HomeMy WebLinkAbout20166520 - PermitProiect Address: 2424N Tustin Ave
Assessor'sParcel: 396-261-55 Lotr 8
q
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), SantaAna, CA92702
lnspection Requests (7'14) 667-2738 lnspector Sectionr (714) 647-5853
Electrical Permit #: 2O166520
Pin #: 89267
Owner:
Address
Contractor
Address;
Tenant Name:
The Bascom Group, LLC
26 Corporate Park Orive, #200
lrvine, CA 92605
(949) 955-0888
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, TX 75006
(972) 818-1065
Fee Type Amount Qty Fee
125 Volt Receptacle '1.45 5.00 $7.25
Light swilches, occ. se 1.58 12.00 $18.96
Light Fixlures 1.05 4.00 $4.20
General PE|obUBEst+F r94 249A/2i|1,\ l.flfl: 1:rllll:SQIOB
lssuance 0fi'irer CTYH 5do4nsi: 1 1.00 35 S6sI4Ac,:L+: REf+ r ?rt 1641;:lr-r
Fl'rpt+: f,r?i17473 - g/s/'rttlg'!t',l'i Pl1
Trqnsc,-i ion TcLoI *r,24.i.::i,i
Phone KotPrrn Renov(tt iollsr LL(:
Generol PIsn Updote Fee
(r111600?- 516000t1-
Ele,:tn i,:q1(u1t60B?- 516030(r(r-
ICL Cherk 003021)
V iso
CCf: *Ir**rrr*Ir15[69
t8'"1.4ri
15, 14.1 . ?rl
$9./,63
Auth+:1.152017
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field;
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture Change Outs (Unit 5Pode:
R-2
VB
cEc 2015 Notes: Fixture change outs. Unit 5.
Misc. Receipt:
Misc. Receipt:
Misc. Receipll
Total
Chavez, Dave
Every peinit issued shall become invalid unless the worr( on lhe sife
authorized by such permit is commenced within 180 days aftar its
issuance, ot if lhe work authorized on the site by such pemit is suspended
ot abandoned lot a peiod of 180 days aftet the lime the work is
cofimenced.
lnspector MID#: 2018-144903
08/03/2018
Account#
01 1 16002 5'1600
0'1 116002 5't603
$22.08
$85.45
Fee Total:
Paid to Date:
Balance Oue:
$107.53
$0.00
$107.53
Unit:
Block: A
Bldg: 24-T Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit 24 T-5
Zoning: R4
Phone
01 1 16002 51603
01 1 '16002 51603
01 1 '16002 51603
01 1 16002 51600
01 1 16002 51603
State Lic #: '1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensation lnsurance:Carrier: MidrflestEmployer'sCasualtyCompany
Policy #: BNUwco139070
Expires: O1lO1l2O19
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
I
Date:
Date:
Date:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG,COMMENTS OWNER BUII-DER DELCARATION
I hcrcby .rtrfr undn pcn0hy of !.rrury rhar I m ercmpr fmm rhe Co.rEdoF Lkcn* kw ro. (h. follorin8 rca$n (Ss.70.11.5
Busine$ .trd Ao{c$ion G'dc): An, Ciry o, G,unry which rcqlircs . ,innr to .onstrucr, axcr, implovc, dcnolhh.r rcpln ,ny
nrudui.. trior b irs nsuanc., dh EquiEs rhc oppli.a lor su.h lr.mir ro ,ilc ! siricd d,rcftar rhar lr or shc i li.cncd l1usuant
b rhc rovhionr ofrtE Conrra.ior's l-icc.Ed bw (chafld 9, comnrmios *irh Scclion ?dlo ol Dilti.n I or thc susi.css.nd
PoiasbnsC.dc)orrh,rtuorshcncxcmpllhcrcriomatrdlhchasisforlhcdllegedcrcn/bn.AnywohtrtrofSdion?0ll5brany
{plicnnt lor . pcnnit subjNts rlE applicoDr ro ! cilil Fnalry oi nor mrc rh,n nvc hundrcd dDllrs ( 3500)
I. a\ osi dfrh. ptuFdy. or my cmployes wnhwag.s$rhct v'lc dnnpcnsarnn,, willdo rhc sor*.ild rtE slnrrurc h n.r
irlcn& or orcrcd l'or slc I Sff 7(11,1, B!si@$ and Pdassioos C.dc Thc QJtuador s Liccnsc tiw docs ml lpply ro d o*n* or
rh. poltny shl ttuildr 6r inFos rlrmn. and who dxs smh w* himsclfor herelaor rhDlsh hn or h.r o*n.mplorcc\.
pmldcnrhar such mlmrcmnr\ arc mr inrend.n oroocrd lor sali lt hosclti rhj hildin8 or nnprcv.mnr issoli$irhinonc Jta
or.oriplcrir. rh. ownd Buill$ will hirc lhc burdcn .f pruvirs rnd hc or shc did mi t{ild or inDi(,v. rhc p$Isly tu lhc DurPoF of
L u{o*ncrotrhcl,rotcdy. !m cx.lu\ivcl! .onlricrirt qirhli.ctrs.d co.lrrcr(trshcon{dcrlhr ti{rjNr(scc 701,1.8unocs\
d PdassrD Codc Thc C.nra.roi\ l,i.cn\c tjs doc\ n riflrlyl,, rnowrcr.fri.tr ytrho buildsor imtrovc\ rhcr(,n-
,n! sho.onrmcrsturnrhtoJ.trswirh!Qnnmcn'(\rl(ctr\cdNnu ll.rhcContactoisl-tcn\.LN)
I nr.r.mfl uidur Sc.rnnr .Il. & P.C.lnrlhis rcason
Dale: - Oqrc.
woRxERsiCoNTPFN.sATmN
lrricldBAr.lltx
I hcreby rffinnundcr Fnllry ol pt'j$y onc orrhd nrbwine &clddions:
I h.v. orl will nrint.in. CcnifEarc olConscnrro Scll lnsurc f{r $orko\' .omlEnerion, $ tmridcd for b, S.crion:170ootrhc
tihor Codc. ror rhc pcrformncc of lhc *oA tu which rhc ltrmil i\ hsucd
_l hrve and will mainhin work.^ .n'np.nsari.n insur.n.d. rs r.qutcd brScctionlr00oflhc LahorGd.. rd rh. lcrlonutrc ol
i\ p.rn,i n i$ucd Mytrorltdr.onin \rri({ nr\urrr...rrlcr rrlF,li.v N hr rr.
f.
ft ", t .\.\ ',
l6nifyrhnr ni rh. p.rfonunccolthc work Lr trhichrht pcnnir is n\ucd.l shnll nor cq)loyan, Jfnun ir snytn mr
s sx,hccom suhjsl rorhc workcr\ compcns n,i h*\oacrlir.min, rnd dgrc hd ifl should hcconE \ut'jer r.rhc
workcrs.onrrcn\alionpmvni.nroaS.crn,n-17{DorrhuLihrGdc,lsla,ll,nrnhwih.onrlyPilhthoepnrriri.i.
cilil firc\ trp b otrc hrndrcd rhou\rtrd dolllrs lslll).lx ),nr, dilioo h rhc con olcoh,fi:n\rri
",.itie"CI5'
ii, inrcrc, and allomyt fcs
_ ' Applloni:
I hdrcby ftmundcr l.nllryolpcrjury lhalI Mr liensLal undq rDvirionofChapr.t I (co'bntrncine with Scclion 7(rOO) oroivnn,n.l
ol rhc Bo{msand Pturdssions Codc,,.d mylicn* k mtullioreadcfisl
0 oq49Q
"f,,ttG$8 2010
rL, .
CQNSIBIJI]UQNj.EIDNC.AIiEIC.I
I hcmi,y drfifln undcr FMltyolperjur, rhar rhcrc is a colsrrucrioi Lnding a!.ky ror rhc P.rfornroncc oithc work ror which this Frfril h
is\ncd (Scc .lO9?, Civ C.)
AIfIICANLDECLABAIIOI!
I nod,y altm und.r Fnalry ol r.rjury onc orrhc lollo*ins dcclarorhtrs:
Dcnrolirion Pcrmirs Asbcsros Norin arion Fcd.rd RcgularionslTirlc 40. Pon6)
Rcquncd k(cr of Noriil.arion
-lccnilyrhrr
rhclcdcrulreguhrnnurgednrg ash.{G0mvdJc nol tflic.blclo rhhpmrccr.
-l2cqD r hr t h$ c rcdd rhtr q,plrr [n dr]d nJrc rha, rhc 0hovc intunnarn]n i\ conc.r I ag,N ro .omnly wirh all cir y and counry
nrEiliiirr 0 J\r rttrs<(brnar.huiL rns(otr{rucrtr'n.flxlhcrchyrurhoircrcrrc*nrdivcsorrhisciltindCouniyrocnlcrlFnrhc
{hovc nEnriancd pron rly for inspe.ii{,n
ADpli(nnl or Aacnt skr!lurc
c. I
/n4
,,i\lt,,rn21 $
Site-Work
Underground
Liqhl Standards
Spas, Pool, Fountains
Siqns (monument)
Lite Satety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq i UFER
Torqueino
Sub-Panels
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouoh
Ceilings (T-Bar Rough)
IVleter Release
Rouqh X/2zttv ,\65
Service Meter
FINAL 4 /a1/,u 9t>66
Notes, Remarks, Etc.
Pole Bases
Translormers
Air Conditioners
Es^4
t.tr.t.,'. 4.i,1,..\
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