HomeMy WebLinkAbout20166389 - Permit20 Civic Center Plaza (lvl-19), Santa Ana, CA 92702
lnspection Requests: (7 1 41 667 -27 38 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66389
Pin #: 48OO4
City of Santa Ana
Permit Counter: (7141 647-5800
qProiect Address: 2414 N Tustin Ave
Assessor's Parcel: 396-25'l -55 Lot: 8
Unit:
Block: A
Bldg: 14J Address Rangel
Tract: A.B. CHAPMAN Historic: No
Suite Range: J-6
Zoning: R4
Owner:
Address
Contractor
Address:
Phone
Tenant Name
The Bascom Group, LLC
25 Corporate Park Orive, #200
lrvine, CA 92606
(949) 9s5-0888
Katerra Renovations, LLC
3200 Earhart Drive
carrollton, TX 75006
(972) 818-t06s
01'1 16002
011 '16002
01 1 16002
01 1 16002
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
Qt.y
5.00
7.00
4.00
1 .00
'1 .00
Fee
$7.25
$11.06
$4.20
$22.08
$5s.04
Phone
Slate Lic #: '1009989
Lic Type:. B
Bus. Lic #: 366547
Workers' Compensation lnsurance:
Carrier: Midwest Employer's Casualty Company
Policy #: 8NUWC0.139070
Expires: 01/01/2019
T2? " BT
t7t.5
Building Use:
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:
Alteration Constr Type
change out fixtures (unit 6) Code:
Date
Date
Date
R-2
VB
cEc 2015
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every permit issued shall become invalid unless the wo* on lhe sile
authorized by such permit ts comfienced within 180 days after its
issuance, ot if lhe work aulho zed on the site by such pemit is suspended
ot abandoned lot a period of 180 days aftet lhe time the work is
commenced
07t16t2018
Account#
$99 63
$0.00
$99.63
lnspector MID#: 2018-'144586
01 1 16002 51600
0't 1 '16002 51603
$22.08
$77.55
Fee Total:
Paid to Datel
Balance Oue
Eotch+:{4814 - 7/r6/20t8 ID: C(:U|-:L1.,11.
0ftice: CIYII Trcns?: 60 13 nf 14
Acct+: BEfi: 2016638?
Rcpti:02325623 - 1/f6/2OlS 1?332 Pl1
Trons{ctim Totol t2 r lSB.76
Koterro Renovot ionsr LLC
Notes:
Generol PIqn Uedote Fee
01116002- 51600m0-
Electr i col
o1116002- 51603000-
ICL Chect m:ru14
V iso
CCg: *r*rlr*trr 5069
change oul fixtures (unit 6).
12rr')9?,13
T81.33
Authi 31115015
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUILDEN DELCARATION
I hcrcby afitn !nd$ ,cn0liy of pcrjury th,t I am .x.mfl rmm rhr C. lncroN Liccnsc Lf,r for rhc a.lhwing Eav,n (ftc 70:ll 5
Brsincss md Pror.r\ion Codc): Any Cir, or C.uly whicn rquncs r E!.rit lo mnsEd. lllci im[ovc, dcmlish or Enot d.y
struclurc. pritr lo ns nsuanc.. als rcquncsrhc n ,licdr tor suchp.mir b lilc, sigftd (dcmor rhai hcorsh. i! liccn$d prda.r
ro rhc ,,ovi\ioni .l rlt Conrrn.ror's Li..nidd L!{ (Chlrrrcr 9. Comnrcncitrs $ith Secrion 7000 of Dilhion I of rhc B!{inc$ and '
PBlc$ions Codc) or lhd lEor sh. ncrcmtr lhcrcltun dnd rhc l,!st forrhcalLBcd.rcfrfli.n Aryviolario.otS..ri'n70ll5byd.y
lprlicrnr ior0 pcrmil subj.ck lhc rplicanr ro acirilpcnalryorror nrrcrh,n nv. hundrcddollas (5500).
I. as owrcrorthc Frrny. or my cn{loyNs wirh ersc\ a\ rhcn s[ compcn\arn,n. will do rlr *ork nnd rhc stturm i\ hr
inrctulcrl or olitEl lhr slc (5$.7044. Busjnes and Prclisio.s Codcr Thc Conta.rols Licc.sc ljq docs hor applyro an owmr ol
rhc pmFdy wh. hxirds or ifrttrov.s rhkrn', dd sho docs such rad( hinNcllor hcrcliar rn,ou8h hn or h.r own cnDk,rc.\.
lmvidcd rhal $ch improlc,mns N mt inrcndcd d otrcdd ror sslc ll ho{.!u. rhc boikti'rg or in{mv.nrnr i\ s,ki *irhin ,,nc Jrr
ofcompldiotr. thc Osrcr Buildcr ai[ hrvc rtr hurdc. of r,ovin! rhd hc o! shc dil mr h{ild or iqmrt rhe porEl} ior rh. purlDs of
-1.
ns owncr ol rhc pn,lrny. 0m crclusiv.ly .onrrdins {irh liccn*d .onr'.lo^ ro conitud rrr ri,jecr (s.. 704.4, suqim$
rnd t\.r*\iri Code:1he Conrocroas t,i.cnsc Lnw d€s no{.prly ro an owncr ol[opciiy who build(.r nnpmlcs rhcr.on.rnd who ontrds ior sxch pn'iels wirh r coda.ft,G) liccrscd pu^ldnr k, rh. Cunt!.ttr s Liccn{ t!*)
-l
amcxcmDr urdcr SEIion .A&PCturrht..dvr
IYOBXE&::I:OMIEI{SAIION
DLIIA.BAIIIIN
I h.rciyalfirrundcr prnallyolpcrJuryoncoilft k lo* ! dcclrnriorsl
-l
hlvc oriwillm0intiinaccnific0'cofConscnr rosclr lnsurror wolids .ompcn$rion. ar fmvidcd lorbyserion l70oof'h.
tibor Codc. for rhc pdfonmnc..r(h. *or* r.r *hich rne psmit t isslcd
_lhole lnd willm0inrain w.rkcn compcnsation inru6nc., as cquiod by s(tion 1700 otlh. trhor C.dc.lor lhc pcrtbrmlmc of
lhc wotk rn Bhich lhG pcrmil is issucn My workds co'nFnqrbn i.suranLr c.ricr fln poliy numbcr m:
(s
f3t..rJVJ c,or;+g*o \. (q
I (nilirh r inrhc Frforir.rcofihc so lir whichrhi\ pcrtr,it is lsu..t.l shrllnol.mlk,trnyp.^otr inaiymanncr
y,i\k)bc.onEsuhJcdrorhcworkcr'.onUcnsdiotrhss.fCalifdnr,rndJ!rccrhdiflshruldhc..nrsubjdrrorh.
trork.^' .otrrfctrsllionpmvisioflsofScciidr l7ur.frh. Lrhri Codc.l \hill. {onhwirhcomtlt *irhrh& pmvisiotrs
WARNINCT Failurc lo Burc rork 6 .onFns ion svcdg. h utrln*tur. ond sh,ll suhjcr ,n cnDlorr ro aiminal pcnanas ond
civil nnes up lo onc hundrcd thousond dollirs (Slfi].fiD). ir sddirion lo rhc cost
::::ifiulb:1q!:ffi1,
DECI.ABAIION
I h.rbyaftrm und.r Fnshyorpdijuryrhr I afr liccnEn undcr F,vnion ofChlprg 9 (!-ommncins *ili S(ri,n 70(x)) orDilisn,n:l
of lhc Busimss lnd Pofc$ionr Codc. ud my licctrs is lull lorN Md cfiar
Ioxqtrtv.
u*".t[tl i$ !!Jl'-'-.* E f
IONiIBIJCIIONII,IDTIC-&AENCI
Ih.rctyrfllmu.dcrFrhyorDcrjuryrhdrh.r.isaLndsrtucrionlcndi',!rgc(,rorrhcFrromtucorrh.*orkarnwhi.hlirisp.rnrilis
i$ucd lScr. -1097,Civ. C ).
AIIUIANIJIECI,ASAIION
I h.r.t y anm undcr Fnalty ol Frjury om of th. follo*ing dc.la,iionsl
D.rrcfiion P.rnirsAsbcsros N6'ifi.lrion Fcdcdl Rqnl.rions (Tnb 44, P!n6)
-Rcluircd
t rl.r of Noin.diotr
-l
ccnify that lhc acdcrolrcSuklions re8lrdin8 lstrcslos rcDmvol*c trot.lrliablc to lhis pmrc{|.
Lts-ri , r, , ** .",0 ,n* applicar ion o{l srare lhat thc otnvc inrolnEr rcn is corer. I aare ro omrly w h all ciry and counry
oili'rtrtrrr\ J Srrrcl- *\ rthlingti hlildingc.nnrucrnn,. rxl h.rchy hori/c rc !lLhi\ Cirr uJ Counr! 'o
cnt.r uFn IlI'Jt L ri6 2018rlxrc n'rDri,nrn F)ncny i,tr i',\nr.ri,r, f trrJx^.\
Applirlrl or Alcnl SiAn.lum
Pemile nome ( p.in0:Qot"L 0l
Dolo
Site-Work
lJnderground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lite Safety /Low Voltage
flre Alarm / Dampers
Communications Cable
Buildinq
Under Slab i Floor
Bonding / Groundinq / UFER
Transformers
To rquerng
Sub-Panels
Air Conditioners
Roof Top Equipment
Fa ctory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
Itlleter Release
Rough ?zz.u.rts 5t 6t
Service Meter /)
FINAL 5/r7/x fl6b
Notes, Remarks , Etc.
COMMENTS
1