HomeMy WebLinkAbout30139888 - 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: (7'14) 647-5853
Permit #: 30{39888
Pin #: 60265
qProject Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-A Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit A-2
Zoning: R4
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Orive, Suite 200
lrYine, CA 92506
(865) 695-s591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
Amount
't2.70
't 1.97
22.O8
55.04
Fee
$50.80
$11.97
$22.08
$55.04
Qty
4.00
1.00
'l.00
't.00
Phone
State Lic # 1009989
LLcType: - B .
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCg139070
Expiresi O1lO1l2O19
Eotchi!{5777 - ?/6/2018 I0: oior,:rlesI5
0ffice: CTYH Tronsi: ll 19 ,i lr-r
Accti! Ref+: 30139999
Rcpt*:02378920 - 916/2018 9.18 An
Tronsoct i on Totol 14t299 .41
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Date:
Date:
Date:
R-2
VB
cPc 2015
t22. u9
6117. Sl
14r272.39
$27 "n2
Notes
Koterro Renovot ionsr LLC
G€nerol Pluo t pdote Fee
01n6002- 51500000-
Plurb ins
0u 16{102- 51602000-
Fixturaeh#Fdrts (ur00rP{0
UiBo
CCi: *r****r**rrr752l Auth + .rr,,
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pennit issued shall become invalid unle$ the wo* gn the site
aulhotized by such pemit is commenced wilhin 180 ddys aftet its
issuance, or if the wo* authorizod on the site by such petmit is suspended
or abandoned for a peiod ol 180 days atler the time tho wo* is
cofimenced
09/04/2018
Account#
$139.89
$0.00
$139.89
lnspector MID#: 20'18-145643
011 16002 51600
011 16002 51602
$22.08
$117.81
Fee Type
0'1116002 51602 Sink
01116002 51602 Dishwasher
01116002 51600 General Plan Update
01'116002 51602 lssuance
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Fixture change outs (unit 2) Code:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:Fee Total:
Paid to Date:
Balance Due:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNI]R BUILDI'R DT]LCARAI'ION
I hcrcny riirnru cr pcnrlry {n l{tury rhd I ncr.'npr,n,mrtu Conrrct,^ Li..d\c lrs r.r rhc li)llosirg rcnlnr (Scc 70:15
Ilu{trc\s d Pnncrtn,n Codc): Aiy Cir} or Coumy whi.h rcqunc\ | |rirnii m con(ru.l. ahcr. itn[i'!c. dcfx,linr or toNn aiy
snrcrurc. ri, b irs issBftc. trl$ Equi(s rhc applicstr in (hrcfnirl,r liL! signcd slricn{ir rhrrhcor shc ( li.cntd f'tr$r r
n, rhc nn,li\nnr ol rhc C.nrBcror'\ l.i..n\.d ljs (ClBprc. 9. C. nnckni8 qirh Scdi T0O(r ol Division :l ot rhc Bd\incs\ rnd
rpplic!nr fi,r pcnnir \rhj(r\ rhc lnplicrnrh a.ivilp.trrlryoltror nxrcrhm liv. hundr.d dollo( ($5001
-1.
as owrcr oI thc ptupcny. or my .mployes sirh e38cs $ rhcir elc conp.nsltion. will do tlE *mt &d tlE smelE it ml
i.r.ri.n or ofmd for sk (Se.r044. Busires .nd P,lf.ssbE Cod.: The Cnnlrsrols LiIn$ Lap des &r .oply ro an owE ol
thcrftpcrry {no hildsor in!ftEs rh.6n. od *ho dcs sh krl hidsclf .rherslf or wugn has n hq 6vn enployccs.
lrovidcd firl suh impmEmtu m mr intcn&,i .r ofidEd rd sl. l( trEE, th btr dna M irqmErnt h eld whlu om ,E{
ofconplciion, E Osnd Buildf viu haE dE hd.n ofp,bving $'r lE r sh. dil iol buiit or inpow lhc PioIEry 6r ft |lrFs oa
l.0sowncrofrhc pmreny. smcrclusivclyconr.€rin8 wnh liccnscd conrractos roconsttucr rhc Dmjccr (Scc ?044. Bulinrs
lrd Eolislid Code: Thc Co.rmttr s Li.cnsc Law dei nor uprl, ro d os.cr ol prop..ry who builds or in?rovcs lhcNn.
rnd who oituls ror su.h trci(ls pitn a Conlato(, liccns.d pursuo ro rhe CoflrErn s Ltc.sc ljw).
-l
u.rcnfl unncr Sdion- B. & P C for lhis rcen,
UOITEBI:.COI'TENSAITO!
DDCI.A.BAIION
I hercby lffirm unds p.flally or perlry orc of fic aollo*inB .,.tlmlions:
-l
lurt old sill mn lin 0 Ccn ifi(lrc ol Con$nt h Scli.lnsurc for $ortss or.pctrerion, or Is,vidrd tx by sdrion l70l) of rhc
Ldbor codc. forrhc pcraonnlnccoflhc wo lor p'rich thc pcrmir is Gsucd.
_l haE and will mainrain worlc^' ..op.os,tion ins!6n.c.!s (I]xircd by Sdion 3100 of rhc bbor C.dc, for lh€ lErfofr1@c of
My workc^ .oEp.n{dion inlurdc udicr np.kynumbcrac
a
-/.
-l
c.nify lh in llE l,c.forromc of lhc wort for which rhis p.rmil is ksEd. I shlll nol cmploy u.y F*on ir any dn.cr
$ !sro bccom $hjcd to rhc {orkcF omo.nrarion lass olCrlifomia. lnd 8glce th,r ill shorld b.<onE subjEl h llE
voltql cotr{Ensriotr Im,icions of Sdrbn 1700 of rhe LaEtr Codc I .hall ronhwilh .omrly enh lh.s pmvisions..
WAINING: FnlUE b $oE wk6 snpcn$lbf, ovcs8. is un,.wtul. ond shnu $bid u .nptoy.r lo dimitalFolix.nd
civil fii.i u,! lo om hudEd rhoNrid dolla ($100,000). i. sddirio. lo thc osr of on!.nrario[ <,amg.s 6 llmvidcd fo. the
Scclion 3076ofrn kttr C.d., inlcresl sd anomy\ f.ca.
i hcrhy arfiirn undcr !.MllyorI'crjurylhol I an liccn*d unds lmvision ofChoprcr 9 (conftncins uirh sc.ridn Tulo) olDivision 3
6f thc Bulifts dftl PmIc{sions Codc, 0i1 my liccns. is in full fora ,Jrl clfer.
luef'|1r.
EQNI[f,lqPtL]:lDlN(ir\{iEXCI
I lrcrcby rlfinundcr pc.rlr! ot pcrjurr rhar rhcrc is r connrudion h.din8 r!ci., rd rhc lirto m.cc oirlr work tur shich rhl\ |{iuir il
i\rucd ISN :1097, (liv. C.)
drfucdNtD[cllr.8auoN
I hm'bynrmundcr p.ntrhyofpcijuryorc of thc follo*in8 delu0rions:
D..mlirion Pcrdirs Ash.sros Norificarion Fcdcml R.eul0lons (Tirlc40, P0n6)
R.qxircd LIn.rot Ndifrdion
-l
ccnif, ihal thc fedcnl rcSuLrions E8udin-q lstEsros emvol m nor a[,ltablc ro it! pDj6r.
,fG,n,, r,",",,,n""nn,
'oin'nrncc{rnd Srnrc tis\ Eurus r.
i.ariotrnkl storc rhar rhc.t vc co,nply r irh all Cnyr dCorDry
ofthh Ciry.nd Crlnry to c.ter ulon tlE
obove trnliorud omp.n, ror in{,slion
ADDlirtrnl or ,'\r$l Si!nah,rr:
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underf loor
Buildino Sewer
Area,/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Rool Drain
Tub/Shower Test
Rough Water Heater
P-trap/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
Bough Plumbinq 't/$/t4 1\6q
Final Gas Test
Meter Release
FINAL t'/Wts ,x E(
Notes, Remarks, Etc
POOL/SPA
Dalc: O*trcr:
u",. (L. /1 n ru-",.
co tdor ,4+- -
tAdcic Addrs{
-
o,r., 4'c'&
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