HomeMy WebLinkAbout20165719 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2Ol 65719
Pin #: /14569lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 2414 N Tustin Ave Unit:
Block: A
Bldg: 14J Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: J-2
Zoning: R4
q
Assessor'sParcel: 396-261-55 Lot: I
Owner:
Address
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 9s5-0888
01 1 16002
01 1 16002
01116002
01 1 16002
01 1 16002
51603
51603
51603
51600
51603
Fee Type
125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
Amount
1 .40
1.01
21.25
52.98
Qty
5.00
7.00
4.00
1.00
1.00
Fee
$7.00
$ 10.64
$4.04
$21.2s
$52.98
Phone
Tenant Name
Contraclor
Address:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75005
(972) 8r8.1065Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #; 366547
Workers' Compensalion lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 01101/2019
Building Use:
Job Type:
Nature of Work
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
change out fixtures (unit 2) Code:
R-2
VB
cEc 2016 Notes: change out fixtures (unit 2).
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:
Dale
Dale
Date ost10t20'18
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wo* on the site
euthotized by such permit is commoncod within 180 days aftet ils
issuanco, or ifthe wo* authoized on the site by such pormit is suspended
or abandoned fot a period of 180 days aftet the tifie lhe , otk is
commenced.
$9s.91
$0.00
$95.91
lnspector MID#: 2018-142962
01 116002 s1600
01 116002 51603
$21.25
$74.66
Fee Total:
Paid to Date:
Balance Due:
Chavez, Dave
ELECTRICAL-INSPECTOR RECORD
ID/SIG.COMMENTS OWNER BUILT'ER DELCARATION
I hcrcb, artrD undcr p.nally or !.riury rhar I "m.xcfrpr rr,n rhc Co.lrN.is Lkcnsc bw ror rhc followinS rcN,n (Scc7011.5
Busincs and Pdtsion Codc): Any Cily or Counly qhi.h rcqlircs a Fmil to cotrslrucl. allc.. implovc. d.nFliih or rcnat any
ntodlre, rriorro irs issutrmc. a,s) rcquncs lhc aptlic0nr for su.h Frmit lo fiha si8trcd srlrcNnr th.t hcorshc h liccnscd pu,sanr
lo th. pmvisions of rhc Contrh s l-i.cn{d I:w (Chdprcr 9. Commcocins wirh S.crn,i 7000 of Divi\ion :l ofihe Busi..ss rnd
Eoltsio.sCodcr orlhal h:orshc hcxcmpl lhcrcrromdndrhchrsh ro hc rllcSd cxcnrrriotr. Any violationofSalion?011.5 byany
{tlica.i fo' a pemir sohjNh rlr aprlicrnr ro acivilFnahyofnor mrc than iive hlndreddoll rl$50o)
-1.
us owrcr ot lhc pmrEfl y- or my cmployccs *irh wu8 s as I hcir ek comFosal ion. will do lbc work old r& srtulm n mr
inrc,xlol or o6cr.d for eL (S( ?044. Bu\in.$ rd Pmac\{ons C.dc Thc Conrod.r's Li..n* tl* d@s tror .llrly ro in ownq ol
rh. tmFny sho huildr or inpDvcs OrNn. ari wio di*s sNh sofi hims.lfor hcriclfor rhmu8h his or h.r uwn.nploy.cs.
provi:lcd rhar such imrtuwnrnr m mr i cndct or olTced ror elc. lt trsvc( 'tr buildiry or i,rvnorcmnr h $U lihin otu )ttr
or.!rq,kri,n. th. Owncr Buil:kr will hsve rhc hirdcn oa pmvin.c rhar lf or sh€ di] nor ltuiti or tnpmr rhc rel.ny f., rhc luqrs ol
l. N ow crol rh. rol.ny. ad.x.lusivcly.oftrcrnrl wirh li.ri\rd.ont crrs k,..iefl.r rhc pnrLrt rScc. ?04-,1. Boiincsr
ad l\of!:$r Codcr'lhc Conrr.crois t-iccn\c Lrw doer nor trlplr ro nn owncr olpro!.rry who huilds or inrplo$ rhcrcon.
and *ho.ontrrkforsuchpRj<($irhaG,nrEcbdnli.cnscdtrFurnrrortcContak,sl.i..nsel-rw)
ItaB(E&::rallfEtra.raN
OEII.AIAIION
I icEhy alltnr undcr pctrrhyollnrjryon. olrhc lhllowirS dNhrdnnr
-l
hrlc rfrlwillmlinl.ino Ccn ilralc oi Conrcnl bSclllnsurc r(tr trokcB conrtcn{lion- us frovidcd lor by Sccrion l7(xl olrhe
Labo. Cndc, tor lhc p.rroirmrcc ol lhc Bork for *hth lhc Frfrn ( issucd
illm.i ain workcs' .onrr.nl,k,n insuink.. a\ rcqutcd bySern :1700ofth. tjborC.dc,lor rhc lcrlolnstrcc .l
hisFmril ie irsucd. M,wolkns ..nrp.nsdttr,n iNuhn...rrid ardF,li.y.unh.r nc
t? t^l Jv(,otz\oao \.\.\1.U
-l.cnily
Ihit ir lhc pcrfonnJkc ofrft wdrk tu whi.h rhil tcrmir n is\ucd. I \hrll tror ctrd.y dtry Nr({ in uny mrnNr
$ N t' h(o'E uhlcd ro rh. w.r[crs c.nDcnsarn,n hws ol C lihnrir. inn ur cc rh it Inouu tf,.onE \uh]ccrn,rhc
workrn con,pcnsaln,n pmvhions oiSccli.n:17(x)ollhc l,!hnr o)rlc.lNhxlL hnhwirh con,Ilt sirI rlhr pn,viri{nr
IVARNING] Failur. ro -_urc workctr mrpcn{lbn .ov.ngc is unhwrul. rtrd \hdl sublccl n cq)lorr to rimiml Fmhics md
civil fin s up ro oft hundbd rhousnd dolldr ($lutmol. in addirion ro rhc c.$ ol comrcnelion. drmScs rs lrovidcd ior lhc
Selion 1076 ofrhc labl, Codc, irlcr.i and artoirrr\ tsi
il"AY+r ?Li$
I hcrchy!lltnundcr p.nultyofpcrju,r lhal l.m lieNt undcr pmvist,fl ofCh!fls 9 (comnrcncina wirh Sc.1i,i 7lx)0) oroivnn,n.l
of rhc Bu\nEs lnd Piofe$ions Codc. md my liccn* h in tull fora od clitct.
v,
*"fiA+1? I0tu ...'".",..f4ua,
(atsrBlJsraNrilDluri-acirNcl
I hc(by,fln'nuidcr pcn.lry of Frlur! rhir rh.rc i\ L L-nitucrt,n kndirr8
"SCn.y
for rhc prdonruncc ofrhc sork for which rhh lrmt n
isslcd (Scc ,t097. Civ. C.)
txndcis Name:
-
atfucANfl)Ert BAtroN
I hcrd,y a8inn undcr ncnnlly ofpcrruryonc oirhc rollowins dcchmlions:
D.nrniriotr Pcirnils-As6.sros Notilicorion lcdcrrl RcSulations (Tillc 40. Ptm6)
Rcqrirud l-crrrr of Noii,icari,tr,
ffidffi;;;ardin8 Ntrn.s rcmov.lirc not aptlicablcro lhic prorc.r
xlnrrc rlrrrhrnh)vc inl{trn k i\romcr I r..o Dly wirh allCiryrfrlC.uniy
rhil Ciiy dtrd Counry b ctrrcr urxn rhc
,'\nnli.nnl or Aa€nl SiInHlrrrc
I'rmrilc€ mnr (prinl):
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundino / UFER
Transformers
To rqueing
Sub-Panels
Rool Top Equipment
Ectory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilinqs (Hard & Soffit Rouoh
Ceilin gs (T-Bar Rough)
It/eter Release
Rouqh gE vE tbr ,zfl+ *L
Service lvleter
FINAL b/x?/6 >b 1rd
Notes, Remarks, Etc.
APPROVALS DATE
Under Slab / Floor
Air Conditioners
-l
d .rcdp! undcr S<riotr-. B. & P.C. fot rhn @son.
D.tq onner
(n\,
rhovr n{trri,nKl n.oli.n! r{tr insp..rioi
h,"t
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