HomeMy WebLinkAbout20165716 - Permit20 Cavic Center Plaza (lvl-19), Santa Ana, C492702
lnspection Requestsr (7 1 41 667-27 38 lnspector Section: (714) 647-5853
Electrical Permit #: 20{65716
Pin #: 30437
City of Santa Ana
Permit Counter: (714) 647-5800
Proiect Address: 2424 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Bldg: 24-A Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit A.1
Zoning: R4
E
Owner:
Address:
Contraclor
Address:
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, cA 92605
(866) 695-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 8r8.106s
01 1 16002
01 1 16002
01 'l 16002
01 1 16002
01 1 16002
51603
51603
51603
51600
51603
Qty
5.00
12.OO
5.00
1.00
1.00
Foe
$7.00
$18.24
$s.05
$21.25
$52.98
Feo Type Amount
125 Volt Receptacle 1.4O
Light Switches, Occ. Se 1.52
Light Fixtures 1.01
General Plan Update 21.25
lssuance 52.98
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 356547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCo139070
Exprres: OllO'll2O19
Iron:i
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 ouls (unit 1) Code:
Date:
Dale:
Date:
R-2
VB
cEc 2016
Notesr Fixture change outs (unit 1)
Misc. Receipt;
Misc. Receipl:
Masc. Receipt:
Total
Chavez, Dave
Every peftnit issued shall become invalid unlessthe work on the site
authorized by such pormit is cofifienced within 180 days after its
issuance. ot if the wot* aulhorized on lhe site by such permil is suspanded
or abandoned fot a potiod of 180 days afterthe time the wotk is
commenced.
ost1012014
Accou nt#
$21 .2s
$83.27
$104.52
$0.00
$104.s2
MID#: 2018-'142955
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Oue:
Unit:
Block: A
,:e
rr ! Pl rrjtll_- :;l
lnspector
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCABATION
I hcreny aflirm undc, pcn.hy (,f pcrj!ry rhd I m cx.nfl nom rhc C.ntkroN Lien* tiw for thc foUowins @sn l$c.701 1 ,5
Busincss and Profcsion Codc): Any Cny .r Counry whi.h rcqun r r pcnnil to oNlrucl. ahcr, iq,o!e- dcmlish or rl[n My
srd.r!rc, prior r. irs krtrr...,ho rcqui rh.applicn.l for such lBmit lo filca sisncd sroIcmnl rhar h.o.rh. is lic{$ai ,ur${nt
lo lhc !rcvisions of tnc Conrrucrors Licen$d Lrw (Chaprs 9, Codfttins whh Sccli.n 70oo of Division I olrhc Burinc* atul
Profcsrions Codc) orlhnl he or rlr k crcnpr th.rcfrom drhc bf,sir for rhc dlcScd crcmtrion. Any violarionofserk.T0:ll5 hyut
,ppli.rm ror r Frmir suhjels rhc ap,rliclnl to !civilpc.ohyofnol m,c rhsn fivd hundrcddoll,rsl$501))
L ss owncr of rhe ,)ioJhy. or my.nltlk,y.cs enh *0Bcs as lhct so]c qnlrPcn\lrbn. *illdo rhc wo& nrld lh. ndurc i\ trur
inlc cd or olttrcd fo. slc (Sa.?1I44- lrurin.s and Pror.sions Cnlc Thc C()nkNr.rs Licctrsc L.w docs nor sppl, k, sd.wmr.l
rhc pbp.dy trlh brilds or improrcs 6cEnr und who de\ such wo* hims.llor hcr*lfor rhrou8h his or hcr owncmpbyces,
ln ovnhn rhar su.n imprrrnf,nt m n.r ir cftrcd or oftir.d for sL. li howNcr. rhc huildirg or iqmetunr is s,lrl wilhin
'
{c }tJr
or.o lPblion. thc Own r Buildc qillhnE rhc ttrdcn oa lmvins thd he or she dn k,l hui]d ot inpmvc fic PmP.rly tur rhc lorF,{ol
-1.
a\ owrcr of lic pmpc.ly. on ctcltr\nclr co rrrcting sirh liccn\dl .onr..k,F lo .on(ru.r rlrc pnj.tr (S( 7044, B \irtc\\
,nd PmfL*iD C.dc: Thc Contrrclols Liccnsc Law docs not annly lo rn o*ncr oapmD.ny trho builds or improrcs lhcrcon.
lnd *ho conulcts lo, such Imjcclruirh!contn t'n,Iic..scd puru. roth.G'trtrclois Li.en* li*).
-l
!Dcxcnu undcr Sc.l
Date Olner:
WORXFRS' COMPllNSATXIN
II&CLASAIIQN
I hcrchy afinr undcr FntrltyolFrjuryoic oilhc t,llowinB d(ldarn n!:
-1horcond$illnEnsinaC€nificsrcofcon.cntroscltlnrxdforqorkc.onDcnsulion.!\pmvidcdfttrbys(rio.:l7moflhctjho! Co{c. lor lhc nc ormrcc of rhc nuk lor shich rhc ,lmn t is{cd
I hrlc rnd sill nainrrin qoikcrC c.nrNnsd i()n iNulamc. or rcqutc.l l,y S(r nnr .l7lx) of rh. tj}xtr Codc. lu lhc pcrlornBmc ot
w.*e^ compen{rion n6uranc.cri.r arxl lBlicy numbcr uc:
tlrr'.rJ \N l-(^RA(*a r.\.\1v
I.cdily rhrr ir rhc pcrioirnancc,,frhc $ork li)r *hi.h rhir F-iinir n issur\|. I \hnll nor cmnl(), !rry pcron in rtry mrn cr
n, N t' li(1nnc \!l,Fcr ro rhcworkcs'cnn{cn\oridr lNvs ol C0lif trin.0ndrg(rrhrriflnx'uldlEorrsublcdIolhc
worklA.o'hpcisrtio pn,visotrr ol SLrlirnr ITUJ of rlr tihor Codc. I sh,ll. fonh*ir[ $ 1pl, wirh rhoe U ovhion\..
W RNINC: I:rihtrc to scwc rorlcF .rn.ncisaiion Lov$rsr ls unl.wrul. rnd rhnll suhjcct 0n eniphrcr ro d'nirdl Ftrrhiis rtrd
:r*AY}:r"rySt**
,lol['\ lSil[).(xr)). ]n r(l'liri({ n, rhr..
I lrcr.[y!lltnrundcr nrnrlryof |1.']uryrh l air nhvision oiChrnrcrr) (.onnJf,ncnr! rirh Sc.tin ro(x) .1 l)n i\ittn .l
nr rlr lhrinc\\ 3nd P.ortssions c.dc. u nlv liccd\c n i'r full nmr :nkl .ll.d
@ /oo1"1,aaq
CaXSIBUqIIaNIIIDIIIj.&CTNCI
I lrrchy,flnm unds lEnalty of pcrJurr rhsr rhsc n a.on{ru.rion kidinS agc..y hr lhc p.rlormrce ofihc sork rot whi.h rhis F.nril i\
isurd iS.. .1097. Civ C.).
AfIUCANLDECI,ABAIIAN
I lerd,y,{inn u ndcr r.hahy olr.rjury orc ollnc followin8 declamtions:
Dcmolition Pcrnrirs Asb€{6s No n. ion Fcdcr.l Rc8ul0l ions Ont 40. Prn6)
-RcquiEd
tillerof Nnif'.arhn
l.cnif lh rhc Meril rcsu {rnnF rcsrdin! ash.{o\rcnDvnl trrc tr.r rptlic,nh h rhn poJccl
- !1..niry rhd I h,v.,.ad this .tplicdn,n ond.lurc rhor rhc otnvc i.folmrion ir I rgrN lo.omtly qnh oll Cn, trnd cornrr"
oftlinr'r.\,nd srarc trwsrclarinsb buildio8 con(rudion- a llhn Cilyand Colnry h tnr$ uB,n rlt
nhovc ntnrioncd pDFdy tur i.st .rnntputt,\cs.
,,\ppli(ml or ]\A.nl Si,rnnlurc
I )o-",',.1I Ar,'?^
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Founlains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
It/eter Release
Rough f/rL,/iV 5.'velzn+frl
FINAL b/Q.q/h >D rb
Notes, Remarks, Etc
Sub-Panels
Service l\,4eter
I .ndcr'. 4 i,Irs
: