HomeMy WebLinkAbout20167411 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2()167411
Pin #: 32o'82
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-B Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: 24-B 03
Zoning: R4
E
Owner:
Address:01 1 '16002
01 1 16002
01 r 16002
0'1 1 '16002
01 1 16002
51603
51603
51603
51600
5'1603
Qty
5.00
12.OO
5.00
1.00
1.00
Fee
$7 .25
$18.96
$5.25
$22.08
$55.04
Phone
The Bascom Group
26 Corporate Drive Suite 200
lrvine, CA 92606
(866) 69s-ss91
Arias General Construction
'17015 Casimir Ave
Torrance, CA 90504
(310) 350-8'r98
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixlures 1.05
General Plan Update 22.08
lssuance 55.04
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 9211358
Expires: 0512612019
- 11115/2018 ID: €
iroI|s+: ?lRel+: 2ll1l30 - 1ll15/?0r8 ll j
Totol t2r6i
..onrtru,:t ion ,
R-2
VB
cEc 2016
Notes:Fixture change outs. Unit 3 Aut ii *
Building Use:
Job Type:
Nalure of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture change outs (unit 3) Code:
Date:
Date:
Date:11t1st2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pernit issued shall become invalid unless the wotu on the site
duthorized by such pemit is commenced within 180 da$ aftet its
issuance, ot il lhe wo* authoized on the site by such pemit is suspended
ot abandoned fot a peiod ot 1 80 days ,frer the time the wo* is
commenced
$108.58
$0.00
$108.58
lnspector MID#: 2018-147693
01116002 51600
01116002 51603
$22.08
$86.50
Fee Total:
Paid to Date:
Balance Due:
Project Address: 2424 N Tustin Ave
Tenant Name:
Contractor:
Address:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I n€r€by afinn uodr p.nally ol pdjury lhal I m cx€Dpl froD th. Contacrots' Lic.ns. Lsw ror lhc fdllo*in8 r.@n {Sd.70l Ls
Busin6s dd Prof*ion Co&): Any Ciry or Cou y whioh ,cqun6 a Frnt ro co.sltuct. drd. improE ddnolish or rcrEn oy
srtucru.. Fioi ro ils isumce, also r.quir6 th. applicer aor such pdnir to filc a s[n.d strtenor thar h€ or shc ie liccBcd p6uDr
lo rh. rrovisiod oflhe Conta.to.s Liensed lav (Chaud 9, Co'tunncing *ilh sdrion 70cio ol Dilision I oflhc Busincs d
ProfNions Cod.) or lh6l hc or shc is cr.mpl ihqefto,r ahd !h. basis for lhc .llcscd qoplion AnyriolalionofSc.lion 70.11.5 bydy
aptlica for a rsmn subjdc rhc applicor ro . civil pcnalty of nor dor.lhe fiw hun&.d dolld! l$50o)
I.6 ownd ofthe proFny. or my enlPlor€ wilh saB6 s lh.ir slc cor.p.nelion. Nill do thc wor& ad lh.eddw i! oot
intodrd or ollded lor sale (Sa.7044. Ausrns ed Pmfsio.s Codcr 'l h€ Conhrcrdf s l.iccNc lr\e do6 .ol applt io an own6 oa
rhe plrdy who builds or ibprcld thdotr di who &16 such \o* hnft.laor h*lf or
'hroush
his or h6 o\vn .mploy€6-
provided thal such inFowls e. d idod.{t or oIlrql lor elc.l[ hos6'6. ihc hildins or unPmvmr i, eld wirhin un. ]@
ofcompl€tioE lh. Osn6 Builde sil n ve lh. hrda of F.ving lhat h€ or sh€ dil nol tlild or inrprov€ fi. fiopqq lor rh. pulbsc ol
-1.
6 oqq oalnc prop..ry, er.lusivcly conl,aclina wirh liceMd .onl'ac1oa ro .onlltulr rhe Fojd (sd 7044, BsD6
and P,trftsin Cod. Th. Conlr.cro.s Lic.N ti* do6 nor aprlyto d ownd of lropdy-,-ho buildr or inprord rhd@n.
a.d who conrB€rs for such pIojds wnh a ContEcro(s) licdMd puB@l lo rhc conkiclurs Li.6. Lrw)
I m cxanpl Mderserion .D & P.C. torrfiis r6on
D.t. Of,n.r:
uaa$itsltlourElsArrQ!Dlodnalto!
I hereby amfln und{ penalty of psjury one of th€ tdloNiru drlarations:
_l halc a.d *,ill na'nuin a Cdincar. of Con$r lo S.lf lnsure aor workdl conD.nsalion,6 pmvid.d for by Sdio! t700otlhc
Labor Code lor lh. p{foIMc. of th€ wo* lor \ticn ltc pmnil is Gucd.
_l n!v. and u ill &.inlain worl€6' comFBaioo iGu,ance, 6 rcquircd by sdrion 1700 of rhc t bor Corlc. tor lhc pdfoddcc ot
fic eorlt for whi.h rhis pdftil is is.i My workdr onpolrion icuid. .did ed lolicy ,umb6 s€l
U \. r. r't
I cenii lhal in the pgformscc oflh€ wort lor which lhs p.mil is issu.d- I shallnol onploya.y pmn in.n, mmn6
$ 6lo b.cohc subJ.cr ro rh. s 6'.onpctuarion la*s ofcalromid. dd igE thd ill shoold b..om. srbjrl tont
*0r(6 coipsMrion ptuviiiod of se.lion lT00 ol rh. l-ator Code l shrll. fodhwnh co lPly wirh lhos pmr isio6
WARNINC: Failurc lo suc "0116 conpssalion covsasc is unlaqful. ed slau suhj(l d dphF to rnriMl poallis md
civil fins up lo on. hund.cd rhosd dou6 (t100.000). in addirion ro lhc con oa comp.Barion, drale@ a prcvid.d tor lhc
=:
Snrion 1076 olrlE LalFr
,,.,.1,t0v I 5
Code inlssr datome)'s 16
2018
I hscby amm und6 p.nalty ol pqju.y $ar I u licosd und( p.ovision otchaprq 9 (conn n.inE *nh sdi.n ?000) ofDivision l
ol the Busi,N dd ProlsioN Code, and my licd€ is in tull lorc. md €OEl
<-3 \ 601 "l Poip \Oglqe.
coNiIalcuaNl.[NDIAcIG[dcI
I h6cby afiinn und6 pcnalty oa pojury rhd thac is a conntucdon Lndhg as6cy lor th. palomdc. ol rh. "ork aor rvhich lni! pdnil i,
bsued (Sa 309?. Civ. C.).
ATTIICANLDECIABAIIAT
I hftny arri undq penalty ol pdjory one oalhe lollowin8 d€cldatioN:
ocDolirion Pemirs Asbdos Norifi.arion F.ndd R.lularions (Tirl.40, Pd6)
Rdun d ldrdoaNdi6.aio.
I cdify rhat fi. fedsal BgulatioN Eaddin8 ehdros rdnoval a. 60r dpplic.blc to inis proj6t.
fi;liry rhar I have rcad rhs appl'carion ed srare rhar rh€ abovc inronnarion i! cotr(l I as6 ro coftply wnh dll ciry and counry
ordinancB md Stare ks ELrifls ro buildins consrruclion. md hreby authonzr r.pr6drariv6 ofthis Ciry od Counlyto mrd lpon th.
ah\€ mqnio.ed p.op€ny lor insp€clion purpos.
ApDlimntorAg.ntSignnlure
r2, "--l
,,,,"N0v I 5 20tg
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
Bondin g/Grounding/UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL tz/!0/:{a\><^/
Notes, Remarks, Etc.
L.nder rAddrN:_
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