HomeMy WebLinkAbout30139348 - Permitcity of santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{39348
Pin #: 49576
Project Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261.55
Unit:
Block: A
Bldg: 14.K Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: K.4
Zoning: R4
q
Owner:
Address:
Contractor
Address:
Phone
Tenant Name
The Bascom Group
25 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-559r
Katerra Renovations, LLC
3200 Earhart Orive
Carrollton, TX 75005
(972) 818-1065
01 1 16002 51602
01 1 16002 51602
01 1 16002 5'1600
01116002 51602
Amount
12.23
11.52
2't.25
52.98
Fee
$36.69
$11.52
$21.25
$52.98
Foo Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
3.00
1.00
1.00
1.00
Phone
Stale Lic #: 1009989
Lac Type: . B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 0110112019
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off icPi CTYH fnons+; 9Acct+: Fief
Rcpt+:0?2656{9 - 1./ t7.,2
Tnonscct iofl Totcl
Knterrn Renovot ions
G€nero1 Plon Updote Fes
01116r.'102- 51 A (r_torr''r-
Pluib ins
01116002- 516020(rfi-
ICL Check 00299tr
ICL che':k 0029s9
$1[1
R-2
VB
cPc 2016
tIr
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked 8y:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni occupancy:
Miscellaneous Conslr Type
Fixture change outs (unit 4) Code:Notes: Fixture change outs (unit 4)
NIisc. Receipt:
l\,4isc. Receipt:
lvlisc. Receipt:
Total
Every permit issued shallbecone invalid unlessthe work on the site
aulhorized by such permit is confienced within 1 80 days aftet its
issuance, or if the wo* authoized gn the site by such permit is suspended
or abandoned lot a peiod of180 days after lhe lime the wotk is
commenced
05/10/2018
Account#
$122.44
$0.00
$122.44
lnspector MilD#: 2018-142904
01116002 51600
01116002 51602
$21.25
$101.19
Lot: 8
Amsden, Julie
Dale:
Date:
Date:
Fee Total:
Paid to Date:
Balance Due:
PLUMBING.INSPECTOR HECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Under{loor
Buildino Sewer
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Pipino
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
It/ain Draini Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
a)FntslRouqh Plumbinq {/t't/tt 9ir
Final Gas Test
Meter Release
FINAL 4-/?-/6 ..//r
Notes, Remarks, Etc.
OWNER IIUILDER DELCARATION
I h.,chy rl6nn und.r Fnalr! .l prrjury rhlr I m cxctrr!,r from rh€ ContrrhE Li...s ti$ liY rhc nnl'sin8 r{$n ISLU 70.11 5
Bu\nrs !n l Prolcs\n)n c{'dc): Any Cir, or corir, *hi.h r.qurc\ r |irnrit ki $nslrucr. lllcr- inpr'!c. dcrmlhh or rcNn lny
rtucr&, prtur{, n\ i\sodkc, also rcquncsthc +plic,trr l'or su.h tr lnirto,ilc a sisncd { ent i rhar hcor shc is liccnscd nuruant
lo rhc nmvisions oflh. Conl!!.lor\ l-icctr\cd hs ((hll)lcrr). (',nn'En. nE wirh Scdioo 7t{)O of Divnioo I of rhc Brsincs rnd
Polc$nnrs Codo or rh0r h. or \h. i\ .tunvr rhcr.rr.o d Ik h\ir ror rh. rlLSed crcmnl ion Anyliollrio!orstcri,nT0ll5byrny
rlplna i loraNrmn suhjer rhc npflicanl lo !.ivilncmllyofmr nntrclhr nvc hLnd'.d dolle\(1500).
-1.
s o*Br oaihe prcFny. or my.nq,loyss wiln wl8cs.s lhcn sb mnwn$lio.. Mll do dE wk tid tlE srrEtr k ml
inl.ftlcd or or.rcd for slc (SN.lOl4, BrsiBs lnd Prof.sioN Codc: The Cod.eto* LiNn* t w do.s iol BPI'D tn .i owE ot
rhc nmrEny vlro hoilds or inpros dEmo. o.d who &B $ch wrt tiNclf or hcMlf or llhugh ht o ho oan ctrplottcs,
Pmviddihal such inllmwmnlle ml hl.nd.d oro,Lrd tr sb,li hoEE( E hildin8or inp,ltmnl is$U eirhinorc lar
of€spLrbtr ltr OvEr Buil,.r wil hlw dr hu&n or lroliig tlEl ,t tr slt dii 6l tdiU or i.pmB t E FoFty for lh. Furros ol
-1.
I osEr of tlr pmtEly. !m cxclusircl, @ @tins wnh lkctr*d.o.[rct.R io.oniMt rh. porel (SN. ?044. BaiB
o'd hDf*ion Codc: The Conr6toas Licc.s Law d&s .ol al,ply lo an owncr of prctEny eho buildr or iq'rcws lh.rcon.
lnd wh6 6fl6ch tor Nch proj.ck *nh . C.nrmcro(s) lienEd ,uB@r ro rhc Cort r.tn r L@n* ks)
I andc.'ll und$ Sc.o.B. & PC f.rrhi\ rc on
wot(nr6, coMpi.ltsaTt()N
D&CIIIIAIO!
I h.rby afiirm ud., l).nutry of !.rFry 6nc of lh. folloainS dNlmlions:
-l
Mw dd will @inls t Cenilirst of Consr to Sdllslr for *dt6 @dp.r!dbn. s ploviLd for by S*lion 3700 of lnc
t$or Cod.. fd $e F.folrt!@ of $c port for which rh. Fmi is L!s!.d.
-l
haw snd will maiflluii wortcts c6Fpcn* ion insuruncc. $ (qun.d hy SBt ion l?00 of rlE kbot Cod.. toi th. pdfornw. of
ir iinai. My workda smp.nsrhn insua c aEtr !d poli.y nuntx. d.:
rlhr C+>t ,rl .
EN,./uJ Cet 5c7 dlo 4
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ccnilirh in rhc Frro.m..c oflhc wort for *hich rhis p.rmn h hsucd.I shdu nol cnploy onyp.rson io any mnncr
$ asro tr6m subj.rl lo lh. workcr' oryf,trsrion l,es orcaliaomiu. and !8r. rh0l ifl snould beom subr€l ro l,t
workdc .oBl*nsthn tmvkio,s of Scclion 1700 ot rhc Lat r Codc. I th.ll. ronhwith comply wnn lhoc pmvisionr..
WARNING: Foilurc ro wrc *o .tr coryrcnqlion covcE-lc is !nla$tu|. ud shdu {bj.{i M .mphrr to siminal Felii* lnd
civil nneq up r. on. hundFd lh.usnd dolla (3100.000).i. addnion lo rhc co{ or n. drtrurcs as ,,n)vnicd inr r[.
IECI.ABAIION
I hcrh, rliirn undcr Icnrllyofl]crjuryrhrr I [n liccn$i mdcr toririDn ofChlptcr 9 ((xnnsncins wnh Sccri,. Tux]) oiDivnion.l
ol thc Busiftss ani Pmlcssi.ns Codc. un nry liccn$ n in full turc sJxl .r..r.
o4qotQ
t6ler..r, a t ,}n'!i conlra.lornHrrr
CON!iISI]cII1}XItrNDIN AILCI
Ihdr.tyrfttnrrdrrFMlrtorltrjuyrhntthcrci!con\iflrclionbn,lin8r!.nc,r rhc pmrormn.c ofthc work rir ehich rhis Fnnir h
is{ucd rs€.3rn?. civ. c )
A.EELICANLDECLIBAIIQN
I hfr1'y {,tim under p.nrlry ofpcrjury o.e otih. t,U.si'rs decbDrions:
D.mliri.n P.rong Asb.nos Norindion Fcdrnl Rquldions (Tirlc.l0, P,nO
-Rcquncd
krtcr olNoriftrtrrion
-l
drily rhir rh. fcdorl ESubtiom E8&din8 &rbcslos rcmvd m mr .llli.nbL t rhi! pruicr
Za,*,itithd llu\c r. rhi\trIpll.rnn, d {rrcrh rhc rh)vc r I asN roooply wirh rll cityund counr,
ordinomes and Sr.lc L.*s rchring ro -'t|fiY,f"?,'ioTs-
ab.vc mmio..n ,opcny for
tU
Area/Storm Drain
Roof Drain
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