HomeMy WebLinkAbout20166519 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714\ 667 -2738 lnspector Section: 1714) 647-5853
Electrical Permit #: 20{65519
Pin #: 20422
City of Santa Ana
Permit Counter: (714) 647-5800
Suite Range: Unit J4
Zoning: R4
qProiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Owner:
Address:01116002
01116002
01116002
01116002
01116002
5'1603
51603
51603
51600
51603
Phone
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-r065
Fee Type Amount Qty Fee
'125 Volt Receptacle 't.45 5.00 $7.25
Light switches, occ. se 1.58 7.00 $11.06
Light Fixtures 1.05 4.00 $4.20
General Plan Update 22.08 1.00 $22.08
lssuance 55.04 1.00 $55.04
Botch+:45194 - 8/3/2018 ID: c(:UEl,l-Ali
oflicBr CTYII Trons+: I lr.r ot ::iiAcct+: Refi3 211166:;19
R(pti:023,t7458 - A/3/7O18 2t?1 Pll
Tronssct ion Totol t5 r 24J.lilPhone
Generol Plqn tlpdote Fae(r1l16002- 51600000-
Electr icol(r 1600?- 51603m0-
ICL Check 003020
U iso
C(+: Iri**rrrl1115069
i; , r1:,
t1l -;_i7
t5 r 14i .9rl
$??. 63
Auth+: rl52t:117
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked Byl
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or mor" ,n, o""ri"litpUi
Alteration Constr Type:
Fixture change outs (Unit 4) Code:
R-2
VB
cEc 2016
Notes: Fixture change outs in unit 4
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave 08lo3t201a
Account#
$99.63
$o.oo
$99.63
lnspector IrlllD#: 2018-144901
01 1 16002 51600
01 116002 51603
$22.08
$77.55
Fee Total:
Paid to Date;
Balance Due;
Unit:
Block: A
Bldg: 24J Address Range:
Tract: A.B. CHAPMAN Historic: No
Contractor:
Addressl
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: O1lO1l2O19
Koterro Renovnt ion9, LL(:
Planning Conditions:
Date:
Date:
Date:
Every pemit issued shall becoma invalid unlessthe wotu on the site
authorized by such pemil is commonc1d withih 180 days after its
issuance, ot if the work authorized on lhe sile by such pormit is suspended
or abandoned for a peiod of 180 days aftor the time the wo* is
commenced
tr
APPBOVALS DATE ID/SIG.COMMENTS OWNER BUILDEN DELCARNTION
I hcrcby ,ffinn undfi Fnrky .f p.rjury rhnl I m .xcm0 fmrn rh. ContradoF Ltcns ti* for lhe following Etr$n (sR.ro-ll 5
Busin.s .nd Proicssn r Codc) Any Ciry or Coutrty which rcquncs ! Ismn Io con(dcl alret, imrrov.. dcnblirh or rcpdit lny
strudurc. pnor ro its ksuoncc, oho rcquncslhe atplicnnl r'or such pcrm b nlc ! si8rcd ilrcftfl rhd hcoi sh. n li.cnrd pursulnl
r. rhc lrfovisb nfrlE Conro.br's LrcnRd tjw (ch.pr.r 9. ComincncinS pith Scclion ?OOO oI Divtt,n I orrhc ausi.css and
Potusions Ckle) or lhll hc or shc i\ cxcmrr rhcrclrom on'i rl* blsh tu rhc aucscd.knPii.n Any viohtonofScclhnTo:t1.5 hylny
aprlicanr t{, ! p.nnit suhjccrsrhc amli.a.r r. acivilpc.aliy.rn.r d.rcrhn fivc hundrcddollss(5500).
l. Ns owncr ol lhc pmFny. or my enrployes wilh wascs r\ thcn vnc conrcn{rion. *ill do rh. worr .Jd rhc {dm i\ mr
i .d.d or ofcred for \(lc (Ss ?(!-1. Brsincs and Pmicsbns Cod. The conrm.tofs Liccnt Liw doei nol upply ro !n owncrof
rhcFn)rdy who hurldl or nl{,revsttuNn. cBl*ho dms such wnk hinscllor hc^clfor rhrough his or hcr own cmployccr.
prrvi{lcd rhar soch nnlFr6rnh G mr idcMcd orofi.Erd hr ek ll ho*cvc.. rhc nliklin! .r impmvcmnr i\ $kl sirhin ncr
ol onphrion, lh. Owncr ltuit+r trilliavc rhc horden ofpoins rhal hc o, \hc did fr, brikl or in{,ot fic pmFnt d lhc purF,c ot
-1.
!s ow.cr oI rhc !mp.,ry. am crclusitl, conrEcrins snh liccncd .ontddo* tu sn{D.l rtryroJ.tt (Scc 704,1. Bu\iNs
od AolcssiD C{xle: Th. C6nrd.t sLi.cn\.tjqddsmrrmlyroatrowtrsofropcnyuk,tuildaorim ovcs thcreo.,
rnd *ho.ontBdsforsuchpmJ,rtswilhaConlmch(nliccnsdpunudrr,rhcCo.tu.ror'sl,kcnscLoB).
I dcr.nnr undc. Sccrpn . S & P.C. ir rhtr (a{.
O*n.r:
UOBXEEI-(AUIENSA.IION
I}IILASAIIA!
I hcrcbyrnnnundcr pc.rlr,olpcryuryonc ofrhc iollowiDs dccl rlions
Ihf,veud*illroinrri,,aCcnillMrcolCon\ctrrroScllln\urcl.rworkcrs'clnrpc.sllion.!rp()!idcdrorhySccliotr:lT0Oolrhc
li6or Codc.lorlhc pcrtorronccofrhc worl for*hichrhc Pcrmir is i\su.d.
l hrvc rnd will
'nainn'h
*orkcrs .ompcn$ri insuntrrc.!s rc,luircd hrSccrion.l?01)ofrhc tibor Q)dc. for thc P. onunccoI
rh. trrrk ro uhrh rhr Firntr rs F.rd Mv trorlcr,'.nmNrsr'on rn\u'rr.. t rIY J II,li', ndnhcrdc
.,,., ll'.{,r'At b" :I-!rs-
.\,\q-
IIARNINC rnilurc ri r.trc $.rlrri coa,Fnrrri,rr .orc.r!. i\ ut xtt|. r d (hrl {rhll.r at c rd.}cr ro oiminrl ll(nalii\ rDn
ro o.c hunnrcd rhon\{nd dolhr\ (Sl(X).(x[). in rddirion k' rhc.o( ol .o 'tc.\aridr. ditrrgcs ar p(ridcd for ihc
Ssri,,r.1076 olrhc tahn (idc- i' crc{ rndrrtnrcr's nc\
,,,,1[ga0J01&
pEcl,aSeuo!
Ih.Ebyaf6rnundcrF€naltyofpcrjlryiharI!nlien*d!.dcrpn)viionorCh.pr$9(cor.Ercitr8qnhScdion7000)ofDivisi.n.l
ol rhc Busi'rcs(iM Pnnc\slonsCodc. a my licensc h n' tullfoeandellNr
^%:lOotlb4
AUG [, u /u !u,,,,,...,,,.ffte\
co!fl8lgrmuiNDAc3iENLr
I hcrcby lififln trndq lf,nrhtdrpcrjxry rhar rhcrc r a..nnd.rioi lc dir8 agcEy for rhc lErfomrcc ol rh€ work lor whi.h this |l nir i
hsucd (S( .1097, Civ. C.).
trndcr'sNam:
APILIIANL.DE!:IIIM.IIQN
I tErbt aninn undcr pcnahy of psrjlry 6ne oirhc lollosins decluarion\i
Dc@lhi6n P.rmit-Asb.nos Notification Fcdcral Rc8!l.lions (I irlc.l0. Pan6)
Rdtxiftd ktrcr.f Nolitu lion
)4i(n,ry,hr r rrrr rcr,r,hr.,nf rrr ior ul($crhd rhc ihovc i i'r x i{ i\.odc.r lrgrcro.onfltwirhnllCiryannCounr,
hortc rc]trcs.nrriivcs ofrhi\ Cil! rtrd C.udy l,i cnr.r ufl)nrh.
rh^c Hnrnnrcd t()p.ny f(tr i'r!t..rii
wG os .,!ll
,\DDliutrl or \!Nl Sil]nnlu,r
'\a.^t A fr'o ,\
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab i Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soflit Rouqh
Ceilings (T-Bar Rough)
lVleter Release
Rough xl2z4'o clat
FINAL 7/41,*5\.f/
Notes, Remarks, Etc
ELECTRICAL.INSPECTOR RECORD
Pole Bases
Service [\ileter
-l
ccni,ylhol ir rhcF:rlormancc ol rhc work Lr which rhis pennn is ku.d.l shrll not c.Itloystry Pc6on inanytunncr
$ Ak, tE oft sbj.d b rh. w.rkc( smp.nslion ldws ofcalituoi,..nd lerce rhar ifl \hould tr$ft subjcr ro rtE
wo*c^ conp.ns,itun rovisions.ls.dion l7molrhc btrr C(lc.I shlll.l'odhwirhflnnply wnh rl*,t pn,vishns.
_l ccnifyrhar rhc ndc rul rsn lar ionj dss'ding ,sh.sos ..mrf,l trrc nor lpt'lic0blc lo rhh pmrcl.
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