HomeMy WebLinkAbout20165728 - Permit20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ165724
Pin #: t9OO2
City of Santa Ana
Permit Counter: (714], 647-5800
Proiect Address: 2424 N Tustin Ave
Assessor's Parcel. 396-251 -55 Loti 8
Unit:
Block. A
Bldg: 24-K Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit K-g
Zoning: R4
T
Owner:
Address:
Contractor
Address:
01 1 16002
01 1 16002
01 1 '16002
01 1 16002
01 1 16002
51603
51603
51603
51600
51603
Qty
5.00
12.00
4.00
1 .00
1 .00
Feo
$7.00
$18.24
$4.04
$21.25
$52.98
Phone
Tenant Name
Katerra Renovations, LLC
3200 Earhart Orive
Carrollton, TX 75006
(972) 818-1065
Fee Type Amount
125 Volt Receptacle 1.4O
Light Switches, Occ. Se '1.52
Light Fixiures 1.01
General Plan Update 21.25
lssuance 52.98
Bot.h+!43943 - 5 /!
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i,:F ti: (t:?Si3
ltansoat I on
l{ntennn Pona
6enerol Plon Updot{
t'll 1 l6tttr?- 51 (ir!:tof'r'r
Elect r ical
$l 1 I6Cr0?- 5l1r:rltl,"
Planning Conditions
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
Fixture change outs (Unit 9) Code:
R-2
VB
cEc 2016 Notes Fixture change outs (unit 9)
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receiptl
Total
Chavez, Dave
Every pemit issued shall becone invalid unlessthe wo* on tho site
authoized by such permit is commenced within 180 days after its
issuence, ot if the work authoizad on the site by such pemit is suspended
or abandoned for a peiod of 180 days aftet lhe time the wo* is
commenced
05/10/2018
Account#
$103.51
$0.00
$103.51
lnspector
$21 .25
$82.26
Fee Total:
Paid to Date:
Balance Due:
The Bascom Group, LLc
26 Corporate PaIk Drive, #200
lrYine, CA 92606
(949) 95s-0888
Phone:
State Lic #: 1009989
Lic Type: . B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: MidrvestEmployer'sCasualtyCompany
Policy #: BNUWCo'|39070
Expiresl OllO'll2O19
Building Use:
Job Type:
Nature of Workl
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
MID#: 2018-142987
01116002 51600
0'11'16002 51603
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUIt,DER DELCARATIoN
I hcrcby ofirm undcr ,t..lry oi lcrjury rhor I 6n cxcnu fmrn rhc Contrc'o6 l-tcnsc L.r lor lhc followin3 rcaen ( S( ?0l l 5
Bu\i.css uil Prolcssion Code): Any Ci!, or Counly whi.h E{utcs a rErmil ro c.nnrud. rhcr. imp.orc. dcmlth or mnrt Eny
(tudurc, Jri, ro n! is\un c, also rqnies rhc oppliclnr lor slch Fmir ro firc tr lilnsi {ar.mir rhsr lE o, sh. i li..n{d pu6u,n!
ro thc prcvhiotrs olllf, Contra.lors Liccna'd t w (Orprcr 9. C.mmrcing wirh Scctnnr 7(m oI Division 3 ofthc BusnEs lnd
Pmrcsn,n\Codc)orthalltorxhc iscrcmpt lhcrcnonrand ihe hasis forthcnllcscd eicnDrion. Anyvn,brionofStrionT0.rl S hy any
iptli.anr for a pcnnil subjc.hrhc applicxnr ro rcivilpctulryoliornn,rrh! firr hx.drcd d.llaB ($50O)
Y!}AtrEBS:I;OMTENIAIION
DtsCTINAIIAN
I hcrcby rfilrnr undcr p. tr.lty of pcqury oft ot rhc fdbwing dc.lnr.rnnNl
-ltaveandwillnEinrain!CcnificareotCone
r r. Sclll$urc lor woriss conEnsarioo. us nmlidcd,or by Setb. l?(x) of rhc
L.bor Cod.. rbr lhc Idlorrune of lne mrk for *hth lnc Fmit is issucd.
A4 1.\.r1
I ccnifyrh$ in Oc F.tormncc of rhc work forshich rhn pcflnir is isued.l shtrllio' enrloyriypcno. inanymMncr
so .sro bcconE subl.cr ro rh. workcr omp.trsdbn la*\ oaCalif.rnia. and agm thar itl ihoukl tEconE subrcr to lhc
f,orkcs comFcnslrion lmvhions ofScrio. r7fi)olrhc tjhor Codc.I shal]. tunhwilh cnnlly *irh lhorc !rcvisions
WARNINC r{irurc io sm wolkctr conqrnsariotr mw.ag. is unbwtul. ,nd sholl s'bicl an cq)lorer to siminal lrmlrics and
civil fincs ur ro oft hxndmd lhousnd dollrtr (SloO.{Xl)). i6 addirion (o rhc cos ofcoryf,nsolion. d!ro8cs rs prorilcd for lh€
Sccti.n 1076 oa rhc lirr Codc. intcresr dld anomt\ f.c\
'itAY t7 2018
I hercby lirm undcr pcn0lryofncruly that I am liatred undcr DmvGion otChaprq 9 (conrftrcins wirh Sccrioi 7ffD) orDivhi,n.l
of
'hc
Busincsand PoLssions Codc. and ryliclnsc i3 in rull for.. aril cfidt.
I oo9?gq-
ilAffiT . ConIro.lo.:
tolsrBllcuoa.LliNuNe-ac[Ntr
I hcEby,fl,nnuMcr lEnrhy of p.rjnry lhal rhcrc k, con{ru.rion hndinS 0gctry for rhc pcrloirnncc ofthc wort lor which rhh rcrnrir h
hsucn (Scc :l(}o7-Civ. C )
Lmdcas Nam:-
aftl.llaNl.lEclllnluo!
I Lrby dtinn u id.r Fnrlrt orr.rjury onc otrh. fdluuing dccl[artun\.
I).nynirn,n P.nnit\ Asbc{o\Norificrri.n Fcdcral Re8nhlion\ ('l'illc.tl). Pda,
Itc!uR,l lrncrol Norili. rnnr
-lccnifyrhor
rhc fcdcBl rcBul3rions rc8ldirs lshc{os rcnNv0l0rc mr umlicrhlc nr rhi\ !n+cr
,t4rrniry rhr I ruk rc l rrxs rprli.ari{nr
'xl
dric rhlr rhc rh'rc i',nniurim i\ .orc.r I !r c. k, .otrrtry wirh all ciry {nl Cotr ry
onlinrn..\ ntrtlSrrr.lN\ruhriry b buil,liig ..n\rrucri,n,. )nJ h.r.6v ivo\ olrhi\(ittrnd Cotr ryn,.drcl ul!i rhr
abo\c rf,rri,lrd Dml[rry tur ifsrrcrnnr Durlx)\c\
Ap!liMnr or [rnl Sirnnlum:1
A-'"o'
ftflaY r r
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundino / UFER
Translormers
Torqueing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Ivleler Release
Rough {/t t//z >,tt 11|'tzt td(
Service lvleter
FINAL 't/o-/rt 5N63
Notes, Remarks, Etc.
COMMENTS
Pole Bases
Under SIab / Floor
Air Condilioners
l. N os'Er orrhc pmpcny. or nycmplo$cs wnh *l8cs ns lhct \olc comr,.n\urion- *illdo lhc,ork and rh. nndm is n.r
irlcklcd oroft rcd tur s.l. (5(.?041. Busincs Md t'rota\\n,n\ Cdlc Thc Coita.r.r's Li.ctrsc Lrw d..s not apdy ro oNtrcr ol
rhcpmpcny slx) huilds or inlprovcs rhcrmn. snd who dEs {ch wolt hinFclfor hcr{lfor rhmrah hil or hcr o*n.nitnrFcs.
proridcd rhd such inlnovcmnrs ec mr ir cndcd .r ofical tu eL. ll howcvc. th: truildmg or impnrcnrnr is sU *irhin on. )w
olcomplcriur rh. Owmr BuiUcr will hrv. rh. hurdcn of pn,ving tb, hc or sh. did frn bxiu or nn dr rhc aroF{y fo. rtr purr$e oa
LNrwnrrofrhcftupd!.,mcx.lurivcly.ont ing wirh liccnr.d.ontackB b.onifl.r rh. pi,lc.i lSN.7(}14. ausirE$
snl fir,ti\siDCodc:IncContra.rofsLicnscLowdocsnor0tplrroanouncrofprcr.ny$h,)hlildsorin,prcv.\rhcrcon.
and who.onk{.klar$uchtmjecrswirhsGnhdo(nlicctr{JlurlmrhrhcG)nra.kr'sLi..ns.Ldw)
I rflcrcnlpI undd Sccrion , B. & P.C. for rhis rca\)n
Dil.
_l havcrnd will maifllaitr *ortc6 conEnsolion insumk-^c. trs rcquircd 6y SG..liotr 37(xJ ollhc btror Code. for lhc perlotrEnc o{
rhc sork ror whicnltisFrnil is tsu.n Mywolkqr c.mpensolt,n inluancc .aricr ana Fl ic, nrnber m:
trnd.r'r Addrcs
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