HomeMy WebLinkAbout30139878 - PermitCity of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cAg27o2 Plumbing
PermitCounter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Sectaon: (714) 647-5853
Permit #: 30{39878
Pin #: 379EE
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-K Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit K.02
Zoning: R4
E
Owner:
Address
Contractor:
Address:
The Bascom Group, LLc
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(949) 955-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(3r0) 3s0-8r98
Fee Type
01116002 51602 Clothes Washer
01116002 51600 General Plan Update
011'16002 51602 lssuance
Amount
13.97
22.O8
55.04
Fee
$13.97
$22.08
$s5.04
Qty
1 .00
1 .00
1 .00Phone
Tenant Name:
Phone
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permil lssued By: Chavez. Dave
Subject to Field:
BuirdinsPermit#: 10197487
Date
Date
R-2
VB
cPc 2016 Notes:
[Iisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
$91.09
$0.00
$91.09
o8t29t2014
Account#
Every permit issued shall become invalid unless the wo* on tha site
authoized by such permit is conrnenced within 180 days after its
issuance, ot itthe work authonzed on lhe site by such permit is suspended
ot abandoned fot a period ol 180 ddys aftet the time the wotu is
commenced.
lnspector MID#: 20'18-145630
01116002 51600
01116002 51602
$22.08
$69.01
Project Address: 2424 N Tustin Ave
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensalion lnsurance:Carrier: State Fund
Policy #: 9211358
Expires: 0512612019
qnef: 18
8/30/201t
otol
.onEtruct
Updote Fee
rllr0tl0-
0?00(r-
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
w/D Partition Wall (unit K-O2code:
Fee Total:
Paid to Date;
Balance Due:
Expand coat closet opening for w/D in units with 2
bathrooms, No bedroom addition, exterior alteration
andlor addition of square footage proposed at this
time. Original P/C performed under #10193842.
PLUMBING.INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNTJR BT]ILDi]R DELCAR 'TION
I hclcby affirnr undcrynilr! o, |erjury rhar I nm cxcr,lr irom lhc Conlncron l,iccnsc llw Lr rhc fink,$in! rcnvr lst.70ll5
Bu\t$\ and PmL$ion C{dc) Any Ciry or Cornry which r.qut \ ! FJrnit b .ohdd.r, rlrcr, nnrirnq d.rmlirh ,{ rtrtr any
{ructryc. lrnn b ns issudncc, &o rcqutcsrhc Jl)pli.ri f(, \u.h p.nnir ro lilc r silncd stdcnrtrr rhr! tf, or $o i\ li(cn*d prEusnr
n, rh. Irovnion\ of rhc Conkackn s l-ttn\dd lrw tchrprcr q. C{,Dmnci'rg uirh Sc.rior 7{Xl) of Divinon .1 oi rhc Burincls a.d
Pmlcsions Colc)otrhrr h(o.shc k.rcnu thcrcf nudrlrhrshntrrhcilcrcdcxcmDii.n. AnyviollliorofSccri,,nT0ll5byany
!pplic!nr iq ! prmrir suhjccls lhc applicanl
'o
!civilpcnallyoanor nmrclnrnfivc hund.cd dollnrs (55fi))
-1.
!s ownd of th. ptuIEny. or ny rmployes wirn qaecs * thcn sb omp.nsrlion. *il, do llt *dl( ad llE $tudm b rcr
h&idcd dofr.ed for s]c (Se.?O14. Busiftss dd Prof€ssirnsCodc: TIE Co turoas Uen* tlw d6a mr.prly lo !n o*mr of
fie Fopdy who bunds or iq,o6llEMn. lrd *ho dB Mi mlk himclf or h.mlt or lhmlgh hh or nf own .n{iloyc.r.
pbvid.d lnar such i.'thvw.B G m( idq'd.d or6,H for sb. !( hogffi. tlE t{ilrtilB o. inq'leDd ii sld sithin m ]{a
ol orglclim, lhc Oafti Builict will hrn lh. hndo of pbving tlDr hc .r slE did mt huM or inproE lhc p6rEty lor dE l,urpo$ of
-1.
esowmrofrlE prcFdy. !mcxclusivcly conrracrine *nh li..n*d.o.rah6 ro onsrdcl thc Foj(l (56 7044. Burir{i
airl Potscin Codc: Ttc Conhcrois Lic.ne l-Iw d@s mr lmly ro an owfls ofprcFnysho builds o. iopows lhcEon.
and who .onh.ls for srh pmFls wfth a conrr.cro(o lhcnkd !u6u.r ro $c conrrarorr LiEnsc tiw).
lrDrcxcnt und& Sc.rirrr .B &P.( fd rhis rcdnnr
laBtr!8gl:ollfENtArlaN
DIct.ANAItoN
I h.rchy !fiinn undd n ..lry of rrjury om of lhc followin8 dc.lnrnrions:
-l
hre ard will Mi .a! . Ccnifrlr. of CoM to SdllB@ tor mrt6 6EFosdio., os pmvilcd for 6y Sslior 1700 of lhc
Llbd Codc. for rhc Ffmlle. of E qdL fd Dhich rh. Idnn ir Btucd.
_l nrvc .nd eill flinllir uo*6r conpcNalion hsnmq a\ r.quircd by Selion 3?00 of lhc ljbor A{,.. for ir nsro,itec or
wo*cB omDcns0iion insurancc fficr and rnlicy .odbo e:
s-8 tc
I c.niry rh,r i! 'h.
p.rroflrun.c ollhc work ror *hkh rhh Frntir h issucd.l rhall ml cmplo, atry p€ren in !fly mlntr
m s ro b..om sut'rer io lhc woircs' con{rcnsarion hws ol Clliromi4 lnd sgE ltar if I 3lEuld lEorc $bitr ro rlf,
qortcn' compcnsrlion pmvhions of Sdion 3?00 of rhc titDr Codc. I shall. fonh$nn coitl, wirh rho* Piuvl\ions..
lv,{RNIN(:: arhrc b {curc sr,kcN .onf.n\dn,i corrBlc r\ unlrtrtul. dtrd \hnll ruhjt]ct {r cflr/oJtr to ri ir Ftr hi.\ Md
civil fincs up to ore hundrd rhousod doll&r {SI00,000). in nion ro lhc .osl of coolxnsrion. d.mgcs !s providcd lor lic
;::41*TE-Y
I hcrhy attum undcr,Enallyottcrjurythll I am licrnrn undcr Fovi\ionofChapr( 9 (c.mmftin8 uith SNrion ?()OO) ofDivnion 3
ol lh. Busi..ssand Profcssions Codc. ud nry li.cnsc is h tulliorccfl(criccl'6 I0nq\v)
30 It "-,C
IOISIAICTANIDNUNE.&ADNCI
I hcreby dlir,.undcr F-nolryol rrjlrr rhar rhcrc n, connddhn lcndina r8cncy ror lhc pcriornDncc oithc sork for qhich lhis p.nnir n
n\uql lsec.1097, Civ. C.)
A.tILICANIIJECIA.BAII(Ai
I tu[hynrtn u cr pctrihyolncriuryonc oilhc,nlhqirsdcclamriotrs:
DLmolnion Pcrnrir{ A$.do\ Norifi.lxun F.'lcrrlRcguLrnnr\ (lirlc 40. P d6)
RL9!trcd Irrrf of Norifi .rrirr
-l
ccniiyrhd rhc lcdcrul.csulario.s rcsdrdins rh.\ros rcmoval lrc noramlic$|. t, rhilli.jcd.
|4l..diryrhd I hnro rcrd rhis ndi..li.ndd s,r. rhdr rhc rbr. inrormio.fl is.oftccr l,srLtk'.oDpry'ilhrrlcirynnd(otrrry
ordimmca and Srtrr. kws Ehring 0urhortc rcprcscnrariv.s ofthh City,nd Countyt,.,rcr ug,n tlr
olc cnrnrncd lrrFnvfff
Aptlic!tr1 o. Aaetri SIaNlu
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool HeateriGas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Rough Plumbinq ?/t//*,t\?b
Final Gas Test
Meter Release
FINAL 1/u /rs e\Bg
Notes, Remarks, Etc.
APPROVALS
POOL/SPA
Back Flow Device
2lr
tr "J.' \ AJ'1r...
-------T------
-------T------
=