HomeMy WebLinkAbout30139512 - PermitCity of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
PermitCounter: (714) 647-5800 Inspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O1395{2
Pin #: 8523{
Proiect Address: 2424N Tustin Ave Eldg: 24-R Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit R-3
Zoning: R4
E
Assessor'sParcel: 396-261-55 Lot: 8
Owner:
Address
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, cA 92605
(866) 695-5591
011't6002 51602
01'116002 51602
01116002 51600
01 'l 16002 51602
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Amount
12.23
11 52
21.25
s2.98
Qty
4.00
'1 .00
1 .00
1 .00
Fee
$48.92
$11.s2
$21.2s
$52.98
Phone
Tenant Name:
Contractor:
Address:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-r065Phone
State Lic#: 1009989 .. .-
Lic Type. . B
Bus Lic #: 356547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWC0139070
Expires: o1l01l2019
Building Use:
Job Type:
Nature of Work
Multi"Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe
Fixture change outs (unit 3) Code:
R-2
VB
cPc 2016
Notes: Fixture change outs (unit 3)
Planning Conditions
Chavez, Dave
Date:
Date:
Date:o6t1112014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemitissued shall become invalid unlesslhe wo* on the site
authori2ed by such permit b commenced within 1 80 days aftet its
issuance, ot it the wotu authoized on the site by such pennit is suspended
or abandoned fot a poiod ol 180 days aftet the time tho work is
commenced.
$134.67
$0.00
$134.67
MID#: 2018:143645
01116002 51600
01116002 51602
$21.25
$'113.42
Fee Total:
Paid to Date:
Balance Due:
Unit:
Block: A
I
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
lnspector
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS (rwNr,iR B(ILDER Dtl,(.ARA',t.tON
I hcrchy r litm u M.r lf,nJlry or Frjury rhd I nm cx.mpr rio r rhc G,nrr.r)^ Lic.n\c I.!w lnr rhc tulhwn'! rcr$ir( src 70.1 t 5
8u\in.s ud Prolc$ir r Codc): Atr! Ciry or (iunry whi(h r.qtrircs . ,.nnir b .oiitu.r, llrcr- ifrp('vc. dcmoli\h f rc],r, urv
{rucrurc. pri(tr b irs i\suan.c. rho rcltuir.s rhc lllplicnnr itr n'.h N.nnr ro li.n e!trcd ftrcrf,.r rhi h. or \h. i\ liccn\cd 0u6nr.rt, rh. pn,vi\i,nN ol rh. C.nrr.htr s Li.cn{d Ii* tchrDrcr q. Co rnrn.nrA Nirh S..rnnr 7Ux) of Divi\ii'n I o, rhc ttu\ilcs rtrd
P(ncssnn\ Codc)or rhrr hror\hc i\cxcnDl rhcrcliunand rhc h i\ l'or lhc dllcgcd cxcnDrion An!!6hri.dofSrcrionT0.ll5hyrny
applicanrlnrrp.iinirnrblcrhrhc.On'ranrt,J.ivilt.n.lryolnornrrcd[nfiv.hrndrcddolltr^($5(x)).
La\osftrofrhc,r'rcny.ornrycmployccswirhw8.\{\rhcnqncconlPcnslxi(nr.uilldorh.*orkd rh.{turhisrk
ilrcndcd orotltrcd n, {rc lsc 7Ol{. Busincss lnd ProLsnon( C.d.r'l hc Conk{rtr s Liccnsc ltrrwdocs.or npply r, uowncror
rhc lftTcn, $h) builds or ilrlm)lcs rlrR,n, s.d *ho dcs $.h wof* hnnsclf.r hrrrltur rlB,rgh hi\ or hcr own umlkryccs.
provi(lcd rhd nkh i'npmvcnrnr\ a.c m, i cftlL{ orolT.Rl ftf qk li ho*c\ u. rlrc t{ildir! or imflovcnrnr is wnd $irhinoDc r!.rol.otrDlcri,[rhcOsn.rBuiklcrwillhovcrhcburdcn.fpn]lingihdh.o,shcd or buikt .r in m!. l}E pmpcny tor rhc purlDs of
-1.
!s owner of th. pNp€ly, an crclu.ilcly.ontrlclir8 wirn lieBcd .om.rcroN to co.strud thc pmiccl 1S(. ?044. Blsinc$
.nd Aot!$io. Codc: Thc Conrmtoas Lk.nsc ks d@s not.pplylo oowmr oap.oFny who blitds or imprcEi thcrcon.a.d *ho .o.ln.k for tuh toj6$ wilh s Contftro(s) lk.ied puft@l to rhc Co relots Lirrs tjw).
WORI(ERS' COIIIPFNSATI(TN
DECIJ.SAII!}N
I turcby lffirmundcr p..!lly of p.rjury onc orrh. tollowins delararhns
I hlvc ud will trrinr0nr ! Ccnirrarc or C.nE ro Sclf,lNurc ror sork s comr.is n{.ns fmlidcd tor hy Saltun 1700 of th.
trh.r (fdc. for lhc t).rromftc ol rhc so,k nn shich tne Fmir h issucd.
I hrlc lid qill'ntrint0in workcrl conrr..sdi.n insuraicc. ss rcquircd by SNion lroo olrhc tibor C6dc. aor thc pertormMc ot
lhis p.mir is isscd My w6.kcr' compcnslriotr inruramc odi.r nnl rtli.y numb.r sc
c l.\.\ar.
-l
enify lhal in lh. p.rformE of lh. w.rk a6r ahich lhh pcrmil is tsucd. I shnll mr cnpLy any tser in lny dMrr$ as io bc.om slbjccr ro rlE sorksl o'nFnsarion hwr 6f CaliforniL ud sgE lhat if I should h..od suhier lo rlE
wolknc omrc.sarion pnvisions of Setion 3?00 of lh. Ldnr Codc. I stull, forrh*nn conply with lnos pfl,visbos..
WARNING: Fuilurc lo surc srlcrs' omp.trerbn ovensc is unlevtul. snd sn! $bi$ m cnployr. ro diminal FnalriB and
.ivil fincr uI ro ok hhdEd thousnd dollrB ($100,000), in addition ro lhc msl ofco i.n. dntugc\ nr proridcrl lb. thc
:."ltuilT"f?0Tu':
I hiEb, affrh udcr pmlry of pdjury rhd L.n povkion oich{prd 9(conmrcing wiih Sdion ?000) orDilhion l
l.toa?t-- ?
CONSTRU(:TI(}N I FNITIN(I A(iFNCV
IhcEbyllttnrutrdcrtE0lltofrcrjuryrhtrrrh.retaco.(ructionbdi.8agcndyrorrh.p.rrortun.cotrlrwortrorshichrhisne.nrilh
isx.ed (Sa.3097, Civ. C.)
APPLICANT NFCI ARdT!(IN
I hc,.ty 3,Ion undcr pcnohy olp.riuryom orthd adllowins dcclulrions:
Dtholirio. Pe nn$Asb.{os NorincrriDn FcdcEl Rcsulorions (Tirlcr{}, Pd6)
-Rcquncd
tlncr o, Nolif$lirn
l.enitrrhlr rhc lcdcrolrc8ulorions rcSarnirgasb.dosrcme0lnrc nor 0pllicrblc lo rhn pmj.rr.
qll.cniry rhar I iavcrc(lrin !,'rlicdbn aflt ar. rhar lnc atntc inr(trmarion cofu I a8m ro..mpt, *irh atl Cny snd coun,y
ordn',nccs md srlre L,vs ELlitrslo huildi ofrhil Ciry dJ Counry h enrcr !F)! rlr
ab.vc tunriurd poFny
d"pt'[ I 1 2018Apt,llcanl or AEenl Sillnnluro:
UNDER GROUND
Waste & Vent
Water-Under floor
Building Sewer
AreaL/Storm Drain
lnterc tor/ Clarilier
TOP OUT
Tub/Shower Test
Rou h Water Heater
POOL/SPA
P-traplDrain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool HeateriGas Line
Miscellaneous
Gas Service
Water Service
Sanita Sewer/C
Back Flow Device
Rough Plumbing h ztlty',il491 /
Final Gas Test
Meter Release
FINAL qq<
Notes Remarks Etc.
Gas-Underfloor
Waste & Vent
Water Pipinq
Gas Pipinq
Rool Drain
Lawn Sprinkler
V4trlr
of thc BusiNs and Prolcsrion. Cdc. ad ny liccns h in tull lorcc ond cficcr.
Lrndd s Ad&ess: _
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