HomeMy WebLinkAbout30141579 - PermitCity of santa Ana 20 civic center Plaza (M-19), santa Ana, cA92702 s Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #:30141579
Pin #: 539{O
Proiect Address: 3226 S Main St
Assessor's Parcel: 410-231-02 Lot: 83
Unit:
Block: NA
Bldg:
Tract 7408
Address Range: 3100-3260
Historic: No
Suite Range:
Zoning: CR
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Decron
3124 S Main St
Santa Ana, CA 92701
(7141546-5220
American Power Solutions I
14355 lndustry Cir
La Mirada, CA 90638
(714) 926-0300
01 1 16002 51602
01 1 16002 5160C
01116002 51602
01116002 5777C
Fee Type Amount
Tankless Water Heater 68.14
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
't.00
0.00
Fee
$68.14
$22.95
$57.20
$0.00
Botchi:53133 - Lt/22/2O19 lDz PZ
0ffice: CTYH Trnnsi: 66 ?Acct*: Ref*: 30141
Rcpti:02811858 - t|/22/2tll9 3.29
Tronsoction Totol 12t673State Lic #: 804648
Lic Type: C-36, C-10, C-20, C-38
Bus. Lic #: 373173
Workers' Compensation lnsurance:Carrier: Benchmark lns Co
Policy #: CST5015362
Expires: 0310112020
A;ericon Poper Solutions Inc
Building Use: Multi-Family (5 or more uni Occupancy:
Job Type: Miscellaneous Constr Type:
Nature of Work: Water Heater Code:
Planning Conditions: Ok per Planning
R-2
VB
cPc 2016
Generol Plon Updote Fee
01116002- 5160000t1-
Plulb i ng
(r1116002- 5160200(r-
ICL Check 025918
Notes: Change out within existing enclosure.
Fee Total
Paid to Date:
Balance Due:
Planning Approval By:
Plan Checked By.
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga,
Date:
Date:
Date:11t22t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 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
lssuance, or if the work authorized on the site by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156035
PLUMB!NG.!NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS (IWNDR IlUlt,l)tlR l)EI,CARATION
I hcrchy affirm undcr lEnxllv ol F{ury thot I rN crcrrln liom thc Conlrack)rs l-iccn\c Las' for rhc following rca{[ {Scc.70-]1.5
Busincss utl P(rttssion C(xlc): Any Cily or Counly which rc<luircs a lrcrnrit k) con\truct. tllcr. improvc. denx)lish or rcpat tny
slnrclurc.priork)ils i\\uancc.al\orcquircsthcilpnlicrntli)rsuchl*rmitt()lilcrsigncdstntenrnt lhxthcorshcisliccnscd pursutnl
Prolcssi('n\(i)dc)()rlhillhcorshciscxcfilpllhcrcfronrrndthchrsisli)rlhcallcgcdcxcnrilion. AnyviolathnofScclionT0ll.5byany
upplicalllirapermilsuhjcctsthc applicrDlhacivilpcntltyofilotnr)rclhailllvchundrcddollars(S5(X)).
-1.
as owncr oflhc profEny. or my cmployes with wagcs as thcir slc mmpcnsation. will do the work and thc structrc Ls mt
intcndcd oroffercdforsh(5(.?044,BusiressandProfessionsCodc:ThcConlraclor'sLicensclrwdmsnotapplyloanowncrof
the pmfEny who builds or imlreres thcNn. and who dfts such work himsclf or hcrself or through his or hcr own employccs.
provided lhal such imfmwmnts rc ml irtcrded orotlercd for sle. lf. howcvs. the huilding or inprovercnl is sld within ore )a{
ofcomplclion. lhe Owncr Builder will have thc burdcn of proving that hc or shc dil not buiH or imprcvc rhc pmFf,ny for the purFr$ of
slc).
-1.
as osrcr of lhc pmJrcrty. 8m erclusivcly conlracling wilh liccnsd contraclors lo @nstrucI the pmFct (Ss. 7044, Busiress
and Pmfxsion Code: Thc Conlractor's Licensc Lsw d@s nol apply to an owncr of 1ro1rcrly who builds or improvcs thcreon.
and who contmcts for such pmjccls with a Contnclor(s) licenscd pursuant to the Contractor's Liccnse hw).
_l am cxcillil undcr Scctk)n_. B. & P.C. lirr this rcas(,n.
Dste:_Owner:_
WORKERS' COIIPENSATION
DECLARATI(TN
I hercby alfirm undcr pcnalty ofperjury onc ofthc following dcclffatbns:
Lalxrr (ixlc. lor lhc Frlirrnrancc ol thc uork lirr uhich thc pcrrrit is issucrl
-l
havc and will maintain workers' comJrcnsalion insurarcc. as required by Section 3700 of the kbor Codc. for thc pqrformrce of
lhc work is issuql. My workers' comlEnsalion insurance cmier and [mlicy numbcr trc:
Policy \ttzq
-l
cenify lhal in lhc pcrforrorcc of lhc work for which lhis pcrmit is issued. I shall nol employ any person in any mtrnncr
m as lo bccorc subject h thc workers' comJrcnsation laws ofCalifornia. and agrcc that if I should bccom subjeEl to thc
workcrs' compcnsalion provisions of Section 17il) of lhc L{tnr Codc. I shull. forthwith comply with lhose provisions..
I{ARNING: Failurc to surc workers'compcnstion covcmge is unlawful. and shall subjcct an cmploycr to diminal lEnaltbs snd
civil fincs up to onc hundred lhousnnd dollars ($1m.000).uddilion b thc cost of darogcs ar provided for lhe
Sdion 3076 Code.ard sttomy's
(
of lhc llusincss antl Pr()lc\si()ns Codc. an(l nrv liccnsc is in lult li)rcc and clltcl
)
Liccnsc 3 c
-1((q
CONSI'RUCTION LENDING AGENCY
I hcrcby rlllrrn uildcr pcnrlly of pcrjury thrt thcrc ir a constructi(trr lcnding rgcncy lbr thc Jrcrfornuncc of thc work for which this lErnlil is
issucd (Scc. .1097. Civ. C. ).
Lcndcr's Nlnrc.
krder's Addrcss:
ITPPLICiINT IIECI ARATION
I lrrt'hv aliirm undcr pc[illly ol'pcrjury (,ne of thc lblk)q'ing dcclxrrl i(n\:
Dcilx)lilion PcrDrils-Asbcstos Nolillcation I;cdcrrl Rcgulati(ns ('l itlc 40. I'art6)
_Rcquirc(l [.cllcr ol Notillcati(nl
_l ccrtify lhst thc fcderal rcgulstions rcgarding asbcstos rcmval arc not applhable to this ppFct.
-l
cslify lhal I havc rcad this application snd stslc thal the atnvc informalion is corBl. I agr@ to comply with all City and Counry
ordiranccs und Stalc Lilws rcloling k)
above mntiorcd pmpef,y for
Applicant or Ageol
Itemritee nsme
rcpresentstivcs
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipino
Roof Drain
Tub/Shower Test
Rouoh 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 Plumbinq
Final Gas Test
Meter Release t
FINAL Z \417r)b ft/rn f,-* Fv
Notes, Rerparks, Etc.
l?-trl pt - cl rz I ) ftlD,,1 *'f7
t t,
Dale:_
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