HomeMy WebLinkAbout30139354 - PermitCity 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: (714) 647-5853
Permit #: 30{39354
Pin #: {1153
Project Address: 2414 N Tustin Ave
AssessoasParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 14.o Address Range:
Tract: A.B. CHAPMAN Historic; No
Suite Range: Unit O-1, 0-6
Zoning: R4
E
Contractor:
Address:
Phone
Tenant Name:
The Bascom Group, LLc
26 Corporate Park D ve, #200
lrvine, CA 92606
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 8r 81065
01 1 '16002 51602
01 I 16002 51602
01116002 51600
01 1 16002 51602
Amount
12.23
't'1.52
21.25
52.98
Fee
$97.84
$23.04
$21.25
$s2.98
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
8.00
2.00
'1.00
1.00
P hone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 365547
Workers' Compensation lnsurance:
Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCo139070
Expires: O1lO1l2O19
Kotenro Reno,/flt ion-"
Fixture change outs (unit '1, unit 6)
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture change outs (Unit l, Code:
Oate:
Date:
Date:Chavez, Dave
Every permit issued shall become invalid unless the wotu on lhe site
authoized by such pennit is commenced within 180 da$ afrer its
issuance, ot if the wo* autho.ized on the site by such permit is suspended
or abandoned tor a pedod of 180 days aftot the time the worl< is
commencad.
05,10/2018
Account#
$195.11
$0.00
$195.'t 1
lnspector MID#: 20'18-142960
01116002 51600
01116002 51602
$21.25
$173.86
Owner:
Address:
8ot(h3:43943 - 5,/ 17,/?tilP,
off ic€: CIYH TrnnEi: IAccti! Frtr
Rcptt:02?65665 - ':' 17 '1
Tnonsoct ion Tot ol
R-2
VB
cPc 2016
Notes;
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Fee Total:
Paad to Date:
Balance Due;
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDBR DELCAR TION
t lEEb, tum und.r FMlry ot pcrjury rh&r I m cknpr fiDn rh. Contr&rou LE.* lrw t6r ilE follo*in8 @en 1S.c.7031.5
Busimss lid Prctcsskn Cod.)r Ary Ciry 6r Couir, which EquiB, Fmh lo onstMl, .t6. tqrcv.. &mliih or tcP6n .iy
srru.re. prhr lo irs i.!rudc. aLo equird lhc ip,lk..t fo, sGh Fmil ro fih r sigftd stltcm lhar ti or she ii lic.nscd I,Mr
ro rhc pmvisions of tlr Conrdctols Liccnsd kw IChq,E 9. Cohmncing wnh Selio. 7000 of Division I of lhc Blsitus rnd
Pot*si.ns C!d.) oi rh lE or sld is cxcopl lher.tDo &d tnc hosi! for thc slLg.d cr.iption. Any liolllioo of S€. on 7011.5 by tny
rppli.&lroroFnisubi(lsth..pplkanllo!cirilpcnlllyofnotmrclnanfithundEddolLrr(S5ml.
-1.
a o9d of rlt Fbp.nr. or ny engloles wnh wage. ar tLt $b conp.Nrion. wil do dE wct 3,n dE flnErE b Dl
inrcid.n or ofrcrcd for eb (5-.7044. Buims. ed Proldsioo. Codq TIE Colllsdoas Li.us ti{ .loes mr rfiply lo e ovmr of
lhcpmFny wlb b'rilds or inproBll.oq !d wlF dG sn w* hiN.ll or lEelf or llftugrt his o. hd ou cnlployes,
pevi.tcd rhll i&h ioprc\tm.rs e ml i.lcndcd oroficnd ro.sb,li h.EE, UE t{i8ir€ m inpovcEnl is sld *irhi. oG F{
of onpktk I! rrr Ownd Builra eitl har rhc hrdo of provi.g thm hc o. sh. dA Nr buiU or inpmw lh. F.lEly for lhc puPos ol
-1.
as owmr of rnc pmpcny, am cxclusiwly cofltrsring *irh lkctr%n snFlcrou ro otrdru.r 0r ,,Ditl {S*. ?o14. Susils
sid Ed.srbn Cod.: Thc Conrturor'! Lic.n* Llw de. rcr .rply lo e owmr of prcFny who huilds or i,Drotr lhoer
a.d *ho oMds lu $ch prejdrs wilh a Conrn lo(s) limEd pulT@r ro the Conmclor'3 Licns tls).
I bf,.rcnpr ud.r Serion- A. & P.C. ,or lhis rcasn
Dar. Ow.er
JIA8AEBs:STUIIN$AIION
DEII.AXAIION
I hcrchy af6m undcr p.mliy of Fjury om of lhc followinS dsh8lions:
I haE .nd will minroin s C.nifMrc ofcoHnr ro Sclf-lnNE lor work6 @mD.nBrioi. &r Devidad for by Salion .]?00 of tlE
L,hor Cod.. fd rlr tEfotr1@e of ttE vmk for which rlE Fmil k issu.d.
-l hrvc lnd will.ui rin sortcs conf.nsdn ios!r!.cc, !\ rcqrtcd b, sNr ion r?00 of rllc bt'or (bdc. to, rhc pcrtuntutu. or
h iso.d. My wntc6 @r{Eos.rio, io.um.aicr arn Inlty nunbcr e
h
7?
_l c.nilyrh inrhc pcrlorroR. ollhr wol* fo, qhiuhthh pcrhn is iss$d.l shlll nol cmtloytny pcron inanymnncr
s sro b.om subiEt ro rhc wortcB mry,.nlltion l&ws ofcrlirb,nia, and lsrce rhir if! should tFcom sutic<l lo lhc
workc*' ooFtrr.lion lmvisions oascclion 1700 of lhc khor Cdlc,I slEll. fonhwnhcomply wnh tlFs pbvhi,ns..
WARNING: l,ilurc lo KE *orkcF mnqtnsarion olc6se is onbwtuL and *h.I subjNr o cmplo)cr ro oi' nsl IsEllics and
{d"slu
dollm (Slm,Ooo). in addirion lo rhe c6r olmrpoqlion.
A\
I h.Eby alirn od.r lsialry of F jury lh.l I u [erEd unds FDvision of cldplc 9 (hmftEing wirt S.sbn ?000) of Dirisiotr 3
of r,Ic Baifts ud P,ofc$k'ns Cod4. dd my lbcns is i. tull fo@ rri .fl41.
TI{l[Y
e a 1f\1[
tr f rur "
qTNI:IBIJCIX}N.LTNIINGAGEXII
I hcehy affi,n lndo ltn y of F jury !ho' rh.E k n snsrdcrh. lcndin8 as.my for rhc llcrfomtc ol rh. *o.k for wnth tht Iln is
nslcd (Scc.3047. Cir C.).
AIErcANLDtrCI,AXTIION
I rrr$y ,fln n und$ N rlry .l ,i.rjury orc ol lhc rbllos,ins dcch6( io,!
Dcnn,lirion Prrmir\ A\h.no\ N.rifi.arn r l;cdctul Rctuldtnrs rTirlc.lll. t'fi6)
Rcquncd Iancr or Norill.rrur
l..nify rh,t rhc,cdcnl rcsulalions rcslrnins osbc$srcn,vrl rc Nr rtfli,:ahlc ro lhis pmjet.
-11 (di ty 'hJ'
I h1rc rcJd rhF rpl'rJrk{ dd n dr Ihr' rhc $ovc in,nnM i0 is .oFccr I astur h cooply u irh all Ci y lnd Counry
dnlinlnct\ and Srarc llws dlarin8 ro blildine consrucrio..ofrh Cny&d Counlylocn'cr upon llE
abovc mnrioncd pmll.ny for i.srccrion
ADlrli.anl or Aeml Signnlurc:
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underlloor
Building Sewer
Area./Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Roush Plumbins ff'fr fflc-
Final Gas Test
Meter Release
FINAL *t )os 7/zehd D9 to/
Notes, Remarks, Etc.
Water Service
Pemlree mne {pdnl):
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