HomeMy WebLinkAbout30139877 - PermitSuite Range: Unit D-01
Zoning: R4
EProject Address: 2414 N Tustin Ave
AssessolsParcel: 396-261-55 Lot: 8
Unit:
Block: A
City 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 #: 3O139877
Pin #: 29915
Owner:
Address
Contraclor
Address:
The Bascom Group, LLc
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 955-0888
Arias GeneIal Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8r98
Fee Type
01 116002 51602 Clothes Washer
01116002 51600 General Plan Update
01116002 51602 lssuance
Amount
13.97
22.O8
55.04
Fee
$13.97
$22.08
$55.04
Qty
1 .00
1 .00
I .00Phone
Tenant Name:
pdote
ir:rtr:r-
R-2
VB
cPc 2016
Date
Date
Date
Notes: Plumbinq for w/D
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permlt lssued By: Chavez, Dave
Subjecl to Field:
Buildins Permit #: 101 97486
Every pemit issued shallbecofie invalid unlessthe wo* on the site
authorized by such pemit is commenced within 1 80 days aftor its
issuance , or if the work euthoized on the site by such petnit is suspended
or abandoned for a pariod of 180 days after the tifie the work is
commenced.
lnspector MID#: 2018-145629
01 1 16002 51600
01 1 16002 51602
$22.08
$69.01
Fee Total;
Paid to Date:
Balance Oue:
Misc. Receipt:
Misc. Receipt;
Misc. Receipt:
Total
$91.09
$0 00
$91 .09
Bldg: l4-D Address Range:
Tract: A.B. CHAPMAN Historic: No
Phone:
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
WorkeIs' Compensation lnsurance:Carrier: State Fund
Policy #: 9Zl 1358
Expires: 05/26/2019
Building Use:
Job Type:
Nature of Work:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
w/D Partitions (Unit D-01) Code:
oBt2912014
Account#
PLUMBING-INSPECTOR RECORD
APPROVALS DATE IDiSIG.OWNER I'U!LDI'T DI]I-CAXA'IION
I hcrcby .flirfl und$ p.ndlry ()r l.rjurt rh, I m cx.mir from rhc C.ntlrt,J Li.cnsc trw tu E rbllo{i,r8 tcawn lsc.7031 5
Bu\nB\s n Pdcst'n Code): Any Cily or Cornr, which rcqurc( r fqflit ro mn(ruct. rllcr. iorn*q d.rmlnh ur RI'Jn My
sru.nrc. prsr kr ir\ ns[kc,11\o r.qxiru\rh. rlplic]d tur \uch p(nnirt,lllc a \ig drlsdcrmir rh r h.or shc G li.cn*d tturnanr
tJ rh( provni(r\ ol lh. Conilr.ktr s l,icensed li* (Cnlrrcr 9. (tnrmncins trirh Sccri{,n 7{xlo or Dilknrn I or rh. BuriNrs lnd
Pmrcsri,,.\ Cod.) or th h.urshc i\.r.nfr lhcrcriodhd rhc htr\is tur rh. allc8.d crcmfl nrn An, viohlionofSccli.n 70315 byrny
l'plicad tuap.Itri subjLrrs lh. ipplicn lo r.irilpculryDrnor.xnc m llrc hundrcd doll$ (5500).
-1.
us osncr ol rhc rftIrcny. or fry cnployei qilh *uscs as thcn sb .onqEnsdion. will do tlE wok 3,rl rlE slBha is ml
inlclxlol or on rcd lor elc (5(.7044, Btrsinc$ 6d Profcrsions Codq Thc Cnntturor s Lk nr kw &Es nol epply to an owtr of
rl* ImFny *,[ tuildr or inpmm tlErsn, !d who des Mn wl* hins.lf or hcMlf or lhmugh his tr h.r o*t cnrrloyccs.
Pmrilcd lhal slch tqmEmnts e ml hlcndi orofcrcd for slc. It thMrci th. huildinB or idqfttmll| n sE snhin oE Jtd
ofonpklion. th. Own$ BuitL. uill hlE rlf hor.Ln orprbvidg tld lE o, sh. did mt bxiu or ilpmw thc pmlEiy for * plrlDs of
_1. {i owncr of rhc repcny, an.xcl8ivcly coni.a.rin8 wirh liccnsd.o.rrcro6'o mflsdcl ltr t mFl (S8.7014. Burift$
rd EDltsshn Codcr 1'h. Conlmtol s Liccnrc Lsw docs nor 0l,Ily to an owncr of pmpcfly who builds or imrovcs th.ren.
{nd $ho @.rmh for slch pmj<ls wirh a Conrmcro(9 li.ctrEd lrununt lo rhc CoorEcrols Licc.se t w)
I nrcrrnlpr und.r S.crn,n- B. & P C. air rhh rcd$n
WORKFILS' COITPFNSATION
DECLABAII!}N
I tcrcby affirm undcr Fnoll, of psjury on. of thc tollopin8 dehrolions:
-lholcmdwilln{inr.inaCcnirE
colconc ro Sclf.lmurc i{tr wo sr co'nrEnerion. as [ovidcdtnbySccrion]?00orrh.
tahn Codc. for rh. r. nrro..c olrhe work lor which rhc p.rnrir is ir\u.d.
_l hlE lnd qill rointein eo cis conpe Barion insumr.c. as cqltcd b, S.crion 3700 ol rhe tjbor Codc. tor rh. Ffolllffi. of
lhc work for which lhn p.mit is issucd. My vort6' onFnslrion insurarc c&icr dd polic, nuntcr @:
Q?-tra(4
-l.cnifyrhll
i. rhc Friormrcc of rhc so* ao, *hich rhi\ F nn is issncd.l 1huU nor coploy,nyp.rhn in trny
'mnmr$ 0s ro trcom subFLr ro rhc uorkdc mmr.n.alion h*s of Califooi|. and .gEc thar if I sfiould bccom subjE o rh.
mrtcB' conp.n\.rn . povnions of Sf ion 1700 oa rhc Libo. Cd.. I shlll lonnNid onpl, sith rtFs pmvisions..
WAININC: fiilurc to sdrc Forke6' compcnsalion covcroE n unhwtul, and shrl slbjcd an mtbrci ro cifrinnl lfMhi.s rd
civil finc\ u! ro on. h!.drcd th.usa.d dollaB (Sloo.o(x)), in lddition ro rhc.osl ol.ompcmarion. d,mB.s rs tmvidcd lor rlE
,",",-'t\ao\tg {
ut!tr\!.!r.&!
I hcrchy!fltn undcr lrcnoh,oipcrjury th l am lietr*n undcr Eovision ofChaprcr 9 (comm.cinE *irh Sr.'rbn 7(x[) orDivkion ]
of rhc Ausimss n.d Pof.ssions Codc. Md ny liccn$ n in rull forc3al cficcl
toll4 ) k
III:LrcANLIECIJ.BAIIO!
I hcn:tyJJlnnrundcr lfnalry of F{jur} onc ollhc follosirgdcclon nnr:
lxmolnion Pc nir$Ash.i.s Norificrhon Fcdcral R.EUlxrions ('Iirlc-10. PM6)
Rcquircd krrcr ol Notifi Larirn
-l
ccdilyIhar rhc ltdcrol rcsuh r ions rcsordins artEnos rcnnvllorc.ol lrplic le l. rhhI,oiccr
.t
1_l (cdil,rhr I hovc rcad rhtr,np!E n,n and qarcrhd rhcdnvc inlornurt,n tcom.L Lgre ro.onDly wirh sll Cnr and County
ordinaDcc\ lnd Srric I!t\ rcld olrhi\ Cny md Counrylo cmcr up.n rrE
lhovc nrntiomd !ro!.rly for *]4_l'6
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pi ping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Healer
POOL/SPA
Ptrap/Drain Line
Main Drain/Pool Pipinq
Pool HeateriGas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbinq 1/4/lq Agb
Final Gas Test
Meter Release
FINAL 4(tr / rz 5\11
Notes, Remarks, Etc.
COMMENTS
Fill Line/Back Flow
Water Service
'<lr'"\tq
I hcEby affrm undcr Fn.hy of !.riury lhd lhe is ! oflnru.ion hnditrg sgcrcy for lh. pcrfotum€ ot lhc ft* lo. *r'kh lhir pcmn n
issu.d (Se. 1097. Civ. C.).
Lxndc' \ N'tu.
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