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Home My WebLink About30142599 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 30'1425199 Pin #: 3956{ Project Address: 2109 W Tenth St Assessor's Parce!. 004-181-07 Lot: 3 Unit: Block: NA Bldg: Tract: 1915 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Alice Lievanos 2109 W Tenth St Santa Ana, CA 92703 (7141 348-9699 Fast Water Heater Company 11715 North Creek Pkwy So Bothell, WA 9801 1 (4251 636-7084 01 1 16002 51602 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 Fee Type Amount Wtr Htr (Res up to 50 gr 23.97 General Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 Qty 1.00 1.00 1.00 1.00 Fee $23.97 $23.7e $se.30 $4.05 State Lic #: 987398 Lic Type: C-36 Bus. Lic #: 319396 Workers' Compensation Insurance:Carrier: lns Co of the West Policy #: WLV50S206900 Expires. 12101l,2020 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous Water Heater Occupancy: Constr Type Code: Date: Date: Date: R-3 VB cPc 2019 Notes: Water heater change-out - located in exterior enclosure. 11t12t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Amsden, Julie Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance , or if the work authorized on the srte by such permit is suspe nded or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51602 01 1 16002 57770 $23.7e $83.27 $4.05 Fee Total: Paid to Date: Balance Due: $1 11.11 $0.00 $11 1.11 lnspector MID#: 2020-162734 PLUM BING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DEI.CARATION I hacby affim und6 poalty of pcrjury thst I m qmpt from the Contrrcton' Licre lrw for thc following Iwn (Se.7031.5 Buinas atd Prcfsion Codc): Any City or County which rcquim a panit to coGtruct. alta, improrae domlfuh or Epsir ey struclurc, prior to its issumc. also rcquis thc applicet for such pcmit to filc 8 signcd stalmot thd hc or sha b licmcd pwant to thc provisioB of thc Cootractor's Licascd kw (Ch8pt6 9. Comming with Scrion 7000 of Division 3 of thâ‚¬ BuitB ed Proftsions Codc) or that hc or shc is cxcmpt thscfrom md thc bosis for thc allcged qmFion. Any violstion of Setion 703 I .5 by my applicutforapgrnitsubjetsahc spplicmttoscivilpddtyofnotmrcrhulivchundrcddollm(3500). _1. as owner of the property. or my employecs with wages as their solc compensation. will do the work and the snrcture is not intendod or offered for salc (Sec.7044. Business and Pr,ofesions Code: The Contractor's Licensc law does not apply to an owner of the propoty who builds or imp,rov6 theron. and who docs such wor* himself or hersclf or through his or her own employce. provided that such improvanrents arc not intcrrdod oroffood for sah. If. however. the building or improvement is sold within one ),ear of complaion. the Orvner Buildcr will have the burden of proving thd he or she did not build or imp,rove the propoty for the purpose of sale). _1. as owner of the propcrly. am exclusively contracting with licensed contractors to construct the project (Sec. 7044. Buiness and Pnoftssion Code: The Contractor's Liccnse Law does not apply to an owner of property who builds or improves thereon, and who contracts for such p,rojecrs with a Contractor(s) licarsed pursuant to the Contractor's Liccnse Law). -l am exempt under Section-. B. & P.C. for this reason. O*ner WORKERS' COMPENSA DECLARATTON one of the following declarations:I hereby affrrm under penalty of perjury _l have and will maintain a Certificate of Conscrt to Self-lnsurc for workers' compcnsaion. as provided for by Section 3700 of the Section 3700 of the Labor Code, for the performance of carrier ard policy numbcr are: Policy Nu^a"r,llL6d4.Oh$o Expires:1,,*,-I '-I _l certi& that in the performance of the work for which this permit is issued. I shall not employ any person in any manncr so as to becorne subject to the workcrs'cornpensation laws of California. and agree that if I should become subject to the workers' compersation provisions of Section 3700 of the tabor Code. t shall. forthwilh comply with those provisions.. WARNING: Failure to sccure workers' compensation coverage civil fines up to one hundred thousand dollars ($100.000). in is unlawful, and shall subject an anployer to criminal ponhics and compersation. damages as provided for theto the of Section 3076 of the labor Code interest and attorncy's fees. DECIARATION I hereby afnrm under pcnalty of pcrjury that I am licensod undcr povision of Chaptcr 9 (commencing with Soction 7000) of Division 3 of the Business and Professions Code, and my licque is in full force and efhct. [.icensc W I hcby alftm undo paalty of pajury thd thft b s oonrudbr kndiog ag@y for thc psfomc of thc rcrL 6r which this pqmit ir iseucd (Se. 3097, Civ. C.). l.crrtlt'r 's Nittttc Lcnder's Ad&ess: APPLICANT DECLARATION I ho,,ey affirm under penalty of perjury one of the following declarations: Demolition Permits-Asbestos Notification Fcderal Regulations (Title 40, Part6) -Required Letter of Notification _l certi& that the federal regulations rcgarding asbestos rernoval are not applicable to this project. -l certi& tha I have read this application and that the information is correct. I agrce to comply with all City and County ordinanccs and State Laws relating to building represertatives of this City and County to enter upon the above mentionod properly for inspection Applicant or Agent Perrnilee nnme and ,,,",tlln kma UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain I nterceptor/ CIa rifier TOP OUT Waste & Vent Water Pipinq Gas Pipinq Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P-trap/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 Roush Plumbins Final Gas Test Meter Release FINAL /2-L-O rLL /C^J efu9 4.27 Notes, Remarks, Etc. o,,",l\wl4ptp ,,..*.*rJ[[* (lonlrRctor: