HomeMy WebLinkAbout20166767 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Electrical Permit #: 2IJ16,6767
Pin #: 20944/Cify of Santa Ana
Permit Counter: (714\ 647-5800
Unit:
Block: A
Bldg: 24-G Address Range:
Tracl: A.B. CHAPMAN Historic: No
Suite Range: Unit G.4
Zoning: R4
qProiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Owner:
Address:
Contractor
Address:
01116002
01116002
01'116002
01116002
01 I 16002
5't603
51603
51603
51600
51603
Qty
5.00
12.00
500
100
1 .00
Fee
$7.2s
$18.96
$5.25
$22.08
$55.04
Phone
Tenant Name
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-5s91
Xaterra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
General Plan Update 22.0A
lssuance 55.04
Botch+:{5777 - 9 /6/2018 I0: oncr0
llff ice: CTYH TPoBsl: 11 li ,:
Accti: fiefi: 2016676;
Rcpti:02J78921 - 9/6/20tg 9118 Afr
Tronsoct ioo Totol t1r29r.+\
State Lic #: 1009989
Lic Tyle . B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCg139070
Expires: 01/01/2019
(oterro Renov[t ions, LLC
G€nerol Plon uodote Fee
01116002- :1600000-
Electr i coI
01116002- s1603000-
ICL Check 003040
Visa
CCi: rrfi*I*Irff1752l
Fixture change outs (unlt 4)
Building Use:
Job Type:
Nature of Work
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 4) code:
Date
Date
Date
R-2
VB
cEc 2016 Notes:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pernit issued shall become invalid unless the wo* on lhe sile
authotizod by such pemil is commenced within 180 days after its
issuance, ot if lhe wotk authoized on the site by such permit is suspended
ot abandoned fot a period ol 180 days after the time the wotk is
commenced.
091o4t2018
Account#
$22.08
$86.50
$108.58
$0.00
$108.58
lnspector Mto#'. 2018-145644
01116002 51600
01 '1 16002 51603
Fee Total
Paid to Date
Balance Due:
Phone
22 "1.t1
li
Planning Conditions:
Auth+:rri4a (
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER AUILDER DELCARATION
I h.i.b, amrft und.r Fndlry oI pcrjnry ihar I d cx.rpr aon rhc ConrricbN Lisn* tiw ror lhc rrnk,winB rcasnilN rL;
Buliness ,nrl Pturu\sion C.de): Any City o. Coxnry *hi.h rrqut$ , Fnnii lo mnsrrud. sh$, i'ryrovc, rhmlCh q rl]€n {(dclurc. l,rin (o irs i.suamc. dso rauircs rhcapplianl lor such Fnnit lo fiL0 sieflcd slalcEnl lhdlhcorshe n liccnrcd I'tNlnr
ro rhc pmvirions or$. Contr.rd 3 Liccns.d lrw (Chrycr 9. Commcmin8 *irh Sccriotr TuxJ of Division I oi rhc Businc$ und
Prcfc$ions Codc)or lhol lE or shc h excryt lhercfrom and lhc hnsis for Ihc dkBcd cxen[lion Anyliolario.orscc]k,n70ll.5by,ny
lpplicanr for r pcmir slhj6ls rhe aFlicanr ro a cieil pen,lry ot nor Bnc rhM fivc hnndftd dollri($500)
-1.
ar ourer of rhc pmpcny- or my cmployccs wirh wlBcs ns rhcn sh o'qEnsar ion. aill d. rr. qdk nll rh. stutE is ml
inrcnddl or off.r.d for slc ( So.Ilr4. Busircss rd Prorcssbnr Codc Th. (trnt0ctols Li.ctrk Law docs trol lplly lo .n ottur oa
rhc rmIrny pho boildr or iqmtq ltEm!.0d wto dcs skh M* himsclror hcrellor rhn,u8h hia or hd o*n .n{loyccs.
providL\d rhar such impmrcmnh N mr inrc*Ld or ofi.nxl tor qlc. ll l$wrcr rtE huildiry or i.rFoEnrnr is sU lirhin on. FU
.f..hdcrir- rhc O*ncr Bnildq wil haw tlE btr&tr 6f pmving rllr lE or shc ilid nor huih or inpmv. Ih. FoIEry for rlE turlh$ of
-1.
asosncrofthc pro!.ny. ancxclusivelyconlrucrinE wi'h liccn\ciconiracknsbcond r! rhc pn,Jccr {scc ro{. BunNss
d{t th,itsi,n Codc: Thc Contnctn \ Liccnsc Lrw doe\ nor apply i(, nho*i.r orpmr.rly Rho buirds or inrplotcr lhcrcon.
rtrd who.ontrrif(trs!.hpmJ.tkwnhaComnrk,(\)li..n{dru6urnrtornc(.ontrucroisLieoscLo$)
I rn,crcrlr u cr S.crn,
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trcatrf8llg}lltEtt llu!
IEILAB^III}N
I hcrchynrfi rf undc. Fndry olpcrjuryoncof rhc folloBins dccltrrrions:
I h0vc uld wrllmirldnrC.nificatcolConsctrrro Sclilnsurc ttr workcr'conrpcnslrion, as prolidcd for by S.drion lT0Oofrhc
bhor Cod., for rhc p.rforM. of thc qolk lo.whichrh. p.nnir n hsucd.
lhrvcrnnwilnriinlains.rkcn..nrpcnsin,ninsurrrcc,!srcquncdhrScciioirTUJofrhrl-.horC()dc.lbtrltcpcrlonnnNol
i\ ns!.d Nlysork.rr c,rpc,\, i,r i'Nrrtuc.rni$ d tx,l(y trtrnrhcr r.
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VuCo 1v)o t .\ i,i-
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ccnilylh0l hlhc rcrhflnarccol lhc *ork tu *hthrhh |Ennn is i\\ucd.l sh3ll n.r c 'rl.yniy!crk,' ir rnyn'anDcr
$ s t,IE(nnc shjcd h rhc lorkcis .onlxn\arnnr h*l orcnlirbrni ,.id a8rcc rhnr ifl sh.ukl bccom suhj(r l. rhc
aork..i comlr.isrri{'n pr,li\nrns of Scci ion 17fi} .f rhc bh.r c(rlc, I drll. Lnhwilh comply with thosc nmvnions
WARNINC: FailuE to surc worlcs'conDcnsalion oveEsc ir unh,nrl, lml ihall subjc' {n cmplortr !o aiminslpcMlics anJ
civil fincs up ro orc hundEn thousDd douus ($100,U10). in oddirion ro rh. co ol.omllcnsdrion. dame.s !s providcd for thc
Ssliotr 1076 otlhc L.hor Codc. iorercn and srromy s f*s
Dsler Appliol:
LLCENIED-CONIIAqtr.IA
DAC!AaAII!}!
I hcrcbyafit und., p.ndlry or l).rrwy thor I am li.cnsd und.r Imvkion o, Chaprcr 9(mmmmnrs vi$ Stlhn 7000) orDirision l
oa rfic Busirc$ Md Pmfc$io.s Code. and ny licen* is in fuU fore. and cfi(r.(3.t o o1.t r. 1
or .G . \ou 1.--.F.. ^ '
COXIiIBIJqII()NIENDIIC.trGI;I1;I
I heEby rfilrmundcr pcn.lty ol p.rFry rhsl rhsc h r on(ruclion bndins ds.tuy for rhc tf,yror.rrrcc or th. work ror whichlth pcrmi n
issucd (Scc 109?, Civ C.).
APPT,ICANT DECLAIL{TIoN
lhcrbyafimundf p.nrlry olp.lnry onc oflhc fouowins dcclararions:
Dqnolirion Pcrmirs Asbcsros Mnifi.arnlo Fed.rnl Rcgrlf,rion\ (Tirlc (). Pdt6)
Rcquncd krrcr oi Noliff,nii.n
d^iryrh,r Ihc rcdcral rcguhrn,N a8ddnre,\bc{os rctrhv rc tror r|t'licdblclo lhh projccl
-lccrliryrhrr
I hrvc rcod rhisllPrlicur
orrlimrcsnnd Shrc Laws rclolins lo hu
rh)vc trrnlion.dtmp. y for iNpccrio,
i,!r xn,l{r. rh.r rh. xh\r l lngrc( ri.o t'ly Birh illCiryrtr,l(in, ny
nrivrsolrlrir Ciiyrtrd Counly lo cnrs utrxrllE
r,ar.: 1. G'lbA0Dliffnl or Artnl Sirnxt
1>,^.t{ h
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Life Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondino / Groundino / UFER
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
lvleter Release
Rouqh 4/t619 isttv
Service IVleter
FINAL ro/C/fr AM
Notes, Remarks, Etc
COMMENTS
Site-Work
Transformers
Air Conditioners
I.ndo \ Nrfr
Pcd tee namrt,rinl):
II
I
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