HomeMy WebLinkAbout20166464 - Permit (2)20 Civic Center Plaza (l\il-1 9), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
qd Electrical Permit #: 2lJ166,46,4
Pin #: 43293
City of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-251-55 Lot: 8
Unit:
Block: A
Bldgr 24-E Address Rangel
Tract: A.B. CHAPMAN Historic: No
Suite Range: 24 E-7
Zoning: R4
Owner:
Address:
Phone
Tenant Name:
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 9ss-0888
01116002
01116002
01116002
01116002
011 16002
51603
51603
51603
51600
51603
Fee
$7 .2s
$11.06
$4.20
$22.08
$55.04
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
Phone
Stare Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 0110112019
)PY
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval Byl
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr TyPe
Fixture change outs(Unit E-icode:
Date
Date
Date
R-2
VB
cEc 2016 Notesr Fixture change outs (unit 7).
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez. Dave
Every permil issued shall become invalid unless the work on lhe site
authorized by such permit is commenced within 180 days after its
issuance. ot ifthe work authorized on the site by such pemil is suspended
or abandoned for a peiod of 140 days aftet lhe lime lhe wo* is
commencecl
$99.63
$0.00
$99.63
lnspector MID#: 2018-144753
01116002 51600
01 1 16002 51603
$22 08
$77.55
Contractor:
Address;
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, Tx 75005
(972) 818-106s
08/03/2018
Account#
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
-1.
ar o*ncroilhc prcpsly, or my strplore silh w.g€d lhei sl€ compdsalio.. villdo tlt *or( a.d thc atru.lEe i no!
inkxLd or6rn d lor el. (Sc.7044. Buin6s od EDasiom aod.: I1E Conlrrclols Lic.M r,w &'6 not sp?ly ro M o"n6 of
rhc pop6l, who tuilds or nnFove fi66.. and *ho do6 such No,l himsclf or hc6elf or lhmush his or nd orr cmploy6.
provid.i rhal such inl'ovlfuB ft mt hrod.d or oll6.d aor eL. I[ ho*e6, rh. buildi.E or inpovffir is $kI wirhi. on. ]ar
ofcorpl.rio( $. (xTn Buith wiu havc lhc hjrdo oaFovin8 $d h. or sh. dt nor hlild or i,hprcv. fi. p6Fty for ihc Anpos of
l. soMd olrhc lr.pdn d.iclusi!.ly co.rraclins with liccns.d &rntmdo6 ro consdd thc projcd (S(. 7044. tssmB
tud thlsion Code The Conlnctors Licose Law do6 nol atply 16 e oM6 o apmprny uho builds or ihprorcs Iho@n.
and who conta.B for su.h Foj.cls wirh a Co Ecro(, lics.J plurBnl to ihc Conlrocrois Licsc b\v).
_-l d cxempl undd Sdl
lroatrESs:.c0MtrltAua!
IECI.AAAIIAN
I hs.by a,Im unds p6.llyofpdjuryon offi. fouoei.g d..leliotu
I hav. ad will nainrain r Cdlitr.arc oaco.$t lo S€lf-lNUc for ert.rs conipcnldion, 6 Drovid.d lor by Serion 3 700 o t rh.
Lab.r Co&, for rhe palomdc. oflhc worl for shich th€ pqnl n issued.
-l
harc and v ill nrainlain work.n comp.Barion i6!ra..e. a rcquncd br S<r io. 3700 orlh€ I abor Cod€. for th. paf.fr@c. of
rhe rvork lor which this pnnit is isu.d. My worker! compdelion iNurec. .ei6 dd policy nunb.r d.:
Cmo:
-I
cotiry lh.l in lhc p.rforMc. of thc wo fo. shi.fi thi3 p.mit ir issx.d, I shall .or mploy try !.Bon in rny m&,6
e s lo b.$m€ sobj<t lo $. mdr6 comF&rion laws otcalitonia Md asre lhal it I should b€com. subjd ro thc
worl6' orpNtion povirioB oas*tion 1700 oilh€ tibor Cod..l slEll. fodhwilh omplyvnhrhosprcvlsioN..
WARNING: Ir.ilue ro $uc *orLe6 cor.pcBarion corcr.s€ is unlawtul. dd sh.ll subjd an mployd to aininal peuhiG a
civil lin6 xp ro on. hdn&.<t rholsd dotla ($100.000), in addiriofl Io 1fi. cosr oa comp.Mrion, danase s prolid€d aor thc
S.dion 1076 of rhe t bdr Codq inro6t ed ato.Ey! f€6
ucDlslD..qoNrxacroa
DECIASAIIO!
I h@by atttrm u.dd pmlry o f pdjury ihar I @ liensed u.dq provisi.n olchapla 9 (Nnmdcins yilh Se.lion 70C{) of Division l
of lne Bcin6 and Prof6ioB Codq did hy lic.e is in tull aor.. ed €ifel.
Licccc Cla:_Li..c. NrnbG
Co r..to.:
COIIIB.I](:UOIIEdDIDC.AGEITI
I hftby aliim undd paahy o t pEjury that $6. is ! oNrrucrion loding lsocy for U. pdfomdc. of rh. *orl for whi.h rhis pdfti b
isu€d (Ss. 109?, Civ. c )
AfIUCANIDECI.AAAIIO!
I hqetr alltrn und6 p..alt, oapdjury o.. ol th. follo*i.* d(ldal ions:
Dcmohion Pm eAsb6r Norin.flion F.d@l R.sulalions ('Iill€d0. Pan6)
-R.quted
Lelid oaNolifi c.lio.
I rdily rhal lh€ f.d€ral rcaulalioN Essdins db€stos r cmo\ .l .re nor arplicahlc lo this t)iojer
_l cdiry Ihar I h.ve r€ad thix applicario. and {.relha rhe ahvc infomalion is cordt. I asr* ro complyvnh all City MdCounty
odinencs m'l St.l. l2vs rcldins ro brildinS .otr{tucl io( &d hd.by ruthnriz Epco$ri\'6 of rha Cny ed Coury lo fti6 upon rhc
abovc mationed pmpdy for inspclion purpos6
AppUc.nr or Ag6t Slgn.tur:
Site-Work
Underground
Pole Bases
,9p6rs, Pool, Fountains
Signs (monument)
L ife /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)EXPIREIJ
Meter Release
eFP 13 ''''
.,
Rough ^ -,n arA. 667
FINAL
Notes Remarks
/J
Liqht Standards
Service Meter
Etc.t //I /.v"- | \-./
OWNER BUILDER DE'CARA'TION
I hdct y aflim und{ paalty oa pctury rh3l I m dempl 6onr lhe C o.lrr.lou Lic.nse l.tr for thc lollowins rgen (S* ?0.1 I 5
aosin6s ed ltoi*ion Cod.): Any Cily or Counly *hich r.qrir6 a ldfrn ro coBrrud. rlrd. inprov., <tmolish or Epdr d),
sh'.lrc. Fio. lo ils irsu&c.. also rcqutc rh. applictul for such p.mir to fr1. a sigfl.d darndt lhat h. or sh. is licms.d pGud
ro rhc Imvaioru of thc Co r.ctoar Licensd Law (ChaFo 9. Coom..cios wilh Scrion 7000 oi Division I oallE Bain* ed
Proa.sions Cod.) or rhal h. or sh€ is €xmpr ths.&om &d lhc bsis aor th. rllegdl dmFioi. Ary liolarion oasd6. 703 I 5 ty rny
applicanl for a pemil srbj-b thc alplicd ro a civil penalty oa nor mo' e th fiv. hun&cd dolltrs (1500)
L.nda's Ad<L*