HomeMy WebLinkAbout20165722 - Permit20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 1 41 667-27 38 lnspector Section: (714) 647-5853
Electrical Permit #: 201G5722
Pin #: 31253
City of Santa Ana
Permit Counter: (714) 647-5800
qProject Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Suite Range: Unit R-2
Zoning: R4
Owner:
Address:
Contractor
Address:
Tenant Name
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-ss91
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
011'16002
01 1 16002
01 1 16002
01 1 16002
01 1 16002
Fee
$7.00
$18.24
$5.05
$21.25
$52.98
51603
51603
51603
51600
51603
Phone
Building Use:
Job Type:
Nature of Work
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TyPe
Fixture change outs (unit 2) Code:
R-2
VB
cEc 2016
Notes: Fixture change outs (unit 2)
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pemit i$ued shall became invalid unloss th6 wolk o, tho srle
authorized by such petmit is commenced within 1 80 days after its
issuance, ot it the wo* autlloized on lhe site by such pormit is suspended
ot abandoned fot a peiod ol 180 days aftet the tirne the wotk is
commenced.
05/10/20'18
Account#
$104.52
$0.00
$104.52
01 1 16002 51600
01 '1 16002 51603
$21 .25
$83.27
Fee Total:
Paid to Date:
Balance Due:
Bldg: 24-R Address Range:
Tract: A.B. CHAPMAN Historic: No
Phone:
Fee Typs Amount
125 Volt Receptacle 1.40
Light Switches, Occ. Se 1.52
Light Finures 1.01
cenerat Ptgr Hpflelpe js4-- 21.451 ./ .
lssuance flfi iirjr (rytl 52.98-:,r:l
l,: : i- L , . ,., ^ ! o - c r -
Tn0nss,:t ion Total
l(6t erro FeIrc '''rt i rt :
Qty
5.00
12.OO
5.00
1.00
1.00
Slate Lic #: 1009989 . . . :
Lic Type: B
Bus Lii#r 366547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCo139070
Expires: 01101/2019
Eenerol PIsn Uedqt€ F
0111600?- l110rlcrtlu-
Electr icsl
01116002- 51603(r:r(r-
ICL Chetli 00299r-!
ICL (:heck 00?9gq
lnspector MID#: 2018-142967
ELECTBICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEN D'LCARATION
I hctuby affinn lndcr !.nrh, ol pcljury rhlr I !m cremFr frcm thc ConlradoN Liccnsc LIw Ior rhc followin8 rcasn (Scc.Tollrt
Busincs tnd Porc\ii.n C.dc) 46, Ciry o, Colnl, which rcquircs a lermir lo con(rucr. rlrs. imtrovc- d€mlish or rcpair any
slndurc. pri.rlo irs isqunnc.. alo rcqutci thc lpplicad ftnsuch pern r b llh r sistud sr ctunr rhut h!or shc is li.cnscd p!^!mr
ro rhc fovhions ol
'he
Conlncfttri l-iccn{d tjw lchlprcr 9. Comnctrcnrs with sedio. 70oo ol oivkin I of thc Busircs ind
Pmic$ions Codc) or rhr' h. or shc is cxcnlpr rh.ermn aod rh. tissh r{tr rhc !lrcsed cicmprion AnyvnnlrionotSccrionT0.ll5byan,
rmlicanr for a pclnrir subjccrsrhc lprliconr lo acivilI)cnrl'yol.or nx,crh.n livc hundrcddollds ($5m).
-1.
as owncr ol thc ,),orcny. or ry cnDloyces wnh woe( rs rhcn $b dnnp.n{rion, will do lh. work and d. (tulm n rct
inrmd.d or oficrcd ror *tc lse.- 7044. Busincss and Proacs\ions Codc: Thc Conrroclois Liccnsc tiq &cs nol alply ro .n o*rr ot
lhc pmpcrly who builds or improv$ rhcMn..rd Nho dms such wo* him*lfor h.rsclr.r rhonsh hh r h.r 6wn cmrr,y..s.
providcd rhar such impnrcmnls arc nol inbncd or ofcr.rl for slc. Il howcw. rh. boilding or ir!trokftni is $ld *iih'n onc F{of.oq,ldion- tnc Owns Buildd willha\r ur buidcn of pdling rhrr tE or snc dil er hqild or in{reE rhc lotcny aor rh. puqnc ol
l. 3s os'rcr of
'hc
pn,Fnr. anr ckllsivcly co raclinS wnh ftc.scn co rac'or to.onstrud rhc poid(S(.71!4. !u!ine$
a.d PrtriLxsi Codc:Th.Co.t0.ror'sLiccnscLdwd.cslorapplyro$osncroaprop.nywtohuildsori,nprorc.rh.r.on.
,nd wkl onrrocrs f{r \!ch rroick sirh a ConrEdo(s) li.cnscd Dutrua rorhcCo ra.rors Li.cnc tjw)
I ao .x.rpr ldcr Sstion_. B. & P.C lor rhis rsen
D.rr: ()*n.r:
WoRTFRS' CoMPENSAT(TN
I'LELAIAIIAN
I h..ch,lfitmundcrl].nrll,orpcrjuryoncofth.follo*ingd..lr bns:
_l havc aM will truirhin a Cc iar0t. ul Clotrscnr b Sclt ln\urc arr $ukcrf conpchurirnr, as povidcd i(n $y Sdln'n .l7{D of rlf,
Lnhor C'odc. for th. ,)cdnrmn.c of rhc w.& ftr whih ih. pc.mil i\ issucd
I hnle and willnointain *orkcF conFnurbn insurlncc. as rcquncd byScdion3?0Oollhc Labor Odc. io,lh. pc ornumcof
rlr wnrk ntr!hi(h rhis pc rnrir h nsLn Myworkss conrtcnsarion imurmcc.amier ard lDlicy numbcr dc
rl 'l \Arr.t\t Cd gl". a.Y.6,
J
-l
ccniry rh,r i. rh. p.rronuftc.r rhc sork tur which rti\ pcrmit n isucd. I sh,ll nor emplo)' any pcron in lny oann*$ N b bccom subjNt Io Ihc workcF compctrsation lnws olc,liroiri\ d nSrr ih.l ifl skJuld hc.otr suhjcd lolhc
work.( conpcns,rionpmvisions orSccrnrn l70O.lllrc bhor cod..l sh.ll. ri'nnwilh con,ly wirh rh.c EovGt'ns.
WARNNC: Failurc ro *curc workcs co rtrNarion ..!rngc ir rnl,saul, ,nd (hall suhj..r ,r cnllldycr Io dirinol lEmlrics Md
cilil fincs up r. onc hundr.d rhousrtrd dolldrs ($1fi).m0). in addirion ro rhc con or$ny.n\arion. d, D!.! .s fovidcd hr rhc
Sarbn 1076of$c tibor Gxlc, inrcr.sr and,tortuy s re1
frAY 17 2010
IhcEbyrfiilmu.derpcmltyofDcrjurylh0tl.mliNns{undcipmvhkrnoaChrtrcr9(.onrmni.8RilhSc.rirn7tD0)ofDivision3
of lic Busincs rnd Profcssir.s Codc. dd myli.cn$c ir i'r fullfo@ddcffccr
loo
c""r,,"r". V-a,,!r"L?rzt-*'l'f,A]-lT7dir
(r)NsIkt(t t()N t t:Nt)tN(; \(;tiN( \'
I hceby uffirmundcr pcmlryoalcrjury rh lh€rc k a onnruclion hndrng r[ercy hr rh. tslormncc ol lhc work lor *hich rhh lcmil k
nslcd (Scc. 109?. Civ C.l
6.EILICANI.IDCI,IEAIION
I tmbt .fm undr p..alry of p.r.iury om of ttu follosing dc.ladr i.ns:
D.trhlIi.n P.imi*-Asb.(os Norirlcrrion FcdeBl Re3!lations (Titlc 40, P{da,
-Rcqun
d kn$of Notiarcario.
-lccnilylhal
thc lcdcr0l rcCllolioos rcSudin8 asnc$os rcmovslrr. not aptlicablc to lhh Imic'
l.cnili rhnr I hrvc r.rn ihi\qJf lMritnrxjirr. rl dh rll,v. tr,itrtrr.tritI n h.onrd, qirlr rll ciit rtul (itrtrry
frhn Ciry Md Cotriry r, ctrrc! l]fui rlrordirntr.c! rtrd srrrc l-rw{ rclnr 1,l3 i, huildinScointurrir)n_ rnd hr
nli,vr krirtrdLt)roII'rr r(n n\l).(rii]tr ptr
ADplicantor,\*$l Si*nslum:
Pemiree nhnrtprini): -9ag,t7 Ar
Site-Work
Undqrground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life S /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilings (T-Bar Rouoh)
Itileter Release
Rough 5n /h z>r*t?.7\**g
?/7-1/i$>r\ ta(
Notes, Remarks, Etc.
fC-t
Service IVleter
FINAL