HomeMy WebLinkAbout20165715 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 2424 N Tustin Ave
Assessor'sParcel: 395-261-55 Lot: 8
U nit:
Block: A
Bldg: 24.M Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit M-5
Zoning: R4
E
Owner:
Address:
Contractor
Address:
Amount
1.40
1 .52
1.01
21 .25
52.98
Fee
$7.00
$ 10.64
$4.04
$21.25
$52.98
Phone
Tenant Name:
The Bascom Group, LLc
26 Corporate Park Drive, Suite 200
lrvine, CA 92605
(949) 955-0888
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
General PIan Update
lssuance
Qty
5.00
7.00
4.00
't.00
1.00
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance;Carrier: Mldwest Employer's Casualty Company
Polacy #: BNUWCoi39070
Expires: 0110112019
Bf,tch+:43843 - r /17. ?,''l !
0ff ice: tTYH Tr.on!+r ?Acct!: Fr:{il
Rcpt;10226!6i7 - :,'1,ri:,.i1
Tnansoct ion Totql
1l I lF't,:,iL r
Y.(lterro Reno,,'ot ions . l-I
cenPral Pldn UPdote F?€
tr11l60(r?- 51 g r:rtror.ir,r-
Electr icol
r't1 1 I 60[2- 51 6r:r30ir!-!-
ICL Chectr 0ll?e9r:l
ICL Check !10?999Building Use:
Job Type:
Nature of Work
Planning bonditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
Fixture change outs (unit 5) Code:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave 05t101201a
Account#
01116002 51600
01116002 51603
$95.91
$0.00
$95.91
lnspector MID#: 2018-'142953
$21 .25
$74.66
Fee Total:
Paid to Date:
Balance Due:
Permit #: 20{65715
Pin #: 90760
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 8r8-106s
01116002 51603
0'1 116002 51603
01 '1'16002 51603
01 1 '16002 5'1600
01 116002 51603
l'l
tt1,::
Every peftnit issued shall become invalid unlessthe wo* on the site
authorized by such pemit is commenced within 180 days after ils
issuance, or it the work authoized on the site by such pennit is suspended
or abandoned fot a peiod of 180 days after the time the work is
commenced.
R-2
VB
cEc 2016
Notes: Fixture change outs (unit 5).
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNEI BUILDER DELCARATION
I h.rcby affiln ud6 F.0hy oi p.rjury rhlr I am cxe.lr fronr rhe Conrtuct,n Li.c.sc L.w tbr rhe n,lhwin! r.asn (Sic 7031 5
Busi.cs and Pr.r.ssion Codc): Any City or Colnly shich ,equtes r p.nnn lo conslruct. ohcr inlrovc. dcmolhh or n',,an an,
sructorc. prior to ns hsuarce. llso.eqlirer rhe applicdnr foi so.h !.mn ro filc. sisncd (ar.nrnl ihar hco.shc is liccnsed plNmr /
lo rhc pmvisn,ns orrh. Co.t,crocs Liccnscn t2w (Chofler 9. O,mncncing wnh Sccrion 7000 of Division I ollhc Businc$ ind
PtufcssionsCodc) orlhar hcorshc h crcnDr rhcrcfronrnd rhc hrqk lor Ihc .llD8cd etemprion AnyvioldlionolScdionT0:ll5hrdt
arpli.anr lorrDcrmir slbiersrhc appli.lnllo.civilpcnahyofnolmorerhanlivdhr.drcdJollds($500)
l. us os.cr orrhc popcny. or mycmployces wirh wascs as rbdn vn. .onrlc.sar io n- willdo lhc work,rxl lic nrufurc is nol
idctrdcd or offcrcd rbr salc (Se.7044. Busincs Md Prorcrsions Code The Conrlucu\ t-i.cns L.w dms nol aldy ro a.6wn.r ol
rhe Impeny who b{ilds or inrpmrcs lh.mn. ard who n@s skh wo* hnns.lf or hftlf or rhmugi ht or hft dsn cnployccs.
p ro vidcd r har such imptu vc r nk m nor inicndcd or offdcd lo r qle l i howcvcr, r h. buildin3 or i,rYrrov.mnr i soll] wirh i. o.c ]ear
of complcrion. $e Own6 Blildd *ill harc lhc bunlcn ol Foving fiar hc or shc dil fr,I build or nq,mrc lhc IreFn, f{r ihc ,)u,F* ol
-1.
asowner oarhe F)p.ny. dncxclusivclyconrllclins *ilh lienscd cdnrncroN ro con(rucllhc loj€cr (s*. 7t)d4, Businc$
and Pntission Codc: Thc Conlracror's l-i.cns. Ldw d..s not apply ro .n osncr.fprlP.n, *ho builds or improlcs rh.rcon.
rnd who conrEch f.r such prelccB wilh 0 conrlctont lienscd p!^@nt b thc conlraclols Liccn* uw).
lvotstrli8.s:.cauSENsarlo!
DECIASAIION
I hcr.hy alltm uder FnahyorlLy]uryonc olrhc lollowin8 dcclararnnN
-lhlvctmdwillnuinrdinaCcniltorcotConE"!r{,Sclflisurcrotwo.kcrs
conllcnslrion. as !turidcd lor by Scclk,n 3?00orrhc
Lahor Codc. lor rhe dromn.c ot lhc sork for which thc Pcrmil is irsucd
I hrvc n0d willm0inlain workcra conrpci\drii, nNUrrn..,.s rc!uircd by Sccrioi .lT00 ol rhc l-$.r Codc. f{tr rhc Pjnant .cof
lhc wolk rbrwhichlhi! pcmrir is irsucd. Mysorke^ co.V.ns,rion iNuramcuri.raid Flicy nDmbcrarc
r I rJt^tlr.l-\
Vi..JCO
-l
ccnily rhlr ir rhcpcnarn.m.oflhc work lor whichlhis p.rmil t n\utd,I sh,ll not enDloyanrFrs.n inanynmnncr
$ rsb h..onr \uhic.r ro lh. workcs compcnsarion lass or Calinmir. .nd ,8rcc lhtrr ill shotrld h.co'ft subjd lo lhe
quk.6 conrr..\alion tmvisions ofScclion l70O.irhc hkt Cod..I shdl tunhwith.onDly wirh rhd* flornions
WARNINC: I:ailurc ro sccurc workcn .onrpcniarion cov.rngc ir unh*iul, a shrll subi.r rn cnDk,ycr tJ 6i 1iMl [ttrohics lnd
ci!i! rincsuDroonchn rcd rh.uqrM dollar ($lu).uxr). in rddilion b rh. co( orcD.rrcnsdion. d nagcs rs liovidcd t rlhe
;IdiYJ?:IUIU'I
I hcrch, rlfird uMcr rcn,hy oflcrjuylhd I ur liensd under rroviionolChaflcr 9 (onEnci.B with SNtion 7OO0) "rnivi{i.n 1
of rhc Busirc$rnd Pofcsnms Codc. turd myli.c.sc is in tullfncc and cftccr
2
I txte: conlrecror
CAISIAIJCIIIJNIENDIIG.LCENIJ
I hcEby lffifln undcr peMlry of p.rjfiy rhar rhnc is r cotrslrucrion lcnding flsency for rhc pufot,Mncc ollhc u.rk ror which rhh lcmril h
tsucd (Sc. 109?, Civ C.).
AITLICANLDLCI.AXdIITN
I turcrry alilnn undcr !.nally of Dcrjury onc of rh. rollowi.g dalddl ions
Dennnion Pernns Asbtsos Nori6calion Fcdcml ReBuhrions (1it|.40. Pan6)
_R.qiir.d lrnfi .f Notifcation
I .enity lhal thc ledcral rcgulutions ng0rding ssbctus rcmovsl de oor artli.ablc to lhis pmFcr.
1l c.nify lh{ I Mv. rcd rhh applkarion and srElc lhor lhd trtx,le irr.nmrion is conccl I asr.c t, .o,nFlv wiln all Cirv ,nd Counlv
o i rncdsnDd Srarc li$ rl.r rrgr. $uiklinB .ondrudn)n. rDd nrrriucs.frhk C(y rni C.u.ry k) cnrrr trtxrr
ah)vc nrcn(ionctl Impcny nr ily,c..or
ADplicnnl or Agenl SiBn{ture
9a"
JSAY n7 201 ri
Site-Work
Underground
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundino i UFER
Transformers
Torqueinq
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Solfit Rouqh
Ceilinqs (T-Bar Rouqh)
Ivleter Release
Rouqh {/q:t/k \iYt U-;rrn+d-(
Service l\/leter
FINAL 7/2/f6 9)\6'6
Notes, Remarks, Etc.
Pole Bases
Sub-Panels
Air Conditioners
lrn.dc ,m und.rsc-ron F &PC ln' rh'r..hotr.
IrnJc''.A'ldr$
-
I