HomeMy WebLinkAbout30139507 - 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 #: 3O139507
Pin #: 4t597
Assessor'sParcel: 396-261-55 Lot; 8
Unit:
Block: A
Bldg: 14-A Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit 5
Zoning: R4
E
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
0't 1 '16002 51602
01 1 16002 51602
01116002 51600
01 1 16002 51602
Amount
12.23
't 1 .52
21.25
52.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
3.00
1.00
1.00
1.00
Fee
$36.69
$1 1.52
$21.25
$52.98
Phone
State Lic #: 1009989
Lic Typei B ..
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 0110112019
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked 8y:
Permit lssued By:
Sub.iect to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture change outs (unit 5) Code:
Dale:
Date:
Date:
R-2
VB
cPc 2016
Chavez, Dave
Every permit isswd shall become invalid unless the work on the site
authoized by such permit is cammenced within 180 da$ afrer its
issuance, or if tlD wotk authoized on the site by such pemit is suspended
ot abandoned tor a peiod of 180 days efte. the time the work is
commen@d.
06/11/20r 8
Account#
$122.44
$0.00
$'t22.44
lnspector MID#: 2018-143637
01 1 16002 51600
01116002 51602
$21.25
$101.19
Fee Total:
Paid to Date:
Balance Due
Project Address: 2414 N Tustin Ave
The Bascom Group, LLc
26 Corporate Park Drive, #200
lrvine, CA 92606
{949) 955-0888
r lr
Notes: Fixture change outs (unit 5).
lvlisc. Receipt:
[,lisc. Recelpt:
l\risc. Receipl:
Total
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OIVNER IiUII,DNR DELCARATtoN
I hcrcby.finn un,lcr nc,rdlrt of Erjrry rhtr' I 0n crc ll rrorn rhc conro.da l-iccnsc lrw lnr rhc iollo*in8 rcusn lscc.7r.rll5
Busn'cs rftl PmlNri0n Codc): Any Cir, or Courry whicn rcquircs tr |Eirnir l(, (onnrud. ohr. imFovc- dcmlish , r rcrrJn dry
srtucfur.- plntr ro ih i\sulnce. aho rcqlncsrh. apnlicinr tu such,,crnrirro filci sisncd srrremnr rhar tEor \lr t li..oscd prBlrnr 'b thc pn'v^ions ofrlr Co.kr.rof\ Li.cnscd trs (Chrprcr 9. Comiftncin8 *nh Sc.rnr 7fi$ of Divki.n I ol rhc Busir.s ind
lhfc$nnNCodcrorlhrrtLorshcircrcnrl,lIhcrclionnJIhcbi!isinrrh(nllcpcdcrcmDri(in An, violilioroiS.clion Trr.ll.5 hy rry
arplicrnr rhrr Nnnir suhjcch llrc lppliranrlo r.ivilpenullyolml nnNllrn nrc hu !.d nollxrs (S50o)
_1. N o*tur ol rhc ,mlErr, or h, cd{,loyas qirt *!gcs as rhcn sh .omrnsrion. will do tL work aid r,E si*t@ ir et
inlcndcd or otr.ed rd sh (5€.70421. Axlin6s r.d Profcrlioa Codq Thc Conrerors Lic..* tj* d.cs nor lpply b an owRr of
rh. poFcny who h!il& or itrpmG llf,sn, un who dGs ech wlk hiN.lf or h€mlf or lhmush his or hcr oq cnphyc6.
Imvilcd lhar ruch iqroEmnB @ mr int.nd.n o.6tu fo, qle lt tnEE, rlE hilding or inpreEanl h sU *ithD om ,*
of6r?b1aotr rlE Owm Buidq eill hlw tlE txld.n ol troljns thar lE or shc dil er buiu or ioproe lhc pEFny for ln. purpo$ ot
-1.
ac os.cr of lhc ImFny, am cx.lusivcly ontreling ailh li.cncd .onlturors lo onsdcl ltE pmj€l (Scc. 7014. BusiN$
a.d Pbtsqio.Codc:Thc Conrdcror'r t,iccnsc Las dms mt slplyto an ownd oft,lopcny shd builds or iotorcs th.rs..
and *ho .o.rflck for such pmFts wirh. C.nhcio(s) lacncd luRMr ro|n Co.rncrols Lk nsbw).
-l
omcrcn$r uMcr Sccrio
!AKE8g.CO!II!NIAII9N
DFCLA RATI(TN
I h.rcb, .fltrm undc. ,corxy 6r Frjury onc of lhc following dcchori.nsl
lhrvr nl*,llnrnrxDrCcdifrnrcolConsctrrt)Scltln\u..tu'sorkrf.onr!cn\nri.n,x\ lni\id.dnnhtSc.rt lT{xrolllr
Irtxn ('d1.. n]rrhcp.ni,nuncc ol rh. *ork r'or*hi.h rhc p.nnir i\ i\nrJ
_l hrvc 0nd pill mintai. wo*6 .ohFnsalhn insuBft., a N|UiFd by Sdion l?00 of lh. L.bor Codc. for lh. Mo,fue of
pcmil is knrd. My sortss' comrEnsaiio. insurorc caEicr dd lolicy nlmbcr rc:
\\.14
I c.niry rhsr ir thc rErlo,Nne dtrhc wmk lo. whi.h rht Irrnir ii i.s!cd.I \hrll n r cmpk,yany lcr$n in 0ny mamcr
$ $ to bcconE suhj$l h rh. wolk$ conr0.nsorion l.wsofc irorni( 0nd o8E rnal ilI should hccom subicr torhc
krlcs'compcnslionpDvisionsofsctiotr3700oflt Litnr Cod.. I stull. fonhwnh smlily *ilh ilns pmvisio.s .
WARNINC: l_ailurc ro s-uo work.rl onucn$rion orcrlsc n unh*lu. lnn rhill suhjccr d cfrtloycr ro ..imir0l pcMhics 0nd
.ival fincs !F kr otu h!ftlred rhousnd dollds (5100.000), in lddnion to rh..osr ofc.ftFnrarioo. da
idtffitifi$l'l;;::
DftcldltrIlQNIhctubynf u d lt.rlry of fcrlury rh r I r r ltu\.d utd.r p(,viri,rt of Chdl)l.. 9 (..nrr..io8 s irh SL{rion ?oul) oi Oivnion .]
nf thc Bu\inc\srnd ttolcsions Codc,.nd mvli.cn\c is in tulllorcc r c,lLcr
w?,|.tE-l .
D+!${+201101 k=aa*^nrr-
IONSIB]JCIIOIULDINGI(iI]N(I
nid lsc. l(r7, Cn. ( )
ATPIICANLDEEI,ABATIO!
I hsr$, anim under pcnnhyofprrjury onc oarhc aollowing dccl0rurions:
Drtrrliiion P.rn t!Ash.ros Norificrlion r,cdcral RcSuhrn,ns (Tirlc40, Prn6)
-Rcqun€d
Lcncr of Notifi$rion
ordiMmcs od shr. ties EldinS b buildinB.onsrruclnrtr anl rErcht 0urhonrrcpesntlrircsofrhis Cnymd Colnryr
)L;iftow mnri6ftd pror.nr lor in$eiion puqxNcs.
,,P,", N tr
ADDli.al or Atenl Sitnrlurc:
€no*l *"'
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Undedloor
Buildinq Sewer
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
TubiShower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Ir,4ain 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 blqrls',Ft ffi
Meter Release
FINAL 1/cr/ /2, ,.B tol
Notes, Remarks, Etc
Area/Storm Drain
Rool Drain
Final Gas Test
"r'.r^,.n* tllU$\rlcol&tDo,,",,',".
-l.enifyrh,r
rhc fcdcra I rqular io.s rus'.diq ashcsro\ rcnnval arc nor arplicahle ro rhis,'hj.{r