HomeMy WebLinkAbout20166765 - Permit (2)Electrical
,City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Assessor'sParcel: 396-261-55 Lotr 8
Unit:
Block: A
Bldg; 24-B Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit B-8
Zoning: R4
w
Contractor
Address:
P hone
Tenant Name:
The Bascom Group
26 Corporate Drive Suite 200
lrvine, CA 92606
(866) 69s-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, Tx 75006
(972) 818-1065
01116002 51603
01116002 51603
011 16002 51603
01116002 51600
01 1 16002 51603
Amount
't .45
'1 .58
1.05
22.O8
55.04
Fee
$7 .25
$18.96
$4.20
$22.08
$55.04
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
Phone
Stale Lic #: 1009989
Lic Tybe: . B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier; Midwest Employer's Casualty Company
Policy #: BNUWC0l39070
Expires: 01/01/2019
Koterro Renovot ionsr LLC
Gaoenol Pldn Updote Fe€
01r16002- s1600000-
El€ctr i col
011r6002- s1603000-
Fixtu rq ctaoladlrrt3 (urffim4o
V iso
CCi: rrrr;**rrr**7521
t22.aJ
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:
R-2
VB
cEc 2016
Notes
Auth+:Bs4r:r4(
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every perfiit issued shall become invalid unless the work on lhe slte
autho zed by such permit is commenced within 180 days after its
issuance, ot if the wo authotizad on the site by such pemit is suspended
or abandoned for a period of 180 days after lhe time the work ts
commenced
09/04/20r8
Account#
$107.53
$0.00
$107.s3
lnspector MID#: 2018.145642
011'16002 51600
011'16002 51603
$22.08
$85.45
Fee Total:
Paid to Date:
Balance Due
Permit #: 2O166765
Pin #: 60265
Project Address: 2424 N Tustin Ave
Owner:
Address:
Qty
5.00
12.00
4.00
1 .00
1 .00
Eatchi:,15777 - ?/6/2018 I0: oror{lejl:
off ice: CTYH 1;'63f : 11 15 !i rll
Acctt: R€fi: 2016675i
Roti:02378917 - 9/6/2OtB 9148 An
Trqosdct i on Totol 14t29't-4).
Building Use:
Job Type:
Nature of Work:
:.
Planning Conditions:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
Fixture change outs (unit 8) code:
Date:
Date:
Date:
APPROVALS DATE ID/SIG.OWNER BUILDER DEI,CARATIoN
I hcrehy rfirm lndcr penllty ol F.jury rh l rm cxcmfl fotrr rh. Co.tra.ros Ltcn$ LaB lor
'h.
forloring rctr$n lscc.70rl5
srsincs rnd P.olt$ion C r) Any Ciry or Coutrly trhich rcAntcs a rrmil rn .on(rud. alrc!. imnlovc. dcnmtish or rcnot .li
qflcruru, rnnb irs isurn.e. rho rcqut s rhc rpplicrnr f{tr such pcnnir i{, filc! \igncd dlremnr rhlr hcor shc i\ liccnscd pursuir
ro rh. thlj\n,ns oi rhc C.nrracttr s l-iccnkd bn (Chsplcr 9. co'nnrcncior wilh Scclion Toq) o, Division 3 otrhc BusnEss an.l
Pnlcssiotrs Codc ) or rld h. or sh. h .xc rtrr rhcdfto end rhcbo\i\ fir rhcrllcgcd drcnprnrn Any vn'hrn,nofsdrionT0.ll5 ht riy
amliunrlnraFrmilsubjclsrhc.pplicanrroocivilricn.lryornornbsth0nfivchundrcddoll.rs($500)
-1,rsowncrolrh.pmp.rly,rtrmycmployccswirhwases6rhctsolccotupcnsdt,n.willdorhcsdkundrlr
fl.imiqn.r
inrcndcd or ofiircd ior $lc (SN 7014. Busircsr and Pmfc$i.ns codc: Th. Cont,.ttr\ Lkcns tjw d.cs iol rp/y lo orowncr af
rhc J,mFny qh() hoildr.i i'hrr.$ rh€d.. u'd wh) dms s-h wort himsclfor hc6.lfo. rhmugh hi\ or h.r own c'nnk,tccs,
providcd rhar \uch inpmunEnG @ ml inr..icd or oflar.d for slc. lt hoNcts. rtE trildin8 or inlmEnEnr is sld wirhin om }!s
otcomDLri'n. rtE O*ncr Buillcr u ill hate rnc &nlcn or pmrin8 rhd lt or \hr dld fr, build or nnpruvc rhc p$trny for 6c ,'u!x'e oi
-1.
0r owrcr or thc rorcny. dnr cx.lusircly c.ftr.rin! wilh li(n\.d .onra.bs ti ..niru.r rh p$r.d {Sc.. 7044. Burinc\\
ndl Pn,li\si Codc lhcc{,orrnclor's Liccnsc Lawdoes nor 0pnlyro 0nowncrolprotcnyeho buildsor inrprovcs rhcrcon.rnd uho onrmds ror sn.h t'tu,c.G Rilh a C.nrhcb(n liccn\cd pr\ua b rh. Contdor'1 LiLr.sc trw)
-l
amcr.mo undcr Slclion
]rottrEBs:']goNfENtA.IloN
OECLASAI]IIT
I hcrcb, afln undd r.nrhyof,.rjuryonc orrh.lnlb*ing dmhnri0ns
-l
holc ond willnDimlin, Crc.rifialc ol Con*nr u S.lfln\wc fq workc( c..rr.nririon. $ Fovidcd for bySr.rionlT(xlofrhc
tibor O,tc. aq rhc pcrfonBn c dfrhc work [d which rhc Fn,ir is issucn
I hivc rtrd trlllnr.iNdir torkcrf .onrn(t!rri( i'Iurrncc. r\ rrquncd hySc.ri,nr lTlX)ol rhc I]lrtC.dr. forrhcl[rror ht...f
i( trr nh rh^rrrnnr r rqGl Myu,trkrh
,q ,' a(U- A t-
'clmp.i\rrion in\uran( caricr drlF,li.y unbcr rc:
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l.cn'li rhrr inrhcp.rr(r u,f,c ofrhc $ork f{n *hich rhis p.nnir n n!ucd.I shrllnor cmployanyp.(on innny nr ncr
e arlo lr.otrr \ub.i..r ro rh. sorrn\ onpctr\r.oi h*\ otCalif,nnia. Md rErcr rhd ifl \lx,uld h.com \ubjr.r ki rlr
wo*crJ .onr!.n\nrnnr F,visi(,ns of Sd.rn$ lTrD of rhc Lhtr C.xlc. I shall. fonhwirh comrly $ irh rli,{ povi\nnr
WARNIN(;: Failurc lo s.urc *orkcr' onpcnslrion covcnsc i! utrhviul. in.l shall sutccl in cmtlqlr h simnul Ilcntrhi$ and
.ivil lincs up kr one hundrcd lhouqnd dollar l$l(N).000), in rddirion lo rhc cosl ol com!.nsatnrn. duu3cs !s nn* cd tor rhe
sr..r' rf r, irr5. I Jhe' ci\t.. I h...r JnJ rh1a.)'. r. -4L4 Appllert:
I hcrcbyalfi undu pcnlhy.lrrjury thd I am licutrEl nndc, pmvasion orch+tr 9l.onmn.ing wnh sc.rion?00o) olDivision l
of rhc ausin.* Md Pmfe$t,.r Cod., aJd ny liccnr is ir lull ntrce ond crtcrg O /oottqq4.C.('-. .-n*., hk..*
q)lslalclxlNtElDAc-dcEllx
I hcrcby lllrm utrder pcnoltt or Frjury lhal lhcrc h n conntuclion lc.dinB .8cncy lor
'h.
pcrlorMcc of lh. work for thich lht [tn.i h
ksucd{Sc 11097. Civ. C.)
AIIIICAXI-TIDI;I,A8AII!}N
I hcrchydnmu cr r.nalty ofFrjury o.. orlhc rolk,wins dehrlii6.r
Dcnb&t,n P6nns Asbc{d N.rifi.lrion R{cral Rc8olarbns (Tirlc40. Pan6)
-Rcquircd
Lrlcrol Norilrcalion
l.c irr"ilrri rl'c f.dcrrlrrgtrhr()i\ r.tx'di'rg rsh.(o\ rcnn,IL xrc for ftl.rhl. r) ih'\ pnlccr
ffimnllmffil
rbove nE ioncd ptup.nylor im!.crion
ricd.I asre rocomnly*irh rllCiryond C.unry
i,csnturivcs oflhn Ciry ann Coun'y ro cnlcr urDn lhc
Applimnlor/tg.nl Signolum
Otn',//L 7.6.7o
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
e igns (monument)
Life Sale ty /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundino / UFER
Torquerng
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rou gh 1/15,,/y '-t\K$
Service lVleter
FINAL h/4 /t,t 5(4
Notes, Remarks , Etc.
ELECTRICAL-INSPECTOR RECORD
COMMENTS
r,,,ru tu.,t * 8N { wCotS1fu . ,^r,*,
trftlq'\ Addrc$
Site-Work
Transformers