Loading...
HomeMy WebLinkAbout30121285 - PermitCity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702 PermitCounter:(7141U7-5800 lnspectionRequests:(7141667-2738 Plumbing Permit #: 301212A5 lnspecto/s Section: (71 4) 647-5853 Project Address: 2618 N Louise St Suite: Block: NA Bldg: Tract 1980 Address Rang6: Historic: No Suite Range: Zoning: RlAssessoisParcel: 001-145-05 lot 27 Owner: Address: Dan & Barbara Dutcher 2618 N Louiso St Santa Ana, CA 9270614'15 (714) 558-2975 Fee Type Amount Wtr Htr (Gas) Res/Com 8.55lssuance 34.00 Qty 1.00 1.00 Fee $8.55 $34.00 Phone: Tenant Name: Contractor: Address: Fast Water Heater Compan 12601 l32nd Avd NE Kirkland, WA 98034 (800) 454-8955 Botch+:251{ - O3/2O/07 I0: llG0ltZALEZoffice: CTYH Trons3: I I of IAccti: Refi: 30t2l85 Rcati:00118136 - 3/20/2007 9.13 Al1 Tronsoction Totol l{2.55PXB controclor Fost lloter Heoter Colcong Phone State Lic #: 877/tE9 Lic Type: C-36 Bus, Lic #: 3'19396 Workers' Compensation lnsuranceCarier: State Fund Policy #: 1761660 Expires: 1AO1|20O7 Plurb ine Ch eck 2S11 t42.35t{2.55 Single Family Dwelling Alteration Water Heator C/O Occupancy: Constr Typ€ Code: R-3/U-1 V-N cPc 2001 Notes: Water heater direct change out. Mail-in permit. Planning Conditions: Planning Approval By: Plan Checked By: P€rmit lssued By: Subjecl to Field: Verduzm, VioletJ J Date: Date: Date: Misc. Receipt: Misc. Receipt: Misc. Receipt:03120t2007 Building Permit #:_Fee Total: Paid to Oate: Balance Due: $42.55 $0.00 $42.55 This pemit sha expirs by limitation and become null and void if the wotu authoized by this pemit is nol commenced within 180 days from the dato of this pemit, or if lhe wotk authodzed by this pamit is suspended or abandoned at any time after the wot* is commenced for a period of 180 days Belore such wo,* can be recommenced, a new pemit shall be frrct obtained to do so. Account#: 011-01-5912 lnspector MID#: 22608 Building Use: Job Type: Nature of Work: PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS UNDER GROUND Waste & Vent Water-Underfloor Gas-Underfloor Building Sewer Area/Storm Drain lnterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Pipeing Roof Drain Tub/Shower Test Rough Water Heater POOUSPA P-trap/Drain Line Main Drain/Pool Piping Fill Line/Back Flow Pool Heater/Gas Line Misc Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbing Final Gas Test Meter Release Notes, Remarks,tc. Oc-A!il& D..Lnb! I haty.firo ud6 p.r!y of FIry rh.rl6 daB 6m tb Cod.qon Lle t w 6.6. hlb$a8 !!$! (870!1., Bui... .rd ProtuD! Cod.) Ar, Ci, o. Cosn, 'diCt,!q!ri!. FEr lo.odtl.(.r.. !!9.a!r, dtdollr o, E .i rr,.!i8 ., Fbi to baai.., .t nqdg rl. .r?Ion lb. o.i Fai! 6 [l. . riarC E6 rLr n or rL i lib..l Ffi.n ro lb Foviior oto. Codr.a.r'. Licd.d rre (ClrP(. t, C.ffiint til Sai.h ?dx, of Divi.bn ! of rt Buina Dd Pr.L.!b! C.&) or O.t !. s.[. n @F i!.don.d l[. b..i io. O. d]q.d dorio! A!, vi.Ldon ors.cil. 7o3t 5 ty uy .l?li.r 6r. FEi our.ar 6. .rrli:n b r .ivil ,.!.iy of d d6 ib! n6 lEd,td &ll,r (iJOo} _I. { o*E of rh. D.oFty, or hy 69Lr- wilh r.a. u th.i eL @nl,a4rbn vill do ib wqt &il tu dru.rr. a Dt ldidC d olla.d ld.r. ( se 70.a, B'l,iE rrd Pr!ft..iE Co&: Th. Codrso.l Lid L.r &{ Dl..olt !o u or€ oflt. FiFr, wio lcili. 0r iE€.!v. 6d66, d *to do. nd ,o.t li016 !.xU o. &o|{! ti d lr oE .dpbr-, FlviLd lbl''dihprot*llt e rct illai.d or oir.d 6t ,.L I(, h.e.E, t!. hildi{ d bprmerr i .old wilti! oE ,!, of corplt ioA tr OrE Buildg sil h.rr $. urdd o, Foiui t t L or O. d tq'lll o, iap.or hr O. D.rrp... ofd.) _1, u o9g of lt. FlFty, u a.l]utirt cooEla!| en' &.'..d @elqDr b oEla lb Fois ( Se Xa., Bui'.. .!d Piotsion Codi IlCo r@l Li(@ Usrld er.rptlo uorr of FoFty*llo loilL ( !EFo{ tt ..on. Ed rno 6e.6r tu rxl Foi'ar si[ . Coard(.) Iia.d F ut to ll. C.ctdor'r rj.-r. L.r ). _l d adpt lndd S*tio. -4. & P.C. lor tli i.&n D.e OrI: lalfrBrcalrlEtArroa.prcu8axlQd r h..!, {rm u!d. Frt, of Fia, @ of t!. folb'q d..tndE _l t v..!it will dir.i.. Clti6or. olcorrd !o s.fllr. tu Frt-' @ororia l. F@id.C f.r tr S.aion 3100 of li. Lho. Cod., tu lb F6,t.E of O. Ei tu !.'til l!. FEi i ia.a _I hv. .it ,ill dinri! Et- 6q.dio! nEJru.., .. ,qund b' Lai.n troo orrb rrbd C.d., Sr rh FbrEE orlbElt lbr wti.:t 6it F6i i. ir.u!4 My mll.'r' coEgdrtirr. iMc. (rnii rld poli., tiltnlt rr.: Ons4crboddt @oob.d if tb FDr n for OB htld.d &lLr lll@) d b.) _l cdriry br Dl!. FforE d ofu. wr fo. rti.t Di FEn i ite 4I rt ll m. Epb,.ny Fron buy!.,re r io had &br.(r D 6. st-r coqdrir ty o(C.li&ri.d {E lbr ifl.to!5 t ood.6jd !,lt rulrt' 6npdrih ,.@i6a ofs.cd !700 of $. Lbd Cod., I ll.[ bdlril .ol4t ri! tb.. Ftriri.E.. r-E4- WAtNlxG. F.b6 ro B! wl6 6|qd.riD .otna. i @lrtul .!d tb[ Nlj.a e cpbF lo 6bial ,atb rld .ivil tlE u, ro oF hD.L.d rtoulrl do[.r (tl oo.oQrtr d.litioa b U. .!d ot @aoilir\ drdar. u Fdid.d br tl'. 3..&n !116 d dr Lbd Co.L. irarr .!d 6c8yt &.. uclNtrD.coNrracrar!,.DrcutdE9! I b..!, dl6 u!& FrLy ofFiuy t!( I 6 li..!r..1 u!d.. royiioa of O.p.- 9 (6Dad.iit vin Sdir 7@0) of Diviio. t of tu aaiE. .!d ?r!todoo C.d., lrd a, li.r. i b tu[ br .rd .fd Llou Clu:_ Lioa!. NuL D.rl Co!i..rE COlqI&Eq[l.lloEqIGllCI r t.$, .!t! u!d. r-rt orFiE, rLr lht i r dtdE bdit rF, t tFt rD.t6. 'qt a. r'ti.l rli,rrr a h.d (!& !09r, Civ. C) arrl-rcax?l nlcr {I Ttox Dcl.nr P.ailAb-- No.illorir F.d.rl [ra!5iE (IiL aq rIr 6] _ arq!i..! Lnq ofN.iil'G.tild _l 6dry Or tl. 6dr.l ,.8uLtir Elrrdr8 sLao. r@hl E or .pplt bL lo tti p.oir.,. _ I dtt fit I h.v. r.d lii. .p9liqlb! .rd ftn d\ t .t !r irfordrb. i 6ia I .tlr ro @89! ei! .ll Ch, .!d Coudy odi E. .d Stl. r:m Ebdnr to hiui.! 6m{&a .d hrdry l'Ilolia l?i.adE of$i Ci, .!d Cod, to .nr l+.. O. .!.E rarin d For.ny 6. in .cih Frp.€ 4?li..d c .|d lti; D.r. I I III 1l I = OWNER.BUILDEB DECLAAATON I HEFEBY AFFIR' UNDER PENALTY OF PERJUFY T}IAT ,I AM D{EMPT FROM THE COi{IHACTOBS UCENSE LAW FO8 THE FOIIO],,IIAIGEE @N (sEc. mol.5, BuolNESs AND pBoFEs{$s-_gqDF A}ry cny oA corniry !fuLi BiEoJinE-a iifriirlci cc,usr*'o', n,=o .lMPRovE DE''tousE oR HEPAJB At'ty srnrrcruBE, pRroR To rs rssuar,rce, aGd neritifieriile;$Fuc ifi iijRs'rii "eosrr ro nrt aslGNEo STATEMENTTHAT HE of, sHE,s UCENSED punsurrr.ro rre pRovidriNs or rue Cormncrons'uiler.r#Gi"tur,qrrm s( coMMElloll{G_wml sEGIloN moo} oF Dlvtslo_N3 oF THE BUstNEss AND pRoFEssto}.ls cooE) oB Tt|At xr on sge s ri}Mpr THEFEFRoI,AND IHE BAsls FoR rllE AtlrcEo Dq!S!qt.Ar.{y vtot ATloN or secror.izosrs sy ANy Appuc,qxr ros r, pEtr/|rili-rulili i#.APPTICAJ'IT TO A C[i4L PEMLTY OF NOr MOPE T}IAN FIYE TIUNONO POI-LIN6i+6OO.I: J.49-9ryq ql!!E PRoPE?TY, oa- rY ElrpLoYEEs wrH wAaEs as inni solr ooi.rpENs{trofi, wnr Do r}tE woR|! A!{D THElEtlglllE F ig-.r $rrEtlDo oR OFFERED FoR 9ALE 1ssc. zoll, eusnesd lHo pnoressrolts cooe riqe coMrnAcrons ucENsE LA\yDOES NoI APPLY To AN O{rl{ER oF r}lE PR@EarY WHo Eutt-bs oB tMpfiovEs THEREoN, uro wtro, oOrs surin woax musa_r 6nHEffSEtr on THBot GH Hrs oR HER o.rrN EMptoyEEs. pBovtDEo llAT sucx iuinovEuefrc drE tgt tmettoo on C,imp Fofl sArE tF, !!'lryE_vq& EF. I'JltDlNG oq nrPBovEuan B slLo WTFHIN oNE yaAn or couplEnolr, rxe oivNEiiiijrujEh wrli ne-vE nre aunuer oapaovNGTHAT HE oR sHE DID NOI BUtt"D qn tMpBc)\,tE FoB TltE FunposE oF EAIE). -J':Ao OvrNB oE TllE PnOPEBTY. AM P(cu,stvELY @+IIRAfiHo wmr udelso cot{IHAcrofls To coNsrBUcT TuE pRorEsr (s€c7o'+4, Btr8lNEss Al'o PqoFEssloNs coDE:llE coNrRAsroRs ucErce I w DoES Hor ApFLy ro Ax i]wNEn oF iEopErirv wno zuus oelMPaov_Es_fiEFEoN, Alo.wtto coNTRAcrs FoR sucH pnqrEcrs wm A oolnucron(s) ucelrseo rurisueln ro ire cor.rrnng.ronsUCETISE IA!iIJ. _I AM EGI,IPT (hDER sEA - , B.(P. C. FOB IHIS REASON arA l .UCENSE c36 LEE}TSED CONIRAC'OBs DECLARATION I HEFEBY AFFIRM ullDEB PEI{ALTY oF PER.IURY T}[AT I AM ucENsED UNDER pRor,nsrcNg oF GHAPTERq!9.o\rygsryg_qtt_wno|,r 70oo) oF otyEtor{ 3 oFrHE Eu}tNFss ANo pnoressrors 6r,.rxb r,ii uidiss rs $tFUI,I FORCE AND EFFECI- 877489 gllls sEcTlO{ NEED NOT BE CO|TIPIETED tF THE peRllr lS FoB oNE HUiDRED OOLT.AFS (trml oR LFSS. _ r cElry}ry N.rtlE PEnFOFI!4fEF OF THE woft( FO8 WHIOH THrg PEBr T tS tssuED, I sftAlr Nclr EMpLay ANy p.ERsorJ tN ANyrt NNER so a9 To EEooME &,,Ei,Eor ro rHE yyo6re$ oot{FENSATIo LAv{s. oF cAllFofllllA AND AGREE nur r t grour-oigeor,r EI|{$ffiH tHE WoRKERS'o:oMPENsAxo\t PBovlsloNs oF eEqrtoN szoo oF rHE t-eeori cooi, i aHAi itnnrwmr cot'rpt-i wmr-rrcse DArE 3114107 a-,@Y)kPa.,ka? WONKERS @IIPENSATION DECLABATIOT{ I HEF€BY AFNBM I'NDER PENALTY OF PERJIJBY ONE OF THE FOI.T-oWINO DEd-qFANO}TS: J [!E8!o:wtLL lrAlNrArN A cEFnHcArE oF c-o$EiENT To srEtr.{NsuRE FoR IToBKERE coi/rpENsA'noN, As pRol4DED Foff By sEclorr 3?OO OF II.IE LABOR COOE TOB THE PERFOFMANCE OF tHE WOFK fuH WI]ICH T!8 PERMTT ls E{IUED: ' ' ' ' ' ' ' ' !'. ryye-4ryg1qt q44ryrn wofiKEns, colrFElrs roN rrilsuaANcE, As moumED By sEcnon eroo oF rHE r BoR cooEFoB rI{E PEFFoBtIA}'lcE oF rHE vYoE( FoB wHEt nts pe$fir s ts6ueo. uy woFxens coMpeNserix iltsuRANcE cnairEn mo poucv NUHEERARE CAFIRI California State Fund POLI 1761660 APPUCAI TS DECtrqRANON DEMOLITION PERMTTEASEESTOS NONNCATION FEDEML BEGUIATIONS OITLE 40, PART O) BEOUIFED LET'M OF NOflFICANON I CEf,TIFY THAT THE FEDEML FEGUI.ATIoI.IS FEGARoING AsBEsTos BEMoVAL ARE Nc,I APTCAaLE To THIS PflO.IECT. X X (b,;*72 qz,.-zaa? slcl'lArunE oF APPucAtgrcB ffiFW RrnO"ll ICERTIFf fiAT I HAVE FEAD THIS APPUCANON A}ID STATE THAT THEAEOVE INFORMAI]ON IS CORRECT, I AGHEE TO COMPLY WIT}I ALL OITY AND COUNTY OBDINANCES AND STATE IAW FETANNG TO BUILDING COi.ISTHUOIO . AND HEREBY AUftIONTZE REPRESENTATIVES OF THIS 'IUNTY TO ENTEF UPON 'TiE AAOVE. MENnoNEo pAopERTy FoR tNspEciroN punposEs. 3t14t07 DATE PER,\,ITTEE NAI/IE (PNIffi)1025/m FOR S/BN