HomeMy WebLinkAbout30139609 - Permit (2)Proiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-L Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Rangei Unit L-9
Zoning: R4
E
cify of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (7'14') 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 30{ 39609
Pin #: 57722
Owner:
Address
Contractor:
Address:
P hone
Tenant Name
The Bascom Group
26 Corporate Park Orive, Suite 200
lrvine, CA 92506
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75005
(972) 818-1065
01 1 16002 51602
01 1 '16002 51602
01116002 5't600
01 1 16002 51602
Amount
12.23
11 .52
21.25
52.98
Fee
$48.92
$11.52
$21 .25
$52.98
Fee Type
Sink
Oishwasher
General Plan Update
lssuance
Qty
4.00
1.00
1.00
1.00
Phone
(nterro Renovnt ions. L.l i
Notes: Fixture change outs (Unit L-9)
$134.67
$0.00
$134.67
Generol Plon Updote FeB
01116002- 51600Q00-
Plunb int
0t 116002- 9160200(r-
ICL Chack 0030r.12
t2l .2t
tt 13.4?
tltl?7 .2ABuilding Use:
Job Type:
Nature of Work
Multi-Family (5 or mor" ,n; O"",ip"'n"y,
Miscellaneous Constr TyPe
Fixture change outs (Unit L-Code:
R-2
VB
cPc 2016
Date:
Date:
Date:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permit issued shall become invalid unless the wod( on the sne
authorized by such pennit is commenced within 180 days aftet its
issuance, or if the wotu authoized on the site by such permit is suspended
or abandgned for a peiod of 180 days aftet the time the wod is
commenced.
lnspector MID#: 2018-144249
o6t25t2014
Account#
01 1 16002 51600
01 1 16002 51602
$21.25
$113.42
Fee Total:
Paid to Date:
Balance Due:
State Lic #: 1009989 .
Lic Type:. B :
Bts. Lic#: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 01/01/2019
Botcht:{{57? - 7/z/?ttlg I0! LRoSALES
tlff icet CTYH lronsi: 69 4 ol 32Acct+: Refi: lt:t139609
Rcpti:02317560 - 7./?.t2tt19 31)? Pn
Tronsoct ion Totol t4,177.?Q
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Planning cohditions:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE OWNER BUILDER DELCARAIION
I hcrcby amm undq pcnahy of Frhry rhrr I d cxchpt from rhc Conrraclo6 Ltctre Lle aor rhe followinS @$n (Sd.?oll,t
Busin.$ aod Pof6iion Codc): Any Ciry or Couniy Bhich mqlaos r F nn ro .onsldcl. it6, inpdq d.'bliih or Erri u,
srdctur., lrior lo ns issu!ft.. llso rcqunes $. alPlk.nr for tucfi pcmir ro 6L a sisftd smcmfl ftar lE or shc ir l6rBd pus@t r
lo lhc pmvhions ol0x Comsrols Licns.d t w ((}.pt. 9. Coo@ftine wnh Sdio. ?m0 of Divhkrn 3 of llE B8incsr and
Pn,fcssions Codc)orlhar lr orshc is cnfl th.rcftoEand rhc lEtis Lr tn akscn.xcnnrton. Any viokrio.ofseihn 7031., by,ny
aPl,liconl for d p.roir subjdr rh. ipplicmt rorcivilp.Da,lyotnot mrcrhn 6v. hudEn dolffs ($500).
_1. d. oMcr of rhc lop€nr. or ny enDloyGi *irh was6 ar rlEt $L comp.Mrion. qiu do 0E w6t ad rl! irryIw t 6r
i.ldd or of.rd 16 elc (5(.?044. Busimss o.l ProLs.ioB Cod.: TrE C.nlr-ld s Lirns L!* &'.s nol .pply lo d owEr of
lhc For*ny *ho hiBr or invo6 tlEelr !d wL &B sh s himlf or hcelto. $rcugh hir or hc, ow..mpLyc.s.
lrovid.i rh!' $ch intptukrcnls ft mr hl.id.d d ofr@d nlr eb.lf. hdssi rtE t iEin8 or oprcv!@nr is sh *nhh orc r@
ofoi!,Lion. dE Owr Blilt.r will hlE |l!. hrit n ofProliis tlEr lE or .l'. dil ml hlld o. idprcE lhc pFpdly lo tlE purFe ol
-1.
as o$ncr of rhe rmrcny. d ciclorivcly c.nrturins airh licci*d cont !cro6 ro d,n{dcl rlt pbj(l (Sm ,014. B6imss
ond hdBsio Codc: ThcCo.ra.roas Liccns tju d@s nor 0tplyro !no'nq olpnp.nlwno builds.rimpolcs rh.rcon.
rnd who .ofia.lr lor s!.h lojccls wi'h . C.nhddr(s) lacen*d puN@r b
'hc
Conkrcrols Lic.ne tiw).
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IVoRKFRv C{T[IPFNSATIoN
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I turchy rlliin undcr pcMllyor'pgjuryonc of'hc folkrwirg dcclmlnnrs:
-l
hiv. {d *ill nri.hin . Ccn ifi$rc of Consnl ro Scll lnsurc tur wo.kcn c.n rn\arion, r! tmlidcd rdr by Sc-rion l?uj ol'rhc
Labor cnlc. ror rh. txrthnDn.c oi lh. qork for which lhc t)cnnn is issucd
_l hak und will mainlaitr worlc^ cohpensarion inslratuc, as rqoned by Secrion 1700 ol rh. tabor Codc, for ln Ffomncc of
lhc aort aor qhicn dis !.rmil is issd. My in{uktrcl crricr rrtl F,li.y nx'nh.r tv.'
tiJ?yr
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*nify ln in rhc pcrfor@G of Oe wo* Io, *hi.h rhn F ni ir bsucd. I shru nor c"ploy ey pcMn itr lny Mrcr
$ as lo trflm sublrl k, ttr wortsc snpcnslion lrws .f Ctrlifor.i!, and a8r lhrl it I shoutd ttcom subjccr to rrE
wol*cu conqFnstion pmvisio.s of S.ction 3?00 of lhc Llhor Codo. I nEll fonhqilh onply sirh rLs povisions..
WARNINC: Foilurc lo ssrc wkcr' mn{rcnsarion ovcn8c is ontr*tuI. a.d shall $birl a(.mplortr lo aiminrl pcE[ts and
civil 6n.s u! to onc hundr.t thouqnd dollols (Sl00,ql0i. in eddilion dam8cs d l,mvidcd for tn.
SNrion :10?6 ofrh. Lnbr C.dc inlcrcsl !trd oltomy s les.
DECLAB^IION
I hcrcby ufllrm undd rcnalryorpcrjur! (hal I arn Lcctr$d undcr tmvision ofCh{lna 9(connmncifls wilh SNrion 7Om) oiDilision l
.l rhc BusnNss and Ptrrcssn,ns Cod.. md nrr liccix. is inrtlllffci dlTc.r.
Lic.trsc Clms: b 10044o",",--fiail6 c"**,""Y4twa
qNIIAIIITONIEND|IC.&GENCT
I hcNbyrfllr trMcr p..drt olrcrjuryrh.ll rhsc is ! onstrucrion hnding lscncy lor rh. pcrr.nun.c orrhc $ork lo. whichrhh lErnrit t
ksrcd tscc .1097, Civ. C.)
A.TIIICANLDXCLABAIIUN
Ilmbylan rundcrpc ilryoifcrjuryoncolrhcrollo*rtrAd.rl i!i.n\
hnnnirion Pcrnrir\ sh.nos Norifi.dn Fcdcrrl Rcgnhrn \ flirlc.10.l) $)
Rcqunc Lcrrcr.lNurl,i..r0r
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ccflilr rfiar thc fcdcrul rc8ular ioos ftBriling ash.(.r Enmvdlr. m' .pdtablc lo lhis pmj€1.
.!4;I (y thd I harc ,.id ihb appltarion and (ltc rhar th. ahovc inao,mrion is corNr. I Isre ro comDry uirh au ciry and coutrr,
ordimrca dld Sr.!c t ws rl,ring ro tuildinS.o.*rudiotr and hcrcbylur ol rhis Ciry md G,lnry b cit$ uB lhc
abnve tr.rionen nmpcn, for irsF.rion puqb*q
P"-'.**."(p.i"t), Dlflh
a-z4g
UNDER GROUND
Waste & Vent
Water-Under Iloor
Gas-Underlloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipino
Gas Piping
Roof Drain
Tubi Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool Healer/Gas Line
Miscellaneous
Waler Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meler Release
FINAL 6/snA Eiltr?
Notes, Remarks, Etc
ID/SIG.COMMENTS
,.,", ?'Z'lE
L. c' \ Ad'l'r.
Appli.0t or A8.nl Skmloe:-
Gas Service