HomeMy WebLinkAbout20165995 - Permit (2)City of Santa Ana
Permit Counter (7'l4l 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{65995
Pin #: 779o4
Bldg; 24-F Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit F4, F-6
Zoning: R4
EProject Address: 2424 N Tustin Ave
Assessor'sParcel; 395-261-55 Lot 8
Unit:
Block: A
Owner:
Address:01 1 16002
01 1 16002
01 1 '16002
01 I 16002
01116002
51603
51603
51603
51600
51603
Qty
10.00
24.OO
9.00
1 .00
1 .00
Fee
$14.00
$36.48
$9.09
$21 .2s
$52.98
Phone
Tenant Name
The Bascom Group, lnc
25 Corporate Park Orive, Suite 200
lrvine, CA 92606
(949) 9s5-0888
Katerra Rengvations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-105s
Fee Type Amount
125 Volt Receptacle 'l 40
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
General Plan Update 21.25
lssuance 52.98
$/tt/?t1ts ID3Phone
State Lic #: 1009989
Lic Typet B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #r BNUWCo139070
Expires: O'llO'll2O19
lan 9;
lron
:(1229?(134 -
qcL ion loto I
(oterro F€novqt ions,
C
Generol Plon Updcte Fee
ir1116it0?- 516tr(ru0tr-
Ele,:tr rcql
01116002- 5160300(r-
ICL Check 003U0u
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date
Date
Date
R-2
VB
cEc 20't6 Notes: Fixture change outs (unit 4, 6)
N4isc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
Chavez, Dave
Evory permit issued shall become invalid unless the wo* on the site
authoized by such pemil is commenced wtthin 180 days after its
lssuance. ot ifthe wotk authonzed on the site by such permil is suspehded
or abandoned lor a period of 180 days after the tifie lhe wotu is
commenced
o6t1112018
Account#
,,ri.!!
Sin rpeto MID#: 20'18-'143633
$21 .2s
$1 12.55
Contractor:
Address:
Ref+3
I/1(t1t
Planning Conditions:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
Fixture change outs (unit 4, Code:
Fee Total:
Paid to Date:
Balance Oue:
01116002 51600
01116002 51603
$133.80
$0 00
$133.80
ELECTRICAL-INSPECTOR RECORD
oWNER AUILDER DALCAN,{IION
I hcrcby amrm undcr lcnrlry of pcrjury rhar I am cxcmpr hom thc Conrrldo( License L0* n{ rhc nnb*ing .cd$.lsc.?0:11.5
Burinds\ and Pr.L$i Cirlc) Any Ciry.r Counry uhi.h rcquirc\ ! Fr.rir h con{tu.r- alr$, inpi.v., d.mlish or Nptrt 0ny
{ru.ruro. pri.r b ns isudn... aho r.qunrsihc arpli.rnr for ruch pc.nrit b lllc r \i8Md inrcn*nr rhr! hor sh. h lic.tred J,usuanr
ro rhc rrelisions or rhe Conrrlcroas l-iccnscd tjw (ChaDrer 9, Conme.cinc *irh Sccrion 7OU) of Dirision I or$c au\in.s{ and
PtuL*sions c{d. ) or rhnr hj or rh. is .r.mpr rh.r.ron dd rh. ba\i! fttr rh. suctdd cxcnprion. Any violariotr of SNtion ?03 l 5 br iny
apllicant for a p.mit su$tcklhc opplicont lo acivilpcn.hyol.or mrclhln rir hundrcddoll s($500)
l. N owncr .f ih. lrtJlrny. or my .nrtldy..i wnh wrgcs as rhcn $t d,n[rn{rk,n, wiu do rh. wdk alld rtr stuiN ii mr
inlcndcd or ofr.rcd fttr elc (Se.7(}14. BusirEss and Pmr.ssions oJdc: Thc qn r.clni Liccnsc L1w dcs nol arnly ro un o*ncr ol
the pmpedy who builds or impnrcs rlfmn. aJld who des such mrl himrcll or hcrcll or rhmuAh his or hd own .nflorccs.
Fovidcd rhal such impmvcnEnh arc nn inrcndcd oltcred lor srh. ll ho*c(r. rhc huilding or inlPormnt is skl wirhi'r .ic ,td
oicomplctiotr, rhc Oqncr auits Bill h0vc lhc hrdcnorpmvirg lhor tE or shc did mt huild or nrynrc lhc rmpsly tn rhc purpo{ of
I. asownciofrhc fm pcn y. 0,n cxclus ivc Iy conr0d iIB wirh liccn{d.ontmk,n ro c.nsrucl rhc pmjer (S(. 70.1,1. Btsrcss
and Pmldsin Codc: Thc Conr,acroir Liccn\e l!* docs nor aprrly ro an o$n.r oipnrpcn, wh() bnilds.i inptuvcs rhcrcoi.
lnd who onhcts lrtr su.h lfl,j$h sith 0 Co.hcro(, licc,$d pursulnr k' rhe O' rfrrols Liccne Lls)
-l
Mrcxcnr[ undcr Sc.r
OPner:
trOAtrEBl_cOUT[NsAfll!
DECIdAA.IIAN
I hcrchyiifinnund.rn.mlryoln.rjuryo.olrhcn,li,$irgd..br,ions
-lhlvcardwillnEinrain!CcrriardcotConscntroSclflnsurcforBorlcFconFcnsarn,i.trsr{,vidcdrorbySelionl?0oollh.Lrhor Codc. for rhc p.rlo.,noNc oilhc wort lor vhich thc psnit h Grucd.
(.'n, {fl.,t
\rcnir i\ i\\uEl M,*orkrn compcn\di,,n rurr .c crtrid rtoll li.y iu'hhcrarc:
u*^zl Ca>V x.,rlrq,
r4ru JtJ co r<,r 6110
I ccnifr rhtrr i'r rhc pcrtotrEncc ofrhc work for which rhi\ p(rmir i\ i\su.d. I \h.ll trot cn{,loy any Fson i. any aunner
- A ro tr,rtu.uhJ.ci r' rh. woAfl\'n ln.nsr'on hq.olLil'Lmm. M,l l8r(thd irI'hruld bc..rm suhrd n,Ih.
*,,*n. .r,mllcnurn,nl)n*^'on\ lStcrr'n r7rU frh. Lf,b..' cldc.l\tull, ndhulhc nl|llyl hrlF*t'FvrFn\
WARNINC hilurc h ccurc *orkcF coarpcnerion covcBse is unlariul- a \hnll subF.r d efrplo)$ ro m'ninal lEtr{lrts !*1
ciril rincs up b ore hundE-d rhoussnd dollar ($100.0001. in odnirn,n ro rhc co{ or.om!.n\arb.. d.m8ls as providcd lbr th.
S.cri{'n 1076olrhc l-JhtrC,xlo.i' crcirtrJrrttrtrcv sli.\
Drtcl .- l 2018
DECI.AAAIION
I hcsby,finm uhd$ p.ndryofpcrjury lhar I s'n li(n*rl und$,'mvision ofChopls 9 (urnEncins *ilh S€dion 700.J) orDivkion l
of rhc B\incss and Pmtcssions Codc, ard d, lic.nrc is in tull rue and .fl&r
6 lga.a%q.
i.y lz-o*.tn'o -
CoNSTRT'CTIoN I ENDING ACF"{CY
I hcEby aifirm u.dcr Fnnlly of perjury lhd thcrc h a consrruction kndi,B agency for rhc l)*fomfte of rhc eork for whth tllis ,E nlil h
hsucd(Scc 1097. Ci! C.)
AIILTANIDICI.AAIUAN
I kl.\ afmn x.dcr Fnalrt or tf,4ury oN ol thc l'olk,wi.B d(l...l n rs
D$xn ion Pcrnih A\hcdr\ Norifi.rrn Fcdcrdl RdBuhbns (Tnb,$, Pnd6)
-Rrqun.d
lr rrof Noiii.rrin,
el ccnilinN I h.k r.0n lhis trtrlicaltun :url tulc lhol rheobovc inlomuion i\ coturr l!a.ek,comtlywirh.llcny.ndCoutrry
ordinrnc.s 0nd Srrtc tiws rchr i"s b buildior .on(rucl ion.nrdiv.\ oirhi\ Ciryrnd Counry b c icr ulx)nrltr
.huvc ftnrn,ndd tn'rcn, f.r ir1\J$hon
Au,lic,nl or Agrnl Sisn h'rr
APPROVALS DATE ID/SIG,COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Translormers
Torqueing
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Bouqh)
Ceilinos (Hard & Soflit Rouqh
Ceilings (T-Bar Rough)
lvleter Release
Roug h b/nlcA 5D66
FINAL ln.4/t'l 1t41
tolo7?Notes Remarks
il-rlmr
\-r.Ft
Lc c'\ Nrmc
-
t ..l '.4,1,t,..
lccnilyrh rh.fr.lcrrlr(Cul ri{,n\ rcllrdi'rg r\b.{d\ r.nn)vrlrr nr rrfluhlc It rhN trcj..r
Communications Cable
Sub-Panels
Service lt/eter
Etc.