HomeMy WebLinkAbout30139610 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Sanla Ana, CA\27O2 Plumbing
Permit Counter: (714],647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 396{ O
Pin #: 69E31
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-K Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit K-6
Zoning: R4
q
Owner:
Address:
Contractor
Address:
Tenant Name:
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
01116002 51602
01116002 51602
01 1 16002 51600
01116002 51602
Amount
12.23
11 .52
21.25
52.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
4.00
1.00
't.00
1.00
Fee
$48.92
$11.52
$21.25
$52.98
State Lic #: 1009989
Lic Type: B
Bus.'Lib #: ' 366547
Workers' Compensation lnsurance:Caffier Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: O1lO1l2O19
Noles: Fixture change outs (unit 6)
Generol Plon Updote Fee
01116002- 3160000(r-
Plunb ing
0111600?- 51602000-
ICL Cieck t10300?
t2t.25
tl13.4?
t4tl77.2ABualding Use:
Job Type:
Nature of Work;
Planning Conditions:
Multi-Family (5 or msre un; Occupancyi
Alteration Constr Type
Fixture change outs (Unit 6)code:
Date:
Date:
Date:
R-2
VB
cPc 2016
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pennit issued shall become invalid unless the wotu on the site
authonzed by such permit is commenced within 180 days aftet its
issuance, ot if the work authoized on the site by such permit is suspended
ot abandoned for a peiod of 180 days after lhe time the work is
commenced.
0612512018
Account#
$21.25
$1 13.42
lnspector MtD#. 2018-144250
01116002 51600
01116002 51602
Project Address: 2424 N Tustin Ave
Phonel
Phonei Eotchi:14379 - 7/z/?$tg I0r I.P.0SALESoffics: CTYH Trons+: !9 6 ol 3?Acct+: Ref+: 3r:r139d ltl
Kcpti:0?317562 - 7!?/2r-tl9 1?27 Fn
Tronsoct ion lotal t4 t 177.2fr
Kotenro Renovot ionst LL(:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:Fee Total:
Paid to Date:
Balance Due:
$134.67
$0.00
$134.67
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCNf, ATION
I h.rby aflhn udd l)ci.hy of pcrjury lhd I m .x€r'fl ton llE Contretou Liens tlw for thc folloqin8 Easn (S.c,70r1.5
ausin.$ .d Prcf.$ioo Cdh)r Any Ciry or Counry whbh rqune. ! Fon lo c.Nlrocl. slld, lqtmk .,cmlish ot Epoir &t
smdw. prior ro iri isrue.. rlso rcquircs lhc applbdl lor such Fmi to nk a jgEd ftlcm thal lE or slr b lieNd tutlurl
to thc povGions of thc C,nrturort Liccned Lia (Chlrrcr 9. CoMrcing with S.dion 70@ of Division 3 of tlE Blsitu$ rnd
Pmfcssions Codc) or fi tE d slE is*nlpl $cElionDd iE b.!ir to, $c rlhg.dcrcq,lion. Any liolalion ofS6rion r0ll.5 hy..,
smlicrd fn s Fmi subj.rls tlE .rplicml lo . civil FElly of ml mrc thu fiv. hlothd dolbs (4500).
L rs owr& or rhc p(,!cny, or nry cnrloyccs wirh w,ecs n\ rhoir nnc compc0sd t'n- qill do rtr Bod !d rlt {turm i\ mr
inrcnncd orofcrcdiorqrlc(SN.7OI4,Dusincssandhora$i.ns(:odc:-licC,nnctt'\Li.cnsctjwdoc\nol,pDlyloa.ouncro,
ihc pmpcny Nh, trius or iryrolcs rhcrsn. dd who dms soch sorl hnn*lfor h.rstllor rhou8h his or hcr o$n.Dployc.\,
trovidcd th.! su.h i'nprcvcmm u Dor ifrcnlcd or offcr{ (d slc. li h.wcw. rh htril ins or in{rownrnr i\ s,tl wiihin , c Jrr
.fconDldi(fl, lhc Owftr Builds will h.E !h. huRlcnofpmvin8 rlr h. o. shc dd mr t'urld or i,q8)vc tL pDpcny lbr rhc lUIIr,t of
IOItrEIN:.COMPJNIAIION
DEC!r8A:U(A
I hcrcb, amrn ridcr lcNlry of pdjury om of rlE follopine .lctlahrhni
lrhor(q1.. fnrhcpcrliflMncc ol rhc {ork f${hich rhc p.ihir i\ i$ocd
-l hovr and vill mi!t6i. erkst .onp.Baiion insranc.. a. Equn d by Salion 3700 of lhe Llbor Codc. for ilE FrforltEft. oa
lhc wort fn whth rhh lfnn i. ar .d. My sort6 o!p.Mb. insum cfficr drd lbli.y nunb.r @l
Mrdtwgt rruh [v,rsgpv61,p16{0?o 1.il'lt
-l
c.nily thur in rhc tB.forroncc ofrhc qort for which rhh pcrmn h issucd. I rhlll.or cotLyiny Fmn in rny mnrcr
s s ro txrom sutrcr ro rhe worldl onFnsrion laws ol Cdlifom,4 rrd ogm rhar if I slnuld bcotu sbid 16 rhe
wo cn'omt'cnslionpDvisionsotsd'ionlT00.flhcLrlD,CdL.lshdl.fonhwilhomply*iththospmlnioft.
I)IARNINCT F,ilurc tu sur qorkcr( conDcn\alion covcmsc i\ utrhwlul lnd shall \xbjer nn cnplolcr ro dirin.lp.mlics and
.ivil finc\ ut ro om hundEd lhousnd olhrs ($100.fix)). ir odJilnnr lo rhc co\r ol.onD.nsdion, danugcs as Proridcd for thc
SR'tr.n rr,76rlrh. tjF r'ic. rrcrcr Jn,l J nr,f,y, rtc...Z.r S
I lEnny rtEr6 !nd6 pemlry or p.rjur, lhfl I an ticn cd undf Flvisioa of Chrprd 9 {oMncinS eirt s6don 1000) of Dilhioi 3
of rlE BusiBs .nd PEf.ssiotu tu . ,rd my liccM i! in tutl fo@ ard cflecr.
poa48t
.z :L€'lcwa
AIIL.ICANIDICLABAIIAN
I hrrhr" rfllm unttur pcnnhy.r pcrjur ), orc oithc,ollowirg dcchrrrn r
l).'rolirt,tr Pcrnrils Ashc(.\ Norifiorn,n F.dcrnlR.guhrn,ns (Tirl..l0. Pfi6)
-R.quncJ
lafl cr oi Noriftdir
l.cdilylh.r r h. fcd.ral rc8uh I ions rcsrding asbc(os rcnoHlarc nollpplicrhlc lo rhnlmr.d
-l
eniay rnar I have rcd rhis amlicnrion rnd {!rc rha! th. .vc i.lbrn idr is.orccr.I agm lo omply wilh all Ciry tnd Cou.ry
odinaNcs and srorc Llws rehri4 ro buildins
aholc mnrioncd tmpcny lor insp.ciion purlm
ivcs ofrhis Cny otrd Counryro cmcr qr,o rt!
Appli.nnlorAg.nlSlgn ure:
sDanr.ol
a.z.t6
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-underlloor
Buildinq Sewer
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Ir/ain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq
Final Gas Test
Meter Belease
FINAL K/s/tx 2bgr
Notes, Remarks, Etc
Lnso* c.olrh.pr.pcny.r'h.klu\ivcly.onk rin! {irh 1tuf,\cd .ont(rr\ b .on(n,cr rhc nn+cl (SN 7(}1,1, Bd'inrs
rtrJ ltrl!!\ircod.: Thc Cotrtricntr \l,iccn\. L!r'rloc\ ror.p,rlyk, rtro{ncr olpn,p! y!h(,buikkorltrrtrorcsrhcrcon.
trnd lho conrrckitr \trch tx)icr!{irhsConrrrct{o licc'Md funurrr h rhc O,nkmrn s I-ic.nr lrr)
lrn,cx.nu uodcrSltrtrnr , A & PC lar rlrs rcrnnr.
roNtilBucugxL[tluNli-&GENcr
I hcrby ,afirn und.r lf,nrlrt of pcrjury rhd rhce is a co.{d.tion lcndin8 qcncy lbr lhc I,.rli)rtun!* of rhc eork fDr whi.h rhh !.flnn is
i$ucd (Ss :ll)97.Civ. C )
Area/Storm Drain
Roof Drain