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20166456 - Permit
City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 20{66456 Pin #: 45O9Olnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 Project Address: 2424 N Tustin Ave Unit: Block: A Bldg: 24-S Address Range: Tract: A.B. CHAPMAN Historic: No Suite Range: S-3 Zoning: R4 q Assessor'sParcel: 396.261-55 Owner: Address The Bascom Group, LLC 26 Corporate Park Drive, #200 lrvine, CA 92506 (949) 955-0888 01116002 51603 01116002 51603 01 1 16002 51603 01 1 16002 51600 01116002 51603 Fee Type Amount 125 Volt Receptacle 1.45 Light Swatches, Occ. Se 1.58 Light Fixtures 1.05 General Plan Update 22.08 lssuance 55.04 Qty 5.00 12.OO 5.00 1.00 1.00Tenant Name: Contractor: Address: Katerra Renovations, LLC 3200 Earharl Drive Carrollton, TX 75006 (972) 818-1065 Eotchi:45194 - A/3l2Ol8 tD: CCllEl.l-Ak offire: CTYH Trons+: I 11 ol 39 *cct;: Reli: 20166456 Rcpti:02347{{9 ' 8/3l20l8 2222 Pn Tnsnsocl ion Totcl t5 r 2{3.5.1 Phone Slate Lic #: 1009989 Lic Type: . B Bus. Lic #: 366547 Workers' Compensation lnsurance:Carrier: Midwest Employer's Casualty Company Policy #: BNUWCo139070 Expires: O1lO1l2O19 KRterro ftenovot ionsr LLC G€nerol Plon tlpdote Fee 01116002- 516@000- Electr icol stu6002- s1603(0G- ICL Check 003{120 U isa CCi: rl*r*r*Ilm*5069 $??.rlii 196 , :in 35r 143.9t1 $99 .63 Arth+ ! 052017 Building Use: Job Type: Nature of Work Notes: Fixture change outs. Unit 3 Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Chavez, Dave Date: Date: Date:08/03/2018 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Every pemit issued shall becofie invalid unlesslhe workon lhe site authorized by such peinit is commenced within 1 80 days after its issuance, ot if the wo* authoized on the site by such pormit is suspended ot abandoned for a peiod ol 180 days after the time the wotu is commenced. $22.08 $86.50 $'108.58 $0.00 $108.58 MID#: 2018-144744 01116002 51600 01 1 16002 51603 Fee Total: Paid to Date: Balance Due: Lot: 8 Phone: Fee $7.25 $ 18.96 $5.25 $22.08 $55.04 Multi-Family (5 or more uni Occupancy: Alteration Constr Type: Fixture change outs (Unit 3)Code: R-2 VB cEc 2016 lnspector ELECTRICAL.INSPECTOR RECORD APPROVALS DATE OWNI]R BUILDTR DELCATATION I h.rcby {fllrn uftLr Dcnnlly ()fl'criury that I am cxcNnl ton lhc C.nrrucron l-i..n.c tf,w r.r 'h. iolloNin8,casn 1Sc.70.ll5 Businc$ md Prolc$ion Culc): Ary Ciry or counrt whi.I icquir.\ r Fnnir lo con(ruct. {llc,. inDmvc. rhtu kh ,tr rjaln Jny inclurc, rirk, irs h\un..c. rko nquncslhc llPflic.nl for suchFnnir to filca \isncd {d.tunr rhur h.or shc is liccnscd Pumuinl to rh. povtione oi rhc ConrGrols Liccnsed li (Chlplc. 9, Comtuncins unh Sc.rion 7m0 ol Divhho .l .f rh. Btr(incs ..d Prorissionl Codc) or lhat hcorshe t crctrlPr ih.rcfromlnd rhc hrst l;rrhc.llcS.dcrcmprion AnyviolalionofS.crionT0llJl'yiny applicrnr ln! a pcrn,il srhjccrrrhc lprli.rm ro r.ivilpcndhyornor morc rhin lirc hundr.ddolla rs5mr _l- x\ orncrof rhe poircny. rtr rycrploy.rs wilh wrgcsasrh.n inc c.nrFns!! io n, willdo rlE worl ud rhc {fl.rm i!ftn inrcndcd or offcrd ror eh (Sc.7(,'l.r- Busirc$ lnd Pmn\sions Cdc Thc Cohtrrcktr s t.i..Nc hw d.cs tror qrtly h lno*tur or rhc ljft,pd! wlD hikls or i'qrDlcs rhcNn. Md wh. dms su.h wo* hiNcll or hcrrll or rhmugh [n or hcr .wn cntnloyccs. nrovidcd rhrl slch imtnoEmnrs m nor inrcndcn or onid f(tr saE li hrwcvcr, rlt hx TdinB or in{svcrrc k sld *irhin om )qr oi conDhtiotr. rtE Owrcr Buildq will haE rhc h{rlcn ot Imyi,{ lhd h. or shc dil nor buikl or i.'pn'vd $c lmFny f.tr lhc fi,ryM ol -1. !sowmrollhe oopcrry- !mcrch\iv.ly.onti.tin8 wirh lic..s.d .o nha.toN ro con(rucl lhc prorccr lscc ?0r{, Bnsrc$ .nl Pn,fssirn Codcr Thc Conta.tors Li.cnse Law dcs nol.Drly lo an osncr.fpn,p.ny wh() hrilds or inDmve\ lhcreotr. lnd Nno conrrlcrslor sLch l'oira wilh 0 conrdo(s) li.cnicn puruuN hrhcConrmcrals l,iccn* Lxu) I amcxcnr u er Scclion- Da(c: Ovner: woR(Erls' coltPENSATxrN DECLANAIIQ! I hcrchy amrm undcr !.nohyolp.rjuryore of rhc f{nbwine dcclarurioni I hrvc dt will minrri. a Ccnificarc oiCon{nl'o Self lnsurc for workes ..n\rnsal ion- .s pr.vidcd fitr hy Sccrn,n 1700 orrhc Ilhir codc, r.i rh. lclformtrncc ofih. *ork ior ghicn lhc pcnnil is hsucd I havc a*l wilt 'nrinrrid *orkc$.om|xn{tnr irsu ncc. ns rcqutcd hy Srrn,n l7(X)ofrhc bbor Codc. Io. rh. pcrforrome ol dricr drd [ni.t nurbcr ec]I'cn i n tsd M' wor[c6 (.DBnsrri.n insun'n.. P.ri.yN*,,r*,, Dv$\l \.\. _l ccnilirhar in rhc pcrnrtu,f,.or'hc sor* ror whi.h'hi( pcnnn n nsucd.l xhall nor cmrloyrnyr(rv,r irr ttrymlnnct $ $t' bc.om subjer ro thc work.r' compcns ion h*of Csliaorni", xid agrcc rhdr irl should bcconE subjcd ioih. *.rkd I c.nw.sahon ,mvhioos of Sccr ion :l7lro ol thc I ibr Aiq I shdl rrrhwirh onply with rhot pnvtioh WARNINC: Failurc ro scud *o&.*'mnt nqrt,n.\,v.agc is unhwtul. d shall su h 5 sflria< k, dinnnrl |f,Mlli.\ lnd civil firc\ up lo onc hun&cd rh.rutrd dollrr (Sl00.U)0). in ddilion lo rhc ior, datu8cs a\ pmv cd t)r rhc r)1.{ I \lr \ llr )\ I hcrhy alfirn undcr F.,hy ol lcrjury lhd I m liensd undcr Imvhioi orChafl.r 9 (ommRing wirh Seclion'71n0) orDivisi.n l of rhc Bo\incs dd PFrcsions cod., 0.d my li.cne is i. full fora md cfis' t0O't nt ro't '"'"1Sg-${LJJid"*'-"* F^[-*a colsrBuqrloN.liElDllclc[lcr Iheftbylfrrm!od.rp€nalryofFiuryrh rhsc is { conslruclion tndins lscky ,or lh€ Frfo.Ms of tlE m ( for ehi.h thh Fmir is is{rcd rscc .l0i)7. Civ C L ATEITCANLDESAMIIO! I hmny ofim undcr F.alr, of p€rjury onc or lhc rotlowi.B dccLtralions: Dcnrlnion PcirnniAsbcsros Notificarion Fed.ral REBul,rions (Title 40. Pd6) -Rcquncd L.ucrof Notifi qrion Sccniryrhor I hNc r rhnDppli.d ordin0rccs ind Sn'lc h*a Blnriir bhu rbovc trr.tioncd lmpcrty lor ir\Eclion io,rnd (ncn rrlr.rh,!. dr,n xrrj i r\ ,\ppliGnt or A*rnl Sign ure A^ nsre ro conply wilh,u Cnyand Counr, ivcs oarhil Cilymd Co,nryro cntcr upon lhc Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Lile Salety /Low Voltaqe Fire Alarm i Dampers Communications Cable Buildinq Under Slab / Floor Bonding / Grounding / UFER Torqueino Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilings (Hard & Soffit Rouqh Ceilings (T-Bar Rouqh) Ivleter Release Rough r/,{y's 5A ,-E Service lt/eter FINAL vsvt* 9t fat zflf8,I Notes, Remarks, Etc. ID/SIG.COMMENTS Transformers Sub-Panels Sc.rion :10?6olrhc htnrG'dc, inr.rc{ dnd .nry s Lcs AUrt3lol$ 1..'iil.yrhrrrhc lidrnl rcSularion( rcEddirA r{hcn.\ rcnFvil0E nol rDJ,licrhh h rhr FJj..r l)!le:,l I ----l---