HomeMy WebLinkAbout30139360 - Permitcify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requestsr i.714], 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139360
Pin #: lal03
Proiect Address: 2424N Tustin Ave Unit:
Block: A
Bldg: 24-G Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit G-i3
Zoning: R4
E
Assessor'sParcel: 396-261-55 Lot: 8
Owner:
Address
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5591
Fee Type
01 116002 51602 Sink
011'16002 51602 Dishwasher
01116002 51600 General Plan Update
01 1 16002 51602 lssuance
Amount
12.23
11.52
21.25
52.98
Qty
4.00
1.00
1.00
1.00
Fee
$48.92
$1 1.52
$2't.25
$52.98Tenant Name:
Contractor:
Address:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-106sP hone
State Lic #: 1009989
Lic Type: . B
Bus. Lic #i 366547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCo139070
Expires; O1lO1l2O19 rct
Building Use:
Job Type:
Nature of Work
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Fixture change outs (unit l3Code:
R-2
VB
cPc 2016 Notes: Fixture change outs (unit 13)
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
Date
Date
Date 05/10/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$21.25
$'t 13.42
$134.67
$0.00
s134.67
lnspector
01116002 51600
01116002 51602
Phone:
a
Every permit issued shall becgme invalid unless the wo* on the site
authoized by such permit is commenced within 1 80 days aftet its
issuance, or if the wotu suthoized on the site by such permit is suspended
ot abandoned fot a petiod of 180 days after the time lhe work is
commenced.
|llD#: 2018-142972
Fee Total:
Paid to Date:
Balance Due:
PLUMBING.INSPECTOR RECORD
DATE COMMENTS OWNER BUILDER DELCANAION
I hcrcby afiift lidq I'ishy of p.rjury th.t I M .r.,pl 6!m thc Crr@l6 Lieoc bw for ll* aollo*in! E.oD (S!t-70l l J
Busincss lrd Prcf8ion Codc): tuy Cily or Co!'ny whicn rc1uiB. Frnil lo oNnu.t, dl6. itrprcvc d€mlish or rcPon .ry
shcrrc. prior ro ns issudc. oho equiEr ihc +plicml lor such Fnil to 6lc ! .igftd s|,r.mnl lhal lE or she it liencd puuutn
ro the Eovjrions of lh. C. nclols Lien*d Lls (Chlprcr 9. Conmn irg onh S6lion 7000 of Division 3 of ttt Busire$ tnd
PDf.sions Codc) or Ih:r h. d slr i! cxcnq lncEton,rd lhc b..is for th. rlLlcd crctrplio.. Any violdk'n ofSe.6. ?011.5 6y ary
lrplicait for e pcmi subj*r rhc applicsnl lo ! citil peMly of iol mc $e fiv. hu tEd dollus (5500).
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$ ow6 ot rhc FoFny. or my cnplorB. sirh w.Bci $ rh.ir ek strpcns,rion, will.lo 0r wo dndEsnulek mr
inlcnd.d or ofi.Ed for sh (Sd.7044. Burin.$ Md Prof.siof,s Codc: Thc Conr&ffit Lkn. L5q d.cs ml lDltly lo u o*F of
rhc pDpcny eho hild! or irpmrcs lLmn. ard $lb .locs rkh eo* himll o.lErslf or thmugh hn 6r h.r own cmPlolccs.
prcvid.d rh.r sut imlmvmn|scmri..d.d of.Ed for $lc. ll lrwcw, dF tuildinS or itrPtftcfl Lr su wnninoft ,w
ot6,pLrio( tho owmr Buitbr s hE rlE b'r,nd ohbvin8 rhd rE or dE rtil mt hriu q inp,DE dx po!6ly for tlE plrposof
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!s o*rcr ofrlrc Impcnr. am cx.lusircly conidinB wilh liensd conl6.1ou ro o.slrucl lh. pmj.cr (Sd IX4. BLs'Ns
aid PDli.jio. C.d.r Th. Conlmtols l-iccnse Lls docs mt npPly r. !n owncr oftmpcfly{ho blilds or inPmvcs lhticon.
u.d vho snrfflr for skh tNi.lt wilh . ConlEclo(t liccn*d p!B@r lo th. Conlmclols Liccn* Liw).
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6 .r.np ltt<hr Scclb. . B- & P.C. ior fiL !!@n.
IASEEBS:.CQMIINSAIXIN
IECIA8AIIIN
I hcrcby trfirm undcr pcnalry oa pe.jury onc ofthc followi.S dccLralions:
I havc rn will Minloin ! Ccnirtar. or consnr ro Sclrlnsurc lor so,ksc coflp.ns ion, aumvidcd for by sNtion:17fi) ofthc
Irrbr Codc.lorthc pcrformstrcc ofthe wolt f.t which rh. Fnnir il issucd.
n *orkc6 .onFNlion insuEncc. ss rcqliEn bySdioo 37m of rlE Llbor Cor!..Ior lhc Fifollruc of
pcrmir B irsed Myworkm coq,cflslhn insumfte ceir e P.liynumbcr@t
-l
ccnify Ual i. rhc Frformme of lhc *ort for whichlhir !.roir ir issucd. I shullnol.noloy a.y Fmn in !n, turcr
s as ro trcs,ft subj$r ro rhc wori6 omp.Narion lows of Cdifomia. lnd a-q@ 'h{ if I snould b..om subiYr ro dx
wot*rs.onpcnstionpmvnionsofSedi.n:ITUJoflh.l,borCodc.lshall,fonhwi'hconplywnnlhosrmvisio.s
WARNINC: Frilxrc ro sur. wo cn comFnsarn,n .ovcElc is nnlaqtul. aad shrll ruhjdr d.mFlo'tr lo sininnl FMhi.r lnd
civil fin*s !p ro on. hundrcn liousond dolles (Sl0omo) in rddnbn ro rnc cosl .f.onDcnstiion. danEscs tr lrt'vir'd f'r rh'
S..rn,n .1076 ofrh. ht$r Codc. inrqrcn lod atrormy s aes
TtAY-+-?-$ll &TLN&,IIIIJI
I hcrcby r0n undcrncnllryorFjij"ryrh,rIanrli.ctrxnundcrpmvi\ionorCh,rn9lc.mnrcncinswirhs..ridr7flx))olDivnionI
ol rhc Busi..ssrtrd Phic$ions Codc. ! myli.ri$ h i'r fulliirr.c nlld crltcl
tlffi,qa.
CO}I,iIAI.ICIII]Ij.LEUDINC.AGENCT
I h.rhtJfirmu cr lEnrhyot!.rjnryrhd rh.n is a constdctio,,cndinr rscmy for rhc,Erlbrmmc olrh. *ork for qhich thn IEmi ia
is\ucd 1sN.3097, civ. c.)
L.n<lcat AddB
-
AT&TIANLPEEIIBAIX}!
I lrnby lmundd pctralty ollcrjury ond.r'h.lollowing dcclarcriotrs:
Dcnmlirn,n Pcr.rirl^strnos Norificatn,n F€dcrul Rcsulari.n. (Tnlc 40. PJn6)
_RLqun d l.nciof Norfrcrlhn
I ccnilyrh,t rlD tcdernl rcsllariois rsddinB dsb.{os r.rmvnl urc mr lpllicrbt ro rhis p(+cl
d.cnib rhar I h$t ,crd rhis 0rplicar ion and rrlrc rhot rhc ahvc inaoflMr io. is cor6.'l I !a.e u .o'nly Rilh .ll c , lnd cl,nnrv
ordinaiccs lnd shr. L!w*rcLnin8 rohrildins a.d county ro cnr.r uliln rhc
uhow mf,rioncd !rcI'cny for i.iFction
Applirant or ABent Sipnllure:
Pemile ntrne lDri.l)
,,tx,1'' 1 7
UNDER GROUND
Waste & Vent
Water-Under floor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Waler Pipino
Gas Pipinq
Roof Drain
TubiShower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain 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
Rouqh Plumbinq q,z4r 9-it ,LT.CN4,)
Final Gas Test
Meter Release
FINAL I hr?v,lz S\ trg
Notes, Bemarks, Etc.
APPROVALS ID/SIG.
l. \. ra''.
Vak*;,,^
Lcndcl\ Nam
-*r;a*-
Gas-Underfloor