HomeMy WebLinkAbout30139625 - PermitCity of Santa Ana
Permit Counter 14) 647-580
20 Cavic Center Plaza (M-19), Santa Ana, CAg27o2 Plumbing
0 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139625
Pin #: 8149{
Project Address:
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Lrl
.B. c
Address Range
HAPMAN Historic: No
Bldg
Tract: A
Suite Range: Unit R-'l
Zoning: R4
E
Owner:
Address
The Bascom Group, LLC
26 Corporate Park Drive, Suite 200
lrvine, CA 92506
(949) 955-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8198
Fec Type
01'116002 51602 Clothes Washer
01 116002 51600 General Plan Update
01116002 51602 lssuance
Amount
13.45
21 .25
52.98
Fee
$13.45
$21 .25
$s2.98
Qty
1.00
't.00
1.00
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 921135817
Expires: 0512612018
Bstchi:4{{66 - 6l?5/2018 I0! CCUELLAR
office: CTYH Tpon6+: 95 7 (}f lr.lAccti: Ref*! 30139625
Rcat3:02303116 - 6/25/2018 t35l. Pn
frcnsoct ioo Totol l2t$1l.6rj
Ar ios 6enerol Construct ion In':
Generol Plon Updote Fee
0lr 16002- s1600000-
Plurb i ns
0t 1 t6@2- 3t602(n0-
Viso
CC+:ff*rrr*flr*r2237
t21 .21
t66.43
32 r rl41 ,65
Autht;093(t9GBuilding Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
w/D Partitlon Walls (unit 1) Code:
Chavez, Dave
10196849
Date:
Date:
Date:
R.2
VB
cPc 2016 Notes: Plumbing for W/D (unit 1)
Masc. Receipt:
Masc. Receipl:
Misc. Receipl:
Total
o6t2512018
Account#
$21.25
$66.43
$87.68
$0.00
$87.68
Every permit issued shall become invalid unle$ the wotk on the site
autho zed by such parmit is commenced wilhin 180 days after its
issuance, or il the work authorized on the site by suah pemit is suspendod
ot abandoned for a petbd gt 180 days altet the time the wo* is
commenced.
lnspector MID#: 2018-144271
01'1 16002 51600
01'1 16002 51602
Fee Total:
Paid to Date:
Balance Due:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Planning Conditions:
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oIYNER I]UII,I'T]R DF]I,('ARATI0N
I hcrchy rf,nn tr cr pctrxlr, ('tn rurr" rhnr ,M,.r.'t, lnn rhrCo Lr.t^ l-ic.n{'ln! lorrh.tull,,q'n{ r.rw)n (Sc.7o.rl5
{ru.luu. p tro irl i\n'rN.. rho rcqttcs rhc rffll.rtr tr R'.h t^-nnrh licr $!dcd n icN nd hc.r shc i\ liccrscn pururr
k, rhc pnni\i,nr\ ol rh. Conrrrctr'\ l.iccn\cd Ls ((lsflcr 9- (innmrn.ing {irh Srrrrr'rtXX) ol D'vniitr :t oi rhc ltr\in.s in,l
rt,t'licrtrrlitr r lf,rnir nrbj.(rr !h. !pli.rfr!rrcivil!.rrlryolmrNnth3trlir.hudrcJdol!&\(\5(lr)
-L
as owftr of rhc lhFrry, o! my eoplorrs eith wlgcs .s rh.n sh omlEnsalion. wi[ do d* sort ud tlE smtnE is mt
bt ndcd oJ otrcnn 6r sk (Se.?lX4, BBiBs and Pmacssio Codc: Th. C4rtrsrols LLuE Liw dds nor .pply ro M osns of
r,r. ImFdy *tn hiikls m inpoEs th€tur dd ats &s sh Mrt nin*lf or tErslf o, rkough hat or lEr own.mployc.s,
pbvidcd thnr ru.h inpbvft !smri cndcd orolroEd to.sL.lf.hftE dr bildine d in9,lEmnt is sld qirrin oN Fs
ot@nphrk iL rhc Oercr Blildo will lErc dF b'rko of preving $,I lc or 3h. did ml build or in{,mE t E !'npqiy for rhc prq,s of
-1.
ar owmr 6l rrb IiDIrdy. m .xclusivcly conrr.dhg wnn lic.nsn conlrsroB ro mnsulcr rlr ,tui(r lS*. 7(144, BEiEs
ad Pmfi:rsbn Codc: Tfic Conrtutor'i Licenrc ks des nor attly ro d oqn( 6l lrop.fly who 6uilds or improves lncrcoi,
lnd vho 6!!&k lor 3kn Foj.crr with . Co.rtrtorts) liem.d puBunl ro rhc Conrtrtols Lir.* kD),
-l
m .x.mpl undd Sc.lion-, B. & P.C. for this d$n.
IABtrI8I..SIIMTENSAIION
DECIJAAIII]N
I l*rchy alrrm !trd.r ,.Mliy of Friry one of thc followirg dcclmlioB
-lhrvcrNlqrllautr[rinrCcniicrlcoiCon\cdnrSclflnr{ctu*orkcrr.onrFnsrli(nr,is
|n)vidcdt rbySecri.n:]7(xlolrhc
trlx, Ctxlc,lir rhc r$lnnMkc ol rhc wo tus[i.hrhc r^-irni is nrucl
-l hrlc ondsiu maint.in *o cB conFncarion inx!ran... oi rcrtun d ty Smrbn l7u) of lhc L{hor C.dc. for lhc perfoMc. of
Uh
-l..nify
thd inrhcF.formRcof ltu work for whichlhisFmjl h issucd.l shall Nr cophy.ry p.Mn in 3ny numr
so !sro l*em subicr ro thc worloJ con cnr.rion l.wr olcolituni& ed,gnc rh, if I should bccom subjccl lo lh.
*o*sJ or{Ensark n Imvisions oa Srrion l70O ot rtE titEr Co<h. I rldl. rdhwhh omply *ilh l,$s Imvhiotrs,.
WARNINGT Flilure lo eurc sorkctr coq*.mlion corcmg. is unlsw6il. lnd shrll subi! an cmployo lo ciniul IrMhics md
.ivil li.es q, ro o* hrndrcd lhouend dollos (!10o,0@J, in sddnbn lo ttr cosl of conltdslion. danE3ci .! prcvt.d fo. tlr
Selio. 1076 olihc L,hor Gi., inlcrcsl and.lrormyt fes
Dnle Appli@n(:
r rcunsrn crrxrnrCnrn
DECT A&trr9tt
I lErcby dfrm uodo p.nalry of pcrjury rhd I !n lkrnsd undd pmvision ofch.lrld 9 (onmfting *nh Sdhn 7000) of Divhion l
of th. Busitus and Profcsions Cod.. dn my lkenk i, in fiill fo@ a,t cfiel.
,"r"b
CONli[BI]cIl1}NIlNlINliiGEXla
I h.rby all,ro undci p.nnh, ol p.rjury lhd th.e h a con{dcrion hndh8 agercy for lhc pcrfomftc or I hc Bor* lot shich rhis ll.mil is
hs!c{rse :1097,civ c.)
A}ILIIANI.DECIIIBAUAN
I h@hy arm undcr ncnrhy of pcrjury onc ofth.foll.wing declMrions
Dc@lnion Pomns Asb.tus Noriilcdion Fcdml RcguLrions (Tnk40. Pd6)
Rcqun d ktr.r of Nolitrcalion
-l
ccnifyrhlrrhcfcdcralrcllhrn'n\ ftg,rding asn {o\ rcm)!,|,r. noramlt.hlc ro ihis t}nrj.rr.
l.cdifyrlr r l hrv.tord rhisapfli.rtiondld sl,cr rhc obovc infor@lion t conecl I asra lo @nply wnh aI Cny .nd County
n. rrd hcrebyeulhornr rcprcsc adv$ of lhis Cny ud Cou.ry l. cnls uFn tlEordinn.ccs d6d st,rc trws rcbrinB ro build
arx,re mlrhncd rmpeny rd irspr.r
^ co[zollK
UNDEH GHOUND
Water-Under lloor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
It/ain Drain/Pool Pipino
Fill Line/Back Flow
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq b/t/trt 9lr#(.
Final Gas Test
Meter Release
FINAL T/zz/ c +D€\
Notes, Remarks, Etc.
Waste & Vent
Pool Heater/Gas Line
I) rr ( )rr rr