HomeMy WebLinkAbout30140222 - PermitPetmil#i 3O140222
Pin #: 53437
Project Address: 24l4JJ.sSl!!-Aye Unil:
Elock: A
Suite Range: la N.3
Zoning: RaAssessolsParcel 396-261-55 Lol: 8
The Ba3com Group, LLC
25 Corporate Parft Drlve, #200
lrvlno, CA 92606
(949) 9ss-0888
Fes Type
0'1116002 51602 Sink
01 I 16002 51602 Dishwasher
01116002 51600 GenemlPlan Updale
01116002 51602 lssuance
Amount
'12.70
11.9-7
22_O8
55.04
Qtv
4.00
1.00
1.00
1.00
Foo
$50.80
$11.97
$22 08
$55.(X
Contractor:Katerra Renovatlom, LLC
3200 Earhart Drlv€
Carrolllon, TX 75006
(972) 818-1065
/ t:t/2ttta.
tl,ls*r 71
lier'i\vti,/1
slate Lic #: 1009989
Lic Type: B
Bus. Lac f: 366547
workers' Compensation lnsuranceiCarrier: Mldwest Employe/B Ca8ualiy Company
Policy#: B uwc0t39070
Expires: 0'/01/2019
Building Use:
Job Typel
Multl-Famlly (5 or mor€ unl Occupancy:
Alteiatlon ConstrType:
Flxture Ch.nge outr (ljnit 3)Codei
R-2
VB
cPc 20t8
Plannang Approval By:
Plen Checked 8y:
Pemil lssued By:
Subiecl to Field:
Building Permit#:
Date:
Date:
Date:11t15t2014
Total
Ewry panil issued shall bacotue hwlid unless b. work on lha sile
auhorhed by such pomit is conneDcad wikin 180 days aner ts
issuanet, ot il lha w* authqizo<l on the sile by such pemil is suspeftled
ot abaldoned tu a p..iod of 1E0 <tays aftat th. titua the wotk is
lnspector MIO#: 2018-147425
01116002 51600
0'1116002 51602 Paid lo Dale:
Balanco Ou€:
ldq City of Santa Ana 20 civic center Plaza (M-'19), santa Ana' cA 927, ? { Plumbing
\9, Permil counter (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector section: (714) 647-5853
Bldg: 14-N Address Range:
Tract a.B. CHAPMAN HisloriciNo
jrl0r:rtr-.
t.\t)7 t!
[581 Au
Notes: Flrture change out3 (unlt 3)
Plannlng Conditions:
$22.08
$117.81
$139.89
$0 00
$139.89
PLUMBING.INSPECTOR RECORD
APPROVALS DATE rD/srG.OWNER BUILDER DELCARATION
I h.rcby aftm undcr ,.mhy of !,cdury rhot I m qcopr noD th. Conrdclou Li.en* Llw for 0r hllosing @$n (SE 703 I.t
Bu,inc* rd Pmf.*sion Cod.): Any City or Colllry which rquiH o lqdii ro 6n!tdcl, .kd, impmvq &mlih or rqEir any
nocr@, pri)r io ni ise.,.&o EluiR rh. lpplicmr fo, $ch !.mi ro fik 6 ut..d sllt.ffir th.r lE or s& b lic..sd nulsM
ro rh. pmvisions oltr Co.[sloa3 l-icnGd Lew lchatlc.9, ConGminS with S.clion 7000 ofDivirion ] of lk Blincss and
PoEsi.N cod.) o, rh,t 1l. or !h. ir d.m9l tha.f6m ..d rh. b8t fr'r rh. .ll.scd cxdprion. A.y laobtion ol Sdion 701L5 by any
apDli€! aor ! Fmn sbjari lh. .pFli@ roa.ivilp.Mlryolml tuerha. nvc huo&.d dollN ($500).
_1, s oqF olrh. r,mp..ry, or my.mplotrg wirt E8d e th.n sk .omr'(Mrioa *ill.h tL work dd t t.Elw i! ml
idcrd.d or ofrcr.d lor slc (s6.?04{. B@i6s a.d PmfesioN cod.r Th. conrEcrols Licds l,w &rd ml Ddy ro !. ollM of
rh. pmrsly who bonds or nom6 lhc6n &'d wbo *B Nch slt hims.lfor h.elfor rhhu8h ht or h.. om cmrl.y..t.
lmvid.d lhll $ch orbwnh! c mt hl.nLd dotr rEd 6r eL. It hor!6, ttE ltildiry or i'rrreEttr! i3 $E wnhi. oE Fr
oaotrplcrioll. th. o*ncr Builld eill h6!t rlE hlddr ofpoving tlw h. or rh. did ml build or irpmw lhc poFly for $c pu4De of
-1,
alown.rofrhc tDldy. m .x.l[iv.ly co,r6crine wirh lic.n€d corlmdoF ro oNdct lh. pmjal (Src. ?044, Busind
afl! Pbtsird cod.r 'rn. Conlr.cror's tic.nsc Llw doB mlopplyto eo*8. oftrop.nywho $nil& or inpors th.roa
5nd wlx) conrEcl3 6r ruch rmj..ts wirh a C6r bclo(i) lkdnd tlnuafl lo rh. ( o'nrccld', Lic.nF L!q).
-l
dn crcnDt und.r 56l
!408tr88s..CA!ItEdlArO!
0[CLA8ADA!
I h...by amm !ndc. ,.n.hy ofpaju.y onc .fth. hllowiru .ic.b6tn,B:
lhr\cx'xl$rlltrrim3hiCcnrfi. (.1'(,rNcrrn)S.lllrnkcli)r\rork.6(nnf.trsarurNpn,vtlc{liarhvS(fotl?l)oolrhc
I rhor ande. ltr rhr f.rfir'n]ncc., rhr *ork li)r (lncl, rh. teirnir ,s N\rLd
I h.v. .hd sill n!i.(ai. $'orkcr3 comn.nsatk n insuE.c., ss r.qliEd by Sd ion 1700 ot lh. l,tlhr codc, for rh. Dofomrce of
lh. wo.k for vhich thh p.mit is bN.d. M, eort.B comFcr€rion inN6k. ori.r .d poli.y nnnbd &el
Ca J
vty' cD r I /./",
I c.nify lhat in lh. p.rformrc otlh.wo for vti€h this Fmit h ktu rL l.tsll mi.mrloyanyp.Mn in if,y m.nn.r
$ as to t@ft lubFr ro rhc md(n onqEnerion Lws otcolihm'r. dnd 33r lhar if I should tE otu sbjct ro rrE
mrk n' coqi.nerion povisi.nr of Sdlion 3700 ol lha rjbor Cod., I shall, ionhwilh mnrly anh lhr. revhione
WARNING: !:silu.. to *cur. wo .rC mmlcns bn ov.nsc is unlar'tuI. ond .htll .n dnnloycr to oinnnal Imrlr's and
cilil fin.s up to om hundEd rhousnd dollar (S100,000), in addnon ro r n, d.mracs !s pmvid.d ftr rhr
::jrqyildl_"Iffi1,
I narcby.mrm und.r p€nahyofp..jurylh.t I am licenEd und.r pmvsn..lCharls 9(mmfttuinr B h sdri.n 7000) of Division l
of rhc Blrin* and Pef.rsios c.d., rti ny lic.ns. ir in tull aom ard effer
t<
Li.ctu€ Chs:-Lj*nrc N!nb.r://>o|q <n
,,.,"Nov t 5 20t8
cQ irauclloNLlrlDlrc-&Gl;lcl
I h.Ehy a,l'rrnr llxlcr p€nnlty o t perjury Oar lh@ ir ! 6$rrud ion L.dins ns.n y fo. rh. prnrm.cc of rhe *ork fot q hi.h rhr p.dir is
[sed (Sa. ]097. Civ C.).
AITLICANLIICLAIAIIA!
I hgltiy amn' unds p.nalty orr.rjtryoh..lnE rol[rwins dcc16r,r'oni'
D.molilion Permire'Asb.slN Notificarn,n l:.n.rol lte$larions ( l irl. 40, Pin6)
-Requn.d
Leu.r olNorifi orioo
-l
c.tli8 fid th. Hc6l c8trlarioB E8ardin8 h.dos ..mEl .rc mr E rlicabl. lo thh pmj..I
-rCEr!+thnt
I h,v. 6d rhhrnnli(al
odiMnc.c Mrl srr(. rlssEldhxto hui
io. on er.t. th"t rhc obov. informlrion n cor6t.I arrc ro@mplywirh rllCiryand Counly.{ihr. rcrrcEnEYri rhN crry a.d counry r. .nr.r uF.n rh.
l{},V r 5 zore
ih.v. menrnncd pmpcny for rnspd'onnuoorcs
ADDlicrnl or A*.nl Signalur.:
UNDER GROUND
Waste & Vent
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piplng
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{raplDrain 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
Rough Plumbing
Final Gas Test
Meter Release
FINAL rr-\4 rB b.- q. (l.t ,^ ,'U,Lqfu/
Notes, Remarks, Etc I
COMMENTS
Water-Under floor
P.'
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t-