HomeMy WebLinkAbout30139618 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714],647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139618
Pin #: 361r9
Proiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-Q Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unlt Q-6
Zoning: R4
q
Owner:
Address:
Contractor
Address:
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5591
Katerra Renovations, LLC
3200 Earharl Drive
Carrollton, TX 75006
(972) 8r8-1065
01116002 51602
01116002 51602
01 1 16002 51600
011'16002 51602
Foe Typ6
Sink
Dishwasher
General Plan Update
lssuance
8ot,:
off i
+157?
CTYH
Fee
$48.92
$11.52
$21.25
$52.98
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance;Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 01/01/2019
0?3175S?
h?(e
:ct
:pt
7/2/zgtgTronsi: 69
flef i:- 7/2/2i18
ronBo,:t ion Totol
KotePro Renovat ionsr LL(
Planning Conditions
Multi-Family (5 or more uni Occupancy:
Mlscellaneous Constr Type
Fixture change outs (unit 6) Code:
Date
0ate
Date
Fixture change outs (unit 6)Noles:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 1 80 days after its
issuance, or il the wo* authotized on the site by such pemil is suspended
ot abandoned fot a peiod ol 180 da€ after the time the woi< is
cnmmgr@d.
06t25t2014
Accou nt#
$134.67
$0.00
$134.67
lnspector MID#: 2018-144263
01116002 51600
01116002 51602
$21 25
$1 13.42
Phone:
Amount
12.23
1.1.52
21.25
52.98
Qty
4.00
1.00
1.00
1.00
Phone:
IOI LROSALE
26 of
30139618
3:?7 Pn
$4 r 777 .?0
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:Fee Total:
Paid to Date:
Balance Due:
R-2
VB
cPc 2016
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OwNr]R BUILDUR DI,il,cARATlON
I hcrchy 0ifinn uftlcr ncntrlrt of ncrJury rh l ,n cxtnDr in,o rhc Conrmcl,tri l-ic.n\c t-rs lar rh. r.lhwirB rcrnr (S.c 70ll 5
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dtucrurc, pri{tr t, its is\utrtr.c,,1$ rcqtrnc\ thc {!li.rnr ror \u.h t--nnii n, filr. \rstrcd {arcmrt
'har
hcor\hc i\ ti.en\dd pursumr r
ro rhc n.ovnn,ns ol tl[ Conrracttrt l-icrnrd us (chatrrr 9. C.nnncn.ii! Firh Sccrion 7r)(n ol Divni,)n :l ol rhc lru\ircls nM
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6 osM ol lhc ,roFdy. or my ehployes with w.Ecs !s lh.t $lc conFnilrjon. will & [E vo* an dr nf,rrE t rci
inlcid.d d ofi.Ed for eh (Se.?044, Busiftsr tud Protcsrions Codq Th. ConlEcldt Ltens! Liw do6 mt q,ply to M otu of
rhc p'Dpdr, who t{ild! or inpoB lh.6n. ad wlh doci s.h mi( hid*lf or lErslf o, tt@u8t ht or lEr own cflPk'fes.
providcd rhar 3uch imrmwmitsm mr inr.idcd trorcEd for sk. lf. ho*6. tlr t{ildine or nl!,lErnl ir $ld *ilnin om )ra
.f6,r?bri,n, UE OsEr Built r will hlE dE hlrhn of preyiis thll tl .r dE dil mt toild or inptDE dE pmtEly fm tlr Inqne of
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as o*ncr ol rh. DmIcny, an cxclusikly conlr.clins wilh li.cnsd .onlrucloF to @n$!d rlr prc.iccl (Sa. 7044, Bulir$
rid Pirt sb6 Codc: Thc ContEcror's Liccn* ljv dms mr lmly ro an ownr. ol proFny wl'o builds or ihtmGs lne,6o.
and whD conrtucrs for slch poi.ch wnh a Commclo(r) lic.ned purrunl to lhc Cbnrlc1ois Lkcnc kw).
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!mcicmpr undr Sd'kr
IAatrESLCAMIINSAIIOND[CttI8Aro!
I hcrcby .mrn undcr pcnally oI psjury on. ollh. folhwinS .h.rmlions:
-lharci
$ill nuinrdin a Ccnifl.trrc or conscnr h Scla lnsnm for *olkcN compcnrdnrn.,\ ttuvid.dfor6yScction1700olrhc
tihor C.dc. lor rhc pcilhrruncc .a rhc worl ror *hi.h rhc p.nnir i\ isu.d.
-t hdve lnd wiu nui 0in vorkcrs compcns!fion in$mrc.. !s Eqlied by Setion lr00 of thc L3bor Codc. Ior rhe F,lommc of
rhc aork ror whi.h lhhpcmir is hsu.i. My ompcnkrion in\ura c .Micr id polty numbc. lrc
c r.\.F
-l
ccniay thsr in rhe tcrformnce of rh4 *ork lor whi.h thk p.rnir is i$u.n. I llull nol cnplo, any pctron i. any mdM
so 8roh..om bi(l b0E m*6c.omrcns.lion bws ofcalifo ia, andt8@lhd if I should 6.com slbi6r lo E
ertc6 onp.nsarion prctiions of Sdioi l7m of llE L,tbr C.dc. I sh,ll. lodhwnh coq:|, wilh lhoe prcvlrions.
WARNING: foilurc ro *uc sorkcn .omFnelio. colm8c i! unla*lll. lnd $1ll subitl an onPloy€r Io qihind FD[i.s und
rivil fin.s ut ro om hundrcd rholsand dollus (Sloo.filo
Sd io. 1076 ol rhc L€hn Cndc, inrcre$ and allorhy'r rccs
). in lddirion to rhc cosr of
1.r.\q
t hcrb, lf,irm untlc. r.ndlry ot p.rjxry Ih0t t liccn{nundcrpmvi\ioior(hrrrd9lconnrfNins*ilhSedn,n70m)olDivisnnrl
of rhc Businc$rnd Pn)rc$n,ns Cod.,,nd my li.cnsc G iri liilll'ore nnd cllNr
I 'J844 erc
Ylkn^
CO EIf,JJCUTNI.ENUNIiTTiIN.CI
I hcrcby rfitmundcr ncnahyolFrjtry rhxr rltrrc is a consrfl.rion lcndirS a8crc, far lhc IErlbroDm. oirh. *ork lhr sni.h rht Frmir i{
issucd (S.c. lO9?. Civ. C.l.
.
-lccnifyrhar
rhc lcdcrrlBsrl ions BgddinB astrsos rcnsvll!rc mt rprlic$lc t, rhh pmFr.
giinny,u r u,..,a,r'i. rt dic.rion onl nnrc rhar rh. ubrc inrotuurion is.onsr. I trE! to comply w'rh lrr cnyand counry
ordindn c\ md Srarc lrssrlditr! htuildinEcor(rucri'n,, axl hrrchy of rhis Ciry a.d Couniy lo cnlq upon thc
atole mnrioncd Ir.n ny ror insFcclion purposcs.
Applic.nI or Ageni Siaetuer ^,.,4.2.fr
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq vf?./z 9bq$
Final Gas Test
Meter Helease
FINAL w?/n >\6'Y
Notes, Remarks, Etc.
L.hdcr'\ NonF
-
AIELLCANI..P&I,A3AIIO!
I [a+ry afiinn utrds lcnolt, of p.rju.y onc ofrhc r.llowin! dc.lantri.trs:
Dc'mlirion Pc.nirgAstEsros Norificurion r.dcrul Rc3ulrrioN (Tirlc 40. Pdr6)
Rcquir.d trtrcr of Norifi ca on
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