HomeMy WebLinkAbout40132077 - PermitAssessor'sParcel: 396-261.55 Lot: I
Unit:
Block: A
Bldg: 24-L Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit L-2
Zoning: R4
q
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center PIaza (M-19), Santa Ana, CA 92702
lnspectaon Requests: (714) 667-?738 lnspector Sectioni (714) 647-5853
Mechan ica I Permit #: 4ll132ll77
Pin #: 3ll112
Owner:
Address
Contractor
Address:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 3s0-8rs8
Fee Type Amount
01116002 51604 Clothes Dryer - Residen 38.83
01116002 51600 General Plan Update 21.25
0'1116002 5'1604 lssuance 52.98
Qty
1.00
1.00
1.00
Fee
$38.83
$21.25
$52.98Phone
Tenant Name:
Botchi:{3681 - 5/LO/20t8 ID: NGARCIA0ffice: CTYH Tron5i: 59 26 of 29Acct3! Rsft: 10132077
Rcptt:02261178 - 5/10/2018 3:i9 PH
Tronsoct ion Totol t3r982. /6
Ar ios Generol f,onsLruction Inc
Phone
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 92,11358,17
Expires: OSl26l2O1a
Generol Plon Update Fee
01116002- 51600000-
llechon i(ol
0u16002- 51604000-
V ieo
cc+ ! r*****r****r3176 $3r 982. i
Authi:02579G
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date
Date
Date
R-2
VB
cMc 2016 Notes:
05/10/2018
Account#
Misc. Receipt:
Misc. Receipl:
Misc. Receipt:
Total
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.
$1 13.06
$0.00
$113.06
Chavez, Dave
10196362
Every pennit issued shall become invalid unless the wo* on the site
authorized by such pemit is comnenced within 1 80 days after its
issuance, or if the wotk authoized on the site by such permit is suspended
or abandoned for a paiod of 1 80 days after the time lhe work is
commenced.
lnspector MID#: 2018-143208
011 16002 51600
011 16002 5't604
$21.25
$91.81
Fee Total:
Paid to Date:
Balance Oue:
Project Address: 2424 N Tustin Ave
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
wrD Partltion (L-2) code:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I h.r.6y {tfum under pcnalry 6f F,iury rhll I m.renu fmd rlE CoordloF Lkens Lrs for rhc followi.S @sn (Se.,oll.5
Blsiness rd Profssion Cod.J: A.y Cily or Counly shhh r.quird a Fmn lo onsltud. ah.i imprcve dcmolhh or tp.n uy.
rrtuctuE, Irior to irs hsu.rcc. !l$ t !!iEs rtc q,plhur for srh Frmir lo filc a si8n.n stsleftot rhll n o. shc h licen*d l,!N.nr
lo lhe prcvision! 6f rlE Clnra.tor's Liccned Lrw (Chrrrcr 9. Conftrcin! wnh Scclion 7m0 ofDivi.ion 3 oflhc Busin$s.nd
Pml'cssions Codc) or th"t h. d slE is crc'n r rhcrcfron Dd lhc b{qis for lhe olhg.d .rmption. Any violntion of Sdbn ?01 I 5 by rny
rnplicail lor a p.mi $biNlr th. .ptlicB ro . civil p€mlry of rcr frrc rhln fivc hhdred dollds ($500).
-1,
as owrcr ollhc pmpcny, or my .q,lo)e* *ilh *{8.s as ficir solc comFns.lion. vill do lhc work lnd tlE smfie ii ml
i.kndcd or oftcEn tor slc (S6,7iX4. Blsincs lnd Profcssiom Codc: Th. Co.'rrrcrols Li.cne L,r ilo.s mr ,pply ro m owNr ol
th€ rmpcny wrb hil.ts or inpmEi ltlmn. .rd wh6 d6 sBh s* haosclf or h.mlf or lhough his m lEr om ctrployss,
t',ovid.d lnd such impmwmnr m ml hrcnd orofr.rd for slc. lL l[rcE llE ttrildiq c inrm(mnl is eld wilhin om yEu
ofcotr{rlclion. tlE ol,Br Buibcr will h3E lhc h{dcn of p,rvi0g rra h. tr shc dn d hild or i,{mE th. plDFiy for ltE ,u{Ds or
_l- as owner of rhc rolcny. !n crcllsi!.ly conrEcrins wnh li..nsd contEcroF lo onsmd rhc Fnjc.r (Scc 7044, Bu\ift*
ud Ellc$bn cid.r Thc co.h.rors Li.cbe L,e doca nor atplr ro nn 6wnd olpDr.dy sho builds or iml'ov.s thcrcon.
uid sho onlmcrst s!.h nmj$ls *irh a conrncro(, ltcnscn plGu.nr ro rnecontncrois Lntn* L!w).
I nndcrfl trndcr Sccr
D.r.' o"r.r_ _woRrorRsiaaMtENa^io- -
IIECI,AEAIIO!
I hcEby affirnr u.dcr lc.olry of pcrjory om of thc lblbwing dekralions:
lrhtr (-,rlc. lnr rh. |trnflin.c.lrhc qork l& \hr[ rh. Nnrir n isNn
rh. *o lnr shichrh'\ nonnir i\ Lstr(l lvly srrlrr\' .onlpchrri{r insurrNc uricr Jnd |x,|i.) du,$rr rc
Sulr, ev,.l
-I
ccnily lhrl i. rh. r.raormne oilh. *ork for whkh lhh r.rnir h hsucd. I sholl nol cmploy.ny p6$fl in lny monrc.
$ !s to b.om sutlf,r ro rhc *o*e*' .oqr.nsarion laws of Colifornh. ond asN Inar if I elhuld lxcoft subjer 16 tlE
mrkc6 odpcniario. pm"isions ot S..rion .1700 ot thc Litnr Codc. I shall r6nhwirh sn ly wirh rho$ pbvhioN..
WARNINC: F0ilurc lo surc worlcB compcnsdion ovcmgc is unlawtuL atrd shil subjcct an mploycr to aidinal Ftunics ud
civil lin.s up lo onc hn.dr.d thousad dolh (Sl00.Q@). ii addlion lo
'hccosl
ofcomFnslion. dlmBcs !s roviicd for rlE
Scction -1076 ol lh. titr. C.dc, inrftn and aftomy s lcs.
I)k: ' ,! -, 4!ptic{nl:
utrNtEutoNrtdcraa
DECIIIEAIION
Ihcrchy!firmu.rnn0lry.tncrilrrrhalIrmlienslundcrnmvisiotrofChonrcr9(ommncinFwirhs(rio.7m))olDivisionl
ol lhc Buriftrsand lnrlssnn$ Odc.ond nry lic.nsc is in hrll fd.. ntr,l efl'L$l.
1o t-7? T 6
coNiirBu.r]Qrl.lNuNti_d1ilxtr
I hcrchy rlfi.n, undcr lrnrlr, olpcrJurvrhrr rh.r i\ a.on\rrcrion lcn'lin8 lscm, nt rh. J).nnnruicc ofrho rork lir $hri Ihrs F_nnir is
i\{,cd (Scc l0c7- Civ. C )
l.rlcrr NiN:
AIEI.ICAIiLDECLA.IAIION
I trnhy lfii.rn ulln.r pcn,hy of n(rjry om ollhc nnL'wnrs dcclnrrliinF
Dctrxnnn Pcnnir!Ash4bs N.ritlcdion FL\tcml RcAxhrir s (1'rlc 40. Pr 6)
Rcquircd lancrol Mnificibn
I.d'fyrlrr rh. tcd$rldguhrtr,is r.lddi'rs r{h{u\ rcnnrd rrc or rltli.rhL t, rhis fmrcr.
1& ccniry rh! I h*r rcat rhis lnrltrri{rn nnd {dc rhar ih. nktvc nrronuri{nr n .orfrr l rtr$ ri, ..mtly s [h rll cfy r rl ('otrtrr],
rhk ornri{nEd p!or^-dy lnr irstccrion purp\c\
pliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Rough Ductwork
Vents
Toilet Room i Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.77r ,{h cr'lerluTk(t
Final Test
Meter Release
FINAL 5r Vr*:-T*.,'ltz|lt-$
Notes, Remarks, Etc.
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
P.ri"yNu,b".@- t'*, q l? 6 /13
Pcrmile nom (pnn0:
l),,rr
5/lp / lb
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