HomeMy WebLinkAbout20166390 - PermitPermit #: 2O166390
Pin #: 52866
Project Address: 2424 N Tustin Ave
Lot: 8
unit:
Block: A
Bldgr 24-E Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit E-1
Zoning: R4
q
Assessor'sParcel: 396-261-55
Owner:
Address:
Tenant Name
The Bascom Group, lnc
26 Corporate Park Drive, Suite 200
lrvine, CA 92506
(949) 9s5-0888
01 1 16002
01 1 16002
01 1 16002
01'116002
01 1 16002
51603
51603
51603
51600
51603
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
700
4.00
1 .00
100
Fee
$7.25
$1 1.06
$4.20
$22.O8
$5s.04
P hone
Botchi:4{sl{ - 7/16/2OLS I0: CCUELT-AR
office: CTYII frBnsi: 60 2 of 14Accti: Rsfl: 2016639r:r
Rcpt+3(12325612 - 7/16/2018 l?:32 Pn
Trorlsoct i on Tobol t2'18t1.76
Koterro Benovqt ionsr LLC
State Lic #: 1009989
LrcType: B
Bus Lic #: 356547
Workers' Compensalion lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCoi39070
Expires: O1lO1l2O19
Generol Plan lrpdote Fee
0r u6002- 51600@0-
EIectr icol
or116002- 51603000-
ICL Chect 00301{
Vi so
cc3: *rrrrrrrr*r*5069
t2? . rli.l
17t.1
*2r099.43
ssr .33
Authi:0l3tl15Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
R-2
VB
cEc 2016 Notes: Fixture change outs (unit 1)
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Ev6ry petuit issued shall becomo invalid unless the wo* on lhe site
authorized by such permil is commenced within 180 days aftet its
issuance. or ifthe wo* authonzed on lhe stte by 6uch permit is suspended
ot abandoned fora period of 180 days after lhe time the work is
commenced.
07t1612018
Account#
$99.63
$0.00
$99.63
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Oue:
City of Santa Ana 20 Civic Center Plaza (M-'19)' Santa Ana, cAg27o2 Electrical
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Katerra Renovations, LLC
3200 Earhart Orive
Carrollton, Tx 75006
(972) 818-1065
Phonel
Contractor:
Address:
Planning Conditions:
Multi-Family (5 or more uni Occupancy:
Alteration Constr TyPe:
Fixture change outs (unit 1) code:
$22.08
$77.55
lnspector MID#: 2018-144590
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARITION
I hcrch, affim undcr ,,cnahy of prrjury rh l am cxcmor fmnr lhc C.nracNr Ltcnse Lnw lnr rhc iollowin8 rco$n (Scc 70rl 5
Butin.ss rnd Pn ir\i.n Gdc) Any Ciry or Counr, *hi(h rcquircs ! pcrnrir b con(dcr. alrcr. impro!.. dcmlish or Erair any
\lrucrurc, I,ior to irs issuanc., al\o rcqutN ihc dppli.rnr lo! ru.h pemir t, filc r \ig@d {r cnrnr rhd tr.rshc i\ li.dnsd pu^uanr
ro rhc piolniotrs oflhe Conlachr\ l-ienscd Lap (Chiplcr 9. Co,nnrcn.in8 *ith Scclion 7u)0 ol'Oivision 3 .l lhc Busincss and
Pnncsn)ns Codc) or rhar h. or {h. i\.irdpr rh.tcr.om lnd rh. bush lor ric allqcd crcmprion. Ao, violarionofSccri,n?O.ll5 by any
ifpli.lnl for a p.nnit subj(* rh. rmli.a.r ro.ci!ilp.nrlryofhor mrcrhrn livc hunddddollr^ ls5m).
l. osicrofihcI,(,rEnt.ornrycnrrl{,rlcsqnhr,scs!slheirrlcconrpcn\llion-willd,rh!w{trk! llhc(n{1urcnior
i .frLtl or oifcrcd lar \rlc (SL! 7044. au\in6s and Pnncsion\ cldc: Thc C,,ntncktr s Lic.nsc I]w docs ndr amly ro ri ownfor
rhcnn,Iicny wlx' hu ilds or inqovc\ rhcNtr,. ud who dms such qr* hinNcli or lErscliorrha)ugihis or hcr own cmployc.s.
prolidcd rhlr such nrmtcmnh,r mr ruxhd d oicrLt !(tr sk ll h.q$tr. rlr b{ilding or nnoturnrnr n $h *irh ''ncFrrof.onlrLrkr. rh( Oancr Buil&i *ill hr\r rh. htrdcn oftn'lin8 rh3r hc o. \hc dA d hitl or inrprow rhc p6Fiy fff rh. lxrF,r of
l. N.strcr.trhcrn,pcd!. rtrrcx.lusilcty.o.tr.ri'rg *irh licsdtcd cDfuictn k, ..niru.r rh.!n,ld.r(SLr 7(N.1, Bustrcss
n l l\.ltsb.CoJc'lhcConhcnnsl,iccnscL!*docsmrnpllylornowncrolpropcnysh.buildsorimprovcsrhcrcon.
!!d *ho .onrd.hlor such rn,jcch with r CDntrft,n, li..n{d nui(urtrr turhcC.fiacttr-s Li.ctr$ tiw)
-l
m cxcmpl u.dcr Salio.-. 3 & P C for ihis rclwn.
D,lc OPner:
WORKFRS' CoDIPTnL(iATI(rlt
DECLIXA.UAN
I hcrchy aratr undcr p.Mlryotp.qury.n. ofrhc rouowin! deldationi:
lhr\. xlvill'tuinrri', rCcnifiurcolCon\ctrrt'S.lt:nsurc I(, workc^ llnnlxtrurnrn. n\ pn,eidd for6ySdrnr.lTtX)ofrh.
l,JtxtrCodc.tnrlhcplrrirrnrnceofrtu*ortlhrwhichlhcn!.nir isissu.d
Ihdvcridwill rn ni'r wor*ds .o Nns ri.n nnurui.c, r\ r.quncd hy Srcr iOn l?(x) oi rhc Inhor A)dc. for ihc po linnnmc ol
rhc qork tur qhi.h rlri\ r.n il is i$n.d Myworkcs coitp.nsrrbn nNuhncc.!fti.r drl fx)li.y nunrb.r dc
c,,,i". \nt ll,l.,{) C-kS. ,tE -
I' t. \r.o
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ccnifyrh ir lhc |xrlhrnntre.,lhc *ork iu *hichrhi{ pcnir n i\\ucn.l \hallnor cmpl,iy rny lcrv,n in 3nynrrnner
n,r\k,brrotrr\uhJccrk'rhcslrkcricomp.r\rn,nh!\ofcrlinmia,r tl8R. rhd,fI \h,ukl h{ r \ubic.r hrhr
workcd unl!.n\rrnrnpRrvnhi\ofsrcri{ul7(x)ofrhr l]htrc{x!e_ I \hxll. n,nh(irh.o'npll \irhrtk){ ptuvAiotr\
WARNIN(i FJilurc [) rcurc trork.ra.on,Fnsrri,r.o\cruEc i\ utrh{ln]. xnd \hrll \trhpcr , rffk)yrr trr cin rrl F'rlra\ ind
,JuL 182018
!2rgJutlu0ti
I hcruhy rftlr rund$ pcialryoflr!trry rhtrr I n li.ci{rl otrdr Eovnio olChrttcr9(..'ntr*NitrBwirhSccrn,n?000)olDivisionl
of rhc Rusincs d It r'csionscodr, rd mylicctr\c i\ in iulliorcc and cllicr
(1 \tpq?c.t
*", luuL-l G Illlu ...,**
IIIN.IIBUqE)NIENDINCICENJ]
I heruby aotm undd Fnahy of t rlury lhal lh.rc is . on$rucliofl lcnditrB a8crcy lor lnc p.rfolmrcc o, thc *o,t tor whth rhn Fmn i\
nslcd (S...:1097, Civ C )
AfILISANLDECLAMIIO!
I hc,r6y ,nim under pcnrhy .r pcrjuy om .l ih. r.lloe ing deldarions:
Dcmolirio. Pcrnrirs Artrsros Norifi.arion Fcderal Rc3!lariotrs (Tirlc40. Parr6)
_Rcquird L.nc. o{ NorifEarion
$ovc
'Bnlioncd fh|Eny lor inspccliotr l,urB)scs.
Appli.uni or Aaot SiIDlrr€.b.1,,.:J 2O1E
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Sions (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Solfit Rouqh
Ceilings (T-Bar Rouoh)
lt/eter Release
Rough 11'lzt/t tDkg
Service Meter
FINAL ga/t7 )L6s
Notes Remarks, Etc.
Pole Bases
?44''/tv't
I..difyrhm rhc fedurDl rcellarions rcBrdine ash.$os (turlal . mt arplicablc to rhis tmlcci
9;n ri ,nu, , **" *oU , nO sppliclrion aftl srsrc rhar rhc nh)rc itrtbnNrion N coftcr I alre ro ompr, *irh alr c t rnd couory
odinancc\ and Stlte L.ws rchrin3 ro blildin8 constEctiotr, ud hcehy rurhoria rcprcscnratives ofrhn Cny and Couryr. cr'q ultn th.