HomeMy WebLinkAbout20165893 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
l nspectaon Requestsi (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Electrical Permit #: 2Or65E93
Pin #: 2177(J
City of Santa Ana
Permit Counter: (714], 647-5800
Proiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit;
Block: A
Bldg: 24-F Address Range:
Tract: A.B. CHAPMAN Historic: No
q
Owner:
Address
The Bascom Group, lnc
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(949) 9s5-0888
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 3s0-8198
Amount
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 lnsuranceCarrier: State Fund
Policy #: 921135817
Expires: 0512612018
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy;
Alteration Constr TyPe
w/D Partition (unit 4) Code:
R-2
VB
cEc 2016
Notes.
Chavez, Dave
10196471
Every peftnit issued shall becofie invalid unless the work on the site
authorizod by such pemit is commencod within 180 days afler its
issuance, ot if the wo* authodzed on lhe sile by such petmit is suspended
or abandoned fot a peiod ol 180 days aftet the time the work is
cofimenced.
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.
$98.10
$0.00
$98.10
Misc. Receiptl
Misc. Receipt:
Misc. Receipt:
Total
lnspector MID#: 2018-143414
01 1 '16002 5'1600
01'116002 51603
$21 .2s
$76.8s
Fee Total:
Paid to Date:
Balance Due:
Suite Range: Units F-4
Zoning: R4
Contractor:
Address:
Fee Type
01 'l 16002 51603 Dedicated Circuit
01116002 51600 General Plan Update
0'l 'l 16002 5'1603 lssuance
Fee
$23.87
$2'1.2s
$52.98
F,.pii:r:
Trcnsor
Ar i06 (
r(r"-+; -l'
enero I Pi
1116tr11?..
t;a
ofi Totol
UpdoLe lee
!i r:r:rLru-
Datel
Date:
Date:
Planning conditions:
05t2212018
Account#
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCNRATION
I hcrehy !ffrm udcr Il.nah, of pcrhry rhar I d .xcryt from rhc Crnrrn r6G Lk.M b* ft,
'he
follo*ing r.asn (S(.?oll.5
Busin.ss {ld Prcfersi.n Codc}: Any cnt or county which ftquiBs i Fnnir ro onidcl. !1t6. impmye. dcm'lirt or rcnsi uy
sructuc, prior ro ns issu!trcc, o rquncs lhc sppltant lor such Ilrni k' lilc a risncd sllrcftfl rhll & or ch. k li...(d Pummr
ro rh. povhbnr of rhc Conr.d.t r Liccns.d hw (ch+r.r 9. commn.ing wirh Scction ?filo of Divisiotr I of rhc Buiincss atd
Pmfcssions Codc) or lhll hc or shc is€rcnfl lncrcfnn otrd lh. host for rhc llks.d eieq)iion Anyriohrirmorsc.rionTosl5 by {ny
dpplicanr ror a pcmn soblcck th. amlicam ro acivilpriahyornor moroda. fivc hlndred dollcs ($500)
-1.
as oRrcr of ih. pmpcny. or flry cmployes wnh woBcs !s lhcir olc conq'cnsal ion- wiU do rhc work snd rh. imrurc i\ nor
i cndcn or olicrcd lhr sih (Se_.?044. Businc$ and Pmicssiotrs Cods Thc Conk!.lors l-kcnk Liw d.cs nor lnt'lylo nnowncr ol
rhcpstfny who buildr or irv,mvcs rh.ron. rrd Bho d6 seh m* hinsclf.r hcrsll or rhou8h hn or herown cnployccs,
pmvidcd rhar such imlhv.ftnh d fr, inr.ndcd or ofici.d nr eL. Il hoqcvcr, rtr ttriltmg or inDmEnEnr h bld sirhin om Fu
ol coq,ldion, ilE Owmr Buiklc, will huw rnc brdcn otprovins rh€! hc or \h. dil tr.r huih or inpmrc thc psFly lor lfu puqns ol
I..rownmofrh. !mp.n y. .h cxclus ivcl, contr.ling wnh li.cns.dcontricrorsroconntucl rlE pmj€l (Scc ?044.8u\ifts
ard hofsshnCodcr TncConlractors l-iccnr l,awdocs nolarplyro Mo*n.rorpmp. y *ho builds o. nnfmvcs thcr$n.
and sho comrers n, \u.h ,,nj.\h wirh Comacb(r) lkcn$d rusud n,rheConkcrols Liccnsc hw)
I rmcrrrpr undcr S..r()
W()RXERS' (ll)MPI,-NSA f ION
DECI"AMI]AN
I hcrchyrftn ruiddrFcnnlryolFrluryon.oflhclollowingd..lardtiotrs
I h!v. ard will minrain d Ccniltrdrc ol Conscnr to Sclf lnsur. lor worlcn conf.nsdion. 3\ Imvidql lor by Serion ]7u) of rhe
tjlxn c{dc, fu rh. pcrfoM.. of rh. *urk id whi.h rh. Jxmn i< isrusl
-l
holc .nd uill
'Minlrin
workcs cotrllEnsarhn insuEmc. as rcquircd l,y Sc.rion l7m ot rh. tihor C-odc. tu rh. ,nforrorcc of
lhc work for whth lhk,Ennil is hsEn. My workcrs €omp.nelion itrsunmc cartr and Flty nuftb.r @:
"^-*,, 9*1e {und
qzl l3s'i l 1 5 zk lx,
Iccdifyrhar in rh. pcifonnr c.frhcvorkfuwhichrhi.$nnir ir issucd. I sh.ll nor cmtrloy any pcAon inant'nrnncr
so !s ro bccom suhjccr lo rhc wolkcn'comrcns ion hws ol'Clliixnia. and astuc rhar irl sh.uld h.&nrsbicct rorhc
wortcn' conrlrcnsution Inovhions ol Scdion :1700 oi rhc Ltrhor Codc. I \hnll- r,,nh$irh .onFly wirh rho{ I)n,visios
'A'l',i 1|nc36
S.zY it
cotrslf,lJcnolttENDaclc[lcr
I lf,rcby!,firm urdcr rEmlryofF jDryrh!1 rhcrc isa cond crion !.ndi.8 a8.my for lhc p.rformrc ofuhc *ork for {hich thii lFdn ir
hsued isc. 3097. Civ. C.).
ATIIICANfDECI.AAAU!}N
I lErd,yanimrundcr pcnalty ofpcrjur, orc of rhc tollo*in8 dcclmriors:
Dcnblilion Pcrmils-Asbcsros Noiiricllion Fcdcnl Rqulolions ('rilE 1.0. Pnn6)
-Rcquircd
t rtcr of Norif{.lk n
-l
cslily thar rlE fcdcnl rcsllr' ioos Esrdi.e f,rLdor rcn'ral,i. Nn,rpli.ahlc lo rnis pojccl.
EU ftdiry rhd t tuw rcad rhk trppltarbn,nd sr,icrh.r $c ahovc inroi,urio. is coftn I a!@ ro ohpty wirh dllcirrrnd counry
reprcsenrarives ofrhk Ciry and C.unryto cnrn urdn fic
,,," s'2J {8
la
xtxn. nrnrnrncd ptr)pcn! lnr instr(r
u"-n*.".",rn*,, Kfn b< rl-1 l,t nzu4
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq i Groundinq / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Bouqh
Ceilings (T-Bar Rough)
It/eter Release
Rough HzzlrC -Aa-qfi q)
tl
FINAL lt /{,b lg 5b€rX
Notes, Remarks, Etc
Pole Bases
Service Meter
WARNINC: F.ilur. ro suc workds mmpcnelion .o!.Bgc is unlowtul. otrd shrll subj.{l an cq,lo,tr ro dninal IEMhi.s tnd
chil fines xp ro o.. huMi.d rhous.d doll6 (Slm.ooo). in lddnioo lo rnc cosr olcomp€osario.. ds@gcr 3 rovid.d lor rh.
Serion 1016 ofrhc bbor Codc. inhrcn ad arromy s lccs
,,,., 5 zYrls n,n^,.# V&4&--
LIcEMED-lllNIldrroi
DECI,AXd]IQ!
I hcEbyomnnuodcr prnllryofncrjuryrhdl I rln lien!.d undf Fovkion ofCh.ptcr 9 (ammncin8 with Sdion 70()()) ot Divi*ioo.)
of lhe Busirc$and Pmlbssions Codc. anl myliccn* n in nrll forc and cfter
L.ndcis Addrc$
-
Applicsnt or AI.nl SiEnnlurc:
II
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