HomeMy WebLinkAbout20166769 - Permit (2)Proiect Address: 2414N Tustin Ave
Assessor's Parcel: 396-251 -55 Lol: 8
Unit:
Block: A
Bldg: '14-C Address Range:
Tract: A.B. CHAPMAN HistoTic: No
Suile Range: unit C-7
Zoning: R4
eY
City 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; (714) 647-5853
Electrical Permit #: 2O166769
Pin #: 72745
Owner:
Address:
Conlractor
Address:
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92605
(866) 695-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
01116002 51603
01116002 51603
01116002 51603
011 16002 51600
01116002 51603
Fee Type Amount
125 Volt Receptacle 1.45
Liqht Switches, Occ. Se 1.58
Light Fixtures 1 05
General Plan Update 22.08
lssuance 55.04
Qty
5.00
12.OO
4.00
1.00
1.00
Fee
$ 1 8.96
$4.20
$22.08
$55.04
Phone Eotch+:49777 - 9/6/2O18 I0r oilorsleslS
office: {:TYH TPonsi: 1l ?4 tl' "itlAccti: fi€fi: 2l:11S676?
Rcpti!tr2379926 - 9/6/20tg 9148 An
TrsnEoct ion Totql 14t299 -4!
State Lic #: '1009989
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwe3t Employer'8 Casualty Company
Policy #: BNUWCoi39070
Expires: 0110112019
Koterro Renov8l ions, LL(:
6enerol Plan [rpdste Fee
01116002- r1600S00-
EIectr i,-01
rlt I 16r:r(12- :160500tr-
ICL (:he':L 1103040
V iso
CC+: r{r*rxr*r}*r7521
Fixture change outs (unit 7)
$22.rlg
98i.45
Building Use:
Job Type:
Nature of Work
Date
Date
Date
R-2
VB
cEc 2016
AuLhi:r-rl',
Notes
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permil issued shal become invalid unless the work on tho sito
authoized by such permit is commenced within 180 days atter its
issuance, ot iflhe wo* authonzed on the sile by such pomit is suspended
or abandoned fot a peiod of 180 days after the time the wo* is
commenced
lnspector MID#: ?O18-145647
09/04/2018
Account#
01 1 16002 51600
01 1 16002 51603
$22.08
$85.45
Fee Total:
Paid to Date:
Balance Oue
$107.53
$0.00
$107.53
Phone:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or mqls un; ocJupanty:
Miscellaneous Constr TYPe:
Fixture change outs (unit 7)Code:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DELCARAllON
I hcrchy aflnn undcocn,h, of !,crjury lhar I am crcmpr lKm lhc conlmdoB Lrcns L.w r'or thc lhllowiq rca$n (Sc.7o.ll 5
Bu\incss and Profession Codel Any Ciry or Colnly which .cquircs a Fmir Io con(rucr, llrcr. improk, dcnoli\h .r rFi ,ny
(rucru. prnn b irs nsuancc, als aquncs th. 0pplhadr ror ru.h Frnit ro Llc r siSncd {nrcnrd rhdt hc or shc is li.cnsd pusuonl
ro lhe !tuvisio* ofrh. Conri.r.ls Liccnscd |lw (Chapicr 9. ConnEn.in8 sirh Sc.ii.i ?fl of Oivision:l ofrir ausincsr and
ProfcsionsCodc)orth.l h.or shc ncxcmpl lhcrciro,nand rhctusis l(tr rhc0lkFcd.xcn{rion. nyviol ionol'Sarion70.ll5 hy any
rprlicanr tq o p.rnir sul'jcch lhc arplicanr ro acivilp€n.lryofnor mrcth,n live hundBl dollss ( $500)
l. {s owncr oflhc poFdy. or my.nrploy(s wnh w,gcs r\ rh.ir y,lc.rmp.trutun, wiu do lh. wtrk rnil thc $ul& is rol
i cndcn oi ofcrcd for slc (S( ?O44. Busirc$,nd Pmltsions codc Thc Conlnclois Li.ensc tiw does n l aml, ro an osNrol
rhctmr.ny sho huildi or inlrmvs rh.mn, dd who ddr tuch knt himsclfo' hc'tulfor rhdlgh his or h& o*n.nrtlor.cs.
pn,lided rhar such impDvcmnh e mr inl.rdcd n oftcEd for srh ll houcvci rh. hoildint or inrowrmnr is wH wirhir nnc jtr
olcon{'klion. rn€ Ow.cr Bui}:Li will hrvc lh. bunlcnolpmvir8 rh t or shc did Rn hoill or inoorc thc potLny i.r lhe purFxc of
I. as owtrr .f rlt. fn,pdt, 3m .xclusiv.ly .onkrcr in8 wir h limn{d conrrr&tr\ t, ..n{rud lll. ptuj.{r (Se 7(ll-r, Bunrcs{
ml Pmli:siotr Codc: Thc Cotrriodor's Li.ctrsc Lrw docs nor onrly ro 0n oqncr otp.opc.ty who builds or in]lnovc\ lfi..con.
&d *ho onrEckforsuchltr.jcclswirh!Conrrlctorls)liccnsnpuisurnrrorhcConrracroisl,icenrlnw)
I sm.rcnrDr undcrScrion
uaBrEf,lroutllsAlllr!
DDCI/AAIIO!
I hcrcht rfinn utrdcr pcn&hrolpcrrtrD. onc oflhc n,ln,$in8 dcclo,llions:
-l
hlvc 0.dsillnEinhin aCcrliricalcofConsent lo Sclf.lnsurc ror wor icr' comp.trsri.n. as lirovid.drbrbysccrion:lTlx,oirhe
Lahor Codc, for rhc pshflMkc ol rhc worl for which rhc !.i!nir ( ksu.d.
Nl!mpciun n,\m .c.rrit
OJL
vvco
-lccnilylhar
inrh€ ncnblunccollnu *ork lnr *hich lhis pcnnil i\ h$cd.l shrllnor $rdoyiny |r!(on iranyalnncr
\o asn) tno f, subjcd n,rhc workds..'npcnqrn,n h*roicalii(mi!. md rsrcdh irl shduld h.c.N suhid nr lhc
w.rkcrs cotr,Fosari{nr pmvi{bns ofS.crbn l7O0olrh. Lllxtr C(xic.lshlll tunhsirhcomply {nh rh,r pr,li\nnr
l4ARNlNc Fnilurc l() *.uto wo&cr( co pcn\arbd cnrersc i\ onlswrul, Md shnu \uhJccr dn cndoycr ro dnnirl ncmllics ud
civil 6ncs ut lo onc hundrcd rhousnM dollars ($100.000). in rddirnri h rhc.o( or confc.sariotr, dlnu8cs as providcd fu lhc
S6.-rion 107(, oflM Lrhor Codc, i .rcn!M nr*y sfN\
4,L.lc.
DECI.AEA.IION
I h..b, amrhrnd.r pemlrrotprrjury rhar I am li.cnsd lnd€r prcvnnn ol Cluprs 9(con,mNins wirh Serirn 70s)) orDivhnJn 1
of rh. Busircs and Pmtcssions Codc- !d my liccn* h in tull lnra exl clfcct.
6 lOeat<'t-
a.G.4 -hrra
rat aucraNuiNDtxli-aclNqr
i\\ucdrsm :llD7 Civ C )
L{nders AddE$:
-
-l
ccrlify lhd lh. tadcnl lc8ll iotrr E8ardinB a{$los rcnwal m mt 0pplic,bk r. rhis lmicl.
4.:5lny t.ut I lirc.can $i\ lppliclrion &d srarc rhd rhe ft've inromt nn ir corcd I asd t. c.mply wirh rrl c'ly and counry
ordinric.\ rdJ Srxr. lr'$s rclJri',9 h huilding rulhorncr.lnc\cnLrnrsol rh]\CiryrDd(.unr!r,r rrtrFr f,
xhovc rnri,nrd nrotcny f(tr i'r\tB.^^ri{'n
ADpli.n.l.r A,tenl Si*nrlum
-h aal r/ 4,,
4-CtaDsr€' f, a.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltage
Fire Alarm i Dam pers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Translormers
Torquerng
Sub-Panels
Air Conditioners
Roof Top Equipment
Facto ry Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
C eilings (T-Bar Rough)
Meter Release
Rou gh
Service lVleter
FINAL lr q ttJ%
Notes, Remarks, Etc.
l.L lc1
AIELIIANLII&CI.AAAIIIJN
I h.mby rllro u ndcr lcn,lry ofl).rjuryonc.rrhc fouowiig dccl&tn,Ds:
D. xnirion Pcrhih Ashenos Mriicdrioo rcdcalRquldions (Tillc 40, Pan6)
_Rcqutcd trtcr of N6rifi crrhi
I