HomeMy WebLinkAbout40132378 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 4(J13237A
Pin #: 27372
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Unit:
Block: A
Bldg: '14-N Address Range:
Tract: A.B. CHAPMAN Historic: No
ry
Assessor'sParcel: 396-261-55
Owner:
Address:
The Bascom Group, LLC
26 Corpomte Park Drive, #200
lrvine, CA 92506
(949) 955-0888
Fee Type Amount
01116002 51604 Clothes Dryer - Residen 40.34
0'1116002 51600 General Plan Update ?2.08
011'16002 51604 lssuance 55.04
Fee
$40.34
$22.08
$55.04Phone
Tenant Name:
Contraclor:
Address:
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 3s0-8198
gotchi3{5014 - 7/21/2fi18 ID: cCUEl.
Bffice: CTYH Tronst: 40 4 ofAccti: Refi: 4013237i.
Rcpti:02331728 - 7/23/2918 11:13 i1ll
Tronsoct ion Totol t2 r2tl?. illi
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsu€nce:Carrier: State Fund
Policy #: 921135817
Expires: 051261201A
Ar ios Generol Construction Inc
Generol Plon Updota Fee
01116002- 5160m00-
llechon icol
01116002- 51604000-
ICL Check 01{ 116
Building Use:
Job Type:
Nature of Work
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
wD (unit 1) Code:
Notes: w/D in unit 1.
Planning Conditions:
$1',t7.46
$0.00
$117.46
Every permit issued shallbecome invalid unlessthe wo*on the site
authoized by such permit is commenced within 180 days after its
issuance, or if the wo* authoized on the site by such pemil is susponded
or abandoned fot a peiod ot 180 days aftet lhe time lhe wo* is
commenced.
lnspector MID#: 2018-144896
01 1 16002 5'1600
0'1 I 16002 51604
$22.08
$9s.38
Fee Total:
Paid to Date:
Balance Oue:
Project Address: 2414 N Tustin Ave
Lot: 8
Suite Range: 14 N-1
Zoning: R4
aty
1.00
1.00
1.00
R-2
VB
cMc 2016
Planning Approval By;
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buildins Permit #: 1 01971 33
Date: Misc. Receipt:
Date: Misc. Receipt:
Datel 0712512018 Misc. Receipt:
Account# Total
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS
Appliances
lr/letal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes D rYer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.8/d /rc 5t>€t
Final Test
FINAL c*,/l{/rt '.-^56
Notes, Remarks, Etc
OWNER BUILDER DELCARATION
I hcrcby antrn urler p.nalty or lcriury ftat I m excmpr foh $. Co r&!06 Li(q* Lie f6r lhe folloei.r usn (1N.79J1.5
BBin€rs and Profession Codc): Any Ciry o. Counry anich rqui$ r |tmh ro @nmud, rltm, in!l!6rc, .kmlhn nr rcprn dry
sttulm. rior ro ars hruucc, oko reqdrcs rhc a9llic&l f.r such Fmir ro lik 3 si8n.d slalc@nr lh lE or sh. is lie .n purtultt
h rnc Fovisio.s ol tlE Conxstoas Liccnsd Llw (Chaptcr 9. Comrcing *i$ Secrion ?000 ot Diviiion 3 olrh. ABi.car and
Pmf.ssions Codc) or rhat lE or sh. i!.xeru rherclioft ud rh. basis tor thc allee€d eren{niod. Ary tioLrion ofs.clion ?0J I J by uy
arylicant for ! lEmir biFr3 rlE q'pli.s| to a .ivil p.tuhy of rcr mE rh,. fiE tunrlnd dolrs (S500).
-1,
as oqicr of thc F!,Eny, or ny rmploy*s wirh *agcs $ rncir slc comp.neri.n, wiu do th. qrt !r'd tlE strutm b mr
inlcd.d or ofi.md for 3rL (5(.7014, Busirc$ and Profcs.ion. Codc Thc Conlr.clM s Lk.ns l,s do.s mt opply lo !n ower of
thc pEFny wlF trilds tr iqmB $cmn. ad eho dms *h 6rt himsclf or h*slf or rhDleh hh o, hc, own eoployecs,
prcvidcd lhar suh inprcwmnBmmri cBLd troltu aorsL.la. hoeE, tu hildi.e or iqmwEnr L sld wihin om r@
of oq dbn. 0E Ow!.r Buildcr *ill Mw 0r hqlcn of lmving tur h. or sh. did mr bdld or in n'k dE lretdy ld tlx ptrFft 6r
L Noqnfi.lrhc pmpcny. anrrclusivcly.onrding wnh lic.nscd conrmcroN lo construcl llE pmjcd (S(. 7044. Busrcs
ad E!,cshn Codc: Tnc Conlrocrols Lkcnse tjw do.s nol oFllylo an osner .f lrol,cny {ho buildsor idrmvc\ lhcrco..
a.d who cod$.( for such pmjccrg wnh . Conlr.crons) [c.rsd puhuMr r. rhc C.nh.bls Lk.ne tjwJ
I m cr.npl undcr Sk'.l io a & PC. lnrthhrco$n.
IABf,EIN:IITMfINSAIITTN
DECI,If,A]JA!
I n rcby amrm und.r p.Mxy ol pgjury om ofllE followin8 del,rarions:
-l
h8B o'd siU @iii.h r C.aifr.re of Co.Enr ro Scllhs@ for works omp.nsrion. !, pmvid.d for by S*tion l7m of rh.
t$or Cclc, to, rhc pc.f@ of th. mrt( foBhhh rlE F6nI i! hslcd
-l hovc rrd will roi.rrin worlcs comFm.rion insur0mc. .s rcquiEd by SNlion 3700 of lhc Ldioi Cod€. for !n. ped{,Mc. .t
lhc wor* for which lhi\ p.rmn i3 hsn. M, wmt R' omp.nsdion insumc .micr od rFli:, nlnbd e:
*dk FL,tu^
1368
-l
ccnify rhor inrhs pr,fortu..e of rhc *ork for ankh rhis tion is itsued.l shlllnol crploy uy pcr$n i.anyDUrcr
s !s lo bcconr subictl b lh! vorkcro'mmpensark n [ws ol Cllifornin. a.d r8r that ia l shuld bcom subr€{l ro ',rworkcs' orlpcnsl ion povisions ol Scclion l?0o of rfic lltor Codc, , slEU. fonh*nh conply snh lhoc povicbn..
WARNINGT [dlurc 'o
suE wort.rs compcn$lio. .ov.n8. is utrl,*ful. lnd rhill subjRl & eq,loyc,lo dintiid pctullics dd
civil n6cs u,' t'.n. hnndrcd thousrnd dollus (slm.Un). in lddilnrh ro lhc cosl ofcomFnsrlion. doroEcs as lrovidcd f.r rhc
Sccri(in 1076ofrlr.t;,htr(-(xlr,ir cto{r du onry'\ fcr\
LO M
IISEISIILCONIBACIAA
IECLTIAIIO!
I hcrby umnn und.i pcnrlryolpdrjury rh,r Ln liccn$d und$ tmvniotr olChrntcr 9 (commncin8 rirh Ssrbn 70(x)) orDivhion l
ol rls Bu\inc$ and Pmfc\snnis C(}dc.,Jd mylicctr* i\ in tull irxN drd cflacr
ts lolTss 6
caNflAIJelIatrL,ENrllCrlGliNlJ
i\\u.J rSN :lot)? ( iv ( r
AITII{:AUII}ECI.ABAIION
I hmtly oflim nnd$ l.nrlryolpcrjury onc oflhc foilowing d(le0rio.s
D.rmliion Pcrnrirl sh.(os Notilicirion ltdcr(l RcSul.rions ('lirlc4l). Pin6)
-Rcquircd
Lcrrcr oi Norifrarion
-lccnilyrh
rncfedcrallcsuhrions resrdine asb.st,\ rcnrlll m nor rpplic,hlc ro rhi\ nmFcr
ZiJ ccniry rh( I tutrc rcd rhh applicarion !d \l!rc rhir rhc ik,vc inli,ruri('n i\ c.r.cr. I rtie to mnDl, {irh lllciryafrl Coutrly
onlinrkt.0nd Srar. Lrws nlttrin8 lo bxildirS c.nsrurri(,.. d{ h,cby ourh.rn. rcrcsntlrnc\ nrrhi\ Ciry aid Counryt' cnrn u|rn rhc
trhow
'nnrion.d lmp.ny ror instBrion
d
Z+Vr Arl6t //o
I
ID/SIG.
Meter Release
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