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HomeMy WebLinkAbout30141818 - PermitCity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CAg27o2 Plumbing PermitCounter: (7'14) 647-5800 lnspection Requests (714) 667-2738 lnspector Sectionr (714) 647-5853 Permit #: 30{4{8{8 Pin #: .tr!f.l Project Address: 2135 S Birch Sl Assessor'sParcel 015-082-12 Lot; l9 Unit: Block: C Bldg: Tract: 597 Address Range: Hisloric: No Suile Range. Zoning: R1 Owner: Address Contractor: Address: Phone Tenant Name: LOUISE GERKIN 2135 S BIRCH ST santa Ana, cA 92707 (714) 2s8-6960 Fast Water Heater Company 11715 North Creek Pkwy So Bothell, WA 98011 (425) 636-7084 Fee Type Amount 011 16002 51602 Wtr Htr (Res up to 50 g. 23.12 01116002 5160C General Plan Updale 22.95 01116002 51602 lssuance 57.20 01116002 5777C Microlilm Records 3.91 Qty 1.00 1.00 'l.00 1.00 Fee $23.12 $22.9s $57.20 $3.91 Stale Lic #r 987398 Lic Typer C-36 Bus. Lic #: 319396 Workers' Compensation lnsurance:Carrier: lns Co of the West Policy #: WLV505206900 Expiresr 1210112020 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit f: Single Famaly Dwelling Miscellaneous Plumbing Occupancy: Constr Type: Code: R-3 VB cPc 2016 Notes: Plumbing v Misc. Receipt. Misc Receipt: Misc Receipt: Total Date Date Date 01t17t2020 Account# $107.18 $107.18 $0.00 Evory permit issued shall become invalid unless the work on the site authoized by such permit is commenced wilhin360 days aftet its issuance, ot il the wotu authorized on the site by such parmit is suspended ot abandoned tor a peigd o1360 days aftet the time the wo* is commenced lnspector MID#: 2020-157188 N/A - No Balance N/A - No Balance Fee Total Paid to Dale: Balance Due: Phone: web_user PLUMBING-INSPECTOR RECORD APPROVALS DATE tD/srG.COMMENTS OITNIR BIIILDIJR Dl'I,CARATIoN I hcrcby lmrm loder p.MIiy of D.rju.y lh.l I m .iempl lmm rh. (onl..clors Lic.nse La* lor rhc nnbwnf Bsn (ss ?0] l 5 B$in.sr nnd Profcsion Cdc)r Any Ciry.r aoudy which r.qntcs . n€rm ro con{rucl tlrs. imFrovr, d.n hih o! RNt 0try ,ru.rurc. nrsr lo its issuad..l$ rcqutr.r lhc .rnlcinl fo. suct pem i{' nLd sisftd skrc Enr rhtl h..r $. h lic.n*d puts.nl ro rh. nmvNons oarh. Conrhrroas Lic.n$d Ijs (Ch.nro q. ComnEmins {dh s.ctio 700t) of DilirNn I of(he Busines ond tmfesiions Cod.) or rhar h. or sh. k cxcmpr thcr.fmm 5nd lhc hrt nr rh. illcs.d .xempri.n Anyvi,n.rionolS(lon?0:ll5ltv.nv l'tlicnd lor a pmn subr{li rh. a0thc,nr ro i crv il lr.ml'y n f no( nDr. rhan lik hundr.d dolltrs (5500) -1, s owftr of $. pFp.ny. or my .q,lortd eilh *!rd 4 th.ir $L shF6rioc sill <b ttt vqt td llE ldturc ii Dr inrdd.d or o{f.rd lor el. (se.?044, Bsikt Md Pmf*hB Cod.: Ti!. codrocldt Lb.e L.v do.i ml opplv $ !n o9G ol th. |'mFrty *4D hil& or inFoB rtE@.. ..d who .lH Mh wd( hid*lfii h.elfor thmush hh or lrr 6M .nplov.6. p6!id.d rhar sch i,emwr'ls c bl !!qd.d otu ftr sk. l( tFilE. dE hrildins M inpmw, i. sld wih'. om ,4, of6sp!.ii,4lh. owB BuiH.r will l{E tlr bud.. otpov!ts ilE tE or !h. did d htild or illImw lt r,olrry 6r E puposof -l..somrofrfi. pmpeny. d.xclusiEly cohlh.lins eirh lic.lltd c.nldcroBto mnslruct lh.Imj..r (Se. 7044. Aurrncsr And PFlsri.. c.d.: Th. 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I shall ml.mnlov lnvl.mn in tnv nnnrc. s I to becom. iubj.cl lo lhc wodd @n ,..slion hws of C.lifohit dd t8E rhal if I stFud tldom 3ubjd lo lh. uork(C comp.nsolion penitBofs.ction l?00 oflh.lihor Codc,l rhall. fo.lhwilh oiDly eth rl$*Pmvisio.3 IIARNINC fa'lu.c10scctrrcworkerconpensxr(nrcor.$x.'ttrnh!ri'|.xnddhllsubJe.rrn.mt'lrtycrhcnrnol ntllE,rr! Sc.rn r lllT6oil[cl-ihtr(.nc, inlercsnDdorfitrq s n.s Dri.:_ APPl,..ntr- uclll[LQNrlAcra8 DICI48AUAN I hcEby.mrm und.r D€nahyotp.riuty rhd I m li..tr*d undcr DDvir'o.ofch.nl6 q(sllweirg wtrh Setion ?qll))olDNnioh I of !h. B!ri6. ahd P6a*sio$ Cod.. and fty li..nrc ir in tull forcc ffn .f€cr LieBCLs: Lh.M NuEb.r: CoNS'TTIICf ION LENDING AC}'NCY th.Ehy.mrmu.d.rFmllyofp.rjuryfidrh.r.iaonn.tonLndin!as.eyfotth.,.rformnccofrh.*brkfor,hichthrodndI ms.d (Src. 1097, Civ. C ). ll[llcltrLllliclAaarlo! I lEr$y nfllm undcr pcnally ofperjury om ofnE aollolin8 d.cladri,)ns' Demohion !.rmn*Asbesros Notincalion rjcdcrtl R.8ul,lions ( l nle 40. Pan6) -R.qumd Lett.r of Norifi canon -l ceaity lhd lh. t{.61 rcsllal inN tn ding dsncno. Em\51 sr. nor .pdi.abl. ro rhis pm"i.{r. I c6rr,rrh.r I have Ead rhh dnrlcariondi nd.Ilsr lhc aln!. infomrio. is coE cr. I a!,a ro 6mrly*ilh lll Clv..d Counlv odl'Mm4 and Slar. lj*i Fldiie to tdildins .onrrucl ion, ad hr.l,y t!fionz rq,rc*,!d'vd ofrhis Citv ltd C.lorv ro ..!6 unon lh. 0tnv. Gorio..d pmp.ny for in!&rion purFs Appll.,nt or Agrnl SifnNlure: Pcrnnt.c ncn. (prlnl)l UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain lnterceptor/ Clarifier TOP OUT Waste & Vent Water Pipinq Gas Piping Roof Drain Tub/Shower Test Rouqh Water Heater POOUSPA P{rap/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 Release FINAL i/t0/n )['y4 ) Notes Remarks Etc.