HomeMy WebLinkAbout20167342 - PermitProject Address: 2414 N Tustin Ave
Assesso/sParcel 396-261-55 Lot: 8
Bldg: 14-N Address Range:
Tract: A.B. CHAPMAN Hisloric: No
City of Santa Ana
Permit Counter: (7 1 41 647 -5800
?,$4, Erectricar Permit #: 2l)1673,42
Pin #: 19?74
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Owner:
Address
Contractor
Addressi
Phone
Tenant Name:
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrYine, CA 92606
(949) 9s5-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
01116002 51603
01116002 51603
01116002 51603
0 1 1 '1 6002 5'1 600
01 I 16002 51603
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Laght Fixures
General Plan Update
lssuance
Amount
1.45
1.58
1.05
22.O8
55.04 .,r,:-
l l,: ,
i i .,.
aty
5.00
't2.oo
5.00
1.00
1.00
Fee
$7 .25
$18.96
$5.2s
$22.08
$55.04
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 365547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0,|39070
Expires: O1l0'll20'19
,il
tl$r LL(
d6te fee
r-iLr[r-
LrItl-
rLl.Jl-l/4
**rU584 Aul
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
Fixture Change outs (Unit 3)Code:
Date:
Date:
Date:
R.2
VB
cEc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pennit issued shell becorne invalid unless the wo* on lhe site
authoized by such pemit is commenced within 1 80 days afrer its
issuance, or if the wo* authotized on the site by such pemit is suspended
ot abandoned lor a peiod ol 180 days aftet the time the work is
comfienced.
lnspector MID#: 2018-147425
11t1512014
Account#
011 16002 51600
01116002 51603
Fee Total:
Paid to Date:
Balance Oue:
$22.08
$86.50
Unit:
Block: A
Suite Range: 14 N-3
Zoning: R4
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Notes: Fixture change outs (unit 3)
$108.58
$0.00
$108.s8
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE rD/srG.COMMENTS OWNER AUILDER DTLCARATION
I hs.by arm undr rEElly oa p6ju'r lh,r I d cx.mpl lion lh. co.lrtclos Lic.nse tl* aor
'hc
aollowins r€Nn (Ss.?011.5
B'sin6s d P,ofsion Codc): Any Ciry or County snich reqri6 a p6hn to en$rucr, alts. inprov., d.molish or rcpot M, ,
sttuctu€. lnor ro its sudc. also cqor6 rh. applicet lor su.h pcmi lo nl. a si8n d ahn6( rhrl h. or shc is licos.d puMt
ro rh€ provisions of rh. Conrractois t,i€cns.d kw (Chaprs 9, Commenci.s with S{tion 7000 of Division I oarh. Businss md
Pmfsions Cod.) or lhar h. or sh. Ls .tmpr thg.from and thc bsis for rhc alLg.d €rdprioi. Any liolalionofSelion 7011.5 by dy
applicant for a pqnir subjcc rhc applic l ro acivilpcnalryolnol noErhd fivc hundEd dollds (!s00).
I.6owhdofth.piop.ny.ormy.mploy6pithwasB6rhcn$lcconp.nelion.Nill&lh.so,.dth.snElu.ismr
inrFiLd or offr€d nn eE (Se 7044. BBinB dd Pof*sio6 Codo Tt. ( orlroclors Licdsc I s' do6 nol apply ro d o$nr of
rhc pNpsly sto hilds or imprer6 rh@r md *ho do6 such sorl hins.lfor hmcllo! thur8fi iis or hd o*!.'nployca.
prolid.n rhar such impm\EBrs e mr i od€d or o,I6€d for sl€ I L ho*6d, lh. trild,ns or i,Ilrovamt is sE wnhin on. )@
ofcomplclion, rhc (rnd Buildd wil navc th. htrdo of poving ta hc o. shc did ml build or nnprovc lh€ Fopoq fo, 0. prDoe ol
I.6o*.d ofthe prcpdy. dncxclusiv.ly conlr.dins wnh licosd codmcloBlo connrucr lh. rFjd {S4. 7044, Dusin€s
dd I\oBsionCod. Th€ contrctor s Lics. Las do6 .ot apply 16 M ovns ol prcpeny lvno builds or in,prov6 rhftmr
.nd *ho conr.cts lor suchprojcrs wirh r CodDdo(r lica*d pusuur ro rhecontr.lor's l-ic@i. b$)
ltun.i.d|]ru idscrrn . B & P C lor rhis rc6on
Di(r o*ner
.v!)a(E8l(ar!EE!lal!ll!
DCC!AaA!A!
I h€r€by amnn under p€nahyolpejuryone oflh€ follovin-! dsl arioN
I ha!. md \rill mannain a Cdincale olcongl ro S€lf'hsur€ for wdrldt mnD.n$lion, s provid.d ior by S6iion 1700 o I lhc
bbor codq aor thc psforruc. olln wort aor Nhich th. p€mit is issucd.
l h.reandwill maintainworkera compcnsarion insu.ance. d requtcd bySdrio lT0o ol rhe bbor (-ode. lor lhc p6fomec..r
thc work lor viich this pmir is issu€d. My woikdt compcNalion insuld.€.mid tnd p.licy oumbs dc:
-lcdilyrhar
i. ih. psLrntrc. ofrh. work aor whichdisp.rmn is issu.d.lshlllnol {rpbyalypd)n ihanrndner
so 6 ro bdo,n€ subjai b rhc rork6' coop.nsaion latrs of Califomia. ud aard lbar if I should bdom. bi6' tolh.
{ort6s'compasalionpmvisionsolS..lionlT00ollhcl-ahorCod€.lsh.llrodt*nh.o6ply$i$rhoseEovisiom
W RNINCT r{ilur. lo surc sorkss ompcBation covl
civil fin6 up to one hu r.d lfiousnd doll6 (5100.000
sdrion :1076 ofihc bbor cod.. im<61md !fiomey r fc
dasc b unlavful. md slBll subjel o @ployd to aiminal FEllis dd
). in addirion to rhc cost oi coqE.nd6n;678, provid€d ror rh.
,","i10v I 5 2ot8
DECI,AIAIION
I hdelyarfim u o p.nah, ofpojury rha I m lies.d und6 Fovision oachspl6 s (comm.ncins with Sc.lion 7000) olDivision l
ol lnc Susins d Prclsio6 Codc. ed my lt.@ is in tulllorc€adclldr
,-,**..,'*, f' .i".*" *,,'b.' LsA?14?
-.ilovj lj{l& (.n,rs.,.r ?a t ".ro'
qNua!cuo!.1!;!lu!!lc!!r.I
I n@by amd und6 poahy of Fdurt rh.r rhr. is , cododion krding sSocy for rhc p6fomdc. of th. \orl aor Ntich lhis p6nn b
issued (S(.1097. Civ C.).
AI8IICANIDEIIABAIIO!
I nod,y aliift undd poalty of pGjury o.. of th. follorvinB d(ldatios:
D.ho lilion Pmirs-Asb6ros Norificarion F.i-.1 R.sllarioB (Tn|. 40, Pan6)
R.aun.d L.rrd of Noi6cdion
I.enirylllal lhe l€ddal rcguhl io ns rcgeding Gbctos rcrnovalde nor applicablc lo lhis prej€cl
4^,,++,t tt^"*^a't
6rd'nxncs,nd Srrr. I atrsrld
sapplicarnrn edsrarclh.r rlEabole intonnation is.ond I aBre ro condy \rilh oll CU and Counry
'ng
ro huilding coisrncrion. md izc r.?rMrarive o I $is cily Md Couoty ro are upo6 th€
abo\ e mdrnr.cd prop.ny lor iNp€ct
,\ppli.nntorAgenl Sigmlure Nqy" I s 2018
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Si gns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
Meter Release
Rough
Service [Veler
t7,41,A I ^- -1, /)o rl-4i,1114t6)
Notes, Remarks, Etc.I
Communications Cable
Under Slab / Floor
FINAL
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