HomeMy WebLinkAbout20165994 - Permit20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{65994
Pin #: 46960
City of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 2424 N Tustin Ave
Assessor'sParcel: 395-261-55 Lot: 8
Unit:
Block: A
Bldg: 24-R Address Range:
Tract: A.B. CHAPMAN Historicr No
Suite Range: Unit R-5
Zoning: R4
Owner:
Address
Tenant Name:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-106s
011 16002
01 1 16002
011 16002
01116002
01'1 16002
51603
51603
5'1603
s1600
51603
Fee
$7.00
$18.24
$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 2'l 25
lssuance 52.98
Notes: Fixture change outs (unit 5)
Qty
5.00
12.00
4.00
1.00
1.00
State Lic #: 1009989
Lrc Type:. .. .. B
Bus. Lic #. 366547
Workers' Compensation Insurance:Carrier: Midw€t Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 0110112019
Building Usel
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Fixture change outs (unit 5) code:
Date
Date
Date
R-2
VB
cEc 2016
lvlisc. Receipt:
lvlisc. Receipt.
lvlisc. Receipt:
Total
Chavez, Dave o5l11t201A
Accou nt#
$ 103.51
$0 00
$ 103.51
lnspector
01116002 51600
01 1 16002 51603
$21 25
$82 26
E
Contractor:
Address:
Phone
The Bascom Group
25 Corporate Park Drive, Suite 200
lrvine, CA 92505
(866) 69s-5591
Adt,ih;:4422 - 6/Lll2tjlt
lr(rnsi I I
Rel
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Phone:AccLi:
EcpLi3tt2292036 -
lronsoct ion lotq I
(otearo fienov(t
Genercl Plan Updote Fee
r:11 1 16(10?- 1160(r00r:i-
Ele,:tn icql
(r111600?- 51603U(rLt-
ICL Check r'lt)3o[t]
Every pemit issued shallbecome invalid unlessthe work on the site
authonzed by such permit is commenced within 180 days aftet its
issuance, ot iflhe wotk aulhotized on the site by such permil is suspended
or abancloned for a petiod of 180 days aftet the time the wo* is
commencod
Fee Total:
Paid to Date:
Balance Due:
MID#: 2018-J43632
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWN'R AUILDER DELCARATION
I hcrcby rnd utrds prnalry or Frjury rlur I m cxcmpl fn n rhc Conrmcros Licetr* li* lor rhc rrrlowinS rca$n (Scc.7oll 5
axsir.* rld Pr.rc$ion Codc): Any Cily or Counry uhth rcquires s Frhir k, ..n{rucr. alrcr, mprorc. &mnnh or tnir rny
(fldurc, frbr lo irs isuancc. 6ho rcquncs rhe aptltanr for such Fnnn b fih a si8ncd tulcm lhlr hc or shc k lic.nscd ,uNMl
lo lhc p.ovisions ol rlt C.nr,actr's Li.cn*d L.r (Chaprcr 9, Co.mr.cing wilh S.cri.n 7(Xx) ol Divtion :l ofthc Blsincss rnd
Protc{sions c(ldc ) .r rhnr h.or \hc iscxcnpt lhcrct'rorn ond rhc blsn for lhc ollescd crc4)riotr Atry vnnalionofSccrion?0:11.5 br!.,
aff'li.rnrr(tr!lcrnirsuhjcrFlhc!0plicanrtorcivilpcoslryofnorixtrcihdtrfivchundreddollor!($500)
I. as ownM or rh. ,mFny. or m, cnployes *nh woscs ff rh.t slc s,nP.n{rirn, will d. lhc *ori si lhc .rndm is mr
inrcndcn or ofieE-d ttr {k (Sa.7014, Busiftsc and Pmr.ssions Codc Thc C.ntEclois Liccne t3w &B no! 0rPIy to 0n owcr o,
rhc pn,lrn, *tu b{ikis or inrrmEs rheEn. ud who des qch m* himclror hc*clror lhouBh ht or hct o*ncmployc.s,
tn,vidcd rhd su.h inlllbmnh @ ml i.rcnd.d d oficrlrd fo. \!L lt hosev.r. rte boildinS or idlpmttrm is srB snhin onc y@
olonrkrhn. rhc O*ncr Buildcr will h,v. rh. burdcn ofproving dd hc or shc dil mr toild or ir{,ovc rr pmFiy lor lhc puqns of
l. ro*nrrofrhcrn)pcdy, a cx.lurivcly conticri0! sirh li.cn\cd.o.trldrst, (1,nitu.r rh. r.J.1_r (Scc ?0.l4.lnxtm$
anl Piol|sinr Codc Th.(innr!ck, s l-icdn\c l-a$ {n'c\ nor 3rplyt, nnoamr.ltrol'cny*ho l,ulldl or imrn,v$ rhc.cor,
rtrd trho cont t ritr s!.h rmirrs wirh a Cbtrr,ch( s) licctr{d luNunr ro rhc Contrktr\ L{cns Law).
I uDcrcnrll trndcr Scclnnr-, B &P.C iorrhnrcrson
D.le:- OBrer:
WORKERi' CO,tlPEiSAT()N
DECLASAIION
I hcrcby llttmundcr pcnolryoaFrjuryonc ofrhc aolbqn'E decld,rio.\:
I h{vc xl will nEint0in r Ccnificurc of Cooscnr k, Sclalnsrrc fd *orkns mmFcnslliotr. as l,ovilcd lor by Scctn,n lTtro ol rhc
Lalxtr Ckl.. tor rhr p.rromEncc ofthc wort lhr which thc pcnnit is issx.d
Ihavc.nd*illnDinr.in{orkcrs'.on[.nsaridoinruratuc.r* rcquncd by SEl io. ]1700 oa rhc Litnn cl c, aor the Dcrfornumc ol
tcnnir i\ i$dc Mt sork.r! .(nnpci\d.oi sur n.u.rnicr md Bnicy ru rbd tc
I ccnrrythar inlhc pc oflMnccorrhewoIkrq*hkhrhnr.rnirisi\sucd.lshlllnolcmPloyanyp.ronn'a.ymanncr
v, 6 ro hccom suhj{r ro lhc workcn comt n\dion ldws orculbrni{.lnd ssEc lhsl ifI rh(,uld bcconE sublcd tolhc
wolkcn'compcnrarionpn$n,n\orsern 1700 or rh. tjtb. codc. I rh.ll. iorl hsil h L$ rply wirh rhos ,mvGions..
WARNING F,ilurc ro surc workcm'convEns0'ion s,vcro8c is unuwful. utu]\hill subitr !n cmploycr lo simiml FMhts tM
rilil firo\ trt k, ofc hu drc rh.u\rnd d.llrr (SlU).(Xx)). ir ixldiri,nr b rh..o{nsutDn. dlnu8cs as povidcd for rh.
S<rion.1076.trhc ltrbo, C&lc. inlcrc( 3"d otlorrcy s les.
fin{11 ?010
!.2r(I.jtt -roN
IhcNhyrflirrundcrpcmltyolpc.jurrrhrrIroliccnaitndcrpmvisionolChnflci9(co,mncingwirhS..tor7fi)0)oIDivision:l
.i rhe Bu\incs\ a Ptufcssior\(i)dc, drd my liccnsc i\ lulllarcc<lL.r
?
".,.J!$ L]-I #l
CONSTRUCTION LE'IUN(; A(iENCY
I hckby rmnn undcr JEnrlry oi !,crjrry rhlr rherc h ! consmdion lcnding r8rtrcy ior lh€ Pcrfomncc .r rh. wo.k for qhich thn lErnil ir
isslcd (Scc 3097, Civ. C.).
-lccnify
rhri rhc t d.ral rc8llations rc8udin8 osbe(o\rcmul lrc Rn 4plicrhh lo rhis Poi6t
.A ccnny that I h.vc icad rhn $!li.ari,,naJrl{r!crharrhxatsvc nrfonurion is corer I lsc t, convly wnh rll City and Counly
i,rdirhrcs nd Skr. Lr$r.cLii'rsIo huildi
xbo!! mc rn)n.d lr,Jrnt tu i,nNclior
Appll.Bnl or &€trl Sismlur
Prmrilft nnnF ( Drinl):
"'r ii(l fi'1""15,,,t'.
!r '- I /
l)ole
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Bualdinq
Bondinq / Groundino / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Faclory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Solfit Rouqh
Ceilings (T-Bar Rough)
lVeter Release
Rough ra/i,t /1,6 a\ffi
Service ltileter
FINAL ? /t-/r *os tol
Notes, Remarks, Etc
Under Slab / Floor
ATELICANfI,IECI.AAAIIAN
I hdl.6ylllimlndf pctr,lry oitcrjury onc ollhc Iollowins d(l ation\:
Dcnolilio. Pcrnrih-AstEsros Norificario. Fcd...l ReEU lal ions (Til lc 40, Psl6)
-Rcquircd
Lcrrcr of N.nifi€rion
4-
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