HomeMy WebLinkAbout30140265 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA9?702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Plumbing Permit #: 30{40265
Pin #: 76636
Proiect Address: 2414N Tustin Ave
Assesso/s Parcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 14-N Address Range:
Tract: A.B. CHAPMAN Historici No
Suite Range: ,4 N-3
Zoning: R4
Owner:
Address
Contractor
Address:
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92605
(949) 955-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8198
Fee Type
01116002 51602 Clothes Washer
01 116002 51600 General Plan Updale
01'l '16002 51602 lssuance
Fee
$13.97
$22.08
$5s.04
Qry
1 .00
1.00
1.00
Tenant Name:
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9211358
Expires: 0512612019
r urt
Building Use:
Job Type:
Nature of Work
R-2
VB
cPc 2016
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
w/O Panition (Unit 3) Code:
Date
Date
Date
Planning Conditions: All materials to match existing
Planning Approval By:
Plan Checked By:
Permit lssued By:
subject to Field:
Building Permit #:
Chavez. Dave
Every permit issued shall becone invalid unlessthe wo* on the site
authoized by such permit is commenced within 1 80 days dfter its
issuance, ot il lhe wotu authoized on the site by such peinit is suspended
ot abandoned for a period ot 180 days aftet the time the wo* is
commenced.
11t1412014
Account#
Expand coat closet opening for w/D in units with 2
bathrooms. No bedroom addition, exterior alteration
and/or addition of square footage proposed at this
time. Original P,lC performed under#10193842.
$91.09
$0.00
$91.09
l\4isc. Receipt:
lvlisc. Receipt:
l\,lisc. Receipt:
Total
lnspector MID#: 2018-147653
01 1'16002 5'1600
0'1 1'16002 51602
$22.08
$69.01
Fee Total:
Paid to Date:
Balance Due
Phone:
Amount
'13.97
22.08
55.04
t
ll
14121118 I0r (:,
nsi: 98 i
Rer+! JU14r
11/ l4l2r:rI8 3:tlcr.iq
l3t Auth+: !
Notes:
APPROVALS DATE tD/stG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarifier
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Ivlain Drain/Pool Pipino
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing
Final Gas Test
Meter Release
FINAL ulzqltP I *- 9,0""'1.1t1 ..|,/r(4rt-l
7Notes, Remarks, Etc -I
OWNER BUILDER DELCARATION
I h...by altm und.r ,.@hy oflnjury th.l I m .rc,.tt lDn rhc Orntro.loB Lic.ns. tlw for lh. followi.g r.en (5<.7011.5
Bu.iB! rd Pmfar.ioo Cod.): Any City.r Colnly which rcquiH ! Fftil lo 6.{tuct. ,lla, ihtht d.elirh or E?at ey
fltuctu.. nrior b ns i!s,M, als EqliGr fi. a|,Plicer for sch p.mt ro llL a iigrEd drr.nmr ln6] lE o. rh. i! lie.s.d pumt
to th. pmvi.iionr of tlE Coatlcror'r Lienled Low (Ch.pt.r 9. Cohmrins ,ilh Sftlion 7000 of Diviiion I of llE Buin.ai d.d
Pmfc*ions Cod.) or llEr h. or shc L d.hrt thdeEoi.nd rlE ba!i! for rh. .lLe.d a6p'ion. A.yviohlionofs.dionT0ll.5byany
applica for apmil ob.i*B rh. rprli.anl lo . civil p.@lly.fmr @rc ll . fiw huDdr.d dollars(tt00).
-1,
ar owr of rh. toncny, o. oy.$plorei {M {.9.. d rh.ir sl. corq.rslio., will do th. wort drd llE slocrw i. a,
inr.d.d or otl:Ed fo. eL (S<.?0{4, BusiRss ed PmadsioN Cod.r 'rh. Conhdol! Li(n* Lnw dod mr .'!t,ly io on o*M of
rh. pmp.ny slo ltrild, or i,qftvB $de'r ..d who do6 {ch w* hiorclfor h.elfor llNuSh hir or h.r om c6rl.y.c..
nrovidcd rhsr soch inpmrdr. semr hl. d.dorof6.dfo.ek.l[ t w.E itr hildin! or nq'm1Eft']l is $ld wnhinoc tw
ofcoq)htiol th€ owr B!i6d will harc tlE hord.n ofpmvinS dsr lE or ih. did ml ttild or nirnt 6c lnlIqry tor $. purr.* of
_l,.sownsolrn rmp.ny. d.xchrnrly@ rftrins qith lic.nkd codtur66 ro @trnrucr rh.lFjel (Se. ?M4.8!siB
ad Pnftsio. Cod.: I'h. Contr.ror! Lic.nec Low d6.r.or lpply lo &.eod ofpo0e.ry qho builds or innrev.. ih.ron,
6nd qho .o'nEcr! lor such !Ej(k with 3 Codmto(r) lirn$d ,uNa]tl b rn Conmdoa! Li.cns kw).
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ao cxchtr ufld.r 56l I & PC. forrhh r.ison
tLaarlSstcoMt[lsalla!olgtd8Alla!
I h.r.by lmm undrr ,.mhy ofpojury oc ofrhc followiry dcLElioff:
I hivc dftl\'ll rnnr rCrdifi.d.olConscnr()Scllln{kror\rukqs con,tcisar( . xr !()ttrj.(l lar htS.crmnlTol)ol r[c
lihtr(ide.,&ihrperrirnFncco,rhc*orklnrlvh'chrh.nci,nir's'ssu.d
_l hav. d will Dainiain work6 coriD.rootiof, iNr.Be. as Eqlt.d by S.crion l?m olfi. Labor Cod., fo. rn nrfo,mru of
rhc vork aor *hich rhh ,cmir i, iNtd My woilat oqEMrion iN6tu. @itr ati Flicy .unh.r e.l
tintztrmal
Quz<4,*.. 0s
)Ll cc.riry thlr in thc pcrrotum. onh. wo fo. whkh rhE pdit ii irs.d, I shs,l mr .mploy lny Dffin in sny mnM
m .r b iE6@ objftr b rh. Mrtd{ 6mp.mrio. l.wt ofc.lifomio, and asG thlr if I st lld bcmc bicl'oltr
wo.t6' onp.tr*rion tmvtione of S.<1ion l70O oflh. Lstnr Codc I shalt. fonhwnh conply *ith 0r* pDvi.ioN..
lvARNlNOr failurc to scurc cork.B srp.nrs'on co!.6re ( utrl,wtul, ,nd hjd .n ennloy.. to cnm'nalrcMlrFr dnd
civil li.ca un ro o* hlndrd rhousnd &Ua (Sl0{,0o0). o add m. ro th.ofcomn.nsarmn. dnms.r.s nrovdcd f.i rh.
lr Lobor Codc, inlcrc( and d$my r
(
I hecby alIm u.d$ F@hy.f p..jury lt, I m lietred ud.r pmvnhn of ch.pld 9 (dnrJlming eilh Scti,. 7000) of Divi,ion l
ol $. BuriB dd Pmfasioni Codc, ed my liccG ir h tull foE .rd .,L.1.
?>10t114t,
I n6c
cQxsrBucuorl,Ixl)tdc-aclN.cy
I lEehy 0IiirDUndcr r.nohyofpc4uryrhrr rhdr is. c.nntu.hn hnnmS ae.xy lorihe p..fomanc ollh.v'on( nn *hrch lhis pcmr s
Rsu.d(S(.1097. Cn. C ).
ATII.ICAII.DTCIdSAIIOB
I h6Et y a,tm undcr n mlry of ncrjury orc ot iE louowits ddlaral ion.l
D.mh ion Pemrirs-Aib.sios Nodnco' ion led.El R.rllarions (l irlc 40, Pen6)
-R.qur.d
L.lt.r of NdifEation
_lc.nifyrh rhefcdernlrcsrhronsresaRin!,sh.{osrcn$vilire.or.nrlicohlerorhispmjd
Vl ."nify rh"t I h.ft ."d rh, applic.rion .id dr6t..horc rnli,nntuon F cod.cr lilr.e
ord'mnc.s rnd Stsrr La*srtlar'ry roblildrnt cond and Counly to m!6 upon
atovc mntn'n d pmp.ny ior
t{
arn h.rcby lurhnir. repr...d,!v.s o
/{ry
PLUMBING.INSPECTOR RECORD
TOP OUT
Fill Line/Back Flow
Back Flow Device
Lend.r's Ad&r$'-