HomeMy WebLinkAbout20166005 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{ 66005
Pin #: 983{ Ilnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2424 N Tustin Ave
Assessoas Parcel: 396.26'l-55 Lot: 8
Unit:
Block: A
Bldg: 24-Q Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range Unit Q.4
Zoning: R4
q
Owner:
Address
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-ss91
Fee Type Amount
'f 25 Volt Receptacle 1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.0'l
General Plan Update 21.25
lssuance 52.98
Qty
5.00
12.00
5.00
1.00
1.00
Fee
$7.00
$18.24
$s.0s
$21.2s
$s2.98
Phone
Tenant Name
Contractor
Address:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-106s
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensalion lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCg139070
Expires: 0l/01/2019
Building Use:
Job Type;
Nature of Work
R-2
VB
cEc 2016
Notes: Fixture change outs (unit 4)
Planning Conditions:
Chavez, Dave
Date
Date
Date 06111t2018
Account#
lvlisc. Receipt:
NIisc. Receipt:
NIisc. Receipt:
Total
Every pemit issued shall become invalid unlessthe work on the site
authorized by such pemit is commenced within 180 days aftet its
issuance ot if the work authorized on the site by such pemit is suspended
ot abandoned lor a period ol 180 days aflet the time the work is
commenced.
$104.52
$0 00
$104.52
lnspector MID#: 2018-143642
01 1 16002 51600
01 1 16002 51603
$21.25
$83.27
Fee Totall
Paid to Date:
Balance Due
011 16002 51603
01116002 51603
01 1 16002 51603
01 '1 '16002 51600
01 1 16002 51603
Phone;Eobrh9:44228
0ff rce: t lYll
Rcpti: tl??Y2tl4
fronssct ion I
- 6/tu?nrg
lrons+3 69
Refi:i - 6/ Itt?ttt
Koterro h€novot ions,
GenerBl Plon updote fe(
t:r11I6[0?- 5150u[lut -
E Iectr icol
tr1 1160(r?- i15(r3ttu(r-
ICL Che.k ollSlltlll
Planning Approval By:
Plan Checked Byl
Permit lssued By:
Subject to Fieldl
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
Fixture change outs (unit 4) Code:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI-CARATION
I hcrchy ,ffirm undcr lcMlly of pcrrlry lhar I o ererpr ronr rhc conrtcron Lian* ljw fttr rhc roll0wing rcasotr (Scc.703l S
Businc$ rln t\olcsion Code) Any Ciry or county which Btuncs a llemi r{, .rn{rud. alrd. impmw. dcmlth nr rrEn rn} ,
slrucrurc. Frior ro ns nsu!nc., alsu rcquircs tlt oprliant for such pcrmn h fihd s8ncd siarlm lnd hc or sh. n liccn*d putsMr
lo rhc provisbnr ofltF Conllrci{n's Liccn*d Liw (Ch,plcr 9, co'rnEncins eirh Srcrion 7(no.r Divisbn 3 oflhc Busincs\ and
Polt$ions Corlc) or rhlr lt .r shc iicx.mpl rhcrcamm and thcbasis lor lhcalhscd.xcmflion. AnyviolationolSerhnT0:ll5 h, trny
rrpli.anr rom t'.nnn subjels lte amlicaor io a cilil pcn,lry ol @r tur. lhe nvc hundred dollars ($5{D)
-1.
as o*ncr .f rhe prcpcny, or nry cnrdoyes wilh wascs as thcn v'h conp.nslion. will do lhc wort ud rhc {ndm is nol
imcnldl or.ficrcd rorelc(SN 7044. B!\im*snd Pnrcssions Cixic] Th. co Ecror's t.icc.se ljv d,.* .or APl, to !n oencr of
rhc Impcny wio hild\ $ inlhEs rL]Nn. rd rho des {ch si{ iinsclfor lrr$lInrrhrcr8h ht o hcr o*nchlloy..s.
ttuvidcrl rh.t such nnrrolcnE ls m mr hrcnd.d or orlercd fo. slc. Il howcrcr thc tlilrlin! or itprnlcmd ir $ld Nithin onc }tr
.r.otrFb E rrh Owncr Buiklcr will hrvc lhc hunlcn ol pnvin8 rhd h. .i dE did .ol huild or iqmK dt phpcny ror rlt null,s or
l,sowncrolrheDmpcny.mcich\ivcly.(fuicrinEuirhliccnscdronrrrosroconsr.rrtErn,jttt(scc7044.Bu\int\r
rnd I'h,ftr\i Cod.:ThcConiradolst,iccnscl-a*docsnor,ppl,boosnciofPro|Erry$hohuildsornn8)vcsIhcrcon.
and wh. o 6cls lor s!.h proj(N wirh a commclon, Iiccnscd nurrulnr 6 rh.Contacrors Liccnt L,s)
-l
!mcxcmfl undcrSclio B &PC lorrhi\!.re,..
-l
horc aflj will tui lin d Ccnific.rc oi Cons.t ro Sclalfllurc for *ork . conp.nstion. as [ovidcd tor by ser ion ]?$ of lh.
tabor Code. lor lhc xrformNe ofrhc w.rk for *hich $. ncnnn n nsued.
-lhovcrndwillmainruineorrcr
conrFns,lion itrsumncc. os rciuncd bysdn,n.lTmollhc Llbor Codc, for rhc,,c ormnccol
rh. $ork for*hichlhn Fmir is iss*l. M, wortc* omncnsalion insur!recfficr ldPlicynun$ct re:
tirl'.,1'^,.rf f-ocr"
t.\. \.1.
Icc ily rhnr in lhc Frhrmncc oI lhe work nn which thi\ P$m k is{rcd.I shrll nor cmployrtryrcrwn itr trnymlin.r
$!srobcdim{hjcdrorhc{ork$(.onrnctrraltunhwso(Cnlibinii.a,sdcrhdrirlshouldhcn'msubjr-rturtr
qoltcr coDpcnsarn,n In,vi\b.s olSdrion l7U)ol thc titior Codc- I +r11. fonhwirh mmll, $irh lhoe Pmli\ionr
WI\RNIN(: Frllurc n, {c.urc *orkcr'conplnsdnr covcrllsr i\ !trhqlul. md \hrll \uhjccr an rnrlloycr ro dimitil Pcnrhic\ rnd
rivil nir\ up t) oic hundrcd lh.u$nd dolLrs ($l(n.Ofir). in rJdirn{ kJ rh. co\r ol.onl'.n\rri,,i. datri8c(.s prcvid.d r rhr
Sccrit'n:10?6olrhc tjhn Codc. inrcrcsl ond oltormy s fa\
"$ul+ t 1 2018
DECI,Af,AIION
I hcNby afftrm undcr pcnahy of lcrjury rhar I m licn{rn undcr pmvision ofCtanlc.9 (ofrmRin8 with S€tlioo 7000}.rDiviri.n I
or fic ausifts dnd Pbfcsio.s Code. ond my liccnsc i\ in tull rdN nnl cficcl.
-,$UN
B I oefl ? qrn-
+J]-I!fB .-".^",, W,+..*.-
I!]IIIBUCIIOMADINIAGINII
I hcrby aijinn under Fnuhyorp.rjurythal lhoc i! a on(ruclion kndins ngcn.y fnr lhc pcrfonrrncc ofrhc work lor whichlhis pcrmi n
is$cd(Scc 1097. Cir. C ).
AISUCANLDECT,ASAIIIJN
I hr.hy affim undcr pcnahy of perhr, ooe or th. fdlosing dcL,rl ions
Dc@l i6n Pcrnirs Asb.$os Notificolion Fedcnl Rcsol,riiu. (Tirl.40, Prn6)
Rcquircd hnc. of Ndi6catbn
lat<tilfy lht'r I luvc r.i rhis ,pfli.itn md sldc lhd lhc lhrr inftn i,rr
onliNnccslndShrcl-r*\rchringlohuilditrscon{ruclion- ! hcrcnyatrhorizt " .oftccr I asrerocomtlywirhallCilrrtrd Counry
or rhn Ciry,tul C.untyro cnlct lpon rhc
rhovc moliomd pmpeny lor i'isp..rn n purpoes
ApDlicanl o. /\!onl SiBntrluft :a-;A--,
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Founlains
Siqns (monument)
Life Salety /Low Vollage
Fire Alarm i Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueinq
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Bouqh
Ceilinos (T-Bar Rouqh)
It/eler Release
Rough Clzz[tQ.(/z(o
Service lt/eter
FINAL {/%fi6 9>Vs
Notes, Remarks, Etc
Sub-Panels
Air Conditioners
]toEsES&.lolltlNsarrrx
DECIABAIION
I hcrcby alllrm utrdcr lcnrlryolPrjory oic.frhc loll.wrn! dshmrionsl
r"rtlr,u,r,",, R.g!JlLCOl3Ld?<r r:*ni,",
I r,,lr,'. \,,nr'. _
I ccnilyrh.l rhc fcdc ral rcs! lnr io.s rcBsrdin8 astEslos rcnnularc nolappli.ftlc ro rhis oojc$r
'JUN It 1 ?o1E
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