HomeMy WebLinkAbout30141570 - PermitProject Address: 3102 S Main St
Assessor'sParcel: 410-231-02 Lot: 83
Unit:
Block:NA
Bldg:
Tract 7408
AddressRange: 3100-3260
Historic: No
Suite Range:
Zoning:CR
F
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (7'14)647-5853
Permit #:3014157fJ
Pin #: 11450
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Decron
3124 S. Main St.
Santa Ana, CA 92707
(7141546-5220
American Power Solutions I
14355lndustry Cir
La Mirada, CA 90638
(714) e26-0300
01 1 1 6002 51 602
01116002 5160C
01 1 1 6002 51 602
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
1.00
Fee
$68.14
$22.95
$57.20
$3.91
B
0
A
R
tt/22/2019lpqnsft 66
Ref*:- Ll/22/2fi1pb;:0?gl1
Tronsoct ion Tobo
Arericon Pouer Solutions I
7iState Lic #: 804648
Lic Type: C-36, C-10, C-20, C-38
Bus. Lic#: 373173
Workers' Compensation lnsurance:Carrier: Benchmark lns Co
Policy #: CSTSol5362
Expires: O3lO1l2O20
Generol Plan UPdote Fe
tr1116002- 516CI0CI00-
Plurb i ng
rr1116002- 516112000-llicnofih & Oocurents
fll116002- 5777(100[r-
I(:L Check 025818
Notes: Change out within existing enclosure.
Fee Total
Paid to Date:
Balance Due:
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 #:
Zuniga, Allissa 11t2212019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Date:
Every permit issued shall become invalid unless the lvork 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 ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2019-156025
01116002 51600
01 1 16002 51602
01116002 57770
$22.9s
$125.34
$3.91
$152.20
$0.00
$1s2.20
B!NG.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNI;R BUII,I)ER DI]I,CARAI'I()N
I hcrcby rllirnr undcr pcnally ot pcrjury lhal I am crcnrpl from lhc Conlrilck)rs' Liccnsc l-aw li)r lhc lolbsing rca\on (Ss.70-11.5
llusincss and l'iol'cssion Codc): Any City or Counly which rcquircs n pcflnit to conslnlct. altcr. irTrovc. dcnxrlish or rcpair any
k) lhc froviqiilrs o, lhc Conlracn)r's Liccnsc(l Law (Chaplcr 9. (i)ilnilc[ciil8 wilh Scction T[XX) of Division -] ol lhc Busircss and
Prolis{ionsCodc)orthallrcorsheiscxctrrillhcrclionindthchasisforlhcrllcgcdcrcrrption. Anyiiolxli()nofScctionT0ll.5hyany
rfflicirolli)rxpcrtrlilsuhjcclsthc apflicrntk)acivilpcnnltyofnolil$rclhilnllvchundrcddollxrs($5(n).
_1. as owner of thc prcFrly, or my employEs wilh wagcs as lheir sh compensation. will do the work ord tlE stntctw ir rcl
intcndcd or offcred for sle (Se.7044. Busiress and Pmfessions Codc: The Conlractor's Liccns kw docs not .pply to an owner of
thc pmfErty who huilds or imprcws thcmn. ard who d@s sch wo.k himself or hcrself or thrcugh his or hcr own employces.
providcd thal such imprewmnts rc rct inlend.d or offcrcd for sb. lf, howew, the tuilding or ir{rovemnt is $H within ore }@,
of corphtk n, thc Owner Builder will havc lhe burdcn of prcving that hc or she did ret buiH or imprcre tlE tmtEty for thc purpos of
salc).
_1. ss owrcr of lhe rtropcfly. am cxclusively conlrectin8 wilh licensed contrucbrs to construct lhe pmjert (Scc. 7044. Busircss
ard PrrfssionCode:ThcContractor'sLiccnscLawdoesnotatplytoanownerofpropcnywhobuildsorimprovesthcreon.
and who sntrucls for such prcjccts wilh s ConlBclo(s) licenscd puFunt to the Contrsctor's Licens kw).
I rilr cxcnrnl undcr Sccti(rn_. B. & P.C. for this rcdson.
I);rls ( )$ ntr
WORKF'RS' COMPF'NSATI(IN
DECI.AS{IION
I herchy aflirm undcr penally of ptrjury onc of the following dslrations:
-lhaveordwillminlainaCenifrateofconsnlloSclf-lnsurcforworkers'ompension.ss
prcvkicdforbyS(tion3T0Oofthc
Libor Code. for thc pcrformrce of thc work for which the pcmit Ls issucd.
-l
have and will minlain workers' comlrcnsalion insurance. as requircd by Selion .]7OO of thc tabor Code. for the pcrfomrcc of
thc work lhis pcrmil is issucd. My conlpcrsulion insuroncc crricr ard F)licy numbcr sc:
Policy 9T-9D (62-l
-l
ccrtify thal in lhc pcrforroncc of lhc work for which this permit is issucd. I shsll nol cmploy any [ENon in any monrcr
m as to bcorc suhjccl to lhc workers' compensation lsws of CaliforniB. and sgEe thal if I should bccom subjcct to lhe
workers'comtEns.lionpmvisionsofSeclion3T00ofthct tDrCodc.lshall.fonhwilhcomplywithlhospmvisions..
WARNING: Foilurc to rccurc workcrs'compcnsation covcragc is unlawful. and shall subject an cmploycr lo oiminal lEmlties [nd
civil fincs up lo onc hundrcd thousond dollars ($100.000). in hn to thc cost of compcnsation, danmgcs as providcd for thc
,?z-
I hcrcby alfirm under pcnnlly of pcrjury thiit I am uo(icr of C-hrptcr 9 (comnrncing with Scction 7Un) of Divisim .1
of the Busircss ild Pmfessions Code. and my license is in full force ard €fftrt.
c 6Liccnsc
W
I hcrcby affirm undcr penalty of Frjury thst thcrc is I @nslruction hnding agercy for the pcrfomrcc of th€ work for which this pcmit is
issued (Sec. 3097. Civ. C.).
Lcndcr'. Addrc*.:
APPLICAN'T DFCLAR,4.TION
I lm'by aflinn under frcnalty of perjury one of lhc following dcclarations:
Dcrmlitioo Permils-Ashcsbs Notification Fedcral Rcgulations (Titlc 40. P{t6)
-Rcquircd
lrllcr of Notification
_l ccnify thal lhc fedcral rcgul0tions rcgtrding asbcstos rcmoval arc not applicablc b this p(Ect.
-l
ffiify that I havc read this applicalion ard stalc thal the ltbvc informtion is comt. I rgrc to comply with all City and County
ordiilDccs 8nd St8lc ljws rclating to aulh(,rizc ofthis Cily and Counry to cnts uF)n lhc
lbovc runtiotrcd propcfly for
Applicatrt or Agrnl
PemllE trame l'(
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Etuildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
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
Rouqh Plumbinq
Final Gas Test
Meter Release rl
FINAL t\tqYto TT,kttno ..*n
Notes, Remarks, Etc.\r
Dste:.t-9,_
Dtrtel
lf,rder's Nam:
1,-t-
,,r l/'>>1,
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