HomeMy WebLinkAbout30139884 - Permit (2)Proiect Address: 2414N Tustin Ave
Assessor'sParcel: 396-261.55 Lot: 8
Unit:
Block; A
Bldg: l4-K Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: K-1
Zoning: R4
E
City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139884
Pin #: 79lOO
Contraclor
Address:
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(8661 69s-5ssl
Katerra Renovations, LLC
3200 Earhart Drive
CaIrollton, TX 75006
(972) 818-105s
Amount
12.70
11.97
22.O8
55.04
Qty
3.00
1.00
1.00
1.00
Fee
$38.10
$11.97
$22.08
$55.04
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic *: 366547
Workers' Compensation lnsurance;Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCg139070
Expires: 0110112019
Botchi:45777 - ?/6/2t18 I0: otlorqle'il:i
office! CTYH Trons+: ll ? il il.!Accti: Rel+: 3013?sE4
Rcrt+:O2378911 - ?/6/mt9 9118 An
Troassct ion Totol 111299 -r,l
Kol€rro Renovot ionBr LLC
Generol Plon thdote Fea
0ll16002- 51600000-
Plurb i ne
01116002- 51502000-
ICL Check 003040
Vi sa
Fixture Q*lh$tilBtlifrtlf 752 I
$22. BS
f,1ir5.11
$4 t2??.39
$27.rj?
Auth+:09404G
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Sub.iect to Field:
Building Permit #:
Date:
Date:
Oatel
R-2
VB
cPc 2016
Notes
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every petmit issued shall become invalid unless t e wolk ol, the sile
authotizod by such pennit is commenced wilhin 1 80 days aftet its
issuance, or it the wo* authorized on the site by such permit is suspendod
or dbandoned for a peiod ol 180 days after the time the wo* is
commenced.
MID#: 2018-145638
09/04/2018
Account#
01116002 51600
01116002 51602
$22.08
$105.11
Fee Tolal:
Paid lo Date:
Balance Due:
$ 1 27.19
$0.00
$127 .19
Owner:
Address:
Phone:
Fee Type
01116002 51602 Sink
01116002 51602 Dishwasher
01116002 51600 General Plan Update
01116002 51602 lssuance
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Fixture change ouls (unit l) Code:
lnspector
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BtiTI,DI]R DIiLCARA ION
I hctcny lmrfl u cr |{.alr} (,t Frjury lhnl I an cxcmfl lnr
'hc
Comrn'n l-iccn*- Itrw l',,r rhc rolli,wir'g rcaq '
(scc.7oll I
Bu\nrs\ rnd Polcsi{in Cdd.): Any Cirt or Cotrmy slrich rdqut.r s p.nrir k, cotr{fl.r. 0lrd. irprovc, dcnFlish or rcFn ,ny
(rucrtrrc. rrior to nr nsurmc..ko rcquncs rhc0mli.r lor su.hlxnnirto flc ! sigtrcd slolcflr lhd heorshc i! lic.nscd plrs.anr
b rh. pi{,vkn u olrhe Corkrck s Liccn$d l-rw (Chrflcr 9. Co rmcn.i'r8 wirh Sftr ion 70(r oi Divisin I (f th. Bu\in$s nnd
P()lcssions Cndc) or rhd lx orshc is cicnrfl rhcrclrormd rhc br(is turlhc rllc8 ncrcmplt,n AnyriolJlbnolSccrioiT0]l.5bydny
rlplicrnr loru pcnnir suhjcch rhc aptlicnit t' rcivillcuhyol'nor ftrc rhr fir. h!tulrcd dolhs rS5($).
I. rs oun.r orrhc pmtrdy, or nrycmployex wilh wl8cs.s lhcir $lc conr|cDsolion, willdo lhc *o* ud rhe {er@ ir nor
inlsncd or oflc.cd for elc (Ss 7014. Au\incss and hotc\sions Codc l hc 6nt6croar l-iccnsc tiw docs nor +tly b nn owncr ol
rhc psFiy wh. builds or inpsws ttrrcn. Md who docs su.i M,.t hinscllor hcMlf or $rou8h his or hcr own cnpt'ycc\,
proliici rh such inr.llEnrnr\ lrc fl, intcftllt or oficNl ritr eL. Il rhscvcr rh. huildin8 or nrrmwmnr is sld *ilhin .rc )r{
ofcoq,Lrion. llE Owncr Auiu.r will h.rc rhc hudcn ol rro\ ine rlv! h. or thc did mr blild or irymw rhc pmFny for $c nu4rr ot
-1.
as o*ncr of rhc ,mtcfly. an crcluiiwly conr.cting with li€cnsd .ontracrou lo onnrud rh. Flret (Sc. 7Or4. Busims
and hofc$bn Codcr Thr Conhc'ol s Lic.n$ Lsw d@s .or ,pply ro e own r of tmFny who builds or imprcecs thqon,and sho 6.rDcli for ruch pEimh with a Coi!6do(s) li.ensd nurs@r lo rhc Conlrd.rm r Lkc.sc hw).
-l
m crcnfl undc, Scc
EoxxEEs_laulENsAr{tN
NTCLARATION
I ncrc6, .116 und.. Fn y 6fprjury o.c oflhc folowine d..la.8ions:
lhrvrrnd silltrui' rinn(lcdii.!r.ofCutr{trrt,S.llli\u..,itrworkcri.. !..\nri(nr, 11 pn,e cdn{byScdion.lT(x)olrhc
llhor (ixlc. nn rhl Iu hflnm( olrh. work ri which rh. plnnir is ir\udn
I hrvc rtrd Rill'nrinrain eolk.h comJEN,tun insuan.., !s rcquncd by Sccriotr 3?(XJ ofih. tibor Codc.lbr lhc ncrlortuncc ol
ir bspd. Mywortcu ..nvrnsarioo insur cc cmicr md policy numbcr m:
r.A,y'\rCOr3 1[]oJY
-l
ccniiythor inrhe !e olrurcc or rhc so,k for qhich thh rErmir h hsrcd. l tull nor employ uy peNln in 8ny mmkr
$ tri ro b.com subrdt to thc m Gc conF.erio. hws of Caliror.i,. and a8ft nd if I should bccom subjcd lo lh.
vo*cm' .omFrstion pmvision. of Setion l?00 of lhc L{bor Codc. I $tnll. fonh*ilt cun ly qilh thos ,mvGions..
WAtrNtN(;r FlilxE ro sur workcu' .{m!.nrdion evcE8c n u.hwtul. nnd shall subjet on mploycr lo aininal Fn.hi.r lnd
.ivil 0nc! np ro orc hnodrcd rhousad dollus (SlLl0.0O0), in oddiiion ro hc.o of conpcBorion. dlmgcs !s loeidcd n,r rhc
Scctron :ltl76.frhc tib.r C.rdc. mreF(n.d omv
*,,, 1.b./d-. n0,,,*,.
D&SAAAIION
I hcrcbylrfirm undcr lr.nolryolp{riury rhd I am lian*d undcr rrovision nlCnaplcr 9 (rootrffinr with sNlion 7O0O) oiDivision 3
ol
'hc
Busims &d Pofcssions Codc. and my ltcns is nr rull lorcc .nd cfin.-l
o (e-7/4?
a.L.lr,
T
toNtfBlc[ url])MirllitNl.Y
Ih.r.hyrrftnrunl.rpcn!lr,oin.rjurrrhrrrhcrcnrconrrru.iiotrbndi',arrcnc!,nrrhcpcnairrnccorrhcturkiorqhichrhi\tEnnnir
is\ucd (Sc. 1097, Civ. C )
A.TII.ICANTDECLABIIION
I lIeby Jtnn utulcr Nndhyol pcrjury onc ofth. fdlosins dcclttririotrs
Dc'mUir,n P.rtuiNAsb.n.s Norilicrrion Fcdcnl RcguhrnJns (Tirlc.l0. Piri6)
Requn d krr$ ol Noriarcarion
l cdriyrhJr rhc hdcmlrcgul0rion' rcsndin8 r.b.!o'Lnxrvilarc nrr ofi. EJhlc tothn Fnicc'
ffii^",",""0 rn'.rnrr(u,i.,n dd narc lhr rh. rbvc inro'Brio. is.otrsr rrEBroonrriye hsrt:ryand(runry
ordi.ares and Sh'c Lass Bhlins ro buildiflB consrDcrhG an h.rcby rnd Counry o cnr& uB)n rhc
rtsv. mnriomd l,bF,ry for inspctn,n Purpo*s.
Appli{rnl or AA.nl Sitnrlum:4,c.11
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing "u/tnx c^kg
Final Gas Test
Meter Belease
FINAL bl?/rx sN69
Notes, Remarks, Etc
COMMENTS
Miscellaneous
D!lc: O*ftr:
t'l'[a'
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