HomeMy WebLinkAbout20166283 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Cavic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{662E3
Pin #: 15566
Proj Unit:
Block: A
ect Address: 2414 N Tustin Ave
Assessor's Parcel: 396-25'l -55 Lot: 8
Bldg: 14-D Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit D-3
Zoning: R4
E
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
01 1'16002 51603
01 1 16002 51600
011'16002 5'1603
Amount
23.47
21 .25
52 98
Fee
$23.87
$21 .2s
$52.98
Fee Typs
Dedicated Circuit
General Plan Updale
lssuance
Qty
1 .00
1 .00
1 .00
Tenant Name:
BaL.,:tItll ii
A',,:t :l
10: (:Ctrt:
?r116629
1 :54 Pl1
$2t641.6
44466 - $/2:.1/2fr15CTYH Trons+: 95
Ref*rPhone
State Lic #: '1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 921135817
Expires: 05/26/2018
l(,:pti:023r:f31'13 - 6/1!:;/24L8
Trun socL ion Iota I
Ar'inF 6'-'nerc(1 (:otr:rllurt icrtr Ini
6enerol Plon Updote FeE
rll 1 1 60tr?- 5l 6tr(rtltl(r*
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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
WO Partitions (Unit 3) Code:
Chavez, Dave
10196846
Date:
Date:
Date
R-2
VB
cEc 2016 Notes: Electrical for w/D (unit 3)
06t25t2018
Account#
Misc. Receipt:
lVisc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall become invalid unless the wo* on the site
authotized by such permit is comnenced within 180 days after its
issuance, or ifthe wo* aulhotized on the site by such permit is suspended
or abandoned fot a period of 180 days after the time the work is
commenced
$98.10
$0 00
$98.10
lnspector MID#: 2018-144268
01 1 16002 51600
01 116002 51603
$21.25
$76.85
Fee Total:
Paid to Date
Balance Due:
Phone:
r .85
.65
Building Use:
Job Type:
Nature of Work:
ELECTRICAL-INSPECTOR RECOHD
COMMENTSDATE
Site-Work
Under round
Pole Bases
Li ht Standards
S FountainsASPool
Si NS monument
Lile Salet /Low Volta e
Under Slab / Floor
/ Groundin / UFERBondin
Translormers
To ueln
Sub-Panels
Rool To ut mentE
Facto Wired Unit
Walls Conduit
Walls Rou h
Hard & Soffit Rou hCeilin
Ivleter Release
I LBouh
Service lvleter
FINAL
Notes, Remarks Etc
l)$ N!:R Bt n,I)rR DEl,l .{R,\ l l(}N
I hcrcby !ii[m !.d.r !..dly or p.tjuty lh.l I m cicnlr fmnr rh. Conhdon Ltcn\e Lj* for lhc tollowi'8 rcasn (s( 7]l I 5
Businc$ ad hor.ssiotr Code): Any Cil, or Counly whi:h r.quncs a Fmil lo con(d'r' dlct. imtrov' dcmlish "r tul,n otrv
siocr!,c,tiortonsissumc.alsorcquiesrh.lPplic$llorsuchlEnnilrofilcosisd$trcmnrlhsrtEorsncisliccn*dpuruanl
to ihc povhions ofuh. conlmcrolr Li...$d L,w (Chtrr.r 9. c.mmncing wnh Sccrn'n TlXn of Division I o' th' Bu\in'* nnd
Prcacsionscod!)orrhlrhcorshehcxcrlplrheetsonrndrlrhoshfdrhcdkedcrc'nrrionAnvriolarionolssrionT0'll5bvlny
aprlicrnl for r pcrnir rubjcck lh€ apPli.anl x, trcivilpcnulryotn.r mrclhd tlvc hundrcddollds($50o)
-1.
a\ oqncr ol lhc propcnr. or my cnPloltcl *irh v4cs as rhcn sh comrcnslrn r. will do thc w"k dt lhc srndm k n'
inreidcd ororcrcd ftr slc iid.7oi4, Busincs,nd Prcfcssn,ns c.dc rhc conlBcttr s Liccnt Llw docs nor lPllv ro nn owmr or
th. tmtEny sk) t{ikrs oi in{mEs rhedin. tfll who dNs sch w.* himscliorhfiPlfor lhrcu3h his orhcro{n 'q)lo}tc\'p",rt.O rrru ,u.rr impmh'Bns m mr inrcfrLd .r ofrctcd for $lc !t howcrcr. fic hlitlin3 tr iqmrtft k stl *irhin orc )ts
;a$mplcrbtr lhc OwE Bnind will hre tlr burdcn or Pmvins rh,r rr or she did br boild or imomrc r lmlElv ror rhc rdrl'E o'
t. $ owncr ol rhe F,p.ny. om .xcl siv.ly snlEdiry sirh li..nsd conrrrrDn ro conslo.r rr' pmi\t (Ss 7044 Bu\ifts
n rnrfcsi, c.dc ihc conrractor s Liccn$ l,ue dms mr .mlv r. a. owtrcr of Por.dv who tuilds or imrovca rhcrcon'
and who conlmch for snch pojErs qnh a Conhdo(9 licciscd pusuanl h rh. Contmcror'r Liccnsc LivI
I r cxcDrpl undcr Se.r ,.ll & PC ntrrhi\ rcr$r
WORT(F I{S' COMPENSAT'ION
D&CLABAIIA!
I hdrby .lfim undcr Fnalty ot p€rrury on ol dc lollowinB d(ldtlions:
lh'!c'rnuillminlain"ccniltllc.tcotr*roscllln{rcforrorl.cR'c.D.nsalio..!!pmvid.dforbyselion:]7fi)oflhc
Labo, Cod.. ln lh. rcrfo,]1ec of lh. {ork tor wnth lhc Pcmir it issu.n.
I h0vc od will tui.(,in w.,te6 compcnsarion insu6nc€ as (auired bv S.dion l?00 of th' bbor @c for lfic Frrorromc of
rhc work ntr *[ic\rhn pcnnil
I eniiy lhar in rhc !fiformne orlh. wort fot sni.h this pcmil k irsncd. I shrll nor cmllovanv pcNn n rtrvnrnmr
g, s ro lf.om $blcci re rrr wortcF ahFnslion Io{s of Clliromi, .nd lsEc rhal if I slnlld hccom subicr to rtE
woltc*'sft!.nsarionpDvisionsotseclio.lTcroollhcLltqCod..lslEll-fonhwilhsmplvsnhrho$lmlnnrnJ"
WA[NIN(;:F lurcloecurcworlc^.{mpcns,lion.ovcBscirunlaqtul.tridshallsuhj'rrdcmPlovc!rooininal|tnalricsnflt
civilfincsUploorchl.d'.dlhousanddolles(slm.ooo)-incddilioarolh..onof.oarltngtion.daroBcssslnlvid.dlorlhc
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DECIASAI]AN
lhcrcbyafftrmundcrpcnoll!ofp.ljurylhlrI!6lienldundcrpmlisidoofchlPrcr9(fumEmin8*ilhs.clion7000).fDivtnln]]
or rh. Busincs lnd PDrdsions Codc. sd fty li..trrc is in Iull loEs d'd etfccr
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CONSTRII(:TION LENDIN(] A(;ENCY
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rucrbn, lnd krcbyrulhoriz. toIrcsctrldi!$ oarhn Cilv und Counr, to.nrn uPotr thc
,tbvc nr nned ln,|]{ny for in
A pplicanl or Alol SlCmtuE:-,",twl1ng
ID/SIG.APPROVALS
Fire Alarm / Dampers
Communications Cable
Buildinq
Air Conditioners
Ceilinos (T-Bar Rouqh)
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