HomeMy WebLinkAbout20166006 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714], 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20l66006
Pin #: { 1450
City of Santa Ana
Permit Counter: (714) 647-5800
Bldg: 14-l Address Range;
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit l-4
Zoning: R4
qProiect Address: 2414 N Tustin Ave
Lot.8
Unit:
Block: A
Owner:
Address
Phone
Tenant Name
The Bascom Group
26 Corporate Park Drive Suite 200
lrvine, CA 92606
(866) 69s-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75005
(972) 8r8-1065
01116002
01116002
0't 1 16002
01 1 16002
01 1 16002
51603
51603
51603
51600
51603
Fee
$7.00
$ 10.64
$4.04
$21.25
$52.98
Fee Type Amount
125 Volt Receptacle '1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
General Plan Update 21.25
lssuance 52 98
Notesr Fixture change outs (unit 4).
Qty
5.00
7.00
4.00
1.00
1 .00
State Lic #: 1009989
Lic Typer B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 0l/01/2019
Planning Conditions
Planning Approval By
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 4) Code:
R-2
VB
cEc 2016
Chavez. Dave
Every pemit issued shall become invalid unless lhe work on the site
authoriz1d by such pemit ts commenced within 180 days afler its
ot abandoned for a peiod ol 180 days after the time the wo* is
cofimenced.
06t11t2018
Account#
$95.91
$0 00
$9s.91
lnspector MID#: 2018-143.644
0't '1 16002 51600
011 16002 5'1603
$21 .25
$74.66
Fee Total:
Paid to Date:
Balance Due
Assessor'sParcel: 395-261-55
Contractor:
Address.
Phone.
8qt,:hi:44228 - 6/ lL/2tilt:
til I L_ea
15(1.:L ton I ot u I
Kntenro Henovttt iorrs
tpRnsi I 6U
Rela:- 6/ l1/'1n1
Building Use:
Job Type;
Nature of Work:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I hcrcby offifln undcr !$!lry oi pcrjury rh{ I a'n cx.frpr iiom rhc ConlBlo$ l,iccnsc LIw for the t lowing rcne. (SR 7ol l.5
Businc$ otrd hoicssion Codc) Any Ciry or Connry whi.h tcquies tr Fmil lo coo(ocr. slic.. in ov.. d.mlish nr rcldn aiy
(rucrure. prior lo ns i\suaie. llso rquics ih. appli.d ror such ,rrnril to filc ! sismd sllrcmnr rhat h. or shc G lienscd puruant
ro lhc [ovisions ofttr Conlr0clols Liansd l-l$ (ChlFrer 9. Comftn.ing wnh sccrion ]mO of Dilision I of rh. Bu\in.$ a.d
Polcsions Codc) o! thal lEorshc isdcnrfl rhcreftod{nd rh.hNis lorlhcdlc8cdcxcmplion Anrviol io.olscdiotrT0ll.5l,yony
4rliclor tora penir suhj(Grh. appli.anl lo acililpc.lllyofnot nmrclhan tivc hund..d dollrsl$50o).
l. .s ovn.r oi rhc l,mFny, or my empb)ccs silh wlses as rhct v'1. .dq).isd bn. sill do th. vork atd rhc srturm is fln
inrotu or oric.cd for sole (SE 7(|44. Busincs Md PioL*ionc cMc Thc Contrucrols Licensc L,w do.s nor rpply b !n owrc! .f
rh. r,Tlrny who hoilds or nrymrcs rhcmn. ord wno dNs sh wr* iinNclfor h *lforlhnu8h his or hs owtr cmPloyccs,
providcd l hlr ruch imlnrkmnk m ft, ii cftidl oi oft Nl f(, slc. ll ho*8. rh. ltrilding or itr{mtnx.r is $ Rnhinorc,ts
.rsftdcrirn. rrE o,ner Builtcr willharc rhc tDrdcn oapDt.g rhd lE or \hc dkl nort klorimPmrc [rc ImFny ftr rh. p!.F* of
-1.
as o*ncr ol rhc Dron ny, lnr crclusikly c.ntd i,rg wirh li..n$d c.ffadoN lo .ondtucr ri. E j..t lscc. 7(x4. Blnnc$
,nd lbftsssn Codc: Thc Cnnlrrlols l,iccn\c l-a* d.c\ nor aptly b s. usncr ot proFny who builds or ntrPn,!.\ rh6.on.
and rho conrncls for slch rmre.r{ wirh r csntekJdO li..nicd l)Ursurnllo lhc Cn ructnsLi..nrtjw)
-l
nn cxemat utrdq SL{li0 B &PC turlhi\rcnron
Ir.le:-- Oi...
woRKEii' ai)MPBl\iaiio-
DECI,AAAION
I hcEby afifl, undcr pcn,lly of rcrjlry om of rh. rollowine dccLrarhtrs
-l
hrvc and will nEinrsin. Ccnifrarc orc.nenr ro sclf.ln{.e ror workcs con{rnsatioo. r\ tmvid.d ror bySelion lrm ollhc
trboi C.dc. for lhc pcnonEmc ofrhc $ot for whth lhc p.dn i! iqsu.d.
-l havc etrdwillnrintlin sotkcB cosp.marion insunmc, as rcqutcd brSsrion:1700ofrhc bbor C.de. tor thc rdfotmun.c or
rnir is k\rEl My *orlc6 .onrF sdion in\unrcc cmi.r dtd Iblicy N'nbs m:
\.\ .\q .
l..dify rhDr in rhc tcrl|rmrncc olrhc w.rk for -hich rhk pcnnn is n\kd. I shill not cnrtk,y lny pcrv,n ii tny mmct
so Nro lEcomc \uh]cd ro rhc wor*.^ cotrIrnsdion hw! rfCllifdnio. snd lgrct rhd ift \hould hc..N subjsl lo lhc
sorkcn co'npcnsdn,n tn,visi.ns olscclion lT0O olth. trtnr Codc.l shall- r(dhwirh..nply wnh rhos pnvnn,ns
lurc b s.urc worlcr' compcnerion covcage h rnlawfnl. and shil subrccl .n emlloltr b.riminal lEfllri6 ond
o.c hundEd rhonMnd dollar (Sloo.lx,.l)- in addirion ro rhc c.s of con$.
,,JUN ii'ru]q":;;::,t*
DECIAf,AIION
I hcrbt afiirnunds lcn.hy ot tlcrr!.y rhlr I M ljentsl ud.r Fotision ofChlptcr 9 (omemiog wirh Scclion 7m0) ofDivision l
or rh. Burin.s ,rd Pof$sn'ns Codc. snd my li€cns n in tull ro,e ,nd ctfsr.
:::ju -(^^.,o \ooft{?ft,f,TrlY*."",*",". k^ktrn-
COIEIBUSTONTENDING.{GENCI
I hcrchy aftim undcr FinxyorFiiu.ylhal llEc is a onnNdbn lcndinS dgen.y ro. rhc p.Jfoirrorcc ollhc !o,k rd which rhis Frmit i{
nsucd lsc.1097. Civ. C.)
AIIL&ANLDEII.ANAIIAN
I l*rcbyallj undcr tcnllry or'pcljur, otu orlhc n,lbwirt dNln(ion\
D.mnnion Pcnnn$Asb.(os Nolifi.ilnnr Fcdcrol Rcguhrirns (Tirlc.10, Pd6)
Rr{lrnrd l..rrcr of N,Iili(iri(ir
I ccnilythar llE fcder! I rcsu lar io.r r$rding rsh.(.s rcrmv,l dr. nor amlicahlc rolhis!n,jd
Zl enilyrhlr Lulc Md rhi mlicarion un $.tcthar lhc ahovc infumrn,n icotr cr I t8talocoq)ryq hsil c randcolnry
ordinaMcs,nl srrrc l-aq\ rLrii8 ro buildirS coNnrcr
abr trrnrioned fmpcny fu i',\pccrtun purpo\cs
rlnr{ ( ir) rtr(l(itrtrryb. r.rrll rhc
Applimnt nr Aacnl Sismlurr:l
i(!r. t hcrbyiurhori^ t
il 2018
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Sollit Rouoh
Ceilinqs (T-Bar Rouqh)
lVleter Release
Rouqh dzo/r?-,1/^rr'4 /r)
Service lr/eter {/'u//,qDGb
Notes, Remarks, Etc
FINAL
bhdci\ Nrm
-
tlnl.l\ Addrc(:
-
,y'.;*'
I
I
I
=I----+---