HomeMy WebLinkAbout30139777 - PermitAddress Range: 2206-2208
Historic: No
Suite Range:
Zoning: R2
ePProiect Address: 2206 E Buffalo Ave
AssessoisParcel 396-281-30 Lot: 19
Unit:
Block: NA
Cify of Santa Ana 20 Civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectioni (714),647-5853
Owner:
Address:
Contractor:
Address:
Tenant Name:
Naznan Fahad
2206 E BUFFALO AV
Santa Ana, CA 92705
(714) 606-7007
Water Heaters Only, lnc
970 E Main St #200
Grass valley, cA 95945
(s30) 274-300r
Feo Typa Amount
01116002 5'1602 Wtr Htr (Res up to 50 g: 22.25
01'116002 5160C General Plan Update 22.08
0'11'16002 5'1602 lssuance 55.04
Fee
$22.25
$22.08
$55.04
t22.08
t77 .29
t99.37
Phone
State Lic #: 374573
Lic Type: C-36
Bus. Lic #: 317098
Workers' Compensation lnsurance:
Carrier: DEPARTMENT oF INDUSTRIAL RELATIoNS
Policy #: 4503-049
Expires: 1A31I2O1A
Botcht:{5098 - 7l3ll20lA ID: HGARCIA0fli(e: CIYH Trors+: 63 I of 1Acct+: Refi! 30139777
RcoLt:023{5653 - 7/31/2018 3:25 Pn
Tronsoct ion Totol 399.37
Louer ll€oters onlv, Inc
Generol Plon Updote Fee
01116002- 51 600000-
Plurb i ns
01116002- 51602m0-
ICL Check 058545
Building Use:
Job Typel
Nalure of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Water Heater
R-3, U
VB
cPc 2016
Notes: Change out. Hand out given.
Date:
Date:
Date:07131t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa
Evety permit issued shall become invalid unless the wo* on the site
authoized by such pemit is cofimencod within 1 80 days after its
issuance, or if the wo* authotized on the site by such permit is suspended
or abandonod tor a peigd of 1 80 days eftet the time the work is
commenced.
lnspector MID#: 2018-145050
011'16002 51600
011'16002 51602
Fee Totat
Paid lo Date:
Balance Due:
$99.37
$0.00
$99.37
Permit #: 30139777
Pin #: 92782
Bldg:
Tract 8935
Phone:
Qty
1.00
'1.00
1.00
Occupancy:
Constr Type:
Code:
$22.08
$77 .29
PLUMBING.INSPECTOR RECORD
APPROVALS DATE OWNER BTJII-DER DI]I-CARA-TION
I hcrchy afftnr undcr pcnrlly oi Frjury lhil I0 cxcnrl rinrn rhc Cont.crors Liccn$ I;rp fo h.Iollo$ing rcasn (Scc.rlr.1l.5
8u\inrs\ ! l Pofcs\ion Cdc): An, Cir! or Coulr, $hich rcquircs r rErmil lo c\Nlrucl, llrer. nnprovc. &rnoli\h r rcF't rny
qtu.turc. pri{,k, ir\ n\utud. al\o rqliE\ rhc lppiicr tor {uch Ilcn.ir ro filc a s isncd (arcmnr rh hc.rshci\liccn\cd,usulor
ro rhc [ovnn,ns ofrhc Contr.crois Liccnscd l-rw (Chrpr.r 9. C. nnrn.inS sirl S..rn ](XD of Divi\i(r I oll[c Bu\inrs rid
Ito|c$i,)n\ O'dc) or Ihrr h. or shc ir cicflU lhcrclrorrtrd
'hc
hr\i\ fortl..rllclulcrcnrrio AtryvnnddrolSccrinrT0.ll5byrny
rtpli.rnrrorrpcniir\uhjc.(rhc,mli.rilorcivillctrlllyolnolnxtrclhrtrfivchlnnrcddollln(St(D)
-1.
!s owncr of the pmtErry. or my cq)lotrs wilh w!8.s as lhcn sb compcns0lion. *ill do tt* wdt !d thE slru€lh is ml
i e.d.d o. oflced fd sal. (Se.7()44. Brsines .nd PDlcisions Codo Thc Contmrry\ Li.d* kw des mr opdy ro s ow*. of
rh. roliny *ho toil& or in{mEs llEmn. lrd who &B Mh w* hifrc.lf or hc*lf or lhml8h his tr hcr own enployc.s.
Foridcd lhal Fuch imlrcrcm'rs @ ml htcfl,.d orotr ndfoisb.ll'. how. tlE buildiqg 6r i,rircrcftnr i!$B uirhinokJ&
ofo'rplcrio,r. dE Owmr Buil!, wi! lEr 0F hldo olrnring rh.r he or nE dit mr build or hleE th. trofoty for tlr putoc of
-1.
as owncr of lnc pbpcdy. m cxclusiEly .onhriae sith li.cn*d conl6.ro6 16 @nsrud tr ,&j<r (Scc, 7(x4. aE@(
and A$fi$imCodc: Thc Coniruct sLi.enscLowdoesnoralrlyrouowncrofprcpcny*hobuildrorimprolesrficr€on.a.d *ho.onlEclsforshpmic.lswilh!C,nlEdnrls)lien€dpuNamb'h.Conrdor'3Ltcnstlw).
-I
om .renfl undo Sdrioo . B. & P.C- for rhh rcasn
woR(E&s. c()MPEttsaTioN
DEClrlf,A.trON
I hcEby alilrm und$ penalty of p€riury orc ol lnc followinS delarolions:
-l
hrvc mdwill m0inlrir trCcnlfictrlcolConscnr b Sclr ln\urd lor w.lkrtr co'npcns,rion.0s nn,vidrd r(, by sclion :17fi) .r rlE
lrhorCddc, r(trrhrFra..nrn.cdf
'hc
*or* n,shichrnc pcirnir i{ tsucd
,X(rcandNrlrmJ r0 wnrkc^' cnm|.nld 'nn nurri..,!r,.qxirdh,seli( 17fi) or rhc tarxtr cod.. r{r rhc l,croniuNc or''hctr,{tn{tr[ichrhr.tErmir\hucJMytrml$o,nl|.n{r'.ii4!dEiu.rsR,fi]|Uliynumh.rr.
',". Po'lq4a.r*-
I c.rlify rhar in rhc pffortunc. or rhe w.rk {D. shich rhis pcrmit is issued- I qh0ll nor emphy anr lcnon in aiy manrr
s &slolEconEsubFcllorh.wo sc smFnsalion hM otc.liiomi4 and $M rh.l if I shotrld tf,.om subjcc' roln
workefi comFnslion pmvisionsofSetion 3?00ofthc taho. Cod..I sldl. aodhwnn of,rply *ilh rhos! pmvhions.
WARNING Frilurc to surc workc^
civil fincs up lo onc nu.dr.d thouslnd
n unh*tul. anil rhJl \nhj(t trn cmpk,ru o oininll tfohas Md
ddirion r. rhc co{ .l .ompensal io.. damgcs rs lrovidcd for rhc
u!],lsIl)_rcNrr (ja-8
Igrr4-tsdl,I12!
I hcrcby rlfirn undcr Nnallyolpcrjury rhlr l,r.licctryt uM.r a,ovi\ion ol chrptcr 9 (comnrnrS lith Scclio. T(tr) olDivision 3
of lhc Ansinc*atul Pmfc\siJnsCodd, dnl.ryli.ci+ ii in tlllli,rcc dcq(l
17qSBe>G
q)Nliln.tilll()NLf,NDll$rlli[NrI
i\su.l (Sc. .ll)97.Civ C )
ATTUCANLDECI.AEAIIIIN
I hrrry Jrim undc! lcnalr, ot !.rrury nrc of lh. follo*in8 d(hrul ions:
DcnDlition Perniu-Asbcnos Noliic io. Fcdcral Rcguln'ions {Tn].40. Pd6)
-RcquiErd
tl(lcr of Nolifrllbn
I ccnily rhll $c tcdcElrcslErions EsrdinB asbc$s rcmlo, !rc not npi'lic0t,e lo rhn poj.rr.
I ccdifrlhrr I hlvc md rh(,ppli.rrion xl $dcrh r rhcrh,vc i.lnrnBrion nco tr Iagrccb.. ll)ly virh ill Ciry ,nd Coutrry
ilding connrudio., dr<t h€Eby rurtsrir. ,cplc*nrdriv.s or rhis Cir
4->
,:;/;;Z;
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pi ping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-t raplDrain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn S prinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meler Release
FINAL {,ft,T116 9D6d
Note Remarks, Etc.
ID/SIG.COMMENTS
Water Service
Lf,ndo r AddN.r
-