HomeMy WebLinkAbout30141817 - Permit+,a
city of santa Ana 20 civic center Plaza (M-'t9), Santa Ana, cA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Plumbing Permit #: 30141817
Pin #: 44599}F
Project Address: 2409 N Heliotrope Dr
Assessor's Parcel: 002-064-22 Lot: POR 99 & POR 1l
Unit:
Block: NA
Bldg:
Tract: 425
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
ERIC KINAST
2409 N HELIOTROPE DR
Santa Ana, CA 92706
(7141418-3676
Fast Water Heater Company
11715 North Creek Pkwy So
Bothell, WA 98011
1425I- 636-7084
01 1 16002 51602
01 1 16002 5160C
01 1 16002 51602
01 1 16002 5777C
Fee Type Amount
Wtr Htr (Res up to 50 ge 23.12
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
100
100
Fee
$23.12
$22 95
$57.20
$3.91
State Lic #: 987398
Lic Type: C-36
Bus. Lic #: 319396
Workers' Compensation I nsurance:Carrier: lns Co of the West
Policy #: WLV505206900
Expires. 1210112020
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Plumbing
web_user
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2016
01t1712020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Plumbing
Fee Total
Paid to Date:
Balance Due:
N/A - No Balance
N/A - No Balance
$1 07.1 I
$1 07.1 I
$0.00
Inspector MtD#'. 2020-157 187
.D
-PLUM BI NG.INSPECTOR RECORD
APPROVALS DATE ID/SIG GOMMENTS OWNI:R BUILDT:R DELCARAT'ION ' ! .
I hereby allirm under pemlty ofperjury rhat I am excmpt fmm the Contractom' License Law for the following reamn (Sa.?0115
Irusincss aRl Profcssion Code): Any Cily or Counly which rcquires a pennit lo mnsrucl, alts, improvc, demolish or repoir any
slructurc, prior lo ils issuamc, also requircr the applicanl for such pemit to file a signed statcmcil that hc or she is licenscd pumanl
to rhc previsions of the Conrractor's Liccnsed Law (Chapter 9, Commercing with Section 70fi) of Division 3 of thc Busincss and
PmfessionsCode)orthathcorshcisexemptlh€rcfmmanddEbasisfortheallegedcxemption. Anyviolationofs*lion703l.5byflny
applicantforapcmitsubjststhc applicanttoacivilpemltyofnolmorethanfirehurdrcddollds(5500).
_1, as owncr of the prepcny, or my cmployecs with wages as their sle co[pen$tion, willdo lhc mrk arxl lhe srctm is mt
intended or olltrcd for sle (Sc.?(X4, Business and Pmfessions Code: 'l he ('ontractor's Liccns Law does not apply to an owrcr of
thc pm;Efly u,tn builds or impms th€mq and wtr (kB och uort himself or hemlf or thmugh his or hcr o*n cmploycs,
pmvidedthatsuch impmvmntsmmtiilcrdedoroflirrdforslc. l[ln*crc.thchuiHingorimpmvemflissHwilhinoncyqr
of srnl,letiorl th€ CXtrrcr Builder will havc the hurden of pmving thal he or she did mt build or iqtmE the pm]tny for lhc PUrJD* of
sle).
_1. as ouner of the pmp6rty, am exclusivelycontracting with licensd conlraclon to q)nsrucl th€ pmjst (Se. 7044, Business
an PmftssionCode:-lhcConlractor'sl-iccnscLawdoesmtapplytoanou'ncrofpropenywhohuildsorimproveslhcrsn,
and who mntmcts for such prcjects wi(h a Contmcto(s) licensd puFunt lo lh. (lontrsctor's Liccnsc l-aw).
-l
am exempl under Section-, B. & P.C. for this reavtn
Owner:_
WORKERS' COM PENSA'I'ION
DECLAIIA'I'ION
I hereby alTirm under penahy of perjury one of the follou'ing declarations:
_l have arxt will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of tlre
[-abor Code, fur the perfonnance of the work ft)r which the permit is issued.
_l have and witl maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfurmance of
the work for which this permit is issued. My workers' compensation insurance carier and policy number are:
Policy
_l certi& that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so as to become subject to the workers'compensation taws of California, and agree that if I stnuld trecome suhject to lhe
workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with ttnsc provisions..
WARNTNG: I;ailure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penaltie's and
civil fines up to one hundred thousand dollars (St00.000), in addition to the cost of compelLsation, damages as pmvided for the
Section 3076 of the Labor Code, interest and attorney's fees.
I ICI.'NSED CON'I'RACI'OR
DECLARATION
I hercby aflirm under penalty of perjury that t am licensed under pnrvision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License Class: License Number:
('ottl r:rcl ot'
W
I hercby aflirm under pcmlty of perjury thot thse h a construclion hrding agcncy for th€ pcrfomrcc of the work It r which lhis Frcmil is
issucd (Ss. 3097, Civ. C.).
Lender's Name:
APPI ICAN'T IIECI ARA'TION
I heneby aflinn under penalty of perjury one of the folltlwing declaratittns:
Denrolition Permits-Asbestos Notification l;ederal ltegulations ('l'itle 40, Part6)
-Required
Letter of Notification
-l
cenify thot the federal rcSulations Egarding asbcrlos removal trrc mt applicable to this pmjst.
_l cedify rhd I harc rcad Ihis applicarion ard state lhat the atnve infomtion is coret. I agrc lo omply with all City ard County
ordinarcs and SIate Laws rclating to building co[dructior\ {d hcrebyaullnrize repffintatilts of this Cilya]d Countylo cnls uF n lhc
atnvc mntioncd pmpeily for inspcction purlnss.
Applicant or Agent
l'erlrritct' nilnre (llrirrt) :
Date:_
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back FIow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL t tbl?,,)D ftyy)7LtrTA
Notes, Remarks, Etc.IU
Date:_
Carrier:
-Expires:
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