HomeMy WebLinkAbout30140277 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 3lJ14o277
Pin #: 33879
Owner:
Address:
Phone
01116002 51602
01116002 51602
01'116002 51600
01116002 51602
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
The Bascom Group, lnc
26 Corporate Park Drlve, Suite 200
lrvine, CA 92606
(949) 9ss-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, Tx 75006
(972) 8r8.1065
Amount
12.70
11.97
22.O8
55.04
Qty
4.00
'1.00
1.00
1.00
Fee
$50.80
$1 1.97
$22.08
$55.04
Phone
State Lic #: '1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCo139070
Expires: 0l/01/2019
iiel+ ' rl-r 'r 1/'/1r,/'?trl i
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Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Bullding Permit #:
Dale:
Date:
Date:Chavez, Dave
Every pemit issued shall become invalid unless the wo* on the site
authorized by such pemit is commenced wilhin 180 days aftet its
issuance, ot il the work authoizgd gn the site by such permit is suspended
or abandoned fot a pedod of 1 80 days affer the time the wo* is
commenced.
11115t2014
Account#
$'r39.89
$0.00
$139.89
lnspector MID#: 2018-147694
01116002 51600
01116002 51602
$22.08
$117.81
Assessor's Parcel: 396-261-55 Lot: 8 Block: A Tract: A.B. CHAPMAN Historic: No Zoning: R4
Tenant Name:
Conlractor:
Address:
Multl-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Fixture change outs (unit 2) Code:
R-2
VB
cPc 2016 Fixture change outs unit 2Notes:
Fee Total:
Paid to Date:
Balance Due:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
FINAL
Notes, Remarks, Etc
OWNER BUILDER T'EI-CAX IION
I hGby amm ui.h. D@lry of p6iuy lhn I 6 .x.nfl fmm rlr Conlrrcrm Licoc llw lor rh. folloe,E l.en tse,70ll.5 iBurinB, r.d Pmfaion Cod.): A.y Cily or County *licn EquiB a Fmn t. onntu.q .h6, imnroq d.mlnh or EFn ey
smcre, nrhr ro tu irsanc., al$ Equt* d. aDDlic6 for tuh ,.m,r h R!. , riSn d rllrcN.l $!t hc or 3h. n Ic.N.d pu@ol
to th. pmviuioN of $. ConrBcld! Li.enNcd t , (Chrrr.r 9, Colm.min8 wirh S..rion 7000 of Divbion I of th. BBin s af,d
Pblc$iont Cod.) or thdr h. or !h. i,.xcipt rh.Eton rrd th. bdis for rhc lllcg.d dcm ion. Any eiollrionofselio. ?011.5 by 8ny
annlic.nl lor a p.mn objft$ rh. arrlica to a civil !.Mhy of mr mE rhu nv. nu.dEd dollm ($500).
-1,
&s owr .f rh. pdp.nn or hy cnllo)r6 eirh ql8a a rh.t $k @mr.Mrion will & 0E qqt dd
'lE
nnd@ h ml
i.ral.kd o. ofr.Gd fo. eh (Sa.7044. BusiK rnd Pof.sioN C.dc riE Cor Eclq t Li.m* t{s &4 mt !r0ly ro tn ow of
th. Fop.ny wlD hlil& or iq66 ,t6r &i wlb drB Mh *rrt hiNll or h*ltor rtmuSn hk d h.r oM.nDlore{
pmvil.d rh6l sch inv,mwnkEmlisd.dmordldformL.l[tF!@,$.lliuinsoriqn\)lm.rG$Bwnhin.myla
otonpk|io|\ tlE Osrr Buih6 wulh.rc tlE biinLn ofp.vilg dd n trdEdil mt hild or MpoE tn. pmpdry &r iltt'n,po* of
_1, tucowrofrhclmt ny, rmqclusiv.lyconl6cti.3 with lic.ns.d .onl6ctoR to con(tucl lh. pmj.d (Se ,044. BB'n $
rnd rof:$ion Cod.:'l hc Contractor's Li..nrc Law d..i nor lpplyro r. dwn.r ofp6!.dywho build. or imr.oEr lh.r.on.
.nd who 6.lBdr for sch pmj..ls wilh s Conr6do(, lic.nkd ,usunr io rh. Conndo. s LiccnG Llq)
I m.x.m0 udcr Sel B.&PC aorlhhramn.
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DECI.ABAIICN
I hcEby lmrm und.r pmlty ofpsjury oft ofllE followin! d(ldlions
I [rrc irx]qnlrrdrir.ccdrn.0rcoicon*nt roSelllrnrr n,r $orlcrs corp.nsrrnrn. !s pmrided litr hys(ii,rnr7t)0.Irh.
I rhtrQxle,lirrh. nerinnnnceolrlt*ork Lr $h'chrtu nennn r Fsucd
I hlE .nd will minrlif, wo*.n conllEnEtion iNErq s Equircd b, Sdrhn 3700 of rhc libor C6d., f.r th. pd{rmm. of
rlt aorl for which lhtu r.mir ir is.d Mysqld otru.nerion ieE.cc cane.d Flic, mh.r e.:
$l.:Jtr.,rt Caf.^'*415-.a
_l ccnify $ar ilrh. I).rlor@N. of rh. wort to. which rhi. p.ron is i.scd.l stall ml .mlloy a.y p.mn in ony nlnBr
$ d L b.come subjet to th. wortm' cotrp.tr*tion loss ofclliLmia, 5nd asd rblr if I slFuld 166ft sl,j.rt h lh.
wod(6' ompcrelion pmvisioni of Sclion l7L{} ot th. L.hor Codq I slEU. fonhwirh omrly wnh rho4mvirioN
WARNINCT l'dlur. ro sur. mlt.R'omp.nslion ov.ms. F unlawtul. !d rholl sbccr an mlolkr ro aimiMl Fmllis and
cNil fin$ up io on. hundrcd rholsnd dolls (S100,000), h add nn r. rh. co$ oJ4fi-Fnet'oa d.m-!lF+. pruvid.d for lhe
s€rion 1076.lrh. t-.horcod., i crc( ard a(omey s ld.
,,,,", N()V I 5 20,0 ^,,,,",,,
undd tmvision6tch,pr..9(ommrcin8 wnh S.dn n 7000) of Divi.i6nl
of lh. BusilB ri Pmfdiorc Codq srd my lic6* ir in tull foe drd.116l
lobqc%1
NoV r 5 zors
codllalcroNui!!.lNcJcDlcr
I hrdiy amm nndcr ,!.n,lty o f pdjury rh, rh€rc k a..nerudion khdinS.s.my for th€,.rfommc ollh. sb nr qnich rhh Fmil ic
is$.d (se. 109?, Civ C ).
AITIICANLII}:CIAIA1IO!
I hmtry af,im uhd.r Fn,lryofr..juryonc ofrh. follownr8 del.ra'ions
Dcoolirion Pcrnrirs Ashcsl.s Norifi.atdn [.d.r,l R.Bullrions{'l irl.40. P.d6)
RcquiEd L.rr.rotNorif cds.
-l.enrly
rh.t rlr ltdsnlrcgulirirns rcEnrdrnr lshenos ruflltr11ffc nor irtl'drhle n) rlnr nnr(r
4ffirrn, ^*.*,
rn*rprhcaron tud {xr. rhar rhc rt,,!. ,ntirorrn,tr $.or..r. I .rrcc ro smply wirh rll (iryxad ti,riry
oftl'ntrn.(Mdsrar.I-r*soLridrnrburld.Eco (ructon, xl lFchy r(luize r.pr.scnrd n.s .l rhis C iiy md (itnry t) cnr$ uIx,n thc
rhtr. DrLtrrk,ncJ nR,|rdt ntr n\nLclh
Appll.lnr or Agent SlE.lru ,,*1,10V r 5 ZO0
WUINIfrKEI
II
I h.rchy lilirm undcr pcn lty ol psjnry rhar Lo
Lad4't Addrs:
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UNDER GROUND
Meter Release