HomeMy WebLinkAbout30139474 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30139474
Pin #: 67291
Proiect Address: 2409 W Washinoton Ave Unit:
Block: NA
Bldg:
Tract 9216
Address Range:
Historic: No
Suite Range:
Zoning; RlAssessoasParcel: 405-012-10 Lot: 5
Owner:
Address;
BB MABOBY
2409 WEST WASHINGTON AVE
Santa Ana, CA 92706
(949) /t494497
011 16002 5160i
0'1 '1 16002 5160C
01116002 5160i
Fee Type
Wtr Htr (Res up to 50 g.
General Plan Update
lssuance
Amount
21.42
21.25
52.98
Qty
1 .00
1 .00
1 .00
Fee
$21.42
$21.25
$52.98
Tenant Name:
Contractor:
Address:
Affordable Water Heaters ar
28358 Constellation Road, r<
Valencia, CA 91355
(855) 345-9087
State Lic #: 627368
Lic Type: C-36
Bus. Lic #: 194604
workers' Compensation lnsurancelCarrier: lns Co of the West
Policy #: WSA503249702
Expires: O1lO1l2O19
Building Use;
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
Plumbing
Occupancy:
Constr Type:
Code:
R-3
VB
cPc 2013
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date;
Date:
Date:05t24t2018
Account#
Every perfiit issued shall become invalid unless the wod< on the site
authorized by such permit is connenced within 1 80 days aftet its
issuence. ot if the wod< authoized on the site by such petnit is suspended
or abandoned for a peiod o1180 days after the time the wo* is
commenced.
$95.6s
$95.65
$0.00
lnspector MID#: 20'18-143548
N/A - No Balance Fee Total
Paid to Date:
Balance Due
Phone:
Phone:
*"0-r*V
Notes: Plumbing
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
PLUMBING-INSPECTOR RECORD
APPROVALS DATE COMMENTS
UNDER GROUND
Water-Under Iloor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Rool Drain
Rouqh Water Heater
POOL/SPA
Ptrap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release I
FINAL tdllt8
Notes, Remarks, Etc.I
OI\ NI]R BUII-Df,R DELCARA'IION
I h{rcby iflnn Dndcr ,,ctrllry ol |x juy rh r I in cxcmpr toor rhc ContrNr.n Li.cns. ljw tu r hc fi,lk,eing rca$n ( sd ?0.r 1 .5
Dusincss nrkl ltoicssn Cod.): Any Ciry or Cotrnly which rcquirc\ r pcrnrl n, coriru.r, ,lrcr. inuovc. Jcmolth .r rcnin ] y
sln,du,c- pfttr h irs is\uah-'c. rlso (nuncs lhc lpnliclnl itrsuch |xnnlr i{' fih r \i!tr.d \t cnf,trr lh hcor \hc n liccnsd Pusu.nl
rorhcpmvisionsolrhcconrrucktrtLiccnrcdl-tr*(Chit'rcr9.Conncming*irhSccrnn,TtxnofDivi\n:lofthsBurnr$Md
Pn,Icsion\ ft,lc)orrhlr heorshc i\ ci.dpr rh.r.frumanJ rhc ba\i\ fdrhc rlLlcdcxonprio. AnyviolilnnrotSdirn'7011.5$y!o,
rptli.int ror r Frmir suhjdh rhr rmli.a6r rJ rcrvrlpcnalrrornor'x,.than filc huftlr.d dollu^ (S5r)0)
-1.
!s oqncr of rh. pDpcrry, or n, cdplorEs qirh q.g.s &r rhct sk onpcnsrion. will do ft. so* !d lt* srurw h ml
in'cidcd or oficrcd for slc (56 1)44, Burimss lod kofe*ions Codc Th. Contra.lols Lien* lw do6 ml .FIly lo u o{rcr of
$c I'DIlny who hri*$ or itrp,ls tldetr aid wlb dctrh w hin$laor h.<o, rhmugh h!., h.r own.nplor.cs.
pmvitu $nl3Eh ihpmmls m ml inl.nd.doro,IcEn for eb li heq.dE ldiui.sot ir{n*G h $ld within orc t&
oamnplcrio|! tk Owmr Bril,q wi[ lEw dE hnd.n of pmvi4 tn h. c slE dn ml hrild s irlrow rhc popdty fq $. p{lrpo* of
l. !s own$ ofrhc pm!.ny. m crclusiv.lyconhdin8 wirh liccnscd coflrrrcroF ro co.smd rh. pNjEr (SN.7044. Busrnes
and A.Grsi,n Cod.: Thc Co.ro.rolr Liccnsc Loe d@s nor Eprlyro &own.r oapropcnywho builds or inlprcvcs lhcrco.,
sd sho .onh.h for such nDjcds wnh I Coirftdon9 [ccird ,usuinr ro thc Conrrscror's Liccn$ bw).
I am.xc rpr undoscciinn .A & P.C. tMrhi1rcr$n.
gQ8trE8l:C9MfASA]lO!
DECLAAAIION
I h.rcby dlrrm uf,dd pcmhy ol psiury orc ofltE followin8 delsalions:
IhJrcxndsill L'nti'rrCcn'li(rr.ofcon{irt,Srlll urcli sork.ri.'ntrnrri,rr.r\prri(ln)rhySNli,nir?lx)oIrhc
lrh.r (-lnt.lnrrhc pcrlonrnccolrh. work rd*hi.[ rhc rcnni{ '\ rsdrd
I h,vc .nd *ill minhin sorkc.l comp.nsotion insuntre. .s rcquircd hy Salnrn :1700 of rhc Lsbor Codc, r.r thc pctfo.mm of
rhc work for whicn rnG Frmil is isnf,n. M, wortcrs' ompcisorion i.suotuc .antr 8nd rblicy nunb.r m:
P.h.vNtrmh.r ErDirci
_l .cnify rhd in rhc pcrfrrmec of rh. work {6r shkh rhis p.rnn k isrsd. I shall nol cmFloy ony ,c.son in any mner
s ss ro b.om subjer ro llE wor'eB'com0cn$rion laws ofciliforni4 and asN rh.r it I .horld beo@ subiel lo llE
*ort6 mmp.nstion pmiisions of Seclkrr 37m of rct lnr Codc I slEll. loahwnh @mply silh thos pmvisions..
\ppli.rnr:
UCENSEILCONIBACIA&
DECIAEAIIAN
I hcEbya0nm!.dcr peMltyorpcrjlrylhcl I !m liccn{n und( tn,vi\i{ orChapr.r 9 (connm.cnr8 wilh Secli.n 7000) ofDivhion 3
of rhc ausift!! d Pmfcsio.s Codc, ad my liccn* n in tnll for ud elld.
Lic.mc clasr-Lienk Nlnbcr
caxsrB!]cluxl,};xDlNri-dcENl.l
I herctyomrnundc! rEniny ol p.rjory rnd rhc,r isrconir crin, lcMin! rscnct lor lhc Pc omun cnirhcw.!k for {hich
'hi\
pcrtuir G
issucd (Sc.. :l{}97. Civ. C ).
AIILICANLD}:CLABAIII'
I tEtby lnnuMcr |f.alry ot lErlury o.c oithc Inln)wirg dcclnorior\
D.molirn,i Pcni( A\br\ro\ Norificarn,n Fcd(rl RcEULrn,ns(Tirld.{), Pad6)
R.qunrd lxrrf of Norifi .nrirr
I c.niry rhai rhc fcdml E8uldions Eg.rdinS lslEsros rcmvll N fr,r amlt3hlc to r,!h Dojcd
-l
ccni,yrhd I novc rcldthivpdiclrionlnd srarcrhrrrnca&,rc innrrndn'n h.oftc.r I asrN ro cunply wiln rll Cily snd Counry
olniMnccsn Sratc tiqs Ehri.s ro hlildinB .ondo.rnnr, lnd h.rchylurhtrir 6prc\c ot,rcsoflhisCity.ndColnryrocnrcrllx)nlh.
ib.rc m.rn d foFnt rbr insr.liotr pu.p.scs
Applic.nl o. AE€nl SIAMI
alra
ID/SIG.
Waste & Vent
Tub/Shower Test
Miscellaneous
WAnNING: FailuE ro slr sorkelr @npinsatio. .ove6ge is unl,*tu|. md shrll subtrt an €mplo'tr lo oininal fEnahts &d
cMl fin s ut, to oft hondbd rhousand dollds (!100.M)). i. oddilioo to lh. .ost of cohl,endion. &nuB.s rt tirovi,cd to. thc
S*rion 30?6 of th. Llho C.dc. i.t@n .Jd lltomy's le..
lrnda! Adlrsr-
P.mile n.nr(prlnl):
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