HomeMy WebLinkAbout30141922 - PermitPermit #: 3lJ141922
Pin #: 5675(\
Project Address: 2025 E Barclay Crt
Assessor'sParcel: 400-132-00 Lot: 53
Unit:
Block: NA
Bldg:
Tract: 8704
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner;
Address
Contraclor
Address:
Phone
Tenant Name:
Shady Lane HOA
2035 Barclay Court
Santa Ana, CA 92701
(7141542-8472
Cleveland Plumbing
6536 E Circulo Dali
Anaheim, CA 92807
(7141 348-2279
01116002
011 r6002
01 1 '16002
01116002
01116002
51602
51602
51600
51602
57770
FeeType Amount
Gas Line repair/replace 46.25
Min Fee Adj 26.10
General Plan Update 22.95
lssuance 57.20
Microfilm Records 3.91
Qty
1.00
1.00
1.00
1.00
1.00
Fee
$46.25
$26.10
$22.95
$57.20
$3.91
Phone
Chavez, Dave
Every pemit issued shall become invalid unless the wotk on the sile
authoized by such pemit is cofimenced within 360 days aftet its
issuance, ot il the wo* authoized on the site by such petmit is suspended
or abandoned for a peiod of 360 days aft6r the time the wo* is
commencad.
o211212020
Account#
Botchi:5{360 - 2l l2/2O2O I0: anoraleslE
Office: STYH Tronsi: 43 I of IAccti: Reft: 301119??
Rcpti:0289?{92 ' 2/ l?/792O l(r:19 AII
Tronsoct i on Totol tl5{t.41
(:levelond Plufrb ins
Gener(ll Plon Updote Fee S1'.' "')l:,01116002- il6r:rU(rUU-nicrofiix A Docu ents {ii"il
l:f l I161102- 1777tltifiti-
F'l u b ins 1.]lli,l:ili
r:l I I l6rlr:12- 5l6tr2uU0-I(:l Check [02(43 $1i6,41
Repair gas line for existing pool heater in enclosure.
$156.41
$0.00
s155.41
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
Occupancy:
Constr Type
Code:
B
VB
cPc 2019
Notes
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total2c-
$22.95
$129.55
$3.91
lnspector MID#: 2O2O-1577O8
01116002 51600
01'116002 51602
01116002 57770
Fee Total:
Paid to Date:
Balance Due
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
State Lic #: 956626
Lic Type: C-35
Bus. Lic #: 348045
Workers' Compensation lnsurance:
Carrier: Hartford Underwriters lnsurance Company
Policy #: 76WEGZU5812
Expires: 1011412020
Condominium
Miscellaneous
Pool Heater Repair
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNUR AUILDI.]R I)EI-('ARA'I'IoN
I hrrcby nfirnr undc(,.trilry oI pcrjury lhrr I rm.x.'npr lionr rh. GN1t.r,n Li.ctrsc la* ntr rhc rollosirS rcison ls(.1r.11 5
Bu\incls .lrd Pr(nt$irn (odcr: Any ciry or Counrr_ shich rcqtrt.{ . Fni io c.n{tu.r, rlta. inwovc. denrlnh or rcnrn Jn)
(rucrur.- pritrro ii\ nlurtrr.. rho r.qoir$thc lllfli(rtrr lat iu([ p.nnir l,) lilc r (ig .d nnrc *nr thrr ltor shc n lic.n\cd pursurtrr
k, di. fm$nrtr ol rhc (ttr(!.ntr s l,ilrtr\rd lls lchxpid 9. Cotrnrcn.o8 sirh S.crioo 7lxx) oI Di(ision ] oi rhc lturinc\! r/]d
l'rolt\\i,nN Cod.)or rh3r h...shc i\ cxcmDl rhcrclionand rhc hi\t ntrrh. nllclcd crcnl! i,,n nvvi.lirionofS..ii}r70ll5hyrny
srpli.rnt nxrpcnnit suhjcch rhc pplicrnrlo rcivilrc rlryol rx nnnc r1[n livc hund.cdiollrr\ (55(x)).
-l-r\
owncrorrhcpnrFny,ormyem oyccs $irh * ascs ns rh.t $l. .o rtcfsar i.n, will do lhe *ork od rh {nduc t Nt
ind cd oroltaicd Lr\rlc(SallB4. Bu\irc$ lnd Pn,l.s\n,n* C(xl. lhcConrrlcttr\l,icctrrlisd.c(trorrfflyrorno*ncrof
rh. prondy \rlt)triusor in[n,rc( rh.Rnr url {ho .les $.h *orl hi'h.llor h$tlfor rlt ulh ht or tur .$n c'nnh)}.cl.
[ovi'1.{] thsr su.h impmr cnrn( m fr{ in.d.{ or otlcErl li, *,b ll hNrl.r. rlf build'n8 r irnPmrcnrnr is skl *irhii o . }l
ofconDLriD. rlf, Owncr Bui0cr *illh$t rlr hxnhn offl(,vin8 r,rr h. or shc dil n, bdld o' imlft,E rhc la)lErly li'r rhc purr{{ of
l.n\,,tncrorrhc!n,|cd!,r i.!rlNlvcly..nrdifg$irhli..t\:d.o a.tnt)(n.rrlxln(ljccrlSc. l{}r1. Bn.i"r$
rn,l l\uli(\in fxlcr Thc Conti.rt \I i.cn\cLr{ doc\ norrt,Jn!t) iosicr.l t'r,Dcnr\ho huil \ or i'rln)u$rhcrc.t.
inl qho conrrad\ntr\uchrxscr\s[hiC(drn(rn(nlic.tr{alnurnr rhihcco tr.rtr-\ l.i.cn{c l;rvr
-l
oh.xclnpr undcr S.cliol
-.
B, & P,C, I0 rhh nason.
IQBf,.E8Ii:IPMIBSAIION
DESI.AEA:ITON
t ltftby a,fi.m ud.r Fnlhy of ,'dj!ry orc of lh. foltooiiS d€liilioB:
I hrrr idsill miinr!ir rCcniicrrcofCon\c rroS.llln\ordntr\ork!1iconDcn\rri,n,, \ Px,vdcdturhyScclion.l? )nfrh.
li'htr Qxlc, fr rhc F,rfoanrmc ol rhc rork lir shich rhc pdnnir i\ isucd
-l nuvc rnd *ill manfdin worlcn .omp.nlrnion insuftrcc. N rcquiod hy Ser ion ]700 of rh. Labor Cod.. 16, rh. l).rfornrEc of
rhc ,ork for whi.hrhill.nnirk nsuel. My compcnsdion i$ufuncc.rnicr rtrkl poli.y nunrbs rc:
\s.l \II' .l_-11 \Lo
-l
ccniry rhd i. tu p.rf.tmmc of thc sork nn ehth rhir pqmh ir ns@d. I shrll ml cnPliy dy Fnon in a.y lmffi
$ Btobeoms($Frro rs Lcn omFnsrion Lwsofcalifohia. Md 4ie thai ifl should tLtotu slbirl roth.
hi.cc onp.nsltn n pmvisbN of Scrion 3700 of ltE kbor Cod.. I dtrI. rodhwiih onq,!, wilh lhos Pmvlrjo.s
WARNING F ilur.
'o
$nrc wo.kc.\'co.rreosariinr.arvcr
.ivil fincr up ro.nc hundrcd lhou\lnd doll.rs (Sloo,fixD,
ssc ir unltr!tuI. aod lhrll slhjd! an dnploytr to aiminll pcmllks und
I h rhc con oi co'nncr\dn,n
::lldlsgi$,r,,orrr )<
lllqABil'IloN r
I h.rby firnund.rlr.trrlry.lpcrjurylharI li(nst undcr In,Yi\i' ol Chllns 9 (connrtmin3 wirh Sc.r ntr 7{rD) oI Divi\ion I
oI rhr Businc\\aid Ptulc\\n,Nco{rc. $xl nr} ltcnsc is i. fullli'kr dclri{i
ltr].D.."*"..
I hcrcny aifinnnftlcr p. rlry or!.rj'try rhd lhcre is. con{rucri,n ktulins r!.fty ror rhc lf,ri.flnntc ol drt work ror shi.h lht Nmi n
nsucn (Scc :10.)7. Civ C )
AI[].ICANI.I]8!:LAAA]ION
I h.'rhynilir und.r l)tnrlr, oltcrjuy on. nlilF li,lldvi'rg d..l,trrrirxrs
Ocnrnii,'i I'eraih A\b.{o\ Ntrrifi.rrion I'cdcral ResJlsltnr\ ( Iirlc,ll), Pn'r6)
-Rcquncd
Lcrrcrof Norifi.rrn r
\s;;ffi;rcgulalioN rgarding shnosrutuvdlrrc ol lrrli.abk ro lhB tmtrr.
bo i\ comr. I eBN lo s'rqly sirh all Cty and Co!trly
rizc Eprcsmillivcs ofthh Citylnd Co!.ryro cnl6 uFtrllE
\ rlfli..rn od srlcrhd lhc nhoE irronn
at$vc m.rioncd Dmpcny fo! itrspccl
\tpli nl r,\!.trISiAn l rr t o ID
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underlloor
Buildinq Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Pipino
Roof Drain
Tub/Shower Test
Rouoh 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
Sanitary Sewer/Cap
Rough Plumbing
Final Gas Test
Meter Release ll
FINAL 'z//l/?.O *'/q )
Notes, Remarks , Etc. / '/
Back Flow Device
L