HomeMy WebLinkAbout30139763 - PermitProiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unat:
Block: A
BIdg: 24-S Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit 2454
Zoning: R4
cify 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 #: 30139763
Pin #:85579.1
{\
Owner:
Address
Contraclor:
Address:
Tenant Name
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 8r8-1065
01116002 51602
011 16002 51602
0'1 1 1 6002 5'1 600
011 16002 51602
Amount
12.70
11.97
22.O8
55.04
Fee
$50.80
$11.97
$22.08
$55.04
Feo Type
Sink
Dishwasher
General Plan Update
lssuance
Qty
4.00
1 .00
1 .00
1 .00
8ot(h;:(51?4 - 8/3/2rll$ I0: CCtE
0lfice3 CTYH Tronsi: I 12
'Accti! Ref+: 3tll3?76
Rcptl:02347.{7tt - 8/3/2418 2t22 Pll
Tronsact ion Totql t5r 213.5State Lrc #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCoi39070
Expires: 01/01/2019
Kntelro Renov(lt ionsr LL(
Generol Plon Updote Fee
(rI11600?- 51600000-
Plurb ine
ttll1600?- 5160200(t-
ICL Check U03020
Viso
CCi r rr*r*rI*r***5r)69 Auth+:t:|521Building Use:
Job Type:
Nature of Work
Planning Conditions:
Multl-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture change outs (Unlt 4)Code:
Date
Date
Date
R-2
VB
cPc 2016
Notes: Fixture change outs. unit 4
08/03/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless lhe wo* on the site
authoized by such pemit is commenced within 180 days aftat ils
issuance, or if the wo* authoized on the site by such permit is suspended
or abandoned tor a period of 180 days dftet the time the wotk is
cqnmenced.
lnspector MID#: 2018-144922
01116002 51600
01116002 51602
$22.08
$117.81
Fee Total:
Paid to Date:
Balance Due:
$139.89
$0.00
$139.89
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Phone:
Phone:
Chavez, Dave
PLUMBING.INSPECTOR RECORD
O1INIiR BI]II,DIR DELCARATX)N
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itucrrrc- pritr t, irs i$u.ftc. rho requncslhc +pliclnt lor \u.h pcflnir ro lilc r siAncd (dcmnr rhar h.oi rhc k liccn<l Dusurnr '
ro rhc F,vnions of lhc Conka.t" r Li.cnscd Lw (Ch:lprcr 0. ConnncNins w h sc.rion ?(xlo oI Dirisn,o 3 Dr rh. Bnrms ,nd
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Jmlica r tur r r.rmn suhr.-irs rhc npplicul lo r civil pculrtornor xrc rhan 6vc hunntcd dolhA (S5ml
-l.rsownc,olrl,crnlddy.ornrycnrPloyccssilh$.scsrsrhcn$kmml.nsin,n.silldoth.wrkrntlihcdfldurcisnotinrc'kltn or ofiardd ior Mk I Ss 7014- Bu\i',cs Md Profcs\nrnt Crd. TIE O)nr.crr'\ l.ic.n{ IIw docs tror lplly io 4 owncr of
ihc pmpcny who hiid\ or inqnDvcsrlHsnr ond rvh. n@s \u.h M hnnsclforhcrslf.rrhroughhisortcro*ncntployces-
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of..'mhriotr, rhi Oqncr Buildcr willharc rhr b.nlrn ol proving rhd lf, or {hc did nor huikl or inrlocc rhc lsFny lot lh. rtr/r{ ol
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rnd $ho .onrr&i\ r \uch pFlccrs*nh0Conlr {,(n liccn\.d pohumr brh.Cotrrrrtr \ l-i..tr\c l rs)
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WOqI(FL(' COMPF\ISAAION
DECI.AMIION
I hcrcby affirh !nd.r pcndlry o{ pdjury on. of lh€ following dccleltionsl
-l
h.vc !d will mintdn !Ccdirr.ie of Co.e lo Sclf-l.surc lor wdiss @mpcNr6r s Fovidcd for b, S*rion l?OO ot tlE
Lab6. Codc, for lhc p.rtolrlffie of th. wrt to, qhich rh. ponir n issu.d.
snd will minrainvo.kcd compcnelion iniurarc.. a\ rquaEd by Serion 1700.f llrc L,bor Co.tc. aor llE Pdlotuc of
My trr.k$ o'npcndn,n nhtrr .c crnicr rd Flicy nu'nbcr dc:
rt{,c,ol l^ ,t\s l.\.\r
I ccdily lhd in ihc lcrfomn* of rh. qork for whi.n rhis Frm it hsucd. l shnll nor cmpl,ot afly Pc6o. in a., mmmr
s NrotEom$bhdbt wortcs coqrnsal ion law\ of California snd !8R lhal if I sholld bccod subjccl lo lhe
m cs @nl'cniolior tlrovi3irns of SNlnri l7m of lhc Lahor Codc,I \hall ,onhwnn onrPly *ilt rhd* prcvisions
\VARNIN(; I'riLur. k) $.trrc qor[c^ con,Iltn\rrio1rovrrrE.is unlnwtul. {l{l shall \uhjd on
ciril nn.s u,' lo om hundrcd rhousnd dolla ($lm.Om), in addnion lo thc dlmpcs as povidcd for rh.
":";"
i'LlH'U's" 2u Tq#;''"
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of rhd Ausincssmd Pmlcsions Codc.,nd ryli.cn{ h nr fxllfor.. md cl'lccr.4.\04r1 ,4^
CONSIAUS]ON.LENI)IN GDN.I]I
I hcrcby.fllrnr undcr penily of pcrFry rhd rhcc ii r cotriructhn hndins asmy f{r rh. |..lormtr.c ofrhc *o,k ror ehich lhis Fmn i\
nsucd (Sc. 1097.civ C ).
A.tTUCANI.IIrcL/${IION
Itinhy dlinn uftlcr pctr.lry ofpcrjur, onc ofrtu- tblbsnrg dc.lr.lionr
Dcm'liri.n Pcrmir\ Aqrtios No!ificrlion ljcdcral Rcsuhlion\ (TirlcJ0, PM6)
-Rcq!ncd
I.rrcr.r N.!incttintr
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lhe lcdcnl E!!hrbB Elddm8 8rh.s
4nnt rnrl t n'w cd hE lr,r,r*atrn ord nsr" rhdr
ros rcm)volsc nol dffltdbl. k, rhis roi{l
mrion t conecr I csre ro on ly wirh aI Cilyrnd Colnry
odinrccsudsrar.Lr$rcl,lin8lobuildineco lurhorir EFcrnrarircs ofrhis Cny Md Cou.tylocni6 ufon E
abovc nf,nrioncd Dnpcny lhr a6\Ierion
/\Dpli.rnl or,\Eenl Silnalue:
ID/SIG.COMMENTSAPPROVALSDATE
UNDER GROUND
Waste & Vent
Water-Under f loor
Gas-Underfloor
Buildino Sewer
Area/Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Rool Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool HeateriGas Line
Miscellaneous
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
s/tzlu ,I\6LHough Plumbing
Final Gas Test
Meter Release
FINAL q/L,tnfl 5\dt
Notes, Remarks, Etc.
pai.y lr.,l., @e,ri,*,
bnl
l1
Water Service