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20165696 - Permit
City of Santa Ana Permat Counter: (714) 647-5800 20 Civac Center Plaza (M-19), Santa Ana, C492702 lnspectron Requests: 17'14\ 667-2738 lnspector Section: (714) 647-5853 Electrical Permit #: 20{ 65696 Pin #: 5G229 Proiect Address: 2414N Tustin Ave Assessor'sParcel: 396-261-55 Lot: I Unit: Block: A Bldg: 14-E Address Range: Tract: A.B. CHAPMAN Historic: No Suite Range: Unit E-8 Zoning: R4 q Contractor Address: 01 't '16002 01 1 16002 01 1 16002 01 1 16002 01 '1 16002 5'1603 51603 51603 51600 51603Tenant Name The Bascom Group 26 Corporate Drive Suile 200 lrvine, CA 92606 (866) 695-5591 Katerra Renovations, LLC 3200 Earhart Orive Carrollton, TX 75006 (972) 818-1065 Fee 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 5.00 7.00 4.00 1 .00 1 .00 Fee $7.00 $10.64 $4.04 $21.25 $52 98 &otchi:43843 - 5/ l7 ofl ice: CTYH Trrn A':ct+: Rca t+:tr??65645 - i Tronso,:t ion Totol State Lic #; 1009989 Lic TYpe: - . B Bus. Lic #: 365547 Workers' Compensalion lnsurance:Carrier: MidvyestEmployer'sCasualtyCompany Policy #: BNUWCo139070 Expires: O1l01l2O19 Kor-erno Renovot i ,lenero I Pldn Updote r:rl 1 1 60tr:i- 51 6r: :fl:trrr:r- Elertn icol crl11600?- l14t:r30!0- ICL Cherk 0tl299t-r ICL (:heck 0tt:9?i,Building Use: Job Type: Nature of Work Planning Conditions: Multi-Family (5 or more uni Occupancy: Alteration Constr Type Change out fixtures (unit 8) Code: Amsden, Julie 10196237 R-2 VB cEc 2016 Notes: Change out fixtures (unit 8) Misc. Receipt: Misc. Receipt: Misc. Receipt: Total $95.91 $0.00 $95.91 Every permit issued shall becofie invalid unless the wo* on the site authotized by such permit is commencad within 180 days aftet its issuance, ot if the wok authotized on the site by such permit is suspended or abandoned fot a peiod of 180 days aftet the time the wo* is commenced. lnspector MID#: 2018-142901 01 1 16002 51600 01 116002 51603 $21.25 $74.66 Owner: Address: Phone: Phone: 'itll!51?( I |lr:,-r Al1 *-, r r:r2t $l ,79i Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permil #: Date: Date: Date:05t10t2014 Account# Fee Total: Paid to Date: Balance Due: ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DELCARATION I hcrcby 0fltm undcr pcnalry ol lerjlry lhar I dn dcnfl forn rhc Conla.k,n Liccn* L!{ f{, rhc rouoring rcrsn (Str.70.11 5 Businc$ ond Pmfc$ion Codc): Any City or Counry *hkh r.quncs 0 Fnnil ro clnnoct. ,lr.r, nnProrc, d.mlth or rcPlt lnv srrucru,c- p.i., ro ir isslaftc. nlso rcquircs rtf, 0ppli.ad for snch IEmn lo fiL r risnn! rur.mnr lhtrt lrc o. shc t lia!.cd nu. anr to thc pnrvisiotrs of lhc Conlracxr's l,i.cn{i ku (Chaprcr 9. Comnrn.inS silh Scclion 7m0 oa Dililion I ofrhc Busi.css und Prcfc$ions Codc) or rhar h.orshc i{crcmpl rh.rcromand rhchrsn for lhc rllesedercnflnrn Any viohttuof SctbnT0:ll5 h, {ny ,rplictr r lo p.mir suhjcri lh. oplliconl to a civil ,:cnilty of ml mr. rho fivc lrundr.d dollrs {$5Oo) -l- ar o$ncr ot rhc pnrcfly. or m, .mtlot(s wnh waecr * rhctr elc c.mpcnerii,n. will do rh. wo* 0d rtr (FI|uru n mr inrcndcd or oicrcd rd qL (s(.7(}14. Busircss 0trd Profcssions Codc: ]]lc O,nr,cl.fs l-i.cnsc ti* dm\ nol amly ro dn ownn or thc rmlEny who taild\., inrpr.ki rhcdn.,nd wh. dfts suh *s* himscllor hctslaor rhruoeh his or h.r oln cmpktyccs. pn,vidcd rhdr .uch i,npmBnnls !rc mr inlc!r(& n offcEn lor elc lt hr$tlu. rhc boiuin3 or inrPmstmnr i\ eB sirhin nm ,car ofcoq,trhn. rhc O*ncr BuiLid, *ill hnv. Or htric.olpovinS rhd hcor stc dii n hoiu or nqmw lhc Pmlsly ,or rhc PlrFrc or l, rsowncroflhc prcFny,3nrcrclu\ilciyco.rra.ri'rg wirh liccned coftrdoF ro connrucr rhe P'(,jd (Se 704'1.lru\ircs rnd Pn'ls\in Codc: 'rh. Coniircny\ Liccnsc Lawdoc! nol inrlyro ano*ncr ufntufr ywho huilds.r imtrov$ rhctcon ,id wh. .onracF ior such rmlccr s wirh ! Conrrucbn s) liccn*d porsu r t, rhc CoDlrr(l{,t l-iccNc ltr*). I xqrcr. rpr und$sc.rn,n . A & F.C. turrhi\ rcr\,i 1rcBK!&T.clIlIfjNIAfION OEIIAAAII()N Ihcrehrrltumu d l.'rxy or lcrlury om of rhc nnh*ill3 d$lur n,0s -l hlvc oid willnuinr.in a C.nirr.rc ofcon$ to Sclf-Insurc tu workcr' con FnernJn. $ ptuvidcd for by Ssrion .Um.t rh. tibor Codc, lor lnc ,sforromc ol rhc sork tor which rhc t.mir h issucn -l hrvc and will'nainrsin work.N comp.nsation insurancc. ns requircd h, sccr io. 1700 or rlr Llbor ftdr- for rh. ncrtunuNc of lne wo.k ftn which rhn p.mir is i\su.d My *ortc^ co qEnqrior insrrJkc..ricr ind lFlkt nunh.r dcAi4otn4oIt tt -l ccnilyrhlr nrlhcr,.rlormaneofrhc sorl f.r shichrhh Ptirni k hsucd.l shallnor cnllhyanrlc^on in ony nrMmr $ \ t, tEcotu \uhlccrr,lhc uorkcr' smDetrsaliotr lrus oiClliftndir. md i!rc htr iiI nFunl bccqnc \tbrLd brhc eo e^.onlll.nsrrn,rphltionsolScclionl?00olrhcL,brAxh,Ishtril,r.'nhuithcomflysilhrh,{prcri{nnrs IVARNING hilurc lo $tr'c work.^ .onllcn\diotr covcfusc is unlosiul. ind \hdl \uhF.r lrr cnlloyct k' crinlin,] J.i,hics rnd civil l],rc\ up lo o.c hu rcd rhoo\rtrd dolla'r ($1m.0(D), in,kldlrion h rhc coi ot.o f.trsdri,'n. d{m&8cs !s r'ovidcd fd rhc LffiliIruiti I hcEh, lmrd u.dd pcMltyofpcrjuylhar I !m lien$d under lrclhion or chlprc. 9 (omflrmins *nh Sdkrh 7uD) ofDivhion 3 ol rhc Busirc$and Pret€sn,nr Codc,,nd my lkcns n nr fulllotcc ood crisr -Anro ,.,,.^,"*",.,,*, 6 194I9L ItAY LT h-'eid CONIIAIJI:IIQNIENDINIi.AIiDNT.I Ihcr.byrfln u trFnnhyolrErjryrharrhcr.isacondtucri{,nLndin8r8.fl.ylorlhcpslirrunccofrlfworktirqhichrhhrcilniri\ i\sucdrs.r :1097. Civ. C ) AITIICAXTI]I(;I.AEAIION l h.ni6y rrlm xnd.r pcn lly ol !.rjuryoncollhclbll{iwin8 dcchruln,n\. Dcmliri,,n lrcrmih A\hc{os Norifici(io. f{dc$l Rcgulnlions llirle,1O- Prn6) -Rcquncd L.lrcr of Norifi .arin -l cdiryrhd r hc Ld.ral rcgul.l io ns resrdins asbcsros removll dc Mr arPlicable to $is proirr Z#rlnn , ** **rnis afirlk,rion ald sr . rh'r rhc aiDv€ inromri.n is.oMt. L8re ro.ondy, h 'tlc ,.nd (huntv ordin.nccs rnd Slarr ljvs rclrring h buiklin8 .on$rucrn,, uld hcrcb N 'v.\ urthtr( v an'l cuuntr t, cnrcr u 'nthc HAV 117 ?','"$.vc nrtrlioncd rrcplrly l'or inspcdnnr Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Lile Satety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bondinq / Groundinq i UFER Transformers Torqueinq Sub-Panels Rool Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinqs (T-Bar Rouoh) It/eler Release Rouqh 5/n zh 9'E Llr,-?-lfl< Service Meter FINAL I ,-fi-/s ,./)e{*,"(rr)Notes, Remarks, Etc. Air Conditioners brdci. Ad.[.s Appliclnt o. Ae.nt SittMluF t€miteDnr(lnd): : tt I