HomeMy WebLinkAbout30139380 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Sectron: (714) 647-5853
Permit #: 30{ 39380
Pin #: 17097
ProjectAddress: 1513 E Aspen St
Assessor'sParcel: 396-383-22 Lot: 48
Unit:
Block: NA
Bldg:
Tract: 7891
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Conlractor:
Address:
RANRIO BELASCO
1513 E ASPEN ST
Santa Ana, CA 92705
(714) 913-3577
Affordable Water Heaters an
28358 Constellation Road, S
Valencia, CA 91355
(8s5) 345-9087
Qty
1.00
1.00
1.00
Fee
$21.42
$21.2s
$52.98Phone
Tenant Name:
Phone
Stale Lic #: 627368
Lic Type. C-36
Bus. Lic #: 194604
Workers' Compensation lnsurance:
Carrier: lns Co of the West
Policy #: WSA503249702
Expires: O1l0'll2019
Building Use:
Job Type:
Nature of Work:
R-3
VB
cPc 2013
Notes: Plumbing
Single Family Dwelling
Miscellaneous
Plumbing
Planning Conditions:
Planning Approval Blr
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Evety pennit issued shall become invalid unless the wotu on the sito
authorized by such petmit is commenced within 1 80 days qftet its
issuance, ot if the work authoized on the sita by such permit is suspended
or abandoned lot a peiod ol 1 80 days after the time the wo* is
commenced.
n"O r""r\Q- \'
Date
Date
Date o5to1t201a
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$95.65
$95.65
$0.00
lnspector MID#: 20'18-143088
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
Fee Type Amount
01116002 51602 Wtr Htr (Res up to 50 g: 21.42
01116002 5160C General Plan Update 21.25
01116002 51602 lssuance 52.98
Occupancy:
Constr Type:
Code:
PLUMBING-INSPECTOR RECORD
DATE tD/srG.COMMENTS oWNER BI.'II,OET DTX,CARA X)N
I hcrcby illlrm undcr ncmhy ol Nrju! rhd I un crc mFl r(,m rh. G,nt.clo$ Liccnsc Liw lor lhc lnllorin8 rcaq,n i S$ ?ol l 5
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inr.turc. friortu ils issmtrcc..ho rcquncs rttr {r ica nrsu.h pcnni ro fik. si8trcd nilcnrd rhlr hcor shc is li.cn\cd poruanl
t, lhc pmvi\i{nN of rhc Conrra.tr's Licd.{d ljw (Chlprcr ,. Co.nc.cio! $irh S..ri,,n lfiD ol Divi\iotr I olrhc Businc$ rnd
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lpplicanr n)r a ,.rnrir suhjc.h thc iprliclnr l(' 0civilFnnxyornor nbr'hs fivc hundrcddolhn lst{ro).
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inrodcd or of.nd fo. sL (Se.70,44, B$imss mn Pmf$.ions Codc: Th. C..tracrolr Lims L{w d{.s mr +pl, to u o*er of
rhc rmtEny qho h)ild.s or inI,D6 ftnn. di *h dc Mh mrt hims.lf or hcr*lf or rhmudr hlr o, ltr os..mplotr.s.
prcvidcd rhrt su.h impmemnb @ ml i c.di or oficEd lf eL. tt hosw, F buiBi,8 m inprosrc b sld witfiin one ,ut
ofcorptcrio,L lnc O$rr Auilh. wil tuw tlE hrLn olpovinS tn lE or ilE dil rcr hiu or i,{mE dE l,Dpsly fd lh. puq*of
l. $osn.rofthc Eorcny. o'n cx.lusiv.lycontucring wiih liftnscd contacloN lo.on(rucl lh. pojed (Ss. 7044. B6in$s
Mii h.aBsiotrCode: Thc Conrdcrols Liccns t w .locs nor aptly ro m o*n r of fioFnr eho tuildr or inprovcs rh.rcon.
{nJ *ho sn(@k fo. iu.h ptujcd. sirha clnia.ro(sl licc.ed pu*umr ro rh. atnrracrols Ltcns L3!).
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M crem0t lnd€r Sdion- B. & P.C. for thi! re@n
O*n.r:
llBtrEBli:ClrMfE$A8r!
DECI,AIAIION
! h.r.by olfirm xndcr Fnally oa p€riury om of fic folhwinB dal alions:
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hovc r willm0inr.i,raCcnificolcofConscnr r. Sclf.ln{trclnr $or*er'comprn\ition. !\ pmvidcd fitr hys(rbnll70o.f(hu
Lrh, Corlc. h thd p.nnnnrmcofihc worl Ior whichthcr.flnlr h i\sucd.
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havc and will miniain wort R comlcnsslion insr.Rc. 8 rcquircd b, Sd ion 1700 of ll* Ljbor Codc, for fic pcrroll]l,re of
th. *or* for *hich this pcmi n &ucd. My workdC conrpcn$tior ins.mc fficr md policy nunbct aE:
_l c.nifr rhdr in rh. lxrfurmrc ofrhc worl for whkh rhir p.rmii L k\uM.l shallnor cnllloy lny pcrsn in any morncr
s s to h(om subid lo rhc so*qs omlEnuliotr l.vs oa Cilifomio. lnd lBr thlr if I should hc.om subr.tt ro rlr
work n $mFnsarion protirions ofS.ction lr00olth. btor Codc,l shau.l'onhwilh.omlly ailnlhos ptr,visions,
WARNINC: F.ituE h ysE {trk61 @hpcnqtiofl co(E8c is lnhstuL lnd ihall subirr s cnploF, ro dimi,n p6.hi. t.d
.ivil fincs !p ro om hlndrcd rhousnd dolld ($100.000). in addirion ro rhc o.l of omfirsiion. d{dgls rr pmvA.n tu $c
Serion 1076.frhe LllE Cod€, iitcrcn ud omyrles.
UCENTEILCANI&IIAf,
IIEI;LA&IION
I hcrchy rllnrundcr Ntrlltyofpcrjury lhli I ar liccn*d undcr lori\i.n ol ChU.r, (connticins sirh sccri,6 7m0) oiDivi(i,)n ]
ot rhc B!\inc\s rnd h.ac$i,,is C.d.. Md n', li(nsc i\ in liill furt dd ctrNi
Lk.*Cl,sr: l-i.[.s Numb.r:
(OlsLBllll]llli.1,l;J)llurllifliql
n\u.d (S( 1097. Civ C i
d.tfuc NLDEEL]IB/IILIN
I lrr.$y irmu .rlcnnlr,ol p.rjuryoncof rh. tulbqnr8d..lffirn)n!
Dcnr,lni.tr Prnn s A\h.{o\ Norificnriotr lrcdcrrl Rcguhrn s (Ttlc,1ll.l,ini)
_Rdqunrd lrncr of Nnriliurirr
I .dify lll0l llE rcdcol rcguh! ions rcBsding lslEslos rcnDvol arc nol arplicablc lo lfiis Imrcl
__l.dil'.vrhrrlh!v.rcdrhi\altli.rri,n,rd(rrcrhxirhoxhrv.i'riann i,rn.orccr InBlLtr..otrlnly*irhrllCiryindCounry
oflliixtccsrtdSrjrrcI!s!rllrin!t]btildin!coNtcrn,n,u hcrchy rhornc rq)ts.trrrvcrolrlrirCityrtd Courryl,i ctrcr uFrrh.
ih,vc rnridrd t)rcF..n! tu insrn-rir)n purBxcs
Appliunl o. ABent SktuluE:D.le
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underlloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Flough Water Heater
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool HeateriGas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing
Final Gas Test
FINAL /-3-/A /)c{r+,@)
Notes, Remarks, Etc.
APPROVALS
l.trJ{'. 4',J'r$
POOL/SPA
Back Flow Device
Meter Release