HomeMy WebLinkAbout30139712 - PermitProject Address: 2424 N Tustin Ave
Assessor'sParcel: 395-261-55 Lot: 8
Unil:
Block: A
Bldg; 24-G Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unlt G3
Zoning: R4
q
city 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 #: 3lJ13'9712
Pin #: 9'1731
Owner:
Address
Contractor:
Address:
Tenant Name
The Ba3com Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 8'r8-1065
01 '1 16002 51602
01'116002 51602
0'11'16002 51600
01 1 16002 51602
Amount
12.70
11.97
22.O8
55.04
Fee
$50.80
$11.97
$22.08
$s5.04
Fee Typ€
Sink
Dishwasher
General Plan Update
lssuance
Generol Plon updote FeP
01n600?- 51600ffi0-
ElYrtffir- sr6o2ooo-
ICL Che{k 003020
V iEtl
CCi: *rII*r**ri**5069
Notes: Fixlure change outs (unit 3)
Qty
4.00
1.00
1.00
1.00
l(nterro Renovot ionsr LLC
State Lic #: '1009989
Lic Type: . B . :
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 01/01/2019
,22 .11t,
t117 .81
35 r 143.90
r99.63
Arthi:052017
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneou6 Constr Type
Fixture change outs (unit 3) code:
Date:
Date:
Date:
R-2
VB
cPc 2016
08/03/2018
Account#
01 116002 51600
01 116002 51602
$22.08
$117.81
Fee Total:
Paid to Date:
Balance Due:
Chavez, Dave
Every perrnit issued shall become invalid unless the work o, lhe siae
authodzed by such pemit is commenced within 1 80 days altot its
issuance, or if the wor* authoized on the site by such permit is suspended
ot dbandoned for a peiod ol 180 days qfter the lime the wo* is
commenced.
lnspector MID#: 2018-144740
$139.89
$0.00
$139.89
Phone;
Phone;80tchi!a519{ - E/3/2U18 I0: CCtlEl,l-AFoffice: CTYH TronsS: I 7 of 38Acct;: Reft. 30139712
RcDt+:02347{45 - A/3/7O[A 2.22 Pll
TPonsoct ioo Totol tir243 ' 53
Building Use;
Job Type:
Nature of Work:
Planning Conditions:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
PLUMBING-INSPECTOR RECORD
DATE COMMENTS OwNr:R Ir(,LDril. DI,ILCAnATl()N
! h.rchr nitm undcr ncnalry(,fn rjrry rha! I am crrmpr rio !tu Cotrlrr.nri l,ir. \t trs tu rhc lol[,winc t r$! (s..70J1-:
hrircss rnd ltotcsion C.d.r. Any cry or Cotr t whi.h rcqur.s a F-nnir k, .o,rnfld. rlln. nnPro$. dc'n,h[ ,t rcl1'n sy
srrucrurc. pritrtu irs i*u.ncc. rho,.quncs rhc up0licatrr litr \(h |tnhirro lilcr siSndl rldientDt lhtrr h. or\hc i\ liccnscd Nrsulnl
ro rhc F)vnn,ns ol rhc Conlrrcntrr l-i.cn\rd Itrq (chdnr.r e, Conn.cncin! {irh srcri, 70(x).i Divish..l ol rhr Bn'i"t\\ and
Itoiession\C.dc)orlhrr hcor shc scxctrf rhcrcli nrnd rhc hi\i\ ln!rhc rlll!.d crcnl ion. Anyriohli,Dorsc.ri(,i70]l.5hyanv
dp!l'.r nn r Fi,nir {rhlccls lhc aptlica nracivil!.nxhyofnor krcrlrdtr fivc h!nircd doll*\ ($5(x))
-1.
d owE. of lhc popcny. or iy cnPlolss wilh wagei {s lhei. sh omFnslion. will do llt sut .d tlE st8re t ml
hrcndd or otrcEd I'd sle (Sc.?O14, Bulicsr sd Prof$sions Cod.: Thc Co.lticlol s Liccns Lrw d6s tul srply to u own.r of
ltc pmFrty who tuiEs or itpmB lrElE^ dd *ln d.s tuh $dtri hiNlf or lEBclf or lhrc.8h his or lrr oDn.mployss,
tbvklcd Ihar such imProEmnts N bl i'neftled dotu forsh.lt howE lhc hllding or inPtokr.d ir mld wnhin o* )qt
ofcongkrbn. UE Owncr EuiBer wil hlt dE htrdcn of povi.g rh,l hc or she dh mt hiild or iqt$w lne p@Fny ltr tlE PUqnrc of
l, \uqtrcrol'rhc |)olicr1y. xr cxch\iv.ly ..trttr.ri'rg wrh li.ctr{cd .onlrr[6 t, cotrdtu.r rhL r,tjc.r (S.c 70lt.l]u)inr\
rRI h,li\\i Codc lhcC.nkidoisliccn\cl,asdoc\Dorrlplyn,nDosEr.llfupc y*ho huilds.r i'nlrovcs rhcr.or.
/nd $h eoM dl n,r s!.h ,roj.ctr sirh a cd n.ruris| ltrcrr*d ,'ursurnr tirlto,nn'.rn-s LE.n{ Itrw)
I afl.xcmfl utucrS*ln'n- B. & P.C. anthh rcaso.
-
Orn r:-
TOBf,D8LCAMIINSAIION
DECLAAAIION
I hcEhy aflirm undcr p.nslly of i'sjury 6rc of Oc folto*ine del.fdiom:
-l
h,E rrd *ill Binlai ! CenifEllc of Coneol lo Sclf-ln@ lq vort6 oq).Mtion. e piDviLd for 6y Selion l7iJ0 ol rlE
t bor Codc. lo, E Frloffi ofrh. hrt for ahlch rh. Idnit i! Bu.d.
-l hlE rid Rill Minrlir eori6 .onp.Mtion insuoftc. !s reqoiEd by Setio, 37m of lhc Lrhor C6&, lor lh. p.rfomm of
rhc qork tushichrhis pcmn as ks.n. Myworkss in$o@ 6ir s,n l[[cy nunb€r m:
tlljv/ca (nfr,.t.\.\4
t cnify thal inlhc pcrformm. ofthc sork 16, {hkh this Frn is nsucd.I shlll nol eoplot lny pcmn hdnyMftr
$ &s to b..otu subicr ro rl* M,tm onp..slion kwr of Crliforniq anrt agm rt{ if I stDlH bc{om rubjc.l to llE
*orkcB'corycnlarionptulisioosolS..lionSrO0oflhcL.borCodc.lshall.ionhvilhsmplyqilhtho*r,Nvkions..
WARNIN(;. Frlilurc ro ccurc qorketr conrpcosarion cov.Dsc i\ utrhwtul. md shall slhJlrr m cnDloycr ro simiorllrMlrtr and
civil 6rcs up ro onc hundrcd rholsnd dollds ($10{).000). in addnhn lo lhc cosr orcoopcrsar
sc.rt,n 10?6 of rh. tjtnr C{xlc, inrcrc{ ,nd ,lr.my
o"r I l^ AQ 1If[rU v v r
DECIdAA.IIAN
I hcrc$yaifirnundcr Fnall, orr.rjxryrhar I am liansd under prcrision olChsflc.9 (smmncing wirh Sccrion 7000).rDiviln'n I
of ihc ausincs ed Pofc$ions Cod€, and d, li.c.{ i\ tu lill forN Nld cl'lal.
Z_?
ri."n."ctu-. /' t."*"'r,-t"-" U6 00 2019"""n**,, h'\o!41(,4,tilz*-
c0N5ralcIIaNMlJlKlc[N{.:r
I h.tuhtrfln uMcr Nrrlly oi |t jury rhar rhcrc ns.onnru.ri.n lc irga$nuylbrrhcnc ahtuh-c of rhc wott lbr *hich rhir Frnrir is
is\ucd(Stc .r(r97. Civ. C ).
A.IIUIANLDICLAEAIION
I lmhy timunncrpcnrlry.rtcrjDryoncof thc r'ollo{insdc(l rriods
D.nn,lirtun Pc nirr Ash.{or Norili.rriotr Fcdcml Rcguhri.trs (firb.l0. Pd6)
-Rcquirud
l.rr.r ol Norifi .rriotr
ffir*r, ** n* rnoappliqrion sld tur rnar 0E sl[r inrornErhn ii t omrly wirh lllCny.nd Counly
f rtis Cir, dd Cou.'y lo .nts lpon llEordinrnes lnd Srarc ljqs Glding b buildine conhclio..
abov. .Enriorcd ps,tny lbr inst crio.l)urpoB.
Appli.rnl or AA€nt SiXmlue:-mr€ 0F nntn
UNDER GHOUND
Waste & Vent
Water-Under floor
Buildinq Sewer
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipino
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipino
Fill Line/Back Flow
Pool HeateriGas Line
Mascellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing $/t1/tz 1n(g
Final Gas Test
Meter Release
FINAL 1/b/lg ,xq{
Notes, Remarks, Etc.
APPROVALS ID/SIG.
Lcndq\ Add'csr
-
-t
enily lnd ihc fcdml rcBlhrions tsatdi.S NtEsros rcmvil ,r. .ol alllicablc to lhb pmj$r.
*ar
Gas-Underfloor
Area/Storm Drain
Roof Drain