HomeMy WebLinkAbout20165697 - PermitProject Address: 2424 N Tustin Ave
Assessor'sParcel: 396-251-55 Lot: 8
Unit:
Block: A
Bldg; 24-Q Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit Q-11
Zoning: R4
E
City 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 #: 20{ 65697
Pin #: 21915
Owner:
Address:
Contractor
Address:
Qty
5.00
12.00
4.00
1 .00
1 .00
Fee
$7.00
$18.24
$4.04
$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) 818-1065
Fee Type Amount
125 Volt Receptacle 1.4O
Light Switches, Occ. Se 1 .52
Light Fixtures 1.0'1
General Plan Update 21.25
lssuance 52.98
P4tEh+ ! 1J'9{ 3 -:..i (TYH I
State Lic #: 1009989
Lic Typa: B
Bus. Lic'#: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0139070
Expires: 0l/01/2019
'lr fl:'r,:t iln T:t: i
l{!t :,r rn Fen.'..!t i -rr
'leneril F l0n Llr C.t
irl I llilir'- ql rirtr0|l
Ele.;t n i,:a1
,r1l1a,1ri ,-
r a:l_ (hE,:ll
Building Use:
Job Type:
Nature ol Work
Planning Conditions:
Planning Approval 8y
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 1lCode:
Date
Date
Date
R-2
VB
cEc 2016 Notes: Fixture change outs (unit 11)
ost1012018
Account#
Misc. Receapt:
l\4isc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced withinlS0days after ils
issuance, or if the wotk aulhoti?ed on the site by such pemit is suspended
ot abandoned for a pariod of 180 days aftet the time the work is
cofifienced
lnspector MID#: 2018-142903
$21 25
$82.26
Fee Total:
Paid to Date:
Balance Due:
$ 103.51
$0.00
$103.51
01116002 51603
01116002 51603
01116002 51603
01116002 51600
01'116002 51603
Phone:
01 I 16002 51600
01 1 16002 51603
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BT'IT-DEI' DELCARATION
I hcrcby rfirm lndcr F.alr, or p.rjury rhd I am cx.nrrr ftun lhc (hntskn\ l,ic.o\c tj* for rh. follo{in8 ,ca$n (Scc 70ll 5
Busincss Dd Pmft$n,n Culc): Any city or County which rcquilcs ryci,nir io .o (o.r. alrcr. inurovc. &ml(\or tor,t niy
{d.rurc, pritrb ir\ nsu.mc. !l$ rcquncilnc lPplic,nr ri,r so.h!.flnirro 6lc a sisncd srdenrnr rhxr h.drshc ir licctr$d pu6unnl
ro rhc pmlhi.ns of rh. Contr.rocs Liccnscd tiB (Chaflcr 9. ComncncinE wnh s..lbn 7uD ol'Division I oi rhc B!ri'r* .nd
Pnr.ssi. n\ C.d.l or ihd t*orshc k crcnul th.rcf.on bfld rhc hast forrh.alkecd.rcmplbn Any viollrion.rsc.riotr T0ll.5l'ytny
,ppli.anrroratnnilsuhjerslheapplicanlroaciviltuhyolnornbrcrhlnnvchundtcddolldi(35(x)).
-1,
r\ ow.cr ur rhc tlnipcay, (tr ary cmplolecs wilh woscs rs lhcir $lc .. l,cnsd ion. qill do lhc *ork md dc {fl.rm n rFr
imcMcd or ofcrcd for $G ( Sa 7014. Blsincs and Profcsridrr C.dc Thc Conl.lcrois l-i.{n* llw dkl not .plly b an owncr ot
rhc ptr,pcdy ulr, hdilds or irpmt$ rtENo. lod who dms skh w,'l hin\clror hcrsllor rhmuAh hn or h$ own cnTloyccs-
orcvdcd th0rsuch imprcttuna d not inr.ndcil or oficRl tu qh. li h,kvcr, rhc huilhB or imJnovcmnr i v'U wirhin.'k )tr
.r c.mplcrion, rhc owncr Buildcr *ill harc thc lDflicn of p ovnE rhai hc or shc did tror huild or impnw rlE poFdy ror rh. purl,c or
l, rsowncrofr,rc propcny. ! cr.hsiv.lycontn ri,r! wirh li.cnscd cotrlr0cloN lo conntuci Ihc ptujc.r {scc. ?044.llusilct\
snd Pn,r6sirnC.d.: Th. Conli.ctols Liccnsc t,aw docs not apD,y ro osncr or proFny who bu ilds ot nqn,v.s lh.rcotr.
.nd who conrtuts aor such prcFk {irh a cod6.k,(\) ,k.6scd pusu3rt to lhc cirnrrscrois l-i.cn* tiq)
-l
! cxcnrpr undcrSccr
D.ler - OsEi
woRKERS', C(NIPEllSlrl ll)N
D[!!IAA.LIa!
I hcrcby umnn undcr pcelryortfruryorc otlhe lollowin8 dcclaralions:
-l
h!!c and will tuinrdn u c.nific,t of conscnt lo Sclalnsurc lbr wor*cd ompctrsstiotr. as pmvidcd fot by Snl[n lTtD ol lhe
L.bor Cod., for rhc pcrlomee ofrhc wo.t for whkh rh. rnnil is hsucd.
-lhnvc
and willnuinrrid qorkcrJ conrcNalion irruruncc- s\ rcquncdhtSNrionlTlx)ofrhcljnorCod.,forrhcpcrionnin.col
v\t'.J-,rucd. Myworkqa compcnsarion inlonncc.tnicr n Flicynunrbcr u.:ci{(nsl,\l,^=,(3N$\,t-cl t5or &tr-o
-l
ccnify ih3r in rhc p.rfonnrrc ollhc work l'or wnich rhn J--rnrir is i\\kd. I drll nol cmnloy any Pcron in rtr! nrtrNr
$rsbh..unrsubj.crlolhcworkcn'conf.ns.rtntlawsofc.lllirarilrndi8rccrhditl\hooldt.onrsub]ccrrorlt
sork$J conD.nslrion pDri\ i{,tr\ of sNnrn l7m of r hc tjhor C.dc. I \h!ll. t)nh*irh conln, with rhoc F,visbn\
WARNIN(; F,iluB b $.ur. eorkcn omptnsolion colcrasc n unLstul. aM shrll suhjccr an chPk,io ro rnniri Ftrrhi\ rnd
civil fines ut io or hundrcd rhousand dollm (Sl J.Ooo). in addnbn h rhc.os of.omPcnsorion- damg.s as Providcd ftn lhc
,Ji.iv'"Ttlu!
I hcEby alrtm!.der pcmhy or Frjury thlt I om lientd utrdct Fovlsion orChaprcr 9(connEncinE qilh S*rion 7fiD) olDivhion l
or rhc Busincss !trd Protcssions Code. ail tuy licens is in rull foi$ ond ellccr.
V \oet4V<.,
,""ruI l-\altt*fr^
L_ONSI RUC'r(rN I rNnlN(; A(iFNCY
I hircby alfi nund.!Fnahyofpcrju.yrharrh.r.krconsnclhnlcndinsascncylorrhcl.rromtrcofrhesorkfor{hi.hrhhFnniris
isn,L{ (sN llp7. civ. c )
AITUIANLIICI,AIAIITN
I hfr'bl.n nundcr pcnalryofpcru,y o.. orrhe rollowing dsLrolions
Dcmolnion P.rn r.Astcso\ Norilicdrn,n F.dcrtrl RcCuhrbns (Tirlc40. Pon6)
-Rcquircd
Lctrc. oi Norif*di.n
I ccnifyrhd rh fcdcr.l rcBUl!rionr rcglrllnE r\hc\ro\ r.nx'val arc nor dfl,li.ihlch lhisFlccr.K*tI hav. oad thhapplicntn,n Brd \larelh lhc lh,vc i'nnnn,n.n nconccl.I a8reloco6Pl,wirhrllCiryond Counl,
rc l- w\ rclnriraio htrildinsc.n\rn'din c rc]'cscnhrivc\ ofrhk Cir! aid Counry ro ctrrcr uF)n thc
lhove mnr iooed porcny ror insF.rio.pulm*s
ApDli.nnl or A!ml Signolure:
AS't
,N+Y n4lt
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Torqueino
Sub-Panels
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouoh)
It/eter Release
Rouqh 5/tz /tg f:*l Zt;l+ Xl
Service lvleter
FINAL I ,7?-/AJ ')-{s7d -?)
Notes, Remarks, Etc.
Transformers
Air Conditioners \.\.1q
L-"lr' \ AJJ'...
-
l-o',-'
I
: