HomeMy WebLinkAbout30141574 - Permit?
city of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA927O2 Plumbing
Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
w Permit #z 30141574
Pin #: 126,46
Proiect Address: 3132 S Main Sta
Unit:
Block: NA
Bldg:
Tract 7408
AddressRange: 3100-3260
Historic: No
Suite Range:
Zoning: CRAssessor's Parcel: 410-231-02 Lot: 83
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Decron
3124 S Main St
Santa Ana, CA 92707
17141546-5220
American Power Solutions I
14355 lndustry Cir
La Mirada, CA 90638
(714) 926-0300
01 1 16002 51602
01 1 16002 5160C
01 1 16002 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
1.00
0.00
Fee
$68.1 4
$22.95
$57.20
$0.00
EoLch+:53133 - LL|22/2O19 I0: PZ
0fl'ice: CTYH lrsnei: 66 1Accti: Ref{: 381(t
Rcpti:02811863 - tL/22/2019 3:29
Tronsoction Totol 12t673
State 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
Americon Porer 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
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless lhe work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
R-2
VB
cPc 2016
Generol PIon Updote Fee
0l116002- 5160000t'-
Plurb i ns
(r1116002- 51602t100-
ICL Check 025818
Fee Totat
Paid to Date:
Balance Due:
Y.-Eate:
I \ Date:
Zuniga, Allissa I Date:11t2212019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 51602
$22.95
$125.34
$148.29
$0.00
$148.29
lnspector MID#: 2O19-156029
Notes: Change out within existing enclosure.
p,iluM erNc-rNSPEcroR REcoRD
APPROVALS DATE ID/SIG.COMMENTS oWNI'R BIIII,I)I.:R I)ET,CARA ION
I hcrch;- allirm undcr pcnally of pcrjurl'that I ilm cxcmpl lion lhc Conlrrck)rs l-iccnsc l]rw for the lirllowing rcason (Scc.70-11.5
Busincss rnd Proltssion Codc): Any City or (i)uilly $hich rcquircs l |--rnrit to conslnrct. ahcr. irrurovc. dcnrolish or rupair dn!,
slrucluc.priorloil\ i\(unncc.alsorcquircsthcnpplicrntli,rsuchpcrmitk)filcxsigncdstrtcilrcnt thathcorshcisliccnscd pursuanl
h lhc f()visi{)ns (,f lhc Conlrrclor's l,iccnscd l,ilw (Ch{plcr 9. (bnrncncing with Scctk)n 7(X)0 of Division 3 o[ thc Busincss and
Proltssions Codc) or thill lr or shc i\ cxcnll, lhcrcliorn xnd thc hrsis lbr thc allcgcd cxcmprion Any viohtion (,fseclkrn 701 I 5 by any
applicrnt li)r a fcrnril \uhjccts lhc applicall nr r ci!il pcnalt!, of not nDre than ll!c hundrcd dollurs (S5(X)).
-1.
us owncr of thc proFny. or my employss wilh wages ds their sle compcnsstion. will do the work ud thc strctm is rct
intendcd oroffcrcd for sle (58.7044. Business and Professions Codcr Thc Contractor's Licensc lrw docs not apply to an owncr of
thepmFny whoboildsorir{rovcsthemn.atdwhodcsMhworkhimselforherslforlhmughhisorhcrownemployccs.
previded lhrt such inprcrcmnls rc rcl intcnfu or olTcrcd for sh. lf. howew. the hriHing or ir?rcvemnl is sH wilhir ore,sr
of @r{tlction, the Owrcr Builder will h8w thc burden of poving thal hc or she dil mt build or itrpmrc th€ pmfraty for tlrc purp* of
slc).
-1.
as owncr of lhc prcpeny. am cxclusively contracling wilh liccnsed contraclon to construd thc pmjed (Ss. 7M4. Busincrs
and PrcfursbnCode:ThcContraclor'sLicenscLawdmsmtapplytoanowncrofpmpenywhobuildsorimprcvesthcrsn.
and who controds for such Jrojccts with a ContEcto(s) liccnsd pursu&nt to thc Contraclor's Licens kw).
_l lnr cxcrilpl under Scction_. B. & P.C. fbr this rcason.
Dale: _ Owner:
WORKERS' CONIPENSATION
NECLARATION
I hcrcby aflirrn undcr pcn0hy of perjury onc oflhc lblhwing dcclarations:
l hrlc rnd s'ill nEinl;rin il Ccflificalc ol Coilscil b Sclin\urc lirr $rrrkcrs' conrpcnsarion. r\ providcd li)r hy Sccrion .lT{X) ol lhc
Lahor (ixlc. Ibr thc pcrlilrnrxncc ol'lhc work for which lhc pcriltit is issucd.
_l havc
lhc work
and will nrainlain workcrs'compcnsntion insurancc. as by Seclion 37U) oflhc labor Codc. for thc pcrformnce of
lirr whiclt is isscd. My ctrrcr numhcr arc:
Policy L5
-l
ccrtil,v lhrt in lhc l)crlirftnancc r), lhc trr)rk lirr $ hich lhi\ l)crtrtit i\ isrrcrl. I shall not cntphy anv pcrson in rn) nHnocr
so i\k)tf,'conrc\uhjcclk)lhcrvorkcrs'(onipcnsxtionhw(o[Cnlilirrnia.antlagrccthatiflshouldhcconrcsuhjccththc
workcl( eonlPcIsillioil p()visioils ol-Scclion .l7(X) ol lhc Lrhrr Codc. l shall. linlhwith conlply wilh lho\e provisioils..
WARNING: Failurc lo su.e workcrs'@mpensalion covemgc is unlawful. and shall subjcrt u emplolrr lo ciminal lErutties and
civil fincs up Io orc hundrcd thousnd dollars ($100.000). in lhc cost danugcs as provtlcd for lhc
Scclion 3076 oflhe Lahr intrrc\l rnd s fccs.
I
I hcrcby affirm undcr pcnolty of pcrjury thot t am under provision 9 (commcncing wilh Scclion 7000) of I)ivision 3
of thc Business and Prolcssions Codc. and mv liccnsc is in flll forcc and el-lccl.
Liccnsc I {o (
issucd (Sff.3097, Civ. C.).
bnder's Narc:
[rndcr's Address:
APPLICANT DECLARATION
I hcrctly lllimr undcr pcnilhy of pcrjury onc of lhc tblk)wing dcclarilt i(rls:
Dcnrolition Pcrmils-Ashcstos Nolillcation Fcdcrrl Rcgulations ('fitlc 40. Pad6)
_Rcquircd [-cltcr (rl Nolilicalion
_l ccrlify that lhc fcdemlrcgulstions rcgarding &sbestos Emvsl e rel applicable to Ihis prcjcrt.
_l ccnify that I havc rcud this application and statc that thc atnvc inlbrnlation is corcct. I with sllCityand County
ordinances and Slate kws rclatitrg lo
abovc mnliorcd proJEny for inspecl
Appli(snt or Agenl /Pemrile nsnre
building conslruclion.a!thorizc anrl to cnls upon lhc
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
It/ain Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL ,1.ptw Plrvoeu *bq
Notes,;Rerparks, Etc.
l'?-llt ln - Cl rL .* yg
I lt
l)alr:
Dsle:
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