HomeMy WebLinkAbout20167397 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
l nspection Requests: (7'1 4) 667 -27 38 l nspector Section: (7 1 41 6 47 -5853
Electrical Permit #: 2(J167397
Pin #: 446,41
Suite Range: Units F-2
Zoning: R4
eYect Address:2424N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Proj Unit:
Block: A
Owner:
Address
Contractor
Address:
The Bascom Group, lnc
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(949) 95s-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8r98
Amount
24.79
22.O8
55.04
Bql
0fr
Acc
Rrp
- lt/ti/20tg I0: cCUt
Tronsi: 98 2 tRef;: 2111.57-1!i - 11/1412018 3355 F
Qty
't.00
1.00
1.00
Fee
$24.79
$22.08
$ss.04Phone
Tenant Name:
tt : i?44369
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9211358
Expires: 0512612019
fron soct icn Totol
At enProl r":on struct ion In(
t2r195"3?
Genersl PIon Updot€ Fee
t:r1 I 1 6rlr-r2- 516(100r-10-
Electr i':sl
0l 1 160r'12- 51 6030r:rr'l-
Viss
C(+ : ri**r***rx{*13135
. t-lx
R.2
VB
cEc 2016
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every pefinil issued shall become invelid unlessthe work on the sile
authoized by such permit is commenced within 180 days after its
issuance, or if the wotk authoized on the site by such pernit is suspended
ot abandoned for a period of 180 days aftet the time the wo* is
commenced.
Multi-Family (5 or more uni Occupancy:
Alteration Constr TyPe
w/O Partition (unit 2) Code:
Chavez, Dave
10198357
Dale:
Dale:
Date:1',t t14t201A
Account#
Auth+ : rt5B/
Expand coat closet opening for WD in units with 2
bathrooms. No bedroom addition, exterior alteration
and/or addition of square footage proposed at this
time. Original P/C performed under#10193842.
$101 .91
$0.00
$101.91
Notes
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector MID#: 20'18-147651
01 '1 16002 51600
0'1 1 16002 51603
$22.08
$79.83
Fee Total:
Paid to Date:
Balance Due:
Bldg: 24-F Address Range:
Tract: A.B. CHAPMAN Historic: No
Fee Type
0'1116002 51603 Dedicated Circuit
01 116002 51600 General Plan Update
0'1116002 51603 lssuance
Building Use:
Job Type:
Nature of Work:
ELECTRICAL.INSPEGTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Lorqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
nValls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
Meter Release
Rough
Service lvleter
FINAL 17/illr 5\r<g
Notes, Remarks, Etc.
OlVNER BUTLDER DELCARATION
I h€r.b, amm unds poahy oI p.rjury lhat I an .x€mpl aron the Conlracrots Licen$ L.w for thc lollowins tc&n (Sd 701 I 5
Butin.ss dd Pror6ion Codc): Any Cny or Counry qhich Erluts a Ddi !o o.srrucl, al!6. inprov( dmolish or r@n &y
slruc'ui l,ior lo ns isodc., als reqoirB th. applicd for such p.nnn lo nl. r sign.d sdddl lhal h. or sh. is lics.d pullui
ro rh. I,ovniotu olrh€ Conticlois Lic..sd tiw (ClBprd 9. Commcncrns *irh Sdrioo 7000 of Dii.ion I of th. BsinB ed
Pru f*ions Codc) or thal hc or shc ii cr@fl tha.liod 4d lhc bdis for lh. 6u.s.d doBnrn. Any riolr(ion oa Sdion 701 L5 by My
applica for 0 pmn subjets thc applicaorroa€ililpchah,of.ornoE$e6!.hundr.ddoll&s(S500).
-1,
*s ow.d ofthc propsly. or dy ehploye *,ith wasa d thct elc .omp.nsarnJn, Nill do lhe sork dd $. nMut is nol
inlad.d or ofid.d for $lc (Sa ?044. aNins ed Ptuleio6 C.d. TI. Conlraclois Lic.6. L.w do6 nol a9ply lo u o*n6 ol
rhc pmldry tr ho hrildt or inpruv6 thdatr ad who dod such $!ik hins.lf or h6ellor rlrou*h his or h6 own mplot€6.
prolidqi thar such hp.o\ @drs s€ mr inladoJ or ofiqsj lor ele lf. horvd'6. rhc boildins or in]p(\'ffir ir $ld wirhin on. yw
ofcompl.lion, ih. O*rd Buildd sil! hav. thc t{d6 of pmling fid h. or sh. did not hrild or improvc lhc popdy ftr tnc purro* ol
L a oNnd oath. prop6ly, M crctNiv.ly contacring wnh lic6s.d .oitrctou lo cotrnrud rh. Eoj€cl (S{. 7044. &tsd<
and PFGsion Cod.: Th. conhcrof s LiccBc L!q, do6 mt apply ro o o*.r or propdry who buil& or impro!6 lh6on.
and who ontBcts for such proj.ds *iln a ConrBcto(s) lic6s<d posuel ro Ihc Contrcroai Lic€M IisJ.
I imc\empr undcrseclh , B. & l']( lor rhistason
D.l€ ostr$:
uaaE[al:rauxrlrarla!
DEqAAAII9B
I hd.by afiinn u.dd penolty ofpdju.y on onhc follouinr ddlmliorel
I n,!. md Nill 6ai.rain a c.difi.dc of co6or ro sclllcrc lor rvorksr conrpenMriotr, a pro\ ided aor by Salion l70O o I lhe
LahJr Cod€, lor thc p6romuc. oalhc Norl for which rhe psnir is issu€d.
I hsv. and Nill mainlain sork€rs' comp.G.tiof, iBra.... s r.quiEJ by s{tion 1700 ollhc L{bor Codc, for lh. pdhmecc oa
ihc Nork lbr which lhis perDir is
Y
My wde6 mmp.ns.rion iNrrecc cmi6 dd policy nunbq dc:
3VAt $-uqLr3->l
I.dilrrhar in rh. prf.rnBd.c oalhc work foiwhichrhis pd,nir n issu.d,I shall nor onlloy.nyp6on in anym ncr
$ 6 Io becoN subl(l to the workss compaslion Lss ol ('alifomia. and asrc thal il t should bccon subjar to rh€
workqs, comp€Nrion lrovisioG olS.clion 3700 oflhc L.bo! ( ode I slnll.lonhwilh comply{nh rh.e povirions
WARNINC Failure lo Kuc {oik6' com!.$.rio. co!@s. is uniasaul, ind shall subj* an dnplorq lo oiminal rE 6 d
cilil n.cs up lo oDc hu rcd thousdd dollds ($100.000). in addition ro t ni.. danag.s .s provided fo, rhc
Seclion 1076 olthe Labor CGle. inlr6r dd
lq IY
DECLAAdIIAN
I h.Eby amm under pnahy o f pdjury rhd I &n lico3.d u.dd provirio. ofchatlc 9 (commacingwith Sdtion 7000)olDnision 3
of lh€ Busins ad Prolsios Cod€. ad my licow is in lull forcc od cfld.
Dcrq ll
ol
I "*,,*.. A6 C
colualtro!.tEtDldclc[lcr
I h6.by.flinn undd FrhyofFjuryrhd th6. isa codocrion k dinB a86cy for lh. Ffonn c€ollh.work lor which lhi! pomir t
iss!.d{sc. :1097. civ. c.}.
AttUC IfDECL S.lIIl!
I h6rty.llim undo pd,lly olpdjury o,c olrhe follo{ih! d$ldalions:
Dnohrion P€uits'Asb6kx Norificalion Fcdoal RcBulalions (rnk a0. Pan6)
R.qtrtrcJ I cro olNorliorir!,
-l
colify thal rhe aed6.l resu lar ions rc3adin8 ab€stos rcmor.lde nor arplicahlc to rhis proje.1.
)ql col,ly rhar I ha'e rcad rhis rppltarioi rEdsr2rerhal rhcahrc 'nlonn.ri(nr
s.ordr I .sr& 6 comply \rnh allCily and County
o nrn..s rnd Sr e I r\s rchrin! ro buLlJm!.o aurhrria r.frdariv6 orrhis Cn, Md cou ylooislponthc
.h\v. nurnrnc! popdy ror
ppli.rnl or Arent Si!trrltrrr
,*u* *.",0*u,(1{21g.L;t\7Lu
*," rr lrq{ lA
slzulT
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lq a
I-end.rs Ad.tr63:
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