HomeMy WebLinkAbout20166405 - Permit20 Civic Center Plaza (M-19), SantaAna, C492702
lnspection Requests: (7'14) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66405
Pin #: 68{86
City of Santa Ana
Permit Counter: (714\ 647-5800
Proiect Address: 2424N Tustin Ave Unit:
Block: A
Suite Rangei Unit F-1 2
Zoning: R4
q
Lot: 8
011 16002 51603
01116002 51603
011 '!6002 51603
01116002 51600
011 16002 51603
Owner:
Address
Contractor
Address:
The Bascom Group, lnc
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75005
(972) 818-1055
Fee Type Amount
'125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
General Plan Update 22.08
lssuance 55.04
Qty
5.00
12.OO
4.00
1.00
1 .00
Fee
$7.25
$18.96
$4.20
$22.08
$55.04
Phone
State Lic #: 1009989
Lic Type; B
Bus. Lic #: 366547
Workers' Compensalion lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCoi39070
Expires: 01/01/2019
Sotchis{{814 - 7/16/2018 I0: CCUET-I-ARoffice! (TYH Trons+: 60 4 ot 14Accti: Ref+: 20166405
Rcpti:02325614 - 7/1612018 12332 Fn
Tronsoct ion ToUol t2 r l8tl.76
Knterro Renovnt ionsr LLC
Generol Plon t odote FEe
0r116002- 5r60m00-
Electr ical
01116002- 516(13900-
ICL Check 003014
V isc
CCi: ***rft;t*r*t5069
Fixture change outs (unit l2)
12 rll99 - 43
t81 .33
Auth+:0131i15
5::.i . r1$
tBr .4:i
Building Use:
Job Type:
Nature of Work
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 l2Code:
Date:
Date:
Date:
R-2
VB
cEc 2016 Notes
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permit issued shall become invalid unless the wotk on the site
authoized by such petmit is commenced v'/ithin 180 days aftet its
issuance or if the work authorized on lhe site by such permit is suspended
ot abandoned fora peiod of 180 days after the time the wotu is
commenced.
07116t2014
Account#
$107.53
$0.00
$107.53
lnspector
01116002 51600
01 1 16002 51603
$22.08
$85.45
Fee Total:
Paid to Date:
Balance Due:
Assessor'sParcel: 396-261-55
Bldg: 24-F Address Range:
Tract: A.B. CHAPMAN Historicr No
Phone:
Tenant Name:
Planning Conditions:
MID#: 2018-144626
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcby aftrnr uftl6 p.nrky of pcrjury rhd I am .xcn!, rm'n rhc conhros Li.chsc tjw for lhc followin8 Eorn (S.c 7031 5
Bu\incss and ltotc$ion Code): Any Cir, or Colnry whicn rcquirc\ ! pcnit lo consltocr. cltcr. improvc. dcmlirh nr iFt y
slrucrurc. nrior ro irs suancc, ako Equn.s rh. ,tplicrni r'or su.h f.rnn r. nh r sigftd {dcmnr rhd h. or sh. ir liccns.d puNar
b rhc F,visi6n\ ofrlt Conrra.tr\ l-iccnsd tjw (Ch4tcr 9. Commmin8 uilh Se.rio" 70(xl ol Divhion 3 ol rhc Bnsinc\\ lrd
PmLssbns Codc) or $ar h. or rhc L\.xc,ri,r rhcEhon rnd rh. b!\k nn rhc slhs.d.xrfrpibn. Ant viol,riod olScclion T0ll.5 by any
applic!trr ior opcrnrir sub,.xls lh. rrrlicant lo aciv'lpcnalryolnot nn,clhon fivc hundrcddolh6 (S5(l()).
-l,
as owncr ol rh. pop.ny. or my .mplorcs wnh w.8cs ri rh.ir $L .omprnelidr, will do rh. worl at rqlmrc n ftn
i.rendcn or oittrcd for st lS(.7044. 8!sinc$ otrd Prcfcsions Codc: l-h. Co.tmdoa s Liccnsc t3w docs nol !ppl, ro 3n owtur or
rhc pmp.n, wln bxild\ or imptuEs rh.mn. ud wli, &{\ luch $brk hin&lf or hrr*lfor rhrcugh his or hcr own cmlloyccs.
,rovidcd rhar su.h impmvcnEtrh orc not inrc(6 or oficrcd lor $h lt hoscver. thc tuildins or imrmremnl h n,ld {ithin ,,nc ,!rr
.rcoDphrion, rhc Own.r Brildq willhnlc rlr hurdcn of pmvinS rhlr tt or she dil mt tdiu or inlhr lhc F,p.^ny for ttu Nrf{sof
l- a\osncrofrhc nmpcny. a crclusilclr.onhcri'rg*ir[]i.rnulcorrxct)nk'mn{tu.rrhcrn,jccr(SLr 7{Xt. Bu\inc$
anl lt'li\\hn Codc: Thc Contrictor's l-iccnsc LrN docs troi.t'!ly ro rn owncr.l prop.ily sho builds or impovcs rh.rcoo.
rnd who .onrncG au sdch pn)jcctr sirhrContncbn\) licc.scd pu^rnnr hrhcConkr.kr'\ t-iccn{ tf,s)
I nnr.kn,pr uidrr Srcri,r .ll & PC lnrrhisrcrvnr
Dal.: Own.r:
wonxr"rc' corrPl,'rvsliiirlr
PECIdS4II!,}N
! hcrcby drfinnrnd.r Ftuhy.tp.rjxry.n. orrhc r.llowin8 n(lurtbns:
lh.rrandwillhrinrrinaC.nrfi.rtorConscilroS.lalnsxr.f{trworkr^(omp!trsitknr.!srrovidcdlo.byScclion:lTlDolrhc
Lf,h,r Codc, for rhc pcrformdcc ofrhc worl for whi.h thc psnir i\ i$ucd
I harc
"nd
will m,i,tain wo*cn conF..salion i.sur.k.. as mqniEd by Sdion l70o ol lhc tibor Codc, for lh€ pcrfomncc of
lhc work ror which rhk p.rdt ir hiuM. My eortc^ compenqrion i.strdm. mir orn Fliy nufrbc. uc:
.,*.,, sa' dw<st Cag I N S
EN\IWC I bdta10 l-i-lq
I..dify rhr i. rl[ p.rformn.c oithc sork foi shich rht Fnnn is issucd.I \hr frn cnploy rny rcRon in iny manmi
s s k, h$om subicd b llE rorkcs con{,cn\alion laws oicaliforni0. lnd a8rc hnl ilI shruld bc.orc \ubjd ro rhL
wo en' conrFnsor ion fmvisnrns .l'Sar ion l?00 ol tlE Lrt ! Gnq I sholl. fon hwirh .-mply Nnh rlr,{ pdvhbn\..
IV RNIN(;: Frihrr n, {cur workc^ co ,pri\rri{tr, covrrJ
, rit,itr.. ut 1 .,trt. hu.,l'cJ r\i.u.Jn,l J,i[.j\,{'ryr ^niSccrnn, :ll)76 ol rh. trtxrG)dc. irncrc{md onry \ lcc\
!c i\ udlxwliil. md \hall \ubrrr an rnfk)ycr
i'r rddirion r) rhc co! uf.orr|r
Br0z 9I -l0f no,,.-,
DTCI,AB{IIQN
I hcrbt afltn trnd& F.rhy of,rrjury rh0r I rm lic.nrd Dndcr Ftuvnion orChaprcr 9l.ommmi.8 wilh Sation ?O(x)) ofDili\trn:l
of ihc Ausircssuo Potussn,nsCodc. dd'nyliccnse h in flll lorcc atrd€arccr
B to@qqaq
"''5[ rf 2019
.-"*"., F,qrl.a.,.t----
IANIIAIqIIANIENDINGJ(iENI]
I hcrcbt anirnr undcr lEnllly of !.rjury rhat lh* n a con(Mlhtr hndinB oScncy for lhc pcr{.rmie olrh. work for which rhk psmil is
hsucd {Se :1097. Civ. C.)
a.PrucaxfD[cldBArlo!
I hcrcby aninn undcr pcnlll, of pcrury one of rtE follo*inB dehrll ions:
Oc,n ilion P.rmils-Asb.ios Nolificatnn Fcdchl R.gul.!ions (Tnh40, Pd6)
-Rcquircd
L.tlcrof Notificlli,,
-lccnilythd
rhcltdcrllr*ulf,lir,tr\ ruaMling !\tic\los rcmovil rrc norrppli.rhh b rhktr.i.r
bki,n,, u*","uu,nn,nn,i.rrn a {rrr rhrrrhcllnt i'narmrtion i\comcr I Jlrs ti.oq)|, sirh dllCiryrnd Counry
ivcsolrhi\Cir,and Cou ry ro cnrn trtxJrrhcordiratrcc\trtrJ Shrc Lrwsclnlirs ro buiknr8
ov. rciii,fud ptr)t*d! tur i rF.r
Appli.anl or Agenl Signolum
remiremntrpano, DClfl\t
,",JiJll 1R
''',i{o
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Bough)
Rough '?12*z/r SLgS
Service Meter
FINAL T /zsl t >\ 6.6
Notes Remarks, Etc.
APPROVALS
It4eter Release
Ari c")
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