HomeMy WebLinkAbout30139351 - Permitcify of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CAI27O2 Plumbing
Permjt Counter: (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853
Permit #: 3Ot39351
Pin #: E9492
Proiect Address: 2424N Tustin Ave
AssessoasParcel: 396.261-55 Lot: 8
Unit:
Block: A
Bldg: 24-A Address Range:
Tract: A.B. CHAPMAN Hisloric: No
q
Owner:
Address
Contractor
Addressl
Tenant Name
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1055
01116002 51602
01116002 51602
01 1 16002 51600
01116002 51602
Amount
12.23
11.52
21.25
52.98
Fse Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
4.00
1.00
1.00
'1.00
Fee
$48.92
$11.52
$21 .25
$52.98
Iotq IState Lic #: 1009989
Lic Type: . B
Bus. Lic #: 366547
Workers' Compensalion lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #; BNUWCo139070
Expires: 01/01/2019
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Fixture change outs (unit 1) code:
Date
Date
Date
R-2
VB
cPc 2016
Notes: Fixture change outs (unit 1)
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shallbecome invalid unlessthe wotk on the site
authoized by such permit is commenced within 180 days after its
issuance, or if the wo* authoized on the site by such p6mit is suspended
or ebandoned fot a pedod of 180 days after the time the wo* is
commenced.
05/10/2018
Account#
$134.67
$0.00
$134.67
lnspector MID#: 2018-142955
$21.25
$113.42
Fee Total:
Paid to Date:
Balance Oue:
Suite Range: Unit A-l
Zoning: R4
Phone:
The Bascom Group
26 Corporate Park Drlve, Suite 200
lrvine, CA 92506
(866) 695-5591
Phone:
anerql P Lon
1t16r:101- 51
lunb ins
Planning Conditions:
Chavez, Dave
01 1 16002 51600
01 1 16002 5'1602
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Water-Under lloor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipino
Roof Drain
Tub/Shower Test
Bouqh Water Heater
POOL/SPA
P{rap/Drain Line
ItIain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitarv Sewer/Cap
Back Flow Device
Bough Plumbinq -l t-/rs r>.UFXA&
Final Gas Test
Meter Release
b/L71s ib6'b
Notes, Remarks, Etc
OWNER AUII,D!:R DI.:LCAT TION
I hcrchy afinn xndd pctulry oI Frjury lhal t on denlPr rtd rh. ConttIon Licci{ Ljw r(, rhc followins rcN)n (:cc70ll5
Bu\ir.$ i,rl Pnlcssion Cdc): Any Cny or County ahrh rcqnncs a rrhir b .onsrrucr, nltcr. imPlove. d.molish ur r.Nir utr)
shrcruc. o,roils is\! cc. tLo rcquncs rh. apllkml |or\u.hlidn b nLlsi8rcdsltmnr rhlr h..r shc is li.cn*d Pusui '
b rhd ln)lisnns olrh. Cotrrrrcktr s Liccnrc ljw (ChaPr$ 9 Conmcncins Filh Sccii{rn ?ffn ofDivision 3 oflhc 8u\incs,nd
Ptur.{sn,nsCo c,or rhd hcorshc isei.mpr rh.turrom ain rh.hrrsh ior rhc allcscdcxcnfln,n Anrvnrhln,notSerion?0:ll5l,yrtry
0nrl(rnr tur ! |trmir strbjc(rs rhc rnplicinr ro acivilpcnolryaimt nn.rh!tr livc hu rcddolhn(S5u))
-1.
$ owncr ol rhc rnrF-ny. ," nry cnlro)tcs wiln *!sc\ r\ rh.n v,h conwns|(nrn. will no rhc work drl rlt irucNrc i\ ton
ini.rthl orofl.tod n, $t (S&,i!,1. tJu\ircr\rnd ltofcs\ioN c.dc rhc Conrnctn \ l-i..n\.Lrq doesnolmplyn, d.a,rtof
rhcpmltn, who ttriils or inf(,vc\ rh.rmr. xl who docs such M& nin$clf nr ltrtll or r hn
'Ah
hil or hd ortr cnTi,vccs.
pnrid.d rhrr\urh n\mtcmnh uc mr i.rcftlcd or orcfrl r,tr qk It h)scvc,. rhc hxildire o, r{,mtcrrnr is s,kl sirhn.nc rd
otcon!.lclion. rhc Ow"cr Builllcr will lrvc rhc hudctr ol'lmvina lhrr hc or shc dil nor ttrild or ioProvc ilt ln'|xny ln, rhe ruqxrs ot
-1.
iso*n.rof rh.t ofkny. a c\.lu\ivclycontrrin8 !irh li.ci\cd cotuero\ h coni .rrltfm+dlscc 7(114. Bx.incs
md Piitsskr Codc l hc Cooracn, \ l-iccn{ L0* docs .or rrnly lo m .w tr or prcEny who hu ilds or nnptulcs rhcrcon.
a $ho s'nt r\ r{n roch pn,F:ts silh r Conlroclo( n liccn\cd Nrsuntrr b rhc Co rncttr l Lkttr\c Irq )
-l
ancxcf,fl urrhr S6rioo- B. & P.C. fo. rhn ,len
Owner:-
l!08f,E8S:.C0Mt!!SArrON
DECLIaAILON
I hcrcl,, amrm under pcMxy of psjury orc ol rhc following d6ldarions
-l
hivc and will @a.lail a Ccn iaraic ol Cotrefl ro Sclf-lnrurc for wortc6' o'llEnsalio.. as Imvid.n aor bv Sccrion l?00 of tnc
L,hor Codc. fo. rhc ldrormre oa ttc qo for wni.h rh.,.mn ii hsucd
-l
hav. uad will.uinrdin work.R .onDeNolion inru,atuc. !, rcquit€d byScclion1700ofth.t bor Codc. for lhc lolomm. ol
Fmi is Gsxn. My wortcF odn nsltio. insurarcc cdi.r ard FIky nunb.r N:
\^,0+7t
-l.cnify
th{ an lhc pcrf.rmre of lh€ ,ort t6r ehth lhis Frnil k issud. I shau @l snploy lnv PcMn in uv Nnrt
s 6 to hcom slbfd ro rhc wrts otrTfns kn l,ws of Crlitohi!, ald og@ lhrl if I should b.@m 3ubjel lo llE
wort6 mmFnglion pDrtioni of Sedon 3rm of th. llho Cod.. t .tEll. fonh*nh omPlr qnh rbs pbvi.ioB..
WARNINC: Flilurc ro sm vtrtcd ompctrsdion @th8c is un,!Ntu|. and shau .uhr.cr o .mPlovs lo iiminal Frollis lnd
ciril finci up io om hundrcd lholstd dou6 ($loo0oo). io.ddilion lo lhc co$ of comp.nslion. dlmges t' pmvidc'l
'or
rlt
"':': l''l;'''1"+'"*'drTnrmJrmE'
\rs'
D,,LVI ', _ \pplonr:
I}TIIIA8^IIAN
I hcEhy sfllrnundcr lcn0llyofpcrjury rhm l m licnsJ udcr trcvision olChlPr$ 9 (comfl*ncins wirh sNrion 70s)) oIDili\ion l
of rhc Burin*s dnd Pblcssiors Codc. snd ny li..n* k in tull lbre lrd elTrr
",$1F. .- '- .'. conrrndor
(l()NsrRtlcT(lN I ItNDIN(l a(iENcY
I hdcby rm.nurdcr lcMlryorFrluryrhal rhcrc h ! c.nslruclbn Ln,lin! ascrcy ror lhc lErfinnuh.c otrhc qork for $hich rhis Frnn i\
n\ucd (Sc..l(I)7. Civ C ).
Llnda 3 Nm
-
APILIIANI.DECIAEAIIO!
I hott, atrm un&, Fidlty of pcjury oft ot lhc lollowing d*bElions:
D.mlnion PcrmirvAshcsros Norifiqliotr F.dcrsl Rcalldions (Tirlc 40. P.n6)
-Rcquircd
l.rd of Norif$lion
-l
cenify rhul thc f.dnrl rcgllatiotrs Eg&ding {elEsos rcn$vdl aE not it tliclbL lo Lhis Imjcd
tal anily th.t I hsvc rcad lhi* applicarion oln slolc lhit lhe aboec i.fo.nDrn is consr. l roonplywilh ![ Cny!.d C.unr,
r rhh Ciiy and Co!trry ro cnrc ul[n llfordi,amcs and St.rc Li$ El,ri.e b 6lilding coNrruclio arn ltrcby aurbti?t re
.hovc mnri.rcd omncnylor insn crn,npurros.s.
Appllcrnl or Agot Sle,.IuE:.d'HAY 17 2018
I
\1oqtryA.
I (nJur'\ d,l'r'
Pedlle Mo.lp.i.l):
UNDER GROUND
Waste & Vent
FINAL