HomeMy WebLinkAbout20166761 - Permit (2)Project Address: 2414 N Tustin Ave Suite Range: l4J-3
Zoning: R4
E
Assessor'sParcel: 396-261-55 Lotr 8
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 #: 2O166761
Pin #: 13994
Owner:
Address:
Contractor
Address:
Tenant Name:
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
011
011
011
011
011
51603
51603
51603
s1600
51603
Fee
$7 25
$11.06
$4 20
$22.O8
$55.04
16002
16002
16002
16002
16002
Fee Type Amount
125 Volt Receptacle L45
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
ID: omor s les 15
5 of i(l: 20166761I 9:48 An
|1t299 .4I
Phone
State Lic#: 1009989 . , !'
Lic Type:. B
Bus. Lic #; 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 01/01/2019
Botch+!45777 - 9/6/2OLB
off ice: CTYH Troos+: llAcctt! Refi
Rcati:02378907 - 9/6/20l
Trofisoct ion Totol
Roterrs Renovot ions, LLC
G€nerol Plon updote Fe€sll16$2- 51600000-
Elpctr icol
01116002- 51603000-
ICL Check 0030{0
V i6B
CCt: *xrlrrlrlrrrTS2l
Fixture change outs unit 3
.322.08
l7?.55
14t272.39
Multi-Family (5 or mslg u6; Oicubancy:
Alteration Constr TyPe
Fixture change outs (unit 3) Codel
R-2
VB
cEc 2016
.t2Building Use:
Job Type:
Nature of Work
Planning conditions: ,
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Auth+ log'1r:rri6
Notes
Chavez, Dave
Every permlt issued sha becofie invalid unless the work on the site
aulhoized by such perml is cofinence.l wilhin 180 days afler its
issuance ot il lhe work authorized on the site by such pemil is suspended
ot abandoned lora petiod ol 180 days after the time the wotk is
commenced.
lnspector
09to4t2018
Accou nt#
011 16002 51600
01'1 '16002 51603
$22 08
$77.55
Fee Total:
Paid to Date:
Balance Due
$99.63
$0.00
$99.63
Unit:
Block: A
Bldg: t4J Address Range:
Tract: A.B. CHAPMAN Historici No
Phone:
Date:
Date;
Oate:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
MtD# 201.8-'t45637
ELECTRICAL-INSPECTOH RECOHD
APPROVALS DATE IDiSIG.COMMENTS OWNER AUILDAR DELCARAIION
I hcrcby drltn tr.df rcirty of !trjury thAt I fln cxcmtl riom rhc C.nrtucro* Li.cnsc trw rd rhc rbllowins .cu$n ( Slr ?01 1 5
Businc$ otu Proicssion Codc): Any Cir, or Co! y which !equi6$ r r ni h Nnstruct. rltcr. inrrn,v.. d.'mlish or rcPait sny
srrucxrc. prior to irs n\uancc, als. r.qnncsrhc !mli..d nr ru.htrir r k) lilc u siBocd srar.ftnr rhir h.or shc is liccned pur$lnr
b lhc F)visionl orlhc aontrtrck s Licctrscd Lr* (Chlprcr 9. CoFftmine wnh Scdion TlIb of Divi\in.I orrh. Busincs and
Polt$ionsCodc)o,th$hcorshciscrcnllrhcr.rr.,ndihttflsisrorlhc.llc8cicrcmPlion. nyliohriodolsccrhnT0ll5tyaiy
arplicrnrrorancmirsuhj*Brhc.pplicrnltoa.irilFcnrhyolnolnmNrlunfilchu.drcddoll.rs($5u0.
-l.aro*ncroalhcpmpcny-orny.npk)ytcswirhw{scsasrhcnsobconrPcnsrion.willd.rhcwoik0Mlhcsltrrurci\ftnimcnd.n or offcrd for el. (s(.x!4. Busircss ond Pmfcssbns Codc Thc Onrrcttr s Li.ctrt tjw docs nor lpplyio m owftr or
rh. F,pcny sho boilds or improvrs rhcFn, and wno dcs \uch M,l him\.lror h.r$lfor rhrough his or hcr own cnfl.yccs.
nrcvidci rhd such impovcrnh rc norinr.dlnl or.ltcdJ fiY eL.ll h}ctr. llE huilding or in{mltn.nr is $kl qirhin,{r Frr
of.onlptrhn- lhc Ol ncr Buildcr will hnh rhe lturden of Imvi'rg rhd h. or \hu dil n.r ttrild or impr*t $c ,mFny for rhc farFc of
-1.!sosrcrolrhcpropcny.r'n.r.lusilcly.ontr.iingwirhli.c.scdcoftld{slocois.rrhcfmj.cllSa7{}44-Businr$nd Phtu\bnCodc:ThcConl!0crolsl,icctrscl,!sdo.snorrpplyk,a.sncr.lptoFnywhohuild\orinpn'rcsrhcrcotr.
lnd *ho coniEch ftr \nch tmje* wilh r Conhctorls) liccnscd pursu0nr ro rhc C. rlctr's Li.cnsc tjw)
Dsrcr
-
Own.r:
worKER$c(ttrjrPEN!^Ioii
DEILAM.IION
I tceh, al0rmLilcr pcdx, of tcjury om ol lh. followin8 dalaBrnrns
lh.vc md will nEn rir a Ccnitudrc .f (i)tr{.r t, s.lf ltr\ur. ntr $orkc6 compcn\rri{in. r\ pn,ridrd fi, byScclior.lT(x)ol rhc
Latff Cc{t, frrhctl.fonruh-^c o,lhc *ork fitr *hkh rhcFnnir is i\\urd
I halc and $illnrainruin $d d^ compctrs.rion ir\um.c., as rcquiicd hySccrion lTmorrhc lihor codc. lor rhc Frrornrtuc ol
A,J Frmir n i$u.d. Myworkcn o rtef{ri(lr iNurrNc.rnnr Nli.ynnmhcrmw4tcasL.TraJ
{-l .f.
l.cnil, thar in rhc lcrlormncc olrhc sort n, *hich rhk Frnn is isu.d.I shrll nor cmnloy lny r.rn,n in rny ntmmr
$ si.lE@m sbjcd ro rhc wotr.r $mpcnerion h*s ofcolifomio. mi 4rcd rhd irl should ttr.nf, subjd h rtE
workcn comFn\srion fiovici.nsofsc.rion ]70o o! thc L.nn Codc.I sh{ll. fonhsirhconltlly wilh lht pmvnionr
WARNIN(;] F,ilur. ro *urc sorkcr' con{i.nsal ion covcrus. is rnh*rul, d nrli subrccr trtr ct{k,rtr n, ridmllcnrllics otrd
.iv'l fincs ut lo oN hutrdrcd rhousand dolla^ ($lou.ooo), in addirn,n ro (hc..$ ol con[cn\.lion. dtrmgcs as Pruvidcd r'or rht
Sc.rio. 10?6ol rhc Lnh.r Codc- inrcrcdond nnomc, s fcc\
1.C.lr,,
I hcrb, altfln und( Fnrhyolpcrjury lhll I r lietr\cd tr pr)risi.n olChnBd 9(comnrncing $irh Sccrioi TIXU ofDivi\lotr.l
ol rh. Busi'r.\sr PmL\\nnh Coilc. n|d nrv liccra is n tullli)i* rRl.f,icr
(?t .d2'tt$1
61.c .l %Lr r4*r,r..
COXSIBIJ(:II()NIINDINC.&CEN!:I
I hdruby rfllrnundcr pcnrllt ofr.rjury rhut ihcrc is a con{rudioi hnding,Scrcy lnr
'nc Pcdom'mc orrh. $Itrk ror shi.h lhi\ rrmi n
ilsu.d iS.. 1097, Civ. C )
AIPI.IIANIIIEII,AAAfION
Ih. yrlfii,nund$ pcnrlly ollcrjury onc ollhc lollowin8 dcchrariois:
Dcnrririn Pernirs sb.ior Nori6cilio ftdcBl Rc8ula! tnN 1l irl. .l0. Pan6)
Rcquncd h crol Notilicnlion
-l.clif)
thrr rhc icdcral rcgdh,'nh rc8r'l'ng J.b.snr rnn!rl rrc n.r Jl.llEohk ro thtr F!..r
!C(n,b rha, I h.a Eod
'hN
rrrl{arion dJxl srtrrc rh.rlh. ah)vc ini,,rorion h.orer. I r8t& ro comtly wirh all cn, lod counry
or(lirrtrcc! tr{tSrrrclr'\srlxritrgt)hu l,lir!.onnru.rn .rtrdhcrcht n'cscnrdilc\ofrhiscirynndcoutrryrocnrcruE rhc
.hr\r rmtrrnmd n0!.ny lor in\F{r
Appli.ml or AA.nl Sian.lor€
/L
4.G.1bo
Underqround
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Lite Satety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundino / UFER
Translormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Solfit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rouqh 1/Al,t ,r\ 5x
Service lVleter
Ir)/L{! t t >agf{
Notes, Remarks, Etc
Site-Work
FINAL
-l
cxempt undcr Scdi.r-. B &PC forlhhElson
nr,.r"*,*, 6{rr,;u (-t3lo}
-r:rprc\
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