HomeMy WebLinkAbout30139681 - PermitAssessor'sParcel: 396-261-55 Lot.8
Unit:
Block:A
Bldg: 24J Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit l-6
Zoning: R4
q
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 #: 3Ol396E{
Pin #: 2ATS2
Owner:
Address
Contractor:
Address:
Phone
Tenant Name;
01 1 16002 51602
01 1 16002 51602
01 1 16002 51600
011 16002 51602
The Bascom Group
26 Corporate Park Orive Suite 200
lrvine, CA 92606
(866) 695-ss91
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75005
(972) 818-1065 Knterro Renovot ion5, LLCPhone
State Lic #: 1009989
Lic Type. . B
Bus. Lic #: 366547
Workers' Compensation lnsurance;Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCoi39070
Expires: 0110112019
Gellerol Ploo thdot€ Fee
01u5{x}2- 51600000-
Plu.t io!0ul6m2- s1602000-
ICL Chect 00:ml4
Uiso
CCg: **IrlIl*rllr5069
i .ll
Building Use:
Job Typer
Nature of Work
Planning Conditions:
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 6) code:
R-2
VB
cPc 2016
Notes Fixture change outs (unit 6)
07 t1612014
Account#
Misc Receipt:
Misc. Receipt
Misc. Receipt
Total
Chavez. Dave
Evory pormit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 1 80 days after its
issuance, gt il lhe wod< authoized on tho site by such permil is suspended
ot abandoned fot a pedod of 180 days aftet the time the work is
commenced.
lnspector MtD#. 2018-144592
01 1 16002 51600
01 I 16002 51602
Fee Total:
Paid to Date:
Balance Due:
$22.08
$105.'l 1
$ 127.19
$0.00
$'127.19
Project Address: 2424 N Tustin Ave
Fee Type Amount Qty FeeSink 12.70 3.00 $38.10Dishwasher 11.97 1.00 $11.97
General Plan Update 22.08 1.00 $22.08
lssuanceBot,:h+:44gtt -5rtrA6/2L\Lg t00 C(:UH$5404
tlff ice3 CTYH 1p6nsi: 60 11 oi 14Acct+: Ref+: 3013968 t
Rcpt+:02325621 - 7/16/2A18 l?:3? I',rl
Tronsoct ion lotql t2 r lgl:1, 7n
Slir:i.11
$2,r]9r.4:i
t81 ,.3s
Auth+:013[ l5
Date:
Date:
Date;
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/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
Bough Plumbing ?{blh
Final Gas Test
Meter Release
d'Lo/ib
Notes, Remarks, Etc
OWNER BIJILDER DELCARAIION
I h.rcb, arm und6 ,.oalry ol0cdury thor I m .knfl fDm th. Conlroclos Licensc Lw for l,E tolb*ins Men (SdJoll.5
Burbc* lnd Pmfession Cod.) Ary Cily or Counly which rcquircs a rEdit lo @nsrocl, altq. irprevc, .hmliih or E!€n rly
sldcluc, prior Io irs i!r!!fu. .ko r.glirs rhc amlkanr lor such Fmir ro liL ! .iemd slrl.Bnl lhd lI or shc k lkc#d puroa
r. rhc prc{irion3 of iE Contrmror's Lienscd Lnw (Chspld 9. CoftmncinS $ith S*rion 7m 6f Divisioi I of$c Busii.s and
Prcfcssions Cod.) or thal l* or shc is crcmfl rtrrcfmmlnd thc hssk for rhc llhgcd cxcnplion. Any violrio. or Sstbn ?01,.5 t'y .ny
lpplicair tor s lcmi subj6rs rhc .pplicer ro . civil ,'cMlry of nor me lha fivc huidrcd dollss (S500).
-1,
s own6 of rnc psltny, d h,.ftplorr.s *irh wrse s rh.n sb @nocBdion. s do ttf, vot 8rd tlE slrEl@ ir mr
inrcndcd o, o,IcEd ror sk (S6.7(X4, akinds ond PmLsriom Cod.: TIE C.nh.tols Liens Lie &.s ml aprly lo s oemr of
ttu rmFny wl$ builds or itrploB rh.En, ud *lD dc ir:,l slt limclf or hmlf or lheugh his q h.. osn.nployccs.
srevidcd rhar s.h ihptuEmnB c mr htsd4n or otr ttd for dL, lf. n lffi. d. t{'lling or inproEr.l is $ld wilhin orc Fr
ofotrphtion. tlE Oercr Blildf wil haw tlE h!d.n of potins del lE or {E drd mr bild o. ilpr.rc tnc plolny ror fi. !urF$ of
-1,
s owns ofrne pmpcnr. snerclliivclyconrdins wnh laccnscd coolffdos to onslrlct lhc pmrcd (S(.7044, Bu!!6!
,Jrl tt'fr$bn Codc: Th. Conld.roas Liccnsc bw do.s nol upptt lo nn owncr ot prcrrcny qho hlilds or io ov.! lhcron,
and *h. .onrBcls {or sucn lmj.crs *ilh a Con'kro(9 liccoscd t)u(uMr ro rhc C.nrmrors Liens tiw).
Imcrho! undcr Sdio( .B &PC forrhu@ei
l)rr'
l4l)8trEIS:grMtENrAIl)!
DECLANATION
I h.rcby rffirm uidq ncMlry o{ pojury on. olrh. aollowi'rg&.ld,rio..:
-l
h,E sdeillminlain !Ccnia&rcof Cons ro Sclt lae fr erkc6 @npen{ioi. a pmvid.d for by Se.lion 3700 of lhc
Lrbff Codc fm llE Ffolmre of lhe mrt fd *hkh fic lonit is hsu.d.
-l hdc a.d sill einrain wo,kc^ cor{Ens ioo insur!fte. s r.quimd hy Sel ior 3700 ot lh€ Libor Cod.. loi rh. ,,..f()t1Mc of
thc work aor whi.h rhir lcrnfi i3 bsrn. My work6 ompcnsrion inrum( cMis crd loli.y numbcr dc:fir{*,,.eaf Cc>. }tts.
Bfl.,\r, Ca fA
-l
ccnify rhar in fic llcrlortutuc otrhc work lbr shih rhii ltrmn is i..ucd. I snlll nol .oploy a.y pcmn in a.y mnrer
s rc r. tr.om sublrt ro rhe *0*6 cohp.nsarion hws of Clliforni!. lnd !$& lhar it I ih.uld b$om subirl lo lhc
workdr omp.nsarion pmvnions of S..lhn l?m of lhc LltDr Codc. I slEll. fonh*nh @npl, wilh rhos prcvisions..
WARNINC F,ailulc ro wurc krk.n comFtrtarion .ovrrug. is unl0{ful. and shdl subjNr !n cmphyc, ro oninal lrmkts ond
civil fir\ up k' om hu rD rhou\rtul dollrrs (Slm,oUD, in iddit ofcompcn\arion. dum!.i r\ providd! lor rh.
sc.rkrtr.ro7a rn r[.l. lrtr(nr[. nr.(i
D.' ltll rn ?01
.J UL
I hcruht rltrnundcr Fmlryol J'crlury lll lomliccnqlutdcrprovhi{]nofCnapir9(.o nncn.int qh Sc.riM 'lt[X] I ol l)i!i\im 3
of rhc ausin.s and Pn,li ss nr.\ Codc. d trryliccn{ n ir lull tu(c tr clltcr
\ce4cg1
Ve (.ctw't-
tQ!srx(-uu!-.lJd!J!t!lr-l!i.[!!r
I undcr Irnrlty of ,crjur, rho, rhrc i! ! .onnrud!,o hnding ,8c.cy lor lnc penorroncc of lhc $orl ror which rhk Frmit is
kiucd (S.c..1097. Civ. C ).
AIIUIANLDECI.ABAIION
I ffiry Jtinn uBld pcnalty otF.jury onc.lrh. tirlk,wi.r d{l,ra'iotrsl
D.mlirion P.rfrnrAshcr.s Nolificllion ltdcral Re3ul.'ions t'lnt 40. PJn6)
R.qun d kxcrof Norificario.
I cdilyrhar rhr lddu.rl rceuhliont rcB dnr8 r\bcno\ rcnmvll lrc nor rlrli.rhlc k, rhh lm,j.ci.
LI ccnrl\ rhJr l hr\c rc lrh^rnnlrrtrn'r'l{Jrrrh rhcih,vd irror.rtion t corcl laereroconrdywirhalTciry.ndCotrnry
odi,anccs ud Srlrc LIws surinE kr hlildin! con{o.rion. od h&.hynutfu)rizc rcFrcscnl ilcsollthCiryn.dCoLnryrocorcr
ohovc mnrioncd tmtcny lbr in$,ccr ion
A
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shks
FINAL
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L.ndcls A&rcs{
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Arlllcanr or Ag.nl SigmluE:
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