HomeMy WebLinkAbout30140279 - PermitProject Address: 2424 N Tustin Ave
Assesso/sParcel: 396-261-55 Lol: 8
Unit:
Block: A
Bldg: 24-N Address Range:
Tract A.B. CHAPMAN Hisloric: No
Suite Range: N-5
Zoning: R4
q
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: 014) 647-5853
Owner:
Address
Contraclor:
Address:
Phone
Tenant Name:
Katerra Renovalions, LLc
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-r065
01116002 51602
01116002 51602
011'16002 51600
01116002 51602
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Amount
't2.70
't1.97
22.O8
55.04
Fee
$38.10
$1 1.97
$22.08
$55.04
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwegt Employe/s Casualty Company
Policy #: BNUWCo139070
Expires: O1lO1l2O19
r - 11/15/2019 I0:
ipsn5i:21Refi: 3u126 - tl/11/2fi18 trTotql l1t\
ot ions, LLC
r*I*rr}**059{ Auth+
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
Fixture change outs (Unit 5) Code:
Date
Date
Date
R-2
VB
cPc 2016
r- r-i i ': l-r_rrl
Notes Fixturo Changa outs unit 5
11t15t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every psmit issued shall become invalid unless tha wo* on the site
authoized by such permit is commenced within 180 days aftet its
issuance, ot if the wo* aulhoized on the sitg by such permit is suspended
ot abandoned fgr a period of 1 80 da$ after the tme the wo* is
canmen@d.
lnspector MID#: 2018-147698
01 1 16002 51600
01 1 16002 51602
Fee Total:
Paid lo Date:
Balance Due:
$22.08
$105.11
$127.19
$0.00
$'t27.19
Permit #: 3ll14o.27!l
Pin #: 64672
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrYine, CA 92606
(949) 95s-0888
Qty
3.00
1.00
1.00
1.00
PLUMBING.INSPECTOR RECORD
DATE ID/SIG.COMMENTS ()1!NI':T AUILDI'R DT:I-CARA'I'ION
I h.rchy aflirnr undcr n.Mlry nlncrlury rhd I r cx.n,Ir fft,o rhc (-ontrrcloB' l,ic.ns. Lra ror rh. hllostrr-r r..sr(Se70115
Ilusin.sc ind l'roi*sion (-dle) Any C y or Counry $hich requires n pen,ir lo c.tr(tucr- rlr& imrm!.. d.mol'sh oi rcprr n')
dtucrurc. nno! ro irs hqancc, als rcquncs rl.a sppli.rnr fo! suchIlcmir ro fil.a risn.d s,c,n rh h.orshc G liccn$d nur$anr
t, rlr nrevRrnr ofrhc conrroclors l-ic.nscd Law ((hrpr$ 9. co nneflrn! wirh Secrio 70Ol) olDilnrrn I ofrtu Bu3incss iid
Pmn$i{'ns (,rlc)orrlr'n n(orsh. Fcxcmnr rh.rclro ond rhe hasis lbr rhe allcscd .rc'nribn Anyvk'litonofscdlon?0ll5hy.ry
amlrrnr 6. i lcrm'r rublech
'hc 4,tlicanrroiciv'llenalrydrmr xtr hrn fivc hundreddollirs(s500)
l, .s ownd o ft he rml].ny, or my .nrployecs qrh wiscs .s lficir sll. onl1.n$lon. nnl d\r rh. kdi .nd tlr slrulu. js d
mr. J.d orofter.d for slc{sfr7M4, auetusr rnd Pmfcsrp* cd.: 'rhe ContEdois Lccnse taw (h.s ml .nrly to an .(rcr of
rhe pmFe(y qh. buil& or rnDn'v.s th{6.. afrl sho don nrch k,rt hnnscll.r htrelfo.lhn,u8h hi.r tur oM.6tk,r!.s,
povded rhol nEh impmvdrcnh uc mr inreiddl or ofieEd lor $L. I I trwcilr. lhr huillms or irryntrnr is sk! wr[in .n. ,eir
olonDlclior lhr()Nncr tsurldd srll h.vc dD hn!.n orr.sns rhx' rE or sic dd d huild.r nqmrc tn. pmpdy for lh€ rdqn*ot
_1, rs 6Bd ofrh. popcny. e .r.lurively.oru6d in8 wnh lia.rd onrEctoN to onsiruc[lE pmF.r (Sc. 7044. BlsiEar
and Potisbn Cod. 'l h. Co l.tcrol3 Lic.Nc Law do.s mt aDply io d ovncr of poD€ny who hu'ld. or impmv.i tn r6n.
and who 6 *r$ tor$.hflrierseirh. Conlfrcto(o lien*d,,uMir lo rh. Conlracloa! Lic.ne t w)
-l
m .r.nrr uid.r S6rion- B & P,C. lor lhlr Bron.
-
omc-I OIKEiS'COMPENSATTON
D&CIdSATqN
I hEby .lIm udd p.ulry ofDojuty oE oftlE blbwhg d.claarhnr:
-lhiveand{rllnri'lrrna
CM r ncd. olcohrcnt kJ SLlfln\urL fir sorkcB-conrpensrion, !s pmvidcd f.! hySccri{iDl?{)0.fr1r
I xrr cde. for rhe pcrlomun.e oflh. *ork r.r*hi.h rhe n mrir h Fsued
-!
h.v. rd wiu minl.in w*sr' comp..srlion imhftq nr r.qu&n by Sation 3700 o f lhc L.bor Cod., for lh. dhmnc. 6f
p.rmn is hs.d. Myvo,kdi smr.rslion ins.anc. cori.r EDd poricy.umb€r m:
^-s€rtl)c>t37o+o \.\.\1
-l
c.nif, thll in rh. pcrfo@@ of rhc work tu whch rhh p.rnn i. i..ued.l shnllml mploy any p.mn in 6ny nanEr
m osro 66rc rubl.cr to rh.wo*d mmp.nmrion lawofc.Lfomia lnd osR thlr ifl snouE h..oft b.idr ro 0E
m*n' comp.r$lio. ,,ovisirB ofscclion l7O0 o{fi. bbor Cod., I slsll, fonh*ilh comrly wilh lhos tDaiiiod .
WARNINC: Flilurc to surc *odim oDpctrstlion mv@sc ii unlawtul. and sh.ll tutjd an mtlottr lo crimiMl Fmllir and
civil fin.s up ro orc nu.dr.d rholsnd douats (5100,m0). in sddirion ro th. cofl ofcomFn*ro., d.m8.r 0, ndvidcd for lh.
Sdion 1076 oflh. L.bor a)d., inlcrcst and atlom.y s fes.
,",.110V I 5 20lg ^,,,,""",,
I h.Eby .IIm uodn FBliy ofFrjury lhrl I 16 lie.rd unrt . ,'rcvi3io. ofchaptd 9 (oidmiig ,nh Sdion 7000) of Divi.io. 3
of fic Buli.s a.d Pof*ions c.d.. ad my lhcne i! in tull foe dd c,Icr.
{}\oo<a1 Ac
I 5 20t0
g)NIAUCIjoNI.}:NDI!G-ACIDC.T
I ncrchy allirmnnder p€nahyoip.rjuryrtsr rhere R! clrndrcti,,n kndiflrr asc^--) nn ih. noforrlhnc. olrh. work frrr which lhn |Ennil h
iqsucd (S.c 10s7, Civ C )
AIILICANLDIiCIAAAITq!
lhad'yailmundcr pcnalty of pcrjury one ofth. folkrwiry dd!nlioni:
Demo lirion P.rmirl^sb.{os Norilicarion l'.dcnl ReEUlarions (Tirle 40, Fan6)
-R.quncd
L.rtcr olNorifieli0n
t c!i'fyrld rhc fcderi|rcsnlxro sftgdl'n8 ish.stx rc,noral arc hor trlnLMbl.h rlnsrmrec'
.-l(dtrrhirllu\cR.JdrhFimlr on flxl nrcrlN rhe.tnve inhnNM i(comcr I xsrr ro snrnl, wiri f,ll cir, rii couhrys{drntrnc€. ind \arc Lan! rchr'n! ro hu'ldrn! ct 'nnd'nn,0n1h€reiyourh.riTf,r.p.erDrr!'r.s(,lrhnCnyannCounrytucnrdulonrlEabv. m.mion d DmD.ny lor iBnc.lion purD.*s
ppli.onl or Agrnl Signnlur.
ilov I 5 20ts
UNDER GROUND
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
ater Piping
Gas Piping
Tub/Shower Test
Rough Water Heater
POOUSPA
P{rap/Drain Line
Main Drain/Pool Pipino
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 Ll3/l'b ,b #{
Notes, Remarks, Etc
APPROVALS
Waste & Vent
Roof Drain