HomeMy WebLinkAbout30139889 - Permit (2)Proiect Address: 2424N Tustin Ave
Assesso/sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Suite Range: Unit G4
Zoning: R4
ry
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714] 647-5853
Permit #: 30{39889
Pin #: 51816
Owner:
Address
Contraclor
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5591
Katerra Renovations, LLc
3200 Earhart Orive
Carrollton, TX 7500G
(972) 818-1065
Fee
$50.80
$1 1.97
$22.08
$55.04
Qty
4.00
'1.00
1.00
1.00
Eotchi:{5777 '?16/m$ I0: omor aI
office: CTYH 11s13f: 1l lLr :l'
Accti: Ref+: 30139939
Rcpti:02578922 - 9/6/2018 9148 An
Troasoct ion Totol 11t299.1t
Koterno Renovot ionsr LLC
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 01/01/2019
Gaoerol Plon tlodote Fee
0111600?- 51600000-
Plurb ins
01116002- 51602000-
ICI Check 0030{0
Viso
CC9: **I**irrrlrt752l
-t22. rlg
s117.g1
14 t 27't .39
\27 .q2
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Fixture change outs (unit 4) Code:
Date:
Dale:
Oale:
R-2
VB
cPc 2016
$139.89
$0.00
$139.89
l\,lisc. Receipt:
Misc. Receipt:
l\,lisc. Receipt:
Total
Chavez, Dave
Every permit issued shall become invalid unless the wo* on lhe site
authoized by such permit is commenced within 1 80 days after its
issuance, ot if the work authoized on the site by such permit is suspended
ot abandoned for a period ol 180 days alter the time the wo* is
commenced.
lnspector MID#: 201*145644
09/04,2018
Account#
01 I 16002 51600
01 't 16002 51602
Fee Total:
Paid to Date:
Balance Due:
,
Bldg: 24G Address Range:
Tract: A.B. CHAPMAN Historic: No
Fee Type
o'r 116002 5'r602 Sink
01116002 51602 Dishwasher
011 16002 51600 General Plan Update
0'1116002 51602 lssuance
Amount
12.70
11.97
22.O8
55.04
Building Use:
Job Type:
Nature of Work:
Notes: Fixture change outs (unit 4)
$22.08
$1 17.81
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNNR BUII,DF:R DEI,CARATION
I hcrcby rtfirm und.r Fnnlry or ,rrlury rh,r I n cxcnipr ,n,n rh. c nkdoN Lien$ ljw fo he t llo*inE rcas. (lcc 70l l r
lrusincss.ndProfc*ion(odc): nyCilyorCounrytrhicnrcquncs0p.nnirk,conitocr.slrcr.inrl6!..dcnDlishMtoJ',;xi;l-
nructurc- Irinro irs issuncc. rl$ rcquirs rhcaDplkrnr t slchnermir o ilcn li8ncd slrcnrnl rhd hcor shc is li(un{tl nururnr
n, rhc povnions of r,E Gn rici, r Liccnsn ljw (Chrprc! 9. ComnEnciis sirh Sccrn,n 7{D0 or Divi\tun I oi rhc Burims !.d
Pn,r.ssi.nsG c) orrltur hc.r\hc ir.xc,nnr rhcrcrio trdrh.h ris r(r ihc al lcgcd .rc nlrr ion Anyviol0lionotScclion?0ll.5byo y
rrpli.xnrrornr.rnrirsrbjNrllhc,pllicitrrtotrcivil,'cnrlryoltror'norcrhmfi\chundrcddollrs($5m).
-1,0r.$nc,oillrc
pron ny.ortrrycrDbyccs *ilh w ges!\ricir \olc .oniI)cn\iri{u. silldo Ilr *orkr t{mrurci\nol
i'cndcdorollcrcdf{rslc(S.c7{}}l.Bu\inc\\Mdti,fc$n,n\Codcl'hcCir[fu.t/-sLid.nsclrwd!.\notdnllyrortro*Dcrol
rhc ln{Eny $ho hoild! or ir]]1etr\ r}Ermn. xtwhld,${ichqrnthir\.lrorhrrdlorrhn,ushhi\orhcrowirnrtl.ycc\.
pn)v idrd r h{r \uch i p(Mnrn( n. ior i'n.'rlc o' ullaul tur v'L ll h,ru cr rlic btrikliq or inp.onnrnr is vikl wirhin ,,nc )rxr
ofcolnlrLrion- rtr ()wncr lluiklcr willhlr rhc huilcn ofpnxing rhnr hc or shc did dor biild or i'npmv. rhc floIrny litrllE puF)sol'
_1. &r ovn$ of rhc nDp.ny, e.x.lusiwl, conrra.ring wnh liccn$d conrr{ron ro oDsrruct thc pmjct (Scc, 7014, Busirs
!!i EDGssbn Codri Thc Conlrerols Liccn* ljw docs nor sl)ply ro !n own6 of rmpeny *ho builds or imFowr lhdcon,
and who @nEucrs ld su.h pNirk *nh a C6nt6do(O ltcnsd ptrF@nl to ih. C.ntraclor's Liens b*).
I m.rcn r und.r S..ri.n , B. & P.C. r.rlhisrclson
Dnl.: O*rcr:
]!!8f,885:COM[ESAI,ION
PECI.AMIIQ!
I h€rcby afrrh u.dcr p.mlty of Frj!ry onc of lhc follo*ing dcchralionsl
-l
fiarc od will eintlin . C.nifdrc of Con$fl lo Sclf lnsuE for *ork(c orrEnsbn. a prcvt.d for by Sdrion 1700 of llE
L.bor tu.. for thc Fraornw of lhc *o* aor *hich lhc lsni is istucd,
-l hrvc und will roinlain wo*c6 ontEn.arion iNuBEq &\ rcquiFri b, S.clnn 3?00 of lh. L5bor tu.. tor llE p6f!,il1!@ ol
thc so* for which rhis pcmlt is htu d. My erlc6' @nFnslion insulaN @ir !d polky ,umbcr e:Coh .,
i . t.tt,/ LJ co
-l
ccniry lhlr in rnc rerformrcc of lhc *ork {or whi.h lhh I*ln h is$cn.l shall @l cdlloyoy pcMn in nny mnrc.
so N to tEc.m slbJccr ro rhc worler' conFn\drio. hws or Cdlironia. ,nd rEE rh.l if I should bccom subjcct to thc
workcG'c!flrpcnsolionpmlhionsotS<rionlT00olrh.Lnr.rCodc.lthnll.ronhvirhconplywilillssrrcvisio.s..
WARNINC: Foilurc to BU.c workcn conrpcnsolion colcnsc is unlawtul. and rh l s,bjc.r an .nrployci o rinrinul Fnahies lnd
civil fitrc\ up ro orc nundrcd rhouu.d dollur (Sl(x).fix)), in rddnion i, rhc cost of.orlEnsllion. &magcs as Ilr)lidclj Lr lhe
4.
L$o, Cod.. iorcesr Dd.nocy r les.,c
Ihdcbydfltr r unJ$ pcnJry .l Frjffy lh lrnlicctrEdu cr pnvision oi Chlpls I (conrnf,h-'in8 wirh Sftrk,n 7fix)) oI Divistun ]
ot rhe Blsirc$ lnd Proltsioni C{ntc. nni hyli..n* ii in full n'toc aril cllacl
9at Ir
COISISIJ!:UONIf,II)IN(j.ICTNCI
i\\!cd ls.r .l(D1. ('iv C I
SIIUCANLTIC! BdllQ!
Ihlrlty t'nundcr p.nrlry olpclJry onc otiltr Ioln'qirE dc.l!tur10tr\:
Dcu)lirn,n I'crnrirs Aslf,no\ Noiilicuri.i lr.dcrtrlR.!ul"ri{n\ ( Iirlt rg).l'nr6)
R.qtrncd Irn.'of N.rilidi(
, Lcn yrh rhr lm.n'l rc8ulft.tr. rccord nB i.h.en.afrrJl. c nnr nnnli( l(torhnpmrdta--
--r4ccnilyrhrlh.'v(rc0drhnJmlLdn,rntl{rrrhnrhcrk,vcinr{rnrdi,,nis.onc.rloErmroco,nnlywilh!llCiry!idCounry
odinaE_cs dSrlrc ltr*\ EhrinE b huildiic lurhoria mpEsc ativcs of rhis Cny lnd County lo.r!c, uron th.
lhovc mnriorcd pmtEny for inslelion
AppliGnt o. AE€nl Siamlr a.6./Z
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof 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
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing 7/rttlc 9\\trt
Final Gas Test
Meter Release
lo/H/x 9bcc
Notes, Remarks, Etc
Gas Service
FINAL
Pemil€. mme (prlnl):
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