HomeMy WebLinkAbout30139685 - PermitProject Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: l4-G Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Units G-10, G-14 (
Zoning: R4
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Owner:
Address:
Contractor
Address:
Amount
't2.70
11 .97
22.O8
55.04
Fee
$76.20
$23.94
$22.08
$55.04Tenant Name:
The Bascom Group, LLc
26 Corporate Park Orive, #200
lrvine, CA 92606
(949) 95s-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
Foe Type
01116002 51602 Sink
011 16002 51602 Dishwasher
01116002 51600 General Plan Update
0'11 16002 51602 lssuance
Qty
6.00
2.00
1.00
1.00
Botchis{{8l{ - 7/ l6l2|JL8 IDr CCTELLAR
office: CIYI TPonsi: 60 I o{' 14
Accti: Refi: 3013?6S5
R(pti:0?325618 - 711612018 12!32 Fll
Troneoct iofi fouol 12 r 180.76Phone
Slate Lic #. 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurancelCarrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expiresr 0110112019
KoterPo Renovot ionsr LLC
Generol Plon t cdote Fee
01r16002- 51600000-
PluS i n,
0lr 16002- s1602@0-
ICL Check 00301{
V iEo
CC+: r*trlrr**r11506?
Notes; Fixture change outs (unit'10, unit 14).
t22 , rls
t t59. 18
12 1099 . {3
t81.33
arth+:0130t5
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued Byi
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
Fixture change outs (units l Code;
Date:
Date:
Date:
R-2
VB
cPc 2016
l\4isc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permil issued shall become invalid unless the wo* on the site
authoized by such permit is comfienced within 180 days aftet its
issuance, or il the wo* authotized on the site by such pemit is suspended
ot abandoned lot a pariod ot 1E0 days aftet the time the work is
comnenced
MID#: 2O18-144625
0711612018
Account#
01 1 16002 51600
01 1 16002 51602
$22.08
$155.18
$177 .26
$0.00
$177 .26
Permit #: 3O139685
Pin #: 525,G.2
Phone:
Fee Total:
Paid to Date:
Balance Due:
lnspector
PLUMBING.INSPECTOR RECORD
ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underlloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
lvlain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Bough Plumbing ?fu"/-t tbst
Final Gas Test
Meter Release
FINAL iftvlb 5.i Ufit6,t7\r
Notes, Remarks, Etc.
()l\ Ntll Btr .,)I.tR t)M,( ,\R,l flr)N
I lErcby a,Irn lnder lcnrlly of pcdury lhal I m dcmpl tDm lhc C.nu&loR Li.B t w aor thc followhg Ea$n (Ss.703 li5
BtrsiB. .rd Prclcsrion Co<L): Any Cny or Cou y ahth rcauircs , Fnnn ro ondn.r. aitd. ifrpoE. .bmlish or Ep6n uy
srirlu. Fior lo iri issmc. slso rcquircs rlr rpdka ror sch Fmn ro filc a.igicd ar.mt rhn lE or 3lE i! lie.s.{ ,rMnr
lo ltc pmvisions of tlE Conhcloas Liccnsd tiw (Cha,'t r 9. CoMncing wnh Scclhn ?000 oaDivhion 3 ol$B Ausin.$.nd
Potc.shnr Codc) or lhll lt tr shc is cxetrpr rhcElioh.d rh. h$is for rlE alk8.d .r.mplion. Any viohlior of Sdri,n 7031.5 by a.y
applico.l for a pcmi 3ubisr3 tlE .!pli.r lo a cival pcMhy of tur nm rhe alvc hundrcd dollai (t500).
-1,
as ownfi of rh. 0roFny, .r m, .mploycd wilh wales as rhcir slc .onwnsa'io.. will ito rhc wolt &rt th. nn(lw is m!
inrcd4n q ofrcEd lor st (Sa.7044. BBiBs! .nn PmfcsshB Crn r TIE Conrrmrols Lic.rs L{w dos nor sl,ply ro an owmr of
$.lreFny wth huilti oriqmB 0EEi. a,!d eho &rs shft titu.lfor hcMltor rnblsh his or lB o{n.trplo}tcs.
pmvided ltal sucn i,'pmtmnts N ml hLnd.d oroficrd lilr olc. tt h.w.Ei llE hiuin8 d itrprlEmd i! $ld withhom,{r
of complcrion, the Owmr Buildcr w l nlw lhc htrd.o of pruviog thll lE or ihc dil nor btrild or inporc lnc popery for E pqpoc ol
WOI(ERS' COMPENSATION
DECIJBAIIO!
I hcrcby alfim undcr pcnally of pcrjury on. of thc following d.clfiurioNi
-l
hrv. &n will minr.h ! CcnifEt otcoMnr ro sdf-lB@ fo, wt6 coEp.BArt .. B prcvidcd 16r by Setion 3700 of fi€
Lahor Cod.. fr lhc FrfolMc ol0E wdt lor whth rlE Fmn i. i3sucrl.
_l hav. rnd will mainrdin workcrs conpensdion ins!rumc. as Eiuncd by Sccrion :1700 of lh. Gbor Codc, for rhe pdformcc ot
the sort fo, vnich rhi\ peml is hercd. My qorlcB corycNarion irsuoncc cMicr dd plky nlmbcr e:
Mrdw e-st Cq\ tsls
BN\o wr rrt 34 @ 1c)(l- rq
-l
ccnify lh in rh. pcrlormne ol lhc *ork for whi.h rhk !'.rmir is issu.d. I shall rct cnrrloy lny pcreon in ony mmncr
\o Nri tEom s!hj.{r ro rl'c wo*a' coorrcnsarion li,s ofcaliihrtria, !tu1!3N 6ar ifI sholH lE on'c slhjcd ro ihc
work$ orrnsalion pnlnions of Sdion :1700 ot rh. tlhn Cdc. I shall. fonhwirh comlrly sirh ftoe FDvi\ionr..
WARNINCT Failurc lo wurc workcs omp€nialion $vcn8. is unlasful. ad snal subjNI an ery)loFr to sinrinal Fnulrts.nd
.ivil fin* or ro o* hudrcd rhousnd dollaF (SI0O,0O0), in addition ro rhc con ofconDcnsrion. drmgcs 3s pnrvidcd ior rhc
DECIdAAIPX
I hcEby rflirn undcr lEndryofFrrury rrImlli.cn{dund.rrtuviriJnofChdpr$I(connEncnrgwirhSc.rtun70m)olDivisn,nl
of rI[ Busnrs\ nnd Pftncsninl Corlr, Md my li..n\c i\ in tiill fN( arxl cficcr
g
CONSISIJEIII]NITNDIMi3IiENJ:T
I hcrct y rfirnrundcr pcnohyofn€durylhll rhcrc i\ a connrucrion lcndin3 r8ctrcy for t hc ,rcrli,rm0 ncc ol'lhc *ork ritr *hkh rhis Fmir ii
isucd (Scc.3097, Civ. C.)
APPI ICANT DI]CI ARATI(TN
, tmhy 0liian uM.r rcnall, ofFrjury oDc ofrhc lollowine dNludtions:
D.trhlirn,n P.rnrn$41b.(or Norirrcarion Fcdcrrl RcSUhrnnn lTnh 40. Pfi6)
-RcqutcdlxfidolNotili.
$n
-l
ccnifyrhor rhc lcdcrulrcBll0rions EEUdins lshcstosrcrmlsl arc not
P-l c.nify lhIr I turc rcad rhis .pplt.tion ,rn shrc n is.on&.l. 1 a8B
'o
omply wilh all Ciry snd Cou.ry
ordimmcs and Slarc trqs Elorin8 to buildi hmby aullFrirc rcpr€scnlalilcs ofrhis Cilyud Cou.tyx, cnlo !F ! rhc
abovc nEDtion.d ptup.ny for
Appllcml orA[.nl SigutuF:
Oontt-\ /,v'raS
1ar!.'qjrli ) 1
II
I
APPROVALS DATE
-1.
aso*mr ofrhc pmrcny, amcxclusivclyconki.rmB wnh li.ci*d .onrrb^ ro conidc! th. E.F.r (S.c 7U14, Buinc\\
,nd [rr,L\sio6 Cod.: Thc Conrn ba t Liccn\c Ltrw docs .or lpply t, !n owncr of pn,pcrry wno blilds or iDlrrcws rhocor,,nd who ..nrmcrs nn such pmJccrs $irt a C,nlndo(, lirctrsd !'ursu{nr r, lhc Contrucrols Liccnsc L3w).
-l
!'hcxcmfl under Sedfutr-. B. & P.C. f{tr lhis rcnson.
Dolc: O*mr
r;rii{ii$u
r.",,*"r-. lh{4rre
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