HomeMy WebLinkAbout30142247 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 30142247
Pin #: 84328
Proiect Address: 2118 N Richmond Sta
Assessor's Parcel. 396-012-06 Lot: 20
Unit:
Block: NA
Bldg:
Tract: 3902
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
P hone.
SANJUAN DELTORO
2118 RICHMOND ST
Santa Ana, CA 92705
(7141 749-0768
Affordable Water Heaters ar
28358 Constellation Road, S
Valencia, CA 91355
(8s5) 345-9087
01 1 16002 51602
01 1 16002 51600
01 1 16002 s1602
01 1 16002 57770
Fee Type Amount
Wtr Htr (Res up to 50 gi 23.91
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.0S
Qty
1 .00
1 .00
1.00
1 .00
Fee
$23.97
$23.79
$se.30
$4.05
State Lic #: 627368
Lic Type: C-36
Bus. Lic #: 194604
Workers' Compensation lnsurance:Carrier: lns Co of the West
Policy #: WSA50g249T0g
Expires: 0110112021
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
Plumbing
web_user 07115t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Plumbing
Fee Total:
Paid to Date:
Balance Due:
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cPc 2019
N/A
N/A
No Balance
No Balance
$11 1.11
$11 1.11
$0.00
Every permit issued shall become invalid unless the wort on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the sife by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector lvllD#: 2020-1 60118
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS ()WNI:R BUII-DER I)EI,CARATI()N
I hcrcby nllirm undcr pcn{hy of Frjury that I an excfipt lionr thc (bnlracbs' l-iccnsc law for thc folhwing rcasotr (SN.7l).11.5
Busilcss nftl l,rofcssion Codc): Any City or County which rcquircs n Jrrmit lo conslrucl. altcr. irnprovc. dcmolish or rcplit my
struclurc. prior to its issuancc. illso rcquircs lhc trpplicilnl lbr such lErmit h filc a si8lcd shlcmnt lhal hc or shc is liccnscd putsudnt
t) thc provisiuls of lhc Contrnckrr's Liccnsd liw (Chaplcr 9. Cotrnncming wilh Scclion 7(Xn of Divisi(ln 3 of lhc Busirrcss and
ProfcssionsCodc)orthathcorshciscxcmptlhcrcfromandthchusislirrlhcalhgcdcxctrrpti(rn. Anyvk)lalionofscclionT0.ll.5hyany
applicantli)rilFrmitsubjccrsthc applicantkrncivilpcnaltyoftrottrDrclhdnlirchundrcddollars(S5(x)).
_1. !s owncr of the proFrrly. or my cllployccs wilh wagcs as thcir $lc conucnsnl knr. will do thc wotk afrl llrc slrr1rc is not
intcndcd orollcrcdforslc(SN.7()44.BusinessdldPnrfcssionsCo(lc:lhcConlr{clor'sl-iccnscLowdocsnotrpplyloanowncrof
thcpmFny wh)huildsorimpmvcsthcNn.andwhodocssuchur)*hilrsclforhcrsclforlhroughhisorhc.owlcmpktyccs.
providcd lhill su(h hnpm\rtrrnls m N)t inlcfllcd or olTcrc{ for sh. ll. lx)wc\ci thc huik ing or iryrerciltnl is skl wilhin onc }ear
ofcotnpldbn. thc Owncr Buiklcr will harc thc hur(hn of pmving that hc or shc di<, not huiu ot hqro\t lhc pnFdy lbr lhc purFr* of
$rlc).
_1. as owncr ol'thc propcrty. atn cxclusively conlrilclilrg with liccttsctl conlractors ttt cottslnlcl lhc projcct (.Scc. 7044, Busincss
and PmlgishrrCodc:ThcContractor'sLicerrscl-awtltrcsnotapplyt()un()rvncrofpropcrlywhobuilds()ritllprovesthcrcon.
and who conlracts for such projccts with a Conlraclor(s) liccnsctl pursuant lo lltc Conlractor's Liccnsc l-aw).
_l ant cxcllpl undcr Scclion-. B. & P.C. lor lhis rcasolt.
Date:_( )rvnt r:
WORKERS' COMPENSATION
DECI ARATION
I hercby affirm undcr penalty of perjury one of thc following declarations:
_lhavclndwill lrraintainaCcflificateofConscrrttoScll-lnsurctbrworkcrs'corttpcttsalion.ils providcdtirrbyScclioltST(X)ttfthc
Lahor Crxlc. lorthc pcrfrrrrruncc of lhc work lirr which thc pcrrnit is issucd.
_l havc 1nd rvill maintain workcrs'cotrrpcnsalioll insurancc. us rcquircd byScclion.lT(X)ol'thc Lahtr(trdc. lbrthc pcrlorlttuttccof
lhc work lor u'hich this pcrntit is issucrl. My workcrs' compcnsalion insuritncc carricr antl Jxrlicy nunltrcr arc:
Policy
_l certify that in thc performance of the work for which this 5rcrmit is issued. I shall not cmploy any lrcrson in any manncr
so as to bcconr subjcct to thc workers' compensalion laws of California. and agree lhat if I should becomc subicct to the
workers' compcnsation provisions of Sc.ction 3700 of the l-:bor Codc. I shall. forthwilh comply wilh thosc provisions..
WARNING: Failure to sccurc workers'compcnsntion coverage is unlawful. and shall subjcct an cmploycr lo criminal pcnaltics snd
civil fines up to one hundred thousand dollars ($100.000). in addition to thc cost of compensation. darnages 8s providcd for the
Section 3076 of the l-abor Code. intcrcst and atlorncy's fc"es.
Applicant:
I lcpxsgD c0t{TR lcT(rR
DECLARATTON
I hereby affirrn undcr penalty of pcrjury that I am licensed under provision of Chapter 9 (commcncing with Section 7000) of Division 3
of the Business and Pmfessions Codc. and my license is in full force and effect.
Licensc Nunrbcr:
I )alt'
CONSTRUCTION LENDING AGENCY
I hercby rllirnr undcr lEnally of lErjury that thsc is a constructhn hrding agcmy for thc psfomncc of lhc work for which this fsmit is
issucd (Sc. 3097. Civ. C.).
lxndcr's Namc:
APPLTCANT DECLARATION
I lrcrcby alllrrn ultder penalty ol' pcrjury onc of thc following dcclitral iotts:
Dcrrxrlitiotr Pcrntits-Ashcstos Notiljcation [:eclcral Rcgulations ('l'itlc 40. Part6)
-Rcquircd
l.cllcr of Notilication
-l
ccnity th{t lhe fedcralrcgulatkrns rcgardinS ashcstos rcmovdlarc not applicablc k) lhis projct
_l ccrlify lhul I hrvc rcad rhis applicnlion ad sldrc th{r lhc ntmvc inli)rntotiol is conccl. I ilgre to comply wilh all Cily snd Coutrly
odintnccs {nd Stdtc kws rclatirg lo huilding constructior. ard hcrchy aulhorizc rcprcsnlalivcs of this Cily nnd County lo cnlcr uF)n lhc
atnvc nrnthncd pmfrrly lbr inspcction purymscs.
Applicant or Agent
I'ermilee nttnre
I)ale:
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildinq Sewer
ArealStorm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trao/Drain Line
l\Iain Drain/Pool Pipinq
Fill Line/Back FIow
Pool Heaterlcas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewerl3ap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release tl It Z
FINAL tolu lfu D{a,M 7^(E
Notes, Remarks, Etc.
Expircs:
Carrier: