HomeMy WebLinkAbout30139497 - Permit (2)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: (7141647-5853
Permit #: 30{39497
Pin #: 66541
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-B Address Range:
Tract A.B. CHAPMAN Historic: No
Suite Range: 8-6
Zoning: R4
q
Owner:
Address
Conlractor
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Drive Suite 200
lrvine, CA 92606
(866) 695-s591
Katerra Renovations, LLC
3200 Earhart Orive
Carrollton, TX 75006
(972) 818-1065
01116002 51602
01116002 51602
01116002 51600
011'16002 5'1602
Amount
12.23
11.52
21.25
52.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
4.00
1.00
1.00
1.00
Fse
$48.92
$11.52
$21.25
$52.98
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #r 366547
Workers' Compensation lnsurance:
Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCol39070
Expires; 0110112019
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Sub.iect to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy: J
Alteration Constr Type:
Fixtur€ change outs (unit 6) code;
R-2
VB
cPc 2016
Notes: Fixture change outs (unit 6).
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permit issued shall becone invalid unless lhe wo* on the site
authorized by such pem]'it is commenced withio 1 80 deys afret its
issuance , or il the work authodzed on the site by such permit is suspended
ot abandoned fot a period ot 180 days after the time the wo* is
commenced.t
06/11/2018
Account#
$134.67
$0.00
$134.67
lnspector MtD#. 2018,143622
01 1 16002 51600
01 116002 s1602
$21.25
$113.42
Fee Total:
Paid to Date:
Balance Due
Project Address: 2424 N Tustin Ave
HIUNOII
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Planning Conditions:
PLUMBING.INSPECTOR RECORD
ID/SIG.COMMENTS qWNER BUTLDEtr DELCAIAIION
I tcrcby rlttrm und.r pcml'y of pcrjury rh4r I m.rehpt tDh th. C,nracto^ LicM t s fo, rhe foUoei.e lmo (S<.7031.t
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lo llE I'rcvisioN ollh. Conhdofs Licc.rd kw (Claprd 9. ConmcminS wirn Sccrion ?(n0 orDivision:l ofrhc Busiocsi aId
Pmlcssiors Cod€) or lfiar h€ or she n excmpr lh.Efmn md rh. baris lo, $c rthgcd .rcn$ion. Atry violariofl ofs.dk n ?031.5 by any
appli$nl for a rEmn subjek 'h. rprli.m lo a civil Dc6lt, of mt mrc lhln fivc hundrcd dolldr ($500).
l.J\osnc.otlhcnnp.nr.ornrJcmnk)rccsqnhsr!c\a\rh.ns,hconp.n\dion.silldorhcNorkaftlrhlsrB-ru4i\n,r
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rlf, rnlury llt boild( or inrrn*ts rl*Enr. rxl who dmr \u.h *.,1hnns.lior herrllor rhioush his or hcr o(tr cnrtloFc!.
pnrvdcdrhlrruchnnpx^rrtur\tnori.trJ.d.rolllrcdtur!rlc.lt,howcv$.rhrhrildi'rroriqmlcmfrisqnd*irhrn,c)cr
ol.utrtl)Lron. rhcO$ncr Buiucr sillharr rh! tunlcn oi F)rirB rhd h. Ish.dittrurhuitd I i'rtro\r rhc ptrrldy tu rt* puqi,y ot'
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$ ownf ofrh. pep{iy. !o.x.hsiElycontrctins wirh licctrsd controclon ro consrru.l lh. phiNl (Scc rur4, ausrcs
&d Eoission Codc: Thc Conlretols Liccn* Lrs des Nt rItl, to doencr of lropcny *no btilds or imFmEs thc,mn.lnd *ho conln.k tbr iuch pmr€rs wirh a Contmcro(9 licon*d pursunr ro rtu C.nkacbls Lic.n$ Lnwr.
lo'n.r.nnn tridcr \..
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IECI.AAAIION
I heeb, afftrm undd Fnrlty of tE jury om of rlE nrbwine dc.larathN:
-l
hrvd rxl *ill nhintnin a (tn iaf,rrc .f Cons. r lo SclflNurc tu $ or*cr( snDcnsdnrn. !s DR'vidcd f$ I'y SNt ion l7m ol rh.
tihtr C,xl.. for r hc ntrloflMncc oi rfu wo.k l'or which ihc p.rnrn i( i$ucd
_l havc and will nrinrain work tr com!..iorion in\uancc. as rcquircd by Scd n,n 1700 of rnc bbor Codc. ior lh! pcrfonErcc of
is ns.n. My e.rkea .lnpcnerion inslrlrc.!dcr &d polty nlmhcr m:
s
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l.cnify rhar in lic,,crformnc. oflhe *orl for which lhis Fr6n is irsu.d,l shall ml cmpLynny pc&n in rny manicr
s as to h..oE sub.iEr ro rh4 wrloa @nFnnrion bws ot C.lifomio. and agrc. rhd il I sholld beam subjst ro tlE
rorkEl omp.ns0rion pDvirions ot Sdrio. l70O.r lllc ljlnr Codc. I shlll. forthsitt @mply eith lhos ,rmvhions..
WARNINGT Fsilu.. xr sltc {orkcG coqrnsllion mvcnBc is unltrwtul. md sh0ll suhirl M cmpk,ycr io dimiMl tEMhics and
civil fin.r xp b nrc hundrcd lhou\and dollls (SI(I0.OO0),
scction 3076 ofrhc ti&r codc, ior..ci od drorrcy s,Ns
in Mdirion lo rhc co{ of.orrycndbn.
*" ]ll}l l1 ^
!]!L]=!x.{t(A
I hcBhy lilnn ukl.r l.nilrroirrjury rh.r I am lien*d udd.. pnvisi,,n.rChrprrr I (.o'nL-ncins eirh sccrbo 7Oo0) orDivnion.l
ol rhc autnr$rid Pn,rc\s.i\Cudd, ard nry liccn\u is i'r tullri)r.c drleli.cr
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*.-JUN 1 1 2018.-,*"., Fat',o,r.
CONflAIICUqNIENI'IUC.AGINII
I ltEby afiim u.dcr,Enllly of pcriu.y $al lhdc is a ondocrioo hndi.! dgcncy for rh. pofolr1@c of tbc wo* f6r whth rnir Fmrl n
hsucd (Ss 3097.Civ. C ).
AIELICANI.IIES,AAA.IION
I lLr.l,, allmr !"dcr lcnolry oi ,'crJury om of lhc followi.8 d*lmrions:
Dcmlition P$mih-Asbc(os Noli6.atio. F.dc.rl Rrgahb.s (Tillc 40. Pan6)
-Rcquncd
Ldlcr ol Noriff,olbn
-l
ccdiry fid th. fcd.r.l rcSrhliom Eg0di.8 rlbcnos .cmvd dc nol appli.lhlc 16 |hi. per..t.
,1 .!d ily rh0r I h,!c rcad rhis ,l)pli.ariun ond sdrc $nr rhe lbyc infomrion n cotrsl. I asrs t omnl, wilh all Cny rnd Counry
odnrrccs.nd Srtrrc tjes (hrin8 lo building con{ru.rion, afll hcr.hy auhornx rcprcscnuivcs ofthh Cir, md Colntytocnrcr upon rlE
!hov. mnlioftd popcny ror irspe.rion
Applicut o. As.nl SigEroE 1
,llt 1 " -,,
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Bu ilding Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pi prng
Tub/Shower Test
Rou h 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
R ough Plumbing 0//L//x ) n6A
Final Gas Test
Meter Release
FINAL ?/lt/tt
'.Af.,1{Notes Remarks, Etc.
APPROVALS DATE
Roof Drain