HomeMy WebLinkAbout20165991 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA.92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O165991
Pin #: { 1675
City of Santa Ana
Permit Counter: (714) 647-5800
Unat
Block: A
Suite Range: 8-6
Zoning: R4
qProiect Address: 2424N Tustin Ave
Assessor'sParcel: 396-251-55
Bldg: 24-B Address Range:
Tract: A.B. CHAPMAN Historic: No
Contractor
Address:
Tenant Name
The Bascom Group
26 Corporate Drive Suite 200
lrvine, CA 92605
(866) 695-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-r065
01'1 16002
01116002
01 1 16002
01 '1 16002
01 1 16002
51603
51603
51603
51600
51603
Fee
$7.00
$18.24
$4.04
$21 .25
$52.98
Fee Type Amount
125 Volt Receptacle 1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
Generai Plan Update 21.25
lssuance 52.98
Notes: Fixture change outs (unit 6)
Qty
5.00
12.00
4.00
1.00
1.00
State Lic #: '1009989
Licrfyp.e: . B
Bus. Lic #: 3665,f7
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWC0139070
Expires: 01/0'l/2019
Planning Conditions
Multi-Family (5 or more uni Occupanty:' ! -
Alteration Constr Type:
Fixture change outs (unit 6) Code:
Date
Date
Date
R-2
VB
cEc 20't6
Misc. Receipt:
l\4isc. Receipt:
l\,lisc. Receipt:
Total
Chavez, Dave
Every pemil issued shall becone invelid unless the work o, the site
aulhorized by such permil is commenced within 180 days after its
issuance. ot ifthe wo* authonzed on the site by such permit is suspehded
ot abandonod for a peiod of 180 days aftet the time the wo* is
commenced
06111t2018
Account#
$103.51
$0.00
$103.51
lnspector MtD#. 2018-143622
0'1 1 16002 51600
01 116002 51603
Fee Total:
Paid to Date:
Balance Due:
Lot: 8
Owner:
Address:
P hone:
Phone:
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked Byl
Permll lssued By:
Subject to Field:
Building Permit #:
t.jLn.rtl
r:[t.jL
$21.2s
$82.26
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OWNER BUTT,DER DELCNRATTON
I hcrcby aflnn undcr F.ahy ol rcrjury 'hol
I m cx.mpr rmm (h. Conra.rou Licens tjw lor ihc iollosin8 rc.bn ls.c ?03 1 s
Businc$ axl Pnlcssion C.d.): Any Cir, or C.unly rhich rcquircs 0 lErmir lo onsldct. ohs. imlmvc, dcmlth or tFn any
ntodu,c- lrior ro irs issu!rce. ako rcqlnes rhc alplic0nr rbr such F mi ro fiE a sismd sraremnr rhar lE or sh. is ltco*d puElahr
to thc Eovisbns ofdr Co.kEbls Liccnsd t{w (Ch.pr.r 9, C.frmBin8 *nh Scclion 7om of Divhn'n I or rhc Blsincs and
Pn,fcsn,.r Co{tc) or ihar hc o, shr k cx.nfl rheElod lod thc h.sis lor rhc dkS.d .r.nplioo AnyviolrrionorSc.rhnTOll.5byany
q,rlican' lor a ,,cntrjl subjNls th. amlicanl ro ! .ivil pcni lry or nor mE rhe fiv. hundrcd dollas (5500).
l. N o*n( of rh. pnrFdy. or fry cnflortr\ *irh wrgc\ o1 rh. ir ulc roop.ns i.n. *ill do rh. wtrk dxl rhc {mrm G tur
i .ndd or orIcrcd lor $lc (Sa.?044. BusilEs nnd Profcssbnr Codcr Thc Conlnctols Liccnsc tiu doc\ nol lpply lo rn osncror
rh.pol{ny who huilds or inlptr,va rh.u,n. md who .lms such s& hinsclf.r hd*.lf.r rhR'xgh hi* .r hci ow cnrrbyccs.
Dori{l.rl thur such imlotemnr !rc ml i, cndcd or ollarcd f.r qrlc ll howcE rhc tdildir8 or impmvemd G nnd sirhin one rcr
ofconrrbtnh. fi. Owncr Auitlf sill hivc rh. burdcn of pn'ving rhd hc or shc did tur build or i4)ov. rhc pm!.ny lor llE pu{n* of
l. N .wncr of rhc !mp.dy. a'n cx.lurivcly .onracli'ig *irh licei{d .ontrcro( ro drNdd rlk p$i\l (Sc. 70&. suiim$
trnl lhtssirr Codcr Thc Conlracitr \ t.iccnse t,oq d@s tror ilply to an owncr olpmpcny *ho 6uild\ or nnnnvcs rhcrN.,
rnd who .d.rrck for such pn c.k w h r Cl,nrn.hn r lkrtr*d puhuMr ro rhc Conlr..rols Licctrsc L!w).
I omcxcmpt und.. Sdr B & I'.C furhi\ rc.son.
lu.BlilBs:louflNiiarraN
DESASIIIQN
I hcrcht rtft'n trtrdcr lcnalrlofr.rj!.ronc ol rhc f{n[)qira d..lxrrnnr
lhrvc arxl willnDinrain dC.nificarcofC.n\. bS.ll ln\trrci(reork.A..mp.ns0ooi.ns pmvidcdlorbySalion3T0Oolrhc
Illi, Cqlc- t)r lhc pcrlonuncc orrhc wo ntshichrhcn rmi is n{td
I hrvc rtrd will nrinriin vorkcri .onrlrcN.rtu ir\urnmc. i1 tuqtrircd byScclhn.l7l)O.ithc ljhorC.dc. nr rhc pcrtortun( of
tltr n is issucd. My workLrs conn n$oun iniurM.c.Mid ffil,Flicynumh.r m
D . \.\
I.cnrfyrh hrhcpcrlo Mtr.coirhc wo.k ld whi.h rhir!.nnir is nsucd.Ishallnol cnrphyany pcron inlny 'nannc'y, rs r,, hcconE subjci h rnc *orkcn conrncnsarior h$\ ofcrlilorni( ind Jgrk rhar if l \k'uu t (,,t \ubt cr k' rhr
$orkc6 c.nrtcnsriion pmvtioas ors(ln,n.l70(Jollhc l,hn Corc.l\hrll. nrnh$irh co'npl! sirh rh{ rn,vi{t'is
WARNIN(;: Faihrc k, {.u. sorkcB conrNnsdj'nr .o!.rr[c i\ unlrwtul. .nd \hdl suhjcd .n cnUnDer ro riminal FBltis and
.lvil fin.c up r. ond hundrcd lhousrnd dol[n l$l{D.lXt,
SNrion 1076.rrhc libr C.dc. ir cn( and anorNv.s l.cs
), in addirion ro rhc cosl ofconrF
rr,r", ll llt t r 1n 10
^rruN ll{uto
DIiCIAMTON
I hcahy rr6nnundc. !.nrltyofpcrjurylhar I rn liccn*d undcr rmvnion olChaptcr 9 (comnEncins wirh Sccrion 7$o) orDivhn,n l
of rh. Busin.ssmd Pmfcssions codc,.nd my li.cns. is in fullforN d cflc.r
I ,zo1.l qcL
AITLICANI.IIECI.AEAIION
I hd.'bynmmrnd.r r.n lry ofFrjury onc ofrhc rolk,winE dLrlnr io.\:
Dcnlniio Fermils-Asbcnos Nolificlrn'n Fcdcrol Rc8ulntions (Tnb.10, P.rr6)
-Rcquncd
tdl!r ol Norifi cii,n
l.cniltrl rhcrcdcmlrcAuldi.ns rcE dir8rsh,no\ rc n)vxl r. hr rltli.rhlc lolhn nrojccl
E-rrd,ri rhr I )bL. rcJd ths afrEar
.rdinJn!cr rn,l S,rr. lr$\ rLrinE r. bu
abov. mnrioncdpmpcny lor iost .rion
i(rrtrd {irr Ih rlt rh'!.)comrly*nh all Cnrxnd Counry
lhn Cnyand Counly ro cnrcr lpon rne
ADplic!nr or ,1genl Signalurcl .- l
-Paq;ll. L.4
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding i Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Rough b/(L//6 ,t\€{
Service lvleter
FINAL f//tttq rASg
Notes, Remarks, Etc
Ivleter Release
V^*^ra
calglaugu!)NrENltlliclc[Nct
I h.Ehy alftrm undcr rrn.hy of p.rjlry iha' thcrc k a onsldcrb. lcndin8 a8ercy tor rhc Frformme ol llrc *orl itr *hi.h rhir p.mk ii
trucd (S(. ]m7. Ci!. C.)
l{nlcr\ Ndmc
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