HomeMy WebLinkAbout30139508 - Permit (2)City of Santa Ana 20 Civic center P|aza (M-19), Santa Ana' cAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section. (714) 647-5853
Permit #: 30{39508
Pin #: 81491
EProject Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-D Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit D8
Zoning: R4
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
Katerra RenoYations, LLC
3200 Earharl Orive
Carrollton, TX 75006
(972) 8r8-1065
01 I 16002 51602
01 I 16002 51602
011 16002 51600
01 1 16002 51602
Amount
12.23
1't.52
21.25
52.98
Fee
$36.69
$1 1.52
$21 .25
$52.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Phone
State Lic #: 1009989'
Lic Type, , B
Bus. Lic #: 366547
Workers' Compensation lnsurance:
Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 0110112019 uluuu-
00300(
Building Use:
Job Type:
Nalure of Work:
Planning Conditions:
Planning Approval By
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 8)Code:
R-2
VB
cPc 20r6 Notes: Fixture change outs (unit 8).
Chavez, Dave
Every permit issued shall becgme invalid unless the work on the site
authoized by such pernit is commenced within 1 80 days aftet its
issuance, or ilthe work aulhorized on the site by such peamit is suspended
or abandoned tot a peiod of 180 days after the lime the work is
cofimenced.
0611'lt201a
Account#
lnspector
01116002 51600
011 16002 51602
$21.25
$ 10'1 . 19
The Bascom Group, LLC
26 Corporate Park Drive, Suite 200
lrvine, CA 92605
(949) 955-0888
Qty
3.00
1.00
1.00
1.00
Botch+:{422c - 6/l r/
olf ice: CTYH Tron!
Accti:
Rcplit0?29?O3$ '6t
Tnonsdct ioo Totol
KcrLnrro Hen0vRt
,)
tenerol r
01116002-
Plurb ing
(r 11 16002-
ICL Check
t pdote FP
6(rO00O-
Date:
Date:
Date:
Misc. Receipt:
Misc. Receiptl
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
$122.44
$0.00
$122.4
MID#: . 2018-143639
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDEB GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Rough Water Heater
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release
FINAL 7/to/ra )s tol
Notes, Remarks, Etc
OWNER BUII,DER D!]I,CARATIoN
3u\nrs md Eolcsiflr Codc): AnyCiryor (.unry whi.h rcqunc\ a Fn.ir lo condrucr, alr.,. inprolc. dcmoli\h or hl]rn r.t.
{rudu,e- ldtrk, i,\ hn,aEc. al$ rcqutcs rhclPpliofl lor \uchl)Cnnir &r fil.r \isn.d nar.tunr Ihd hcurdr n,iccn{d tu u..r
tr rhr pn,viri( \ of rlr Co.tr.ntr's Li.cnscd Lrw (Chofrcr 9. ConnmncirE wilh Scclion TtXX) ol'Diri\ion :l oi rht Btr\i'ics\ rnJ
P(ni$!u.s C.dc) or r,rl lE or$hc iscxenrfl lhcrcnon d rhc h.ns lirrhc rllcgeJ.irnlprion Anyvnrri{,.olScdioi7l):ll5hyrn,
arpli.nnrturrNirnirsuhjc.rsthcnpfli.!nrro!cnilp.nnlry.l'nornrorcrhannvchrndrcildoll$(55(x)).
l. I osn.. of rhe pbFny. or oy .mploy.cs wilh u8.s I rhcir solc 6m!.Nalion. will do llE *dt &d llE slrEi@ l! Dt
inrcnrLd or ofimd for slc (S8,7O44, Bosirc* dd Prof.ssions Codc Tnc Conrebai Lior Lle docs rcl a00ly lo !. owm. ol
rhc prcFny who hiild.6r in+sB rtEB.. .!n who dG sh h,t hi6.ll or h.slf or rhmu8 r nis d hn osn etr9l.yes.
provned ltat ,!ch imr,l!ftnts c ml inlqxL{ .r oflcrcd rD. Elc. ll hoEw. ltE tnildi4 r in9rcEftol n $B wirhin oft Fs
ofconphlion. llE O*Er Buil,6 will haw tlr hld.n ofFovinS thd lE or df, dil mr t ilt or irprerc t E ropd.y for dE po{D* or
_1. s oqncr of rhc Imrc y. !n ex.hsivcly connncring wirh liensed conrmcroN n @nsre{ nE Foj.Er (se. 7044. Buim$
Md &D6.sbn Codc: Thc Co.rr.toas Liccns kw do.. rcl applyio mowmr oftmlErly who builds or inproEs lhd@n,
lnd who ofllmds ror seh Foirrs aith 3 Conrtrto(s) Itc,sd r!B@l rb rhc Conr&rd B Uccn* tl*).
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Mcicnpt lndcr Sccrio
roaf,Ef,s:.coMPillAn0!
PECI,AMIIIIN
I hcrchy lffirn udcr pcelry otp.riury orc ol fic lollosing detdldonsl
-l
hrrc ud will Nir .in . Ccn ificarc of Con\enr r Sclf- lnurc lor worlcE Nmpenqrk,n. ,s ttuvidcd lor by Sccti.n l7m ol thc
bh, codc. for rtu p..fornBnce ofrhc worl lor *hich rh. p.nnit t issu.d.
_lhovca dwilldan sin workc.s c6rrpc.\ nrn insurrncc. !i r.quidd hy Sccr io. i?(x] of rhc hhor Codc, fu lhc pcrfomtc of
thc sork torqhichrhh pcmir ir tslcn. My workcG compcnsation ins!6(c .adicr .nd lblicy nu,nh.r ml{\
o
I eaifr rh{ tu rhc prfonuftu of rhc work for rhich rhk p.rmi k issucd.l shall nol cn{,loy a.y tcr$n in any 'unmtso s lo bc.om subjccl to lh. wortcB omp€nsti,n l.*s of C.lifomia. and asN rhd il I \hould bccom \ubjet io th.
woltnr .rml.hsarion ,mvisions oa Sdion 1700 of rhc t2&" Codc. I slEll. fonh*irh omnly wirh rhos !o!icionr..
WARNING: Failun ro s@ Mrk rs coqx.srion .ovcagc ii unl,{tu|, 8od stull subFi m c,nplo}cr lo didinal Ftulri.l dd
civil nner up ro onc hundEi thouend dollc ($100.00{)), i. addilion lo ttE cosl of mmFnslion. d!@8cs !s pr6vidcd fo, lh.
S&ri{in 1076 of rnc lf,h, C.{r. inturci rnd ,rroirEy\ f.cs.
-cux+f 20Jt ,**r r
I h.shy rrarnrundd p.Mlry of pcrjury lhar I !m lien{t u.dd lbvisbn olChoflcr9 (conmcncins wirh sc.rion 70fi)) ofDivirion l
of rhc Busies and hoL$bns Codc. ,rxl my liccnsc is i. tull ror.!.nd cfic.l.
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calsrBrJl.rloNLl:xt lN!i-&cEN(r
I hcr.hy lirtn nndcr pcmlryoipcrjuryrhrrdrrci\a con{rucri'n f,:ndir8 r8cn.yforrh.piir Bncc.lllr truk hr *hichrhi\ pcr ri\
issucd (Sc. :1097,Crv. C )
A.TETANIDIiSLANA T
I txrby aftr'n und$ lcn![y ol Frjury o'E oirhc follosir8 dcclrdions
O. x,lirion Pci, ia Asbcios N.rificrrioi Fcdcrrl Rcgulnrtnrs (Tirl..l0.l'>fi6)
Rdquft d Irrrf of Norifi .dnn
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cerrily rhal rhc fcdcml rcsul ions rcgadi.g rslEllor ctuvil uc oor q,pltahlc lo fiir poj.d.
lri ccnify thal I h0v! rcd lhis.lpliclriotr and (!leliar lhc !tF!c infoturior is cotrdr. I alr ro 6nlly *nh all Cntod County
ordinsres and Stdc L3ws EhtinE ro buildinB on{dction. and hcrby,!rh.ri& dpEscnrdivcq orrhh Ciry ond Couolylo cnlcr utronlhc
8bv. n.nlbmd pmlfnt ior inspc.tn,n plqr*s
A0pliranl or Ag.nl Si8nalorel
I
POOL/SPA
Gas Service
l.ttt
I e,on441.
t]1,'1.''. AJ'l'r$
Pemlle Dmr (prinl):I
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