HomeMy WebLinkAbout20166762 - Permit (2)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 #: 2lJ166762
Pin #: 76636
Project Address: 2414 N Tustin Ave
Lot: 8
Unit:
Block: A
Bldg: 14-K Address Range:
Tract: A.B. CHAPMAN HistoTic: No
Suite Range: K-1
Zoning: R4
E
Owner;
Address
Contractor
Address
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-r065
01 I 16002 51603
01 I 16002 51603
01 1 16002 51603
01 I 16002 51600
01116002 51603
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
General Plan Update 22.08
lssuance 55.04
Qty
5.00
7.00
4.00
1.00
1.00
Fee
$7.25
$11.06
$4.20
$22.O8
$55.04
Phone
State Lic #: '1009989
Lic Type: B
Bus Lic #: 365547
Workers' Compensation lnsurance:Carrier: Midwest Employefs Casualty Company
Policy #: BNUWC0139070
Expires: 0110112019
Botcht:{17n - I /6/2018
tlfl ice: CTYH TrqnsS: 11Accti: Refgl
Rcpti:02378910 - 9/6/2018
Tnonsoct ion Totol
Koterro Renovot ionsr LLC
ID: cfiar(Ies15Eofiu
201667 67
9:48 An
t{r299. rr1
Aut h +: ui
Genero 1 PIin thdote Fee
01116002- 51600000-
Electr i coI
01116002- 51603000-
ICL Check 0030{0
Viso
Fixture OQid$#tttttHfr'f.t7521
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
Misc. Receipt:
Misc. Receapt:
Misc. Receapt:
Total
Chavez, Dave
Every pe nit issued shall become invalid unless the wo* on the site
authorizad by such pemit is commenced within 180 days aftet its
issuance. ot if the wo* authotizod on the site by such permit is suspendod
ot abandoned fot a peiod gl 180 days after the time the wo is
commenced.
09t0412018
Account#
$99.63
$0.00
$99.63
lnspector MID#: 2018-145638
011 16002 51600
01116002 51603
$22.08
$77.55
Fee Total:
Paid to Date:
Balance Due:
Assessor'sParcel 396-261-55
i2; " rlE
t/, ,272 -3tMulti-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Fixture change outs (unit 1) code:
R-2
VB
cEc 2016 Notes:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BI'II,I}ET DET-CARATION
I turchy rlfi.h unilcr p.nalry of pcrjury rhar I am crcflrfr l'tum rhc Conrrsch l-ic.isc trw for rhc nnbwing rclron (Ss.70315
Burincss inl Profc$ion C{nc): Ant Ciry or Coonry *hich E1tift\ . ,.rnnr t. cnn(rud. trlrcr. iryr.}c. dc'nolish nr Rnrir rny
{4durc. prirro ir\ isumq,ls rcqun$ thc {'di.nn' for {.h F n i ro filcn si8red srlrcmnr rhur rror \hc i\ liccn$d pusuanl
ro lnc frcvki.ns oi thc Conrrrtoas l,ic..kd ljw (Chaprcr 9. Connc.cin! wirh sc.tio. 7(x1o ol Division 3 Dfrh{ Burin.$ and
Profcssions 6dc) or rhat hcorih. is.xcnpr rh.ramn and rh.6a\n for lh. dkgcd excnptiotr. Any vi{,lnri{]n.fs.{rirn 701I t by rtry
applicrnr ttrnF.mil subj€.k th. aptli.d.t t,,.ivilFnalryornor frrc lhatr fiv. hundrcd dolhn (S5m)
Lrsoqnrofrhct,otfny.ornrycn[loyccswilhw0scs.slhcir$Lllnnpcnsxrnnr,ailldorh.s.rkdxlrhc(ruclurchnor
intcRlcd o. oltcrcd Lr slc lsa ?044. Blsims lnd Proiccsions c{'dc: Thc C.trtaclofs Liccnsc tiw docc nor !ppl, b an .qn r or
rhc pnl{n, wh, bxilds or improvcs rhc@n. md all) des \uch wo* himsclfo, hcrcltnr rh'{,rgh hk or htr own cnfloyccs.
poviJcd rhlr \uch impomiNarctur i.r.ndud orollcrd frtr sl. Il howcvc( rh hoil.lin8 or inDmrcnrDr is qnd wirhii .trc ,t.r
olcomfhtiotr. rhc Owrcr tsuilder willhak rhc hr(k! ofptr,vinB rhar hc or sh. did mr build or iqriorc thc pmtcny lor rh. puqbs of
-1.
!s owrEr oi rhe propcnr. dfr cxclurivcly c. n r.ri'rg wirh lirnrd .onr.dos lo mnrlrucr rh. I,nFr l Scc. 7(!r4. 3u\iNs
.nd Pnra\.tn Cod.r ThcCotrrractois l-iccrsc hq docs nolotplyn, rno$icrof olcdywhr) buildsor nnp$v6lhcrsn,,
0d wrD conrBcrs for such pn,r..ls wnh a C(,nh.h( n liccn*d IUNuant to lhc Conrrockn s l-i.cnsc h*)
-l
amermpr undcr Selion-. a. & P.C. for tht Msn
Irrl.: O*r.r
u!.t8tr[&r:g8lSENsar.IaN
IECLAMIII}N
I hcrcbt xriird undcr rcnahyorl)crjDryo.c olrhc followin8 dc.lnmrions:
-lhavcard$illNinrnioaCedificnrcofcun\cnriosclfln\urcfd*orkcs
coqr.srion. ar lr'ridcd ftr hy su.rn lT{Doirh.
lihor ('odc, for rhc rcrforrome ofrhc sort ao. which rhc pc..ril is hrrcd
-l h0rc and $illnuinr3in s.rkcr\' cotup.n\Innr insrra.cc, a\ r.qrncd btSccrionlT00.l'rhc l.rhor Gnlc. turrhc Nrtunrr.col
lhc wotk lnr which thk Dcmrir is i\\sd M y wortq e co ,tt(sri,'n i'NU 0.c .am ci d Policy truflrhcr lrc
o ,
gc?t
_l ccdirrrhll in rhe Frf.hun.u or rh. *ork hr ahi.hrhis p.rni n issucd.l shallror cntpl,,yuny |fN'n in.nynunncr
so Nro m\onr b]cd lo thc worlcn comncn\ bn h{s ofCnlilomia. and rgrc rh,r irl sltrld h.co'm slhr.€l roll'c
woikli coqrnsdrion pbvisions ot Sccl io. l7(ro ol lhc tihn (xlc. I sh,U- t,nhwnh c.mtly wth rho{ fmvnions
WARNIN(; r{ilun ro surc workcr' onpcnerion olslSc i\ lnla*aul, and shnu sublccr M cnqnoycr ro {in ml Ftulris lnd
civrl lincs utr ro onc hundrcd rhourrnd dolla ($llx,.lxXr
Scction 1076 ollhc bbr Codc- inrcrcdinJ art,my \ fccs
). n, nddlrion b rh ro\ ol (onr
/[.L- tlo
DECI,AXAI]QN
I hcoby {mrm ud.r pcn{lty ol pcrjury lhar I unr lians.d undcr Fovision ol Chlprc. 9 (comftn ing wilh Sdion ?uxr) of Divhion 3
of thc Businessand Pmfcsrhns Codc,.rld oy lic.lsc h i. tullrixe md c{ccr
n.
1.C'/'b ('ay't'*.
(:(INSTIIU(]TI(IN I FNDIN(; A(;ENC1
I hcnby lrfirm und& Fnrhyort rjury rhdr thce n a.on{rudiotr lcndin8 ascmr lor rhd pcrfomun.. or rh. work lor Nhich ihi\ pcmir i\
issucd (ss 1097, civ. c.)
APPLICANT T}ECI RA'I'ION
I lfthylninnunLr pcnrlryorprrjuryoncoirhc tnhwnrgdcclfialftrs:
I)cmolirion Pcflnit Ashc(os Norificartun Fcd.ful RclulalioN I tirld 41). Pft6r
-Rcquircn
L.rrcr oiNorilicarbn
9)"1t4,, ',',
iryrhd ihc rcdcral rcgtrliliuN rcsudnr8 ashcn.r rcnx,vllnrc not ipdicrl,h k)
l aSs toom,'lyqnh rI Cny and counilrh0r I hivc rcod rhisaprliarbns"d{,rcrhur r!.
odirln.cs nnd SlalctiNs rclarinsh buildi hnr{rivcs oirhis Cirylnn Coury t, cdcr upotr rhc
rhlvc mnrtJftd Dtup.ny lor insFrtion
,\pDli$ l or ,\rrnl Siu"t0rc ?at V,A-?.443
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFEB
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduil)
Walls (Rough)
Ceilinqs (Hard & Soflit Rouoh
Ceilinqs (T-Bar Rouqh)
lvleter Release
Rough (//r l6 ,\5v
Service lvleter
FINAL vl?/rs it\tl
Notes, Bemarks, Etc.
t.t.(t,
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