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20166277 - Permit
20 Civic Center Plaza (M-19), Santa Ana, C492702 lnspection Requests: (714) 667 -2738 lnspector Section: 1714],647-5853 Electrical Permit #: 21116,6.277 Pin #: 26256 City of Santa Ana Permit Counter: (714) 647-5800 Proiect Address: 2414N Tustin Ave Assessor'sParcel: 396-261.55 Lol: 8 Unit: Block: A Bldg: 14-c Address Range: Tract; A.B. CHAPMAN Historic: No Suite Range: LJnit C-l Zoning: R4 q Owner: Addressi Contractor: Address: 0'11'16002 01116002 01'116002 011 16002 01'116002 51603 51603 5'1603 51600 51603 Qty 5.00 12.00 5.00 100 '1 00 Fee $7.00 $18.24 $5.05 $21.25 $52.98 Phone Tenant Name The Bascom Group 26 Corporate Park Orive, Suite 200 lrvine, CA 92606 (866) 695-5591 Katerra Renovations, LLC 3200 Earhart Drive Carrollton, Tx 75006 (972) 818-106s Fee Type Amount '125 Volt Receptacle 1.4O Light Switches, Occ. Se 1.52 Light Fixtures 1.01 General Plan Update 21.25 lssuance 52.98 State Lic #: 1009989 Lic Type: B Bus. Lic #: 366547 Workers' Compensation lnsurance:Carrier: Mldrvest Employe/s Casualty Company Policy #: BNUWC0139070 Expires: 0110112019 80t,:hi:44579 - 7/2/2ttt9 I0! t"p,osALEs0lt'ica: CTYH Tr.0r,s+: 3i ?tr of 32A,:rt+: fi?f +t ittt 55277 Bcpti:02317576 - 7/21?Lli9 3:,:t Pl1 IronsR(t ion Tot(l ?r,1,,7.?r-t K(lter.ro Renovnt ionsr l.l r Multi-Family (5 or more uni Occupancy: Miscellaneous Constr Type Fixture change outs (unit 1) code: Date: Date: Date: R-2 VB cEc 2016 ,83.27 tl t 1?? ,2fiNotes: 6enersl Plon Updnte F':': r:r1 1 1 6002* 51 6r:fl:t$itrl. ElecLr i,:(1 (ll 1 1 6lll]2- 5 1 Ar:t3([:r:r* rirtrr" [lLnffi Lit" (,nitrlf ']r ? Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: 06125t2018 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Chavez, Dave Every pemit i$ued shall b^cgme invalid unless fhe work on the slte authoized by such petmit is commenced within 180 da$ aftet its issuance, or if the wo* authorized on the site by such parmit is suspended ot abandoned for a petiod ol 180 days aftet the time the wo* is comfienced. $104.52 $0.00 $104.52 lnspector MID#: 2018-144260 01116002 51600 01'l '16002 51603 $2',1.2s $83.27 Fee Total: Paid to Date: Balance Due: Phone: Building Use: Job Type: Nature of Work: ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcEhy affi.n utulr pcnall, of pcrjlry rhdt I n cxcnrt fmnr lhc Coita.roN' Liccnse l-trr ntr rhc rollowin8 rcar. (Scc 70.11.5 Brsincs ,.d Pturcssion Cdc): Any Ciry or Cou.ty which rcqun$ | pcnnil lo conslrucr, ,hd. nnProvc. dcmolish n mFn JDv {ructurc. prior to ns issuancc, ils rcquncs rhc ipphcrnl for skh Frmil ro filcr sisncd s,r.ncnt lhal hco.she is li.cnscd puNuanr b rhc Frvisions orihc Contraclu\ Lic.n{d htr (Chaplcr 9. Connncncin8 wilh Scclion 7fix) or Division :l ofrh' Bn(in's ind ProltsionsCodc)orrhalhcotshciscxcmptlhcrcfromrndrhcbashrorrhcrlhgcdexenrrion.Anyliolarioiorscclion?0:ll5brlnv rlplic.nIlororemirsuhj.cNlnc.Dplicrntloucirilpdnnxyornolmorclhonnvchutrdrcddolltrs($50o) -l- as .wno orrhc pmpcny. or nl,c !r.)Ns wnn Baecs.s thcn vnd.onr$N.tion. will d{, rh. work md lhc ntururc i( tror imcndcd or.il.rcd lbr elc isc.7041. Busincs md ltolt$iois Codcr Th. Contmcroi\ Li.cnsc Los docs nor q'ply lo an osnerof rhc propcn, *h(, huilds or in{raves lhersJn. arxl who docs such sol( iinsclfor hcr$llor lfirorgh hk.r hcr own cnIk,y..s. Ir.vidcd rhai srch inrpmvc,Bns m nor i cndcd .r olt'ercd fd {lc. ll howcvcr. th. btildira ot innmwnrnr h bld $ilhin oic vcr oiconDlction. rhc Ower Buildcr Billhavc rhe luden olF.vin8 ihar hc or shc dil nor huild or inPrcrc llld psrdv lor rhe Furl{t.f l. Nowncr ofrhc !x,pdny, amcxclusivclyc.nrtNrins *irh Iiccnscd conlracttr\ to.orslrucl lhc Pmjcd (SLt.,l)41- BrinA\ lnd PrnbssionC.d. ThcConnacroisLi.ctrsc Ldwdocs mr nprlyn, rn.ancr ofPropenrwho bxildso, i pnrvcsrh.rcon. .trd qho .onlrrcrsi{rstchpn,lccbwith{Conrr!.tn(\) licctr{d nuBunnr loihcCont ttrt Liccnrc ljw) I n.x.frt, trnJ.' sr(ltrr .11 &l'( rdrh\'.r{nr (hrn.r \1()RKITRS', (l)\lfliNS,\l !{)N L2rtL lidllar Il'.'rhynlltr r nD,L.r t).nrLrt.ll)r'lur!.m uT rl[ ],'ll,n\ir,3 (L.rLr.rrit \ I ;rl\r ( ,r1..1,)r thc r('ltnrrr r...lrhc uorl li,r \hr.lr L r prrfr I i\ su.ll My\ork.n comFnsdrn[ insunrcc dFid and Policy numl,cr r.: \[\l /t -lccniiyrhrlinthcl.rroirnrtrccollhc*.rkntrshi.hrhtpcfln n is\u.d.l shrllnol cn]PkrrrivP.*on inonvtunmr s. k, trconf, suhjcl lo lhc *orkds .onrFnsolion hw! of Calif{,mi{ dnd.src 'har irl sh.uld hccome slbi{r lo thc workcri cotrfcns io.povhn,nrdrScctiotr l?0ooflhc tihtr Cod..l shdll. lonh!irh.. Yly wiln thos provi\i{'ns WARNINC l.r'iLrtr. r. {.urc s.rkcr!' con,Fns ri(,, covcrdS.n unh*rrl aM shrll {,hic.i an c.rloycr lo ai'ni'd Ntr.hics.nd ciril lincs uf ro o.c huMrcd rhauslnd dolhi\ (Slu).()(XJ). ir iddir ?.\,oDar€: I r Ih.rcbyaflnNDrdcr |rnnllyorn rjury rh IdDr licnsc(l vin.nofChnprcr9(rortrDcNirrS*ithSc.ri{D7UXr)oil)ivi\t,n:l of rhc Busin.\r and Ptufc$ions Codc. rd ry li...t is in iulliorcc a efr..r {3 Oo1 b 4-1.1 O t.nr,u.r,. Lrndq's Addrcs - APPLICAN'T DECI ARdTI(TN I lEEhy nrm undcr pcnallyol pcrjury.nc ot lhc followin8 declulln,nsl De.Dlirion Pcrmih Asr.sos Nolificrrion Fedetul Rcguldions (Tillc40. Pd(, Rcquircd Lctlcr of Norifi crliotr -lccniiyrh,r rhc i.dcr.l rcsuhrlons rcgddnrS,sbcsos tcnDvrlarc tror iPrlic lcro rhisnmic.l Q:r-rcn,ri rhd r hrvc rclll]rhi\ irpIt.r ion rxl sr,rc rhd rhc rbv. inftm id, i\ conccr. l .Are lo comPly wilh rll Cilv u Counry o thi.cs.nd Srrlc LrwsrcLri',! k,bu r'lrvc nrninnd ttuFny tu ir\pccri(n, oirhh Cirydnd Coutrly lo enrcr uB,' rlt AppliuDlor \!ol Sisn iurc *,"J.L-lt- Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountains Siqns (monumenl) Life Safetv /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bondinq / Groundinq / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinos (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouqh) Meter Release Rouqh {/Q)*>aal ) Service [t/eter '6/?//q,7Wf1 a)(;1 Notes, Remarks, Et c C(}NSTRT]CTION t T'NNING AGENCY Ihcrcbyafrmundcrpcnalryorpcrjurylhalrhcreta.on{.lionlcndirPa8ei.yfo,thcFrfollMceofrh.wortforwhichlhhFnnnn issucd (Sec 309?, Civ. C.). l.n lcr'. Nrnc - Pemiiee nrn. (printl:n,0/ FINAL