HomeMy WebLinkAbout20166462 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ16,6462
Pin #: 7215ll
Proiect Address: 2424N Tustin Ave
Assessor'sParcel: 396-261-55 Lol: 8
Unit:
Block: A
Suite Range: Unit L-10, L-12
Zoning: R4
E
Owner:
Address:01 1 't6002
01 1 16002
011 16002
01116002
011 16002
51603
51603
51603
51600
51603
Qty
10.00
24.00
8.00
1.00
1.00
Fee
$14.50
$37.92
$8.40
$22.08
$55.04
Phone
Tenant Name:
The Bascom Group
25 Corporate Park Drive, Suite 200
lrvine, CA 92506
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
General Plan Update 22.08
lssuance 55.04
Ktrterra R€novot ions r LL(:
Bctchi:45194 - 8,i3l2018 I0r (:{:Ull.t-A[i
office: CTYH lrons+: I g of lgAcct+: Rel+: 2r"116646?
Rcpti:02347116 - g/3/?OtB 1122 Ptl
Tronsoct ion Totol tsr24l.l-lPhone
Genercl PIon updqte Fee
01116002- 51600000-
Electr icol.
01116002- 51603000-
ICL Check 003020
Vi so
CCi: }};IrrrI*rti5069
t?? " rlg
t 115 .96
15 r 113 .9tl
$99 .63
Autha3r-152Ll17
Planning Conditions
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TyPe
Fixture change outs (Unit L-Code:
Date:
Date:
Date:
R-2
VB
cEc 2015
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave
Every pemit issued shall becomo invalid unlessthe wo* on the site
authoized by such pemil is commenced within 180 days aftet its
bsuance, or il lhe work authorizod on th6 site by such permit is suspended
ot abandoned fot a peiod of 180 days afier the time the wo* is
comfienced.
08/03/2018
Account#
$137.94
$0.00
$137.94
lnspector MID#: 2018-144749
01 1 16002 51600
01116002 51603
$22.08
$115.86
Fee Total:
Paid to Datei
Balance Due:
Bldg: 24-L Address Range:
Tract: A.B. CHAPMAN Historic: No
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
Contractor:
Address;
State Lic #: 1009989 '
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: Midwest Employe/s Casualty Company
Policy #: BNUWCol39070
Expires: 0110112019
Notes: Fixture change outs (Unit L-'10,12)
Building Use:
Job Type:
Nature of Work:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNDR BUII,DER DELCARATION
I herchy alfirm unaer pentrlry of pcrjury rhar I m.ftn l rbm rhc Cont,.-ron Liccnrc kv lor rhc foU.*ing Ea$n lscc.7oll.s
Busincsc atui Prorcssbn colc) Any Cily or County Nhich rcquircs a pcnnir r. .on{ru.r. alrn. nq,rov., demlth ot Epat roy
(rucrure. dorro ns issudns, sls rcquircs th. lprlkanl ror sx.h Frn ro file a sisned $atcmnr rhar h.orshc h liccnscd ,nnuMt
ro rh. [ovisions olrtr ConrrErois Liccr+d Liw (Chatcr 9, Conmcfti.B wirh S.clion'7000 of Divnion:] ofrh. ausincs 8nd
PmlcsionsCodc)orrhorhcorshcicxcmprrhcmfbnandrhcbdshrdrhcullcscdexcmptit,n.Anyvnndi.rorserionT0ll5hyun,
ryplicanr lor a pcmn subj(G rh. alplican' ro acivilpcn{lrrornor nxE ',un fivc huidrcddollar*($500)
-1.
rs owns ol rhe pmp.nr. or ny c.trlort.s wirh wag.l 0r rhcn sh corFcNarion. will do Lhc aori lrd ir. etuN n mr
idc nrl or oltcrcd for slc ( SN 704,1. Busircss lnd Pmlc$ions Codq fhc Conracrofr Lkcnsc hw docs nol srl,ly ro {i osncr of
rhc rmpcny who builds o. i,r{reB thctu( nd wh. dd. soch $r& himsclror hcrselror lhml8h hh or hs o*ncmployccs.
Fivid.d rhlr such inqmrnEnlc N ml nicnLd or ofasl fo! slc ll lnwcwl rlE t ilding or ifiDmE rnr is sld {ithir onc
'teol'corrykrion. tlr O*ncr BuiUo will hdr rlr burd.n or Foving rhnr he or shc did ml tuild or iq,ow lhc pR,pcny aor (tt PU4r* or
-1.
!so*ncrolrhc prcI].ny, nnr cxclusicclt cont,crinB *irh li..nsd.ontaclorlo consldcr rlr rmii (sc.. ?o44. Buiimsr
snd Boftssnn Codc: Thc Conrrrrols Liccn$ l-uw dm\ nor appl, b nn ownf .r rropcn y *ho nuildr or imlov.s rh$sn,
and sho .onrh.k for sxch loFts wirh a co mdo(n li.cnscd purlunr ro rhd contr.ioai Ltcnsc LIB)
I a .rcmpr x6dcr S(trr
II()RKI RS' ('()Nl PllNSA l l()N
DEcld.Btrllrlx
I hcrchy Jillrar undcr pctrrhyoi Nrlur y otrc ofrl[ lolk)wi11! dcchfuri.rs:
I hrv.,.dwill.un air oc'cnificrrcolconserrh Scli lnsurc t r sorkc^ d,f,p.nqliotr. as tovidcd lorbySccrnnr lTfi)orrhc
Inhr. O!r€. fo! rhc pcrforurc. orrhc wor* lor *hich thc p.rtrlir is nsucd.
t hdvc rtrd willmtr niin workcis compensllnrn insuarcc. !\ lcquircd by Scri(,n lru) tlrhc hhor (.odc. lor rhc pcrtuntun c of
.onrnrtr\arnrin{rrn.c.r rrarkl0nlicynumh.r!r.
*r51tr2rl'n
_l.cniiy rhar in rnc pcrrortutr.c orrhc *ork ror which rh,s lchrn n issucd- I \hall nor cnrploy any p.son in ony flronncr
k, * k, b..om subJL{l b rl[ qortcn'conrcn\ei ioo l!*s ol Calilnnil rnd ,8e rhd il I should tEconE \lhJcd ro rh.
workc^'co,np.nsrn,rpovnionsolScctionlT(x)ollncljtrrCodc.lshlll,ronhwilhcomdywirhrhospmvision\
WARNING: Iailur. ro $crrc sorkcB .onpcnsdn,i .ovcfulc i\ unh$tu]. \hrll suhJccr ,8lrl,,y.r !, dmirul P.trrlris ud
b onc hundrcd rhousind d.llnrs (Sl{X).rx)O), ir dddIn r
ss"'.ru,u*",luG
DICI.AB{IIAN
I hcrby dflirn u.df p.nnlry of pcriury th0t I am liccnsn undcr prcvision orChaprd 9(.ommmin8 wnh Sdhn 7000) ofDivkion l
of thc Busircssand Pn,tcliioB codc. and myliccne is in tull forcc en efiecl.
\rOtrrta.
6^k ,--..
CANiIf,IqUOXI.ENDINIiT;INIX
I hcrchy nlltm undcr pcn.hy of lcrjury rhar rhcrc is a consdcrkr. lcndinS.Scncy for lhc !.'n'orrorcc 6rrhc wdr* for whi.h rhh Dclnril is
ksu.d Ise..1m7. civ c.)
ATTLI(3NI"DII;I.AAAUA!
I hmhy rnim undcr p.trdly of pcriury onc oflhc lollosins dcclurulionsr
Dc.rlirir. P.rnrirs A.h.sos Norifi.0ri.n FcdcEl Rc8rlariotrs (Tnb40. Pd6)
R.qun d btrcr of Ndifr.lion
-l
ccniiyrh rhc ridcral Egltlriotu mgrdi68 Nh.{usomovrl,rc norrDDlicnhlc lo lhis!x,it!
#1;**,;r';lr;"xrsll t codccr. t asr. ro.srply wilh allCiiyand Colnry
rcprcsc uriler ofrhis Cny rld Counlylo cnler u,x)nrtE
rA,uGo.a4]!tvc nrtrri(nEd nmrcny li)r
ADDlicrnl.rAftnl Sirnalum
Da*i L A,{'
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safely /Low Voltaqe
Fire Alarm i Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq / Groundino / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
lvleter Release
Roush .*tZ nli0t(>\76
Service It4eter
FINAL "t/r*Y c\ 8-8
Notes, Remarks, Etc
*" AL}G
knd.,\ AJd..\
-
.-------T------
I
fT