HomeMy WebLinkAbout20167413 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civjc Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 2(J167413
Pin #: 75890lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2424N Tustin Ave Unit:
Block: A
Bldg: 24-L Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit 24-L'l
Zoning: R4
q
Assessor'sParcel: 396-261-55 Lot: 8
01 1 '16002
01 1 16002
01116002
01 1 16002
01116002
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
12.00
5.00
1 .00
1 .00
Fee
$7.25
$ 1 8.96
$5.25
$22.08
$s5.04
Tenant Name:
Contractor
Address:
Katerra Renovations, LLC
3200 Earhart Orive
Carrollton, TX 75006
(972) 818-1065Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 3665/17
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCoi39070
Expires: O1lO1l2O19
Building Use;
Job Type:
Nature of Work
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Flxlure change outs (Unit L-Code:
R-2
VB
cEc 2016 Notes
Planning conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Sub.iect to Field:
Building Permit #:
Chavez, Dave
Date
Dale
Date 11t15t201A
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wo on the site
authoized by such pennit is commenced within 180 days after its
issuance, or il the wo* authorized on the site by such pemit is suspended
ot abandoned fot a period of 180 days after the time the wo* is
comfienced.
$108.58
$0.00
$108.58
lnspector
01 1 16002 51600
01 1 16002 51603
$22.08
$86.50
Owner:
Address:
Phone:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
Fixture change outs (Unit L-1)
Fee Total:
Paid to Date:
Balance Due:
MID#: 2018-'147696
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rouqh
Service hrleter
FINAL Dh lr.,,btt
Notes, Remarks, Etc
OWNEII BUILDER DELCAIIATION
I hs.by.ftm rndr p.flalry olpe.jury $al I @.r.mg ftom th. Coilrocios Li..ns bw aor rfie foUowins @on (s(?oll5rl
Busin6s ad Proadsion cod.)r Any Cily or Counly shich r.qun6 a pdmn to connrud, ah6. iop.6r.. dabolilh ot r€psn av
srtu.i@, pdor ro its isu cc, al$ r€quns rh. applicd lor such F.nit lo lilc . sEn€d s|at@ot lnal nc or 5h. t lit4.d pcuml
ro thc provisioG ofrh. Contrndois Lic.ns.d Law (Chapts I, Cohtenci.! *nn Sction 7000 olDivision I ofln. n'rsin.ss md
Prcfsions Codc) or lhat n. or sn. is crcmpl th6€6om md lh€ basis for lh. all.Sed .rdtrplioa. Aiy vioLrion oas€clbn 7031.5 bvov
applicd tor a Fnni subjctslh. applica lo acivilrcnahyof.or,no,!thu liv. hundr.d dollds ($500)
l. d oMq of rh. popcnr. or ny employG with was6 s th.t $lc .oinp.nslion. sill do lhc wort dd fi. tuucrm i5 Nr
i dr:Ld oroftdcd aor elc(S{ 7O&. AusiB md Pr.fsioN cod.r Th€ Co ndor!Li..NLa*do6nolarplyloeow!6of
rh€ I'lFry s ho boil&.r impro\6lhe@( ad who &6 such \ort himsela or icelf.r th'6ugh hi o. hd o\u cmPloycG.
p.olidcd lhal sucn imFovondls e nor i.laded or oretd fo! slc ll. ho$ad, rh. hrildirs or imln'vcful i! eld wilhin one ,@
of compLio.. rh. O$,n6 Blildd will have $. buda oap.oring thd h. or sht dii noi hrild or inF.rt fie propdy for $. p{rF ol
l. 6 owne. of rhc prep€ny, d cr.ltrsiv.ly contracrins Nilh licdcd conrddon ro .onnruct th. Irojat (Sd ?044. Buins
dd PnLsion cod.: Th. Co.lrlctois l-icc.se Law do6 nol.pply to & orvns orpro!.dy$ho boilds or imProv6 $reon
and who conlncl3 ror su.h Fojds wilh a C.fll6c1o(s) lico6.d pu6udr ro th. Cotrrador. t-ictuc ti*).
l rerempl trnder sccr(n, .ll. & l'( lil' lhis,crsotr
l)ar. Otrn..
l4l,l8Ec&5:(p[EEXIA!a!
OECIABAIIQN
I her.b, allmn trnds pcnaliy of lEjury oic ollhe follosing dtlaolions
-l
harc ed will maimain a c.niilcar. oicot6llo sclHcu.c aor mrt.n compdstrion,I pmvid.d for bv sdlioo 1700 oafi.
L.bor Codc. tor rh€ psron&c. of lh. wo ( aor which thc pdil it Buqi
-I
h.v. 0nd lill mainrain vorkds' conp.Balio. iNufu.c. 6 r.gun.d by Sdrion l70o of lh. kbor Codc, for lhe Faomec. of
rh. work aor which lhn pmit is is.d My worldi co,npdei ion iBuruc. crni6 dd Folicy t!mb( -€
ttr,lurex \ (- lr^<
o
I cgriry lhal in lhc pdlomanc. ot lh. work for shichlhis pcrmir is isst€d., shall lot oploy aay p.6on in inv m ns
$ slo be.omc bi.d ro rhc q'o,k6 .onpderion laws of Califomia ed ag@ rhd ia l shoud b€.ome subjd to rh.
10l!6! conp.trsrion provisiodolSdion l7o0 ofrh. bbor Code I shflU. aonhwirh comply rvnhlhoF pnvisions.
$ RNINC: Faiturc k, !tur. \orlqs conrpsMli()n &\€rdse is trnlasldl. and shdl subjtr d onflo)o k! mminal p$ahi6 dnd
(1rl I'ne\ up L' on. huDLI.n 'hoMd doll6 (1100.0001.
Sdion 1076 of ih€ hbor Codc, imNl md anorney i le6.
in addnnr. b llE cost of co dar.Bcs 6 rrovid.d lor rhc
I hociy a,Iim unda pdahy o f pdiury rlBl I m li.€osl und6,tolision olchaplg q (coBnoci.S shh s..lion ?000) ofDilision l
ol thc A6i.6 dd Poleio6 Cod.. ed my lt.N is in tull fo,cc and .lTer.
l""*"."*, 3' Li.s.N@bd \a1 q 4q
,,," N0ll I 5 201f, .-"*,., lz,r{.r.-
-CONSTRUCTION ITNNI (: AGFNCY
t h6cby arm undd p.n.lry of p.4ury lhal ln@ is a .oistuclion kndi.8 aBocy for lhc pafodec. ol thc mrt for whrh lhn FDit is
issucd (S{ 3097, Civ. C.).
AIITICAII.DECI,A8AII)!
I hody arm utdd paally oa pdjrry oD. oath. tollowins dc.ls!rio6:
Dmolirion P6mits-Asb6tos Notillcarion Feddl R.gulations (Till€ 40, Pan6)
-R.qut
d Lcrlq of Nod0clrion
I caliry rhat rh. f€ddal rcsuhrioB rcCardiig sb6lG rdnoval dc nol a0Pli.abL o lnir Pmjdt
al crrri rha I h6\. r€ad ft6 rprlt{ion od {alc lhd $. aborc inlornalion i! cord. , asr lo omply whh dl Cilv and Cou.tv
6rdmanc6 hd smr. lrws da 'ns
ro boildiIg coElrud'on, ud hdcby adlqiz.rtFcdalil6 oflhi! ciry ed couniv lo @16 upon t'ic
abovc malioned rrop.ny for i sp..tion puDose
ADDlicrnl or Asmt Sismlure d AlcL ,ll0V t 5 eo t8
ELECTRICAL.INSPECTOR RECORD
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