HomeMy WebLinkAbout30139428 - PermitProject Address: 2023 E Barclav Crt
Assessor'sParcel: 400-133-01 Lot: 52
Unit:
Block: NA
Btdg:
Tract: 87(N
Address Range:
Historic: No
Suite Range:
Zoning: R4
E
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7'!'4) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{39428
Pin #: 66766
Owner:
Address
Contractor:
Address:
Ken Collopy
2023 E. Barclay Court
Santa Ana, CA 92701
Amedcan Home Remodling
4375 Prado Rd #108
Corona, CA 92880
(951) 520-06s4
Fee Type
01'116002 51602 Shower
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
z',t.42
21.25
52.98
gqt ch+:43724Bffire! (:TYH
Ac(tie
Rrpti:0??636
Tr6nEoct ioo
Plurb ing0 l6tr0?- 5l4s?tr[u-
GEnerol Pl(n Updct e
01116011?- 51(000r:[:r-
ICL Che(k 8723
Qty
1 .00
1 .00
1 .00
Fee
$21.42
$21 .25
$52.98Phone
Tenant Name:- 1/t4
Tr nn
itt -:
total
Afier i ron Hofie Refiod 1 i
A
Phone
State Lic #: 807029
Lic Type: B
Bus. Lic #: 5340
Workers' Compensation lnsurance:Carrier: Falls Lake Fire and Casualty Company
Policy #: FLA00797700
Expires: 0l/01/2019
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Bathroom Remodel Code:
Chavez, Dave 4L
Dale:
Daie:
Date:
R-t
VB
cPc 2016
ost14t2018
Account#
lvlisc. Receipt:
lvlisc. Receipt:
l\,4isc. Receipt:
Total
Notes: Bathroom remodel - tile walls lor bathtub change out.
Every pemit issued shall becoma invalid unless the v,/o* on the site
authodzed by such pemit is commenced within 1 80 days aftet its
issuance. or il the work authotized on the site by such pemit is susponded
ot abandoned for a peiod ol 180 days after the time the wo* is
commenced.
lnspector MID#: 2018-143333
01116002 51600
01 1 16002 51602
Fee Total:
Paid lo Date:
Balance Due:
$21 .2s
$74.40
$95.65
$0.00
$95.65
PLUMBING-INSPECTOR BECORD
APPROVALS DATE ID/SIG.COMMENTS OTVNIjR BU!LDDT I'ELCARATION
I hcrcby rfllrn !tutcr Ffulry ,,f tcrjury thd I {n cicrpr riom rh. Conrrucro^ Li.cn\c Ii* ntr rhc f{,lkNir8 r.as (sLc.70ll.5
tlusinc\s lkl Pr.Lsrn CGic) Ant airy or Gunry *hi.h Rquncs r lf,i,nir ro .on{n.r, rlru. nnri(ivc. dcftrlish or Elnrn any
nnctur. nrior lo ns issuorce, lho rcquncsrhD rfpli.inr rbr \r.h t'ciinn b ib a si8rrcd sr cnEtrl rhd h.or snc is liccn{d ph! l
io rhc J)ft)ri\i'na ol rh. C.trra.ktr s Liccnsci L.w lchdprd 9, Com rn.nrg wirh Sr.rion 7Un ol t)ivision :l oi rhe Busincs( and
Pmrassi(nr\ ('odc) or rlDr ncor shc iscx.nu l[c.crionrnd rhcbd\is ttr rhc !l]c8cd cxcmptis Any viohliorofScclionl0.ll.5 [yony
upplic!nr for. F nrilruh]cclslhc rrpli.anr ro rcirilpcn,lr!oln.r morcrhrn livc hundrcddnllnn (35(xr).
_L $ owF of rlE |roF ry. .r m, cn0loyr.s wnh wrgca N rlEn sk @mpcnsrior. wi[ .b llr wo* &'d rr stndc B mr
inrddrt or ofisr.n aor slc (SN.7044, Busircss .nd Pmacssions Codc Tnc Conrraclols LienF L.w .loca mr aI,F,y to an owid of
rh.pbFny wt builds o, inp,ows rlx@n..]d aho d6 ikh h* N@lf or hcrcltor drcugh ht o. hcr own.mpl6ye3.
pbvi.,cd llul sh iq,reffils d mt inLnd.d motu lor sL.lf.lxME E tDildirym nl{,lwrln is sld *lhinm Fr
nf 6'il,lclbr llrc Owr Au ftr *ill hlE dr t{ .iolpmvin8 td h. or rrE dn mt h{in or inprDE tE poFry aor llE pttpo*of
-1.
ai owmr of ltu ,mFny. !m cxclusiv.ly conlr@lin8 wnh lenrd contelou lo snslrud llE p$jel (Sc. 7044, Bu,ims
ad Rnftsih Codc: Th. Cohkeroas Lk.n.e Llw dcs ror apply ro o oumr of pmlErry who builds or impo!.r rhc.eo.
.nd rho onta.ls Lr su.h pDj(B wilh a C! ndoils) IieiFd pu^ldl ro rhc C$ntmloCr Li..nr Lrw)
-l
rm.xcml uMcr Sdiotr- B &PC forrhi\ici\otr
L rr (nrnrr
UOBf,Ef,f,:ljOMTEIIAII9I!
DEqIdBAIIAN
I kr.hy af,lrn und$ Frdry ol pcdury onc of rh. lollo{inp dcclod ioos:
Ihn\.r qill'tuinrri rCdnilic((ofcoi\ctrrk,Sclfl'r\urul{r$orlcnconllisii,,n.nsF,viJrdfttrbtSc.nli:lrlloufrh.
Irbor (irdc.ldr rhc pdnurn.c.rrhc *ork lnr*hi.h rhc pcnnir i\ i\suc
_l hrvc ond will roinhin *ort N compcnsalion insuraB.. ar BtriB, by Sdio. l?0o or rh. l,hor Codc. for lhc l,crformmc of
lh. work ftr whth
'hk
pcmit My aort 6' conpcndb, i.summc cMtr a pli., nunb.r G.:
t-4-{u o zo
-tenily
rhal in lhc Frformtre ofthc work for vhth lhk Frmit is issucd. I shlll nol cmploy lny I'.son in any md.cr
s {\ ro b.enE sub}*r to rhc eoliod onpcnqrbn hws of Califomia. and !8rc lhr| il I sh,uld bc.oft subi{ ro rlr
wortc6' om{m$l ion prolisiotrs of S*tion 3700 of lhc L.bor Codc. I ndl fonh*irh oflrly wilh lhoc povhiotrc .
WAtNlNc: F,ilur. ro surc workcs' ..np.nsrrion ..khgc i\ unliwtuL nl shrll suhjN nr! cmploler ro ainri.ol lcntrlti.s Nd
civil ntrcs up lo otrc hundnd ihou$nd dollffi (Slm,mo), in ion Io lhc.osl ol.onDcnsnlion, dom8cs as providcd for thc
Sccrion 1076 olrhc tih).
DEIIASAIII}N
I h.rby alttn ufldcr rcnlhyoircrjury rhlr I ah lie"Ed undcr pn'vision orCnap6 9(.onftncinp wnh SBrion 7fiD) ofDivi\ion l
of lhc Busiftss ald Pmtt$ions Codc. ad ny li.cn* is in tull LNc rnd .tfcr
0"r", 5
C(INSTRT]CTI(}N I T-NDIN(] A(;DNCV
I hcEby ar'lirmundcr p(nrhyoircrjury lhir rh.rc n a mn{nEIn,n k.din8 l8crcy ior rhc pcnn.oErcc oirlE $ork tr shi.hthir trmn ir
issu.l (SLr 1097. Civ C.).
AITUIANI.DDI;LIAAUON
I hsdry dnm uidc, p..ah, ofp.,jury onu ofrh. rolkJsins dcc&rorionr:
Dcn{lirii,tr Pcrmih Asbcstos Norificaln,n Fcdcrul Rcsuhlinr ( rilb 40. |,fi (,
-Rcqricd
Lcllcr ol Norifi carkri
I cdily Ih,r rhc rcdc.al rc8uh! ions rcBardin! dsh.{os r.tu)v,l ur. .or umlElbh to lhis tmirl
-l
.cnify thar I h,rc rcad thk spplica sd sltrt rhar thc ak,vc nrlonMriotr is romcr I arE Io ohDly wnh .ll Cny md C.un'y
odinan.cr rnd sratc tiwsNlding ro hfi.by.ulhorizc rcprcsctrhlivcs oIlhk Cny rnd County
rtlrc nttrri{rncd pfl'lcnt lnr
,\pplicrnl or Ag.nl Signol
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
G as Piping
Roof Drain
Tub/Shower Tesl -77t ,/ft 5.W4s",14t+fl{
Flouqh Water Heater 7
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing 6/hlr^3Y.N M4
Final Gas Test
Meter Release
FINAL ;/4A/l< 'i.h. rr
Notes, Remarks , Etc.
,€ozaz7
Lcndd.i Add.s:
-
Pemilemmc(pnnt) \a
POOL/SPA