HomeMy WebLinkAbout30139500 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{395OO
Pin #: 12349
Proiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot; 8
Unit:
Block: A
Bldg: 24-F Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit F.(, F-6
Zoning; R4
E
Owner:
Address:
Phone
Tenant Name:
The Bascom Group, lnc
26 Corporate Park Drive, Suile 200
lrvine, CA 92606
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-r06s
01116002 51602
01'116002 51602
01 1 16002 51600
011 16002 51602
Amount
12.23
11 .52
21 .25
52.98
Fee Type
Sink
Dishwasher
General Plan Updale
lssuance
Qty
8.00
2.00
1 .00
1.00
Fee
$97.84
$23.04
$21.25
$s2.98
Phone
State Lic #: 1009989 .
Lic Type: B . r .
Bus. Lic #: 356547
Workers' Compensation lnsurance:Cafiier Midwest Employer's Casually Company
Policy #: BNUWCoi39070
Expires: 01101120'19
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 4, Code:
Date:
Date:
Date:
Notes: Fixture change outs (unit 4, 6)
Misc. Receipl:
lVisc Receipl:
Misc. Receipt:
Total
Chavez, Dave
Evary pemit issued shall become invalid unless the work on lhe sire
authoized by such pennit is commenced within 180 days aftet its
issuanco, or il the work authoized on the site by such permit is suspended
or abandoned tot a peiod ol 180 days after tha tine tha wotk is
commonced.
06/11/2018
Account#
$21.25
$173.86
$195.1 1
$0.00
$195.11
lnspector MID#: 2018-143633
01116002 51600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
Contractor:
Address:
Botch+: {{22€
0ft ice: (lYll
Acr:t+:
kcati:(12292[
ll.dnE
6/Lt/2018
11q65f:68
Refi:- 6/tt/2al
! loa lolol
Renovot ionBr LL
Plon lledote Fee
2- 51600@0-
Building Use:
Job Type:
Nature of Work:
R-2
VB
cPc 2016
Planning Conditions:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS OWNER BUILDER DELCARATION
I h€rcby sffsm undcr lEnalry of lcr$ry rhd I d .rctrB foa rhe ConrddoF Lhmrc L,w fo. rhe loUowing Msn (S*.'r0! 1 .5
Busin ss rrd Prolcsion codc): Ary Ciry or County shhh requnca a Frnn to onnrud. alrcr. ihprc!., &mlnh o, qun M,
rrro.rm, prior to ilr ksuuc.. oho Eauircs th. olrlic,nl for such Fmir Io filc a si8trcd ilar.m rDr lr or shc & liftnsn p!d!m
b the povhaon.6f thr Crntr&rm\ Licc.*d kw (Chlprd 9. Conm.minS with S.clion 7000 of Division I of lhc Busin.si lnd
Pma.ssions Codc) or rhnr h. or 3nc is crcm rn E6on Md rlE basis for $c llhscd .xcnption. Any violaraon of Sdlb. 70,I 5 by uy
opplica for ! p.mil slbFcrs rhc llpliclnt lo ! civil lJcMlry of mr er rhd fivc hundrd dollm ($50o)
_1. ai owM of rhc proFny. or my.nployes with wrgc. I rlEt $h ompcnslion, wiu do llE qnt an dE nflll@ i! nor
inrcnd.d or ofrcrcd for sh (Sa.7044. Blsircs s Pmac$ions Cod.: Thc Conm.lofi Lac.M t w de. not .pply lo u owner of
lnetNocny wlh hilili or irpms ttu@n. !d vho dca sEh e* nimcll or h.r$lf or lhouSn hir or h.r om cnplor*i.
rovidcd lh3l sEh inpmmis N ml inl.ndcd n of.Ed aor $L. ll hwE llE bo dnu or inv@mfl is $U within om Fs
of o,pLriorl tlE O.ver Buildcr wil lew tlr hifthn oflmvin8 lhx lr or slE dt ml hoild or in!rcE 6e l,olsry tu tlt p6po* 6f
-l,
os owmr of rh. pmFny. am crclusively contDcrin8 wilh li.cnsd conlracro^ ro construct rhc pm.,cn (Se. 7044, B$incs
oiri PEftssia Cod.: The CoflEror's Lic.nsc Law do.. nor apply ro u os.d 6l prcFny who buiids or improves rh$.on.
and *no onlacc fo! ocl lrojGrs with ! Co.tBcro(s) liensd po^udr io rh. Conbelors Lief,3 bw).
-l
rnci.mpr urdcr ser B & PC brrhi( rcasotr.
Drte
IOT6E&$:.COMEENIAIIQN
DECi ANATION
I h.rcby am,n undcr pctulty of rojury oft oflh. rollowing d.rLmri.tr
-lhrvc
flxl sillnnrnrhin oCcnilrnrcor(],n*nr t, Scll l{su'c nn sork.A-.onlilcns (in,as rrouilcdri,rbysalion:rTo0orrhr
Lltntr c.i]c. rd rhc pLafunmEc olrhc wo* rbl *[ich ihc ti.nni' is isJucd
_l havc rnd qill nuinr,in $o crs cornFnididn itrsurancc. os rcqunrd by s&rion lT0ooflh€ tjbor Codc.lor rfie rcrfo,tuncc of
hnlnmn t nntd M, workcF sml,Cn\d'on rn\ur u!. .n'cr ard policy numb.r ee'
.,tr^,r rl-- th,r rrr+.M:
I c.nity lhai in lhc pda.rronc. ofrhc work lor which lhis rcrn:il is issucd.l shrll nol .mployaay peson in iny mtnmr
so Nk,lxsmc slbid to lhc workcs comncn$ion laws of Culifoni!. and ale Ihar irl rtbuld t*com subjer lo th.
eo*crf snpcnsolion pmvnions ofSarion l?00or fic kbor Codc.l \hall. fodhwirh onplt wilh lhos pmvhions..
WARNINC: failure lo Kure *orkc^'cotrqtnsdion d'vcros. i\ unlawtul. and sh8ll suhjel on.mplo]tr lo sir.itul pc&hics dd
civil fincs up to orc fiundrcd rh.usord dollrs (slm.m)), in Bddirion ro lh. ssr oicomp.nslion, damacs ar poidcd fot lhc
s.cri{nr.l)76 rn rh.l rhtr .T
DICI,ABAIION
I hcfthy rlftor dcr pculry.f lfr.Jurt rh.r I.n li.cn{dxndcr tmvnbnol Chrtlcrglco'nnrNins wirhsc.thn ToLio) ol Division.l
of rhc Busin.$ and Eoltsion\ Codc. tuJ h, li.cnE i\ in inll lar& d cfli.t.
6 leo*Q?.rt
IaNEIA!&IINIINDINGACDXjjI
I h.nhy allirn u.dn,f,mltyolIr julylid rhcrc h u coDstruclion kndi.s lsctrcy fttr rh. pdli,mnc. ofrhc wort for {hi.h rhh rmril i\
is{cd (Sc. :1097. Ci!. C.l
AIIUIANI.DEII./IAA.I]AN
I hrrtyalltmundcr pcnrlty olp.rjury om orrh. follo*ins d(hr io.r
Dcmlition P.rmirrAsb.sos Nolificoriotr r'cdcral Rcauhlhtrs (Tnb 4- P!n6)
-Rcquncd
Ixrld ol llorificarion
-l
ccnify rhrr rhc fc(lc!!lrcsuhrion\ rrlrdins tr\h.nos ftnbvrl3rc nor rpplicrhlc to rhir por.r
-a2/' llrn'lJrlL ll',tr! r.rLlrh'\ nfl\.,.tr.r1{,[crh. rhcrhrlc i'nnnmri.n tcor.cl.l agNbcon,t]rsirhallCirtdnd Courrr_
odinrncc\ rnd Sr,ir Lrws LrinA ro b unrg .onjtud nnr. drd h$cby runn zcrcprc\cnrrtn?solrhisCirytrddCotrnryrocnrcrupotrrhc
lbovc nrnriomd pDl,.rr, for insF.rn,n Duiloss
ADpllBolor Ee Shn{lu ,Pl
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Undeffloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Rouqh Water Heater
POOL/SPA
P-trapi 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
Rough Plumbing Uarle S\rfr
Final Gas Test
FINAL 7 /q-- /rz )s lol
Notes, Remarks, Etc.
TubiShower Test
Meter Release
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