HomeMy WebLinkAbout30139620 - Permit (2)ciff of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (114) 667-2738 lnspector Section: (7141647-5853
Project Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 14-D Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit D{
Zoning: R4
q
Owner:
Address:
Contraclor:
Address;
Phone
Tenant Name;
The Bascom Group, LLC
26 Corporatc Park Drive, #200
lrvine, CA 92606
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 8r8-1065
01116002 51602
01116002 51602
0'1 1 1 6002 5'1 600
01116002 51602
Fee Typo
Sink
Oishwasher
General Plan Update
lssuance
Amount
12.23
11 .52
21.25
52.98
Fee
$48.92
$1 1.s2
$21.25
$52.98
Qty
4.00
'1.00
1.00
'1.00
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWC0139070
Expires: OllO1l2O19
Sotcht:{4579 - 7/2/2ElS I0r LR0SALES0ffice: CTYH Tronsi! 69 30 ol 3?Accti: Eefi: 3r_r1396?t-l
Rcrti:02317586 - 112t2tttg 3r?? ?n
Tronsoct ion Totol t 41177 .2i
Kdterro Renovot ions ! LLi
Building Use:
Job Type:
Nature of Work:
Planning Approval By
Plan Ch€cked By:
Permit lssued By:
Subject to Field:
Building Permit *:
R-2
VB
cPc 2016
$ t 13.12
t4 t 177 .20
Generol Plon Updote Fee
01116002- 516000011-
Plurb i ns
Notes Fi ,t,4 lf lFff ElltS$nxf,,Ui;,
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Oave
Evory pemit issued shall become invalid unless the wo* gn the sita
authoized by such pemit is commenced within 1 80 days after its
issuence, or if the work autttoized on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the work is
commenced.
lnspector MID#: 20'18]144265
o6t25t2018
Account#
01'116002 51600
011'16002 51602
$21.2s
$'r 13.42
$134.67
$0.00
s134.67
Permit #: 3O139620
Pin #: 909{2
Planning conditions:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
Fixture change outs (unit 8) Code:
Fee Total:
Paid to Date:
Balance Due:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII-DER DI.JLCAR I'ION
I hcrchy riinn undcr pci,lry (n Nrlurv lnll : 0'n cxc.rB for lhc Conlrtrcro^ l.iltn€ Ijw ln rhc fdlowirB rcov'n (S.c 70:11s
Ilu\inc\\ rfti Pnrfc$n'n Cdlc): Any Ciry o. County qhish rcquircs ! pcrmir b.otr{ru.t. llrcr. ia]Prolc. dcm,li\fi rrcNnnny
{tu.rurc, prn, tu irs is\utrncc. al$ rcqutc\ ih. {rlicrn' ror s&h rnnir h rilcr srsn d slal.nEnt rhar heorshc Lr lic.n{d ,xr\umr
h rlr rtr'lirnnr or rlr C.trrrctors l-i.cn*d Lrp (Chrnlcr L Connncncinr wirh s..rn,n 70(n ol Divi\i :l otrhc llu\inc\\ !tr{l
Irhfcsiotrs (intr ) or rh.t h. dr shc i\ cxcmpr rhcrcaron and ft berk tu rlt dlLgud cxcnuriotr. Any viohri(,n ol Serbn ?0:l l 5 hy Mt
lprlicrnr fUr F-.nir \uhjccBih. {,tli.rdr r. !.ivilrcnrlryotnor ntrcthrn fird hundrrddollrn (S50O
-1.
!s os rr ol rhc lrl,r(ny, rtr
'ny
..d.ycc\ s fh wrEcs us l[cn dc conDcn\ tD. will do rhc sork rltslnrluci\nor
i'n.ftlNl or olltrcd fr {k (S( ?(}l-1. Busims\ rnd Proicsi.r\ Galc: l'hc A,nhckn-\ Ltun{.ljw docs nol a,tPl, b aio*icr ol
rhc pmljcnt wh. huilis or inlpmvcs rh.n,n, mn $b dr\ tkh $1)rk him\cll or h.^cli ot Ihx)LEh hk or hcr osn .'nplorccs.
pn)vnlcdrhrrsuchi'npn^umnrr&noridcnrlBldo,lcrcdir!,Lllhowcv.r.rh.6oildir-!ori'n|m)!cn. il $kl wirhi'r onc )utr
olqnrylctidl rhrOwncr lluitln willlrlc rhc huidcn of |r)vr n! rh.r hc or \hc dtl nor taiu or ii{nnt rhc pmNny tu thc Putlr{oI
-1.
0s owmr of lhc ,opdr- !mciclusirlycon[erins wirh licdn*d .ontdo* l. snsldd llt pmjed (Se,7044, Busrrc$
n.d Ptr,fBsin, Co{tc Thc Conlmlols Liccnsc Laq dos nor rnply to an owncr ofriopmywho builds or im!'roles rhcreon.
lnd sho ontncrsfor such poFcrs wifi a contm.ion 0 li.cnsd luNunr to lnc conrrelols Liccn$ taw).
I amcrcmnl und.r Sfflion , B. & P.C. fo, rhr Erson.
IIOS6DBS:.CI]DIIENIAIION
DECLABABTN
I hcrcby afirrm unde. Fnally of Frj!ry onc oflhc follosinS dc.l[itioosl
-l
h.w !d will mirui, . Clnilic,t of CoN.t lo Sclfln@ for *ot@ 6,r{lNlkJ4 6 Fllided tor by Serion 3rO0 oa rlE
knor Codc. for fi. p.,fo,it1.re of $. tu* for *hict lh. pdnil i, Lslcn.
I hdw and will mn rin workcF conrpcrsal iqr inslratuc. o\ rcqxiEd by Scd ion 1700 of rhc lihor Gdc. for th. PcnnnMr-.c ol
pcrmil n iiqd. My *Drke\' cohpcNrri{,n insur.ftc cMicr rd Poliy nuntcr @
-l
ccnify rhrr in rhc p(lonnanc. oflh. vork lor which thn lcrmil h hsocd, I shnll nor.frplo, an, pcson in an, nMncr
s N lo b.sm subjel lo lhc wltcB'rotFosario. laws of Califomia. tnd 08ec lhol ia l should bc.om subr.d ro llE
wort6' compcnsiion ,,m*ions of Sdion ,1700 ot lh. trbor C.d.. I shlll. fonh*ilh coq)ly wirh inos pmtisions.
WARNINC: [silue r{, su.. workcA'compensDlion colcmsc is unlawtul. dd shdll subiccl on coplortt ro qinir.l Fmlris md
civil fitus !D ro oft hudicd ihouslod doll-s (SI0O.0O0), 0ddnion to rhe cosl of.on4.n
Ssrion 3076 of rh€ bbor Codc. inrce{ ..d olbrEy s f@s.
D^r", ')'t!
Ilrrhydrf Ud.rncnrlrtolpcluryrhllI!nli.cnrdulr{lcrprovi\i(notChnfrcrq(.rnnxNinA*irhS|crin70(X))nll)i!i{i.r.l
ol rhc llu\inc\r trd Prnc$i{'n\ Coilc. md ry licrns
^
ir tulllar.c xlcllt.l
I t2z2?? .i51.
Yo,l"''rz*
q)NiIB.IJEIIANIINDINIJTiINCI
i\\ucdlscc.l(l)7.Cr C)
I cdify rhrt rhc rcdcrsl rcEllarions asddan! !.lEsros rctu)vdl trc nor rlplkablc Io lnh por..!
L, l.cnifvrhd lhn\c rctrd rlrim-*.-"-rs-",,*.*hii,pplicn'ion md slordhtrl rhc svc inforror
d Cou.iyro cnrcr upon ll8hri.g ro bui[in8 constru.rion. !d
.bove mnlbncd tmpcny frtr iNp.dion ,,url,ss.
Appli.anl or Ag..t Signuture u,," 1-a'/ o,.t
UNDER GROUND
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Piping
Gas Pipino
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
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq ?/t+/'t )h t</
Meter Release
FINAL 6(t(rftX i\6b
Notes, Remarks, Etc.
1.\.\',t.
o.u 1. l, l Ql c."'*"".-
l4nder \ Ad.lrc.<
-
AITLICAII-DEIIdAAII}N
I hllby ldirn undcr l.n.h y of pcrjury onc ofthc lollo{ins dccl$alions
Dcnrlilion Pcrmirs-Asl{slos Nori,l.urn'n Fedcrul RcSullrions ('rib 40. Pan6)
_Rcqxircd L.rr.r of Ndificalio.
E+
Waste & Vent
Waste & Vent
Miscellaneous
Final Gas Test