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Home My WebLink About30141572 - PermitsCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:3fJ141572 Pin #: 58548 Project Address: 3116 S Main St Assessor's Parcel: 410-231-02 Lot: 83 Unit: Block: NA Bldg: Tract 7408 AddressRange: 3100-3260 Historic: No Suite Range: Zoning: CR Owner: Address: Phone Tenant Name: Contractor: Address: Phone Decron 3124 S. Main St. Santa Ana, CA 92707 (7141s46-522O American Power Solutions I 14355lndustry 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 State Lic #: 804648 Lic Type: C-36, C-10, C-20, C-38 Bus. Lic #: 373173 Workers' Compensation lnsurance:Carrier: Benchmark lns Co Policy #: CST501S362 Expires: 0310112020 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 Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Zunga,^,,"ttZ::i:,11t2212019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Change out within existing enclosure. Fee Total Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 5't602 $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 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. lnspector MID#: 2019-156027 Fee $68.14 $22.95 $57.20 $0.00 r- . -Jil/IBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hereby sffirm undcr lEnalty of pcrjury lhal I m cxempl frcm lhe ContmcloE' Liccn* kw for the following reawn (Sec.?031.5 Busincss and Profession Code): Any Cily or County which requires a grmit to construcl, alta, improve, demlish or rcpair any slructurc. prior to its issuance. also rcquircs lhc applicant for such lEmil lo filc s signed statercnt that he or sh€ is liccnrcd pursmt b the Fovisions of lJrc Contractor's Liccnsed taw (Chaplcr 9. Commcncing wilh S$tion 7000 of Division 3 of the Busincss ond Prcfessions Codc) or thal he or shc is cxcmpt thcrefiom Bnd lhc basis for thc allcgcd exemption. Ary violation of Sction 703 I .5 by any spplicsnl for s pemil subjccts lhc trpplicanl lo a civil pcnalty of not mre lhan fivc hundred dolles ($50O). -1. as owrcr of the prcpny. or my emplo)es with wsges as thcir slc compenstion. willdo the wrk ard thc strutw is rct interded oroffcrcdforsh(56.T044.BusinessandPrcfessionsCode:TheContractor'sLicen$kwdoesnotapplyloEnownerof thepmFrty whobuildsorinpmvsthe@ea.dwhodcsswhworkhimsclforhcrslforthmughhisorherowncmployes. providcd that such imprcvemnls m not intendcd oroffcrcd for slc. lf. howevci thc buiHing or inqrrcvetrent is sld within onc )rs ofcomphlion. the Owrer Buiklcf will hare tlrc hurden ofprcving lhal hc or she dil mr huih or ir{row tlrc pmJE ly for thc puryns of sle). _1. {s owncr of the preFny. am cxclusivcly conlracling wilh liccnscd contracloN to con$rucl the prcFct (Ss. 7(X4. Business and ProfssionCodc:ThcContractor'sLiccnscLawdoesnolapplytoanowncrofpropefrywhobuildsorimprovcsthcreon. and who conlmcts for such pmj$ts with a Conlmclor(s) licensd pumuanl to lhe Conlraclor's Liccns [rw). WORKERS' COI\IPI'NSA'II(IN DECLARA'I]0N I hercby affirm undcr penalty of perjury ore of lhe following dcclarations: -lhavcondwill roinlainaCenilEateofConrcnlloSelf-lnsureforworkcs'compenution.as prcvidedforbySNtion3T00ofthc Latnr Codc. for thc pcrformancc ofthc work for which lhe pcrmil is issucd. -lhnvcBndwillmainlrinworkers'conrpcnsutioninsurance.as rcquircdhyScction3TU)oftheLahorCode.forlhcpcrforronccof lhc work for this pcrmit is issucd. My workers'ion insurance canicr and numhcr &c: u v//t/>o Policy Nu -Csr 6>3 -l ccnify lhat in thc lErforrmncc of lhc work for which lhis pcrmil is issued. I shall not employ any pcrson in any manner s as to bccom subjccl to lhc workss'@mpcnsation laws ofcqlifornia. and agrcc thal ifl should bccom subjc{t to thc workss'compcnsalionprovisionsofScclion.lT0OofthehtnrCodc,lshall.fonhwithcomplywiththosprcvisions.. WARNING: Failurc to scurc workers' compcnsalion r is unhwlul. and shrll suhjccl an cnrploycr lo ffinrinal Fnahics and oddilion lo lhc cost of compcnsatbn. damgcs !s providcd for thccivil fines up to onc hundrcd thousand dollus ($l ). in Srclion 30?6 of thc kbor Code intercst o,,", vll/?>l7 and /, I hcrcby affirm undcr pcnslty of pcrjury lhsl I am licensd provision of ChBpts 9 (comrencing with Scction 7(n0) of Division 3 of thc Eusiress and Prcfcssions Codc. ard my licensc is in full fors ard effst.3 6Liccnsc Dsle:_lt />-/? I hcrchy affirrn under Jrcnahy of pcrjury lhst Ihcrc ir a construclion lcnding agcncy for lhc pcrf(rnmncc oflhc work for which this Frmit is issued (Ss. 3097. Civ. C.). kndcr's Namc: kndcr's Addrcss: APPLICAN'T DECLARATION I frrutry aflirnr undcr pnalty of pcrjury onc of thc follo* ing dmlaratirrns: l)cDr)lilir)n Pcrnrits Asbcslos Nolillcation Fcdcr{l Rcguhtiotrs ('l itlc 40. t rrt6) -Rcquircd llltcr (,f Notiflcation _l ccnify that the fcdcral regulations rcgaJding asbcstos rcmov0larc not 0pplicable to this projfft. -l ccniti that I havc rcad this appli ordinarccs und Slate laws rclutinS lo ication and strlc thnt thc ahrvc informltitrn is corect. I agrcc to conrply ives ofthis Cily wilh allCilyand Counly hcrcby aulhorizc rcprescnlat and Counly to enler ulnn lhe obove mnliored pmfrcny for V t ^," ///>dt?Applicenl or Agent Pcmilee nanre f-L L.c- UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain I nterceptor/ Clarif ier TOP OUT Waste & Vent Water Piping Gas Pipinq Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbing Final Gas Test Meter Belease I F!NAL 7l$Vo DrtnOrt *81 Notes, Remarks, Etc.rI -l m crcmpt undo S8tion- B. & P.C. for this lwn. Dsl._ Ow