HomeMy WebLinkAbout20165792 - PermitAssessor'sParcel: 395-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-A Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit A-l
Zoning: R4
q
Permit #: 2lJ16.5792
Pin #: 91434
Owner:
Address
Contractor:
Address:
The Bascom Group
26 Corporate Park Drive Suite 200
lrvine, CA 92606
(866) 695-s591
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 3s0-8198
Fee Type
01116002 51603 Dedicated Circuit
011'16002 51600 General Plan Update
011 16002 51603 lssuance
Amount
23.87
21 .25
52.98
Generol Plon UpdotP Fee
01116002- 516tr00Q0-
EIectr icol
r11116002- 51603000-
V iso
CC+: **r*r*r*****3176
Qty
1.00
1.00
1.00
Fee
$23.87
$21.25
$s2.98
Tenant Name:
State Lic #: 1017936
Lic Type: B
Bus. Lic #: 366738
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 921135A17
Expires: 051261201A
Botchi:43681 - 3/l1/20t9 I0t NGAF{:lroffice: CTYH Tronsi: 59 10 0i'Accti: Ref+: 201657?:,
Rcpti302261162 - 5/10/2018 3:59 F'11
Trsnsoct ion Totol tl ' ?92.71,
Ar iqs Generol Construction Inc
't
$76 . r.
Planning Conditions
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 'l ) Code:
Chavez, Dave
Date:
Date:
Date:
10196347
R-2
VB
cEc 2016 Notes
$3r982.7r
Authi:02:i7gG
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 uner #10193842.
l\4isc. Receipt:
Misc. Receipt:
Nrisc. Receipt:
Total
05/r0/2018
Account#
0'1 1 16002 51600
01 't 16002 51603
$21.25
$76.85
Fee Tolal:
Paid to Date;
Balance Due:
$98.10
$0.00
$98.10
Every pemit issued shallbecome invalid unlessthe wo* on the site
authoized by such pamit is commenced within 180 days after its
issuance, or if the wot* authoized on the site by such pe nit is suspended
or abandoned fot a peiod of 180 days aftet the time lhe work is
commenced.
lnspector MID#: 20'18-143'186
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAgzToz Electrical
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2424 N Tustin Ave
Phone:
Phone:
Building Use:
Job Type:
Nature of Work:
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby 0ilirr undcr ncnall, or perjory rhd I n'n .xcmtr rh'n rlt Conirlcl,trr Liccn$ ltrw lnr lhc rolloPine rclsq (s( 70.11 5
lJusincs\ und l!rnlc\*,n Grlc) Any City or Counly whrch r.qutcs r Fr.rir io co.slnEr. 0llq- iq)mvc. dc'tulish nr RFir any
itucrue. prior ro ns issuancc. !l{ rcqlircarh. lPpli.anr ritr such!.nnirto l-rlc a stncd {dcft rhar Lorshc is liccnscd puFtur
ro rhc proehions olrt Cookr.rors Liccnscd Lrp (Charrcr 9, Comtuncins Rirh sccrion 7tx)0 ofDivnion 1olrhc Businc$ rn(
Pn,rcs\hnr Codc)orth,r rEorsh€ hcrcrlPr rhcrcf!.mdd rhc Uii\ ror rh. dLecdcrcDDlion A.yviolurionolSNrionTl)ll.5by,ny
rypli.ont l ! pcnnir suhjat rhc appli. r ro d.ivilp.n.lryornor norclhan l'ivc hxndrcd dolltrs($500).
-1.
I o{8. or rhc tmF.tt, or Dy carplo}ci wilh *!Bcs as llcir v'k conqEnsal ion. $ill do rtl urk dn rh iME is m'l
imMd.d or oncr.d lbl s0lc ( Sa 7044, Bu\incs snd Pnrr.ssn x CGlc Thc Conllrclois l-iceik tf,w docs not spdy lo un owncr or
thc flop.ny who hoildsor inlm,h rttmn.ond who dN ssh Ntt himsclror h.rtlro. thmuSn his or kr{en cnployccs.
nrovidcdrhat such nnpNrctrnls m nor inrcrH or otlcEa tur nL. It ho*w!, rtE bui*tiry or in{troEnEnr is sld wirhin oft yta
ofd)rylcri)., itr Orncr Builhru l harc rhc hrdcn of pmving rhar lI or dr did mr huild .t iq'orc rhc ImFny fItr rhc l'uqr€ of
-l-
as owncr of rhc pnD.ny. rn.tulusiv.ly conk.cr in-q wnh lieosei conkrb6 k, .onsru.r rhc lo]ccl (56.' 7(x.1. Busirtr$
rtrd l'rofssrn Codc: Thc Conlr.cl{r'\ l-iccn\c L!* dDc\ nor {!ly k, rn oqncr ofpn,pcn, $ho huildt or nnprolcs rhcrcon.
rnd who conlmd\ fu s!.h p(&.rs wilh r Conh(k(t liccned pusuorh rh. Conrd.t,\ Li.ctrr li*r.
I rcxcnrptunrlcrScclio a & IC.lirrhi\ rcrlnr
DECI.ASAIION
I lrrchya,li nulldcrpcnilyolFcrjuryoft ollhcn bwinedccldathns
I halc dnd willnuinrain. CcniaEarcotG,n\cnrru Scltlnsutc fitr workcs' conlPcnsll t,n. os pR,vklcd ror by Scctn,n 1700 ol rhe
L{hrr c(nr, iin rhc ,lcrroinBftc of rrE work for whict rhc ,cmil h isso.d
Z4l r,o," ona * itt .uinoin *nrke6 conFnsarion insudnc.. a\ rcqutcd hy Sccr ion l?m or I h. t$or Conc. fot rhc P.rfdmkt or
rhc $uk tu which this p(m r is issu.d My worrcB .o'nr.sarion insuErcc c!tricr aJd lx,lky ntrmb.r orc
S\uk f,und
q ?t )356t 1 6lzb/lb
I ccniiirh0r n rhcrffomonccolrhr work inr which rhi\ Ponnir i\ is{'cd.l \h 1lno! cn,Iloran! Nr\in iD onynnnrr
$ $k' h(onE suhicr x, rh. w(,rkds comp.Ndhtr h$s oaClliromia. trNl rlrcc rhd ill {nout Etonr srhF.r r'
')Eworkcri NnD.n\slior ,tuvkhns .f Sccriofl .171X) oI I hc t-oh.r (bdc.l\ttrtl. r( hwilh..nrlly wilh lhot pR,{hnnrs
\1ARNIN(i: Iiilu{ ro surc workcr conrpcn\nnnr corcrlg. is lnlntrltl. tnd nuu {]h,ccr an Mlll(,)t. ro critninal Iicnllri\ rtul
rivil lid.\ un ro onc hundrcd rhoulrnd dolh6 (S|0O.O0O). in addntun r,lhc.o( ol.ontP.ns rn!r. drtrr8cs i\ rmrid.,t nr rh.
\..ru, lt)r6or rlr lrhtr(ini. idcrcn rnn nttrmv'\ lcr\
'd/1,"fi,2o/lo /lt<
DEq.AAA.IION
I hcrb, affirm undcr tenohy 6a p.riury lhar I eD liensn undcr rrovision ofChtrptc.9 (connmminE wilh Sedion TO00l.rrrivtion:l
of th. Busimrs and Pmllssions Codc. s,ld ny Itccn* is in tull fore 0d cLal.
(<LieNcNm$.r: lo I l qll
*,", 5 /lo / .t<rc
IANiIAIgUANIENIIIMiTIiENCI
I lmhy rmnn n lo Fnully ol t riury rhar lhsc h ! onitudbn Lndin8 .8c.cy for rh. pdfornun.. or rhe wort for which rhis ,Irnit ii
nsucd (SE :l(l)7. Civ C.).
txrdri" Nsmc
-
APPLICAI\'T NFCLANATI(TN
I hsd, aflim undc, lc.ally of lErjury om of th. tollosing dftldalionr:
- ocml inn Pcirn r A.bci"{ Nnrficrr'on tcdcmlRctul,lnns rTillc40. Psn6)
)A
"-,,-o ,.u-, ".,.*,on-xa \ I rd riv rhar rhc l(tc' 0l Ee brion( re.rd'h, ash.{os rcmvtl !rc n"t amlr rbL ro rhk ,'mjcd
ZDfccnify rh,r I luve rcdd rhis rpplialiotr ad (olc lhar lhc !tn!c infornnrion i oncl I asre ro ooply wnh all cil v lnd cou.tv
ordi.atuc, and Sl,r. Laws rcl,ling lo b!ilding connruclnn !d hcicby,ulMrir rcprcscnralilcs otrhh Cnyand Counlvlo enlo lFn rhc
nl!,rc trrrri,,nc(l Jinncdr,'r'n\t4-.crtrtrt t,!!r\c\6/)o 1/3Applirtrtri.. Agetrl Sians(u.e
Zul
@ru.4-
," Ab,l1r"l
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
It/eter Release
Bouqh {/n /*<Th lrED.nCl
Service [t/eter
5AFINAL i/(stiE fl*l+*
Notes, Remarks, Etc
APPROVALS
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