HomeMy WebLinkAbout30139658 - PermitCify of Santa Ana 20 civic Center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 30{39658
Pin #: 88832
Proiect Address: 1322 N Baker St
Assesso/sParcel: 405-271-05 Lot: 6
Address Range:
Historic: No
Suite Range:
Zoning: R2
q
Owner:
Address:
Contractor
Address:
ALFRED GONZALES
1322 N BAKER ST
Santa Ana, CA 92706
17141307-1957
Affordable Water Heaters a11
28358 Constellation Road, S
valencia, CA 91355
(8s5) 345-9087
Fee Type Amount
01116002 51602 Wtr Htr (Res up to 50 g. 22.25
01116002 5160C General Plan Update 22.08
01116002 51602 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$22.25
$22.08
$55.04Phone
Tenant Name:
State Lic #: 627368
Lic Type: C-36
Bus. Lic #: 194604
Workers' Compensation lnsurance:Carrier: lns Co of the West
Policy #: wsA503249702
Expires: 01/0112019
Building Use:
Job Type:
Nature olWork:
Planning Conditions:
Single Family Dwelling
Miscellaneous
Plumbing
Occupancy:
Conslr Type:
Code:
R-3
VB
cPc 2013 Notes: Plumbing
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
web user
Every petmit issued shall become invalid unless the work on the site
authoized by such pemit is commenced within 180 days aftet its
issuance, ot if the work authoized on the site by such perfiit is suspended
or abandoned fgt a pedod of 1 80 days after the time the wo* is
commencod-
07106t2018
Account#
$99.37
$99.37
$0.00
lnspector MID#: 2018-144472
Fee Total
Paid to Date:
Balance Due:
Unit:
Block: NA
Bldg:
Tract: 765
Phone:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:N/A - No Balance
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNET BUIT.DER DELCARATION
I hctby amm udcr Fnahy ol pdiury lh, I m .x.nQr rom rlE Co Mrou Lie.e hw fo, tlE folloehg lten (S€ 7011.5
Bu.inc$ ,r!d Prof.sioi An.): Any Cny or Co!'ry *hhn Equn s . pdmn lo oislnEr. ,16. ihpbve .Lmlnn or EFEr rny
sltucluE. prior lo ns irsu,B, at$ requiE $c anpli.st tor seh pemir to ,iL ! sig*d stncm lnar hc or rlE k lictrrd I,uNa'
lo lh. Imvhionr of tlE C..mcbis Lienscd k* (Chlprd 9. Comn.ing wnh S.crior 7000 of Divirion I of thc Blsifts .rd
Pofc*ions Codc) or thsr h. or sh. is cxcmpr th.rcfioE md tlE b{rk for rhc arhecd crcmptio.. Ary viohrion ot Sc.lhn 70:11.5 by a.,
{pllicaot fo, a p€mir subjttsrlE applicafl ro a cidl pcElryofrcI mE rhd fir. hunr,!.d dolld3 ($500}.
-1.3s
osE of lh€ plFny. u my.nployBc wi$ sig6 a t&n $le enqrBdion, Mll d., tlE tut drd rlt ntur@ i\ mt
in&idcd nr ored for *t 1Sr.7044. BBi6s and Prtrfcsions Cdrc: TIE CoitBrofr Lie.c hr d.c. mt lpply to s owe, ol
Its poFny who toildi iqilxs lhcm&.nd wt &6nri elt hirelf or hcrclaorthrclgn tis or hd own cmobrqs.
providcd rhlt ech iniprevm' i e mt i'nddcd oroff.Ed lor eb Il howc6.lhc tniLlinS or iqxmmnr Ls sld shhin m Fr
ot conpklion. llE Owmr BuiU6 wil hrE dE hrd.. of nrcving rhll hc d slE dit mt hild or iolmE lnc pof(ny ld lh. n!rF$ of
_1. as owner of ttc l,mFny. !m crclusively conlr&ring whh lien*d conmclos ro consrrucr th. pioj6r (56. 7044 Burinc$
snd PJd6skln C.dci Thc Conrr&roai Liccnsc Llw doca nor q,tly ro .n own.r of pmpcrry who builds or inprores lhcrco..lnd who o Brs aor such ,,ol..ls wirh 0 C.ntadorl, lier<{ lu^@t 16 rlE Conh.toas Licen* Lrw).
-l
arcxcmnt undcr sdion , A. & P C. fqrnis rcr$nr
offi--,__
]TOA6EBa..COMfINIAIION
DECIABA]JON
I h&cby lffiln undcr pcnall y ot Frj!ry one ol thc folbwinS d.c1tr0tions
_l haw ad will einl8in a CcnifEatc of Consnl ro S.lf- lrouE for workds. mmFnslion. a pmtid.d lor by Serhn 3700 oa llE
t bor Cod.. fd rh. pdfomftc of rlI m* for which rtF Fmni n Lsu.d.
-l hrvc md will @i.r,io worich c.mFnsarhn insumtuc. &s rcaln d by Scrioi 3700 of rhc t bor tue. fo. rhc I'erfotrrw€ of
lh. mrk fo. which rhl\ l.rn ir i4srdl. My wd*ss drqEn$lion insuErcc c.trhr ad policy numhs @:
PnlilvNudbd
-ErD'rc{
-l
ccnif, thlI in lhc pofordkc oilh. work for whhi lhir pcmil is is3ued.l.hdl ml enirloy any IrMn in an, mrnm$ .r r. trmm $hitl lo lhc sorkc6'@tr{Enslion laws ofc|lifomi& Md r!rc th{ if I rhould he.onE sub}rr ro rh.
wo&ds onp..stion povisions of S.llion l7m of tnc latrT C.dc, I slqll. fonhwilh oirply with irDs l,mvlrions .
ll^RNlNc: Frilurd h sctrrc Norkcr' conpen\!ion ..tsnsc is nnh*ful. rtrl shrll $bicr rn cnDl.ycr ro ainrinll rcmlrics rnd
.iuil llncs !p b onc hundrcd rhou\rnd dolh tsl(x).lxxr), irr adiliri.n l. rhc cosr ol conrpensdion. dlm8c\ a! prvidd nn tnc
Sccri$ 1016 ofrlrc uhtr Cud.. inr.ic{ rnd rnormr'\ lrc\.
Lltutr,rl])-EoNra llaa
DITCLAAAIIOI
I h.Eby 3fflm und6l,erElry of Fdui, Un I !n lienicd ! lcr prelisk'n ofchryrd 9 {ohftrcing *nh SGcIion 7100) otDirirbn l
ol rlE Busircss ed Prcf*rions Cod.. anl d, lic€rr h in tull fo@ .,n .ft .r.
taxtirai.IclloNrElDltc-AliliNcr
I hcEby rlfii,n utrd.r Ir alr! oi Irtrjrrt rh3r rhr.. il r cntrnn,.rhn Lndins aAcncy ntr rhc n rtorlruNc olthc work tur shi.h rti\ p..nri n
i\\0!d (Sc. .1097. Civ C )
i IIIIICAILDECId.BAIIO
I tENh, rnlm und.r l[.aht oI p.rtury onc urrhc tullo*ins dslfflrio"sr
o.ft'lnion Pcrnrir\ Ashc{or Norilicdn'n Fc(cral Rcsuldi.ns (Tirlc,10. Pin6)
Rcrluftd Ir crof Norili.rrn
_l ccnifythar rhc rcdcrnl rcgulrrions rcgddirg drhc\lo{ rcnn,vrl e nor er'pli.dhk 16 rhis prcjcc!
lcsrilrrh.rI ltrvc lcad rhis ry,rlicarn,na srllcrhd rlrih,vc inloflmrion is.oner.l0!rdIoconlrywirh,llCirynnd Counly
ordinanccs md Srorc lj*s rchring ro buildinEcoDsrrucrnr and lrrcby,u'horizc rcprcscnrlrivcs .fthis Cily Md Coutrtyio cnicr Won rhc
uk'vc nf, iotrcd l,nJp.ny hr inqEcln[ purrbscs.
Applimnl o. AEenl signnlun:
Waste & Vent
Water-Under floor
Gas-Underfloor
El uilding Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Piping
Roof Drain
Tub/Shower Test
Rou h Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sa nitary Sewer/Cap
Back Flow Device
Eough Plumbing
Final Gas Test
Meter Release I I
FINAL 7 l? \ty unfl 7y t/I' r
COMMENTS
UNDER GROUND
Notes, Remarks, Etc.
D.t.: