HomeMy WebLinkAbout20166002 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7'14) 667-2738 lnspector Sectionr (714) 647-5853
Electrical Permit #: 20{ 66002
Pin #: 26553
EProiect Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
U nit:
Block: A
Bldg: l4-A Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit 5
Zoning: R4
Ownerl
Address
Contractor
Addressl
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) 818-1055
01116002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
51603
5'1603
51603
51600
51603
Fee Type Amount
125 Volt Receptacle 1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
General Plan Update 21.25
lssuance 52.98
Qty
5.00
7 .00
4.00
1.00
1.00
Fee
$7.00
$10.64
$4.04
$21 .25
$s2.98
Phone
State Lic #: 1009989
Lic Type: . '. B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: MidrvestEmployer'sCasualtyCompany
Policy #r BNUWC0139070
Expires: 0'l/0'l r20l9
Building Use:
Job Type:
Nature of Work
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture change outs (unit 5) Code:
Date
Date
Date
R-2
VB
cEc 2016
lvlisc. Receipl:
Misc. Receipl:
Misc. Receipt:
Total
Every pemit issued shallbecome inva d unlesslhe wo* on the site
aulhoized by such pormit ts comnenced within 180 days afler its
issuance. or if the wo* authoized on the site by such pennit is suspended
ot abandoned for a period of 180 days aftet the time the work is
commenced
o6t1'112018
Account#
$9s.91
$0.00
$95.91
lnspector MtD# 2018-143637
$21 .25
$74.66
Fee Total:
Paid to Date:
Balance Due:
t,
ACCf,; i
F(,:pLi3l-122,
TnonsocL io '0ts
Updot'
r.rJUr.ru-
rlrl3t(
uenetor r
r:r1l168tr2-
Ele,:tn i ,:(
r:r1116ur:r?-
ICL (:he'-l
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
Notes: Fixture change outs (unit 5).
01 116002 51600
01'116002 51603
ELECTRICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS OWNUR BUILDER DELCARATTON
I hcEhy afinn uoncr Fnrxy oi l.ijry rh.r I m crcnrlr fm.r lhe Conr.acnr^ t-ic.ne Ij* lor rhc lollowins rcasn (scc 70rl s
Businds id Pnrt \.nr Cdcl Anl Cily o! Counry snich rcqun$ a p.nnn to conrrucr, lltcr, imProvc, d.mlhh or mNir My
(rucrurc. priorro irs issuancc, also r.qutc\ rhc aF licnm ror\uch Fnni lo filca sisncd iarcftnr rh h.or shc i liccnsed IDGuanr
ro rh. F,virbns .rrh. Contracft s Li.cn*d lj* (Chapicr L Connr,f,i.8 wnh Scction ?(l)0 of Dilirn,n -l orrhc Businc$ ond
Pml!$n,ns Codc,orth.r lEorshc iscxc'npr rhcrcfromdM rh.hsn for lhc ollcscd crcr{,rion Anyviobrionofscctio.T0ll5hrrny
!pplicont lor r Frnit subjcc(rhc npflicant ro acivilpcnrlryolnol nbrclhan five hundr.ddolldr ($5t10)
!. 0s own$ ol rhc pmp.ny. or my cn{loyce\ wirh wascs N rh.n vnc ..nPctrdnnr. rill do rhc aorl uri irE $Eturc h ml
inrcndcd or otlcrcd I'or sale (S( 7044, ausiftss dnd Pi.Lrsiohs Cdlc: Thc Conr@lois Licci*c bw des ml omly to an own.rof
rhc ptuFny who hoildr or in{rc6llL]mn. !d uho d{E\ sNt hrl himrclr o, h.rslf ot lhDuah hn or hcr owo tmplotcci
providcd rn,l such inpmrmrk m n inrLndcd orofimd fdsnL li howc!.r rhc lldilding or i,llmrcftm is srh snhin orc F{
ofcoq'tlio". tlE Ovncr Bliklr sill hrvc rhc boni.n of povinB rhd h. ot shc dA mt $oild or nr{rolc rhc tFP.nt aor lh. puqnc of
-l-
as o*rc! of rhc pmri.ny. rnrrxclurivelyco ract inS w it h licc n scd colr rud.n ro .onsrd.r r tE ltoj.rr ( S.c 704.1, 3 u\ioc$
on'l PrdL\snn Codc: Thc Conrra.ti, s t-i..n\. L,u docs nor arply r. an ownc, offlopcny{ho builds or imtovcs thcrcon.
snd who $nrtucrs tu such rrcj.rh wirh a Conrracrorlr li.enscd ,'r r(unr ro rh. contaclois Liccn$ ljw)
-l
rcxcmlr undd S(r
OPn.r
]TOAtrE8.'IAMT};NSAIIIIN
I)IIITIBA.IION
I icrchy lmfl! undcr FDaxyorr.rjur! uN ordc ioll,'$in8 dcclmri,)n\
-l
h.vc un Bill
'Mnrllin a C.nificrrc or con*nt ro sclil.ruE lor *orts odpcnsrion. as Ptuvidcd lbr by Sccrion l70o or rhc
Latxr Orlc. fttr lhc t rfonMme ol thc work for which thc ,c.nn h issucd.
-l harc rnd uillmuinlain sorlcr'.onl*nsario. nrsur.rEc. os rcquircd hy Sarion :l7m or thc titDr Codc.lor lhc psrornMcc uf
Dcrnir is isssd. Mywoittrs o!np( ns,l io n i Nullncc ca cr dl I.li.y numbct m:
-l
ccnily lhur in lhc l)c.torrotc orrh. uork nx which thh Fnnit is nslcd, I \hrll mr .mploylny !cr$n in any manrcr
$ s ro l,ccom s$icd ro rh. workdc conu'cnsar ion hws of Crl 'ornia, dnd agm rhor if I should nccom s$icd ro rhc
*orter' comF.o$rirn ,mvi\ions of Scclion 3'7(D of rhc LrtE Codc- I shzll. rodhwirh mmJ,ly wirh I h.s Pmvi\ions .
lurc ro *curc qo*cn conrrcnsarion covcmsc i! unhwrul. d !tull slhi\r an cnpk,ycr h 6inin0lJEuhies 3nd
h. tlh{ (iklc. i'trc..n rntl rr(trm} \ tce\
1 1 2018 ^,,,,...,,
,,dUN
DECI.AEA.IIO!
I hcrcby atftrm unds Fnalrrotrdhryrhar I am licnsd undn povision ofChllrd 9 (m,nnrRifl8 Rilh Scclion 7000) nrDiviri.n I
or $. ausim$ and Polcssions Codc. a.d d, lkcosc Lr nr tull roN and clf(l.
Li.{T
',dAJ
l9qat q"t
V ft ruN.
CONSIBIJI]UOXIEIDINGA{iINII
I hcrchy arfiirn trndcr Ir nnliy ol pcrrury rh3r lherc n a onitucri,n lcndinS !8cR-.y f.r lhc Pcraormancc ofrh. wotk li,r *hich rhis Fnnir i\
issucd (Scc .109?. Civ C )
AITIICANfDEILAAAIION
I h.rct! ufrinn un&, pcnllry or Frjury orc ofrhc followin8 dslurarions:
D.rmltion Pcirtrits.Asbc(os Norificlrion Fcd.Bl R.Eulatio.s (Tirlc 40. Pan6)
Rcqurcd r.rrn of Norifi clri{,.
-l
ccnily lhar rhc fcdcrll ree]ll,riois rcEddin8 asbcslos rcmvalnrc nor apnlic0bL ro thn Pmjcct
h.rniryrh, lhrK rcnd rhi\ 0l'nti.rlionrfrt dr(c rdnurion is cord I (sre k, .o.Dly wnh sll Cny lnd Colnr,
ordi.sicc\ rrd Srdc trw\rhing r) huil{ll yaid Counlylo cnrcr !En, rh-
rlx'v. trrnli,nr.J fR)p.ny,,, irN
Applionl or AA.nl Si,tnHl
:?aP'tat-- A+JAa
!!Jry1'119
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Satety /Low Vollage
Fire Alarm / Dampers
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rouqh)
lvleter Release
Rouqh ,\J#l
Service Meter
FINAL
Notes Remarks -f1.-^(ta nZB
1 L0 J
APPROVALS
Communications Cable
b/t,t /ic^
ilatl/lLt z\s 6V
Etc.
(.1 .\q.
ttrl'dc' \ AdJrc$ _
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