HomeMy WebLinkAbout40131883 - PermitPF Mechanical Permit #: 4O{3{883
Pin #: 9E68E
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
I nspection Requests: (7 1 4) 667 -27 38 I nspector Section: (7 1 4) 647 -5853
Project Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-K Address Range:
Tract:A.8. CHAPMAN Historic: No
Suite Range: 1,3,4
Zoning: R4
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 Gt.
coLUMBlA, SC 29212
(866) 262-1815
FeeType Amount
01116002 51604 Clothes Dryer - Residen 38.83
01116002 51600 General Plan Update 21.25
01116002 51604 lssuance 52.98
Qty
3.00
1.00
1.00
IO: LRCISALES4of?3
4t-1131993
4137 Ptl
i4 t2?6.13
Fee
$1 16.49
$21.25
$52.98
t21.25
tt69 .47
$4r296.13
State Lic #: 991194
Lic Type: C-36, B, ASBS, C-16, C-10, C-20
Bus. Lic #: 368085
Workers' Compensation lnsurance:Carrier: Technology lnsurance Gompany, lnc
Policy #: TWC3675469
Expires: 1212012018
Batchi : {2622 - 3/7 l?ttl9
Olfice: CTYH Trgns*: 37Acct*: Refi:
Rcoli'.$2193792 - 3/7/?01.q
Tnonsoct ion Totol
AllA Repiping Plumt,ine' LL(
Generol Plon Updste Fee
Crl I 160C12- 5l 60000tr-
llechon ico I
trl I I 6t02- 515tr4trttL]-
ICL (:heck 002i38
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Multi-Famity (5 or more uni Occupancy:
Alteration Constr Type:
WD Partition Wall (units 1,3,Code:
R-2
VB
cMc 2016 Notes: Washers for units 1, 3, and 4.
Fee Total:
Paid to Date:
Balance Due:
Planning Approval By: Date:
Plan Checked By: Date:
Permit lssued By: Chavez, Dave- - Date: 0310712018v.c-
Subject to Field: Account#
Buirdins Permit#: 10195702
Every permit issued shall become invalid unlessthe work on the site
authoized by such permit is commenced within 180 days after its
rssuance, or if the work authoized on the site by such permit ls suspended
or abandoned for a peiod of 180 days after the time the work is
commenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 5'1600 $21.25
$169.47
$190.72
$0.00
$190.72
lnspector MID#: 2018-141736
01 1 16002 51604
APPROVALS DATE ID/SIG.COMMENTS
Appliances
tr/etal Fire Place
Evaporative Cooler
Furnace
Compressor
N/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.3l './t( q lz N-ont *(
FinalTest
Meter Release
FINAL /-02-l.E 5b-e?tP Sr@tt^)
Notes, Remarks, Etc.
lf ,iffi [li[****i*'*[]##fl ,ilt
to lhc provisions of llrc Conlmclor's Liccnscd kw (Chapicr 9. Commcncing with Scc(ion 7000 of Division 3 of the Busincss and
ProfcssionsCode)orlhslheotsheisexcmpllhcreliomandthehasisforthcallcgcdcxcmption. AnyviolationofScclk)n7031.5hyotry
applicantforapcrmitsuhjelslhc applicanttoacivilpen0ltyo[notmrcthanfivchundrcddollns(5500).
-1.
as owrcr of lhc proIErly. or my cmployccs wilh wagcs as lhcir slc cotrUEnsalk)n. will do lhc work aftl thc slrutm is fril
i[lcndcd or offcrcd for sslc (SN.7044. Busincss and hofcssions Codc: The Contractor's Liccnsc Law docs not apply to an owncr of
lhc pmfrcny who huilds or ir{rovcs thcrcn. and wlk) des such wrrk himsclf or hersclf or lhmugh his or hcr own cmployccs.
providcd lhat such Lnprovcnrnls m not intcMcd oroffcrcd for slc. ll howcvcr. thc building or rnprcvcrrcnl is sokl within onc yc{r
ofcomphlion. thc Owncr Buildcr will havc lhc hurdcn ofpmving tlurt hc or shc did nol hoikl or imJ,rcvc thc pfi,IErly for thc l,urlbs of
sh).
-1.
as owrcr of thc pmlrcrly. am exclusivcly contracting wilh liccnscd conlmctos to construct lhe pmjcl (Scc. 7044, Business
ild PrcfcssionCode:ThcContraclor'sLiccnscLdwdocsnolapplytoanowncrofpropcrtywhobuildsorimprovesthcrcon.
and who conlmcts for such pmjccts with I Contmcto(s) licenscd pursumt b lhe Conlractor's Liccnse Llw).
_l am excnrpt undcr Scction-. B. & P.C. for this rcason.
Ownrr:
IVoRK}'RS' C(UII PENSA'I]ON
NECLAR 'IiON
I hcrcby affirm undcr pcnalty of perjury one ofthe folbwing dcclarations:
Labrr Codc. li)r lhc l)crlitrilrrn.r ol lhc sork li)r shich lhc l)crtrril is i\\ur(l
-l
havc and will mainlain workc6' comlEnsalion insurarcc. as rcquircd by Strtion 3700 of thc tabor Codc, for the [Erforrorce of
the work for which this pcmit is issucd. My workers' compcnsation inrurance carier and policy numbcr uc:
Policy U rT />ty' ,q
T
-l
ccnify lhal in lhc pcrformncc of lhc work for which lhis pcrmit is issued. I shall nol employ any;rcrson in any manner
s astobccomsubjcrttotheworkcrs'compcnsutionlawsofCalifornia.&ndagrccthetiflshouldtEomsubjsttothe
workrs'compcnsalionprovisionsofScclion3T00ofthctatnrCode.lshall.forthwithotrplywilhthosprevisions..
WARNING: Failurc kr rccurt workcrs'compcnsnlion covcrflgc is unlawful. und shall suhjcct an cmploycr to criminal fnaltics and
civil fincs up lo orc hundred lhousand dollors ($100.000), in addition lo lhc cost of for thc
fecs.
DT'CI ARATI(IN
I hcrcby allirm un(lcr pcnnlly ol pcrjury thal I arn liccn*\l undcr provision of Chrptcr 9 (comrrcncing with Scction 7fi)0) ol Division l
of thc Busincss rnd Prultssi(nrs Codc, {nd Dy licrJlse is i[ lull lorcc nnd cllcct
Liccn\c Nunrbcr:
CONSTRUCTION I PNDING A(;ENCY
I hcrcby allirm un<lcr ;nnrlly of perjury that thcrc is a couslruction lcndirg agcncy lbr thc pcrlormancc oflhc work for which this pcflnit is
issucd (Scc. 1097. Civ. C.).
[lndcr's Narrc:
[rntlcr's Adtlrcss:
APPLICAN'I' DIICI ARA'I]0N
I hrtby allinn untlcr g:nrlty of prjury onc of thc li)lk)wing (lcclarill i(il\:
Dcnx)lilion I'crmil\ A\hcslos N(ilificilliotr ltdcral Rcgulations (-l itlc.l0. I'arl6)
_Rcquircd I-cttcr ol Notilicilli(rl
_l certify that thc fcdcralrcgulalions rcgdding asbcstos rcmovul are not applicablc to lhis prcjcct.
0trevc informalion is corcct. I agre lo comply with all City and County
Cily and Counly to entcr ulmn thc
abovc nrcntioncd prcpcny for inspcction purfxrscs.
Applicant or Agenl
Pcrtrritcc nanE (pri[l
F MAR @7JgI8
MECHANICAL.INSPECTOR RECORD
contoctor K 16.