HomeMy WebLinkAbout20166269 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 20{66269
Pin #: 58693
Project Address: 2414 N Tustin Ave
Assessoas Parcel: 396-261-55 Lot: I
U nitl
Block: A
Bldg: 14-C Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit C"9
Zoning: R4
q
Owner:
Address 01'1 16002
011 16002
01116002
011 16002
011 16002
51603
51603
51603
s1600
51603
Qry
5.00
12.00
4.00
1.00
'l.00
Phone
Tenant Name
The Bascom Group
26 Corporate Park Orive, Suite 200
lrvine, CA 92606
(866) 695-5s91
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
Fee Type Amount
125 Volt Receptacle 1 .40
Light Switches, Occ. Se 1.52
Light Fixtures 1.0'l
General Plan Update 21.25
lssuance 52.98
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employe/E Casualty Company
Polacy #: BNUWCoi39070
Expires: 011O1120'lS
Bot,:hi:44579 - 7/2/2nt3 I0: LR0SAI.F:Soffice: CTYH Trons+: 69 1 ol 3?Acct+: fiefi: ?r_1166269
kcpti:02317.557 - 7/2/2tt18 3ti7 Pn
Transoct ion Totol 14 r 17? ,?-r)
K(lterrc Renov(lt ionsr LL(
6enerql Plcn lrpdot€ Fee
trl116002- i160000tt-
Electr icol
01116002- 516(t300tr-
ICL Check 003002
t2L ,25
t'{!2.?6
J{r177 .2u
Building Use:
Job Type:
Nature of Work
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type
Fixture change outs (unit 9) code:
R-2
VB
cEc 2016 Notes: Fixture change outs (unit 9)
Chavez, Dave
Every permit issued shall becorne invalid unless the work o, lhe slte
authoized by such permit is commenced within 180 days after its
issuance. or ifthe wotk aulhonzed on the site by such permit is suspended
or abandoned for a period of 180 days aftet the time lhe wo* is
commenced
o6t25t2018
Account#
lnspector MID#: 2018-144248
$2',t.2s
$82.26
Contractor:
Address:
Fee
$7.00
$18.24
$4.04
$21.25
$52.98
Planning Conditions:
Date.
Date:
Date:
l\4isc. Receipt:
l\4isc. Receipt:
lvlisc. Receipt:
Total
Fee Total:
Paid to Dale:
Balance Due:
01 1 16002 51600
01116002 51603
$103.51
$0.00
$103.51
ELECTRICAL-INSPECTOH RECORD
APPROVALS DATE ID/SIG,COMMENTS OWNIIR BUILDER DELCARATION
I hcrcby rrfidn undcr p€nally (,r pcrjury rhal I am creq,l r.on rhe conlrocloF l-i.cn{ L,* fo.lhc lollowing rcr$\(Scc.r0ll5
snsircs 3nd Px,fc$nrn Codc) Any Ciry or Coonrt whi.h rcquncs a Frmir t, .onnrucl. llrer idpilrvc. dcnmlish nr rcnln 'iv
srru urc. pri(trlo n\ i\suatra. aho rcqotcs rht,tpli.tu fo. such Pcrnri ro nh i si8rcd slllcftfl thd h.or shc h li'cnkd puisu!trl
b rh. l/olisions oflh. Conrocxtr\ l-icctrscd Law (Ch!tr( 9, Com'rcncnrs $irh sc.tion ?uD ol Dithion 3 of lhc Blsiness antl
Prolc$ions Code) or rhar lr or shc h cxcnPr rhcrcfrom and thc basis lor rhc !ll.!cd cxcmplior Any ri.l.lionofSccrirn 70ll'5 bv 'trv
{plica.r fufu p.mi subj(k lnc lppli.n to rcivillcn.hyofnor n$rcrhrn l'rvc h!d{d dollms ($5(]O).
L $ owrcr ot rh. pmFny, or nry cmtlorces sirh er8cs trs lhcn eb comlxnqr ion- will do rrt woA otd tlE sr rmi( n'i
inrcadd or orlcr.d fd slc ( Ss.7044. Bu\in.s\ ond ftofc$n'ns C{xlc 'I hc Clo.rrloi\ !-iccn* tir docs nor !p y ro sn owncr ol
rhc nopcny vho lDilds or iighv.s lltrmn. u sho d{f,\ skh M ( himscll or h.r\clr or thmush his or h.r oqtr cmplovce\'
trovidcd rhrr strch impmwmft m , inrc*ld or ofilErl ,o. qlc. ll ho*ckr. rhc hoildin3 or iqrov. rnr is sld wirfiin om )td
of conDlcli,n. rlt Ow .r Builds sill huvc thc hurdcn of povin8 dmr hc nr sfi. did nor huild or nwot ih. pmttnv for rhc Nq'$ of
-1.
tr\ owtr.r oih. lopcny. am crclusivcl! conrmcrirs uirh litciscd .onlraclffs ii, L.n{d.t lh. !)rqd (S.. 704-1. tlusrcs
Md Pmrssi.nCodc'lheContnl.rsLiccnscL!*doesnorrpfrrioanosncrorp.opcnv$hohuildso.irPtovesihcftotr
0nd who q,nta.rs ror such pmJcc( {irh a Conhcro(s I liccnsed l) rsunnr o rhe Conrra.ror s LiNnsc Llw).
-l
rncrc'nfl undcr sedion-. B &PC ntrrhisrcrs.n
Doler Orn.r
w(rru(c{s' calMPFNsATloN
DEII,ASAIIQN
I herchy afinn undcr Fn.lryofFrjuryonc orrh. followin8 dcclnrurn,is:
-l
have dd will roinla !CenificorcorconsrnlloSclfnNlrein,workcH conrpc,sarion. is !,ovidcd tor bv Scction l7d)orrhc
Llhor Codc. lor ih. FrfornMc of rht wo* lor which thc pcni is nskd.
-l
h.rc and will m inr,ir workcr' comrcnsutio. insur,rcc. !s reqltcd by Serion 1700 o, rh€ tibor Codc. for rh' p'rrormmce or
vt.d
sFrnrir i. isrucd My*orkds .o,qr.tr\0rion iNulm.c.anicr aftlJxrLi.ynunrhj! c:
\ )ril ([^ fl^<\ I rq
t c.nilylhar in lhcFtrr mre of rhe work ror qhich rht Pcirnil ii i\\ucd. t sholl nor crylov ,.v FGnn in anv unmr
so as ro bc(nB {bi.d lo rlrc wo,lers ofrpctrsirion l.ws ol Cdlinhir. rml l8rcc rhnr if I should h..onrc slbjNr ro lhc
wofiqs comp.n\ari.n pmvhions otsccrion:tTooofrhc Ljhr Odc.lshall. fonhsilh comlly sirh rhor lmvni.ns
WARNINC: rril!rc ro $.urc wortcn conDcissrn,n .ovcrdSc i\ unl,qtuL Jtrd shill suhicr an . rplovct to m'ninrl lEmllis lnd
civil fincr un h onc hnndnd lhousenn
Scdion 10?6 Dr rh. ttrtDr Codc. i fc{
o,,., 11.2--(0.
lEqI,Af,A:IQN
I h.rcby smrm undcr rrnrlty of pcrjlry lhal I m liftosd u.dcr Fovision of Ch0flcr 9 (omftn in8 wirn Scclion 70ml 'r Division :l
or rhc Busims and Pnfcisions Code. and my licc.s. is in rull lorce lrd eff(I.
oool go
J410-*"^*,,
CoNSTRI](I'f I(IN LENDTNG A(;FNCY
I hrmby amirn lndcr F.ahy or ,'.rjury rhar lhcc i\ a coBrtu.lion tndins ,!.my ror rhc PerformRc of th. work for which thh [lanir n
kruen rsN.3()97. civ. c.).
APPLIC N'T DF(]I ARr\TION
I h.ehy atinn uMcr l..!lr, olFrJury o.c ofrhc r'ollo*ing d..l,artuns
DcmnIn,n Pcrmir!Asb.slos Norili.arion l'cdcnl Rcgulari{]ns (Tirlc.10. PrnO)
Rcquncd krrcrnl Norill.diotr
l..iilyrhrr rlt ,rd.rrl rc-trlii,)Ds r.gxki'tr3 nlhl{o( rcnnnr]r. tro1rr)lli.rhI h rhis Pn!.cl
k,-, .."i,r'n,,, u"'",""0,nn,rn,h com.r. I a[re to conlllly wnh tll Ciryrhd Coutrry
,trtli'rrfrc\ x lSr c lr$rrc[ri',8 !i t,u ldr prcscnorn$ olthh Ciry rnd Counly ro cnrn uPn df,
Appli. l or AE.trl SiAnslurc 9"'u A-"-
.7.L_t a.
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundinq / UFER
Transformers
Torqueinq
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Solfit Rouqh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rouqh
Service lt/eter
FINAL g /3,/$1t{4V
Notes, Remarks, Etc
Sub-Panels
lhovc rnrnrtud ln)l.ny l'or
I