HomeMy WebLinkAbout30139758 - 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{3975E
Pin #: 40757
ryProiect Address: 2424 N Tustin Ave
Assesso/s Parcel: 396-26'l -55 Lot: 8
Unit:
Block: A
Bldg: 24J Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit J.4
Zoning: R4
Owner:
Address:
Conlractor
Addressl
Tenant Name
The Bascom Group, LLC
26 Coryorate Park Drive, #200
lrvine, CA 92606
(949) 95s-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
01 1 16002 51602
01116002 51602
01 1 16002 51600
01 1 16002 51602
Amount
12.70
11 .97
22.O8
55.04
Fe6
$38.10
$11.97
$22.08
$s5.04
Fee Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
3.00
1.00
1.00
1.00
Eotche:45194 - A/3/2O18
off ice: CTYH Trons+: IA<cti: Ref+:
Rcot+:02347456 - E/3/ZOIE
Tronsoct i ofl fotol
l(nterro Renovat ionsr LLC
IO: CCUELLAR
l8 sf 38
&1139758
2.2? m
t5r 2{3.53Phone
Stale Lic #. 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCol39070
Expires: 0110112019
i?2.08
1105.11
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #;
Multi-Family (5 or more unl Occupancy:
Alteration Conslr TyPe
Fixture change outs (Unlt 4) Code:
R-2
VB
cPc 2016
Notes: Fixture change outs in unit 4
lvlisc. Receipt:
Misc. Receipl:
Misc. Receipt:
Total
Chavez, Dave
Every pennil issued shall becone invalid unless the wo* on tho site
authorized by such pemit is commenced within 180 days after its
issuance, ot il the wo* authoized on the site by such petnit is suspended
ot abdndoned tot a period ol 180 days after the time the wo* is
commenced.
08/03/2018
Account#
$127 .'t9
$0.00
$127 .15
lnspector MID#: 2018-144901
0'1 116002 51600
01 116002 51602
$22.08
$105.11
Fee Total:
Paid to Date:
Balance Due:
Phone:
G€oerol Plon lbdote Fee
0tr 16002- 516{no(n-
Plurb inr
0r1r6fi,2- 5l6dlitm0-
ICL ch€ck 003020
Viso
CCi::r}rarllrrl*5069
Date:
Date:
Date:
PLUMBING.INSPECTOR HECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Water-Under floor
Gas-Underf loor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipinq
Rool Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trapi Drain Line
Ir4ain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
46',,Rough Plumbing 6FLT/ft
Final Gas Test
Meter Release
FINAL tl/ttt I t c.1\<(,
Notes, Remarks, Etc.
OWNER BUTLDf, R DELCARATION
I lErcby amm uodcr Fnshy ot !,crjory rh.r I d cenfl nld rlt ConlB.rou Licn$ t:w aor thc following ,te. (Se.70f,1.t
Burincs lnd Pmfcsxion Cod.)r Any Cily or Cou y which eqlies r p6mi' lo @nr cl, dtd. inpNw. d.mlih or En n u,
srrucluc. pri,r to ns issuee. abo nquiEs lhc applicDl for such F,mil lo filc ! *ig@d slarcmni rhd tE or sh. is liccn*d Pu*uul
ro rh. pmvisions of llr Conlreroi ! Liened L.u (Ouprcr 9. ConrmNing with Scclio. 7000 oa Diviiion ] of th. Brsinc{r and
Profcssions Codc) or rhar h. o. shc Lr crcnq thcEnom rd lhc b&iis for lhc alL8.d crcqnion. An, viohrion of Scdior 103,.5 bY my
.pplkd ror ! Fmjr sbiet3 rlE at !lic& ro !.iril pcmlrt of nor malhe lirc hundF! dollfs (5500).
-1.
I oq6 otrhc poDcny. o. my cmployes wiln wascs as 6.n sE Nnq*nsarion. aill do dE wqk !d thc stu l@ ir ht
inLidcd nofcrcn fq slc (Se.r044. BrsiBr lnd Plofeisbtu Codo Thc Coln.ebas Lis.* t!* ih.s rol sPply lo ao owE of
thc Fopcny wtr hildi or invoa tuMtr and who dG sh s,t hioscli or lEelf or ftrc!8h his 6 ho o*n crptoy.cs,
providcd rhrr skh iml'mErnrs m nol inr.nd.d or ofisd ltr EIc. Ii tFkw. tlr Lditdi.g .r itrtMlr ir eld *ilhin oic Fr
of@trrpL&rtr llr o,"Gr Au hr wi[ lEw llE budcn orpmi,S lhd lE or sh. dn ml hild .r inF6k r]E F.Fry tor . p{qts of
-L
arowE.otrh.tmFny, mcrclusivclyco rrcling wilh liccns{ onl6.x,ft lo consEct llr pmiNl {S(.7044, BEims
and EDf.sion Codc: Thc Conhcbas Liccnr. Law d.E. mr .Fply io !n .wncr of prcFny who builds or imrows rh.Nn.
lnd who @mBk aor su.h Foiels *irh d Co.lracro(r) liensn puF@l ro rlE C.nhlo. s Lk.,s l2a).
-l
n,ncxcnrr' under Ssl A & P.C. ror rhls r.ason.
loStrESgglMrllsAltoN
DECIdSAtrq!
I heEby afftrn undcr pcnnlly of psjury oft of rhc following del4srioBl
-l
h!v. .rn {i! minrain ! Ccnifrarc otcoNfl to S.ll.lBlE tor m.t 6 comp.trsrion. es provid for by Se'io. 37m of thc
tibot Cod., for ti. Frfotrl@e of llE *mt for ehich lhc Prmn is is$c<t.
-l hrvc rnd pill mintoin vo*cN .on{86!rion insumNc. rs r.quncd by Ssliotr 1700 of lhc tibo, Codc, for ric psformNc ol
G n\ut Mysork.A comn n\rrion insui,tr.c crriq a,n,x,licy nun$cr arc:
o S
o 16yo
-l
ccrrify thar in rlr r.rtormN ofrhc work lor shtt! lhn !..nn is issu.n. I shll nor cnploy{iy p.Mn in 0ny mnncr
$ * ro trr.nE subjer b rr* wortcc omFnsalion k*s ot Calitoniu. dd dlN $ar if I sholk h{tom subjccr ro rh.
workdc onp.nelion pmvisions of Scclion l?00 of thc tibor Code. I slull. Lnhwhn on{,ly vith tho$ l,hvkions ,
WARNINC Frilurc lo wur. wotk is conl,cnsorion cov.m
civil finc\ un ro om huidi\, rhouqnd dol,s rSlU),UIrr.
s*lbo 1076 olrhc trb.r Codc. inl.rcsl and anomy s t'es.
e. is unhwtul. ind shall slbltl e y$ ro rimiBl ncialrh\ and
in .ddirion ro rlE co{ or
AUG {t&2+18
I hcEb, ailirm undcr n n.lry of p.rjury thll I m liansd undr pmrisioi of Chll)lr 9 (ommming wirn Sslion 7000) of Divhion l
of rhc Busirc$ and Poacsiont Codc. r.d n, li.nsc G i. 6ill foR aid .lftcl.
6*e,ffc\-
coNsrBlquo utNDllli.dcE!(I
I hcNby rf6rmun&r pcnrhyofFrjury thd rhc,. i\ r onnrudn'n h dina rlcmy Ior thc |xrlbrmrcc ollhc work ror eli.h rhis Fnn, is
i\u.d rsc. lr(D7. civ c l
ATILICANfECI.AAA.IION
I hcd/y sllinn trnd.r p.n,lry ol0(rjury orc oflhc fo,lowin8 d(luraliq!:
Dcmlition Pcrnirs Aihdlos Nori6cr(ion tudcrrl Rc8uh'n NOnb40.1'on6)
-Rcqutcd
bncr of Norifi carbn
-l
.cnify rhar rhc f.dMnl rcguhtions rcBtrdinB 0sbcslos rcnFvul rc nol ap,tli.dbhi ro this Pmid
rhlt I hovc rcad rht lppli.art n s,i rrsr. rhd rh.,bv. inaormlion iscorat.l !s@ roco,{,lysirhdll Ciryand Counly
trccs !frl Srlrc Ii*\ rcliri"8 r. buildi.8..d{rucrr)n.
nbok nrtrrioncd tmpcny for insFrrion
Atlplio{nl o. ,\aent shnalu
,h'| qrr rLr C,,! r) L, or' uti, '
rltr
Ari6 U ri cu r-
Dalc:
I
a
.<
L,enk ctds\ 4- Lrcn\.
,*uG-03 2018- con,nc,or
-
\0 o< r qc,t
L.del! Nam:
-
P.mlreNm.(rrlr,
Waste & Vent