HomeMy WebLinkAbout20165720 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2lJ16572lJ
Pin #: 64E24lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address:2424NT stin Ave Unil:
Block: A
Bldg: 24J Address Range:
Tract: A.B. CHAPMAN Hisloric: No
Suite Range: Unit J-3
Zoning: R4
q
Assessor'sParcel: 396-261-55 Lot: I
Owner:
Address:
The Bascom Group, LLc
25 Corporate Park Drive, #200
lrvine, CA 92606
(949) 9s5-0888
01 1 16002
01 1 16002
01 1 16002
01 1 16002
01 1 '16002
51603
51603
51603
51600
51603
Fee Type Amount
125 Volt Receptacle 1.40
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
General Plan Update 21.25
lssuance 52.98
Qty
5.00
7.00
4.00
1.00
1.00
Fee
$7.00
$10.64
$4.04
$21 .2s
$52.98
Phone
Tenant Name:
Katerra Renovations, LLC
3200 Earhart Orive
Carrollton, TX 75006
(972) 818-1065Phone
State Lic #: 1009989
Lic Type: . B
Bus. Lic #: 366547
Workers' Compensalion lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCo139070
Expires: 0'l/0'l/2019
ienerql Plcn
ElPrt ci
0Cl
he
he
lr
t,
I
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture change outs (Unit 3)Code:
R-2
VB
cEc 2015
Notes Fixture change outs (unit 3)
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Chavez, Dave
Date:
Date:
Date:05/10/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pemit issued shall bocone invalid unless the wotu on the site
authonzed by such pennit is commenced within 180 days aftet its
issuance, ot if the wo* authoized on the site by such pemit is suspended
or abandoned tot a pedod of 180 days aftor the tirne the wo* is
commenced.
$95.91
$0.00
$95.91
lnspector MtD#. 2018-142964
01 1'16002 51600
01 116002 51603
$21 .2s
$74.66
Fee Totall
Paid to Date:
Balance Due:
Contractor:
Address:
Botchi:43S{3 - 1,177' :r.
0f I ice: CTYH Tr'Qn-.fAi:ct+: t
Flcpti:03?65678 - l' !
Tnonsocl ion Totol
Rnterro Eeno'.'ot icr:
Building Use:
Job Type:
Nature of Work:
ELECTHICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrehy allnm lndcr Fn!h, {)a pcrj!ry rhar I xn ci.nfr amm 'lE C.nkrchN l-iccn* bw ror rhc lolnrsirr8 Erstr lscc.7o.ll.5
Busnrss ad h.r.$n,n Codc) Any Cny or C.rmy wnkh rcqunc* Fnni' k' con{rud. ahd, nn[ovc. dcmohh or Epli m,
stru.rur.. ri(tr ro ns (suancc, als. cqutcsrhc applic r tr suchNnnil lo nb, skncd slolc Enr rl hcorshe il liccn$d ,u.umr
r. rhe provisions otlhe Coorrrclor's Liccn\cd lis (Choprcr 9. Comntncing qirh Sc.lion 7tX)0 of Diviion.l ol lhc Bu{nrcs rnd
Pnrf.s\n,n\CGtc)oirhrt hcorsh. ncrcnrlr rhcrcftum.nd rh. bNis forrh.llL8cdcxcmplion Anyviolflri,,notSc.rionT0ll5hymy
apllicant Lr a pcnnir subJ€crs lhc lpplicanr k'rcivilpcn.llyolnoi nna rhrn fiv. hondrcd dolln^ ($500)
I. as ow.f .f th. ImFny. or ary .,nplo)cs wnh waecs ,s rh.ir sl. com!.nsal ion. *ill do llE Bor[ dl rhc {tde n n
inrcrdcd or otIcEd for slc (Sa ?041. Businc$ nnd Prcltssions Codcr Thc Conrra.rois t.iccnr Iiw de\ nor lprlyro Mo$mr of
rhc pn,r.ny wh huild\ or impn)Er rlxMn.orn *ho docs skh hli hi,nsclfor hcMlf or rhmugh hil or lq own cnr,loydcs,
prolidcd rhor such inDmt/Imnhnrcm{ inrcndcd oroltbrd frsah.Il h)qcv$,rhe hiHi.A or imlmrrmnr is wldwirhinorc }tr
oa conplcrion. thc Owmr Buirtr sill tarc rhc lxrdcn of llovins rhal lE or shc dld nor huild or idpr.v€ th. pmFny fo. [E ,urtDs or
-1.
ns oFncr ol rhc I'mFny. rm cxcluriEly contnctine wirh li.cnscd conrret,,s ro ond cr rhc rmFr (sc.. 7oll. Businc$
arxrEDr.asi,nCodc:Th.ConhacttrsLi.cn\.tjwdftrnorspplrroano*n..orprotnyqhobuildsornnprovcsrhcrcon.
and {ho.onln.lslorsuchDmjstswirhoConrrodon9li.ctrsdpunuontrorteConrrlcrffsLiccnschw)
-l
ircxcnu undcr Sccl
II}BtrEBIIIOMPJNIA.IIAN
PECI.A8AIIQ!
I lErcby afinm u cr lcnrllyotFrjuryonc of thc followine d.chralions:
-l
hrvc.rxl will minrair a C.fliff,lrc olConsnl ro Sclfitrsurc lor workcs $ry).nsrion. &s po{id.d frr by sc.lion l?0o ol rhc
hbor c.dc. rd lhc pnrormmc of lhc vork lor which r hc p.rmn ic issucd
I htrvcxtrJ silln,ri' rin sorkcrr c.'nFnsariod i'^urinr., s rrquncd hyS.crnnr:17(x)ofrhc ltrrhor(orlc,li.rhe pcrfonunccof
.rq 'tL \l-rhrh'.8'ntrr'.'sd^lMtw rr'.','{tra1\.,rr1,tri.u'xi,c,.i!r.ilt..lhytrtrnh{rd,c
rttttJ..r^,2<l c/4i\ :il,€.
r)c-o-,o-\.\.\q
l..niry rhrt irl rhc pc{onMmc olrhc work lor which thn rcnnn is isucd, I rhall nol cmploy lny pcr$n in rny man cr
e i\lo hcco'm subjccr r. rhc wo rkc6' co mrcnsal ion hss olcalitomin- and nsnc rhnr il I sr()uld l^"*om ruhFct l. thc
sorkcn comlEns ion Drcvhions of Sdn,n :l7m of rhc lih.r C,xlc. l shill. ronh*irh .on[ly wirh rlrc 8)vkions .
WARNIN(; Fdilurc ro scuc "ortcrs compctrs.rion corcmte i\ unhwirl. ind shrll \uhicr on cmplorcr h aiminrl trr[hi\ otrd
It'it'"xtt*Tgit:'r:r
dollnis (Slm.(XD). ir {ddiion to lhc ro\l ofcoDpcns.rion. &nr"Ecs rs ttovidcd lnr rh.
IECIASAIIQN
I hcRby !fiiror undcr FMlly ot lcrjury lhlr I ah liensn undcr Imvhion ol Chapr.r I (omftftiog wnn selion ?000) of Divhion l
of rhc Btr.ift$ and P6l.si.ns Codc, rnd my li..sc is h tull rora srn cfft.l.
f)1oo1.tb1.
fiAY ilflstfl -"**.
g)NSIIJJqUONIENDING.AAINC.I
I hcEby alfirn undc! IEnahy ot lcrlrry rhnr rh@ h a connrudiotr lcnding aEc.cy t, rh. p.rroimn.. ofthc work for which lhh pcmii is
issucd (se lo97.civ. c ).
AITLIIANIDEILAAAIIO!
I h.Et y ilrnn trndcr pcnally of rcrjury onc ol thc follo*in8 d$lsrlions:
D.mlnion PcrrnirsAqb.sl.s Norific.rion Fcderal Rcgulrriotrs (Tirlc,10. Pon6)
Rcquircd l.ii.r of florifEari.n
-lccni,irhal
rhc Ldcril rcgullriqr regrding a\hc(o\ rcnovrl {c nor q,pli.nhlc t, rhilri.j$r
l4-tunir,r rrr I hrrc rM ihi! rflrrnnrn rM narcrl rh{ro conply *irh nll Ciry r J Cuunty
lrhnCirtutrd Couniy ro ctrrcr trFrllrcordi'rrncc\ rtrd Srrc Lrqsftldirg k)liurldr!
xhov. nrtrri,n{ |B'Jurl lnr im|t.ri,trl
Appli.rnr .r A,ttnr sitnrrure
i
lat
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding i Groundinq / UFER
Translormers
Torqueing
Rool Top Equipmenl
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinos (Hard & Soffil Rouoh
Ceilings (T-Bar Rough)
Meter Release
Rough €/u /r* s. ln',tFi)d1b
FINAL 7fi/n '=Afd
Notes, Remarks, Etc
Sub-Panels
Air Conditioners
Service lrileter VqL.,rwu-
tJ'tl.''. A'lJ'.$
i)aq;l AtL*
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