HomeMy WebLinkAbout30142598 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O14259E
Pin #: 8{267
Project Address: 1327 S Joane Way
Assesso/s Parcel: 109-373-03 Lot: 40
Unit:
Block: NA
Bldg:
Tract: 2070
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Laura Telles
1327 S Joane Way
Santa Ana, CA 92704
(949) 903-5649
Fast Water Heater Company
11715 North Creek Pkwy So
Bothell, WA 98011
(42s1 636-7084
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type Amount
Wtr Htr (Res up to 50 gr 23.97
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
1.00
1.00
1.00
1.00
Fee
$23.e7
$23.7e
$59.30
$4.05
State Lic #: 987398
Lic Type: C-36
Bus. Lic #: 319396
Workers' Compensation I nsurance:Carrier: lns Co of the West
Policy #: WLVS0S206900
Expires: 1210112020
ene Updst
tt0tt0tl
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Water Heater
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 2019
.t i . i..
..
Notes: Water heater change-out. Located in garage.
Planning Conditions:
Planning Approval By: McCann, Melanie
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
11t12t2020
11t12t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every permitissued 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 fhe sife by such permit is suspe nded
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23.79
$83.27
$4.05
Fee Tota!:
Paid to Date:
Balance Due:
$1 11.11
$0.00
$1 1 1.11
(r989
onT
lnspector MID#: 2020-162730
PLUM BING.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DEI,CARATION
t hmby allim unda poalty of pcrjury thar I m crcmpt ftom thc Contrelon' Licrue taw hr thc followiig @n (Se.7031.5
Buines ard Prcfcion Codc): Any City or Couty which rcquiB a pdtrit to construct. alta. improvq damlish or rfrir my
structurc Fbr to its isumcc. also rcquira thc ryplicut for such pcrmit to filc a signcd $dmmt thd hc or shc b liccnscd pwant
to thc prcvisiom of thc Cotrtractor'! Liccoscd Lrw (Chapt6 9. Commming with Sction 7000 of Divisioo 3 of thc Buine md
Prcfsioro Codc) or that hc or shc is cxmpt threfrom ud thc basi! for thc allc8cd qdn6ion. Any violarion of Setioo 703 I .5 by oy
appliciltforap6mitsuhietsthc spplimttoicivilp6ahyofmtmorcthofivehun&cddollm(1500).
_1, as owner of the property. or my employee with wages as their sole compensation. will do the work and th€ structune b not
intcnded or offered for sale (Sec.7044. Business and Professions Code: Thc Contractor's License law docs not apply to an owner of
the propcrty who builds or improvcs thenon and who does such wort himself or hersclf or through his or her own employce.
provided that such impnovenrents are not intended or offcrcd for sale. I(, howevcr. the building or improvernent is sold within one ],Ear
of complaior\ the Ourner Builder will have the burden of proving thd he or shc did not hrild or improve the propoty for the purposcof
sale).
_1. as owner ofthe propefly, am exclusively contracting with licerued contractors to construct the project (Sec. 7044, Business
and hofilssion Code: The Contractor's License Law docs not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contractor(s) licenscd pursuant to the Contractor's License Law).
-l
am exempt under B. & P.C. for this reason.
WORKER,S' COM PENSATION
DECLARATION
I hereby alTirm under penalty of pcrjury one of the following detlarations:
_l have and will rnaintain a Certificate of Consent to Self-lnsure for workers' compcnsation. as provided for by Section 3700 of the
tahr Code. for the performance of the work for which the permit is issued./y[ havc and rvill maintain workers' compensation insurancc. as rcquired by Section 3700 of the l-abor Code. for the po'formance of
thc work for rvhich this permit is issued. My u'orkcrs' compensation insurance carrier and policy number are:
Go r.o of{L\r"nqt
Policy lil, /no',o t
I
-l
certi$, that in the performance of the work for which this permit is issued. I shall not €mploy any person in any manncr
so as to bccome subject to the workers'compcnsation laws of California. and agree that if I should become subject to the
workers' comp€xsation provisions of Section 3700 of the Labor Code. I shall, forthwith comply with thosc provisions..,
WARNING: Failure to secure workers'compensation coverage is unlawful.shall subject an employer to criminal penalties and
compensation, darnages as providcd for thecivil fines up to one hundred thousand dollan ($100.000). in to of
attorney's fees./
DECI"AITATION
I hoeby affrm under penalty of perjury that I am licensed under pnovision of Chapto 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my liccnse is in full forcc and efhct.
License Number:Qnzqg
fu-+ t^,nbt l+a{At/
W
I hcby alfm uda pqr.lty of psjurythd thft ie 8 sndrucriotr koding 0gmy for thc pqfotmc ofthc rcrt for wtich this pgmi b
isucd (Sc. 3097. Civ. C.).
I crrtlcr 's Nluttc.
Lcnder's Address:
APPLICANT DECLARATTON
I hrcbyaffirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Titlc 40, Part6)
-Rcquired
Letter of Notification
_l certi& that the federal regulations regarding asbestos removalare not applicable to this project.
_l certiS that I have read this application and state that the above information is correcl. I agree to comply with all City and County
ordinances and State laws relating to building hcreby authorize representatives of this City and County to enter upon the
above mentioned propcrty for inspcction
Applicnnt or Agent
Permitee name (print):
,,," ulrr,l ,t6"o
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
ArealStorm Drain
I nterceptor/ CIa rifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipins
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 SewerlCao
Back Flow Device
Roush Plumbins
Final Gas Test
Meter Release ll
FINAL l'u\llt
Notes, Remarks, Etc.
Contractor:
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