HomeMy WebLinkAbout20167412 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20167412
Pin #: 99283
City of Santa Ana
Permit Counter: (714\ 647-5800
Project Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lol: 8
Unit:
Block: A
Suite Range: Unll24 F-2
Zoning: R4
q
Owner:
Address
Contractor
Address:
011'16002
01 1 16002
0't 1 16002
01 1 16002
01 'l 16002
51603
5'1603
51603
51600
51603
Amount
1.45
1 .58
1.05
22.O8
55.04
Qty
5.00
12.OO
5.00
't.00
1.00Tenant Name:
The Bascom Group, lnc
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(949) 9s5-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-r065
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Wolkers' Compensation lnsurance:Carrier: Mldwest Employe/s Casualty Company
Policy #: BNUWCo139070
Expires: O1lO1l2O19
l'ili a ovot ronst LLC
Building Use:
Job Type;
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date:
Dale:
Dale:
Fixture change outs unit 2
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pemit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within 180 days after its
issuance, or if the wo* authorized on the site by such pefinit is suspended
ot abandoned lor a period of 180 days qfrer the lime the wo* is
commenced
11t1512018
Account#
$108.58
$0.00
$108.58
lnspector MID#: 2018-147694
0'1 1 1 6002 51 600
01 1 16002 51603
$22.08
$86.50
Bldg: 24-F Address Range:
Tract: A.B. CHAPMAN Historic: No
Phone:
Fee
$7.25
$18.96
$5.25
$22.08
$s5.04
Phone:
gotch+:169$0 - 1Ul5l201S I0: o
off ire: : ,:TYH Trons+! 2lAcct+$ Refi: 21116
Fcrt+:0344iI22 - 11/15/2018 I1,
Tro,rBo-J ion Totol i2r6l
. t_l
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe:
Fixture change outs (unit 2) Code:
R-2
VB
cEc 2016
Noles:
Auth+:t,:
Fee Total:
Paid to Dale:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDER DELCARATION
I hdchy rmfln undd p.nrlry oa pdjury rh.l I en .xdrpt aro,n rh. Contcclo* Lic.ns. Las for th. followins r.e. (sE 701 t 1
BBin6s dd Profdsion Cod.): Any Ciry or Counry rvhich r.rlut6 a Fnn ro coGttu t, axd, inprova dsnolish o q€t uy
srtucru€, Fdor ro irs isudrq also Equn6 rh. a])plicer lor su.h p.mfi ro liL a sirncd sr0tmdl lhar h€ or shc is licemcd pmoel
ro rh. FolisioN of$. Coniraclors Lic.ns.d tlw (ch.pld 9, (omm.ncinE with Serion 7000 of Division I ofrhc B6inds Md
Pmf.sions Cod.) orrhol h.or sh. is ci.mpt tho.ftom &d rh. bsis lor th€ aucsed.&n6ion. AnyriolrlionoaS..lionT0ll.5byany
aprlicanl ior a p<mit subj..rs rh. applicer |o rcivilpcoahyofn.r rorc rhd fiv. hundr€d dolld (S50o)
-1,
a o*rdoftheroFry. or ny.nploy6 wi$ *as6 d rhet src coEp{Mion. sill do lhc wolt dd lh€ slrudm n nur
inidxlol oi ordcd for slc (sE ?04,1. BBios ed Prcf6sio.s cod. The (onrrucloi s l-ic rc Larv do6 nol apply io m o*.d ol
rlE lmn<ly who builds or inpture thsol! rnd who do6 uch q) hn scla or h.&ll or nmxBh his o! hq o*'n cmploy!6.
nrovided thd such Lnprovondls e mt inl6d.rl or ofi€Ed for slc I L hoso6. lh. hildins 6r itrrpov.ft is sld Nilhin on€ yw
ofcompldio( $e (]1l@ Buildd will hav. th. buLo oaprcvins rhd hr or she did nol build or imFolr lh€ propdy for th. purpo* oa
I. 6 .*id oarh. p6pdr, m qclNircl, contrdin8 snn lirms.d conliadoE ro c.nnru.r rh. FoJcr (sd 7044. B6m6
ad Potusion Cod.:'l'he conticior's Li..ns Law do6 noi,pply ro tu owna ofpropdy$ho builds or impror.s rhdsn.
and rvho contmds for such Fojccls with a Contraclo{s) lico'$d puBrol lo lhc conlncldis Licmc L.w).
I m cxmpt unddsdlion . B & P.C.forlh$ r6on
Dot.: Own.r:
Ia!5I8LCA!IfENSAIIA!
DECI.AMIIAN
I hn by alfim undd p.tulry olpojury onc ot th. aollowing d(h@rioN:
I hav.tudwill mainlain a C.nificat. of CoIMr ro Self-l.su!. tor wo&ql onrpe.!.lion. s pmvid.d tor b, SEtion 1700 ollhc
t bor Coiq aor th. pdforl@.. of lh. {ort aor wnich ih. pdmil b isu.d.
I n v. rnd will m.inld. wo*6 compssalion iBuranc.. s r.qun.d by SErion 1700 of lhc tlbor Cod., aor llE pstmcc of
lh€ work lor qttn thir pdril b is.d My world conpqslion iEudcc .an6 ad Flic, nnmbd dt:
h .4s
I. \ \CL
-l
c.niry ltar in rhc p.rfoM.. oa$. woi{ for *hichrhi3 tdmir ir issueil I shrll nor.mploy ar} pcr$n in my oend
$ 6 ro bn{,n subj{r ro rhc sorl6' comFrudion laws of Caliaohio. ed asc thal if I should beom. subler to th.
mi(6' codFsrion povisioN of Sation 1?00 ofln€ L.bor Code I slEll. loflhs ilh conply r irh lho* prclGions..
W RNINC: rrilur€ to su. wor(6' coh!.6ation c.vda!. is unl,watrl. md shall subjd an enplolt lo flninal Fnati6 nnd
.ivil lin.s up ro on hu.di.d rholsmd dollN (1100.000). in addnion ro thc cosl olcomp.Galion. danagd 6 p.ovid.d ao.lt.
Sdion 1076 oluc htn. Cod€, inldd &dotlumy's lG ,2
,,","1{0V | 5 2018
DECI.ASAIIAtr
I hscby afinn undd p€nAhy o I p€iury rhal I @ licotsal unds previ.io. of Ch.fl6 9 (commdcinS wnh S6liotr 7000) oa Division .]
of fi. aosins &d ProieioN Code. sd my licos. is in tull forcc d cfrat.
9 toccn qQtl
,,,,, NoV I 5 2lll8 (.*in.,.r (-114,M^
caNsrauqu0lL[NDtNc-&cElljr
I hftby aitnn ondd p.nah! ol pdjury ihal liqc is a oNrudion lodins asdcy aor lhe pdtunnec. of ln. wolt for u hich lhis p6nil is
issu.d (se.1097. civ c )
ATII.ICANI-IECLAAAIIA!
I halq.fuDundd p.nahy ofp<jury on ofrhc tullowins d6lrations
Dmoliriod Pmtu Ashdos Notificarion F.d6rl R.SularioB (Tnt 40. Pan6)
R.qun.d L.nd of Noi6cdio.
l.dily rhar rhc Ld$al rcgulalio.s re8{ding 6b6tos lanor.1trc nol apphable lo Ihis pojel
cdilyrhdrhav.r.0dthisapplicarionadsratelhatrhcabowinlomarioo6co'rsrlsrrero.onplyNnh0llCityandCounly
ordinancB sd srarc Lrws rclatin8 ro brildiq connrucr .frhis City&d Counlyto t6 upon rhc
rtrr. 'nd ur p'oFn\ ntr iNtrtion
Irl0v
\l't'lirtrtrr or 1[{r Sistrrr rr
5q'..a,L A
I 5 20t0
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
[\4eter Release
Rough
Service lrileter
FINAL a-/rnM t\tl
Notes, Remarks, Etc.
ID/SIG.
Pole Bases
Pnri.yNu.b., @E.pn*
T