HomeMy WebLinkAbout20166517 - 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
Electrical Permit #: 20{665{7
Pin #: 52O4O
Proiect Address: 2424N Tustin Ave
Assessor'sParcel: 396-251-55 Lot: 8
Unit:
Block: A
BIdg: 24-S Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: S-3
Zoning: R4
q
Owner:
Address
Contraclor
Address:
The Bascom Group, LLC
26 Corporate Park Orive, #200
lrvine, CA 92506
(949) 955-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(3r0) 350-8198
Fee Type
01 1'16002 5'1603 Dedicated Circuit
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
24.79
22.O8
55.04
Fee
$24.79
$22.08
$55.04
Qty
1.00
1.00
1 .00Phone
Tenant Name:
tl)i (:{.tll
rllr t6,4l:ii
Phone
n !,t r.! rrtil rf'tr llt
al Il llll l
r,iirirIr-
r:ri + 14
Building Use:
Job Typel
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
BuirdinsPermit#: 10197132
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
wD (unit 3) Code:
Date
Date
Date
R-2
VB
cEc 2016
lvlisc. Receipt:
l\,lisc. Receipt:
lvlisc. Receipt:
Total
07 t25t2018
Account#
$101.91
$0.00
$101 .91
Ev6ry permit issuod shall becorne invalid unless the work on the sile
authoized by such permit is commenced withih 180 days aftet ils
issuance, or if the wot* authorized on the site by such permit is suspended
or abandoned fot a period of 180 days aftor the time the wo* is
commencod
lnspector MID#: 2018-'144883
011 16002 51600
011 16002 51603
$22.08
$79.83
Fee Total:
Paid to Date:
Balance Due
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance:
Carrier: State Fund
Policy #: 921135817
Expires: 0512612018
Notes: Electrical for w/D in unit 3.
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BU I I,DER DEI,CA'IATION
I hcrchy olfirm unncr pen,lry of Friury rhar l o crc,npr lmn rhe Contacro^ Lic.n* tjw lor thc rolloqin8 rcusr lscc.?(rll.5
Br\iicss ,nd Pnrf.stkrn Cdi.): Any Cnt or Couni, *hkh ruqun s d Fmir b onirucr. altc( improvc. dcmlhh or rcIEn My
nrudurc. priorlo its issu cc. al\o rcquncs rh. anpliu.nt lor such lt.nnilto lllca rigned ndcmnr rhm lf,orsh. ir l,cc scd ,ur$Mr
ro rhc provisio.s ol thc Contacrois Liccn$d tiw lcl[|,cr 9, aonmkNin8 wilh Scdion TOOO oa Divhion ,l or rh. Busincs rnd
PmicssionrCodc)orlhlthcorsheisexcryrlhercironondrhchasnforrh.rllcscdexedrrn,n nyrn arbnorScclirtrT0ll thy.ny
lprlicrnr lor ! pclmil subjsls rhc lprlicanlro acirilpcnalryolft nnnc lhm fivc humttcd d.lhs ($5fi))
l. rs .wmr ol lhc trcrcny, or nry cnDlolecs wirh sagcs !s rhcir {nc coryrn\al ioo. will do rhc tort Erxl rlt imtoft (
'xinrcd.\l or ollcrcd ,or slc (Sa 7(N4- Businc\r nnd Pm,cssiN C.xlc Thc O)nta.ttr\ l-kcnr llw docs not q,Ily h {n ow"er ol
rhcpmEny wh) ttri}:rs or iqrovcs rhcrsn. e, wth des suh w.* hnns.lfor hcnclfor rhmueh hh or hcr nrn cq,lorccs,
providcd rhar su.h inpowftnrsm mr imcd.t orofi.Rn li,r ek.l( hokv$. rhc bliltina or impNEmnt h wld *irhino'r rru
oa.or'l)kri,n, rhc O,mr Buiki€. will h,w rh. hrddn ot pmvins rhd h. or shc dil mr buiH or nr$mw rhc pmtEny for lhc puqnsc ol
I. r\ owncr ofrh. pnipcny. drcx.lusiv.lyc.nrn.ri'rg *irh li.cn\cJ cotrtrcr.rs ro.nr{rud rhc protccr lSc.1(}14. Bu{nc$
rkl hofLssh. codc: The Contrdols Liccn$ Lrw des flor ipllyro.r owncr oipropcny{ho builds or tnpnrcs rhcrcon.
anJ shr conrncls tor \uch proFcrs wirh r contNktrG) liccnsc.i I)UsuMr b rhc contactr's Li..n\c hw)
lndcxcnfl u.dcrsccrio
rl)ax,EB!:raulltsA:Ita!
DDCIdSAIIS}ts
I hcrcby rf,nnr utrdcr pcnallyofpcrjury onc oilhc nnk)*inE dccl rrlions:
-lhavcod*illnuinrain
aCenificaleofConscnr ro Scli ln\urc |or workcr'ompcnsrk n. pr.vid.drorbys(rnnrrT0Oolthc
lrtff (bdc. for rhc pcrf.rmncc oirhc aort lor qhich ihc pcnnn is nsucd
I hNc and *ill ruinl3i! *orkcrr compcn\arbn insurrmc. a\ rcqdiftd by Sftr n,n l70O oI Ihc hbor Cbdc. for thc pcrfonrun.c nl
rh. w.rk fd which rhh ncmir is hscd. My workc( omncnsdx in\urjtrcc cnnicr md policy numlicr ae:
srtak fi.,'4d
WARNING, lirilrc to \ccurc wortcrs conrp.trsirion.ov.rrsc n trnhlr l. rnJ \hrll \ubi.cr an..r oy& k, .rinnrl Nnrltics trod
civil ftrcs up ro onc hundrcd rhot$nd dollls lSlU).1)00). in: diri(n,brhe.onor.o.1p.trsrn.dnn+csrspovnlcdri)rlhc
S..ri,r,.lo76olrhc lilhorGytc- i' crcn J
lz5/tb
DECI,AAAIION
I hcrcby rmrm undcr pcnollyoflsjurylhal I rm lian$n undcr povnion ofchlprs9 (onrm ingwirhSccibnTcroo)olDiviriotr3
or rh. Bxsifts {.d Pbr.ssions Codc, aid ny lilcn* is i. 6rll forc md .ficr.
Dlaq3L
7tL?/13
CAXSIBUCIIONI.ENDIIGNAENCI
I hcrcby afiirmundci Fnallrotpcrjlrylhal rhcrc is a consldcri,n lc.din-q aseicy ntr rh. Frroi.Ucc of$c aork lbr uhtt thn Fnil is
lsucd (Sc. lur7, Civ. C.)
AffIIIANfDEgI.Af,AIIq!
lN,yanlmundcr pcnoltyofp€rjury one of thc toll.*itrg dcclmolionsl
D.molltion Pcrmirs Asb.sos Nolificarion Fcdcml R.Sul,rions OnE 4'{J. Plno
Rcquinld L.lld .l Notiarcation
_l crrilyrhll rhc fcdcral rcguldions reprding r\h.sr.s rc.r,vul r. n r ottlic.hlc to rhh pm]c.l.
'7*4ll.cnrryrharlhatcrcodrhisopnlEahonand{urcrhrrhcrhovcinlorMrionncomcllasdroeq)lywnhallCilyandCounly
onlimnccs.nd SIfu tjws rcldin8 to builditrB consrrucrior ud h.rcby outhorizc rcprcscnruri!.r oflhh Cny Md C.unryto enlcr u,$n lh.
Jh*c mnri,,ncJ I,n'ncdy fur in<p.diun purp.*r
nrr,,".,, r. nr-, a,**,,*' d:lftff-a,t/
bl,)
75
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communicalions Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
Ivleter Release
Rough 1/4/*s\ r1t
Service [/eler
FINAL 1/ rVt*9D 6A
Notes, Remarks, Etc
ID/SIG.
Pole Bases
.,"r*.,*,, (Zi135Rl 7 o*r",, 5ls t,t 18
l..niryrh.r i.rh. p.riormmc of $c work lor which rhk p.rmn is nsucd.l shull not cnrl'loy !n] pc6oo in dny tunncr
y, as l0 be.om subFl lo lhc uorkcn corrpcnsiion laws ofCllifonria, aEl laec rhDr itl srhuld l$.m snbir! ro lh.
wortcF ompcnsrion povhio.s oaScclion:17(Dolrhe Lltn C.dc.I shsll. fdhwnh..mply wirh ihos povnions..
Ixtulcr'\ dJ'c(