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HomeMy WebLinkAbout20165727 - PermitPermit #: 2lJ16.5727 Pin #: 924Oi EProject Address: 2424 N Tustin Ave Assessor'sParcel: 396-261-55 Lot: 8 Unit: Block: A Bldg: 24-L Address Range: Tract: A.B. CHAPMAN Historic: No Suite Range: Units L-2, L-11, L3 Zoning: R4 Phone Tenant Name: The Bascom Group 26 Corporate Park Drive, Suite 200 lrvine, CA 92605 Fee $21.00 $54.72 $14.14 $21.25 $52.98 Fes 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 15.00 36.00 14.00 1.00 1.00 Phone State Lic #: 1009989 Lic Type: . B . '.:..' Bus. Lic #: 365547 Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company Policy #; BNUWC0i39070 Expires: 0110112019 Y-Rterre F:enc Building Use: Job Type: Nature of Work Planning Conditions: Date Date Date R-2 VB cEc 2016 Notes: Fixture change outs (Units L-2, L-11, L-3) Misc. Receipt; Misc. Receipt: Misc. Receipt: Total Chavez, Dave Every parmit issued shall become invalid unless the wotu on the site authoizod by such pennit is commenced within 180 days aftet its rssuance, ot if lhe work authoized on the site by such permit is suspended or abandoned lot a peiod of 180 days aftet the time the wotu is commenced ost1012014 Account# $ 16,4.09 $0.00 $164.09 lnspector It/lD#: 2018-'1.42986 011 16002 51600 011 16002 51603 $21.25 $142.84 Fee Total: Paid to Dale: Balance Due: Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Electrical Permit Counter: (714) 647-5800 lnspection Requests: (714]|667-2738 lnspector Section: (714) 647-5853 Owner: Addressl Katerra Renovations, LLC 3200 Earhart Orive Carrollton, TX 75006 (972) 818-106s 01 1 16002 51603 01 1 16002 51603 01 116002 51603 01 1 16002 51600 01 1 '16002 51603 Contractor: Address:8ot,:h+3439,(3' 3/17,/2t112 off i(e: CTYH Trnr,ei' 9Accti! F.e.+ I Ficrti:0??65673 -'ll1',../1,-.1n Tnonso,:t ion Totql Generol Plsn ljpdqte Fee 011 1600?- 51 3 r:lt!0r:[-!'. Electr icol il1 14001- t130l0r.I.r- ICL Chectr rl0?991r ICL Checlr ':10i9'je Planning Approval By: Plan Checked 8y: Permit lssued By: Subject to Field: Building Permil #: Multi-Family (5 or more uni Occupancy: Miscellaneous Constr TYPe: Fixture change outs (Units Lcode: ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcrcby arfm lndcr penalry of Il.jury rh l am eicmrr from thc Conrradon l,i.c.sc tnw for fic rdlowing r.av,n (S...70]l5 Bniin6s ard Prolc$ion Codc): An, Ciry o, Colnr, which rcquircs ! Fhln 'o con{ncr, ,l!(. inDbvc. dcmlish or Erat sy {rudm, Irrn t, ib i\surcc. ,ko Equifts rh. atplicd tu such pernn b nlc , sigmd ed.m tha' tr.r shc is licensd p!^uad . ro rn€ pmvisions of thc Conr6rols Liccn$d L3w iciaprcr 9. Comnrncin8 sith Sart,n 70OO of Dili\tn I .r rrE Brli"css and Pn,fcs*ionsCodc).rrhar hcorshc is.xcmpr rh.rclmnend rhc hq\is fd rh.rllo8.dcr.mpti.n. nyvioltrrionoiSslion?03l.5l,yony omlicanl fo!.Frnril subFclsthc nlplicrnllo ocivilpcn0llyolnol Dorclhln fivc hundrcddo]lm (S5G)). L as owncr ofrh. !$Fny, or m, cnplolc.s wnh *agcs r\ rh.ir tulc.omp.n$rk,n. $ill do th. wd* and EstMrurc is mr inEtrdcd or orcrcn ior sk (S.r.7tN4. Busirc$ nnd Prclcsions Codc Thc Gnlmtois Liccnsc tiw does nor lpply!o,n oetu'.r rhc rn,Fdy wlx, bdilds or imfl.rcs rhcm[ o whodGssurhk,rkhinrc]forhcrclforihouehhisorhlrow.cnDioyccs. pn,vided rhal such impmremnk N mr inrc.d.d ff oticred tu {h lt howcw. lhc $lildin8 or i'r{,rorctunr k sold {irhin nc Ftr of conllclion. rhc owncr Buildcr will h{rc rhc ttrlrhn ol povin8 rhnr hc or snc dil m' build or ir!trovc tlE pn,!cn, lor lh. plrF* or -1, rs nqncr of ihc pmrcny. !n .rlusivcly conrrr in8 wirh li(n*d conkrbN ro consrrucr lhc nrcjcct iscc 70,1.,1. Buirc\\ rndttl,ff,siriCodc:lh.Corrr.r.isl-ic.nr.l,{wdocsnor!nI,lyrostr.wncrofptuprywh(,buildrori'ntrovcsrhcrcon, otrd who onrnrB for such !mi.* qith C.nlractor(s) liccnscd puNnnr Io thc Conrdols Ltcns ljw) -l nnrcxcnu untlcr SNtion-.3 &PC forrhGrcason Dole: oRner: IOBXISjij0MIEN! rlON DECLIaAIIA! I h.rcby !ffiirnundcr pcnalr, oipcrjury orc oirhc fdlowin8 ddlar ion\: I hovc 0rd willmrinldnaCcnificrrcofConsctrr ro sclf.lr*Urc ror w.rlcn .oDrFtrs.tion.0s nmvidcd for nyS*rtun.1700.f'hc bhn Cod.. for rhc pcrlbrmn...frh. *o* fdi*hichrhc ponir k h\ucd. -l havc and will moinrain rortcn comFnsltion insutorcc. N RquiBd l,y Ssl io. lTlro of rhc Labor Codc. lor rh. l.rlormfte ur wnichlhn pcnni i\ n(Ed Myworkcs .ompcN0riotr nNururc.er[r rftl lx)li.y num6.r uc: r.1.Ya. -l ccriiylhrr inlhclcrlorronccoflhc wort hr rhich lhh pcirni n h\ucd.l shallnor cnlnoyany p.ron iomtnrMicr v, ,r t, bcc.nrc srhFr ro rh. wrrkds comp.n\ i.n l,wsofcrlinmia. mdaanclh ifl should tEcom suhJc.l rolhc pork.s o'nlf,trsrn,n pmvi\nrniofsdrion l70oofrhd ljbr Gxtc,I shill. Lnhwirh.onl0ly wilhrhos t'nvnions WARNINC FrildB n, sur. *ork.s .. f.n\rri(nr ..v.mgc i\ uihwtul, Md shall strbS.r M .nl!)lotrr to riminol ncnllris and riul iincs ut n, om htrndrrJ rlrusi d d.llr^ ($l(Xr.lxn), i'r t'ddirnr t, rhc.o{ ol.onrN nsalnnr. d.m8cs !s or,vnlcd for lhc socrnnr.10T6 orrhc ltrtxtrcodc. rcrc{ rdd arkn,ry \ lic\ !EIIJBA.II!}! I h€rcbyailrm uMs p.nall, ofErjury th l am lic.nscd undcr prcvision ofChllls 9icommncing virh sdii.n 7o0o) ofDivision I of lh. Busims ard Pof.$ions Code. ud my li..n* ir in luu fom ,nd elfdl. \W. C(INSTRT'(]TloN LFNDIN(; A(;I]-NCl I hcrchy llllnn undcr pcnalry.l ncrjury rhar lhc,c is u onnrucli{nr lcndins !srncy lhr rhe pcrlonM..c olrhc work,br which lhis Frnril is issucd (SLr. 1097, Civ. C.) APPI,ICANT T)FCLAITiTII)N I h.R'by atrm undcr pnaky of Frjurt om ofth.lollowinS dcclnrlrions: Dcnrolirion Pcrnils Ashcsros Norificlrk,n Fcdcral Resrbrn,ns (Tirlc40, P,n6) -Rcq!ied lJrrcr ol Norifi clri.. l.cnifyrh, rhc fcdeB|Eguhrions rcBffdin8 $h.sros rcnsv,larc nor amli.trhlc ro thh pr+cl. lal cenify r hrr I h(vc ,md rhN rrrliclri{,n dd {arc rhar rhc nbrc intondri.n n .otu.r t sgrc. ro conply wilh nll cny 0trd couniy ordinrnccs and Srarc Laws Ehlins ro blildins .onsrtucrion, ajd hcrchy auhorir! Erresedd,ilcs r,rrhir cny dd Cou.lylo cnln ullonlhc ahorc nEnrioncd p&!.n, lor insFrriotr purposes /\Dpli.rnl or A*e.l Si*ndurc 9at.<-l A;q9 Dels r Site-Work Underground Ljght Standards Spas, Pool, Fountains Signs (monument) Lile Salety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Bonding / Grounding / UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilings (Hard & Soflit Rouoh Ceilings (T-Bar Rough) Rough <7 b/,-t,€-PJFaia Service lvlqler FINAL *L+3 7 1/tr/l* ')wr Notes, Remarks, Etc. Pole Bases Under Slab / Floor Meler Release ltAY 1? 2018 ? A+.^,*** k-\r<{.a- I - I = I =