HomeMy WebLinkAbout20167406 - Permit (2)Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
$4
lnspection Requests: (714) 667-2738 lnspector Section: (714) 64
Electrical Permit #: 2O1674OG
Pin #: 3664{7-5853
Proiect Address: 24'|.4 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 14O Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit 14O.4
Zoning: R4
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Fee Type
Dedicated Circuit
General Plan Update
lssuance
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tir '
14/?l'l1lJ
n:r+: 99(cf+ I
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The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 9s5-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8198
01116002 51603
01116002 51600
01116002 51603
Amount
24.79
22.O8
55.04
Qty
't.00
1.00
1.00
I l-l L6I
t.')
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9211358
Expires; Osl26l2019
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Building Use:
Job Type:
Nature of Work
Planning Conditions:
Multi-Family (5 or more uni Occupancy;
Alteration Constr Type
w/O Partition (Unit 4) Code:
Dale:
Dale:
Dale:
Expand coat closet opening for w/D in units with 2
bathrooms. No bedroom addition, exterior alteration
and/or addition of square footage proposed at this
time. Original P/C performed under #10193842.
$101 .91
$0.00
$101.91
11t14t2018
Account#
R-2
VB
cEc 2015 Notes
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wo* on the site
authoized by such pennit is commenced within 1 80 days aftet its
issuence, or if lhe wotu authoized on the sita by such pemit is suspended
or abandoned fot a p6iod of 180 days aftet the time the wo* is
commenced.
lnspector MID#: 2018-147683
011 16002 51600
01116002 51603
$22.08
$79.83
Fee Total:
Paid to Date:
Balance Due:
Fee
$24.79
$22.08
$55.04
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buildins Permit #: 1 0198370
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE IDISIF,COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Ir/eter Release
Rouqh
Service Meter
FINAL Nta\r$b/ q.l)z,{\oh A}44$)
Notes, Remarks, Etc.T
OWNER BUILDCR DEI,CARATION
I he..by arm uodq p€nalty ol Ddjury lhat I m exeDpr tonr lh. Conlr.clors' Lic.ns. bw lor $. iollosins rcMn (S( 7011.5
Burin63 ed P(l6sion Codc): Any Ciry or Coudy shi.h rcqune a lonit to conslrucl. alla. imprcv., d.oolth oi qEir dr.
slruclue prbr lo ils is@cc, also r€qun6 lh. ,I)pli.d ro! such Fmn lo fr1. a si8..n 3tdand rhat h. or sh. is licmed pumen
lo lh. nlvisions of ih€ Conk.croa! Lic..*d Law (Chapltr 9. Comncncin! rirh Sarion 7000 of Dilision I olthc ABins &d
PtuGst'ns Cod€) or thar he or sh. is qempl lh@6oh dd rhc bsi. lor rhc dl.g.d ddnplion Any violalion olstrrio.70l1.5 by any
applica lor a p.mn subjma th. applicsnt lo rcivi,p.naltyof.ot mor.lhm fivc hun&€d dollds ($too).
I. oMs ol th. prop.ny. or my cmplo,6 uilh rvas6 as their sl..onFsrion, $ill do thc rvdrt ed lhc struclEe is rcr
int dcd oroffrcd ror saL(5€.7044, Bsin* dd P]oa6sio6Codc Tte(onlEcrols Licms Lrw do6 nol apply ro d own( oa
lnc prlpdly wlF buiib or inprovB thqor otrd who do6 such so* hiBsell or h@lr or lr@ugh hb or hd own anploy.B.
ptuvidcd thar such ii[rovddB e mr i.rdt l or oftdrt for el. l( la)$a6. rh. l ilding or inrarovml is eld s nhin on. ,a
ofcomplclion. thc O* nq Duildg sill ha!. lh. h{dq ofp,o\ins tha hc or sJt did .ot hrid or impm\. lhc popdy lor th. pttrpos ot
_1, BoM6oflh. Fopcly. d.rclci!.1, conra.ti.g $irh li.Nd.om6doBro @N]rucr rh€ p,ojnl (56.7014, BBrne
and h!ftsion Cod.: Th€Co.mc(ofs Ltd. Law do6 nor apply ro o0{.6of propdyRho builds or inprcr6 li6eo.
dd who conlqds foi such Fojels wnh a Conim.lo(s) licmsd pu6unllo thc cohtrdors Liccc. Lrw)
_l &ncx.nfl und6 Setio
.[oatrEaslollrrrtArr9rD!C!$AIIg!
I h€reby ailrm undcr pcnaly or psjury ooc of thc iollorvins ddl&arhro.
I hav€ ud {ill mainrain a C€n iticate of CorHt ro Sclf- lEule fo. sork.B conrpcnsalion, s Fovid€d tor by Strlio. l70O ofln
llbor Codc, for rh. p6fommc. of rh. sort lor shich lhc ,6nil is isu.d.
I ha!.andqillmrinhin $orle.r conrpetralion imurancc,6 rcqun.d by Se.lion l?00 ofrh. Lat{r Cod.. aor lh. pslonnec. of
rh. soi{ lor whlch rnG pmil is iseu.d. My workm comp.Nrion iNulmc€ c id Md I1 licy nunbo tr
s l-\r-q
ceaily lhal i! lhc psfo.o.ncc ofrhevo* i(n which (his pdir is issucn. I shall nor enDloy ony p€6on
'n
any ndne
s a lo h..on. subjet to tb. Mrld comFns.lion Iows oicalifomi.. ud asre lhal il I should tt{onr 3ubjdl lo tl'c
s!.t6' .onp€slio. povisioB of S€.lion lr00 of thc tibor Code I sltrll. fodhwnh .lrply wi(h rhoc povisio6..
WARNIN(; F ilur. to surc aorke6' comp.ns.lion covcms. is unlawtul. and shall subj..l an dnplord to ai,ninal pduhiB ud
civil fincs op ro on. huidrcd lhoNsd dollm (t100,000). itr addilion to lt€ co$ olco in, ddares a prolidcrl lor the
s&ri.n lo7N.l,h.la, r
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('ode. inrftd md rnomcy s aG.
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I h6cby amm und( pcrahy of Fjury tha I d li.qs.d undd Fori.ion ofchaprd 9 Gomdcing $ ilh SEIDn 7000) of Dirition l
ol rh. Busin6s ed Prof*io6 Code. ad my lic@ is in full torc. dd .lTd.
6 rcl1qlt"
IrlrtFg ft{+(
(oNsralcralrErDllc3cElcl
I n*b, amm undd Fnahy of prjury rhar lhft Ls a codruclion kdins attrcy for rh. p6aol]mc. of thc mrk for qhich lh6 ,6tn b
tsuql(sc 109?, Civ C )
AIIIICAILDECI,ABAUAN
I nqdy altm undd p.nohy ol p.rjury on€ ol lh. follo*ins d6l&atiom:
D.mohion Pmns-Asb6tos Noti6catio. F.dml Rqul0lions (Tnb 40. P6l6)
R.qoil3d Lrto of Notilicrtiotr
y cdiiy rhar I havc r€ad rhis applicar io. and strlo rhar rh.is corst. I asre ro complyrvith oll Ciryand counr,
ordi'mD!6 rd Slrrr l.!\ s rclahn! h r.l)6at.tiv6 olrhis Ciryed County ro 6td u[bn rh.
abore morion€d prop.ny for
,,," fl furx
Air Conditioners Ii\ntres:
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cdiry that lhc l€d@l r.suklioB r€sadins 6h6los rooval e nor applicabl. b tnis projdr
P€mlne nimc{prif,O: