HomeMy WebLinkAbout20163764 - Permit (2)Proiect Address: 2424 N Tustin Ave
Assessofs Parcel: 396-261.19 Lot: 8
U nit:
Block: A
Bldg: 24G Address Range:
Tract: A.B. CHAPMAN Historic: No
Suile Range: Unit 11, Unit 14
Zoning: R4
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ16376,4
Pin #: 73121
City of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address
Contractor:
Address:
011 16002
011'16002
01116002
01116002
01'1 16002
01 1 16002
51603
51603
51603
51603
s1600
51603
Qty
10.00
24.OO
8.00
1.00
1.00
1.00
Fee
$ 14.00
$36.48
$8.08
$12.08
$21.2s
$52.98
Phone
Tenant Name
The Bascom Group
26 corporate Park Drive, Suite 200
lrvine, CA 92606
Fee Type Amount
'125 Volt Receptacle 1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.0'1
Min Fee Adj 12.08
General Plan Update 21.25
lssuance 52.98
Phone
State Lic #: '1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:
Carrier: Hartford casualty lnsurance Company
Policy #: 46UEAQT9345
Expires: 03/01/2018
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Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pennil issued shall become invalid unless the work or, the slte
aulhorized by such permit is commenced within 180 days after its
issuance, or if the wotu authoized on the site by such pe nit is suspended
or abandoned for a peiod ol 180 days atlet the lime the work is
commenced.
MID#: 2017-137587
01 1 16002 51600
01 116002 5'1603
$21.25
$123.62
Fee Total:
Paid to Date:
Balance Due:
$144.87
$0.00
$144.87
United Renovations, lnc.
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
Fixture change outs Code:
R-2
VB
cEc 2016
0811012017
Account#
Notes:
lnspector
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
lt4eter Release
Rough
Service It4eter
FINAL /{,/11 1. (KYldLwll)
Notes, Remarks, Etc
1*'Ll l)^J'r/f I r -t Iffi
OWNER BUILDER DEL('ARATION
I h6.b, ami,n und.r p6ahy of pdjlr, rhat I m .x.n'pr fiom rh. Conrr0doc Lic6F t w for lh€ followin3 r.&. (s.c 70:\ 1.5
Rusin6s ad Prcf6sion Cod.): Any C,ry or Coudy *hi.h rcquir6 a prnir ro .o.srtud, alr6. improvq danolish or r.rEt any
stucruq pri$ ro ns isuec., aho r.qut6 rh. trpplicmr ror rci pra r o ntc a sien.a on*-, ti "i * - ,r,. i ri.-*l p,/-'
ro rh. prcvisioB oarh. Cookr.ror's Liccns.d bq (CBaF. 9, Conmd.in! {nh s.clion 7000 of Dilision 11 oilh€ Busines and
PmlNions Cod.) or thar h. or shc is .rcmpl rhs.fton ond thc bsis lor th. sllcscd €ldprioo. Any violario. ol Srtrn 70 1 5 b! rny
applica.t for a pmn subJ<rs lhe afi,licdfl lo a civ il p.tuhy of no! ror. rhd 6r. hondr.d doll&s 1$50\))
I, d o{n.r olr,E propdy. orry.mploy.6 wnh wa86 s rh.n sok comp.Gation. villdo the \vorl dd lhe slru.l@ n tur
inrqdsl or olT6€d lor elc (S( 704.!. Bsin6 and PrclsioE Cod€ Th€ ConrE.roas l-ic@ Lav di6 .or applr ro dn o\ n€r of
rh. p.oFny who &il&or imprcvcllE6n. di who do6 sucn wo* ii'ns.laor hrylf or llmnEh his or bd ow. cmploteG.
p.oridai $ar su.h idFov@ds e.ot inrndedorofidd 6i..r. Il hos6q. th. buildiu or imprcvml is sld within onc r@
ol conrplcrion. rh€ O$nd BuiB6 Nill havc lh. burdo oaprovn'B Ihd hc or shc dij nor build or inrnot tr pody for lh. purlFs ol
I. 6 oucr ol the ltrop.ny, en €xclusiv€ly contractins with licmed conl4cro6 16 o{od the ,mjer ( sd 7014. RNn*s
and PioQsi.n codc: Th. contactors Liccnse L.w do6 nor.pply to d own( o a propsry *ho builds or inpor6 rhdon.
Md Lvho conrFcrs for seh pmj€$ \vnh a conmdorls) hcm.d puuMl lo the Conradors Lic.nse t rv).
I @excmpr undd S..1ion .B &PC for rhis rcMn
!iaax!8t-ca!rtENrA]ll)!
DECTABAIIO!
I lEreb, amirn undcr !.nrllyofDsiuryoncolthe followina ddle.tiore:
I har. dd *illmainlaid a C.dilicalc ofCoBat 16 s.lalBur.16r wortdt tump.Mtion. d Fllidcd lbr byS€clion3700orlhc
libor Codc, tor lhc psfomncc ol th. tort ror which lnc pqmi n Gucd
I ha!. and will daintain sork6 compeBarion iB@ncq d r.quncd hy Sdrion 1700 of rh. tibor Cod.. tor lh. psfom c€or
issudl My worl6' @,npensar ion idurancc .mid ed p.licy numbd d c:d "y',1q4!E44a 7-
I ccnilylt.l in lhc pdlornanc€ ofthe Nork lor Bhich this Frmil is issucd.l shall Nl dploy aoy pdcJn in a.y moni.r
e * lo beonc subj*r ro rhc *ork6' cofrtcdsar ioo lasr ot Cahlodia. dd asE rhd il I snoold haom. ubj4t to lhe
$0116 cohtdsarionpdvisioB.rSdion 1700oarh.Irbor Cod..I shrll,lodlNnn conply \virh rhoF,rovisions
w ltNlNO: Faihrc to Kur€ *!*c6 coniptuat'on colsa!€ is trnla\vrul, ed sha,lsubjd d mploys ro aiminal poralriG 0nd
civil fin6 !p ro on hund'di rhousand doll6 {1100,000). i,.ddirio ro rh..oe oacomp.Nliof,. dana86 6 pro\idcd ror rh.
serion 10?6 oarhe hbor (bd., inldd md *trom.y s 16
E'/o-rt
I bdeby 6mrn undd !.nall, of pftjury rhar I an li.aE n uidd Forision oichlptd 9 (commcing Nith S..lio. 7000) of Dn isti :r
of lhc Busin6s ed Prcfsio6 Codc, ad my licos is in lull forcc and efl(l
oa?
I hscby .fiinn und6 pen.lly of p.rjury lhal th@ is a cotr(ruction lcndin8 asflcy ror rhc daorfucc oalh. sorl lot $hicl lhis Frnil is
issue!(S.r 1097. ('n (-)
drg,lcANfDEcldaduaa
I hdd!, atrrfl u.d6 pcnalr, of p<lury on. oalh. aollowing d6lr6r io.s
Dcoohion Pmns- sb.sros Norifi.dion F.ddal R.rulalions (Tirlc 40. Pan6)
Rquncd ktr6 of Ndiicdioo
ELECTRICAL.INSPECTOR RECORD
Air Conditioners
/7
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and Counlylo ent6 uponlhc
I c6lii rMl lhc fedr.l rcsuldioG resadinB 6b61os .mv.l aE nor aprl'eble b rhis poj..r
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Ioilmrn(6 d scr. Llsrcldms ro hu' Jiry co(nrLd'on.,nd h.(b).url"or,. RF(s,arn6 orrhn Crt
' ab.\. nolonql nmFlv lor '6pdon DuIqa6 /
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