HomeMy WebLinkAbout30139498 - 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 lnspector Sectionr (714) 647-5853
Permit #: 3O139498
Pin #: 515lE
Proiect Address: 2424N Tustin Ave
Assessor'sParcel; 396-261-55 Lot: 8
Bldg: 24-C Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: 2
Zoning: R4
Owner:
Address
Contractor:
Address:
Tenant Name
The Bascom Group, lnc
26 Corporate Park Drive, Suite 200
lrvine, CA 92506
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
01 I 16002 51602
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
Fee
$36.69
$11.52
$21.25
$52.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Amount
12.23
1't.52
21.25
52.98
Qty
3.00
1.00
1.00
'l.00
State Lic #: 1009989
Lic Type:. B
Bus. Lic #: 366547
Workers' Compensation lnsurance:
Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0l39070
Expires: 01/01/2019
Planning Conditions
Planning Approval 8y
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 2) Code:
Date
Date
Date
R-2
VB
cPc 2016 Notes: Fixture change outs (unit 2)
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez. Dave
Every permit issued shal become invalid unless the work on the site
authorized by such permit is commenced within 180 days attet its
issuance, ot il the wotk authoized on the site by such permit is suspended
ot abandoned fot a peiod of 180 days after lhe time the work is
commenced
0611112018
Account#
$122.44
$0 00
$122.44
lnspector MID#: 2018-143630
01116002 51600
01116002 51602
$2',t.25
$101.19
Fee Total:
Paid to Date:
Balance Due;
Unit:
Block: A
q
Phone:
P hone.
Building Use:
Job Type:
Nature of Work:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS ()\!NtiR tl lllltR IrIiL( ARA I I()N
Ihc.cby alrtnr undcr n nohy oiI'c jury rhll I0m cxcmpr froo rhc Conno.tB Li.ctrsc Law for lhc fdlowirS rcnson (Sc.?011.5 r
Bu\incs od Pn,ac$n,n Codc) Any Ciry or County qhich rc\tuircs a nca,ir to .on(rud. alto. improlc. dcmolish or Bprt ony
rru.rurc. prid ro ns ii\uan&, $ rcquirc. rhc Bpdnr.r forsuch Fnnjr lo filca sirn.d rrarrmnr rhd hcor rh. i\ li.cn{d pu^xuni
k, th. pmvhiotrs oflh. Conlmctols Li.cnrd Llw (Chaplur 9, conmcn.irg wnh Scclion ,fix) oi Divhion :l ol lhc Busincs dtrd
Ptr,fc$ioo! Codclo!rhal hcorshc hcrcmpl lhcrcfmfl und rhchrsn ior rhc allc8cd cxc.rrrion. Any vnnlrion ol Sdi,n 70.1I 5 hyun,
altli.ad r.r r p.nnir ,ubjeh rn. a,Dli.dnr !. rcivilFnalrroinor mrcrhan aivc hxndrcddolla^l$500).
-t.
6 o*Nrollhc pr.I!ny, or nrrcnuLyccs rith wn8cs.s rhcn $t onrFnsalion. willdo ltE wolk ond lhc (urE i\ nol
inr.Mcd.rofl.r.dforsrlc(ss7044,ausircisntrdl,rofc*iis(:,)de:-thcGxnradofsLiccnsckwdocsn.rDrtlybrno{ncrof
rh. pn,Ifnt sho tnilds or itr{,mrs rh(mNJd who dms su.h so himscltorhc.rclforrhnu8hhi(orhcro*ncmpbtccs,
prolilcd rh"r \uch imrovcNnh m 'Dr inrcrdcd or olTcEn ro $lc Il h.scrcr, rhc buildi,3 or iny,mEm is $ld wiriii .rc )rd
o, c.nllhrbn, lhc Owncr Buitfi *ill hlE thc b$dc. or pmvirS rhlr h. or shc dxl mt huiu .r in{,ow rhc l)fi,Frly ntr lhc lurFrc ol
-1.
!s owrcr ofrh. |'op.rry, .m crclusivcly conrr0ding snh lrn*d .onr&roB ro consrtud rlE |,mjed (se. 10.14, Busms
a r Fb&dsi, CDdc: Thc Conlr&roar l.i.cnsc Llw dNs nor rpply ro !n owncr of pro,rcny *no builds ot imprors rtc@n.
und Bno co.ra.ls lor $.n pmjck wilh. Co nd.(,li.ciscd pusu r ro Uc Conr&ror\ Li..n$ rjw).
-l
amcrc'npl undcr Ssr
Owmr:
Itott(F{s, coMPENsaTtoN
DECI,AAAIIO!
I h.Eby lmrm und.r p.Mlly of psiur, om of lh. aollovin3 deldiions:
l-JhtrC,xlo. firrhc pc.lonnnncc ofr)[ qork l{{ *hi.hrhr prnnir is isucd
_l tavc and will mathin sorkcB comp.nsation insuroncc, as r.quiEd 6y Setion l?00 of th. &hor Cod.. for thc Pcrforure of
is n$cn. My wor*c6 comp.nsrion insumrcc cldcr und F,licy nlmbcr sc
-l
ccnify thol in lh. Frformm. of lh. wort fr whth lhk pcrmn k issucd.l shau nol.nphy rny FMn in lny num]
$ 6ro lE otu subjrr ro rh. sqr6 @npeBarion b*sot&lifoni& and esB rh ilI slr{U lisft rubj€t roth.
*o*s.ompcnsationprovlsio.solS.dionl?00oarhcLibo!Codc.lslEll.fonhenh@q!lyanhrho*povisio..,.
WARNINO: raihrc to $orc *orkcr' compcnelio. .ovcmSc is utrl.wful. lnd sholl sunirt !n cmplorr to simi.al pcohi.\ and
civil fincs up ro om hufrkn rhousnd dollar (lld).ilool. itr .ddilion l. rhc cosr ofcompcNation. dams€s dr nmlid.d for rhc
Sc.ri.n 107r',olrhc Lrlnr Codc. n'.'ci ond athrmy \ lir\
pul 11 201C
IEII,ABAITQN
I h.rb, aflinrldcr prMlry or pc.ju.r rhar I dd liccn{n undci provhioo oaChlprer 9(cooftncins wnh sarion 7000) olDivisio.l
ol rhc Busirc$ond Prorcssions Codc, ud myliccnr is lull nna dncfi.cl
lootl.qq,
-.JBll{+2Slt cb.,n..r-V-+urn-
COII,TTBIJCIIONIENDINCJiENSI
I h.rcby alfr undcr IEMlly of pcrjury lh0l lhcc nsonerudion hnding lgcmy for fic pcrformmc of thlwork ior which lnis t'cmi is
kuud (se. ,1097. ci!, c. ).
^-tftlc
Nll)Iieta8arlor
I h.NbydlnNundcr acrrliy oll{rjry otrc oiihc lnlL.siDF dc.hrnrLotrl:
I)rni,liri.n Pcfltrirs \bcdo\ N.lifi.rri,)i rcdcr!lRcEUhi.n\ (lir!c 10. PiO
RcqriRd I.ncrol Norillcnr,n
-l
ccnirrtharrhc rcncrrlrcsuhti,r$ Nsrdinr rrh((osrcnn'vrl c norrmlicahlc h rhi\l,ojccr
tEtnr, , n, , t* *uu ,n,. apnricrri,,n arir nrrc rhr, rrrc rri,vc inr{trroxotr x corccr r rsm r) rompry r h a, L ,ry ind c.unrt
ltxrvc m ioncdrmpcnyfor irst crioo p!{mscs
Applicrnl o. Agenl SignoIuF:#J\r i 1 2CI10
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Rough Water Heater
POOL/SPA
P-trap/Drain Line
It/ain Drain/Pool Pipino
Fill Linei Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq btuil.,5b6b
Meter Release
FINAL 7/9/t,t ;\>{4
Notes, Remarks, Etc
Tub/Shower Test
Final Gas Test
l.\ -\a\
Pemll@ En. {prinur_ ,_