HomeMy WebLinkAbout30139451 - 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: 1714)|647-5853
Permit #: 3O13945,
Pin #: 14E93
Project Address: 2424 N Tustin Ave
Assessor'sParcel: 396-25'l-55 Lol: 8
Unit:
Block: A
Bldg: 24-Q Address Range:
Tract A.B. CHAPMAN Historic: No
Suite Range: Unit Q.4
Zoning: R4
q
Owner:
Address
Contractor:
Address:
The Bascom Group
26 corporate Park Drive Suite 200
lrvine, CA 92606
(949) 95s-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(3r0) 350-8198
Foe Type
01116002 51602 Clothes Washer
01116002 51600 General Plan Update
01116002 51602 lssuance
Fee
$13.4s
$21.25
$52.98Phone
Tenant Name:
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 921135817
Expires: 0512612018
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Multl-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
w/D Partition Walls (unit 4) Code:
Date
Date
Date
R-2
VB
cPc 2016
Notes:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Expand coat closet opening for w/D in units with 2
bathrooms, No bedroom addition, exterior altemtion
and/or addition of square footage proposed at this
time. Original P/C performed under #10193842.
$87.68
$0.00
$87.68
o5122t2014
Account#
Every permit issued shall becone invalid unless the wod< on the site
aulhoized by such pennit is commenced within 180 days aftet its
issuance, or if the wo* authoized on the site by such permit is suspended
or abandoned for a period of 180 days afrer the time the wotu is
commenced.
lnspector MtD#. 2018-143415
01116002 51600
01116002 51602
$21.25
$66.43
Fee Total:
Paid to Date:
Balance Due:
Phone:
Amount
13.45
21 .25
52.98
Qty
1.00
1.00
1.00
Planning Approval By:
PIan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
BuirdinsPermit#: 10196472
APPROVALS DATE ID/SIG.COMMENTS OWNEf, BUILDER DELCAtrAIION
I tcrcby amrm lndr Frulry of pcrjory rhd I m .rcd filn rh. Contrdm'Licc!.. Lrw for llE followine E.sn (Se.?011.5
Blsinc$ and ft.a.sshn Codc)r Any Ciry or Couory which rcquiB a Fdn lo onnn cr. ,lld. im0rot. &mlhh or rcp.n rny
nrud@. p.hr ro irr is3uMcc. .l$ ftguircs lnc lPplicul for sn pcmi lo fik , .i8md sltlemnl lh.t lE or slt n liat*d PoNsi
ro rhc pNvhions of rlE Co eroCs Liensd tlv (Ctupi( 9, Co,tmmin8 *ilh Selion 7000 of Divisio. 3 ol thc Ausin.sr .td
Pof.sioN Cod.) or rhtl lE r ilE i3 dctr$ dE c&or..d rlr t$t for llE dE8.d cr.nption. Any vhlrlion of SEli,n ?01t.5 by my
applicafl ror atcmn 3ubj6k lhc lrplha.r io s civil pcDlry of nor mF rho rivc hudrcd dolL$ (!500).
-1,
os ovrcr of th. prct*ny. or my cmployes {irh w.8cs s rhcn sb ompcnsrtion. *ill do th. wdl od itc ddw n nol
inlcd.d o. onced for sl. (Se.704.4. Blsimss ond Itlfcsrions Codc, The C.fldtr r Lisn$ ljw &B ml q,ply lo o ownd of
rhc pDpcr,y sho hildr or inqmG llEEn..,xl who dG *n s himclf o, hcEllor ihFu8! his or hd om.nplor€cs.
lmvi.l.d lhrr such inlmvwds e mr hrdrLd d ofi.rd f6r $L, l[ lbkE lh. t{ilCins m nlomwtu ir sld widin om F{
ofo'rTbion. tlr O*mr Buitlq *i! hlh thc hrd.n oaFlvin8 lh"l lE or slE dij mt hild or inqJNE otc ptuFry fm tn. Purpos of
l. $ o*re. or rh. trop.ny. !m cxclusirly srrr*ring wnn liccnsd .onrk'or b onsrud lhc ,,!jEt (Sr. 71x4. Brin*r
ud Pmfdris Cod. I Tha Contaclor's Liccnre Lsw docs ml opply lo an o*rcr of Doncny who builds or imProics lhcrcot.
and who onrtrrs for sftt lmjeG *irh a Co eto(d ltcnkd pB@l roih.Conlrdols Lic.n* Liq).
I mcrcmDr unds SrcrDn ,B & PC. torrhn m.son.
llo8trEBL:go!{fjusa110N
DIgI,ABAIII]N
I hcrcby difim !.dcr ,cnalrr of tErjury orc ol thc tuUosins de.lmlions:
-l
hav. .r'd will mintlin a Ccrrifr.rr of Con* lo S.r lnsuE tor s.t.^' omFnslion. as Fovidcd for by Sstion 3?dl of lh.
t,br Cod., ftr rtr Frftrmm. of th. Pod( for which lh€ pcrmir n i.s!ed.
-l h.vc ud will naimsin workB cooFnsrtion imume . $ EAUird by Sdion 1700 of rlx Llbor C.dc, for llE !.rfo,mre of
whkh'hi\ ncmr n ^o.d MX"orkds. mmFnkri.n in\urm camr and Inlrynufrhfl m
il-n+L fi"nA
q2t t3S7 t'1 S'21, . l X
-l
cenily rhar in lhc F.formmc of lhc wort lor stichlnis p(rmil ir iqsucd.l shtll not.nll,loy any I,cMn inrnynmm,
$ as ro hcs'E subjcct to thc eortc6 ompcnrNrion laws or Cnlifornia. lnd a8rcc thlr if I snolB t .o@ $bjd b
'lEwolkcd smpcnslrion F,vhn,nr oa s6rion :1700 ofuhc Lrbor Codc, I sholl. fonh*irh .ooply wirh rrh* pmvtions..
WARNING: F lurc ro surc vorkcr' ompensarion covctasc ii lnlawhrl, 0nd shall rubi€t on cmplotlr lo ainintrl Ftuxics and
civil arcs up ro om hundrcd rhou$d dolle ($100.000). i. a&ilio.lo 6rrion. d.tugcs {s povu.n tor lhc
s..r ion t0?6 of rhc I rnr C.ic. inrcred and ,toft tr:'W
s.zq. 16
DISASAIIIIN
, hcrb, affiro !nd.. p..,h, or p.rjury rhar I om li(nst undcr lbvision of Chlprfi , (connEmi.8 eith Sccrion Il0O) of Divi$n l
of lhc Busimss and Pmlcssions Co&, E d ny lkcn* h i, fulltnra uxl cf(l.
lun936l"-*.o*, B Liccnsc Numhcr
IIJASIAU TOEI,EIDINCT$INCI
I hcrchy rflirnrunJdr F lry.i tf,rjurr lhlt Ihsc is . coNrnd ion lcndirs rscmy ntr rh. P$lonunc. or lhc work rbr which rhis lrnnir k
i$ucd rs.c 3097. Civ. C )
AIII.ICANIDEI;IABAIION
liu$ydrhnhdd Iftrrlry oifcrjury onc olrhc lollo$inE dcchmln,ns:
Dc.nnirn,n Pcn rs sl'.{os Norincarion F.dcdl RcBuldions (Tirlc,10. ?an6)
-R.qutcd
lrrrcr ol Nor ilic,rio'
-l
.cdiry rh,r rhc acdcral rcBlltrtions EsddinB ostEsros Emval m nor +plk,bk h lhis pmlc.l.
laliccni8 rhar I h.vc rcld rhis applknrion
'nd
sotc rhd rhc |trvc informrion isc.Br. 146 h..mnlyuirh rlr ciry,tul coumy
ordinucc\ lnd Srarc ljwr 6larin8 ro buildnr8con$ruclion. axl
ahrve m n,ncd porrcn, tu i.s
I t€,
thn Ciryalld Cou t ro cnrs upon rh.
""," {-z\'lY
UNDER GBOUND
Water-Under lloor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq dzo[t9 /u,s/H)
Final Gas Test t
Meter Release
FINAL o/'tb /l'6 )DI'b
Notes, Remarks, Etc
PLUMBING.INSPECTOR RECORD
Waste & Vent
Tub/Shower Test
Pool Heater/Gas Line
Gas Service
o.", lS.z{.t6 c-,'-r* A(c