HomeMy WebLinkAbout30139358 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg2Toz Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 3O13935E
Pin #: 5.226,5
Project Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lol: 8
Unit:
Block: A
Bldg: 24-R Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit R-2
Zoning: R4
q
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92605
(866) 695-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
01 1 16002 51602
01116002 51602
0't 1 16002 51600
01 1 16002 51602
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Fee
$48.92
$11.52
$21.25
$52.98
Koterr(l Renc,,'at
R-2
VB
cPc 2016
Notes Fixture change outs (unit 2)
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more unl Occupancy:
Miscellaneous Constr Type
Fixlure change outs (unit 2) code:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tolal
Chavez, Dave
Every pemit issuod shall become invalid unless lhe wotk on tho site
authorized by such pemit is commenced within 1 80 days aftot its
issuance, ot it lhe wo* authgized on the site by such permit is suspended
or abandoned for a peiod of 180 days aftet the time lhe wo* is
commenced.
05/10/2018
Account#
$134.67
$0.00
$134.67
lnspector MID#: 2018-142967
01116002 51600
01116002 51602
$21.25
$113.42
Fee Total:
Paid lo Date:
Balance Oue:
Amount
't2.23
11 .52
2't.25
52.98
Qty
4.00
1 .00
1.00
1.00
Phonel
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 365547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 01/01/20'19
Bst.h+!43813 - 5/17
off ice: CTYH Tror
Accti 3
Rcpli3022613?7 - "r
Tnonsact ion Totol
2(
P
u
Building Use:
Job Type:
Naiure of Work:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE to/stG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Pipinq
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq <n 9/k rM Pljiu4
Final Gas Test
Meter Release
FINAL 6/?4 h,r tDffD
Notes, Remarks, Etc
OWNER BUILI'ER DELO{RATION
I lErcby ,ffrn under Fndly of pclrtry lhal I d cicn{, tue llt Co.lt&roB LiceM L3v aorfic followi.g @$n (5€.7031:5
Blsincss od ftnfcsion Codc): tu, Cny or Counly whth EtuiEs s Fmn ro coisltucl. ,l!d. imomve d.m,ish or qEn any'
3mc$rc. prbr ro its issa@. abo Equircs ltf, .ppli.ul for $ch pcdil lo lih , sigki slalemnl thlt lE or shc n [.cB.i pN.!l
lo rhc provisions ofrtr Coorra(loas Li6n$d Llw (Chrpir 9. ComBminB *ilh Sr.lion ?000 of Division J ofllE Bosircss and
Prcfcssions Codc) or rh(r h. o, sh. ir .xctrrrl lh.rcfrDm cnd llE heiis for ft. alLgcn .xcnlPaon. Any viohtion of Sslioi ?011.5 by tny
apDlicad for a pcmil iubjdB thc amli.a ba€ivilFmllyofnol ftrclhd livc hundrcd doll,rs (s500).
-1.
!s o*n.r of rh. porE ry. or my .rDlolRs wnh ws8.s * lh.n st .ompcns.rhn, will & rlE Brk ud llf $nrrE ir hr
inleid.d or otrcrcd ftr sl. (5(.7044. Blsimss and Profcssions Cod., Thc Contrelols Liccn* t2{ docs .ol alply lo an owmt or
lhc pqEny vno boildr or ing,lh llE bn, td wh. itEs Bh mrk himsclf or h@lf or ihhll8h ni or hs oM cmPlottc..
providcd rhd such inqn,kmnls N ml inlcnd.d orof.r.d i'or sb. Ii ln}.€. rlE hlirrin8 or inpowE neUenhinorcr&
ofm,rrlcrion. rll Oeer Builic. pill i!* llE hlrtcn of pmi.g d.r lE d sh. di.l tul tdikl or i.PreE d. Fopdry for dE pt{hs ot
-1.
s o{ncr of rhe lfrltrry. m.klusiwly of,keling with liccnsd contdlors ro @n{fl.r thc lmicl (S(. ?044. BusinBs
rrd Ebftsbo Codc: The Conrmlol s Liens Llw dei Nr q'pl, ro db owmr of Iml'crly who huilds or impturcs thcon.
and who @ @rs a.r such prolccts wnh a Contldo(9 licened l|lBudt ro rhc C{nlra.brs Liensc L3w).
-l
amcxcmtt undr Sdjon+ B. & P.C for thb Mson.
Dal.:-
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o*n.r:
]TABf,!f,Lg)I,T!NIAIIO!
DECLISAIIIIN
I hcrby laliin u<Lr pcn lly or pdrury o* of lh. follo*ing dcchrelions:
-llurr
willnuinrsinaC.nifi.ricorconscnrlosclf.l.surclor$ortc6comFtrrdn,n.dsttuvidcdforbyScrioilTlt)orrhc
Lrh)r CGlc. Ior I hc ncrlornunc nI rhc *or* for *hi.h thc Frnrir is i$ucd.
-l nlvc and sill minliin so.kcB comFnsrlion in$om.. $ rquircd b, S*rion !700 of rlE L.bor Codc, for lh. Pe.ro!1rec ol
rhc srk foi qhkh rhlr Dcmi i. bscd. My e.rksC compcns iotr in$rec.mj( 3,i FIicy numbcr @:
-l.cnifyrhsi
in rtu p.rrormnc ofltc work tor whictlhn r'€rmil is issued.l shall nor cmPloy any peror in dn, franmr
h ns ro tEom subj.rr ro rh. eoric6'ompcns,rton lass or Cdifonin. lnd lse lhal if I st uld lt.om subid to llt
mrtcu' mryrcnsarion pmvirioB of S..lion J70o of llE tjinr Cod.. I shlll, aodt*ilh comply wnh rho$ Pmvisio.r.
WARNINC: Fuilurc ro sm work$s'compcns0lion covcmSe i\ unlu,tll. aid *hdll subj.rt an cmrloys It ci6in0l Fmhi.x ond
civil finc\ !p ro oe hudrcd ihou$nd dolltrB (5100.000), in lddition ro rh. .o( of co'nFNlion. d0nEss !r Provilcd lor lnc
Sdion 1076 ot rhc Lihr Cric, inlcEsl a.d anorEy s tes.
fiAra? m$
I h.Ehy dfrm lndd l,cElry of perjury td I m lienscd !d.t pFvilion of Chrylg 9 (.onmeir8 wnh Setion 1000) of Divhion 3
ol rlE Buii6s rnd PrDf.sioB C.dc. {n hy |itns n in tull fo@ lnd cflar.
\ racerqqPr
",," [iAY 1 l01 """',"",", (44ed>,.
IaNIIAUS,UIINIENDTNIACEICI
I hcrh, ar'lto unJcr Fnalry or p.rjry lhoilhcrc h o conslrud ion Lndins lscn.y ror rh. Frforfrmc of lhc work ror which rhis lomit is
issucd (Scc ll097.Civ. C ).
dttlrc lfDIcL/$AIlllN
I tErchy.film undcr Fnrhy or pcrFry oR ofrh.lblk'win8 dcchrn'i(,ns
Dcnn ibn Pcrnrih-Asicsros NorilirDri.n Fcdchl Rcguh( ns (T[lc40, PM6)
-R.q!ircd
L.rrcr oa N.rifrnri,'
I Lrniry rhd rhc rodcrr| .c8uhtions rElrdios !\h\r.s rcfr)vll arc or lmlic$lc lo lhh !rcrd
/-, -n,rr,n,,, *,'","uO,nn rpnli.ark'i,!d d,rc rhnr rhc trlDrc inhrndn,n ncomcl !ssrNio.o'hPlywirhnllCilyandCounry
odinam.s end shr. trws rcbrins Io buildine con{rucrbtr m.l h.rcby uulturne rctrc*nlairci o lrltr\( 'rv rl(nu r) k, drlr uturllf,t.-!k !c e.rioNd prcpeny lor insFrtio. purpo$s.
,\pplicnnl or ,\arnl Sixn tun
I l.r. rl
Waste & Vent
Pool Heater/Gas Line