HomeMy WebLinkAbout20165718 - PermitProiect Address: 2414N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 14-O Address Range:
Tract: A.B. CHAPMAN Historic: No
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City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ1G5718
Pin #: 19603
Owner:
Address
Conlraclor:
Address:
Phone
Tenant Name:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75005
(e72) 818-1065
01 1 16002 51603
01 't16002 51603
01 116002 51603
01 116002 51600
01116002 51603
Amount
1 .40
1 .52
1.01
21.25
52.98
Fee Type
125 Volt Receptacle
Lighl Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
Qty
'10.00
24.OO
9.00
'1.00
1.00
Fee
$'14.00
$36.48
$9.09
$21.25
$s2.98
Eatchi:43843 - 5.r17./
ofl i.e: CTYH Tr:rn:
Rcpti: llt??6566 4 - l;i
Trflnscrt ion Totol
Frl1
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 3665/f7
Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 01/01/2019
KntErrq Reno,ot i cn;
6enerol. Plon UFdcrtE F
0111600?- 5 1 : r-ru l:r r-r'.r '
El ect.r i,:ol
rU1160t-'U- iI1[306(r-
ICL Checl 00?99u
ICL Check 00:?S9
,)
1,
Planfiing Conditions:
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject 1o Field:
Building Permit #:
Multi-Family (5 or more uni Occupancyl
Alteration Constr Type
Fixture change outs (Unit 1, Code:Notes: Fixture change outs (unit 1, unit 5)
05/10/2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pemit issued shall become invalid unlessthe wo* on the site
authotized by such pomit is comnenced within 180 days after its
issuance, or if the wg* authoized on the site by such pdrmit is suspended
ot abandoned for a panod of 180 days aftet the time lhe work is
commenced.
lnspector MID#: 20't8-'142960
$21.25
$1 12.55
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 '1 16002 5'1603
$133.80
$0.00
$133.80
Suite Range: Unit O-1, 04
Zoning: R4
The Bascom Group, LLC
26 Corporate Park Orive, #200
lrvine, CA 92606
(949) 955-0888
Phone:
Building Use:
Job Type:
Nature of Work:
R-2
VB
cEc 2016
Date:
Date;
Date:
ELECTHICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNF]R AUILDOR DELCANATION
I hcr.by dnrn undr p.nalry or Frrury rhd I anr cxcm Eonr lhe ConradrE Liccns. I.w rd rh. rollowins rc.q'n isc(7ujl.5
Businc$ and Profc$ion Co<lc): An, Ciry or Coutrl, which Eqrncs I lfnnn to conrru.r. 6llct. imPto!€. dcmlnh or rnrn 3n!
strucrurc. priff h ns isquancc.,ho toquircs lh.,mlic r ror su.h lEnnit lo rih! sisncd sldcftnr rh,r htor sh. t In.Fcd I1uFUJn'
lo lhc provGions olrh. CotrlEtoi\ l.ice!*d hs (Ch!pr( 9. CondcNin! wilh Sc.lior 70(D ol Divhi{,n I or rhc susinc$ and
Pmac$ions Codc ) or rhll hc.rshc kcrcdpr rhcFrr)hand rhchds( ld Ihc.llcscd cxcnution. An, vi.llri.norsdionT0l! 5 6, itry
aptlicrn! nr a Fnnir subj(k rh. lptlicrd tr a .ivil pcnalry of .or mrc thun filc huidr.J dollnn l$tfi))
-1.
as ouner ol rhc Forf,ny, (tr nry cmrkrr.s *i' h sas$ ,s rhcir $k comll.neti.n- sill do rh€ *o* aJ*l rtr dMm is ml
inrcndcd oroffcrcd for sh (Se.7(,4, BusirE$ o.d Pmlt$ions Codc:'I'h. G).tucknl Licc.s bw docs Nr alPly ro bn own$of
rhepmFny sho builds or inuro(s rh-Nn. u wtF &f,! \Eh u)rl hims.lf or hcsclf or rhmugh hh ot hc, own cmplor..\.
,,ro!A.n rllll such impmbmnhftmr inicnddl oroficrcd for$h Il horcrcr. rh.hiHiry or inpmw,n h$ldlilhinorc $u
or.orpblir lh. Owncr auiklct willhlvc llE hlrdctr ofp.ovins lhal he or \hc did mr boill or imrovc the Inr['cn, i.r rht N4b{.1
L.\oqncrolrhcnloncny.!merclusirclyconracrinssirhliccied.onti.to6lo.onslrucrrh.Ix,jcd(5..71!ll,Busircs
lnd hlrcsi,n Codc ]'hcCoitttrkr'sLi.cnscLlRdoc$nor{pllyroanosncrofpn,nr yqho buildsor imtrorcs rhcEon-
and who co.trk ir such t,ojNlr wirh s Conrracbn, licc'Md pursrnnr ri,lhc conrodois l,i.cnE ltrw)
I a .rc'bfl utrdcr Sc.l
]!!Bf,!BS].]I!JtrITDNSAIION
DECITTIATN
I hcrcby rrftn undn Fmhyolncrjuryonc ollhc folk'*ins declnftrbnt:
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hnvc d*illtuinrri.,cLnilkrlcorcotr*nrkrSclf'ltrsurchrsorkcrrc.n,!.rsri{,r.rsroridcdlirbySccri{,r.170{}orrhc
tihor C.nc. lor rhc ncrforromc .f rhc *o fr *hi.h rh. p.r rir n nsu.d
I h.v. lnJ s irl trminrunr *orkcra co rp.nssrtun i'xtrrrtu., a\ rcquncd by scdrion l?00 of rhc tlhor Gdc. rd rhc dlonNE oI
til:r,l.r
tr,ir i\ i\sud My$orkr$ conrFn\rrn ir{trrtr.c crricrr policy nuNhrr rr.
Ms ? (y'Sh av\a-
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ccnily rhlt in rh. pcrlornunc..rrhc woik ror qhi.h rhis Dc.nn h isucn- I shlll Nr corpby,ny r.r{n i any mJnrcr
$ dr t, b..o'm (uhjc.r ro rhc wod{er' comtanel ion lass of Crliforn ud,!Rc rhd ilI should b$om subjcd hrrh
work.r c.nrFnsrlion ,rovisiotrs ofSarion 3?OO olrhc Llhn Adc- I shrll. r(nhwnhcomply sirt thot povi\n,n\"
WARNINCT Fdilurc tu scur. $orlc6'conD.nsalion cov.rlSc n unh*rul nnd sh ll hFcr 0n cmplorlr ro niminnl tf,Nlri.r and
.i!il lin.s np ro oft hundtod r
:II'N\r"'t7"?0
hous.nd dollotr ($loo.(xx)). nr addiri.n ti rh. ..s ol comPcnsrian. d!,usc\
lqc$ o,r !num/.
lrEctJSaullN
I hcEb, atfi,m lndcr p(nalryof,rrjury thnt I am liccns.d undcr pmvht,n otChaprd 9 (co'nmming wifi Scclion 7()()0) ofDivasi.n -l
ol thc Busircss atrd Pmac$io.s Codc. ,il my liccisc k in rull roc .,i clLcl.
3.
-l-iccnsc
Nr rh../oag,o.G
r:aNSrBrJcIloIi.L[NDINli-trcENct
I h.Ehy rnim undd Fn,hyorpcqurytha hcrc h a constructbn bndins agenc, ror rlf r.rrornrncc oflhc e.r[ tui whi.h rhi( |*mir is
ksucd (Sc. .1097. Civ C )
AIILICAII.DECLAAAIIQN
I ho!,by drm ud€r Fnrhy ol F.jury om of lhc foltowing delaar i,n$
D.mlirion Pcrmik-Ast8sros Norific,rion Fcd.nl Rcgul,ri.ns (Tillc 40- Pan6)
-Rcq!ncd
lrncrot Nodfkdritrl
-l
ccnify rhal th. f.n d Esul,iions rcE&ding asb.nos Emv.l m nol alr,lic.blc to rhii prcjc.r.
4.l sniryrhd lh,veEtrd rhir opdtolion{d srIlc rhar lhc atnE inrnmrio. h comcl I .8c lo mq,ly wirn all City snd County
oidin n .s Md sur. uwsrcLtinn ro buildina connru.lion. !ftj h Cnt snd Countyl0. crur.nIt{
ltx)rc rmnriomd I(,ncny frtr i'r(txctiotr purBxcs
,lppli$nt o. A8tnl SianaluR
IenNte n nre(pnnl):h,i f'
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bondinq / Groundino / UFER
Translormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soflit Rouoh
Ceilinqs (T-Bar Flouoh)
Ivleter Release
Roush 2+U fik
Service lvleter
Notes, Remarks Etc.2C 4-
J
FINAL {fA lht ?t 6Y
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