HomeMy WebLinkAbout20167410 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requesls: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20167410
Pin #: 881tl4
Assessor'sParcel: 396-261-55
Unit:
Block: A
Bldg: 14-O Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit 14O.4
Zoning: R4
Contraclor:
Address:
Tenant Name:
Arias General Construction
170'15 Caslmir Ave
Torrance, CA 90504
(3r0) 3s0.8198
0'1'116002
01116002
01 't 16002
01116002
0'11'16002
Amount
1.45
'L 58
1.05
22.O8
55.04
51603
s1603
51603
51600
s1603
Qty
5.00
12.00
5.00
1.00
1.00
Fee
$7 .25
$18.96
$5.25
$22.08
$55.04
Fee Type
125 Volt Receplacle
Light Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
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State Lic #: 1017936
Lic Type: B
Bus. Lic #: 356738
Workers' Compensalion lnsuranceCarrier: State Fund
Policy #: 9211358
Expires: 0512612019
ijpdoLe Fee
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Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Conslr TYPe
Fixture change outs (Unit 4) Code:
R-2
VB
cEc 2016 Noles: Fixture change outs. Unit 4
Date
Date
DateChavez, Dave
Every petfiit issued shall becofie invald unless lhe wo* on the sito
authodzed by such pemit is commenced within 1 80 days after its
issuance, ot if the wod< authoizsd on the sile by such pemit is suspended
or abandoned lor a peiod of 180 days after the time the work is
commenced.
11115t201a
Account#
$108.58
$0.00
$108.58
lnspector MID#: 2018-147692
01116002 51600
01116002 51603
Fee Total:
Paid to Date:
Balance Due:
Project Address: 2414 N Tustin Ave
Lot: 8
Owner:
Address:
Phone:
Phone:
The Bascom Group, LLC
26 Corporate Park Orive, #200
lrvine, CA 92606
(949) 955-0888
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Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$22.08
$86.50
APPROVALS DATE ID/SIG.COMMENTS OIVNER BUILDER DELCARATION
I h6eby amn! under p€nahy of pcrjury thlr I m ex lpr lrom rhe (tnta.rors' Lic.nse l,* for rhc follo*in! r.en (Sd 7011.5
Ausins ann Profdion Cod.): Any Cily or Coum, whi.h r.rtuis r lErnil ro consltud. .h6. improve doolish o q,an ey
sttudu., Irror b ns is@... also ,.qun6 $c Agplic r lo! such p..nn to filc a sis.cd narod rhal h. dr sic is lics.d pufu&r
lo lh. provi3io6 oa0e Conlraclois Lic.nsed Lrw (Chafld 9, Condcncin-q wilh s..rio. 7000 of Divirion I ofth€ Busins ad
Prolessions Cod.) or thdl h. or sn is cxcmpl thdrfto,n ed rhc basi! for lh. allelrd.x.mplion. Any viololionofsElion 70115 byany
applicanlloraponitsubjelslh.applicanlloacirilpcnokyofnotmorclhefiv.hun&.ddollrs(t500).
l. 6 ow.d o lthc proFnr. or my .mplotc witb waB6 a rhcir $1. .or.p.nsalion. will do lh. $olt dd lhe slnrlrc t ml
inlodsj or oFded lor salc (Sc 704.1. Busin6 and Profsions Codcr'lh. Contidolr t-iccN Law do6 nol apply to 4own€.of
th. pmpdry vho hil& or n prov6 th6[ {d who do6 $ch s6d( himsclaor h.Blf or lhs Ah his or hd ow. cmploy.6.
prolidalrhar such imlrov@B d. mr iddddl or ofised f.r eL. lL IFNIE. th. h.ildins or ihpturd*d ir $ld lithin.n. ,a
ofconpLrbc lhc (lvnd Builds {ill hare !h€ hnlo of pmvins thd h€ or shc did m hrild or i'nFoE $. Flpdy for (he pnrpos oa
_1, N o*is orrhr Fop6ry, d cx.lsiv.ly codracrin8 *irh li.ryd coddtouro M$rud rhc ptujd (sd 7044, BGinN
a.d F\ot6sion Codc 1 fic Contrcro.3 Licflsc L.w do6 no! rpply to d osnd ol prcp.nJ" who builds or inFn'vca rhdon.
and $ho co Eds aor such,rojds wilh a ('o.hdo(r li(@d puBuer b rhe( onlroclols LiclN bw).
_I ddedfl unds Sclion_. B & P.C. forrhG r.sn
lo8r{r&r-.coltrEtialt0a
DCS43AU9!
I he.h, amm und.r Fnaxyoatsjuryon.ofrhr followi.s drtldariotu:
-I
havc ed wi ll mainhin a Cdincarc otco.sr lo S.lt'lNur€ aor su[e6 convenlrlion. e Fovid.d for bySdtio.]700olth.
L.bor Code ior lhe pgloflmcc oflhe wo lor vnich thc p6nit i! isued
_l h.r. and sill
'nlinrain
qork.r' .omt nsario. insuan.e. d r.qut d bySdlon lT0o oflh. bbor Cod., lor lhc pofoDdc€ ol
ptdir a isutd M, workfis
\
n ituurd...mio rnd !$licy non'bd rc:
t
3r.uo\kvV?no>-I.7
-l
ccnirylhal io thc pqiom,ncc ollh€ work lor which lhis pcmil is issu.d.I shallnor mpby any Pds.o i. an, mann6
e 6 b bi.6m. subjer ro lhcMrk$ .onpcBation las3 olcdlifomi{ dd aerelhat ill shoold b.comc bjr_l toll'.
worl6 com!.ne'ionp(visidreofs.lion J700ofrh. rrlu C.de,I shrll.lodh$nh comply $nh rho$pDlisio6
WARNIN6: Failurc to s(uc workcE .o rpdsarin &\qsse is unlaNful, dd shall suhj.d .h onployer ro dminal penaltis and
.ivil nn6 up ro onc hundrcd lhousmd doll6 ($100,000). in add ion ro rhc con ol .onrrcnsriotr,tu +;5"'ia"a t""r.
S*lion 10?6 ofrlE L{bor Codc, inr-6ldd6flofty'3 ts.
loa "teqN0v2018
coNl]a.lcuQlrENllllclcE Cr
I h*by arm undd F.nahy of psjury thar lt* is fl olnrudiob Lndins agmcy aor rhc ldfolfucc of lhc erl lbr \\,lich this Fmh is
issu.d (S.,1097. Ci C ).
ATTUCAILDECIAAAUQX
I ndd, atr m Mdd p6any oaFjury oi. oath. aollo$ins ddltrdioa
Dnnoliion P€mn$Asb61os Nolificario. Fcddal Resulario.s (TnL 40, Pan6)
Rcqutcd ldler olNotiai€io.
I .dil, rh, rh. f.ddrl r.gulltioN r.gdding abebs r@oral d nor .pplicabL ro this pojct.
UGcniry rhat I havc @d rhis omli.dioo &d $arcrhat rh. abov€ inlomarion is corer.I {sr€ ro.onrply*ilh lll c(rand ('ounl,
ordinanc.s ind Slrr.l N\ rlditr! h btrildins (.nsrtucri.n.otturur r€F6mdn Ls ofrhis Cnted Counry to srlc ulrtr llE
ahrve 'norioned
ploFny aor iosp.ction
ADplic{nl or ,\sd'l Sknatu.e
Prrnile nim.(prlnl):
lt0I/r520ls
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
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilin gs (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL .-rn
Notes Remarks
ELECTRICAL.INSPECTOR RECORD
,",", 1,10y152_0t8
I h*h, silrn ondd peah, of pdjxry ihd I o lic.mal ond6 Foli.ion of ChaE6 9 (ommd.iflB $ilh S(lion 7000) of Divirion l
of rhc Busin6s and Ptuf6iotu Cod.. dd iy 1i.tu. is in tull lo.c. od clr6r
I
Etc.