HomeMy WebLinkAbout20165721 - PermitPermit #: 2lJ16'5721
Pin #: 416,44
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 14-H Address Range;
Tract: A.B. CHAPMAN Historic: No
E
Owner:
Address
Phone
Tenant Name:
The Bascom Group
26 Corporate Park Orive, Suite 200
lrvine, CA 92606
(866) 69s-5591
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-105s
01 116002 51603
011 16002 51603
01116002 51603
01116002 51600
01116002 51603
Amount
'1.40
1.52
1.01
21.25
52.98
F6e Type
'125 Volt Receptacle
Light Switches, Occ. Se
Light Filtures
General Plan Update
lssuance
Qty
5.00
7.00
4.00
1 .00
1 .00
Fee
$7.00
$10.64
$4.04
$21.25
$52.98
Phone
Lic Tvde: . Be;i.'ii"*' isssrz
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWC0i39070
Expires: 01/0112019
Building Use:
Job Type:
Nature of Work
Planning Condations:
Date
Date
Date
R-2
VB
cEc 2016 Notes: Fixture change outs (unit 5)
Misc. Receipt:
lvlisc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every peftnit issued shall become invalid unless the wo* on lhe site
authorized by such permit is commenced within 180 days aftet its
issuance, ot if the work authoi2ed on lhe sile by such pemil is suspended
otabandonedfot a peiod of 180 days alter the tine the work is
commenced.
05/10/2018
Account#
$95.91
$0.00
$95.91
lnspector MID#: 20'18-142966
01116002 51600
01116002 51603
$21 .2s
$74.66
cify of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Electrical
Permit Counter: (714\ 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2414 N Tustin Ave Suite Range: Unit H-5
Zoning: R4
Conlractor:
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family i5 or more uni occupancy:
Miscellaneous Constr Type:
Fixture change outs (unit 5) Code:
Fee Total;
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR BECORD
APPROVALS DATE ID/SIG.OWNEB BUII,DER D'LCARATI(}N
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strucrurc. prior ro ns nsunrcc. als rcqlics rh€ applica lor such lrmil 'o
file a sisncd slatcmn! lhllhcorih.isli..nsdl)urtunr
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DECIASAIIIIN
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ol thc Busircs and Pmlcssions Codc, and my liccnsc is nr full lbr$ md cl{cl
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SONSIIII:II()NI.EIDAG.ACEI{CI
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nsucd (scc. 1097. Civ C ).
AITLIC'XIDICI,ABAIII.IN
I hmby niifr undcr !.n.lty of pcrju.y orc or lhc followin8 dele{l n,ns
Dcnbliri.. Pcrnirs Alb*ros Norincdion Fcdcrrl R.gulariotrs (Tirlc40. Pd6)
Rcquind lx(cr of Norifi .arirn
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nholc nf,nri{nrd pn)I[nt f,tr n\r.noi Nr
\ppli$nl or ,\xrnr Silnnlu ) A"ts
Site-Work
Underground
Pole Bases
L ight Standards
Spas, Pool, Fountains
S igns (monument)
Life Salety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Faclory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouoh)
Meter Release
Rou gh </b E/lq 5.),--OlE-fiE x
Service Meter
FINAL b/2",4h >h69
Notes, Remarks, Etc
COMMENTS
L.nd.i. ddr$
I
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