HomeMy WebLinkAbout20165895 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (lvl-19), Santa Ana, CA92702 Electrical Permit #: 2O165895
Pin #: 94652lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2424 N Tustin Ave Unit:
Block: A
Bldg:24-R AddressRange:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit R-3
Zoning: R4Assessor'sParcel: 396-261-55 Lotr 8
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5591
Fee Type
01116002 51603 Dedicated Circuit
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
23.87
21 .25
52.98
Qty
L00
1 .00
1 .00
Fee
$23.87
$z',t.25
$52.98Phone
Tenant Name:
Contractor
Address:
Arias General Construction
17015 Casimir Ave
Torrance, CA 90504
(310) 350-8198Phone
State Lic #: 1017935
Lic Type: B
Bus. Lic #: 366738
Workers' Compensalion lnsuranceCarrier: State Fund
Policy #: 921135817
Expiresr 0512612018
Building Use:
Job Type:
Nature of Work
R-2
VB
cEc 2016 Expand coat closet opening for w/D in units \.vith 2
bathrooms, No bedroom addition, exterior alteration
and/or addition of square footage proposed at this
time. Original P/C performed under#10193842.Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject lo Field:
Building Permit #:
Chavez, Dave
Date
Date
Date 05122t20't8
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
10196473 $98.10
$0.00
s98.10
Every permit issued shall become invalid unlessthe work on the site
authotized by such permit is commenced within 180 days after its
issuance, ot il the wot* auhoti2ed on lhe site by such permit is suspended
or abandoned fot a peiod of 180 days after the time the wotu is
commencod.
lnspector MID#: 2018-143416
01 1 16002 51600
01 1 16002 51603
$21.25
$76.8s
Fee Total:
Paid to Oate:
Balance Due:
E
Owner:
Address:
.h+:4,194
li
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t, / ?4 /'1ii18
ot(ll
t ron In,
:nencrl Flqn [Jpdrlti
116(10?- 51600(rtr0"
re,:tr ii:n 1
r 16ur_r?- 5l6tr3tl( :r-
l :li**ri+.I**{}r}3135 Auth+ ! r:!l
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
w/D Partition (unit 3) Code:Noles.
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS OWNER BUII,DER DELCARATloN
I hcrchy offim under pcnalry ol pcrjury rh l mcrcnpr fn,m rhc Cont,.los Liccnse Lrw for lhc ft,llduii! rc$on (Sc70:ll5
Busincs anl P,{lc\sion Co<tc): Any ciry or Coxnry which r.qlncs 0 lcmit lo con(tu r. alrc. intovc. &mlish or EEn lny
sr cru.. pri.,rb ns hsxn.... rle Equncs lhc .pplicmr rbr such tEm iofihasigmdn emnl th0l hcor shc n licen*d puruaor
ro rhc pmvisions ofrhe Conrdcxr\ l"i..nsdd l-,s (Chntrfi 9. Co.nnctri.s Bith Scclion 7Oo0 of Dilkbn I oflhc Busnrcs lnd
Ptrrfcssn,ni Codc) or rhst trorshc ncrcmfl lhcEtom.nd lh. tush iorlhcallcs.deioiprion 4.,viohiionofScction?0:ll5ty"ny
appli.a for0pcrn r subj.rls rhc amli.anr ro !civilpcnlltroi.or rhErhM nvc hundrcd dollss (5500)
-1.
as osturof rh. l,{,Fdy, ofuny cflrlore\ *ilh wn8cs as thcir wk omFn$lion. wJldo rh Bork and l,r $*1@ n mr
iitrcn& orollcrcn lor s e (Se.7o14. Irusims\ and Profc*ions Codc: Tnd Co raclor'sl-iccnscl,owdocsnorJrPIyk,0noRncrol
rh.I'DFny wh' ltuilds or iilr.vs thcmn. id !60 des sEt mrL him*lfot h.r$lror lhn'ugh ht or hcr own.frpbr..*.
nrovid.n rhat uch imporftnk ft mr inrdrLil or onarud ror sh ll ln,w$tr, rlE l{ilding or hpotm h sol! wirhin onc ,rr
or.aftphrion. thc Owmr Buildcr will hore llt hudcn oi FovinB ihd h. or shc did ml build or impmvc thc pmtcrl, rd rht lurrr$ or
-1.
.s owner o, rhc pmpcny, d cxcluii!.ly .oiha.ring *irh li.ctrk{ conlracros ro conndd rtE Iftjttr (s{ 70tl- au cs
ufrl t'r$r6sinr cod.r Thc Conkflols Liccnsc LoB dcs ml apply ro an own.r urrr.p.ny who huilds or impmr.s rh.rcon.
u.d who co E ts lor such rmj(rs wnh d Conracron n lk.nsd pursuanr ro lhc Conl,acloi s Lic.nsd l.rs).
I rmcrcDnr unlcrScdion-. R & I) C f(rrlrisr.rnnl
Dite: ,, O*&r:
WORXl]RS' L](N'PEI\ISATION
DECI.Af,AIII]N
I hcrcby riftrr unrlcr pcnshyofpcrjuryonc orrhc roll'r$ine d.clar0ln,nsl
-l
tav.,J will@i'ndin s crcdificd. oIConsctrt lo Sclf-ltrsur€ io. rorkcrr coq)..sdrion. as rrcvidcd for bySccrion]?fi)orrh.
kbo Codc. lor rhc llcrfomncc or rh. *ork ro. *hich
'hc F.nrir is issucd.
Ihvc,ndwillnlintrnr*orkcrscoflrpctrsltionnNumnce.!\rcqotcdbrS.crn ll00oflhc L\horGnlc. ir rh. ldfurnDRc of
rh. wo* rdwhi.hlhk pcrmir is hsuol. M!wortcG conqEnsarion insuan.. .!ric. ord Flty numhcr ml
':ir*c Tun)
q24t3SEt-1 t*
-l
ccnirrhor nrrtu pcrfoou.ccorrhc work ror whirhrhisFi,nit h issucd.l shlll nor c Dluyitrylcnotr in onyhanrc!
s a\ ti blarm suhi{r ro rhc workss o pcnsnrion h$ nfcllifoniL snd xsnc rhar if| should hec.m \trhicr b rh.
k k.rr smp.ns,r ion povnions of Scclion 3?00 of rhc Llhor Cdlc. I $dll. lon hwilh clmply oirh rho{ Ptuvisbns
WARNINC F0ilurc lo wure *lrkcs comFnsrn,n cov.r4c i\ unhwtul, md \hall \uhi.r an cnlf'loycr ro cnminrl Pcults,nd
cMl fincs uI lo onc hlndrcd rhousa.d dollds ($100.0m). in rddiliotr ro rhc co\r oa co r!..s.rion, danuacs 3s lrovid.d ror rhc
Sr..rion:1074 otrhc ltrtx,(idc, i'n.r{ rd rdoflry\ rcc\
s.zq lt "--0.
!l!!t1-8{Il!r!
I hcrcby 0mnnundcr pemlry or rcrjuiy (hnt I am liensd xndcr provnion olChttrcr 9 (d,nnmncing *irh SNlion 7fi1)) ofDivisn,n -l
ol lh. Busirrcs ond Pmltsioos Gnlc. ad my lk.ns. is in fuil ldR arl cffNt.
P)ta t1q 16
o*" S dl3 ,+6L
raNsIx!.quoxI[NIllNI]-dliENrI
t hcchy trotm undcr rEnrlry of pc.jury rhrr rh.rc i\ r.on{fldi)n hndinS i8ctrcy tr rht P.rhtnrn.c.flhc qork lor $hich thi\ F-nnir is
i\\ucrl (Scc :1097. Cr! (-l
APIUCANLDECLAMIION
I tftby arm undcr ,..alty ol pcrjury om of thc folk'win8 d(LrainN:
Llcrmlirion PcflDirs A3hca.s N.iific ion Fcdcr0l Rc8ulaliotrs (Tillc40. P,n6)
-Rcq!tcd
lluf ot Norifi.aiofl
-l
cc ify rhai rhc fcdcfll Egubl ions mgffding esbcslos rcndol arc @r arpli.abh to rhie 0olc.l.
tsj.cdiry rhd I hlvc rcad this qrpltarion ad slalc rhlr thc lbow informrion t mn.d.I a$e rooopl, wnhallcily snd counly
ordinsnccs md storc llws EhrinS ro building consmdion. dd h.rcbyauthorir rcprcsnlslilcs orrhh Cny and Counlylo cnlcr uPn llt
3h'vc mnrtr,ncd rn,nrny l'{ rnspccrion tur"*s
lppti""nr o.,r*"nrsi**r,* 44 V
r.-,,*,"-u rn"*r, lZirr'[>e t(Y
*,. 5'a't t8
,l4l zu<- lct
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monumenl)
Life Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Translormers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduil)
Walls (Rouqh)
Ceilinos (Hard & Soflit Rouqh
Ceilings (T-Bar Rough)
Ivleter Release
Rough G @ltl ,,(/4E@
t
FINAL 5N?g
Notes, Remarks, Etc
Service lvleter
(t/7lr/ lq
< 2Jt
Lcndcr \ Addr.s
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