HomeMy WebLinkAbout30140226 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714164.7-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3lJ140.226
Pin #: 15677
Proiect Address: 2418 W Greenwich Ave Bldg:
Truct'12170
Suite Range:
Zoning: R'l
ry
Assessor'sParce| 412-294-2A Lotr 13
Owner:
Address:
ROGER BANOWETZ
24I8 W GREENWICH AVE
Santa Ana, CA 92704
(714) 904-7008
Fee Type Amount
01116002 51602 Wtr Htr (Res up to 50 gr 22.25
01'l'16002 5160C General Plan Update 22.08
011'16002 51602 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$22.25
$22.08
$55.04Phone
Tenant Name:
Fast Water Heater Company
11715 North Creek Pkwy So
Bothell, WA 98011
(425) 636.7084Phone
State Lic #: 987398
Lic Type: C-36
Bus. Lic #: 319396
Workers' Compensation lnsurance:Carrier: Liberty Mutual
Policy #: WC2291464563027
Expires: 1210112018
Building Use:
Job Type:
Nalure of Work:
Single Family Dwelling
Miscellaneous
Plumbing
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2013 Notes: Plumbing
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
subject to Field;
Building Permit #:
web u ,sg
Date
Date
Date 11t0512014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wgrr( or, tho slle
authorized by such permit is commenced within 1 80 days after its
issuance, ot il the work authoizad on the site by such pefinit i5 suspended
or sbandoned fot a period of180 days after the time the wo* is
commenced.
$99.37
$99.37
$0.00
lnspector MID#: 2018-147439
N/A - No Balance Fee Total
Paid to Date:
Balance Oue:
Unit:
Block: NA
Address Range:
Historic: No
Contractor:
Address:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drarn
Tub/Shower Test
Rouqh Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release A
FINAL I k)u.1
Notes, Remarks, Etc.
OWNER BUILDER DELCARATION
InEbyaIImu Lr,.Elly of pdhry rhll I m d.nfl fmn rh. ConEcron Lican* L5a for lht followi!8 Een (Sd.701,.5
Ausin.sr sd ibfcsion Cod.) Any Cty or Cduixy which rqriEs . Imit lo sd{tuc( .l'd. it\rbv.. &mllth or Epoir ey
slruc1@. prd ro tu imaEq alFo ..quift llE applisnl for ruct t mil lo filc ! sisn.d nar.Mr lhtt h. or dE b liansd flMil
ro rh. nmvirioE of rh. Cont6cld s Licn!.d Lrw {ChaDr$ 9, Co@mins *nh S..tion 7000 of Drbio. I of lh. Buin$r and
Pmacsrions Cod.) or rh, h. or Fh. Lr dcn{)t lh.r.&6m 6!d rh. brsii lor lh. sll.s.d .iofliotr Any riolttion ol S.di,n 7011.5 by ey
.flrlicad for a p.mn .ubjets rn lpplief,t lo r civil p.Bhyolmt ma rh.n fiv. hnndEd doll0rc(S50{).
-1.
xr o*ftr o l rhc ntult ry, or Dy .mploycc, * h $ ir.s is rnetr slc conrp.o$rion, $ill do rh. sttrk i.d rh. nrudurc ir frn
inrdrd&l or ollirdl lor sl. (Se 7044, Burircs lnd tDfc$iotrs Csle:'lhc tontrrlut s Li.cm. Law docs Bn.plly k, tnowh.r ol
rhcrFpeny qtn $ulds o. inIo!6 lh.@a tnd sh) do.s tuch worl hinstllor hcGelfor rhn,ush his or h.r own.nfloye.s,
n( nl.d rh:r skh ihpmrcmnk.re x n'cnddl ronnd tuslc |l: tFs'cvs, rl! h! 'kl'ns .r 'n{tuwnEr Bskl'irhmoN,€r
.l'cotrlPkro( rhc O$tur l]r'ldr wllh.it rh. bnr&nofpnrr'n3 rhir h.or$. did nn hulfl or nnnmk lh. I)n,pdy lir rlft NrF$of
-1,
as ovns of rh. pmr.ny, rm .icfusaEly .ootetine snh ti@*d .on'@toB to onsrucl rh. Inoj(rl (s.c 7044, ltusiB
ard Pni*ion Cod.: Th. ConlBctols Lic.n.. L.w dod mt.ptlylo af, oa'n.r ofpD0.ny who buil&or inpmks lhcron.
and who o B.k for sch Dmj..rs with ! Conrmto(, li.mrd poBu.r lo th. Conlrrctols Li.cN liw).
I n.x.mpl unlcr SNI B.&PC lo! rhh retrsn.
WOn(EliS'COMPf,NSATTON
DECtdSAlt9!
I lErcbyamrmun&r D.@ltyotidjuryoeof rh. tollosim dcht ioBl
lha\t.nltrrll nN&ra(-cnricdeof(..n\enrt'S.lfl ruftlarvorkcB con,rensalk,, as rm! ed larhySeclknr:171)l)ol'r[e
l-.bor Q c,li,r rltr,er,iimuflce.l lhe Nod( ntr uhrch rltr fqnnr is N{rc(l
-l
h.E a.d eill n.imain wo*.{ con .N.tion inturarc, &i r.qlircd by s(r ioo 3700 oftlE Lahor Cod., fot rhe llerf.r@rc. oa
rhc work for which this F.mit i, Gs.d My sorlets omrcnsriotr in$6m orid .rd Ialhy nunbcr 6.:
_l ccnit rh.t in rh. r,.rformonce oflh. work for which rhis p.rmn i. k.u.d.l stull ml cmDloy any pd). i. t.y mnrcr
$ os ro h.etr $bjet to tht wo.t6' omp.ndion Lws of crliaomh, $d ase thal if I stbuk iEmm subj.cl to lic
wo*6'omrcrerionro$iod.ofS(lionlT00otrh.tdtsrC.d.,lsl$ll,fonhwilhomdywdhrtnstmvirions
wARNtN(;: I;oilurc b Kurc soricn s'mper$rnn corcmt€ rr lnl.wtul, and stsll suht{l !n mrpk,ltr ro mmrrl n mhies.d
.vrl nncs up k, one hundrcd rk,lsid dollaGlsl0l).000)- ,n dlr'.D ro th..od .fconrnensirion, d.mrg ts pro\idcd for rhc
sdhn 1076olrht L.ho. Co.le, id.rcstnndatoniey'3 n.r
{pD[drl:--
I lcrNsEo coN fRAcl (lta
[ECl4BAllON
I heEl,y amim uM.r pdnlry.f p.rjury thit I m liccned Dnd.r rmvhion ofchatrs 9(ommming snh S€clion 7000) olDr(b.l
ol rh. Susircss Md Pmfc$nns Cod.. snd hy licens. ir in tull a.N alxl .lisr
Lic.N. Cl.B:---!ic.c Nunb.r
-
caNirauuptrrEMBc-acl:lct
I heby illiro und.r Fnalryofr.luryIhd ths. is ! mIstuction kodinS d8.ky for th.,€rfomncc olrh. work ior shicllhh p.n h
iisu.d (S.c. 1097,Ci!. C.).
AITLICANI.'IICLABAIIAN
I lElt y 0fm und.r ncn0hyolp.rjuryorc oflhc nnb$ inr dslahrbn$
DcnDlrridn P.rdirr Ash.st.s Nolilicalion l:edcr.l Rc3ul.tnns(lnle 40. tin6l
_R.qunen L.ll& olNotrfic.lion
-l
c.fliry rh lh. f.dedl rcSuhri.E E8adins .sb.slG rmvsl 6rc er a0nlrlbl. ro lhi! lmjet
I ccni,i ilui t tEw r.od lhis spplicrr io. a.d srat. thd rh. rtove i.fo.mtion is cotut. I ogd to 6mply {nh tll Cily and Cootrly
ordimmB 0rd Shl. t m Ebrins ro b{ildi.8conto.ri6l\ rrd h.r.hyadtsriz.r.pr* aliB offii. Cnya.d Comty lo.rncr q,n ll*
8bov. rcntio*d poD.ny for iNpftlhn purDoFs
Appllcinr or Apent Sl8nrlure:
E6EIX
L.ndo s Nlme
-
Gas Service