HomeMy WebLinkAbout30139611 - Permit (2)Project Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Elock: A
Bldg: 24-P Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: P-6
Zoning: R4
q
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 3961{
Pin #: 57722
Owner.
Address
Contraclor:
Address:
Phone
Tenant Name
The Bascom Group, LLc
26 Corporate Park Drive, #200
lrvine, CA 92506
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1055
01 1 16002 51602
01116002 51602
01 1 16002 51600
01116002 51602
Amount
12.23
11.52
21.25
52.98
F6e
$36.69
$11.52
$21.25
$s2.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
3.00
1 .00
1 .00
1 .00
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midw€t Employer's Casualty Company
Policy #: BNUWCoi39070
Expires: 01/01/2019
Botchi:4457, - 7/2/z(JlS
off ice: CTYH lronE+: 39Acct+! Fef+
Rcpti!0?317565 - 7 !2.t2tll
Tronsoct ion TotoI
Koterna Renovot ionsr L[ (
Notes: Fixture change outs (unit 6).
6enersl Plon Updote Fee
(r1116002- 51600000-
Plunb ins
0111600?- 5l6rl?0(rcr-
ICL Check rl030r:r?
t21 . ?5
rt01. 19
t1t177.20
IDi LROSALES
!
83i
9of32
3trl3?61I
.?7 Pll
4,177 .zrJ
Building Use:
Job Type:
Nature ot Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Sub.iect to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
Fixture change outs (Unit P-Code:
R-2
VB
cPc 2016
Date
Date
Date
Misc. Receipll
l\4asc. Receipl:
l\4isc. Receipt;
Total
Chavez. Dave
Every pennit issued shall become invdlid unless the wofu on the site
aulhorized by such petfiit is commenced within 180 deys aftet ils
issuance, ot if the wofu authorized gn lhe site by such petmit is suspended
or abdndoned fot a peiod ol 180 days dftet the time the wofu is
commenced.
lnspector
o6t2512014
Account#
011'16002 51600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
$21 .25
$101.19
$122.44
$0.00
$,t?2.44
Phone;
MID#: 2018-144252
PLUMBING.INSPECTOR RECOFD
APPROVALS DATE tD/stG.COMMENTS OWNtrR BTIII,DER T)ET,CARATIoN
I hcrchy r,ft und$ Nrdry oi pcrjury rhd I am drc'npi lio'r rh. c(rnrrcro^ t-ictrsc bw fd thc follosin8 rc{son (Scc.7o:ll5
Dusinc$ and ttofesion Cqlc) Any (iry or clMry *hieh rcquncs ! r.nir ro .on(rucl- alrcr. impro\c. dcmolnh or rcplt !.,
dtucru(, pri{rro ir\ n\u!icc. ako rqut \ rhc lpnltlnr Lrsuch pcrmir ro lilca siln.d ndctunr rhd h.or \hc is li.ctrscd tur\uMr
n) rhc Itr,vi\i{).s ol ilrc Conlrlcloi\ Li.cr*J l-ls lCh.picr 9. ConnncNnrE with Sccrn,n 7U)0 oi Divi\i('n .l ofrhc Btr\i,1cs rtul
Pdcssions codc)orrhi hcorshc,scxcmfr rlfotb mdrhcba\i\forrhcrllcgcdcxcnuion. Atry volnriotr of Sdi,n ,0:l I 5b,utr,
ap!licanr ior o l{rinir subhctr lhe !tpli.rnt 1o aciviltcnrlryoinor mrcrhrn iivc hundrcddollsrlS5O0)
-1.
a{ ow@r of rh. Fopcfly. o! ny emplo}rcs with wagcs N rlE sh ohFnerion, willdo tr wo* and ltE slrudE ( ml
i ended o, offrcn tu eh (Se.7044. BEie$ md Ptorc$ioG C.d.: TIE C.nrador! Lt.@ tjw .locs mt lpply ro u o*er oa
rk poreny wlD builds q inviDB dEdi. atld *lD dG Mh w,t hiNlf or tcmlf or rhreugn ht or h.r osn crplores.
,,Dvidcd lhll such iqmtlmnk d ml inl..(h n otr r.d ror sh. ll howE itr bilding or itrproEmnl is sld within orc )at
ofcotrphlior. 0E Owrcr Au&tc, wil h{E tla buden ofprcving rh{l tr o..hc dil ml bulB or iqrcw t pmpsry for drc purposof
-1,
as owmr oarh. pbFny, m cxclusi4ly contocling wirh lic..sed conlmcloc ro conslruct ttf, r.mid (S(. ,044. Eurin6s
drd Ebfcsbo C6dc: Thc Conrsctoli Liccnsc Li* docs nor anply ro on owiu o( p.6Dcny who builds or inprovd ihcr.on.
and who conrEcls lor such l,oj.trs sith r ConlEcto(s) ,iro*d r,uBMr ro rlr Co rertr i Uae Lre)
WORXr.RS' CO}IPENSATION
DECLIBAIION
Iicrcby alfi, uider pcnallyofpcrruryotu ofrhc followiflE d(lsolions:
-l
hrlc !'n *ill minrain ! CcnifEdc of Conent ro Scr'lnsurc for wt6 ohDetr*tioi. &s finvil€d lor by Sdion 3700 of rh.
Labor Codc for lh. Frformnc. of th. wort fm vhich lhc Fmn is issBd.
-l tarc ud *ill minllin sork€si con{,cnsalion insuramc. .s rcquted hy Sal n,n :1100 ol rh. Libor C.dc. for rhe pcrrommc of
lhc q ( fot qhtt lhn l.mn ir hmql My wo,k6s ompcNurion iasumN.aicr &id Fli.y oun$c. m:
(os
(3r!.JV Co la{d?o \.\,\4.
I .cnify innt in rh. p.rfor@m of dc wort for whi.h lhh p.toil is issucd. I shall nol cmploy an, F6on in ony mntur
$ as ro bcsm subjccr to rhc worlca'(mpcnsrrn'n hws ofcllilomi.. &d rEttc rhur it I should bccom subjdr ro 'trso*sa con{Ensrion pmvision! ol Sccrion 1700 of rhe L€ttr Code I sltsll. fonhwirh otr{ily enh rho€ pmvisions..
WARNINCT Failun ro wE worhcs' @np€nsrion covctogc i$ unhsful &d shall subiEr & .mploFr lo ainhol l€dlli6 dnd
civ nrei u, 16 orc hun<lai thousd douaB (S100.000). i. addirio. lo rh. con of conp.nslion, dadScs as prcld.n for lhc
S(rio. 1076 ol rhc t-rhn GrL. idrcrc{ ntul nuontt \ rrcs
,",", '1 . 2.r3"- arrrioot,
DF(:I dRATI(IN
I hcEby afllrm u crpcnxl'yorp.rjuryrhar I !n li.cn:\d hdq 0mvnioi or Ch{r$ 9l.ommn. ine wirhsccriotr 7flD)olDirisionl
ol rh. Dusinc$ and Pr.ic$n,nsCodc. !.d mr liccnsc h in tull fore ud ctfccr.
t"I oo1q4..Jt
c()llilBlEualxiNDlNri-&;rlll
i\lucd (Sc. :l(r97. Civ C )
ATPIICAII.DECI.AIAIION
I hft4 atrm und.r Fnaxy or p.rury otu of rhc followiig d(lararionr:
D.mlitior P.rmils-Asbcnos Nori6cltion Fed.Bl RcBlbriors (Tirl.10. Pan6)
-Requtcd
L.llcr of Noiilslion
l^l'lyrhd rhcl.dn0l strh!'onsFlordrngJlh.(.cr.'{*rlm. ( ,nll.crhh ro
'hr nmE\r.
-E/cmrrr rur r rrw ma rhs a!!li(uri,nd narcrhd rhc 0tnrc inrb,nurioi ircotrar I agN ro .ootly wirh xll ciry ond coun.y
ordirtrnccs lndSlalcbpsEblingro hlildin8con(rudbn. n rcDrc$.turives olrhis Ciyand Coumy ro cnrs utl)n Lh.
nhl\r rftnri,)ncd pmlcdy for in\Frrion
ADDlic,nl .r ,\!$l Si{nnlun:
UNDER GROUND
Water-Under floor
Gas-Underlloor
Buildin g Sewer
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Hough Plumbing hLols 5\*
Meler Release
FINAL U,7 t/lr(>urg
Notes, Remarks, Etc
Waste & Vent
Area./Storm Drain
Roof Drain
Miscellaneous
Final Gas Test
-l
m€rcnpr hder Sdion-. B &PC forrhis,ca$n,
D.te Oencr
*,", -?.Q-.'D