HomeMy WebLinkAbout20166516 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{665{6
Pin #: 397Oo
Project Address: 2424 N Tustin Ave
Assessor'sParcel: 396-251-55 Lot: 8
Unit:
Block: A
Bldg: 24-A Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit A-4
Zoning: R4
q
Contractor:
Address:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92506
(866) 695-s591
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8r98
Fee Type
011'16002 51603 Dedicated Circuit
0'1116002 51600 General Plan Update
01116002 51603 lssuance
Amount
24.79
22.O8
55.04
Fee
$24.79
$22.08
$55.04
Bqtchi:4s014 - 7 /23/2OlA IDr C(tlf j
office: CTYH Tron6i: {0 1tt ,Ac':t+: Rel+: 2lll166li l,
Rcpt+:0?331734 - 7/25/2018 11r13 Al
Tronsoct isn Totol l2t2t1i.ill
Qty
'1.00
't.00
1.00Phone
Tenant Name
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance
Carrier: State Fund
Policy #: 921135817
Expires: 0512612018
Ar i(ls 6ener(tl Construction In,:
Generol Plon Updote Fee
01116002- 51600(r0tr-
E lectr icol
01116082- 51603000-
ICL Check 01{l {6
Building Use:
Job Type:
Nature of Work
Planning Conditions;
Chavez. Dave
Date
Date
Date
10197131
R-2
VB
cEc 2015
Notes: Electrical for WD in unit 4
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
07 t2512018
Account#
$22.08
$79.83
$101.91
$0.00
$101 .91
lnspector MID#: 2018-144882
01116002 51600
01116002 51603
Fee Total:
Paid to Date;
Balance Oue:
Owner:
Address:
Phone:
l1
t?-t2it').87
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
w/D (unit 4) Code:
Every pemil issued shallbecome invalid unlessthe work on lhe site
authorized by such pennil is commenced within 180 days aftet its
issuance, or if lhe work authorized on the site by such pormit is suspended
or abahdoned for a peiod of 180 days aftot tho tine the wo* is
commenced.
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE IDiSIG COMMENTS OWNElI BTIILDER DELCARATION
I hcrcby ri,lrm uMc. Fnahy or p.rjury rhd I d crcmrr fmd rlt Co"rr&loR Ltcnsc ljw for rhc iollo*ins rcaso rscc 7031.5
Busincs a,n Profc$io. Code): Any Ciry or Counry whi.h ,.qui(l a p.rnir ro .onftu.r. aho. inpiov.. &mlirh .r rclrtr any
srdcr!rc. pior to irs hsuane, als rcquiEs Ihc npplka for su.h pc.mi( b fik a siBftd sl,rcmnt rhat tr or shc i li.ened puNuanr
to thc i'ovnn,ns of$c C.nracbCs Li.cnscd tju (Chaprcr 9. Comm.n.inE wnh Sc.rioi 7{XI) of Dilhion:l .frhe Blii'rcs lnd
Pn,rc*ions Codc) or thar h. or shc is cxcmtl rhcrcftom a.d thc basis for rhc rllc8cd cxcmplio. A., vi.hlion of Selhn ?031.5 by lny
ippli.aflforapcmnsubjcchrhc,pplica.rbrcivilpcnahyolnormrcrh nlc hundrcd dollF (5500)
!.,s owncrnfihc proIf,ny. ornycnrpn,ylcs wilh wascs.slhcir slconpctrs nnr. will do thc {ort ud lhc slruclurc is nol
i cnd.J or ofi.r.d li, elc (Se.7044, 8trsinc* a d tunt$ions Cod. 'l hc C.n rucroi c l,iceis Llw docs not lppiy to ai owncr ot
rhc p.pcny uho builds or impmles rhcmtr. drd who docs sn.h mA hims.lfor hcrcllor Ihmueh his or hcr ow. cmplolccx.
prcrilcd rhd such i.rlmwmnh d tur imunth.l or.lTcrcd ,or Eh It hoMq rhc hildin8 or impmrmnl i\ $ld *irhin onc )rr
ofdnt{,lcri.n. thc Owncr Buiuer Nill h0!e ltE ttrdctr ofrmvin8 tnn hc or snc dil d hoild nr in{ro* fic poliny ior thc [drlx'*.f
I. .s ostrn or rh. In,t dy. m cr.lusivcly ..nrrrcring sith l&na! contracron ro con(rucr rhrymjccr (S( 7044. Bu.ilcs
arn h.i6sh. Codc:1hc Contrfror's Li.cnsc L,w ddr nor npply ro an.wncr orr.p.ny*ho buildr.r nnpr.vcs rh.r.on.
a.d who mnrrlcls for ruch rnoFrs trirh r Contmcro(s) liccnscn puGurnr ro rh. Co rn.rols Licctrr Liw)
I dcicn undcr Seclio I & PC turrhn rcr$[
Iltxf,E8[rl]ullNs{L[rN
DECLAN{IIQX
I hctoh, nflnn uM.r prMlry.f p.rjury oic.frlc n,l[)sin[ dEhrarii)n\
I hnv. ,ii *ill tuintdi a Cenificrre of Conscnr ro Scll ln\urc for r$ke^ mmpctrsrn,n-!s provid€d lorbySccrion:17(Ootrhc
LrlEr G)d.- lor rhc pcrformncc oI rhc solt lor *hich lhc pcrnrir h h$cd
_l haw lnd will nEimain workcB comp.nsatbn insu.dc., a. Btut d by S(rio. l?00 of th. tlbor Codc. for llE FrfmMc of
'hc
trorkfor which lhi: tlcmir ir hsrd Myqnrkdi c.'nFnsar'on rnomc.corE d t$lEynumb.r @
c, e, Stalr Erc-lq21\3o6 t7
I..'riry rhar in rhcri.rlormanc.orrhc * * ror rhichlhh pcnn n ns,cd- I shrll nol cnrplo, any lcnon in uny Drnmr
so s lo bc(nm uhFd ro rhc *ortsC .o rFn\rinnr L*s of Caiif{mil snd r8rft rhd if I \hould hrom $brcd b rh.
w.dcrs conr!.nsariotrIrolisiotrsofS..ri{ :l70O ol rhc litxr C{xlc. l \hrll, n)n hwirh .\nntly R irh rhiM nmvhio \
WARNING Fuilulc lo surc workcn'conDcns ion stcriSc is unliw,iil. ond Wrll suhFd an cmplor€, Io cri inal Fmhics snd
.i!il fincs up ro om hundrcd lhou\and d.llln (Sl(x).u]l)), in iddinon ro rhe co{ .l conD.nsalion. dam8es !r ln,vidcd lnr thc
S.cri(r :1076of Ihc,f,txrcldr inrcrc(xndrrrrrv \li.s
1129i4?t lv,on"'nr,l/11
DECLANATON
I heEby !flirm unncr l)cnalryofp.rjury rhnl I m lian..d und.r Fovision ofChatlcr 9 (onnrncine with Sction 7m0)oiDivnion 3
of lhc Busift* &d PNfes.iotr{ C.dr, ,.d n, liccn+ n in flll fo,e and .fis'.
3 lol-7qj l-
7D,r/lb to
CAISIBI]CUIINIENDING.dGIN.CI
I hcEl,y !fiirnrundcr pc.ohy of pcrjury lhal lhcE isa consloclion hndinS aScncy for the lcdommncc oflhc sork tor qhth rhis Ilcrn l h
issucd (Scc.3097. Civ. C.)
AI]LIIANLDECLASAIIQ!
I hsrtyaltimu crF.dryof Frjury om of rhc follo*i.e d*lmlions:
o.mlirion P.nnirsArbc{os Noiincdion Fedc.dl Reslhtions lTnle.l0, Pan6)
Rcqrtcd lrncr of N.rifi. i,i
l.cnilyrh r rhc fcdciiltulul.!otrs [SnklinA a\h.(or rcnx,vx]arc n.r trpfli. lrLft, rhh t,e&cr
etl ccrtily lhnr I huvc rcsd rhG applic&rion md srarc rhoi rhc ltrrvc inronmtiotr n coret. laare to comply wirh rlr ciryund coonr,
ordinanccs ond Sratc Liws rcLriry to huildin-q c.nstrucrion. d{ hcrcbyaurhorizc rct cEnrarilcs ofrht Ciry and Counryro cnrcr upo" rlr
abovc rB0linrd pm!.ny for irspRlio. pur|xi*s
.\ppliunl f,\Arnl Sixtr lu 7l25/lb
\hrlltr
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Satety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Bonding / Grounding / UFER
Translormers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilin gs (Hard & Soff it Rouqh
Ceilings (T-Bar Rouqh)
Ivleter Release
Rough f/4 /t,t SDgY
FINAL $/t511 9L6't
Notes Remarks, Etc
h
Pole Bases
Under Slab / Floor
Air Conditioners
Service IVleter