccn*d undcr lori\i.n ol ChU.r, (connticins sirh sccri,6 7m0) oiDivi(i,)n ] ot rhc B!\inc\s rnd h.ac$i,,is C.d.. Md n', li(nsc i\ in liill furt dd ctrNi Lk.*Cl,sr: l-i.[.s Numb.r: (OlsLBllll]llli.1,l;J)llurllifliql n\u.d (S( 1097. Civ C i d.tfuc NLDEEL]IB/IILIN I lrr.$y irmu .rlcnnlr,ol p.rjuryoncof rh. tulbqnr8d..lffirn)n! Dcnr,lni.tr Prnn s A\h.{o\ Norificnriotr lrcdcrrl Rcguhrn s (Ttlc,1ll.l,ini) _Rdqunrd lrncr of Nnriliurirr I .dify lll0l llE rcdcol rcguh! ions rcBsding lslEslos rcnDvol arc nol arplicablc lo lfiis Imrcl __l.dil'.vrhrrlh!v.rcdrhi\altli.rri,n,rd(rrcrhxirhoxhrv.i'riann i,rn.orccr InBlLtr..otrlnly*irhrllCiryindCounry oflliixtccsrtdSrjrrcI!s!rllrin!t]btildin!coNtcrn,n,u hcrchy rhornc rq)ts.trrrvcrolrlrirCityrtd Courryl,i ctrcr uFrrh. ih,vc rnridrd t)rcF..n! tu insrn-rir)n purBxcs Appliunl o. ABent SktuluE:D.le UNDER GROUND Waste & Vent Water-Under floor Gas-Underlloor Buildinq Sewer Area/Storm Drain lnterceptor/ Clarif ier TOP OUT Waste & Vent Water Piping Gas Pipinq Roof Drain Tub/Shower Test Flough Water Heater P-trap/Drain Line Main Drain/Pool Pipino Fill Line/Back Flow Pool HeateriGas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Rough Plumbing Final Gas Test FINAL /-3-/A /)c{r+,@) Notes, Remarks, Etc. APPROVALS l.trJ{'. 4',J'r$ POOL/SPA Back Flow Device Meter Release