HomeMy WebLinkAbout20166770 - Permit (2)Proiect Address: 2424 N 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-10
Zoning: R4
q
Permit #: 2IJ16,677l)
Pin #: 24234
Owner:
Address
Contractor
Address:
01 1 16002
011'16002
011 't6002
011 16002
01116002
5'1603
51603
51603
51600
51603
Qty
500
12.00
4.00
1.00
1.00
Fee
$7.25
$18.96
$4.20
$22.08
$55.04
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Orive, Suite 200
lrvine, CA 92606
(866) 69s-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
Fee Type Amount
'125 Volt Receptacle 1.45
Light Switches, Occ. Se 'l.58
Light Fixtures 1.05
General Plan Update 22.08
lssuance 55.04
Phone
State Lic #: 1009989
Lic Type: . B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCo139070
Expires: OllO1l2O19
0otch::{5777 - 916/2OtB ID: o,lor
office: CIYH Trons+: l1 15lccti: flef +: 21116"..1
RcDtir0?378?28 - 9/6/20lA 9t4g Ai,
fronsoct ion Totol t4t299.'
Noterro Reflovat ioos, LLC
General Plott Updote F€e
0t116002- 5160000(r-
Electr acol
01116002- 51503000-
Planning Condations
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TyPe
Fixture change outs (unit lOCode:
Date
Date
Date
R-2
VB
cEc 2016
t-l$
41
T9ttotes: rixtur{&r"60€ irirts trnfl$Uao
CC+: *Il*trrlr}lr752l Aub hi: tri
Misc. Receipt:
Misc. Receipl:
Misc. Receipt:
Total
Chavez, Dave
Every pemit issued shall becone invalid unlessthe wo* on lhe site
authorized by such pemit is commenced within 180 days aftet its
issuance. or il the wo* authorizod on the site by such permit is suspended
ot abandoned for a period of 180 days after the timo the wo* is
commenced
lnspector
09/04/2018
Account#
$22 08
$85.45
Fee Totall
Paid to Date:
Balance Due:
$107.53
$0.00
$107.53
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
j'r
Building Use:
Job Type:
Nature of Work:
?t
2-!
G
01 116002 s1600
01 116002 51603
MID#: 2018j145648
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.O1+NEi BUTLDER DELCARATION
I h$cby a{firh undcr !.nalry of pcrjury rhar I ancrcmfl forn rhc Conrochr Liccns tjw l'or rh€ lollooirs r!\.n (sec70:11.5
Busnrss lnd Profcssnnr Codc)r Any Cny or Counr, *hth rcquirc\ a pcmir n, ..n{rucr. dlrer. irptuvc. dc.rlish or rlEt My r
drudurc. prior ro ik i$uane, aho rcquncs thc .t'plic,nl lor su.h p.rnit ro lilc r ri-qtrcd $armd rn nc or shc is licc.{rl I'Unumt
lo rhc rrovhions oflh. Contn lor's t-icenrd br (L^hdprcr L Comnrftine *irh Sccrion 70OO of Division I ol thc Busincs rtrd
Pnft$ions Codc ) or thor lE or shc h excmpr rhercfmn !M lhc b.sis id tnc .llcgcd cxcnrfl ion. Any violarion of Sdhn 70.1 I 5 br !n,
aptlica a.r a penln sunjccri'hc amlicu ro acivilpctrrlryolnolmlcrhan fivc hlndrcddollds (5500)
*1. .s ow.cr ol rhc trcFrty. rn my .nployc.s with wr8er as rhcir \,L .ompcns.rt^ will do rh. work mkl lhe sltrturc i\ ml
i crdcn or olttrcn for slc (S(.70,r4, Busimss afld Profcssions Cod.: Th Contlcft, s Licctr* L.* des not .Dnly lo sn osmr of
rl'c tln,lrny wl[, hlilds or ir'll,mv$ rhcNn. snd Nho docs sEh won( himsclaor hcr*ltor rhroqh hh orhcrown cn{l.yc.s,
pnvidcd rhor {ch impmwrrcd( e nor ir .ndcd .r .ffcE{ f(n slc ll ho$.wr. rh. bui ill8 oi irFovciEnr is v,U wilhn .rc }tr
oi omplcrion, fic Osncr Buildd will haw dE burdcn ot l,oeing rhnt hc or shc dil frn bxild or inptulc rhe lrmtdy f.r r]r !u.Fc of
-1.
$osncrolrhc pru|xny. ,m cr.lusivcly coftndnrt wirh lic.n\cd .onta.lds L) ( \lrud lhc F,jc.l (Scc. ?(}44.8usin$t
,nd Pn'fdii,n Gdc: Ih.Conk,croasl-ic.n\cliwd.csnoilnnlyloanownerofpror.ny*hol,uildsorin,p(k\rhcr.on,
and who co a.ls lot such,rotccls wirh. Cofticro(s) li.cns.d tusurtrr ro rhc ft)nt.ctof s Li.cnsc ljBI
-l
lnrcxcmil u crsccrmn , A & PC nr rhi\ rcrqnr
Dnre: O*n€r:
WORXFITS'.(iMPFNS TION
!trcLA.BtrUO!
I hcrcby slfinnu.dcr DcnallyolDsiuryonc of Ihe rbllowinx d..larnlhns:
-,
hnvc aftlwill nriot.in aCcnificnrcolConsctrrro Sclilnsuic lor $orkcs' conpensd ion. !s pnrvidcd lor bySccrt,n.l7(x)otrnc
Lnhor Cddc. for rhc p.rfornrane ofrhc qo* ld whi.h rh. p.rn,ir k i1\!cd
rnd $ill mainhh workcr .ompcnsalion insuftncc. as riuiEd by S4rion l7(x) ol lhc Lrbor C!de. for rhc pcrfomE oI
ion insuratra cartr od Dolicy numbcr m:
!4s.Jv i\ n{rd. Myworkc6 com0cnslr
a
fi N ., \.r cO r1,t |'ln L .r.\1
-l
ccnilyth rhc pcrlornDNc oirhc work i(tr *hi.h thi\ rcrmir is is{r{.1shrlltror cmpk,y any p.ron in.ny motrncr
w' as lo lEonE sub]cd lo rhe roricG' comncnsal ion laws of Clhroarin. and a8e Ihal il I lhould ll. o,N suh]cd b
'hc*orkcs'co pcnntrio. pmlniotrs ofScction 3?0Oofrhc Llt r C.dc. l shdll. fodhwirh conr/y wirh rnoc rrovhions
cMl linds trtr b oi. hutrdrcd rhousr*l dollrs l$loo.fin). in rddnion b rhc drntrEcs rs lrovdc{ tor rhc
4 ol rlr Inltn (i c. ric'cr r l nn.nry \ rr.\.L. tq.
IIEIJAAAIION
I hcnby afilrm undrr Fnslry of Frjury rhar Ln liencd undd rolision of Ch+r.r I (.onmkiig wirh Scdk n 70001 of Division :l
ol lhc Busincs lnd Pole$ins Codc. &!d nry liccnse is i. full foR Nd cr'l!rl.
3
4.(r,.tq tz,-44L
CONEIAUJII}IIEIIINCIqENCI
I hsrcb) ufiim undc, pcnalryolFrjurylhal th.E k o conslruclion kndin8agcncyforrhctcrforromcollhc worl tor shi.h rhil lxrmil ii
ksucd {S(.1097, Civ. C.).
Lctrdfl ' Nam:
l,ndcls Address:
-l.cr(ilirhrrrhclad.fulrclulnrtr,fs rc!mt'is rsbcno\ runn)vrl rc Ni ttli(n[]c r) rhis t)niN.r
H;:llllli\ll$::l1l his trl,plc{rio' xlshrcrhot r lnsr( h-rrrb {irh rllCir! ntl({)unrt
lrh'\ ( irr- rrt c.unry r) rnrLr uFrtr rlr
.\DDli(rnl or,\tcnl Si*natun
Yort'r/ ,4r
4 b./ ?"t
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltaqe
f!4r Alarm / Dampers
Building
Under Slab / Floor
Bonding / Groundino i UFER
Torqueing
Sub-Panels
Roof Top Equipment
Facto ry Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Solfit Rouqh
Ceilings (T-Bar Rough)
[/eter Release
Rough
Service ltrleler
FINAL l0lLt-hc 5N<c(
Notqs, Remarks, Etc
COMMENTS
I g,t t.? 61..
AIPUIANLI]EITAEAIION
I ll{b, nflim undcr l,..ah y of prijnry om of rh. f(rbwnr! d(lnrur ion\:
Dc'mlirir)n Pcrni( Alhedos Noril_'crii{,n FcdcralRcaultrrion! l'l'itlc 40_ Prna)
-Rcqlirc{l
Lalcr of Norificali,,n
Site-Work
Communications Cable
Translormers
Arr Conditioners