HomeMy WebLinkAbout30139511 - PermitCity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2414 N Tustin Ave Unit:
Block: A
Bldg: 14-l Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit 1.4
Zoning: R4Assessor'sParcel: 396-261-55 Lot: 8
Owneri
Address
The Bascom Group
26 Corporate Park Drive Suite 200
lrvine, CA 92606
(866) 695-5591
01116002 51602
01 1 16002 51602
01116002 51600
01 't '16002 51602
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Amount
12.23
1't .52
21.25
52.98
Qty
3.00
1.00
1.00
1.00
Fee
$36.69
$1 1.52
$21 .25
$52.98Tenant Name:
Conlraclor
Address:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75005
(972) 818-1055Phone
State Lic #: 1009989
Lic Type: B
Bus Lic #. 366547
Workers' Compensalion lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 0110112019
Building Use;
Job Type:
Nature of Work
R-2
VB
cPc 2016
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
Date
Date
Date 06111t2018
Account#
Misc. Receipt:
lvlisc. Receipt:
l\,4isc. Receipt:
Total
Every pennit issued shall become invalld unless thg wotuon the site
authoized by such permil is commenced within 180 days aftet ils
issuance, ot il tho wotk authoized on the site by such pormit is suspended
ot abandoned lot a peiod of 180 days after the time the work is
commenced.
$122.44
$0.00
$122.44
lnspector MID#: 2018-143644
01116002 51600
01 1 16002 51602
$21 .25
$101.19
Fee Total:
Paid to Date;
Balance Due:
Permit #: 30{ 395t I
Pin #: 49492
q
Phone:
uenetol r
01116002-
Plurb i ng
0I116002-
ICL Checlr
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
Fixture change outs(Unit 4) code;
Planning conditions:
Notes: Fixture change outs (unit 4).
PLUMBING-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNllR BUN,DER DEI,CARATION
I hcrcb, rliirn u dolI rlrt {)l r.rjur, rhar Imcxcnrrr ftun rhc a,nrm.ro^ Li..nsc Las io, rhc lbllowins rcahn rscc irrll5
Busirc$ 0nd Pnncs(iotr Codc) Any C y or Cdnty trhich rcqutrc\ I lurnn tu .urntu.r, rlrcr, imprnk, dcdolAh or rcnJr ;n!-
(tucrurc. prior ro ils hq,rk . aho rcqun.rrh. rrpli.tr.r rirr {ch pcrnrir ro iilc i siSn.rl {dcmnr rhd h.oi $. is ti.
h rhc Fovision\ ol lhc Canr!.ttr-s Li..nrcd Lrw lchlntcr 9. CoNnrncin8 *nh Sc.n.n ?0(J0 ot Dililbn .l olrhc Btr\incss ond
Prollsiotrr C.dc) or rhrr hcor \hc i\cxcmpl rhcR.ftonturd rhcbr\n rnr rhc stkscd cxcn,prion AtryviotlrionotSccrionTi):]l5bynnt
trnplicrtrl ior tr pcnnn suqc.hrrE rttli.,iir,scivilltnalryolnornbrcrh fivc hundrcd dottr\ (95u,)
-1.
B owNr ot rlE l,oJtny, or my .hpkryes wnh wogcs as thch $k conFNalion. sill do dE *dt ukl rlE srDciE i mr
i.lcftkd d otrcEd for slc (Sr.7(x4. Busiftsr s P,sf.srt B Cqiei The Cotrlr{.r6r's Lixn* Llw dfts ,ot $dy to e owmr of
lhcrmpcny eho hitLs or in?brcs itootr a.d *ho ttE Mh ft* nims.lf or h@lf or rhrcugh his o hs own cmployccs.phvt.n rhlr .u.h irlpr.EdnB c,or hrcnd.d orotu ru sl.. lt hoEE llE hilditB or inpmEmd n $kt wirh'n mc Jarofon{,lcrbc dE Own6 Buildd ,iU hlE rlE t{d6 of Fovi.g rlEr lr or shc dil mt tlild or inprcw dE poFny lor rlE purpor of
l, {s owftr oltlrc pmpdy, .m.iclusivcly.onrelinE wirh liccncd contrlcio^ro ron{Ecl rh. projd (Se. 71x4, susms
and Aoftssi.nCod.r Thc Conuer.ls l-iccnsc Lru dNs ml apnly 16 owndotphpcny wto tlilds or imnrovcs ltcEon.
and *ho conrto rs for s.t !rcjccls with r Co.tmcro(t li.rn*d p!r@ lorhcConlBctols Lic.ns tjw)
-l
u cxcmpt undd Setioi . B. & P.C, fo, rhl een
uaaf,Exs:coMfrusarlo!
DNCLARATION
I hdcby rffi.m undc, Fnslt, of p€rjur, orc or $. aolo*irg dchndonsl
-l
hlw d will mint.in r Ccnifrar. of ConsnrloSclr 160r fortu ar compcnsrion,6 pmvidcd for bys..li.n 3?m ofrtEt bor Codq aor rhc ,crforflUc. of lh. volk ad whi.h rhc p.mi k issud.
_l tuvc md vill mrinrri. so&cc .oq).Narion insuraft.. !s requtcd by SNlion :1700 of rhc L.boi Codc, for thc pdromtuc of
I i\ Gssl M y *orien conrr..\ir ion iniuDnc. .!ri.r lrd Friry lumbc, rrc:
/./n.
l.cnafylhll in lh. p.rformmc of lnc work for which thh p.mn is is$cd.l snull.ot cmrloyanrl.son in sny mnncrs s lo b.co'm subi(r ro tt* wnrk6'@npcnsliotr hrs ol Caliaornid. .rd dgrcc llxn if I sholld b{i6ft rut.irr to th.
wo*crs comr.nsarion proliiion$ of Secrbn l?00 of thc titrr Codc, I shdl, fonhwith Nnply sirh rhoe Dmvtions
WARNINGT Fdilurc r. slre vorkcs'co.r,'cns.lion L{Krugc ir unh}tuI. and 1hall slbjd an cmphrtr to dminulpcmhics Md
.ivil fincs ut io oic hndrdd rhonslnd dollsrs ($t00,00O). in ddin,n b rhc cos ot nDscs $ EovA.d lor rnc
.:tufl "I
I hcrchy ailirn und.! Fmlrrol,'.rjury rhd I ri licn{d undcr Forhnrn olChaprcr, (onnrcminr *irh Sccri.i 7{D0Iof Divi$n.l
ol' rhc Busiilcs.n'l Pn,r..sn,ir corlc. dd n,y li.cnsc is in fullloru{ldcllc.r.
tan6?.
CoNSTRUCT(IN I I.:NDIN(] A(iI'NCY
I hrtohy rfliu undcr p.nullyol Nrjury tlut rluc i! r coi{turrion lcndir's a8.ncy ir rlr pc!,nrnuncc oirhc work l'or qhich ihis Fnnir N
n\u.i (Scc :1007. Civ C.r
ATTLIIANLDECLIN^IIQN
I lIEh,lujmundcr |{ni[yof tf,auryonc orrh. lnllosnrgdc.lnari,nrs
Dtm)riii()n l,cflni(s A\bc{o\ Norificarn,n Fc.tcril Rcsulariotrs (Tnlc11), P.n6)
-RLluircd
lxfi cr of Mnillrdrion
_l cua it, rhBt rhc fcdcmt rcBlhtions rgoding Btr{or remul urc nor opplicoblc to rhis lhid.
n",,ifylhjr I la'vr rc rhisrpl,licarir)oaRl{rrcrhd rhc rt!,vo ihbflMtirrr i\rorc.r I asre h cdmpl, wirt allCiryrnd Counry
iver oflhh Cit, lnd Colntyro cnrc qEn rh.ordina.ccs a.d SGrc Lak Dlalins lo buildins c{a
rtx,lc Drort,ncd pnrn ny,irr irsFcdion
..t<'
UNDER GROUND
Waste & Vent
Water-Under floor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipi ng
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Irilain Drain/Pool Pi in
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanita ry Sewer/Cap
Back Flow Device
Rough Plumbing €lzo /t,A41/rl 7
Final Gas Test
Meter Release
FINAL T/u/s 9DG9
Notes Remarks Etc.
DATE
Gas-Underfloor
Gas Pioinq
rl,?t'18{ud!,0rcisres
o""jl-$H
lxtrdc.. AJJI.r
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