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HomeMy WebLinkAbout20165990 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical lnspection Requests: (714) 667 -2738 lnspector Section. (714) 647-5853 Project Address: 2414 N Tustin Ave Unit: Block: A Bldgr 14-l Address Range: Tract: A.B. CHAPMAN Historic: No Suite Range: Unit l-2 Zoning: R4 E Assessor's Parcel 396-26'l -55 Lot. I Owner: Address The Bascom Group 25 Corporate Park Drive, Suite 200 lrvine, CA 92606 (866) 695-5591 01 1 16002 01 1 16002 01'1 16002 011 16002 011 16002 51603 51603 s1603 51600 51603 Fee Type Amount 125 Volt Receptacle 1 .4O Light Switches, Occ. Se 1.52 Light Fixtures 1.01 General Plan Updale 21.25 lssuance 52.98 Qty 5.00 7.00 4.00 1 .00 1 .00 Fee $7.00 $ 10.64 $4.04 $21.25 $52.98 P hone Tenant Name: Contractor Address: Katerra Renovations, LLC 3200 Earhart Drive Carrollton, Tx 75006 (972) 818-1065 Stat€ Lic #: 1009989 Lic Typb: B Bus Lic #; 366547 Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company Policy #r BNUWC0139070 Expires: 01/01/2019 tIlI ile(rlll tl3lll"lLl- r1rl.1 I)'! Multi-Family (5 or more uni Occupancy: Miscellaneous Constr Type Fixture change outs (unit 2) Code: R-2 VB cEc 2015 Planning cohditions Planning Approval By: Plan Checked By: Permit lssued By: Chavez, Dave Subject to Field: Buildins Permit #: 1 0196573 Date: Date: Date: 06/11/2018 Account# Misc. Receipt; Misc. Receipt: Misc. Receipt; Total Every permit issued shall become invalid unless the wo* on the site aulhorized by such peftnit is commenced within 180 days aftet ils issuance, or if the wotk authorized on the site by such permit is suspended ot abandoned for a peiod of 180 days after the time the wo* ts commenced. $9s.91 $0.00 $9s.91 lnspector MIQ#: . 2018-143621 01'1 16002 51600 01'1 16002 51603 $21 .25 $74 66 Fee Total: Paid to Date: Balance Due: Permit #: 2O165990 Pin #: {9378 Phone.8oL,'h+144?21ofl aEPr ( lYl Ac,:ti: Rtot-a rt0 t92I - 6/l L/?rlls r(lnE;: ou Refi ! - altt/21'tl t. (0terro Renov0t ionE PIon Updotq Fei - ll6rrt :I11- Building Use: Job Type: Nature of Work: Notes: Fixture change outs (unit 2). ELECTRICAL.INSPECTOH RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I h.r.hy lmiin undcr lcnalry ol Frjury lhrt I !m qcrpr fmm lhc Conr,cloF Lic.ns Law ior rhc followi.s r.a{o (S< 7031 5 Busincs arn Prol*sion Codc): An, City or Coury which rcquircs a ,'cnir to mn(tucr, ilrcl inprolt, dcrclish .r mNr d) strcrurc,,.ior ro irs tsuancc. lkorqrircsrhc aDDlicd for such lElnir ro lile r \iErdsr,rcmfl rha( h..r shc is liccnsd pusu r k, rhc prcvisnb ofrhc Cont,.ro L,.cnsd Liw (chaprr 9, Co'nmcn.ing wirh S€clion ?ulo oi Divhion I ofrhc aurincs,nd Prctss nrCod.)orrhll tEorshc is.rcn{rl thcrcfrcmand th. basis lor rhc dllcscd cic'npriri Anylnr{ionofs.diotr?031.5by!try applicanr tu a pcrnrir slbjars rhc zppltuanr ro,.ivil penuht.{not mor. rhai fiv. hutrdrd dollds ($50o). -l. ss owncrofrhc pmncny. {r myemplo)es qili qaScs os rhct slc comp.nslrn n, *ill d{, rhc uork,nd rtE slMW h mr inredsl or oifcred for ele (S( 71X4. Bxsines and ftof.\sion\ Codc Th. Commcrol s Liccnsc kw docs not anDly ro atr oencr of rhcln,Fdy who toilds.r nrpm6ltrmn. rnd *ho des su.h md( hinselfor hc$cltor Ihml8h hh o, hc, ow.cmplotms. pmvidcrl rlur such iflrDnlcnEnt\ m mr inrcdct orolleEd f.r sh ll l&woc. rhc irildin8 or iq,mkmd n $h wilhin onc }te of coq,hrinr IrE owncr 8uild6 will hlvc rnc hurd.n of lmviry rhal hc or shc dA nn bnilll or iryrow rh. pmFny rot rlr pu{F* .r -l, u!o$nc.olihc prop(ny. !mgcllsivclyconrracrirs sirh liccisd cont rrs t) conid.l rtr roic.t (Sc.- 704,4.I]u\in$r rnd Eurs\i,n C6dc: Thc Conkkrols Li.c.sc l-is do$ nor rtply i,.nowmr.l trop.ny who builds or imrrovd rhcr.on, ond who onlncF ntr s'ch p!,jcrh {irh fl Contackn( t liccnscJ lunurnr t,rhcContNtn \ Licctrsc t,rw). -l !ncrcmtl utrdcr Sccritrr-. a & I)C htrrhi\ rcNnr EOBf,IBS:CAUIENIAIION D[!I.AIAII!}N I hdrchy afllr Utrdcr pcinlryoi Fcrjury otrc oirhc t)lb*irg dcchnriox: -lhivc.ndwillrminr0inrCcni6c(rcolCooscnrroSclllnsurcioruorkcN.onllxN{idr.,stovidcdnnb}Scctnrn-lTOootlhctibor Cadc. for rhc pdi,rMmc of lhc wort for which llE psnil h hsucd. ! h.rc.nd willnmi 0in sorkcii compcnsarion insura.cc. a\ rcqutcd hy s(r ion l7m ol rhc bkr G)dc. ior thc pcrrbnruec ol rhc $ork for wnhh rhis pcrnril is hecd Myworkcis conrpcnstrlion inntrlncc ddicr md poli.t nun'bcrd. I ccnify rhrr in ihc pcrfortu .. ofrhc $.rk f(n whi.h rhi\ ltrfrn i\ is\ucd. I sh0llnot enploy any p.rson in rn, 'nmncr${sbbc..trrsuDr.r...rblhcworkcrsconDcnsdionl0ssoiCrlilornirxnd+tocrhdirl\h.uldb..onEsuhj.tlhlhc *ork$(.omIfn$n povtiotrs of Scdbn .l7lD ol lh! trhor (bdc.I sMll. n,nhwnh.omtly wirh rhot ptovnions WARNINC: lililurc lo {curc *orkc( (nnpeildn,n $vcr]3c is u la*ful. ,nd shdl sublccr i0 crnlLycr ro.Tioriml F,rlris and civil fines un ro .nc hundrcd rhousrnn dollr* ($100.fi)O). i. oddirbn ro rhc.rsl olconlxnsatio . daruscs r\ pr.vidc r{tr rhc ili,i,'i1ililiill DPCLAAAIIO! I hcftby afrn undrr p.ndry olrc.juryrhar Lm lien$d undcr pmlisionofChoptcr 9 (smmncing wirh sc.iion 7000) orDivision 3 ot rtc Blsift$ and A,ofc$i(,.s C.d., rrd 'ny lt.n$ is i. tull for.t drd .ficc'. G, -IUN t 1J+16"*"*, F.lu,rt^ coNllf,I]cftoll,[NDlNli.&clNll I hcEhy afli,fr uhd.r ,rnolry or Frjury lh.t lhsc n a mhslrudhn lcndin8 r8cmr,or thc Frfor@cc olrl[ wo.k lor qhich lhis Imnn 6 nsued (Scc. lO97.Civ.C.) dIIIII;ANI.DECIAEAI&N I lEr'6y alilnn undc. pcnllry otpcriury onc or'hc rollowinr dcclddn,n\: Dc,mhrion Pciinih Ashcstos Noliticltion ltdcrrlRcsulrrioos (-l irlc,l0. Pd6) -Rcquircd t llcrol'Nolifi.rlion l..dilirlnr rhcf.d.'rlr.Sul i.isr8ddnU r\hc!.\rctrrrrlnrc mr intlica6lclo rhislrn+cr rh.dLrr rl,! I r'.Nc rc rh' rrdl.ion dnarcthd rlrcah,vc nni)rmi'ion isc ro.o ply wirh.llCiryaDd Counry )frhis Cny!M Couniy lo cnlcr uDon rh.oilnrkcs,trd Srrt. tjus rclnrin8 ro nuildin8 con(ruction- rtxM nrnri,nrcd nrupcnv tur i.rp.cn. !ur[,scs Appllconl or Agenl SlCdroE PemilenrnE(pn )r 111 Sp+h$ o f lntl Site-Work Underground Light Standards Spas, Pool, Fountains Siqns (monument) Lile Salety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Translormers Torqueino Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinos (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouqh) It/eter Release Flouqh h/ru/1 )I$ffi Service l\/eter FINAL 7,//z/a :r)6 Notes, Remarks, Etc. Pole Bases \-I-E