HomeMy WebLinkAbout20166436 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66436
Pin #: (i,4114
Proiect Address: 2414N Tustin Ave
Assessor'sParcel: 396-261-55
U nil;
Block: A
Bldg: 14-L Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: 14L4
Zoning: R4
E
Contraclor
Address:
Tenant Name
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 9s5-0888
Katerra Renovations, LLC
3200 Earhart Orive
Carrollton, TX 75006
(972) 818-106s
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
$1 1.06
$4.20
$22 08
$5s.04
Eotchi:{5194 - Elufrlg I0: CCtJEi-t-Aloffice: CTYH Trons+: I ?5 oi'Acct;: R8l+! 2ultt6,t:i5
Rcpti:023,t7{63 - 8/l/2O18 2.22 Pll
Tronscct ion Totol 15r 243.li3State Lic #: 1009989
Lic Type: . B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrieri Midwest Employer's Casualty Company
Policy #: BNUWCoi39070
Expires: 01/01/2019
K(rt€rr(l Renovot ionsr LL(:
Notes: Fixture change outs (unit 4)
Ganecol Plon lhdote Fee
oll16002- 51600(80-
Electr icol
otr 16q)2- 51603000-
ICL Check 0O3(n0
V iso
CCi: rrrrrrrrrrri5069
777 .51
!5,143.9U
399.63
Artht:052017Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
ru--
Multi-Family (5 or more uni uccupancy:
Alteration Constr Type
Fixture change outs (unit 4) Code:
Date
Date
Date
R-2
VB
cEc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permil issued sha become invalid unless the wotu on lhe site
authodzed by such permit is commonced within 180 days aftet ils
issuance, or ilthe work authoized on the 6ite by such permil is suspended
or abandoned fot a period of 1 80 days aftot tho time the wotk is
commenced.
08/03/2018
Account#
lnspector MID#: 2018-144704
01 1 16002 51600
01 116002 51603
$22.O8
$77.s5
Fee Total:
Paid to Date:
Balance Due:
$99.63
$0.00
$99.63
Lot: 8
Owner:
Address:01116002 51603
01116002 51603
01 116002 51603
01 1 16002 51600
01 116002 51603
Phone
Phone:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARNIION
I hcrchy ,lfirm undcr p.nrlly of pcrjury rhrr I am cicmo from thc A,ntaclrs l-ic.ns. tjw tor rhc rolloshS rctbn (Sa 7031 5
th\in6s 'd Prclcsion C.Jc)r A.y Ciry oi Connly which (qxn.s a ldnrir r. .on(ruc1. alts. improvc, dceriah or rcprn My
srru.iure. Eir ro its issuoncc, als rcqun s rhe arpliclnl lbr suci Frmi n) fik r siaftd (dcmfl (h,( rE or shc k liccnsd pursuanl
b rhc l(,viriom ordf, Conra.bas Liccnsd lzw (Chatrs 9. Commcrcitrc with S.c'io! TOOO of Oirhiod I of rlE Blsirrc$ and
Prclcssions co{c ) or lhd ncorsh. n cxcmpl thcrelrom and th. bash thr rh. trlbs.d .rctp'i.n. Any violrlion ofScclion 7031.5|,y any
lplliclnr for !pcn r subjds rhc !mli.an! h rcililpenalrrornot nk,rcrhannv. hundeddollrs ($sool.
L ds .w.cr ofrhc tm|Eny. or nryctnployes wilh wagc( ar rhcir slc cotrrp.trlart,n, will &, tl* woik dd rhc iMrurc i\ un
inrcrlcJ oroficrcJ for ql. (Sc ?Ol.,r. Bxsincsand P fcsion\ Cldc rh. Co m.rolsLiccnseL{sdocsnolapplyh!noakrof
rhcpdlEny who builds or lq,oves rh.rof. ad who dms such w)r( tnnsc lf or hcr€lf.r rhmngh hk or hcr own enuloy.cs.
F,vidc rhrrsuch nn,rc\crrnh aEmr intcndcdoroflcE\lfors!L.lt ho*cvcr rhc hildinB.r impov.ntbr is sld wilhnroN )txr
oicoq,hrio,, rhc Owncr Builld sill hrvc rhj burdcn of lln,virig rtuf h. or shc di].ol tlild or imotrN thc ptr,Fiy fitrtlr nuqncoi
-1.!so*Tcr.trhcpopcny.amer.lusivcly.ontnri'rgwirhli.ciscd.onracksrocotrsln.tth.proFcl(SecTOt4Bu\i'FsrM Pn,fssi,n Codcr'IlE Cotrlraclors Liccnsc Low docs norolDlrn) unowrroflrorc ywho huildsor irPruvcslhcrcon-
!n who..nrmcrforsu.hpmrccBwirhaGnrtuclr(rli.cn*dptrnu{nrtorhc$nrracroiil,iccnscliw)
-l
umcrcnrfl utrdcr Sccrion
]IABf,III5I;AMIENSAIIANt[cLaaarlQx
I hcrchy afnm unilq r.nal'y of pcriury onc ofrhc rolk'wnlg dcclnrurion\:
Ihrv.undwillminhinaCcnifEarcofConcnll.Sclllnrurclorworkoi.onllxnsarion,as,,ovidcdlorblSccrion:17{Dotrh.
tjh, q)dc, far rhc r.rfonmc of lnc wo ior which rhc pcrnrir ir hsucd.
-lhavc
rd will mrinhi. *orkcrr c."ln.ns(nu insuru Nc. ns ruqrn&l by sNt tr!1 1700 oi rhc Llhor Codc- fo, rhc |xrli)nun( or
/tldwqt- Luth
r.omF-n\rri{,n in\urni.ccrfti$ d lx)li.y trunthcr ttrlrs,,^ 5fl{wcntfitrl^.L4.1,,
I.cnilyrhd in rhcr.rforn mcoflhcworklirRhnhriispcnniishsuc.lshrllnoredlloysotrrr$nin ynMncr
e, s to h..otrE srbn{lo rhe wolicr' onrpcnsllion hws ol Cllil(,rni!. od rBrcc rhar ir I should bc.onr subjcct lo rhc
sorkc^.ompcns,riorpmvhn,nsofSelionlT00ofthchhrr(odc.lshall.tonh*irh.onDly*nhrho{pa,v$ions
W RNINC: Ililur. t, {cur workerj..n{.nsrrion covcBlc i\ utrh*tuL ind shrll subjd !n cmpk'ycr h dn ,hllIn rra\ rnd
civil finc\ up ro om hundrcd rhot{nd dollrn (SIO0.0U)). ii ,'ddiri.n tJ lhc cnst ol conrcnsdn'n. d:nrg.\ r! pr.vidcd lor rhc
Srcri,,n.11)76nlrho lf,hrC,xlc. crc
18,,,.,.,AUG 08 20
Ihcrcbynlrrflundcrpcnaltyofpcljurythalt!nlien*n!n!crpmltionofChlrrd9i.otmn.ingwnhS.clion7{{)O)ofDivtion.l
oa rhc Blsircs and Profcsrions Codc. iid my li.cnsc ir in hll r.m ud cff(r.
s,Io o 'tcl Prtl
"'"ftUG 03I01L .,""*"*- r<'+t..r"'-'-
SANflB!,!]trQNUND]AC{i.ENCI
I hcrchy nflim undcr lenulty ol pcrju.y lhal rhcrc h a ondrudhn bndh8 ag.my fo.lhc 0crfonuncc oflie erk for whkh rhi1 Jtt.i( (
i\\u.d (S.c 11097, Civ C )
A.tTLIIAXLDICLA.8AII!.}N
I lBiry alim und$ !.naxy orFrjury om ofrhc followinB dNlnrdionsl
Ocmlition PcnDic-Asbcsros Norific ion Fedcrol Rcsul ion\ ('lirlc,{), Prn6)
-Rcqutcd
L.llcr of Norifi c.rio!
l(nifyrhnr rhrfcd.r lrquhrnin\ rc8dtliry NhGlos r cnrivrl $. forrpnLicrhlo t,rhn llrojeiffi ul r; r:"1"'lr,"u'rr ;l
ovc rnrircd fropcny lbr inspccrion
i,,nr(l(rr. rhrrih.rhtr. i"lor i,nr '\.o'fu.r I df,rero.onrplywirhrll( iryrtrd (i nr_
irivcsofrhh (iryand Connryt, r r$Wo0llt
ApDli.nnl or A$nt SiInnkrrc
e1/\\h'-v ,! I rr: A "q 1+i0
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soflit Rouoh
Ceilinqs (T-Bar Bouoh)
lvleter Release
Rough 1/4/'tt s{'b
FINAL /n tvtb
Notes, Remarks, Etc
Sub-Panels
Service l\,{eter
LJndfl . AdLIcs
-
--+-