HomeMy WebLinkAbout40132519 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mec han ical Permit #: 4O132519
Pin #: ltOO{
Proiect Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
U nit:
Block: A
Bldg: l4-D Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit D-01
Zoning: R4
r
Owner:
Address
Contraclor
Address:
The Bascom Group, LLC
26 corporate Park Drive, #200
lrYine, CA 92606
(949) 955-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(3r0) 350-8r98
Fee Type Amount
01116002 51604 Clolhes Oryer - Residen 40.34
01116002 51600 General Plan Update 22.08
01116002 51604 lssuance 55.04
Qty
1.00
1.00
'l.00
Fee
$40.34
$22.08
$55.04
Tenant Name
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensataon lnsuranceCarrier: State Fund
Policy #: 9211358
Expires: 0512612019
Itl ir,
Notesi Mechanical for WD
fotol
. (onstruct i on
lrpdste Fee
i0tro0tr-
i0400r.1-
r**r*3135 At
/stl/2$t8pqn5f:19
Ber'i:- 8/30/2{Jr8
ril
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked Bv:
Permit lssued By: Chavez,
Subject to Field:
R-2
VB
cMc 2016
Date:
Date:
Date: 0812912018
Account#
Buildins Permit #: 101 97486
Every pennit issued shall become invalid unless the wo* on the site
authoized by such pemit is cgmmenced within 1 80 days after its
issuance, or if the wod< authoized on the site by such permit is suspended
or dbandoned fot a peiod ot 1 80 days aftet the time the wo* is
commenced.
01 116002 51600 $1 17.46
$0.00
$117.46
MID#: 20'18-145629
01 116002 51604
$22.08
$95.38
Fee Tolal:
Paid to Date:
Balance Due:
Phone:
Phone;
beneto.
01l16Bt
llechon
01t16ff
V iso
f:(:* i rrMulti-Family (5 or more uni occupancy:
Alteration Constr Type:
w/D Partitions (Unit D-Ol) Code:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector
MECHANICAL.INSPECTOR BECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.1/Lt/16 ,Lga
Final Test
Meter Release
FINAL Ulr/t<EDKT
Notes, Remarks, Etc.
OWNER BUILDER DELCARATION
I herby af6rm undcr p.n,hy of,Erjlry rhor I !m .xcn l fmm rh. CoflradG Lk.n€ tiw tor rhc iollowinS rc.$. (S.c,t031.5
Burincs a'd Pmfession Code)r Any Cny or Coury which rqlids a Fmir lo onsldcl, 1116. inprow. &mlilh or 4t€ituy
o.rE prior 16 irs ksuec. ds equiEs rlE alJplicul aor !u.h,Emi lo 6lc . si8nd st.tcmil $al tE or slE h liensn tur$el
ro thc pmvisions otrhc ConrEdo s Liened Liq (Chsprcr 9. Commring wnh S.crhr,0o0 of Dilkion I ollhc Buiin€.s and
P,lfcsrhns Codcl or lh hc orsh. h.r.nq thqefromDd rhc brs* for lhc aihg.d cx.mpiio.. Anyvioblionots€clion7011.5byloy
rpplicanl for s n rmil suhjcls lhc allliclnl lo ! civil pcnllly of nol mrc thln lit hundEd dollars (S5m)
-1.
e\ owr ot lnc loltny. o, 6y cnplo]r{. wilh salcs as rhct ola conpcNdion. wiI do tlE *qk atd rlt ilnIr@ ic @t
inrcnlcd or ollcEd aor sk (56.7044. Ausiffis e.l Profcssions Cod.r The Conlocroar Liens Lrw do.s nd .pply lo 3i owM o,
rhc rmpcfly etn hiilds or in!h6 dE@tr ,.d who dG sh @lt hims.lf or h.Mlf or lnmu8n hi or ner oM cmnloycc!.
lrovidcd lhal such inpmwmnls E ml hl.nd.d or offc,Ed fM elc. ll tnerci tlE huildins or itrthwtun n eB ehnin onc Jae
of.onphlioa dE o*M Buih.r wil haE lhc t rda olpr.vi.e ttu h.ddf, dn mr build or impmw thc Fop.ny for rhc purDo€of
l. aio*krofrhc l,mFny. .r cxctsivcly contE€tinB wirh liccnscd contredoa roc.nnBr rlr por.l (S(. ?044. Buiims
!d hDlission Code: The Conrracrols Liccnsc L!, dcr nor lppiyro an6rncr orphFdyvho l,uilds or im'rov.s lhdon,
rnd wh. onlnck lo. such prrjcrls sirn a Conhclo(s) lic.6scd tu*unt to rhc Conrmctor's LieNc tiw).
-t
ancxcnrfl lndcr Sd B. & P C. forihir 6.sn.
l)xrr
u9atrErs:.coMlENtArxl8pEclllSarlo!
I lErcby omrmundcr pctulry of pcrj!ry onc ofrhc lolLwin8 deluhlioNi
-l
n v. !,n *ill minrain s Ccnifrcdc of Con* ro Sela-l.s!rc for so*6 oope${lion.I Fmviled for bySalioi l?m oflhe
Itbo. Co<tc, aor rhc lc.fl]mre of lh. mrt for *hhh lh3 psni is hsucd.
_l h.vc lnd will 'nlinllin *ork.n comnc.sarion insuratuc. * rcquicd by serion 3T00 oflhc tih, Codc, forlhc pctformrftc of
lnc work lor whtn rhis pcrmir i! issrn. My wo ss omp.nsltion inrurake.mir ond rolicy numbcr ec:
2u i
-l
ccniry thll in lhe pc orrumc of lnc *ork lor *hich rhis pcrmir ir h{cd. l shall nor cmploy any pcron in any Mnner
tu ns ro b.$ft $birr ro rh. wo,*cR'oml,.nsrion laws or CrliLnir. !d lBEc lhll if I 3h)uld hecont slbr&t ro ihc
workcfi c\,npensrino povisio.s ols.crion ST0o ofrhc ribor Codc,l sh.ll. fonhwilh coryly wirhlh.s prvi.ions.
W?IRNING: Failxr. ro sm wort(.( $mpcnslion covcr.Sc is unlawtul. ond shnll subicr an .nplot$ ro ri'ni,rllmnllts ntt
civil llncs up to onc hundrcd tholslnd dolla^ (Sl in sndniotr lo thc cosr of con{En$ion. d.m8cs $ provid.d for lhc
SccrnD .1076 of rhc Lnbor C{ c.ir crcnlnd
,*.- <)au
)
r* .
^
lMiLASAllON
I hrftby lmrin uid.r p. dlryorp.rjuryrlurItr li.cMd und$ Brvi\nnr otah0Dtcr I (c.mn*ncin8 eirh Sccrion 7fin) oiDivision l
.l lhc Alxincss rnd Prnt\\ionsCodc. &d nry ltcn{ A i! rullbrcc id.fl..r
lonqlb
0
COIIIBUCIIONIEIPIITG.f,GI'IIIIhc(by,rfimr lcr Fndlrr.lp.{ury rhd thcrc so $nsro.li)n LndirS lgcncr lor lhc p(fortunce olrh. *ork ror whi.h (his Fflnn i
kslcd (Scc.lO9?. Civ C.).
AIILI(:/INL!,.IEI,INIIIO!
I lrrty dtinn und( p.nahyoftf,rjury om orlh.,bllowin8 dccllrlrn,ns
D.n$lition PcnnirsAsbc{os Notificatiotr Ftdcnrl RcEuhtnn ('l'irlc10, Pln6)
-Rcquncd
Lcttcr oI Nolificari,'n
-!
cdifyrhat rhc fedcftlrcsularionsrcs4din8 r\hcdo\ rcnnlalarc n.rrPtrlic$lcfu rhh nmjcd
llr."nlry,t'u, t t ,'".,a,11, q,pli.ariotr nd \rarc rhlr nE (h'ec inl'orrork'n i\..trNr.I aec ro..n[lywirh allcity lnd Counr,
o'di nr.\ tr(l Sr rrl.rrichr ro buildinE consrrucrion. and hcrcl,y ourlDri. rcsrenrariler ot rhh Cnyand Cou.tyl. cnln ulbn ttr
rlxr. nrtrrnN pn)ltnv
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