HomeMy WebLinkAbout30139510 - Permit (2)City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectaon: (714) 647-5853
Permit #: 30{395{O
Pin #: 29763
Bldg: 24Q Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit Q4
Zoning: R4
qProiect Address: 2424 N Tustin Ave
Assesso/sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(865) 695-5591
Katerra Renovations, LLC
3200 Earhart Drlve
Carrollton, TX 75006
(972) 818-1065
01116002 51602
01 1 16002 51602
01116002 51600
01 1 16002 5'1602
Amount
12.23
1',t .52
21.25
52.98
Fee
$48.92
$11.52
$21.25
$52.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
4.00
1.00
1.00
1.00
Phone
State Lic#: 1009989 .. .
Liclypp,. , B
Bus. Lic #: 366547
Workers' Compensation lnsurancelCarrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires 01 /01/2019
A:ct+:
Rcpt+ 3 02:
TronsacL i
n(
Planning Cinditio'ns
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe
Fixture change outs (unil4) Code:
Date:
Date:
Date:
R-2
VB
cPc 2016
Notes: Fixture change outs (unit 4)
Chavez, Dave
Every pemit issued shall become invalid unless the wo* on the site
authonzod by such pemit is commenced within 180 days after ils
issuance, or if the work authonzed on the site by such pennit is suspended
ot abandoned lot a peiod of 1 80 days aftet the time the work is
commenced.
06/11/2018
Account#
$134.67
$0.00
$134.67
lnspector MID#: 2018-143642
01116002 51600
01 1 16002 51602
$21.25
$113.42
Y
c
Building Use:
Job Type:
Nature of Work:
Misc. Receiptl
Misc. Receipl:
Misc. Receipt:
Total
Fee Total:
Paid to Date:
Balance Due:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.t)tl NUR BUIt,OllR l)!lt,C;\RA I'I()l\i
I hcrcby ,f,irm unds pcnllty of Frjury fi l am.rcmpr rmm tn. Co.rEd6 Li.ens L!* for lh. followinE rcrsn (Sc()03t 5
aurineis !{n Pmfesio. Codc): Any Cny or County ehich rcqutca , pcmir to onslrucl. ahr, inrpok_ dcmthi or Epdi a6t
nMr@. prtu lo irs hsucc..ko rquircs tlE lpplhsr for sch Fmil to flc a sag.cd rrat.mnl lfi. E or she b ticcnrd ltlNer
ro rhe pnvisions oatc Conractor's Liccnsl If,u (Chaprc. 9. C.nmeins wnn Scctio, ,OoO of Diririon 3 of th. B8in.s. ao.l
PDf.srio.s Codc) or rb,i lE or she ir cr.n{ thcEnom d lnc tEsis for rn. atkS.d crcftption. Any viol,tion ot Serhn 70] I 5 by lny
dt rlicont for a pcinl subjrcts lh. lppli.ent rc acililFnrltyolnor norcthdn fivc hundEd dours (S5OO).
-1.
r\ owncrofrhc lnlrny. rn nry.nulorcs wilh wlrrs D! rhct snc onD..\nrion, wiU do thc wort Md rh. nturm n nor
intcftldl or oacrcd aor sh (Sft.7(}.l4, aurincs! und Proicssi.ns Codc: 't'hc Conr,tuht! l_i..n* h* doc\ nor sppty ro trtr owncr or
Ihc pmlrny $,|.n) ltuild\ o, iq-rorcs rhcB,n. dxi wh) docs skh *.* himrctaor hcrrtfor rhmuth hi\ or hcr.Nn enuloyscs.
providL\i rh{ str.i i,npr,vcrn$ m ior inrc' cd .r oflar.{ f{n u c t( hwcvcr, rh. buiuina o, i.Ipovcnf,.r rs *,td wirhn urc r(ol.orqLrn,n,lhc Owrcr Build$ willhlw rhc bunlcn.tI'oli.3 rh! hc or shc drl nDr hitd or iDr0n'rc tu ImFny for rh. purF,r oi
_l.rtosn$olrh.lropcny,rnrcxclu\ivclr.o.rrlclirSqirhticcn*d$nrra.lonron,rro. trp(*cl(se.7o.l1,Bujn.s
rnd lbl6\ionCod.: Thc Contrrols l.iccnsc Lnw docs nor ut'lty b rtr.s.cr ofpn'Fny lho builds.r nnpn)vcs rtucon.
utrl who .onrqcrs ,i'! surh Di(,jc.h wirh I conr0.rtr(s) li.cn\cd puruan|lolh.co racktr.s Liccn\c h*)
_l am cr.mpr undo Sdrion_ B. & P.C. tor thh rcsoi
woru<i t-s. coMPFNsATloN
DECIJAAIXON
I hcEby amm und$ pcn lry of ,,orury om of th. fotlowinB dc{learionsl
Ihr!.!dsillnDi,rinaCcnificilcolCo.\cn oSclilnsurctorsorkc(cotrpcn\xriIn.r\rr^rvidcdrffhyScrrnnr.lT0r).,rhL
l,ahor Cudc. lnrr)r pcrlirnMNcofrhc *uk for which rhc psnir i\ nnhd
,ill mi.rdin w.rtcn conpcns.rion in\lrarcc. as Bquncd hy s..ri.n 3?O0ofttc tjbor codc. ror rhc
wortcn onrEnsdlion insur c. ceicr ,rd nolicy numhcr m:
P,,ri.yN,,.h., 6^ru\r(.ol?.tD?-o E,Pi'".l:l.ta,
-l
aniti thol in c FlfornERc of rhc worr forwhichinis pcrnir it irsucd.I sh.tl nol cmrhyan,Frsn inlnym!.m!
m es to lE om slbicl ro ltE w..16 @sipcnstion ta$ 6t C.litomi!, ad a8e rhnr ir I stDutd tr.om subj.d b E
*ortcrs $mpenrrion pDvisirns or S&rion 3?00 of lhc tibor tu . t nElL todh*nt ompry sirh lhns povisions .
smp.nration svsrSc h uohwtul aid stall subj.cl an nlr)l.yc. ro sininul rENlris and
dollN ($100.000). in addirio. to thc cost olomp.nstion. damscs as prc{ided for thc
IICIABAIII.INIh.rcbyulirnu cr pc.ilr!orp.rrn.y rlur I am lia.sn undcr Frvisn,nofchrprc. g (rshturcin-! wnh SNrion 70m) oroivirion lol lle llusincss und Pmrcs\ins Codc. and my li...sc n io tull n,e md cftei..s.
APPI.I(:AN'f DECI ARATIoN
l)t{by dinnundcr |).nrlry orp.rjlry oN oilhc lollow'ns dcch,ariotrs:
D.holirion trrir!ir\.Asb.*o\ Norirrcarion lrcicr0l Rcautatior (tirt.40. pd6)
Rcq0ircd lilcr oi Ndlifi .!rk,i
-l
..nify rhar rnc fcdcrd rcsulnrioN egdliaS &!tr(os rcmldl e nor epticlble b lnis pbj..t
f ""n'rr,n., , **.no ,n,, a'pli.arbn ad s.,rc rlur
ordinarccs md srdc Llps EhrinB lo building con{tucrio
thcl&)vc info@rion i concd ! nEN ro 6frp1, with lllCilt!trd Counry
n. flId hcrcbyrxrho zc rcprcsctrhriv€s ofrhis Ciry ud Counrylo cnt.r upn rhcah)t mnlioNd pDpcny for inspcclion luqssqs #qn n 2018Appliunl or A*.nl Sisn"lu
I
UNDER GROUND
Water-Under floor
Gas-Underfloor
Area/Storm Drain
lnterc tor/ Clarilier
TOP OUT
Waste & Vent
Roof Drain
Tub/Shower Test
Rou h Water Heater
POOL/SPA
P-trap/Drain Line
Fill Linei Back FIow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Back Flow Device
Rough Plumbing Clt-z.lt9 -ce/ra )
Final Gas Test
Meter Release
FINAL ?1oehs ./D6y
Notes, Remarks Etc.
COMMENTS
Waste & Vent
Building Sewer
Water Pipino
Gas Pipino
Main Drain/Pool Pipino
Lawn Sprinkler
Sanitarv Sewer/Cap
lOa?rq,n
'sil++l!l8- cd.-"'r-
C(TNSTNIl(:TION LFNDIN(I A(:FN(:Y
Ihcrcby mnn undc, pcnoht ol rcrjnry rhrr rhcrc h a consrru.ihn lcndira r8ctrcy for rhc l.rromMcc of rhe work t'or ehi.h rhis Fmt h
issucd {s(. 3097, Civ. C.)
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