HomeMy WebLinkAbout30139883 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspeclor Section: (714) 647-5853
Permit #: 3Ol39EE3
Pin #: 93456
Project Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: l4J Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range; l4J-3
Zoning: R4
E
Owner:
Address:
Contractor
Address:
Tenant Name
The Baacom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 9s5-0888
Katerra Renovations, LLC
3200 Earhaft Drive
Carrollton, TX 75006
(972) 818-r065
Amount
12.70
1',t.97
22.O8
55.04
Qty
3.00
1.00
'1.00
1.00
State Lic #: 1009989
Lic Type; B
Bus. Lic #: 356547
Workers' Compensation lnsurance:
Carrier: Midwest Employer's Casualty company
Policy #: BNUWCS139070
Expires; 01/01/2019
Sotch+:4T7r7 - 916/2Ot8 ID: omoroleli1!
off ice: CIYH lrms+: ll 6 ol' iilAccti: Fsfi: 3013?883
Rcptt:02378908 - 9/6/?0lA 9218 An
TPonsoct ion Totol |4t299.11
Klterro Renovst ionsr LLC
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
Fixture change outs (unit 3) code:
Date:
Date:
Date:
ri,t,'{tfufib8*ut" unitg3o{o
G€nerol Pldfi thdqte Fee
01116002- 51600000-
Plurb i ne
01tt6002- 51602frx1-
CC+: rIIlr*IlrrrI752l
i22.l-:18
f105. 1 I
$4,?.72.39
$l7. rr:
Authi:0&4Cl'.6
R-2
VB
cPc 2016 Notes:
Misc. Receipt:
l,4isc. Receipt:
N.4isc. Receiptl
Total
Chavez. Dave
Every pemit issued shall become invelid unless the work on the site
authoized by such permit is conmenced within 180 days aftet its
issuance, ot ifthe wo* authorized on the site by such permit is suspended
or abandoned for a period of 180 days after the time the work is
commenced.
09/04/2018
Account#
$22 08
$105.11
$ 1 27.19
$0.00
$127.19
MID#: 2018-1456$/
01 1 16002 51600
01 't16002 51602
Fee Total;
Paid to Datel
Balance Due:
Phone:
Fee Type
01116002 51602 Sink
01116002 51602 Dishwasher
01116002 51600 General Plan Update
01'116002 51602 lssuance
Fee
$38.10
$11.97
$22.08
$55.04
Phonel
lnspector
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNTR IUILDER DELCAXATION
t hcrcby iffirn undcr pcnaly of p.dry lhlt I m.x.nt tomthe Co mcroF'Liens tlw for llk follo*ing rcis. (S.c.7o315
Busincas .rn Profcsio. Cndc): Any Cny or Colnry ptth r.quircs . Fhir lo onsrrud. .llE inpov., &mlkfi or EFn lny
slruclm, rior lo i$ k.u,Nc. rl$ Equics rlE aprlicant for srch
'tmi
ro fi|. ! sig*d sl,r.ft rhlr hc or rh. ir liencd llljer
lo th. lovhions of rli Contrerois Lien$d Lle (Cnaprcr 9. Comftkine wirh Ssrkrn 7000 of Division 3 of rlE Blsitus, {nd
PDfcssions Cod.) or lhal tE or si. is.rcnpl Ih.Efrom !d .hc brii.\ for lhc ,lh8pd crcnDiio.. Any violaiion ot S.rlir.70J 1.5 by aoy
appli.rl fo, . |Emn subjcri rlE apdi.. to a civil Fruhy of mr mrc rhe 6vc hlndrn do,les (S500).
-1.
!s owr ol lhc poFny. o. ny cDploy!$ snh wl8cr &i !h.t bb 6n!.niirion. wiu .lo tlE qdt dd r,r nn81e i! mt
inrdi&d or o,Imd for 5h (Se.t044. Busims md P,sL$ioB Codq Thc Coni@ro, s lie!* rlw d@s mr 4ply lo !n owmr of
lh.,,sFny st6 hilll3 or inifth rrab.. ,id wb d6 uh w* fiimFclr or hcr$lf or thmud nis q hs o*n cq'!6)rc$
p.oided ln.r such itr{mv@nt' N el hlqd.d orotu for sh.Il lsM. rlE buildiq or nrFmEmnl h $ld {hhin otu Fa
ofcorrlelhn. ttE O*ffi BuitLr I haw th. hodcn olprovi.g lhat hc or slr dirl nor hild or irptoE lne I,Npsry h. de Fqn$ ol
-1.
es own( of rhc ,ropcny. rm cxcluiivcly .onracri4 wirh liccnsd conruron lo @ndrod rlE pmjsr (Scc. 7044. BBitu$
atlj Phl6ri, Codc: Thc Conlmcrols Licensc l-8e docs nol splrly to M own.r oftmpdlywho huilds or imtmvcs lhcrcon.
and who conrra.c for !u.h pmjmts wirh a Conmcb(, liccn*d !!ru.r ro rh. Co ncrols Lk.ns Liw).
-l
sn cxcmpt undc. serio.- B & P C. lor rhh rcasn
IAAf,ESLCOMEEIAIION
DECI.AMIIAN
I lErcby amrm undd l,cmlly ol pfjury oN ofllt rollowing del@rio$l
-l
h.!c !d *ill minlsh ! C.nifEal. of C,ns.r b Sdf-l.sc f( sqlcE ooFnerioL a. p.ovided fo, by Setion 3700 of llr
Lllor C!dc. aor Ih. perf.rIl.@ of $e wort fo ahich thc Ddnir ii ireucd
_l haE and wilt mainlain sork R omp..srtion iBuiN.. $ rcquircd by S6tio. 1700 ot rhc kbor Cortc. ao. lhc D€,rollrec of
k nsucd. My workc* .onNnsdaon in{rtrtuc .aftidr {r1 lolicy numb.r dc:
t1s.t r-Zo r<a d+o.t.\.rau
_l c.difythal in rh. Frformne of rhc work ro, which rhh ncmrn h iasncd.l *hau oDt cmploy lny p.Bon in ony numrs $ lo b$om subFl lo lhc wor*m ompcnsalion hws of Californi4 and tr3N lhd if I shoukl tEcoE $bjd lo lhc
erkcrs'@n!.isrriontmlhionsofScrionl?00ofrhcLnbrCod..lshlll.lonh*ilhoq,lywirhrho$povhions..
WARNINC: Ililurc lo RW wortes comrcnsarion .rvcmg. i{ unlawtul. md shtrll subirt d cErlorr m aiminal FMhts md
civil fircs un lo orc hundrcd lhousanl dolhB (llm.om), in addnbn
'o
rhc .o{ oi
Sdion 30?6 of thc L{tnr Code, brcrcst ed4.
I hchhtrflir uM.r lt.,lttorr.rjury rhi I rm licc!$d under rovisnr olChrnt.r 9 (.ommncin-q *ilh Scclion 7()o0) ollrj!ili{nr l
.r rhc Bu\i!.$lnd Polc\si{nnCode. ond nyliccne h ir tulln,.c md cflB:r
3 \o o1 I r,1
g con .,o. V-4,
(gllilBlJ1:uall.lNDlNritclitrr
I hcrchy rllnn uMcr lxndkyoiFcquryrh0 hcrc is r c.n{ddtrn LidinE ugdn.y tur rh. l.dnrun . ofrhc sork id whrh rhis r.rnrir i\
is\u.d(Sr. .1097.Ci! C )
ATTIIIANLDEITABAIPN
I rlniby,itifrr u dcr pcnrhy 6t l,critrry oic ofrtc folloainA d$lmnion\:
Dcnnnirion tcrmirs Asbcnos Norifica'ion ltdcml R.tu l{r idtr ( tirlc J0. Pd6)
Rcquncd t,llcrol Nolili.rlbn
rc8uldiotrs rSaltlnr! ,\h.slo\ rcnDvrl arc nor +pli. lcrorhisI)n)jrrr.
srpnliclrionrd (orcrha[,r {h)vd inrorn iotr is.orccr lolrNtocomplywirh,llCiry,trdCotrnry.cdiiyrhar lhrvc rcnd rhi
oidinanccsrnd Srlrc h*s rchtin8 ro hlild ins consructiotr. !trd rcpEse otivs ofthh Cily 0nd Counlylo cnlcr uron
'rElhovc
'rcntnnrcd
pmp.ny lor inspccrion
AppliG orAa€nrsilmruEl
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Underfloor
Burlding Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Water Piping
lQqs Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{rap/Drain Line
Jt/ain Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbing 4/r9/r.t .D 6b
Final Gas Test
FINAL Iolq/rv -ac$
Notes, Remarks , Etc.
Waste & Vent
Water Service
Back Flow Device
Meter Release
lr.lo-
kidci! Add6!:
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