HomeMy WebLinkAbout30139713 - Permit (2)Project Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit;
Block: A
Bldg: ,4-N Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: 14 N-l
Zoning: R4
Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Clvic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 14]. 667-2738 lnspector Section: (714) 647-5853
$4 Plumbing Permit #: 3O139713
Pin #: 43967
Owner:
Address:
Contraclor
Address:
Phone
Tenant Name:
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(s72) 818-1065
01 1 '16002 51602
01116002 51602
01116002 s1600
01 1 16002 51602
Amount
't2.70
11.97
22.O8
55.04
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
3.00
1.00
1.00
1.00
Fee
$38.10
$11.97
$22.08
$s5.04
Botchi:,ti194 - s/3/2018 ID: CCUELT0ffice: CTYH Trsns+: 1 14 o{A€{t+: RPfi: Jul3971;
Rcpti:023,17452 - 8/3/2(!18 ?.?? Pn
Tronsoct ion Totol tsr 243,53
Phone
Policy #:
Expires:
Knterr& Renov(tt ions, LLC
BNUWC0t39070
01t01t2019
Geoersl Plqn Updot€ Fee0r 6002- i160000(r-
Plurb ing
(r1116002- t160200tr-
ICL Check 00302t1
V isa
CCi: trr*Ii***rI*5069
t?2.D8
tlr15-lt
t5, 143 . ?r r
19?.63
Auth+:052017
l.i- t
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture Change outs (Unit 1)Code:
R-2
VB
cPc 2016
Notes: Fixture change outs (unit 1)
Date:
Date:
Date:
[Iisc. Receipt:
lvlisc. Receipt:
l\4isc. Receipt:
Total
Chavez, Dave
Every pemit issued shall become invalid unless the work on the site
duthorized by such pemit is commenced within 180 days after its
issuanco, or if the work authorized on the site by such pennil is suspended
ot abandoned for a peiod of 180 deys oftet lhe time the wo* is
cqnmenced.
lnspector MID#: 2018-'144743
08/0312018
Account#
01116002 51600
01'116002 51602
$22.08
$105.11
Fee Total:
Paid to Oate:
Balance Due:
-, ii
State Lac #: 1009989
Lic Type: B
Bus. Lic #: ' 366547
Workers' Compensation lnsurance:Carrier; Midwest Employer's Casualty Company
$ 127.19
$0.00
$127.19
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEI{ BUILI'ER D!]I,CARATX)N
I hcruhy rlnnn lndcr Ic rxy of |crjry lh l ur cxcnDr lroD rhc G,nrn.r,r Li.cr* llw tut nN nnk,q4 rciu (Scc.7(r'11.5
ansifcs\ rtr,l Proris\io Cqlcrr Any Ciry or cl,t , which r.qrin\ a Fiinn to .or\rtu.|. llrcr, imnt,vc. dcnmli\h nr tunrn rn)
srru.lurc. pri{rr.i ns nsurtrc.. rl\o dquftrrhc l)thrnr nn ruch pciinir h lilt r siln d {lcnf,trr rhd hcor shc k liccns.d rrsurir
k' rhc F)vistr'ns .1 rhc Corrrr.l[ s l,i.c \cd tlw (Chrrrcr 9. Co mcmnrs wnh Sc.rion 7 noIDirisdiI ofrlE Bu\inc\\ !trd
mtlicrnr tur rN n sublccF,hc lpplicrnr lo ncililpcn h!ofnot ndcrlrn fivc hunircddolhn(S5U,
-1.
r\ oq ncr ol lhc nn,pcrlr. ff 'n, cnlployes wilh snsc{ !s th.n v'E .o.rIri$hon. vill do rhc wo,k nnd tu nturm i\
i'nflxlcd oroficFd k ulc(sR.. 7(41. Bu\inc$ lnd tLfc\st,nrCodc Th.conkidols Liccnsc l,rw docsnor qrtlyt,a owE!of
rhc$,p.ny who hurldsor inlrow\ rlxNn. rnd who docs such sod( himsclior hcr{lfor rhrouSh his or hq own c,nploy..s.
pnvidcd rhrr srch inlJ,ft*. r rs dgmr i cndcd or nllcBl tur qt li h.srvcr, rhc buildinA ff nr{K'\qrclt is v'U *irhnr on. ,r:tr
ol c.llrlrtrion. rhc Ouncr BoikLr will lurc rlt bunlcn ol ttuvin8 rh.r l'. or shc {li] tror bdikl or nnnnru $c !n ldy fo! rhc lurrxM of
-1.
!rosrcrollhc pro!.iy, m€rcllsiklyco rading witn [ensd @nr!.loB lo onsmtl lh€,rci(l (S4. ?O44, BBifts
md Prtrl6sbfl Codc: The Co.rocroa. Lk.ns. Law dms not lp0lylo oo*n.r oaP.6Frly who blids or ihPmves lh.@n.
and who onrlck aor $ch [mi*rs ei$ , Co'nhdo(t liersd puEuer lo th. Coflrmlols Li.eM tlw).
-l
M ex.mp u.dr Sciion- B. & P,C, fo. fiis EMn.
uI)lf,!8fIOMIEMAgqN
DECIAXAIION
I lEeby sfti.n undr p.rulty of pdjuiy onc of lnc following debrations:
-lhovc
und will,tuinunr a Ccniff,atc olConscnr lo Sclllnsu,c ao. w.'k.rs .omFnslrion, 0s pmlidcn f.r hy sccrion l?00 ofllE
L or Codc. aor thc rcrfonutuc orrh. *olk lot whi.h rhc Pcrnln i! isslcd
-lhrvc
atol willDin Dinwoltcn compen\lrn,n io\finncc. a\ t.quircd by Scct ior 3?m of lhc l-trh.r Gdc. fot thc Pcrlortuncc of
irrir is issucd Mywo &s c.'np.nl n,n insurarcc cmicr mdF licy nuFh.r -c
{Co 7t o
I ccniryitut in thc pcrlbrmne oflt rork turwhich rhn pomir t hsucd., sholl nor.nlloy u! l.t$n inan,tuer
$ !s h hcrom subjcct ro rhe {ort6 omt.nsolion hws ofc.lifomi!. lrd ,g@ thar r I rnould bccom slbrc.l ro fi.
{oltql cofi,cnsarion D@vhions of Sdiofl l7m ol $c Lltor Codc, I shr!, fonhwnh omply *ilh lhoe lrcvbions
wARNIN(;] l' iluc n) \ccurc sfr[.^ .o rpc sxrtri] co\c
;:rl,fi tisr'0iifl {CIs}il:r:ll'fl '
loyc, to dhi@l Fmki.s {nd
Nm8cs Bs trovidcd tor rhc
UEILISAIT,IN
I hcrul,ynrl'.nrurlcr FmrtyofFrjury Ih l !m liccn{d rndcr ntuvi\n,r oi(hnrlcr 9 (conrmnring { h sccliotr ?m() ol l)ili\iqr -l
ni rhc Businc$ ond Prottsion\ Codc, ud myli.ctrsc h in Inll lnR! runl crlacr
5,\oala$1
-,1t1€ Il&fAttv
r:trls.rntx:'rytx r rtoINd,rcliNcv
I h.Eby.lnrnund.r p..ahyofpdjory rhdr rhcrc n a consflcthtr bndins rscnry tu Ihc Nrfoirrrrcr ofrhc work ror shi.h rhh lr"ril is
issurd (Scc. 3097, Civ. C.)
APTLUANLDECIAIATTO!
I tu$y nnnn undcr p.trolry oi ttrjury on. orrhc rollowinS dL{lrr0tnrns:
Dcdolirio PcnnirsAsl{{or NniiiQlion Fcdclrl RqoknrNlTnlc {0, P0n6l
Rcquncd bltcroINolilic,rn r
-lccnilyrhur
rhc rrdcrxlr.Cuhiions rcgadins osh(slo! rcmvll rr. ndr qrll{ihk ro lhh pr+rr
!h*,nr, n*"*,u,nn rpllicorionard {rrc'lx rhcnh,rd irl.i,mrio. G.orccr Isr'.{i.cohrlyw hrtlcnynndcotnry
.rdinlNs a.d Srarc kws El inS ro boildint .oosr ,***,*. ",,i.J"$ ru,8"?mr
UNDER GBOUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
Interceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Rool Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq $/dk6 5br6i
Final Gas Test
Meter Release
9\r\\ti ,U,AqN
Notes, Remarks, Etc
t nd.r'{ N.mc:
Itrrl. \ AdJn -
ove mnriotud pbFn, lor hspc.tion
Appllc.nl or A8.Dl SIgDtoB:b;*
FINAL