HomeMy WebLinkAbout30142601 - PermitProject Address: 1345 N Cabrillo Park Dr
Assessor's Parcel: 400-141 -08 Lot: 1
Unit: 1 1
Block: NA
Bldg: Q
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (l'14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 301426,0{
Pin #: 45315
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Jonathan Trujillo
1345 N Cabrillo Park Dr, Unit 11-Q
Santa Ana, CA 92701
(925) 356-1 322
American Home Remodling
4375 Prado Rd #108
Gorona, CA 92880
(s51) 520-0654
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Shower/Bathtub
General Plan Update
lssuance
Microfilm Records
Amount
23.97
23.79
59.30
4.05
Qty
1.00
1.00
1.00
1 .00
Fee
$23.e7
$23.79
$5e.30
$4.05
State Lic #: 807029
Lic Type: C-36, B
Bus. Lic #: 5340
Workers' Compensation lnsurance:Carrier: Falls Lake Fire and Casualty Company
Policy #: FLA0079TT0Z
Expires: 0110112021
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approva! By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Bathtub Code:
R-1
VB
cPc 2019
Verduzco, Viobil{
Date:
Date:
Date:12t01t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Replace fiberglass tub enclosure.
Fee Total.
Paid to Date:
Balance Due:
Every permitissued shall become invalid unless the work on the site
authoized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
lnspector MID#: 2020-162764
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23.7e
$83.27
$4.05
$1 1 1.11
$0.00
$1 1 1.11
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
UNDER GROUND A
Waste & Vent '?'15.ru Ufu/&
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
! nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
It/ain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary SewerlCao
Back Flow Device
Roush Plumbinq
Final Gas Test
Meter Release l_/nt
-s)FINAL
Rema Etc.
I 0
OWNERBUTLDERDELCARATION
-I hscby aflirrn unds pcnalry of pcrjury that I m cxcmpt from the Contraclon' Licffc taw for thc following rcmn (Sc.7dJ
Buins od Prof*ion Codc): Atry City or County which requiro a pannit to snstrucl, altc. improvc donolish or tcaair al!
structue, prior to its isumce. alm rcquic the applicant for such pemit to 6lc a signcd statmot tha hc or shc is licmsal pmufit
to thc EovisioN of the Contractor's Liccnscd kw (ChaF6 9. Commcncing with Sation 7000 of Division 3 of thc Businx ad
Profc$ionsCode)orthalh€orsheiscxemptthsefrotnudthcbssisforlheallcgedexempion. AnyviolationofSetionT03l.5by3rny
applicantforapmitsubjetsthc applicantto.civilpoaltyofnotmorcthufivchundrcddollm($500).
_1. ro omq of thc properry. or my mplole with waga u thcir $le compomtion. will do the wort ud lhc snrclw b rct
intqdcd oroflsql for slc (Sa.7044. Busins dd ProfsioN Code: Thc Contractor's l,icme law doc not apply to m owntr of
thcprotmy whobuil&orimprcstluon.andwhodmsuchrw*himsclforhmlforthrcughhisorhaomcmploye.
providcd that such improvmmts rc rct intodcd or orqed for slc. l[ howwq. thc building or imtrovment is mld within onc ya
ofcompktion. thc Orvne Buikl,q will have thc hrdo ofpoving tha hc or strc did not hriH or impmve thc popoty for thc grposof
slc).
_1. 6 omer of Ihc propsty. dn cxclsivclycontracting wilh licoscd contracloE to snstruct thc projst (Ss. 7044. Bsins
ud Proftssbn Codc: Thc Contractor's Liccnsc Law do6 nol apply to il owns ofpropcny who builds or improv6 th6@n.
and who contncts for such prcjets whh a Contrrcto(s) licosed pun@l to thc Contractor's Liccme Law).
-l
m cxempt unds Sction-. B. & P.c. forthis llen.
hotn.
WORKERS' COMPENSATION
DFCLARATION
I hereby affrm under pcnalty of ffiury one of the following declarations:
_I have and will maintain a Ccrtificate of Conscnt to Self-lrsure for workers'comperrsation. as providod for by Section 3700 of the
Labor Code, for the performance of the work for which the permit is issued.
_l have and will maintain workers' compensation insurance, as required by Section
the work for which this permit is issued My workcrs' compcnsation insurance carrier
Carrier: fe /r / eot--
Policy 007 d Z
_l certi& that in the pcrformance of the work for which this pcrmit is issued. I shall not ernploy any pcrson in any manner
so as to become subject to the work€rs'compensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the labor Code, I shall. forthwith comply wilh those provisions..
WARNING: Failure to sccure workers' compensation coverage is unlawful. and shall
3700 of the Labor Code. for the performance of
and policy number are:
subject an anployer to criminal penahies and
compensation. damages as provided for thecivil fines up to one hundred thousand dollars ($100.000). in
Section -j076 of the interest and attorney's fees.
Z ZO
I hereby aflinn under penalty of perjury that I am licenscd under
of the Business and Professions Code. and my license is in full force and efhct.
f3{
9 (commencing with Section 7000) of Division 3
the cost of
0a7az 7
Licerse Class:
Dete:/2
W
I h@by amnn unds penahy of perjury that thae is 8 corutruction lc{ding agocy for the pcfol1mcc of the work for which this pqrnit b
issuct (Se. -1097. Civ. C.).
Lender's Name:
Lender's Address:
APPLICANT DECLI\RATION
I hs,eby affinn under penalty of perjury one of the following declarations:
Demolition Pcrmits-Asbestos Notification Federal Regulations (Title 40. Part6)
0 F*tred
Lat er o r Notifi cat ion
_l ccrti& that thc Heral regulations rcgarding asbestos removalare not applicable to this project.
--l
certi$ that I have read this application and state that the above information is correct. I agree to comply with all City and County
ordinances and State Laws relating to and hereby authorize representatives of this City and County to entcr upon the
above mcntioned property for Z //< "tApplicant or Agent
Permitee /Vr*
t .I
Owner:
/
faffi
It&ordPlt6/2e fq v\
vkofr