HomeMy WebLinkAbout30139891 - 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: (714) 647-5853
Permit #: 30{3989{
Pin #: 30213
Project Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block:A
Bldg: l4-C Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: unit C-7
Zoning: R4
E
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
01116002 51602
01116002 51602
01 1 16002 51600
01116002 51602
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-105s
FeeType Amount Qty FeeSink 12.70 4.00 $50.80
Dishwasher 11.97 1.00 $1 1.97
General Plan update 22.08 1.00 $22.08
lssuance 55.04 1.00 $55.048at,:hi:4'j77i 9/6/2,ttg I0i 6iii'.ri' i::,
olf ice: ,-TYH Tr'ons+: 11 -:, - i -,i.rA,:cti: Fef+: 3r-rl j i .' ,
RcpL+31ti372927 - 9/6/?ttlii 'i148 ;il
TrsnsocL iun Totol 14rll't,t,'.
Foterro Renovol ionsr LLC
State Lic #: 1009989
Lic Type: . B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCoi39070
Expires: 01101120'19
Eeoerol Pl6n Update Fee
01116002- 51600000-
Plurb ing
01116002- 51602000-
ICL Check 003010
lriBo
CCi: *****r ri**7521
*22.1:t8
t117.81
11,277.39
$zi ,n2
Auth+:0S4046
Building Use:
Job Type:
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:
Miscellaneous Constr Type
Fixture change outs (unit 7) Code:
Date:
Date:
Date:
R-2
VB
cPc 2016
lvlisc. Receipt:
lVisc. Receipt:
lvlisc. Receipt:
Total
Chavez, oave
Every permit issued shall become invalid unless the work on the site
authoized by such permit is cofimenced within 180 days after its
issuance, or if the wod< authorized on the site by such permit is suspended
or abandoned for a peiod of 180 days after the time the wod< is
commenced.
09/04/2018
Account#
$22.08
$117.81
$139.89
$0.00
$139.89
lnspector MID#: 2018-145647
01 I 16002 51600
01 I '16002 51602
Fee Total:
Paid lo Date:
Balance Due:
Phone:
Notes: Fixture change outs (unit 7)
PLUMBING-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDER DELCARATION
I hcrcby amrm undcr p.nolry of Frhry rhll I m .x€mfl lmn rhc Conlo.rou Liensc t w for ltc follo*inB to$n lJ.c.?ol l ,5
Busincss and Profession Codc)r A., Cir, or Counly which ,.quiBs o Fmil ro snrlro.l. ohs. inqrmvc. rkmllih or epqs ey
shor.. lrbr ro ns Lssuamc. rho rclliEs lhc apt licmr for such Fmir ro fih a sisftd nlrcm rhd lD or shc b liccnsd puE;d I
to the lovhions ot rlE Conrrldor\ Li*.ed trw (Chaflo 9. ComrcinS with S.clion ,0m of Dilkiotr I ot rlE Blsinc$ .nd
Prcfesrio.. Code) or lhar lE o, slE is .r.6pl lturdrom md lhc bdsis for lh. dlcgcd .rcq)lion. An, violalion otscdhn 70.11.5 by any
{plicanl for a p.mit srhjck tnc ryplicrnr to ! civil pcnalry of rcl nre rhM nvc hudrcd dollas (1J00).
-I.
* osn.r ofrh. lmpcny, or my €mplotr{s *ilt M8.s as fi.t solc sn$c.s.lion. wiu do dE ro.t &xt lrE ,rEtE k ax
inrsdcd or o0crc<l for sh (S6.1X4, BuliE* od Profcsi6B Co<h: Thc Conlrftols LicM l-w docs ml E l,ly lo an osft, of
lhc FDFdy who tail&or in+rsE tlE6n. o who dG sh wrt timrclt or h€Nlf or rhotgn hi3 or hcr own ei{,loyes,
!rc,id.n filt such inl"orftnl! e nor inlcid.i oi otleEd for e!. lt tbwch, iE building or nrplwm.t is $ld ,hhi. oft ]td
of.onplclion, tlE o\,mr Buih.r wil hlE tlE tddcn ofFovins rhtrr h. or $e dil ml build or iqnor lnc 0EIEry f.r thc purpos of
-I.
rsown..orrhc !m!.ny. rmcrclusielyonrradin8 with liccns.n coirEcro6roonnrucr rlr Fnjd' (Se. ?o44. Busincs
dd ft.fGsbi Code: Thc Cd.r.a.roc. Li.cns. Law do.s rcr {ply ro r. owncr of poll.rty who brilds or imFov.s fi$con.
and who onrsB aor slch pmjcdr wirh 0 ConrEcto(s) liccnscd pu^uam lo fic C.niractois Liccns. Lav).
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m.rcmpr lndcr 56l B. & P.C fo. rhli rc.son.
l).h
loxf,E8s:cQMPillarroN
DECI.AAAIQN
I hercb, amm lndr p.Mlry of Frjury ox of dE fouowin8 delmrioNi
-l
hovc sd will mimain . C.niaElrc otcoied lo Sclf-lN@ fo m{GB omFnsrioi. as ptuvidcd for by Seion 37m of lh.
Libor c4dc. for llE pafo,rrM. of tlE qort ior Bhkh fic ncmn i! isucrt.
I hlvc trnd will Minhin *orkcr' comncflssr ion insunrce, ss rcauied hy Serion l7($ of th. tjhor Codc, for ltc pcrfomme oa
I is i\sucl. My *ortcr' compcnsalion nNu,ancc cdi.r arxl r.licy numt*r ec
q 2?'<l. t-t
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ccnifylhar in rhc pcrlormncc ofrhc work 16r sni.h rhh Frmir is i*ucn. I rhtrll mr.mploylny F€mn in anrnuN,
$ {s ro b.sm slb}Er ro rhc wo*da comF.salion lawx ofcalifornis. and sEEc lhll ifl thould b..o@ sbjcct to llE
woi@s smFnslion povisions ofScction 3?00 oflhc Labor Codc.I $!ll, fonh{iih smpl, wiln ihos ,mvisions..
WARNING: Frilud t. *uc work.is co.rr.ns0lion covcmgc is unlswfrrl. md sh3ll slbir( an cilpk,$r to aininrl Ftuhies and
.ivil finc\ xp ir onc hundrcd rhous0.d dollm (SIU),UD), in .dd ion lo thc cosr of o.alion. da@gcs .s providcd for lhe
rhc bbr Corr.. inrcrcslond orrormy s fces
IJ&II.ABAIIII!
I hcEby trmrnundcr pcnalty of pcrjury lhur t d liensd undcr tofii.n 6fCh4rd 9(.omnrncnrS wilh Ssliotr 7()()0) ofOivision I
or rhc Busincssdnd Pnn.ssions Co{lc, nn my licensc ir h full forc ud clIsl.
l0o7/A?,
coNuaucuoNl.[NuMidc[Nll
I herht !fith trndcr rrnDhyotp.rjury rhd rhcrc is a.onnructb.lcndinS o8cnc) for rhc I,.rfomn.. orrhc work for whth rhir IE n l ir
nrucd ( sG. .1097. civ. c )
A.TII.ICAITLDES.IIBAII9N
I lfrhy xrirnr umlur pcnrlry ort).rjur) onc ollhc lolloqnrB dc.l,ntriotrs:
l).nn,lirnrn lc!.irs A\t(no\ Noritud i ltd.rdl R.!x[rnn\ lTirlc {0. t'rn6)
R.qtrn d l-ctr.rolNorlftr{iotr
l.cnilirhd rhc lcdcnl rcrulatiotrs ES0rdlnS (sbc(os rc,nolilarc nol lpllicablc t, rhi\ tirtd.
f..*r,nu , ** .*, ,n,r applicatn,n rtol narc rhar rhc rh,vc intairndn,n i\corccr ltrsreloco.lplr*irhlll(iryriilcounty
ordinlme{! sr.rc Llws rchring ro buildii8 ..ndo.rion, aJrl ivcs of$h Cny und Cou.(y ro cnb xro. irr
ahovc mnriomd pnpcny fn inspdio,
pplieni or AE€nl siere(uE
UNDEB GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meler Release
FINAL l0/'lt/t9 i uqv
Notes, Remarks, Etc.
ID/SIG.
..,,^",". 12r?t<,,n-
trnd(ri Addr.$'
*-, q.cy'l
Miscellaneous