HomeMy WebLinkAbout20165795 - 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: (7'14) 647-5853
Electrical
Proiect Address: 2424N Tustin Ave
Assessor's Parcel: 396-261 -55 Lot: 8
Unit:
Block: A
Bldg: 24-R Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit R-2
Zoning: R4
E
Owner:
Address;
Contractor
Address;
The Bascom Group
25 Corporate Park Drive, Suite 200
lrvine, CA 92605
(866) 695-5s91
Arias General construction
17015 Casimir Ave
Torrance, CA 90504
(310) 3s0-8r98
Fee Type
01116002 5'1603 Dedicated Circuit
01116002 51600 General Plan Update
0'1116002 51603 lssuance
Amount
23.87
21.25
52.98
Fee
$23.87
$21.25
$52.98
Botch+:43681 - 3/lO/2018 I0r NGAR(:
0ffice: CTYH Trons+: 59 11 0Accti: Ref+: 2u165795
Rcpti!02261163 - 5/10/2018 3:59 Ftl
Tronsoct ion Totol 13t992.7 6
Qty
100
100
100
Tenant Name:
State Lic #: 10'17936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance
Carrier: State Fund
Policy #: 921135817
Expires: 05126120'18
Ar ias 6enerol Construction In(
Generol PIon lJpdote Fee
01116002- 51600000-
Electr icoi
01116002- 51603000-
ViEa
CC+: r**x*rr**rr*3176 $Jr?
Auth+:0?i7g
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By; Chavez, Dave
Subiect to Field:
Euildins Permit #: 1 0196350
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
w/D Partition (unit 2) Code:
Date
Date
Date
R-2
VB
cEc 2016
Notes:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
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
05110t2014
Account#
Every pernit issued shall bocome invalid unlessthe wotu on the site
authorized by such permil is commenced within 180 days aftet its
issuance, ot if the wo* authodzed on the site by such pemil is suspended
ot abandoned for a peiod of 180 days after the time the wotk is
commenced.
lnspector It/lD#: 2018-'143'189
0'11 16002 51600
01116002 51603
$21.25
$76.85
Permit #: 20{65795
Pin #: 42155
Phone:
Phone:
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS O\{NI]R BUILDER DELCARATION
I h.r.by afllrm undcr pcnalryorn rjury rhai I mcrcmpt fn,n lhc Conrt los Ltcnrc L,* for
'h.
rollo*i.8 rc.sn (S(?0ll5
Busitrc$ lod Pn,fc$io. Cod.): An, Cily or County Bhth rcquircs n |f.mir to conslrucl- 6116 iopr.w. &nnlish nr rcFir anv
srtocllE, r,hr h ik tsume. olso rciuircs rhc lpdta.l tu flch F.ni ro filc ! \isrcd srareftnr th.l lE or she h liccn{d Pursair
lo lh€ pmvnn,ns of rhe Conracrors Liccnsd t w (ClEplcr 9, Coim.ncin8 wilh S€clioo ?OO0 .r Divhion 3 of llt Susinc* a.d
Ptulcqsbns Codc) or finr hc or slt i\ eicdpr rll.r.ton abd rh. basis lor lhc alk8.d excmPtion. Any violslionolS..lhn ?0ll.5l,v snv
applicrnltototlclmirsubJccrsrhc,tnlicanrroacivilpcnallyotnornFErhdnfivchutrdrcddolltrF(S50o)
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ds os.cr of rhc l(,lEny. {, my cnpn,ies wirh wo8cs rs rhct erc compcn\dn,i. lill d. rh. Ndt nnd rtc srturxn i( mr
irrcDdd {r oricrcd ntr sh (Se.?Ot4. Bnsincs md Pmfesion\ Code:'lhc C.nractors Licc.s Lle docs nol llllll} io an owmt ol
rhe pmFny wh. huilt* or nnprovcs lhemn. ard who dms such wr)r* hnnsclfoi her$lfor rhRrSh his or hcr own cnllor.cs.
Drovidcd lhar such im!.otm.h N nol i, ctrdcd or ollcBd t{, slc li howcvci lltr ttritling o, inl,okm.r it h! rirhir o'E )or
orcon!,lctbn.thcOwncrEuikLrwillhdvcrhcb{nlctrofto!i.8IhalheorshcdidiorLildorir{,mrclhclnFnyforrhcNrlrco,
-l.
iso*ncrolrhc Impdy, a cx.lusivclyconlraclinswilh li.cn\cd coirrrms ro.onsrrucr rhc I'mJc.r (sd.70{4- BuM.{s
a l F\i'f6\i Codc Th.Contracroisl.iccnseLawdo.sfrndPplyrornownctofprcFnyrhohuildsotinpr.rtsrhcrcon.
rnd *ho onrrucF tor \uch ptuFB win a Conrmcll(9 liccn\en pu^uan' ro rhe Conlructois L'icen{ kw)
I mcrcmrr unds Sdh B &PC l.rrhnicr$tr.
Oan.r:
woRl(Flis' (:(tn!PFNSATIoN
DECIAIAIION
I hcrci'y rffii,n undcr FmlryotpcrjuryoE olrhe foll,,wi'rB dehrarnns
IhrvrturlwillntrinloiraCeniicarcolConscnIrosrlf.lNurcr'or*orkc6.onD.6s,lion-!s pmvidcd f(tr by s..lion 3?tx) ol rfic
hbor C.rlc- ar rhc p.rlornuncc oi lhc wo ( for which rh. Frmil ir iesucn
I havc and willmninlrin workcrr.onDcns,rion imurno.c. ns rcqoncd byS..ri.tr 3700otlhc l,r&trci c. fff th. Pcrt{n'mn.t or
rhcqorknnshichrhisFrnririsnsu.d.Myworkasconltctrs.lio.in\orai.c.rEicrnndpolicynlhh.ra.l
Poltry Numbcr:
-
FxPncs.
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I ccdiiyrhar in lhc FrrornDn.colrhc wort lor shichlhi\ pcrmi r nsucd.l shallnol cq)loyrny Pclson inanvardicr
sr Ls ro hconr sxhJ.rr ro rhc worlos onnpcnurn,n h*s .f C'rlilomi0. ind l8rce rhar if l sh.uld h(.om \uhF ro rlt
sorkc^ co'np.isrrn Frevision\olSccri(,n-lT0Oorrhcbhr(tn,c.lshall-lonhqnh.o l,ly wilh lhoc Pruvi\n'n{
WARNINC Fsilurc ro *.xru workcr coflrEnslrion covrnsd is xrhwiul. rnd shlll suhic.r rn c'nlnrvc! ro dminal |rMhics {nd
.ivil fincs up b om huidrcd lhousrnd dolhn ($lU).lur). in addni.n ro lhc con orconFn\ i.n. ddmllcs ds rtuvirtdl ror rhc
sdbn 10T6olrhc Lrb.r codc. inrcrcsratrd ornntuy \ lcc\
D.lr: ApDlionl:
, rcmsnn colinairtrr=
DEqASAIPN
I hcEhy lmrmudcr lctulry.rpcrjurytnat I om lien$n und.r l,lvBionofch. s 9 (mnrmtidg wilh Satiotr ?000) df Divi'ion :1
or rh. Busimss and Pmfc$ions Cod.. ,d my lt.ns is h tull ,od 3rn cffer
CONS'TRII(: 'IIIN I XNDINC ACENCY
I hercl,y afllfln rndcr trMlryolpcrjuyrha h.to is D .oinru.rt). lcnnins lgdic, li)r rrs rcrtunrnncc ollhc work lnr snich rhis larnir i\
issucd (src loq?. Civ C I
a.tfllsaNtlrEclABArlo!
I trnhy dfmr und.r pcmlr y or p.rjury om of rhc iolloNins dcclDrd nrns:
o.rnnln Pcirnir!Ashe(oi Norificlriun Fcdcral Rc3uhtiotrs (Tillc 40. Pd6)
RL\luicd I rrrcr of Noiifi (ri0,
-l
cdtify rhd rhc r.dcral rc8lllrions cgdrding trt (os rcmvalaE nor applic,blc b lhis Pmiccl
I ccniry lh.l I harc rcsd lhh opplicxlion.rd shtc lh0l lh. olnvc inntr@rio. iscorel. I agre to comply wnh tll Cnvand Counlv
ordina..cs and Srtu t ws rcklins ro huildidg conslrudion. lnd hcrcb, aurhoria ml,.sl rlivcsofth*Cirya.dCounlvtoc.teruponlhc
atolc mnrn Bl tmp.ny lor itrsp€dion I)urrb€i
ADplicani or ABenl SIFmluft:
Site-Work
Underground
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Satety /Low Voltage
Fire Alarm / Dampers
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Sub-Panels
Air Condilioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soflit Rouqh
Ceilinqs (T-Bar Rouqh)
lvleter Release
Rouqh q,/h,'/b 9.ffi tEtu4x
Service [/eter 2el /b s.X€z 'frk,ts
Notes, Remarks, Etc
Pole Bases
Communications Cable
FINAL
Liccnsc Clls:-Li.cnsc NunrlEr:
-
lrstE: Conlr.clor
t trd.i( Ad.lE$
-