HomeMy WebLinkAbout20166518 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 41 647 -5853
Electrical Permit #: 20{665{8
Pin #: A2238
Proiect Address: 2414 N Tustin Ave
Assessor'sParcel: 396-26'l-55 Lot: I
Unit:
Block: A
Bldg: 14-N Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: 14 N-1
Zoning: R4
q
Owner:
Address:
Contractor
Address:
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 955-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8198
Fee Type
0'1116002 51603 Dedicated Circual
01'116002 51600 General Plan Update
01116002 51603 lssuance
Amount
24.79
22.O8
55.04
Botchi:.{5014 - 7/25/20t5 ID: t:(:ll{',.0ffi{P: CTYH Troneil 40 ? r,,Acct?: R€f i: 2I16.1:i t r',
Rcpti:02&11726 - 7/21/2019 11r1-{ All
Trqnsact ion Totol $2 ' llr:r, .:l:
Qty
1 .00
1 .00
1 .00
Fee
$24.79
$22.08
$s5.04Phone
Tenant Name:
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 356738
Workers' Compensation lnsurancelCarrier: State Fund
Policy #; 921135817
Expires: 051261201A
Ar ins Gener'ol Construction In,:
Generol Plon Update Fee
01116002- 51600000-
Electr i col01 6002- 51603000-
ICL Check 0111{6
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
w/O Partition (Unit 1) Code:
Chavez, Dave
10197133
Date:
Date:
Date:07 t2512018
Account#
NIisc. Receipt:
l\,lisc. Receipt:
lvlisc. Receipt:
Total
Every pennif issued shall become invalid unless fhe work o, the sile
authotized by such perrnit is commenced within 180 days after its
issuance, or il lhe wo* authorized on the site by such permit is suspended
or abandonod for a period of 180 days after the lime the work is
commenced.
$101 91
$0.00
$101 .91
lnspector MID#: 2018-144896
01 1 16002 51600
01'116002 5'1603
$22.08
$79.83
Fee Total:
Paid to Date:
Balance Due:
Notes: Electrical for w/D in unit 1.
rli
R-2
VB
cEc 2016
APPROVALS DATE ID/SIG.COMMENTS OWNEI BUILDER DELC RATION
I hcrcby afirn n.dd ,.nixy of p.rjury rh,r I .n cn.rU from rhc Co.r,cl.N Liccnsc L!{ for rhc follosins .caen ($c 7o:ll 5
Businc$ arn Pmrcsiotr Codc) Any Ciry or Counry wnich icquncs a ,'sn l lo ons!tucl- olrcr inpot- dcnarh! r rpJn uny
srturr rc, plitr t, ik nsurcc. alv, eqntcsrhc ippli. r for such ponir ro Ulc asig..d natmhr rhd tEorshc Ls liccnscd puNmr
h rhc pmvisions olrh. Cotrrracrols Licctr\cd tie (Ch,rrcr 9. AnnnEncins *irh Sccrioi 7(xxr dr Divhnrn:r orrh. Busin.s rnd
Pmtas\ions Codc) or lhrr hror (hc hcrcmt r lhcnfi. Mdrhcbashf.rrhcalLlcdcx.mprion. AnyviohlionoiScclion?Oll.5hy.ny
aptlica for0l).mil subjcchlh. opplicanl lo!civilrcMhyofnol nnrclh.n nvc hunnrcd dollars ($50o)
l. !s owi.rofrh. proFny, oi ny.nphtr.\ silh er!.s ar ihcn e,h .or{f,nsrlron. willdo rtr etrk {d rhc slnrlurc h mr
i cndcd or oficrcd lor solc 1s(.7o4,1. Busincss lnd l'rofc$ions Coler'Ile Conracror'\ I.i.cn* trw do.\ nor rlrly o an o*.c, or
rh.pmFdy whubdldrorir lm,v.s rh.r6n. ond who d,B such e.k himsclf or hcr*ll or rimulh hk or hcr o*n cmplorcs.
tmridcd rhnr .uch imtmmnrs d dn inr.nd.d .i olTcrtd for eL. Il hdwcv.i 0E huildirB or inlmrcnrnl h sold within onc ,@
oi corpbr ion. thc Owmr BuiUcr will hovc ltE bur&n of,riovinB th.r hc or she dil nor lriLi or idptrrw rhc rFFny ror rrE puqrsc or
-1.$otrncrolrhcpopcny,amciclusivclyconrrlcrins*ithliccnsdcoirrlcr(trsr..otr{.rrhrn4!rlscc7()44,Bu$ms\and Pmlixsi. Codc: Th.Conascrx s Li.rn* I-awdo.s or stply r. ,n ownfi o l [o0cny who huilds or irrovcs rhcrmn.
and who..nrrndslbrs.htojrclswiih0Onrtucto(tltutrcdpuru.nrrorhcConrrador'sl-iccnsclju)
-l
m crclnpl undcr S6lion-- B. & P.C fo, rhh r€.son
IJllr (hner
trattr!&rrauuliarrQ!DE!! .BrIIIQN
I hrr.hlrfftrundcr Nnrhrolp.rju,!uncotrhc tulk'wi',s Jcclxrinnn
-l
hovc an sill minlain a Ccnificarc of cl,n*nr to Sclf-lns!rc for wortcN .odrcisa'ion. I pbvid.d lor by Sslion 3?00 of lne
Llbor tue for lnc psfornm of lhc work for which ltc Fmil h issucd.
I hrvc rnd will minrain *orkcrs' compcnsrion insuhm.. d rcquncd by Selion 3700 of lhc tibor Codc, for rlE p.rtulM* ot
lh. mrk lbr whicn lnis Frmil is issucd. My wort6 comp.trsslion insurun.c caricr e.d polic, nlnbcr ml
FIc,"r., sM\{ ruvl(,^
Q>,r1356t -7 !)tz
-l.cniiythrl
inthc pcrrbrmoEc.flhe sork rb.*ht[ rhis!.rn r h nstrcd. Ishsllnor cn'fk,y any p.ra,. ina.t'nrnrcr
q, os b r..on* subjccr b rhc wolk${ ..mpcnsdion lawr or Crliroiiin. ldUNrln ifrshouklbcconEsubicrrornc
workcA.onncnun,nlf.vhi.nsofScrt ]Tmof rh. tjtxtr C.dc,l slull, fodhwirh.onr/y with rhos trovision\
S.criotr:lr)76ofrh.l:ltnrCdlc i,ncrcd and ,rronf,v \ lics
o"", -7125 ll\ o,o,,*",,.W Cll
DECIdNAIIA!
I hcrehy aifirmunder pcnaliyotpcrjury rhsr I E n lienaal under,n(,viion drChspr$ 9 (sfrn.ncing wirh Scclion TuxJ) ofDivnion.l
ol ttrc Brsirc$ atrd Pmlcsions Codc. ond nry liccnsc n in full rblcc md elfd.
l0 l-13
-7 t25/ I ?)dllt\
g)NiraltcIl!]NTENDINli"Ali[Ncr
I h.rby afln'n und.r Fnal'y of pcrjury thar rh.rc n a co.slfldion tndinB ngcrcy tor thc l,crfornnrcc of rhe wo.L ru {hih rhis Frmn ic
hsocd(Sec 1097.Civ C ).
L.nds . N,m
-
l.cnifythlr rhc tadcrul rcgulllions rcBnrding ush.sros rcnmulec nor up,,liclhl€ ro rnis pDixr
@t "*ity,ho, t t'o,","ua,lk ryrlicarion ud srars rhar rhc lbovc irlonMrion h cotrc.r.I asre b c$rtry wirh a cnya.dcontrty
odinsrc.s .nd Srorc t ws elarin8 ro buildiflS consrddion. at lrcrchy adhonzc rcprcsc nrar iv€s . f thh Ciry Md counly'o cmcr ulDn
'lEnh'vc nrnrn cd pmrcdy for instEtiotr pulx)scs
lb,ll(J
Appll.dl or AB.rt Slgn,loE -
P"*ir* nu-" rpanrt, Zrll
D",. a/26//s
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Grounding / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Sollit Rouqh
Ceilings (T-Bar Rough)
Rough tr/rtl z S\ E6
Service I\/eter
FINAL 1/ilr.1 s\(/q
Notes, Remarks, Etc.
ELECTRICAL.INSPECTOR RECORD
W RNING: Failurc ro ecurc wortcrs comnctrsiti(,n covcra8c is unlawiul. rnd shlll \uhjccr un cnpl.)d tr di'nitul FMkics dnd
civir rincs up to onc hunnrcd rhousrnd d.llan (S1(xJ-000), in nddnion lo
'hc
co{ ot con1l*nsari.n. dr r8cs ,s rovidcd lor rhe
AIPITIAII.DICI.AAAION
I hcr..tryufimundc! renrlr, ofrsjury oM orrh. n,lk,*ins dsle ion\:
DcnDlition Pcnnits-Asbcsros Norificslt,n Ftd.ial Rqubriofl\ (Tirlc.{0- Pun6)
-R.quircd
Lcltcr of flotiarcalion
Pole Bases
Under Slab / Floor
Meter Belease