HomeMy WebLinkAbout20166003 - PermitProiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
u nit:
Block: A
Bldg: 24.D Address Range;
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit D-8
Zoning: R4
q
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2Ol66003
Pin #: 29465
City of Santa Ana
Permit Counter: (714\ 647-5800
Owner:
Address
The Bascom Group, LLC
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(949) 9ss-0888
01 1 16002 51603
01 't 16002 51603
01 1 16002 51603
01116002 51600
01116002 5'1603
Amount
't.40
1.52
1.01
21 .25
52.98
Fee
$7.00
$ 10.64
$4 04
$21.25
$52.98
Fee Type
'125 Volt Receptacle
Light Switches, Occ. Se
Light Finures
General Plan Update
lssuance
Qty
s.00
7.00
4.00
1.00
1.00
Phone:
Tenant Name
Contraclor:
Address;
Phone:
State Lic #:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
1009989
LicTyp'e:... B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCoI39070
Expires: O1lO1l2O19
BoLch*344228 - 6/ll/2Dlq
0f f i,:e: (:IYH Trons+: 68AccU+: Ref+:
Rcotiz0229202j - 6/lt /2ttl1
Tronsoct ion Toto I
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Planning cohditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture change outs (Unit 8)Code:
Date
Date
Date
Notes: Fixture change outs (unit 8)
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
lnspector lMlD#: 20'18-143639
06t11t20'18
Account#
$21 2s
$74.66
Fee Total:
Paid to Date:
Balance Due:
$95.91
$0 00
$9s.91
Building Use:
Job Type:
Nature of Work:
R-2
VB
cEc 20't6
01'1 16002 51600
011 16002 51603Every perml issued shall become invalid unless the wo* on the site
authorized by such pemit iscommenced within 180 days after its
issuance, ot if the wo* authoized on tho site by such petmit is suspended
ot abandoned fot a peiod ol 180 days after the time lhe wotu is
commenced
ELECTBICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNOR BUILDER DELC RATION
I hcrcl,y ai6rm !nde, pcnalry or rcrjDry rh0t I dn cxcmpl fmnr lhc G'n!rucb^ Li.cns llw tor Inc follo$ins r.a$n (sd 70115
Bu\incs\ lnd Pturcrsion codc): Any City or Colnly which rcqui(s , Fmn ro onslocl. aho, idPmvq dcmlish or q,an lny 's cru,c, lrhr lo irs hsumcc. rl$ rcqniEs rhc {pli., lor such Fnnir kr filc a risncd (rcmnr rhol tr or shc n licc.\cd puBU!
k, rhc pmvnions ol rlr C.nr,clols Liccns.n L,* (Chrptcr 9, CommRing silh Secrion 7(x)0 ot Divkion I olthc Busincss rnd
Pnrrcssion. Codc).r rhal h.orshc hcrcmpt lhcrcf,omlnd rhc basir ror Ih. rl lcScd cxe m0ion. Any violarionofscclionT0:ll 5 by d.y
aml'.n lbrapen lsubjcchlhc amlicanr ro tcivilp.nahyofnor 'mrcthrn fivc h!.dEddollus (S500)
-l.
ar owncr ol rhc rop.ny, dm .r.lusivcly rontacrins with liccn{d co rracrtrs ro conrrud rhc pojd l Sc. TN4. ausrm$
Md lrlDL\sir Codc Thc Contncror's t-iccn$ Law doos nor ryply ro un os ncr o l tn)pcny wlx, builds or imnrovcs rhcr.on
trnd who conrrads tu su.h pml.cB wnh a Contlclorln ltcnrd prFunr k, rhc contracrois Liccnsc lrw)
I mcrcmpl lnder S(l
WoRKFRS' CoI!IPENSAA(IN
t2Er;ld&lrlllN
I hcrcby !firm undcr pcnrlry or pdjury oR ol I hc lolb$inB de.^hrllior:
-l
h!!c exl will nuinraii , C.nitlc{c of Consenr ro Scla lnslrc ld workm mmpcnsatn'n. as F,viddd ror by Salion 37(rO of lhc
tihor Codc. tbr lhc I'crforromc ofthc to* ror uhhh rhc i,.imit n nsEd.
-l hrlc undtillnBinrrin workcrJ .ontlcNilion ir\uturcc- r\ rcq ncd hysc.rh 3]u)oIrhc lrborCodc. rot rhc teifonmncc oi
pcnn is s\en. M, * orkcr' oDa.nsrr ion insurr..crricr JPlicynunrh.rtd
l st^ f-n5 .qo
I..rlili rhlr in lhc pcrbrmanccolihc worr r{tr whkhrhi\ pcnnn is hsuct.l shau nor c'nr,loy ,n, ,cGon in any m.rcr
so !s h bcconr sub,icct lo rhc *orkcr .omPcnmtiotr hws ofcalilomia,6d +rc.ltur ill should hcc.rtu subis l. ihc
wolkcm conDcnstion prcvnions or sc.rion lru) .I thc titor Codc. I \h,ll tunhsilh .oryly wilh rho{ Pturki)ns
WARNINC: Ililure b {.utu uorrcn onlpcns.ttun covcru-qc is unlawrul. rnd shdl subicr un enll{,)t k, ri'ninal lEnahts od
civil incs !D Io one hlndrd rhousrtrd dolla^ ($luo.l)oo)- in rddirion ro rhc c.sl ofcotrr,Etrelion, dnruecs rs ri(,vidcd iq lnc
Sccrn,tr 3076 ofthc bh.r C{xi.. inrcmsl and arlorrcy.s fcc
,.,",JuN 1l 2018^,,,,*.,,
LICENIED-CONISA!:IOA
DECI,If,AIION
I hmby afirm undcr p.nahy ol pcrjury rhar I am lientd undcr Pmvision of Chaptc,9 (conmfting with Sdion 7000).rDivhi..1
ol rhc Susincss and Pmfcsions Codc. and ny lic€as n in tull fod and cfiel
{3.oo1
,.,",JUt*** XSfS c-,-"*, 6.'.t<-ra^. ,
CoNSTRIICTION LEX\N!N{I A(iENCI
I hcrcby rItuD lnder rEnalry or t rjry lnar thcrc t a connrudiofl L.dine rScmy for lhc I,crfolfuc. .r rhc work for *hich rhi\ trrn h
hsucdls& 1097, civ. c.)
APILIIANLDECI.ATAIIQN
I hettry affm undcr pcnalry olp.rjury orc oflhc fouowi.g dcclamrions:
Dcmlition P$nirs AsbesrG Norification F.dcrrl R.ruhrio.s (Tirl.40. Pd6)
-Rc{uied
lrtrer dr Norifrarioo
-I
..nify lha! thc fcdcEl rcgulalions rcs{diis e\b.std nmval N ml sppltabk ro thie !mj€t.
Lr *niry rrur t m," ,*a rli. 4tlic ion sJld slrtc lhal lhc ah)ve inlotrulion ir .orol. I t8e lo otrqiy snh tll Cny rnd Counrv
ordinorccs and Shlc l,uws elrtine ro bo
itr,vc ftnrioncd Imp€ny lor in\pdn'n
ivc\ ol riis Ciry and C.umytu cnlcr rlof rlr
,\pDlitant or Alonl SillnoiuF:C"n "7,'//A;--:,IJffit+@
Underqround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Sions (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
It/eler Release
Rouoh
Service [/]eter
'{/o.ttlls 5b4x
Notes, Remarks, Etc '?c tS loIa
L ds owtur or rh. i)roFny. or my crnployccs wirhwa8c\r rien $h omPetrslio., willdo lhcwo,kD ih. strudurc h nor
i c cd or olicrcn for slc (S€ 7(x4, Buqircss and Pmfcssions Codc: The Conrra.lois Liccns. tjw dms nol olnly ro an uemr of
rhe pollcn, *lnr builds or impmB thcNtr. ud who d(s sh hrt him\clro. tEsclfot rhmuBh his ot hcr ow6.mplottcs,
Drclidcd rh.r such inDovemnh m mr inrcrH or ofic,cd fttr uh ll h.Mvcr. rhc hoildins or imntukmm i] sU sithin ,,nc )cs
ol con{rLisn. lh. Owmr Bui!.rsillhnve rhc hudcn of ptuvin8 rhd h. or shc did mr tDild or in\Tok th. FoFny for rh€ I[qrE of
L€ftld r N,mc
-
Site-Work
Transformers
FINAL