HomeMy WebLinkAbout30139362 - Permitcify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 3O139362
Pin #: 25205
Lot: 8
Unit:
Block: A
Bldg: 24-L Address Range:
Tract A.B. CHAPMAN Historic: No
Suite Range: Units L.2, t-t't, \
L,9
Zoning: R4
Contractor:
Address:
Tenant Name:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
01 1 16002 51602
0'1116002 51602
01116002 51600
011'16002 51602
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Fee
$ 146.76
$34.56
$21.2s
$52.98
Stale Lic #: 1009989
Lrc Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 0110112019
Eotch+:{38{3 - 5/1i
Off i ce: CTYH Trnr
Accti:
Rcpti:02265674 - :
Tronssct ion fotal
f
Building Use:
Job Type;
Nature of Work
Planning Conditions:,
Planning Approval By
Plan Checked By:
Permil lssued By:
Subiect to Field;
Building Permit #:
Date:
Date:
Date:
Notes n,twipir"itl4a {ut" luaii{ i:2, L-1r, L-3).
05/10/2018
Account#
lvlisc. Receipt:
N,lisc. Receipt:
l,Iisc. Receipt:
Total
Chavez, Dave
Every pennit issued shall becorne invalid unless the wo* on lbe site
authodzed by such pemil is conmenced within 1 80 days efrer its
issuance, or if the wofu authoized on the sile by such permit is suspended
or abandoned lor a peiod of 180 days dftet the time the wo* is
commenced.
$21 .25
$234.30
lnspector l\tllD#: 20'18-142986
01116002 51600
01 1 16002 51602
Fee Total;
Paid to Date:
Balance Due:
Project Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55
Owner:
Address:
Phone:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
Amount
12.23
11.52
21.25
52.98
Qty
12.OO
3.00
1.00
't.00
Phone:
Koterno Renovnt ions .
Genecol Plon Updote F
01 I 1600?- -51 9000r:r0-
Plurb ins
01 I I 6t'rl:r2- F1 !(r?000-Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
Fixture change outs (Units L0ode;
R-2
VB
cPc 2016
$255.55
$0.00
$255.55
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER tt('tI,DER DI]LCARATION
I lRmht !fl, n utrd.! Ftrrlly oI p.rjrry rhd I n cr.'qr fnnn rhc Conlrrctor' l,ic.n\c Lr$ f,n rhc ftnhwir8 rcrv,n lsc. /0.rl5
tsusircs\ i Prnt{ion C{xlc): Any cny or Counrt whi.[ rcqutcs i pcnnir k, .onirucl. ulrcr. imPr]!c. drm.l$ or rNt rnt
incrurc,Iritrro irs issuin.c. oko rcqutc\ thc applicanr f{, \!ch'Imir tu liLr sisrEd {arclL-ir rhrr }ror\hc n liccnsed pur\urnr
lo Ihc povi\tns ol rltr Coirrr.ktrt Li.cr\en tnq (C[iflcr 9. Connncnciir ,irh Sc.rion 7000 ot Divisidn .] ot rhc Busnr!\ rnl
Prorasxion\Codc)or rhi hcorrle is crcnrfl rlrcrcfiorMd rhc b!ri\ tirrrhc rllrtcd crcnrllion. Anyvnnlrn ol scctin T03l 5h!rnr"
!pplicrtrr [itr]!c'nrir \ubiNrs(h. rnnlicanln,0civil!.nrliyotnorntmrh.tr llvc hu,rdrc.ldolhs (S5u)
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!s owftr of rhc FoFny. or my crnployes wilh wrSps !r lll.t sL onncnr.It .. will tlo lh. *ut sd dE strui@ is ml
hrcid.n or ofr.i.i lor sh (Se.?0d4. Ausift$ and Prolcsiions Codq Th. C.ntlclols LicenB Lrw docr Ni aPply to di owr of
llrcpmpsty wt5 bliktror i'rt,irBilr@ ud who.kEs sh mrt hiNlf or h.t*lfot lhDugh his or hcrowncmplor6.
povid.d rh,r Mh in9,orcm s @ mt i'neftled do,rstd for eL. tf. tbkE llE |tihins or i'r!ftwc i! sld vithin orc r@
olonpLrio., dE Ownr Buitld *ill hrw llt hEdH of lmvinB rhd h. o, sh. did mt boild d in toE 0E p6,Elt for lh. luqDs of
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!s .{n( nf rhc r.pcny, trn .tlusitly conracrins {irh li.ensd .oolracloB tL onnod thc |jej(l (Se. 7044. Busims\
o.d ftoh.sbn Codc: Th. Conr@brt Licc.k Law dm! mr rmly h eowrcr of ImFnyvho builds or inPmv.i lhcNn.
ofld qho .o.tt!.rs for such pDjek wnh . CorlEcIo(9 liccnsn !!@fl ro $e Co.lmcrd's Lkcns U*).
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am .xcmfl ud.. S*tion.- B, & P.C. to. ttis lwn
ll)8f,8X5:grMf8sArrO!
DEgIA8AIION
I hceby !m,n undcr pc@lly of lsjury orc of lhe iollosinE dcclualjons:
-lhrvc!'rlsillm'nnninrCcnilicricol(on\cnlloScltlr\urci,sork..omPctrlirion.usPx,vAdfdhyS(ri{trr3?0Oolrhcltrlbor Codc- li,r Uc pcd,,utuu olrhc sorr ftr uhich rhc Nn n i\sucd
! hrvc aMwill BinrrinwotkcrlconrFnsariooinruonc.asrcquircdbyScdion:t7morrh.LjborCodc,lorlhcldfonnrn.col
Fmir is irsucd My w6*6s' oqf,nsdiotr insurm ceifi 8ri Ptty mmlE m:
0 r.\. \q.
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c.nify rhar h ihc nerfomrcc of tlt so ror wni.h rhir FrnI k issucd, I slEll @l enlloy dy p.Nn in lny nEn6
$ &r r. br€m subicl ro rh. wortdC conp..Biion hvs of Californiq ojd a!tu lh.l if I 3rsuld tEom sbifl l. rh.
workBC omp.nsalior pmvisioos ofsetion 3700 of thc tihr C!dc. I ddl. fonh*irn omply Nith llns PmvisioE..
WARNING Fai,urc ro surc eortc* comFosario. .owng. i! unl,wtul. lnd shlll snbjcl e cmplolEr lo didndl Fnrnis ad
cNil nncs up ro om hundrcd lhou$nd dollm (!loo.mo). in addilhn |o lhc oi ot comp.nsalion. dlmgc$ I J',ovid.d rn rh.
sdion 10?6 ofrhc Lltn code. inrd.{,nd,tormy r fLrs
*,f,lAY 17 ?A 1l no*-,,
Ihrr.b}!firmund.rFnalrlorJrrjurtnmrIrnrliccna\,n cr!('!'\n orChrPrcr,(cotrrnrnciis{irhsccr n7u}r)otDirnon:l
of thr Bu\nrssrnd Pd.lnorNCoJc, t l ry li.cn\c is in tulllbr..JndciT.cr
looflq&
SOIIIAJJqIIANIEIDIIG.ACEE!.:X
I h.Eby affirrn underyci.lry ol pcrjury lhrt lhm is , snslruclhn kidins dg.ncy lor rhc p€rfomrc ol6. wort for whth rhis ncmi n
is.d(se.1097.civ.c).
A.TTLICANIDIiILAXAIII}N
I trnby arlinn undcr |rMhynlp.rjury orc ofrh. followins dcclda'ions
r)cN,ltiotr PcrmirsAshc\ros Norin arn,n F.dciDI Rcguhrions (Tillc40. Pan6l
Rcquie.l L.rrer oa Norifkari(,n
1&1r r*, ** *^,*arpL.rion &d shre oEr dE I lfrcbomplywith{ll Cilyand Coonr,
oilindR-cs Md SIdc tjws rchrina ro hu ililitrg ..niflctiotr ol rhis Cir, End Couniy ro cnrq upon lhc
dtx,vc nMliomd po!.ny for inst€tion
HAY n7 2018lppli(nnl or Ascnl si*ndl
Pemne namc (prinl):
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Ir/ain 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 {/a )/ta ?--lr-.It-lZriA ,d
Meler Release
F|NAL *.L<S Wh /le >l\?6
Notes, Remarks, Etc.
UNDER GROUND
Waste & Vent
Final Gas Test
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ccnify rhdt lh. fcdcEl E8lklions Esu.di.s ost stos rcmvd sc nol a!!li. L lo rhir rmj.(r
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