HomeMy WebLinkAbout30139702 - PermitCity of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, cAg27o2 Plumbing
Permit Counter: (714\ 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139702
Pin #: 74390
Project Address: 2424 N Tustin Ave
Assessor'sParcel 396-251-55 Lot: 8
U nit:
Block: A
Bldg: 24-B Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: 5
Zoning: R4
E
Owner:
Address
Contraclor
Address:
Tenant Name:
The Bascom Group
26 Corporate Drive Suite 200
lrYine, CA 92506
(866) 695-5591
Kalerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
011 16002 51602
011 16002 51602
01 1 16002 51600
0'11 16002 51602
Koterro Rmovst ionsr LLC
Phone
Generol Plcn tbdote Fee
01116002- 516&@0-
Plr.r.b ine
0l r 16002- 516{t2m0-
ICL Chect oo:mm
Uiso
CCg: rrlr***}Ilr15069
35r 143.90
199.63
arthi:052017
t117.Bl
t
Building Use:
Job Type:
Nature of Work:
Plsnning Condilions:
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 5) Code:
Date:
Date:
Date:
R-2
VB
cPc 2016 Notes: Fixture change outs (unit 5)
08/03/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pemit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within 180 days aftet its
issuance, or if the wotu authorized on the site by such pefinit is suspended
ot abandgned lot a peiod ot 180 days afrer the time the wofu is
conmenced.
522.O8
$117.81
$139.89
$0.00
s139.89
lnspector MID#: 2018-144703
01116002 51600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
Phone:
FeeType Amount Qty Foe
Sink j2.70 4.00 $50.80Dishwasher 11.97 1.00 $11.97
General Plan Update 22.08 1.00 $22.08
lssuance 55.04 1.00 $55.04
Botch+r{5194 - 8/3/2018 ID: (:t:tllli.l-nli
officet CTYH Trons+: I 't? r'l iitAc,:t+: Refi: 301J97[,
Rcpt9:02347,t60 - 8/3/7018 2t?2 Pfr
Trsnsoct i on Totol 15'24J,li;:
State Lic #: 1009989
Lic Type: . B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: O1l01l2O1S
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OIINl]R BUILDTJR DELCARATION
I hcr.b, rltriin under pcnalr, ()f Frjury rhlr I nfl cxcnlfl lnin rhc Colllra.ttri l-iccn-^ Lrw hr rhc iollosins rcd{'n (Sc..7011 5
Ausincs{ lnd Pn'fcsi{rn Cbdc): Any Ciry or Counly which rc{unr\ J lfrn h .onsrrucr. alrcr- inrPrrc, dcnDli\[ or EI{ir nny
nocrurc. r.ntrb irr issu(Rc. rlso rcquircs rhc aprlira ror $ch lrnnn tu filcr sisncd ndcmnr rlu h. or \h( i\ liccn{d Pur\u,nr
b Ihc nmvisiou ol rhc O'nlrocr,\ Li.cn*d LrQ ((hrl)lcr 9. Conrmcmin! rirh sc.ti,rn i(xx) of Divi\t, .l orrtu susin.s\ ann
Pi'fcsliotrsCodc)orlhlrltor\hcncxcnlllhcrcironondlhcn!si\rbrrlk,ll.scdcxcnUtion.Atry!n,ldn,nofS{rlon?Oll5hvanv
rppliu tur tr Firnn strbllcls thc llplic! n, acililpcnulr!oinor iitrcrh,tr filc huMr.ddollaF(SJ{x))
-1.
ns owoer ol rhc prcpcny. .r fly c.ulolccs *irh wlscs a\ rh.n vnc .o llf,nsdion. Eill do rhc *trI ud rh. nmruE ii tror
inrcndL{ orollerdf,rsLrS.r.?0+1.Bu\inc$rndl!rrc$i{,n\Cod.ThcContrcktr\l,icen\cljwdo.snorlpplyx'un.s.rol
nr pn)rdy who builds or inumr\ rh.fr,'.,x1sho do.{ suc[ wnk hnnrclfor hcr\clror rhhu8h his nr hcr own cnrrh)y.cs.
pruviJcd rhrr\urh i'nrn,h'rnr1 rE .or i cndcrl orafilrcd n, q'lc ll h.scvcr, rhc hrikiin! r nnnnvcm.r i\ q)kl sirhi .n( )tir
olconrnhrion. rhcOwmr Aui crwillhrlt fic hrdcn nr rmvi.8 rll[ h.orsh.dil 'x, hxildori'npmv. thc pmPty lor thc puqx)* of
-1.!so*ncrorrhcptu,r.y,!rcrcl'Nivclyconlruclins$irhlicc\cJ.otrlrrctoFro.on{tudrh.Pn,ic.r(Sc..'7or1.BNi".\rdd Prri$iotr Codc rhc Conrra.kn s l-ic.nsd lrwd.cs nor aflrlyh !t o{ocr of nrrFdy rln huildsor nnDrcvc\rh$..n.
and *ho conrrirr\rar\u.hfn,j..h sirhrConlsclo(\) liccnscd pursud turhc(]'nt!cn,is l,itti\. Lnw)
_l !m.xcrpl undcr Scclio A & P.C lor rGi.nw,n
Dol.r--
-
Owner:
WOf, I(FIiS' COMPF^ISATION
IECIdIAIIAtr
I tftby s,Iim !n hr p.mlty of FFry oN of th. followin8 dctls,ra.m:
-lhrvcd.dwillnuinhin0CcnificutcofConsnrt'Sclflnsunfttrw.tkcsconPcnsnrion.aspt'vidcdf.rhrSeclioi.lT0)ofrhctihtrGxtu, nlr rhc rstutuftc of thc solt forwhich rh. pcrmil is h\xcd
-t hevc and willE,inIlin worlcB conpen*ara.n i.!umcc. rs rcquird bt scctioo 1700otin llhorcodc. fot thcldiolll@cof
rli"al-My sorkd .onpcnsrion insuramc c!rt, dd Flk, nrnrh(r se
?\i (e \\'t-rK
w o tl
-l
enirt i h{r in rhc r. ortume of fic work ror which lhis r.rnril t ksucd. l shull not .mplot any pcron in .ny @mr
e us lo bccom sulijd ro lhc qorkcs'comtcnsslion lsw! of Cllifomil. ,nd ,g@ lhll if I rhuld h(toG slbid lo llE
$oiidl comFnern,n povkions of Sdion l70O of lic L.lnr C.d.. I sh,ll. fonh*ilh comPly with lho$ rmvlsions .
WARNING: Faillrc ro s.urc workcrs'compcnsolion colcEsc n unhsful. rtrd $all subjccr 3n 6ploycr k, sininll ncnohics ,nd
b oft hrndrcd rhou{nJ doll[s (SlO{).o(x)). i'r 3ddin)n o rhc danEgcs as pmvidcd for tlE
:luc 6 il Ttt'r.
I hcmt y .nirm uDdsr pendry of Frjutt thol I m ,fChrfln 9 (commrcins wirh S.ctun 7tD0)ofDivkt,n J
ot rh. Bxsims Md Pmfcssions C:odc. ,!d my lkcnp k in rull Iorc ud cfccr
G'^nro q'\'eoQ
lIo rulu.on,""oo"
coNs-l RllcTloN I-FNDINc A(lIiNCl
is\ucd (S.c .lr)97. Cir C )
AIS,ICAILDEILAX{UI.IN
I hcrrty aJiitu und.r ,.drlry ol pcrjury orc ol rhc nrLrwins dslnrn! ions
Dcmlition Pcrrnih Astrios Nolificlriotr Fcderal Rcs!lorioi\ (Tirlc40, Pd6)
_Rcquilcd lrtrcr.f N.rifi cdrhn
-l
ccnilyrhlrrhc lcdc ral rcsuL r nnN n8onlin8 {strno\ rcn&v0l rrc or amli.trhlc ro rhis Irmjccr
fFr *n'rr,no, tt^" -l,r'^ JmlrrDn xl nr,c,hr rhclhovc n'ronn,iiotr i\cotrr--r.l lgrNr..omplywirh lllc(r!turcdutrrv
odinomci and Shrc tlw, El,lin8 lo boildins onn
rhovc Bnriomd DnDcny to, insp.dion DUrFEr.
Aptll.anl or A8enl SIAno(uE
-""iJ{ffe"1$'"P-*'''^
UNDEB GROUND
Waste & Vent
Water-Under Iloor
Gas-Underf loor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipino
Gas Pipinq
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trapi Drain Line
Main Drain/Pool Pipinq
Fill Linei Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq */f /t,6 ,a<r
Final Gas Test
Meter Release
FINAL f{ub/r9 5\)€6
Notes, Bemarks, Etc
t i&r's Addrsr
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