HomeMy WebLinkAbout30141578 - PermitProiect Address: 3210 S Main Sta
Assessor'sParcel: 410-231-02 Lot: 83
Unit:
Block: NA
Btdg:
Tract 7408
AddressRange: 3100-3260
Historic: No
Suite Range:
Zoning: CR
s Plumbingcity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA927O2
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:3O141578
Pin #: 22516
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Decron
3124 S Main St
Santa Ana, CA 92707
17141546-s220
American Power Solutions I
14355lndustry Cir
La Mirada, CA 90538
(714) 926-0300
01 I 16002 51602
01 1 16002 5160C
0'1116002 51602
01116002 5777C
Fee Type Amount
Tankless Water Heater 68.14
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
't.00
1.00
1.00
0.00
Fee
$68.1 4
$22.95
$s7.20
$0.00
Botchi:53133 - LL/22/2019 I0:
off ice: CTYH 1rqns,|: 66Acct*: Ref*: 301
Rcpti:02811859 - l|/22/2ttl9 33
Tronsoction Totsl l2rLState Lic #: 804648
Lic Type: C-36, C-10, C-20, C-38
Bus. Lic #: 373173
Workers' Compensation lnsurance:Carrier: Benchmark lns Co
Policy #: CST5015352
Expires: 0310112020
Americon Pouer Solutions Inc
Building Use:
Job Type:
Nature of Work
Planning Conditions: Ok per Planning
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Water Heater Code:
R-2
VB
cPc 2016
Generol Plon Updote Fee
01116002- 51600000-
Plurt i ns
[r1116002- 51602000-
ICL Check 02581S
Notes: Change out within existing enclosure
Fee Total
Paid to Date:
Balance Due:
Zuniga,
Date:
Date:
Date:AIrrN/'t1t22t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01116002 51602
$22.95
$125.34
$148.29
$0.00
$148.29
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
,ssuance, or if the work authorized on the site by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156033
PLUMBING.INSPECTOR RECORD
APPROVALS DATE !D/SIG COMMENTS owNl.lR Ilull.])t:R Dt]t,( ARATtoN
I hcrchy nfllnn undcr pcfilly of pcrjury lhat I anr cxcnul from lhc Conlrnclors' l-iccn\c l.aw for rhc folk)s,ing rcavrn (Scc.7{).11.5
Ilusincss nild Protcssbn (ixlc): Any City or Counly which rcquirc\ a Frnril to con\lruct. altcr. inlprovc. dcmrlish or rcpair any
structurc.priorloits iss[lncc.ulsorcquircslhcapplicxtrlli)rsuchEmrilk)filca$igncdstotcrncnt thathc()rshcisliccnscd pursuant
l(, thc provisions ol'llrc C(,nlrilclor's l,iccnscd Lnw (Chaplcr 9. (i)trrnrncin8 wilh Scclion 7(X[ of Divistrn J of thc Busincss and
I'rol'c\\ionsCodc)orthathcor\hciscxcnrilthcrclionrilndlhcbasi\li)rlhcrllcScdcxcnrplion. AnyviolationofSccti)n70-ll.5byany
applicunlli)rrpcrDril\uhjccl\thc applicanttoacivilpcnxltyolnottr()rctlranl'ilchundrcddolhrs(S5(X)).
-1.
as owncr of thc Im[Eny, or my cmployccs wilh wages as their solc compcnsation. will do lhe work and the stnrctue is mt
inlerded or offercd for slc (SN.7044, Busimss and hofessions Codc: The Conlrnclor's Liccn$ lnw docs not apply to an owrer of
lhcprcIErly wlhbuildsorirpmvcsthcErn.srdwhodmssuchworkhimselforhcriclforthrcughhisorherownemployccs.
providcd thBt such impmvcrcnts re nol inlcndcd oroffercd for sle. If. howcvcr. lhc truilding or impmvemnt is sld wilhin onc ycil
of cotrq,lction. lhe Owrer BuiHs will have the butden of pmving thal hc or shc dil mt huild or ir{,mve the pmprty for the puqnsof
sk).
-1.
rs o*ncr of lhc prcpcny. anr cxclusivcly conlraclinS with liccnscd conlrack)rs k) conslnrct thc projcct (Scc. 7044. Busincss
!il Pr)f6\i)nCodc:'l'hcConlraclor'sLiccnscLawdocsnotapplytoanoqncrolpropcrtywhobuildsorimprovcsthcrcon.
and who conlracts for such projccls wilh a Cortlraclor(s) liccnscd pursuflnl k) lhc ('onlrack)r's Liccnsc ljw)-
_l am cxcnul undcr Scclion_. B. & P.C. lbr lhis rcason.
lhle:
W(IRI(FRS' COIITPENSATION
DECLARATION
I hcrchy ofllrmunder penalty of pcrjuryonc of thc following declarations:
l.alxr Crxlc. li)r lhc pcrlornunce ol lhc s()rk ti)r which lhc ncurit i\ is\ucd.
-l
havc and will roinlain Sstion 3700 of thc Labor Codc. for (he perfomncc of
lhc \rI)rk lhi\carrct ard Jrrlt,icy numhcr uc:
I\)licy / ts'r-to f q\t 2 {1,n"
-l
cenify (hal in thc pcrformncc of lhc work for which lhis pcrmit is issucd. I shall not employ any lrcnon in any manncr
so as lo hccom subjcct lo the workers' compcnsntion lows of California. and agrcc Ihat if I sk)uld bccom subject lo thc
workss' compcnsation provisions ofScction 3700 ofthc Lutrr Codc. I shall. forlhwith comply with lhose previsions..
I{ARNING: Failure to rccure workcrs'compcnrlion svcmgc is unlawful, ud shall subjcct an cmployer to oiminal Imahics and
civil fincs up to onc hundred thousand dollars (S100.fix)). in lhc cosl of damges as providcd for lhc
and lccs.
I hcrcby amrm undcr Fn{lty ofperjlry thar I am provision of ChBpls 9 (comrencing with Ssthn 7fi)O) of Division 3
of lhc Busircss snd Pmfessiohs Code. and my lhcns is in full fore ard eff$l.
1 6Liccnsc
I herchy sffrm undet Fnalty of lE.jury lhal thrc is a conslructhn bnding agercy for the [Erfomrce of the work for which lhis txmil is
issued (Se. 3097. Civ. C.).
Lcnder's Namc:
knder's Address:
APPLICAN'I' DDCLARA'I'I(IN
I hcruhy allirill undcr pcnally oI pcrjury onc of lhc lblhwing dcclrrationsl
l)cmolitbn Pcrnrits Ashcstos Notificati(rn Fcdcral RcSulrtions ('l itlc .lO. Pxn6)
-Rcquircd
lf,llcr of Notificultnr
-l
ccrlify that the fcdcral rcgulations rcgording asbcstos rcmoval are not applicablc lo this prcFct.
_l ccrlify thal I hdvc read this application sod state lhat lhe atnve inforrotion is cotrcct. I agra to comply wilh all Cily and County
ordinanccs and Stalc lrws rchling to
stnvc mntioNd prcIEny for
Applicunt or Agenl
Pemtilce nrme
{trd ';ry"-'#;i"r;l;
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
F!NAL L rq -zo t &r\0 t L.l*{-t
Notes, flemarks, Ftc.TT
tzll?/n- dlr- Yfr ry
I
Owtrer:_
Dsle:t
Date:
0U6L *
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