HomeMy WebLinkAbout30139894 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139894
Pin #: 60957
Proiect Address: 3321 W Borchard Ave Unit:
Block: NA
Btdg:
Tract: 3855
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel: 109-664-17
MARIANNE DEROGGENBUKE
332I W BORCHARD CIR
Santa Ana, cA 92704
(714) 545-6764
Fee Typo Amount
01116002 51602 Wtr Htr (Res up to 50 g. 22.25
011'16002 5160C General Plan Update 22.08
01 1 '16002 5160: lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$22.25
$22.08
$55.04Phone
Tenant Name:
Contractor:
Address:
Fast Water Heater Company
11715 North Creek Pkwy So
Bothell, WA 98011
(425) 636-7084Phone
State Lic #: 987398
Lic Type: C-36
Bus. Lic #: 319396
Workers' Compensalion lnsurance:Carrier: Liberty Mutual
Policy #: WC2291464563027
Expires: 1210112018
Single Family Dwelling
Miscellaneous
Plumbing
Occupancy:
Constr Type
Code:
R-3
VB
cPc 2013
Notes: Plumbing
Plannang Conditions
Planning Approval By:
Plan Checked By:
Permit Issued By:
Subject to Field:
Building Permit #:
web us V
Date.
Date.
Date:oat2 201a
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pefinit issued shall become invalid unless the wo* on the site
authorized by such permit is commenced within 180 days after its
issuance, or if the wotk authoized on the site by such pemit is suspended
or abandoned for a period of180 days after the time the work is
commenced.
$99.37
$99.37
$0.00
lnspector MID#: 2018-'145650
N/A - No Balance Fee Total
Paid to Date:
Balance Due:
Lot: 149
Owner:
Address:
Building Use:
Job Type:
Nature of Work:
PLUMBING-INSPECTOB RECORD
APPROVALS DATE tD/stG.
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release I
FINAL
Notes, Remarks, Etc t rl I 7l
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ofonpLlioi, 0E o|,M BuiUd sil h,E dr h,nc! ofpFvi.g 0Er tc or rt. did rcl h'iild or inprct lh. pmFrty lor lh. purpos of
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lrl I,lr{6sbi Cod.r Th. conituror s Licc.s t:w docs oor.rply to d owncr ofprcFny,ho blilds or improtr rh.lc.n,
and who @nrE rs for su€h I'oj<rs *nh a Co ack (s) ltcn*d nusu ro th. Conrrcloas Lic.ose Lrw).
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amcicftpl undcr Scol
UOBKEBS:II}IdEEJIAIION
DECIdAAIIIIN
I l*rcby dffirn ondd pcnllly of !.rj!ry oft of lhc folloqi.S dccli$liotrs:
Lrtxtr Codc. l(tr rhc rnnnnri( ot rhc $.* lirwhich rhu prnnir ( nnrcd
_l tule and will nuinhin workds .onpcisarion i.orum€. ar dloird by s.crbn l?m of rh. l,bor Codc. for lhc !'.rfomre of
rhc work for whth rhir Frn ! iriucd My wor*e6 .or{$sa oo iisure. cdicr at polty nu6b.r m:
Policy Nun$.!r-Dr rcsl
_l.cnifyrhsr inrhe pqfor@.cc dr rhc aork ror which rhh r.rnir k hsucd.l shtrll nol cmrloy.nylcmtr in rnt mnrcr
$ !s ro h.€m subjer to th. sorkcB onFnsalbn hws ofcalifomh. lnd !88lhal if I iholu bc.oft subjd btlE
wortcN smpcnstion r,ovisio.s of Sction l?0O oa thc L{hor Codc. I slEll- font*ilh owly *ith rho$ povi*k ns .
l{Af,NlNc, FailuE ro ecuE eo*c6 ompen lrion oveng. is !.hstuL ald sh,ll subjel o qoploFr lo aimiml pEhts lnd
civit iines u! ro orc hlndrd thousnd dolla ($!00,(x)O). in ddtion lo $c co.l of.on{Enslion. damA.s ni pro,A.d for ln
Serkrn 1076 ol rhc t hor Cod.. inifts1 ..d .tbrfty . les.
Applldnl:
I tcFNSltD c()N',rRACIlrl{
Drgr'If,lIllQN
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(..DrnEN rn! sirh Se..ri$ TdXl r ot l}irisi{,n .1
ol lhc lrusiocs\! l'retcsii,n\ Codc. arxl myli.cn* is in lnllturcc mdclli{r
LieNc Chssr Lic.n* Nurbcr:
Drr.: co tulor
caNsrf,lJcuaNtllllNciotiNr.r
I hdohy,ltrnrndci linslrrort'.rury rhnr rhcrc is, coNrrucrntr lcndine n8cnc, ror lhc pcrro.roncc oirhc Fork fff shich rhis p.nni n
i\s0cJrscc 1rr7. Cir C l
_l .dify rhdi th. fcd.ral rc8ruhrnrns EBrding astEd.s rnblal ,i. not ,rpticrblc ro rhis tnjdl.
-l
c.aify thd I h,vc rcld rhh rpplicalion erd iror. lhll rhc stoE infomrion G corer. I !!ru to oqn, wnh .tl Ciry md C6Mly
oldinrr€s and sr.rc L!*s EhriiS ro blilding.onnodio 4d h.rcbyllrlbriz. etEsenllliv.r ofrhb city ud cou.ty ro..lcr uFo rtE
ohow mnliomd pEFny for inspclion purpo.cs.
Appllonl or Ag.nt SI,lIduFl
P.mltc 0m (pdnl):-
afrifi[tfrNg.uuEDl-
COMMENTS
UNDER GROUND
Area/Storm Drain
AIEIICAII.IICLIAAIIQ!
I hdry anim undcr Fnllr y or ltrjury onc.rrhc follosing d6.'lr,rn ns:
tlmninrn P€,nils Ashcsros Norifiorn,n Fcdcral Rclllarions (Tnb40, Pan6)
_Rcq!nud llx( ot Norili@rioo
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