HomeMy WebLinkAbout20165894 - 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 #: 20{65894
Pin #: 38960
Assessor'sParcel: 395-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-Q Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit Q4
Zoning: R4
E
Owner:
Address
Contractor
Address:
The Bascom Group
26 Corporate Park Drive Suite 200
lrvine, CA 92606
(949) 95s-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8198
Fee Type
01116002 51603 Dedicated Circuit
0'11'16002 51600 General Plan Update
01 1 16002 51603 lssuance
Amount
23.87
21.25
52.98
Fee
$23 87
$21 .25
$52.98
Qty
1.00
1.00
1.00Phone
Tenant Name:
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsuranceCarrie[ State Fund
Policy #: 921135817
Expires: 0512612018
t(1
6Btr
6Ll
enersl Construct ion
FI(n Updote Fee
2" 5160(ttnlll-
icoll2- 51603{0tr-
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked Byi
Permit lssued By: Chavez, Dave
Subject to Field:
Buirdins Permit #: 10196472
Date
Date
Date
R-2
VB
cEc 2016 Notes:
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
o't22t2014
Account#
Every peftnit issued shall become invalid unless the wo* on the site
authoized by such peftnit is commenced within 180 days after its
issuance, ot if the v/otk authoized on the site by such permit is suspended
ot abandoned for a period of 180 days aftet lhe time lhe wo* is
cornmenced.
lnspector MID#: 20'18-143415
$21.25
$76.85
Fee Total:
Paid to Date:
Balance Due:
$98.10
$0.00
998.10
Project Address: 2424 N Tustin Ave
i.:h+:4316r:r - r../'2417n11 IDt (1ir,r,:t; i rYll lrnn.q+: .ii
,. i.+ r Rel+ ! ?r-rt,5l'
n f +: u2?7l.lu?9 - ;.,/74/1-19 11',tt!
or'f !:(,:t ion Totnl \2164
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TyPe:
w/D Partition Walls (unit 4) Code;Expand coat closet opening for w/D 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.
01 1 16002 51600
01 1 16002 51603
ELECTRICAL.INSPECTOR RECORD
ID/SIG.COMMENTS OWNER BUILDER OOLCARATION
I h.ftby ,trirm uiddr pcnnlly ol pcrju,y th.t I am cxcmpl r'mm thc Gn rmktrs l-i.cns. tjw for rhc rbllowins tcasn lscc 70.11 5
ausincs and Pronssion Codcl: Any Cily or Counly shich requnc\ r ,.rmir io consl ct. .llcr. inrtrovc- demhh .r fttan diy
(fl.ruE. prior ro irs nsuincc. Bho rcquhr rhc atpli.a ror \uch p.rnn ro frlc r siBrEd sr cmnr rhar heor shc h li.cnsd pusuaur
r. rhc lrevisi.ns or lhc Contractols Liccnscd Llw (Chaflcr 9. Comncncin8 snh sc.rn,r 7000 of Dilkion 3 oi rhc Brsints a d
ProicsionsCodc)orlhal heorshe ne&mpr rhctclnnnrnd rh. hrsis for rhcrlkgcdcxcmplion Anyvn arion.fScdionl0:11.5 byany
,pplicam fora pedir \ubjcch rhc dmlicanr ro n.ivilp.mllyofnol morcrhin livc huidr.d dollr^ (S5Ul).
-1.
as ounq ol thc lrropcny, or nry dnlr.ircs wirh wrgcs as rhcir slc comNnsdion. {ill do rhc s.rk nnd lhc alnElurc is rct
inrcftld or oficdd lor $lc ( Se.7044. Busi,rs and Pr oltsions Code fhc C.nlactr's t-ice.\c tjw docs not ll,nly lo !n owmr oi
rhc pN!.ny whohuildsorimpmlcsrhcrotr.ardwhodoe\schworkhnnscllorhcFclforlhronghhtorhcro*nc doy.cs.
pft,vidcd dml su.h inDmrcDEnls m m( inrc edorofl'crcd lbrsnlc.lll how.!$. rhc hrildinA ot inpmvcrNnr is $ld within ic rrT
oiconDlcti4 thc Owmr Buildd wfi hrrc rhc hurdcn oi[ovinB thnl hc or shc did n.r hnild or inll)6r dc tmFny ii]t lhc Puqn$ or
!1llNlXl-.COlrI[NirLllOIIrEct2lllMll)!
I hcrchy rtltfl urdcr rcmlryotpqitrronc ofrhc fdloqing drlrari.ns:
I hrvcrd wi!l tunnain a Ctnific$c of Cotrsctrl lo Scltlnsurc,itr workcrs .onpcnrarion. as Pr.vidcd lhrhySecrn,nlTff).rth.
lih.r Codc, lor rhc lgfdrron.c ol thc wolk fttr which thc pcarnr h issucd.
-lhrlc
nd will maintrin trolkcr' comEns ion insuraNc. !i rcquncd bySccri.n l?(l0 olrhc Lihor Codc, ior rht Frronu..c of
'krurwhrh,hFpcrr.r\i,sucdM)worLers'conrcn.,rion'..d',n,.cd,.rudpoltr)numbcrJc*HzFo*rcl
tfiqLlta s16 t1 52Q
Iccrlirylh inrhclcrioroEnccorrhcworklarwhi.hrhispcflnilkisucd.lshollnorcq)bya.,pc^oninanym ncr
$ a\t, hcconr \xhrc.r ro rhc sorkcr ompcnsarion hws oiC{lilomi( atu]+rc. rhtr itl slmuld licconE subFd t, rhc
workc^..'np.nsalionpovtiotrsofScclionlTOOoflhcLahorC,\tc.lsh,ll.ronhsirhconlplywithlln,Epnvi\i.is..
WARNINC: hilurc t, ECUrc sork .o rpcnsarion corcrnec is unlNrul- anJ shdl suhj..r nn dnllo)q to rinriral Fnrlri:s aid
civil fiics ur ro onc hundEd rhou\,trd dol]ar ($1(x).0(x)). ir addilion lo rhc con danuScs as pruviddd trtr rh.
sc.li(rr 1076o11h. tnl)(tr(itrL. i,r.r.{ a
nr,r-r, Q4
DECIAf,AIION
I hcEby rfirmundcr pemlryofFrjrry rhd I an li.cnscd undo povnionolChoprcr 9 (.un!rcmin8 with Scclion 7m0) ofOivnn,n l
or th. Busincss d &ofcssio.s Codc- and my licene n in tull fi)'e and cftict.
b pnqzb
l{ c-o*". AG C
C9NIiIAIJCIIOIUTNDIIIir!{jEXCI
I hcrcbyrllir undcr Fi,hyorpcijDryrhal th.rc n r con(nrcthn lcndira lgctrcy rin rhr PdlornEncc oithe work n, wh'.h Ihk p.nni n
issucd (Sc. :l(r97.Civ (: ).
AIILICANT0ECITIEAIIaN
I h.rby alIrm utrdcr pcnall y of pcdur, one !l rhe lolkrw ing dccldarions:
D.mlkio. P.flnir$Ashcslos Notificorion Fedcrul Rcgultrrions (Thle 40. Pf6)
-Rcqu
ncd L.trcr of NolirLari..
I.cniryrhar tlrc ltdcml rcEuhtionr rcsrdins rsbcdos rc,rcvnlnrc norrPplic.blc lo rhi\ l]n,jccr
F,.,Y".*l:
rhal lhrvc rcld rhisn0pli.nronrd s.rcrhrl thcilFvc infonnal on is cotrccr lrgrl{ b.ondyNirh rllCiry,id CoDir,
rcp.c{ni.rivcs olrhis Cily rnd Counry k, cnrcr ulx)n rhcklsrJc 1r*s r.lx1i,rs ro huildi'rgro {,u.r
**, S'29 '1f,
1?
Site-Work
Underground
Pole Bases
Lighl Standards
Spas, Pool, Founlains
Signs (monumenl)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communrcations Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
Ivleter Release
Rough 6lzplrQ -4t44(:t)
FINAL (!/'/(t/17 >D 2n
Notes, Remarks, Etc
APPROVALS DATE
Service [t/eter
I. as owno or lhc pmp.ny. amcxclusirclycontnclins wirh liccnsed cont&ttrsro€nsldcl thc pmrccl (Scc 70.14. au\i.c$
und PnfcishnCode: Thc Cont,.k sLiccns.L{wdocsnor,l)plylo.nowncrorrmrcdyshobnildsoriDJ,rovcsthereon.
and who.o.lr..IslbrsuchnmjcrswiihoConrEcro(9lt.trscdixrsur.lrorhcContractoisLiccnscL!*).
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smcxcarpl undcrScdion-, B & P.C. Lrthh rcason
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tJrdor c Adft$:-
,borc rmnlio.cd prcpcay Io.
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