HomeMy WebLinkAbout30140276 - Permitcity 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 #: 3l)14o276
Pin #: 56823
Proiect Address: 2424N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-B Address Range:
Tract: A.B. CHAPMAN Historic: No
Suile Range: 24-B 03
Zoning: R4
E
Owner:
Address:
Conlraclor:
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Drive Suite 200
lrvine, CA 92606
(866) 695-5591
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8198
01 1 16002 51602
01116002 51602
01116002 51600
01116002 51602
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Amount
12.70
11.97
22.O8
55.04
aty
4.00
1.00
1.00
1.00
Foe
$50.80
$1 1.97
$22.08
$55.04
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 921.t358
Expires: OSl28l2O19
ir .r'ill. llill
1 r'lil
, 1.1',,.i
,,t
Ilpdote Fee
Building Use:
Job Type:
Nalure of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued 8y:
Subject to Field:
Building Permit #:
Date:
Date:
Date:
2tt0rl-
003076
Authi: I
1,1t15t2015
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Ewry pemit issued shall bacome invalid unless tho work on the sile
authotized by such permit is commanced within I 80 days aftet its
issuance, ot if lhe work authoized on the site by such pemit is suspended
ot abdndoned lor a peiod ol 180 days aftet the time the wo* is
comn@nced.
$139.89
$0.00
s139.89
MID#: 2018-147693
01 1 16002 51600
01 1 16002 51602
$22.08
$1 17.81
t€nE
0111i
Flut
0t1li
ICLMulti-Famlly (5 or more uni Occupancy:
Alteration Constr Type:
Fixture change outs (unit 3) Code:
R-2
VB
cPc 2016
Notes:Fixture change outs. Unit 3
Fee Total:
Paid to Date:
Balance Due:
lnspector
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I h.rby affim ltdd pcMlry ofp.dury $d I @ q.opt 8bo rh. aontn.loB Lic.n* l-av for thc following r@$. (Sd 70ll 5
Auin*s 0ld lbi.$ion Cod.) Ary Cily or Coudy which r.quiE! tr Fmil lo @n ltucl alld, iepreE, &mlirh or rqun any
nructurc, prior ro ilr isMq als rquiB rhc arplic.nr lor suct p.mn ro illc a lieod rd.lmr lhd h. or rhc ir li..tu.d nwd{
b lh. pmvhiotri oftl* Conr@rofr Liccn*d L.w {Ch.prs c, Codtueins wnh S*lioo 7000 ofDirisio. I ofllE Blrircr! a.d
Pofc$ioB Codr) or rhar lr or !h. n q.npi rh.Gtom ad 0E hci! for rh. sll.ld.x.dption. Any rhl.lion ofs.6ion 7011.5 lry lny
applio turp.mi bjerrth..pplicdntlo5civilp.oallyolmtmEfir.fivrhundr.ddoll&s(5500)
-1,ss
otuofrn pioD. y. orny.nolorE3 wnh was6d rh.n sb oftpo8diorL will& llEwori!,n !ntudcnml
i,kitdcd or ofl.Gd lbr EL (sc 7041. Bui.d ed PofBiom Cod.: TlE co ndol. LicrE Lae &d el apply to to owF 6f
ln r,6n6ty wh.t ilrte or trlpmE th6sl\ tld r &6 $ch sbd{ himq.lfor lEelfor fislgh hi! 6. hs om.roloy.d,
povid.d tnlt tuh inpoElEn| E mi i .,i.d o.oi*cl6. sk I[ now, (tF t{iltir{ or inpoktud ii $B wnhi. orc tar
ofonFklb{ rlE O}tur Buitld will ltsE ihc h!d.n ofnftvn e rlEr h. or .h. dd ml hild or irpmk dE pmp6ty irr tE pu.txE of
_1. as6w.o.f$. p6fd,. am.ftluriv.lymdmring *irh lic.rcd conlmcloB t. o[drucl th. Droj<r (56.7fi4. Batm
and PmEsi,n Cod.r 'rhc Conr&rof s l-ic.ns Lls dos mr lnplyto anolMoftorcny{ts buil&or imDov.r th(6l\
.nd wl'o @rrods tor $ch pmFk wilh a co Edo,t.) lico*d puND, to rh. ContEclor's Lic.tre Law)
-l
m ci.mpt rnd.r Sdrior-. a. & P.C. f.r rhi.r .@tr
Dr(.: oft.i:
]IESAEErcAMTEIIAIIO!
I&qLAEAuON
I h.r.by .fim utd.r ,..!lry otFjury oi. oith. hllowinr rh.bEtioN:
lhavca.dqill nuinr.innCerlificrr.ofcoNenrro s.lllnsure hr $ork.s' conrpensarion, 0s novided hrbySdlnrn 1700olrh(
Ijhor Code, lbr rhe n ln,m.nce o llhc solt for which rhc ,ermir ls hsucd.
I havernd+,illmaintarnsorkeri co'nncnsarnn ihsrrancc- as rc+'tod6rs.c(imlT0lrolrhet,ib.rCodc,ntrihcrrn,nn.nccof
lu
pemn ir os.n Mywortc6 crnnFnMro rnsurm. 6nicr ad policy numb{ lre
r^l:r.r4(t La j-w\
-rJr.,r.lC.
_I c.diryrh.r io lh. p.rformE ofth.*olt for ehich rhi* r.mn ae i6$sl, I ll8llmr colliy lny p.Nn in rny nBnrcr
rc N to h.oft sbFr lo lhc ,o d om,'ttrerion lrws ol Califoni& and 6E@ thd if I shuld h.sm subj.tl lo rh.
wo*e6' strrre{lion pmlisioB of Sdrioo 3?00 .f rhc LrtDr Cod.. I ilull. tonhwilh smply with llsF ltmvisioB
WARNINC: [r,lur. to scu. work.F 6r{rnkrio. svda. ir unlawtuL .nd $.ll flnFl sn mploFr ro 6miml Emllis and
olcomp.trslon. dam*.s as frevidd t-or rh.
llclatAuaN
I heEby.mrm unds pclElty o tFrjlry lhlr I am liccntn utrd6 pn,lNion olChtrrn 9{commncinE wirh 56lhn 7000)ofDivs!,n l
of rh. Bu.in*s and Pmlcsio.sCod., ud mylicctr. is in tull anR on cfi6lg
llotT5-mg *.",_ '**-H (orr.1"t%a
cQNnIBUCUOlJ.titrDlN{i.&C[lCI
I h.Ehy aflj,nr rndc. FMlry.f l.lury rld rh.r. ii i.onsru.rlon Lndi.g.scrcy fo. th€ r.rfomncc olrhe work tu which (hs P.mnr 6
hsuen (Se.3097, Civ C ).
ASg,tcAlLIUiCt AMll9N
I h6.b, a0id rnd.r Fnnlry oI t.rjury on. olrh. folkrwinS del.r.rioni
DcnnlitionPenrns-Asb.stGNoliliclln'n ldcrrl R.Buhlions('l |c40, Pad6)
RequiEd L.trd olNonfi olion
-l
ceniry lhat rh. f.dcral ceullliom a!&ding a$.!t$ Emhl on mt dpl'licahl. lo lhis prcj.d.
rnfomrion is coF.cl I lsre lo comply wlh all Cily i l County
.bo\r dmr6n d pmr.ny tu inrF.rio.
Appllc.nl or Agetrl Slgnrlur.:
.frhrC v md Counrvh cnra !d'ntlE
ilov | 5 z0|s
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
Ptrap/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 Plumbing
Final Gas Test
Meter Release
FINAL u?.01$inKq
Notes, Remarks, Etc
cMl fin.r u,' h oN hu,imd rh.us dollan (tl0{.00o1
s4ridn 1076 ol rh. lih6r cod.. intd ,nd .nrEy'! f*s.
,",.,1{0vl52llr0
4- r,
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