HomeMy WebLinkAbout20165293 - PermitProiect Address: 2424 N Tustin Avea
-
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-K Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: 1,3,4
Zoning: R4
Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 +,t Electrica!
I nspection Requests: (7 1 4) 667 -27 38 lnspector Section: (7 1 4) 647 -5853
Permit #:20165293
Pin #: 55E52
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
The Bascom Group, LLC
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(949) 955-0888
AMA Repiping Plumbing, LL
401 Timberpoint Ct.
coLUMBrA, SC 29212
(866) 262-1815
Fee Type
0'l 'l 'l 6002 51603 Dedicated Circuit
01116002 51600 General Plan Update
01 116002 51603 lssuance
Amount
23.87
21.25
52.98
Qty
3.00
1.00
1.00
Fee
$71.61
$21.25
$52.98
$?1.25
tl24.l'9
$4r2?t, tJ
Botch*:12,522 - 3/7/?.tttS ILI: I-F:CTSALES
0f f ice: CTYH Trnnsi: 3,t ll crl ?,rAcct*: F.rf*; ?rJl.(:i:?3
Rcpt+:0?19379u - t;7/2019 (:f7 FH
Tronsoct ion Totol $4,l.?6.13
AllA Rep ip ing Plunb inB: L[-i:
State Lic #: 991194
Lic Type: C-36, B, ASBS, C-16, C-10, C-20
Bus. Lic #: 368085
Workers' Compensation lnsurance:Carrier: Technology lnsurance Company, lnc
Policy #: TWC3675469
Expires: 1212012018
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave _
Subject to Fietd: 9'C-
Buirding Permit #: 10195702
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
WD Partition Wall(units 1,3Code:
Date:
Date:
Date:
R-2
VB
cEc 2016
Generol Plon Updnte Fee
Cr11 1600?- 5l60110rrLr*
Electr i col
01 I I 6til:r?- 5I 6tr3trrrl,-.
ICL Che,:lr tltl?9::!
Notes: Dedicated circuits for units 1,3, and 4.
Fee Total:
Paid to Date:
Balance Due:
o3t07t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600
01116002 51603
$21.25
$124.59
$145.84
$0.00
$145.84
Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 180 days after its
issuance, or if the work authorized on the site by such permit rs suspended
or abandoned for a period of 180 days after the time the work is
commenced.
lnspector MID#: 2018-141736
DATE ID/SIG.COMMENTSAPPROVALS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soffit Rouqh
Ceilinos (T-Bar Rough)
lrleter Release
AI fznr*Rouqh 0/t ,/,4 ?-\r t
Service [/eter
IFINAL '-6/--/ t sb-t8 / r.'/ S 44//
Notes, Remarks, Etc.
-)
J,tl':,'"r[i,ljlril',':il:at];xl.:]"irirl; rx,,lr rhIl,"xi,:;,il':il
strlrclurc. prior t() its i\\uancc. rlso rcquirc\ lhc rpplicanl for such Jrcrnril k) lilc a qigncd stalcnlctrl lhrt lr or shc is liccrrrcJ pursuilJ
lo thc pmvisions ol-thc Conlrrclor'! Liccnsc(l I-rw (Chaplcr 9. (i)ntrrcncing wilh Sccliol 7fiX) ol l)ivision J of thc Bu\incss atd
rpplicrnlli)rapcrmilsuhjcclsthc upplicxntlorcivilpcnnltyo{noltrx)rclhrnlivchundrcd(lollars(S5{n).
I. as owncr oflhc propcily. (tr my cnlpk)yces wilh wrgcs ds lhcir solc coolpcnsilli()n. will d() lhc work xnd lhc slruclurc i\ n(il
lhc pnrprty *'ho huilds or inrprrvcs Ihcre\)n. rnd who docs \uch work hirn\clfor hcr\ell or lhrrugh his or hcr own cnrphyccs.
ol conlplclinr. tlr Owncr Buikler s ill huvc the burlcl ol provinS lhat hc or shc rlid n(i huild or irnprovc lhc pr)Fny lbr lhc purx)r ol
\rlc I
_1. as owncr of lhc p()pcny. am cxclusivcly conlracting wilh laccnscd conlruck)rs lo conslrucl lhe projccl (Scc. 7()1.1. Bu\inc\s
rnd P()lirs\irl Codc: Thc Contrilclor's LiccDsc Law docs ilol apply lo an owncr ofpropcrly who builds or improvcs thcrcon,
and who conlrrcls li)r such prejccls wilh { C-'orilraclor(s) liccnscd pursurnl lo lhe Conlraclor's Liccilsc Law).
-ltnrcxctr|DlunrlcrScctitrn-.I].&P'C.l()rlhisrcason.l)rtc ()wner:_ _ _
wtlnxnns' coutrrnslnox
-DECLARATION
I hcrcby affirnr undcr pcnahy of Jrcrjury onc of thc lbllowinS dcclffat i(,nsl
_l havc ilnd will maintain r Ccdificilte of Conscnt k) Sclf-lnsurc li)r workers' conlpcnsntion. rs providcd for by Scclion .3T{X) of lhc
hhor Codc, f<rr thc pcrlhrmrnce of thc work li)r Nhich thc Frnlil is issucd.
_lhavcandwillnlainluinworkcrs'compcrsillioninsurance.trs rcquircdhySection3T0Oofthel-rborCode.li)rthcpcdornanccof
thc work for which this pcrnit is issucd. My workcrs comlrcnsation insurancc caris und F)licy nunlbcr trc:
<(9\| '\-4> (o-
('
_l ccnily rhrt in thc pcrforrmncc ol lhc work for which lhis pcrnril is irsucd. I shall nol cmploy any person in any manncr
s(, as to hcconr subjecl lo lhc w(,rkcrs' conrpcnsal ion hws of CulilbrDia. and ugrcc thst if I should bccoilrc suhFcl to lhc
workcrs'compcnsationfrovisionsofScction3Til)ofthcl-aborCotlc.lshall.forthwilhconlplywilhthoscprovisions..
IVARNING: f:ailurc h *curc workcrs'compcnsrlion covcmgc is unlawlul. and shall subjcct an cmploycr to ftiminal frcnallies and
ci!il linc\ up lo orc hundrcd thousand tlolhrs (Sl(x).(xx)). in nd(lilion lo thc co\l ofconr|cnsrtion.tbr lhc
'""utrARn" [ffiod21tg'id
nkmcv s
l)aie: -l - -. - Applicant:
l'ccs.
I hcrchy allirm undcr pcnahy of pcrjury lhut I am licensd undcr provisi(rl ofChaptcr g (comrmnci[g wilh Scclion 70{D) of Division 3
of thc Busincss and Professions Codc. dnd ilry liccnsc is in full tbrcc mtl cflcct.
l-iccnsc Nu rnhcr:x
CONS'I'RUCTION LENI)INC AGENCY
I hcrchy allirrl undcr pilalty of rcrjury thal thcrc is a constructiru lcndinS agcncy for the pcrlbrnrilncc of lhc work for which lhis Frcrmil is
issucd (Scc. 3097. Civ. C.).
Lcndcr's Nanrc:
Lcndcr's Addressl
APPLICANT DECLARATION
I fmhy allinn undcr pcnalty of pcrjury onc of thc krllowing decluationsr
Dcmoliliotr Pcrmits-Ashcsms Notification Fcdcral Regulations (Tillc 40. Pan6)
-Rcquired
Letlcr of Nolilication
_l ccnily lhal lhc fcdcral rcgulillions rcgtrding n$hcslos rcrnoval ilrc n(il applicahlc lo lhis projccl.
(pr.=mry rrrn I hrvc rcild rhi\ anplicar
ordrnanccs rnd Stalc Iiws rcliilinP lo hui
ion and stalc thrt thc atxrvc inlbrnutioil is coficct. I with all City and Counly
and Counly to cnlcr upon lhcikl ing
abovc nrcntioncd pRlpcny l'or inspcclion
Applicanl or Agrnl x
I'cmritrr ntrnrr (print): {+vb1
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ELECTRICAL.INSPECTOR RECORD
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