HomeMy WebLinkAbout30139753 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Plumbing
Permit Counter: (714\ 647-5800 lnspection Requests: (714),667-2738 lnspector Section: 1714) 647-5853
Permit #: 3O139753
Pin #: {063{
Bldg: 24-G Address Range:
Tract A.B. CHAPMAN Historic: No
Suite Range: Unit G-3
Zoning: R4
EProiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Contractor:
Address:
Thg Bascom Group
26 Corporate Park Orive, Suite 200
lrvine, CA 92606
(866) 69s-5s91
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8198
Fee Type
01116002 51602 Clothes Washer
01 116002 51600 General Plan Update
01116002 51602 lssuance
Amount
13.97
22.O8
55.04
Fee
$13.97
$22.08
$55.04
Tenant Name
Eotcht:45014 - 7 /21/2418
off ices CTYH Trons+: .{0A(ct+: nef+:
Rcpti:02331739 - 7/23/?(rt8
Tnonsoct ion Totol
ID: CCUE:
t5
30t3r75
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsuranceCarrier State Fund
Policy #: 921135817
Expires: 05/26/2018
11:1I A
12 r2tt9 .1
Ar i09 6enerol Construction In(
Generol Plao Updote Fee0l 6002- sl600m0-
Plu.b ins
01r 16002- 5160m00-
ICL Check 014146
rl
ll
Building Use:
Job Typel
Nature of Work
Planning Conditions:
Planning Approval Byi
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buildins Permit #: 101 971 30
Multl-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
WD (unlt 3) Code:
Date
Date
Date
R-2
VB
cPc 2015
Misc. Receipt:
Ivlisc Receipt:
Misc. Receipt:
Total
o7 t25t2018
Account#
$91 .09
$0.00
$91.09
Every petmit issued shall become invalid unless the work o, lhe sire
authorized by such pennit is commenced within 1 80 days aftet its
issuance, ot if the wo* authorizad on the site by such permit is suspended
or abandoned lot a potiod ol 180 days after the time the wo* is
cornmenccd.
lnspector MID#: 2018-144881
01116002 51600
01116002 51602
$22.O8
$69.01
Fee Total:
Paid to Date:
Balance Due:
Owner:
Address:
P hone:
Qty
1.00
'l.00
'1.00
Notes: WtD in unit 3.
PLUMBING-INSPECTOR RECOHD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER t}EI,CARATION
I ltchy rrlirm undcr E,Mlry {)l F-rjrry rhrr I n r qc lll ln,or lhc G nru.r,E Liccnsc Lrw for rhc iollowin8 rca$n ( Sc. 70l l s
Busircsr trrd Pnrfcssid Codc): Atry Cil, or County which rcqunc\ n lcr.nir lo sn{tocr. ulrcr- in,trolc. dctu'li\h itr rt'n Jn,
nrucrurc, pnorlo irs i$uuncc. rl$ r.qunc\ llMpplrlnr ta, suchpcrnir k) filc a \igncd i r. f, r rhd h.or \hc i\ li.cnscd t'ursu.nr
u rlr flovi\ions olrh. Cotrkr(rols Lidnscn bw (Chrptd 9. ComnrNnr-! *irh S.{rbn 7(XX) of Divi\h.I ol rhc l}urircs rnd
Poic\snnr\ Cod.) or lhar,r.tshc irctcnrpr lhcrcfrom d rhc h!si\ turhcrllt!.d.xd rt'i,,r AnyrioldionotSarionT0.ll5byan,
spplicanri(nrnrrnir\ubjr.^rh.dptlicrirn,r.iviltctrlryornor xncrh.n hvc hunnrcd iLlllrs(S5(t))
L !s owtrcr ol rh. Imltny. or my cmphyccs wirh wrsc\ !s lhcn n,t codt n\,r i.n. will do rh. qdk d dr {(1m is ml
inrc|ldd or oturcd tn qk lstr 70l,t. Burinc$ a.d Prof.\\i,ni Codc ]'hc Cu0krcrri Licnsc trs' des mr trpply b aD ow.$ of
rfu pRIEny *lD burlds or inrmrcs rtEBn\ ond wn diE( {Eh tr ort himq lf nr h.r{lI or rhntugh hii or hfi own cnflovccs.
I[)lidcd rhrr su.h impmvc E n *r nur inrcklLt .r oflinrl Lr slc. ll hoqcvcr. th. huilling or imfDr$rnr is $!l $idinoi.,r-
ofconlhrbn.rhcOqnc!Buildcrwillhlvcrhcburdcnofpmvin-!lhalhcor\h.d ftn build ot nn rw ihc IFFyiy lnr ltE I'uqxrs oi
-1.
as o*rcr oarlE Fopcdy, m.i.hlrivcly conr.lcrh! *nh Lcn$d co.nadm ro conelrucr rlE porc.r (S(. ?044. Burim$
ad PD6snn Codc: Thc Conrmtols Liccnsc L5w dcs mr apt,ly lo !n owtu, or poFny wh. builds or impmvcs lhron,
a.d sh. .o ock fo. sh pojccrs Biri ! coitftt (s) tkcos.n luBunr rolh. co mcrols Liens L!q).
-I.mcxcnrfl
und6 sccr
u1laf,E&i:.q0l4tBlara!
D&CIrtMIlol!
I hNbyrflirnundc. pc@nyolpdjuryon olthe aolowin8 dcclmlions:
-l
huvc &d sill nsinrain ! Ccrlifrsc.t C6n€ni 16 Sclt lnrlE ror polkds omp.Noriotr.$ pmvilcd for $y Secrion:1700 ofthc
tabor Codc, for llr p.rfommc of lhc wort fm qhich lh. lsnil is isucd
-l
hivc .nd will m.inl0in workctr comDcnsrl ion insu,0rec. $ rcquicd by S(l tJn ]7lD of
'hc
rjhor Codc, for thc pcrfomncc of
lhe wott for whi€h thk pcm l is tsu.n. My wo m ompcnsurion iNUBrcc.dienrld poli.y.umbcr m:
c,"i.. 3e' k Fvtt"c)
qztt 16k/ l
_l ccnify rhar in rhc poaormtuc of rh. {ork ror whth rhii,,.nnil is hsu.d.l shllnol cmllo! utry rc^o. io aoy @&r
m s lo t snE subirl lo rhc RodGl comtcnsalion h*s of Califoni!. aon !s@ th!! ir I sh.trld h.com subid lo lhc
wo c( ompcnsor ion rmlhi.fls of SElion :lT00 of rhc ljtnr Code,l ihall. fonhwnh onply wilhll[s Fmlisions..
WAINING] FoiluE to worc *orkcd oq!€n$ri.n covcnEc i* xnlnwtul, and shall subirl an cmploFr lo simi.al ,.rulrir ild
civil fincs up ro orc tundrcd thouslnd dolld tSl00-0U,). in lddirioo !o rh. co{ ofconpctrsorion. dlm8es ar proridcn lor ihe
Secrion l0 16 ol rh€ kbor Codc. inrcrcn 0!d drro@y
1tz5/lb
DEgLA.B{IIOI!
I ncrch, llltrumjcr pcnrlrynrIltrjury rhr l,r li.cn{d und.r l,orkion ol'Chaptcr 9 (comnrncins qnh Sc.ri.6 7lxx)).iDivisbn 3
ol rhc Bu(irr$ and P,ofc$ionsCode. lnd nryliccn* h in fulltorcc ud ctrd
to I 7q.7 b
7 tz5/th
ATfIICIINI-DEII/AA.IION
I h.R'b, lllnn undcr i'.nolty ofFrjuryonc oflhc following dcclaturions
Dcmlirion P&nnrAsbqros Nolification r{dcnl Rcsuhtions ll hlc 40. Pan6)
Rcquird tl(cr of Ndiislion
-l
ccnilylh l llrc lcdcralresulalion\ rcsadins ash.{os rcfrovdnre nor ipt'lk,bic ro rhis prejcd.
AAtt.n iry rhd I h,\r r.ad rhis ,pl'lmti.n oxt sarc lha! rhc 0hove inr'orturnnr ir colmr I !sr.! ro c.n{|, wirh nll Cily an.t Counry
ordi nc$ $d siarc ljws E[(ins ro buildins cotr(rucrioo. nd tcEhyaur,kri2. rcFc*.rarivcs olrhis Ciyrnd Counrtlo cnrqulnn rhc
rh)vr rnri,n!.d pn'rcnt l i'l
Appli€nt o. AE€n( Sign{lu 7/26l /b
I
UNDEH GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Roof Drain
Rouqh Water Heater
POOL/SPA
P{rap/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
Rough Plumbinq Ve /rt ,D frl,
Final Gas Test
Meter Release
FINAL XfiEnv 9\ 66
Notes, Remarks, Etc.
6l26/th
coNllBucllalllE DlNc-{aElcl
I hc6hy olnnr u.dcr FnalryoIl}ciury thrt lhsc h ac"trnrucliotr hndins lg.trr lor $c p,rLrmmc olthc wotk for shich rnn pcmn h
hsudd ls.t 1097, Ci!. C.)
Lrndcl\ Ndm
-
tdd.rt Addrs
-
Tub/Shower Test