HomeMy WebLinkAbout20165698 - PermitSuite Range: K.4
Zoning: R4
qProject Address: 2414 N Tustin Ave
Assessor'sParce| 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 14-K Address Range:
Tract: A.B. CHAPMAN Historic: No
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 1 4) 667 -27 38 lnspector Section: (7 141 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
Contractor:
Address:
Tenant Name
The Bascom Group
26 Corporate Park Drive, Suite 200
lrvine, CA 92606
(866) 695-s591
Katerra Renovations, LLC
3200 Earhart Drive
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
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 356547
Workers' Compensation lnsurance:Carrier: Midwest Employeds Casualty Company
Policy #: BNUWCo139070
Expires: O1lO1l2O19
Eotch+:438{3 - 5 / 17,/:,,1!off ice: (:TYH Tr'onsir !A,:ct+: PLt a:
Rcpt+:0??65648 - !..i r/',,,1r
Trongoct ion Totol
Tfrr lPflCAl F:
r L'r?lj
Koterro Reno,/qt icn: t t i
Fixture change outs (unit 4)
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 mslg gn1 Occupancy:
Miscellaneous Constr TyPe
Fixture change outs (unit 4) Code:
Date:
Date:
Date:
R-2
VB
cEc 2016
s
05/10/2018
Account#
Amsden. Julie
Every permit issued shall become invalid unless the wod< on thg sile
aulhorized by such permit is commenced within 180 days aftet its
issuance, ot if lhe woi< authoized on the site by such permit is suspended
or abancloned fot a period of160 days aftet lhe lime the wo* is
commenced
lnspector MID#: 2018-142904
011 16002 51600
01116002 51603
$21.25
$74.66
$9s.91
$0.00
$95.91
Permit #: 2O165698
Pin #: 44569
Owner:
Address:
Phone:
011'16002 51603
01 1 16002 51603
01 1 16002 51603
01 116002 51600
011't6002 51603
Phone.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNON BUII,DIIR DELCARATION
I hcEby afiirm undcr p.nrlry of pctjury rhd I am excmpr fmnr lhc ft,nlmclois Liccnse Lw for rnc n,lb*i!G r.$on (sN 70:11.5
Busincss ond PR 'c$b. Codc): Any Cily o, Counly lhich rcqutcs a pcnnir t, .onstu.r, ahd. inrmvc. &oDlhh o, repnn any
d c!uB, p'iff ro ns isru,mc. uko rcqutcq rh. trmlic,nr rd such pcnnn h fit r si8rtrd sr cmnr rhor tr or shc h li.cn*d pu^uanr
lo rne,,ovi\ions or rhc Cotrrrakn\ l-iccnsd lj* (Chlprcr 9, CoDftfti.! wirh s.ciio. 7ffx) ol oivhion 3 oflhc Busincsi and
PrurcssionsC.d.)orrh h.or\h.iscxcmFrlh.rclrumandrhcb.sisaorlhcolkScdcxcrDtion.An,violnrionofscdb.T0.rl5hy,ny
aptlicrnr aor o Fiinil subjcchlh. ipplicanl lo acivilpcnaltyolnot nnrclhan filc hundrcddolhr (S5m)
L rs own$ol rh. rn,I.ny..r nryc.rtl.yr.s wth wn8.s,s lhcir vrc compcnrltiotr. will do rh. $ort lnd lhc srMu is a
i,tcr& or olTcEn fo. eh {S( 70.U. lrusirc$ .trd Rofcsions C'odq 'l he Co.rrador'r Liccnse L'w docs mr arJ,ly lo !n o$ncr ol
thc pmpcd! wk, tnrikls oi i'nEoRs rh.mn, and wlD dms su.h q,rk hirscll or hcnclf.r rhnt8h hh or l$ owncnDloyNs.
[ovidc'] rhal ru.h impmunEnh m mr inrc Li or ofT.Erl fn $h ll h.w.w. rh- boililiflS or in{,mtmnl i\ $ld wirhin nf,c Fr
of ronptrion. rnc owmr Buildcr will hare rh. hudcn of !rcvitr8 lhlr tE or shc dil ml hiu or nqr.rc rh. pn'p.ny lor d. Iiu4$E ol
-1.
!sowncr oirhe prcp.ny. a crclNilclyconrracriissirhlic.nrdconrldont,.onntu.rrh.nn)jccl(Scc 704,1.B.inr\\
a l Pmldsi,iCodc:ThcCo.kd.roCsLi.cnscljwddstror.prlybrnotrncrolpiopcny*h,,l,uild\.rim|i.rcslhcrcon.
und who .onrrocr\ri'!suchrmEcrswirhBContlck,ir lnan\cd po^uaii rorhcC.ntNttri Licctrs. L1w).
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rrrxcnrpr undcr Sccri{n
Ouer:
TAf,f,}:f,SIAITENSAIION
Dlclt&LuQN
I hcrc$y lrrfln unds p.mlty oa p.rrury orc ol llrc fol,owinB dtrloElions:
-l
h{vcudwill minrain rCcnirEdcofConsent ro Scla-,nsurc tu *orkdc .odp€n*drn i. as pmvidcd for bySclion.STlxJ ofrhe
bbor Codc. ror rh. IE.lolmne of lh. mrt for *hich rhc pcnit h issu.d.
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haw and will mainlain worlcN comrcnsll ion insurarce. as ,cquircd bt Serion :r70o oI lh. tjhot Cadc, for lhc Pcrfomncc of
th. work rd q hi.n rhr Frm rr F\ued Mv tr orlc' r c.mFn.lhn 'hu',a'r .m '.' Mn poh.y numb.r rc'
."",",, V,rll,l' Atlw,r.r- C-sh i
T9 NM 4;>1<.,1o1o.
Ic.difyrhxr rhc lf,rfn nrRcolrhcroknrwhichrhl\pcflnil h i$ucJ.I shrllnoi en,plo,any pun inrnyr ncr
$ slo lrconrc $h]ecllo rhc wo qscompctrsrrionr3wsoicrlinnnir,rndllrtdhIill(huklrt.otrrcsutjcclbrh.
snrkcrs, snEnsrrion nrcvhi{in\ oi Sccri{'n .17{X) of rhc ljhn C,dc. l \hnll. rdrhs [h ..nIny N[ h lh,* pr)vnnnN
WARNING t{ilurc $ scurc $orkc^ conrFnsrliotr .ovcnec is unh{tu|. ud shall rub)L.r r cnrf,oycr ro rinrinul Fmlrics,nd
civil fincs uD ro orc huMrcd lhousnd dolhn ($loo.lx)o). in ad.iili{in t, rhc c.i or..nrr.nsriotr, datrr$cs rs pn,vidcd fot rhe
Scdion 1076ortu hnor Codc. intcreslrtrd 0ltorncy s iccsD,,* , " 1018
DECI.AMTCN
I hcrcby rittflr lndcr pcnalrydfp.riurt rhdr I n'n lntna_d u.ddr pdvi\n,n orCh.prs 9lcomnEncins wirh Sccrion 7Im] orDivniotr l
ol lhc Busitrc$ ond Prn'c$ioni Codc. Lnd m,licen\c is in tullrbreaJdcftd.r
Ddar. _l
\eo qlsAtl
TlB
(:(INSTRTICT(TN I,ENNINC AGENCY
I hcnby sfirm undf r.ndly ol pcrjury lhal lhcE h. con(rudion lendirs rycncy r(tr rhc !.rlbmm. of$. eort lhr Bhich rhh Iicrmir ir
is$cd (Scc.109?. Civ C )
AITLICAII.D8.CI,AMUI,}N
I h.1$y dim undcr Fnalry orri.rjury dk of rh. rollowi.g d<larilio sl
Dcmlilion Pcrdls-Astrslos Nolilicalion FcdeEl Rc8ublions ('rilb 4(1, P!d6)
-Rcquncd
Lcllcr of Nolifiolion
I..diry rh,r rh. tcd.ral Egularions rc8&ding asbeslos rcnrvtrlN nol artltabk ro thn pejecr.
rft curiry rmr t Urc rcsa rns apdtarion en $arc rhar rhc ah,vc ina.nMibn k.omr. I lgE roomgryv'lh lrl ciry !d G,nry
ordiMnccs tr.d Slrrc Laws rclaling h bu
ab.v. nrnrn,ftd pr,t.dy ror insrc.tiotr
olrhis Ciry md Cndnryb cdr$ upoi dr
Appliranl or AA.nl Si*nnlufr
D---i u 'o{'ffAY
Site-Work
Underground
Pole Bases
Lighl Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundinq / UFER
Translormers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lvleter Release
Rough </t,?l,t 9-E 4,ba&
Service lvleter
FINAL 4-n-tg J/"{oL (v/
Notes, Remarks, Etc
t ndcir Nlm
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