HomeMy WebLinkAbout20166279 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ166.279
Pin #: 125(J1
Project Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
U nit:
Block: A
Bldg: 24-Q Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit Q-6
Zoning: R4
q
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92506
(866) 695-5591
Katerra Renovations, LLC
3200 Earharl Drive
Carrollton, TX 75006
(972) 8r8.105s
01 I 16002
01116002
01'116002
01116002
01'116002
51603
51603
51603
51600
51603
Amount
1.40
't .52
'1.01
21.25
52.98
Fee
$7.00
$18.24
$4.04
$21.25
$52.98
Fee Type
'125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
Qty
5.00
12.00
4.00
1.00
1.00
State Lic #: 1009989
Lic Type: ' B
Bus. Lic #: 366547
Workers' Compensalion lnsurance;Carrier: Midwest Employer'8 Ca8ualty Company
Policy #: BNUWC6139070
Expires: 01/0112019
Bo!,:h+:44379 - 7 /?,/::t-ttg
0fI ice! (:TYH TrRri-:i: 5'lAcc[+: t:el+r
Iicpti:0?3171,q1 - -r '1tTttl!
TnonEoct ioo Totol
It,l
;l r-r I
$,r ,1
LFI(]SALES
?5 ol 32
.!??9
FH
Knterr0 Reno,,,0t ion: ir
Generql Plqn lJpdoie Fee
0l 1 I 6r'rt2- 51 3[rltr'lUn-
Electr i,:ol
01 1 I 60(r?- 516r-130(r(r-
ICt. Che,:lr 003t:tl'l:t4 t 177 ,2t1Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #;
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Fixture change outs (unit 6) Code:
Date:
Date:
Date:
R-2
VB
cEc 2016
Notes: Fixture change outs (unit 6)
06/25/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
$21.25
$82.26
$'r03.51
$0.00
$103.51
lnspector MID#: 2018-144263
011 16002 51600
011 16002 51603
Fee Total:
Paid to Date:
Balance Oue:
Phone:
Every pennit issued shall become invalid unless the wofu on the site
authoized by such pemit is commenced within 180 days after its
issuance, ot if the wo* authoizod on the site by such pefinit is suspended
or abandoned lor a peiod of 1 80 days afret the time the wo* is
cofimenced.
ELECTRICAL.INSPECTOR RECOBD
APPROVALS DATE ID/SIG.OWNER BUILDER DELCARATION
I h.rcby a,nr.r xhdm ,cn!ll, ol rarJury rhxr I an crcflrll forn rhc G)nt.crort Liccn* ltrw lor rhc louowiis rcnnrn (S.c Toll 5
Bu\inc\s a*l ftolcssior Codc): Atry Cny or Counly which rc+ircs I !rclmir h conirucl alr.r, imploec, dcmohh or rq n rnv
{o.rurc. !.itr Io ils i*tlkc. {ho rcqutcslhe alPlicaot f(tr *u.h pcrnil ro lilc I *igrcd n cmnl rhd lror shc n liccnk'd pursu'ntr
lo llt pdvi\ions ol rlE Conl,actff r Lctrscd La* ichll)rcr 9. ComrRncins *irh sc'rion 7000 ol Dili\nrn I oflhc Busincsr and
PofcssiotrsCodc)orlhnr hcorshc is crcmlrr lhcrcfn,mdnd rhc hisn lorrhc!llcS.'lcxcmlrion Anrvn,hrionofScdionT0ll5hyrtrv
aptlicrnl for ! Frmir ruhic.Bthc lptlicanr k'..ivilt,.trihyolnol nnftrhm 6vc hundtcd dollrr ($5(xrr
-1,
N owErofthc prorErry. or ny.mphrccs wnh euses d rh.ir $h coflrp..sari,,n. silldo lh. *qt and rrb smtE k mr
i' .n4el nr oflcrcd r; sh I SG ?Or4. Blsier! dnd Pnncasbns Codc: fhc Conr0dtr\ Liccns tjw d@s nol aldv ro ,n owncr ol
rhc pol.ny wh. tsilds or in{m$ rENn, and who dcs sh wo* hnnrclfor h.6etror thrcu8h his or hcr owncmPlorc.s-
providcd rhar s&h intturmnh src nn inrod.d n o$crcd nx sh lf. ho*erd. rh. hoildiry or nt{mt tnr h sld g irhin ofl }ut
ol'complcrinn. rhc Oqncr Buildcr *ill havc rh. bodcn .f lmvinB rlFl bc or shc did mr tlild or itrTrot rh. JrePdv fi, ih. puqn$ of
-1,,sowmrol$cpmpcny.aher.lusivclyco
racrins *nh li.cns.d cont6cloF ro .!nrh.t ttr Forccr (s.. 7044. Bu\im$
aDd Pmfcsshn Codc: Thc Conl$d{tr s Liccnsc ljs docs not al)ply lo m o*nci of prop.nv *ho boilds or imFovcs thcrotr.
and *ho.o6h.lsforsuhDn'i.kwirhaConhcto(s)lien\cdN6@nllorhcG,nra.rorsLkcnscLa*).
-l
n crcnfl undcr s€crn,n-. B & Pc rorlhk rc!\oi
lhl.: O$n.r \!(IRKllllt coNlPI:NS,\l l()N
I2[CL^3rr]0]
I h.rrhr rrlinr !klc' r).r:'lrr tl t.,iLtry o c,'l rh.lt,llL^1ir! Ll..l.trrrrrr
l rld (,rlc. rnrrhctcrli,nnr ..,)lrh. *o lt l(n llrirhrlt |.rn I '\ \{i.{l
,mp.n\ari,tr, ir$ranc. crricr,.licy.u rhcr rr.
-r. I '\'(
l.cdil'y lhol in lhc lcrformdmc ofrhc work ftn lhich rhh pcnnir i hsd.d. I shrllnot emPnrv an, I).6otr ir anv mr rEr
$ s ro h$om sthF.r b rhc so*cn' comFnrai i{,n l,*s ol Colihrnir' and 4ec lh.l ia I rlxruld tE onr sulT cr k'] rhc
sorkc!{onnpcn\lrn'npmlnionsofSdion:l?0o.r$.hhtrCodc,Ishnll.rdhwilhcom,qirhrho*pmrhnn*
WARNING: Flilurc h scurc *orkctr'conrtcnsalion covcrD!. i! unln ul. rnd sl'all subirt 0n cmPbycr ro dminal P''hhics rnd
civil fincs up ro onc hundtd rhousrnd dollaN (Slm.flm). in nddilior h rhc co{ oicor.Pcnsarion. d.m,8cs as Pnivid'd r'r rhc
Sc.ri,{ 11176.lrhc I rhtr (t c. irrrcr.n rrlJr.tr.r'\ lic\qzt9v
DECIISAIIO!
I hcEby rllirn uklcr P.nally ol rcrjury rhar t tf, li..nsd undcr Folision of Chtlrcr 9 (cotoftn ih8 uilh Seclion TtDo) ofDivision:l
ol rhc Busirc$ and PFfcsions codc. and nry licc sc is in tull force lndcflftr.
13 \og,rr q2,l
t,,", 1.2. ln-. c-r*a-, \Z <,(</f''
CONSTIII
'CTION
LENNN(: A(]ENCY
I hcEby afirm under Fnany of pcrjury rh,r thdc is a of,irudiofl lcndhe 0gcrcy ior rh€ ,,erf6@kc of lhe *ork ror vhich lhh IEmn i3
is\ucd (Sc. :10'J7. Civ C )
lxndcis Addrcss:
-A.PIUIANIDECLASAfTON
llrn1,yofrmlnder r,.nrlry oi p.rjur, o,c.frhc rollowing d€lnarionsl
Dctu)lirion Pcr.rir*A\bcnos Norificarion ncderal Resularions (Tnh 40. Pan6)
Requircd t licroff& ifi.arbn
€.*,,rh,t I havc rcId rhh q,nli.orion rnd (rlc rhlr rhr ah)vc infdnulion i!.omr Ii8rerocomplvwnh.llCnvandCounr!
n$ ol rhirCiryandC.utrlyrocnrcr uBnr rh.
rbovc nrnrnnrd pn)pcny ft irtpr.l
,tpplicnnt or Ag(nl Siannturc
Dan 4 /,'""
Site-Work
Underqround
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Roof Top Equipmenl
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)
Itleter Belease
Rouqh {/,v/l\9I)61
Service Meter
FINAL 6/r?16 3b6-i
Notes, Remarks, Etc.
COMMENTS
Pole Bases
Sub-Panels
Air Conditioners
I .cnitrhrr rh.lcdcrtlrcsuhriotrs rlrdirS rshc{or rc'nnrlrrc tror rrDt'lici$lc h rhi' Inrjr.r
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