HomeMy WebLinkAbout20167090 - PermitProject Address: 2414 N Tustin Ave
Assessor'sParcel: 396-261-55 Lot: 8
Unit:
Block: A
Bldg: 14-D Address Range:
Tract: A.B. CHAPMAN Historic: No
Suite Range: Unit D4
Zoning: R4
ry
20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Electrical Permit #: 2Ol67090
Pin #: 30292
City of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address:
Contractor
Address:
0'1 1 16002
01 1 16002
01 1 '16002
011 16002
01116002
51603
51603
51603
5'1600
51603
Amount
't .45
'1 .58
1.05
22.O8
55.04
Qty
5.00
12.00
5.00
1 .00
1 .00
Fee
$7.25
$18.96
$5.25
$22.08
$ss.04
The Bascom Group, LLC
26 Corporate Park Drive, #200
lrvine, CA 92606
(949) 9s5-0888
Fee Type
'125 Volt Receptacle
Light Switches, Occ. Se
Light Fixtures
General Plan Update
lssuance
Phone
State Lic #: 1009989
Lic Type: B
Bus. Lic #: 366547
Workers' Compensaiion lnsurance:Carrier: Midwest Employer's Casualty Company
Policy #: BNUWCo139070
Expires: 01/01/2019
8ot,:hi:46{50 - l0/L6/2fiL9 It): LR05A|-E5officer CTYH Trons+r ?7 14 0f +tAc.t+r Ref+! ttrl67ll?r:r
Rrpt+rtl241/t191 - lil,/16/2tl1g -t52 Ffl
Tnonsor:t ion Iotsl $i:379.114
(rter'ro Renovot ions' LL(
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Generol Plon Updotp Fee
01116002-:1600000-
Electr icol
01116002- 51603000-
ICL Check (103061
Viso
t??. (rg
ts6. 50
11t3?.7.79Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Fixture change outs (unit 4) code:
Date
Date
Date
r i xtu re cliari"g+d 6 [fs{ f,Lf it tI i': l'Authi:tlttl521
Misc. Receipt:
l\4isc. Receipt:
lvlisc. Receipt:
Total
Chavez, Dave
Every penlit issued shall become invalid unless lhe wo* on lhe site
authorizad by such pemit is commanced within 180 days after its
issuance, or il the wot* aulhoized on lhe sita by such petmit is suspended
ot abandoned for a penod of 180 days aftet lhe time the work is
comfienced.
lnspector MID#: 20'18-146671
10/15/2018
Account#
01116002 51600
01 I 16002 51603
$22.08
$86.50
Fee Total:
Paid to Date:
Balance Due
$r 08.58
$0.00
$108.58
Phone:
Tenant Name:
Katerra Renovations, LLC
3200 Earhart Drive
Carrollton, Tx 75006
(972) 818-1065
R-2
VB
cEc 2016 Notes:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hd.hy drtr,n undd pdaly of pdjury rha I M .r.mfl tom lh. Contraclo6 I-ictu. ll* aor rh. touosins raen (Sc.7o.ll 5.
Busines sd Profsion Cod.) An, City or County *hich r.qun6 a lEmir ro con rucl, ah6. n.prcvc. d.inolish or r.p.t uv
slrudu.. p.ior Io irs isumca also rcqun6 thc aq,licat lor such p<mil b 61.. sisn.d slolddl lhal lE or ltE i! licmcd pBudl
ro lh. Fovisions of rtE Conrelor's Li.m.d rjw (Cnafld 9. Commcncing *ilh Sclion 7000 of Divison I ofrh. BGircs ed
Pmf6sn,ls Codc) or rh h. or sh. is cr.npt lhsclion &d rh. hdir for th. all.!.d qoplion nyviolalionofsdlion70315 bvev
.ptlicad for apnnit subjdslh. appli.amro tcirilp.nallyofnot morclh& 6r. hundred dollm($500)
l. 6 oq nd oarh. pmFrrx or my cnploy6 wilh *ags 6 lh.n $b comFnstrioi, trill do lhc $ ork 5d lh. slntrE i. fl,
i.tad.d or oifd.d lor elc (Sc 7044. B$in6s Md Proasions Cod. Th. Co.lrrtois tic.e ljw do6 nor @dy b m ounq ot
rh. PIoD.ny *ho t[il&or i'nFoi6lh6on, ,nd \ho do6 nd k,{ hinsclf or h6rlf orrhrough his or hdoM cmployc.
providcd lhol su.h imrmvdMuenoli c'(h ororscd forel. lt hosd6. rh. buildi.s or i,ni'offir ield withm on. )@
oacompkion. rh. Otrr6 Buildd sill h.v. th. brdo of provins fid h. or shc did mr hrik or urFo\r tirc F.poiy aor lh. pl!'pos ol
l. sown6ofrh€ prcpqry. m.x.l$iv.ly conrdinr rilh licosd .onta.rou to connrud lhc prcj..l (Se 7044. B6ins
dd PmG3sim Cod.: Thc Conlracror's Lic.ns. L,* do6 nol.pplylo an o*.8 orFropdr who builds or nnprev.s rhddn.
and *ho .odBds lor such proj.cls wnh a ConlFclo{s) lictu.n puBwr ro thc Codradoi! Li.4. ljw).
I d e(mfl undd Sdrion
UOAf,IAI-I;A!'IENTAIAI
D[q.aaauod
I hd.by rmm u.dd paally ofpsjury on. oao. follo{ing dcltt lioB:
I h.v. and will mi.rain . C.nific . olcoMl lo Scll-l6tt. for worl6 enpd.lion, s Fovid.d lor by Sexon 1700 of lh.
L.bor Cod€. lor rh. I)afomdc. oflh. mrt for *hich th. ponir i! au.d
I h.v. 6nd will maini.h work6 comrdEllio. iBu.m... s J.qun.d by Sation 1700 of th. kbor Cod.. for lhc p6fom c.oa
is isu.d My workds conp.$rlion insuloc..did trld plicy numbs rc:
I
^,.r^,.* €UU N .,"*, I .\,1r1
I cdirylhal inlhcp.rroman.ofrhcqork fo!rviichlhis psm is i.su.d.I shall nol oploy any F.Bon in onvmund
$ ar ro h..onc bjd lo lh€ *0l}6 compderion laws oacaliaomia. and a!ft rhar if I 3hould b.conc subjd' to rfi.
sortdt comp.nsalion p(rlisios of Sdio. I700 of th. tibor Code I shall. fonhtrnh compl, {ilh lho* prcvisioB..
$ARNINC Failu( l. strr. NorkBl comF.erion c.r.ro8. is unla$ful. a.d shall subj<r m onplold ro oimmal Fnahid dd
cnil liocs up ro on. hundrd thoumnd d.Uas ($100.0m). in ion. ddnasc 6 prorid.d for lh.
llhc tjbor ( odq inrq6l ud 6nomc,.-t 16
Df{J.dAAII9N
I hdch, a,Itr,n und6 pc.ahy of pdjury lhd I ffi li.sBd undB proi3N. oach.pl6 s (conmtri.s *nh S..li.n ?000) ot Diviion l
ol $. BGin6 ed Pmlsioc Codc, and mylic6* i! in tull lorcct d.lIdr
l00q a1
.*,-^*(!a*t rr^
calua!.quoNLElDllcrlcE (f
I h6cby alfirn undT Fnilr, of p.ilry lhar lh6. is a co[drulrio. Lndin8 .gdcy ro! th. FaonnMcc oalhc *orl lu shi.n rhir p<mil is
A[T!.ICA IDECIdBAIIA!
I halby aftm undd poahy ofpcjury onc oflh. foltowing ddleariorol
Dmolirio. Pqnirs-Asb6los Noti6.d ion F.dd.l R.Sulalionc (Titl. 40. Pan6)
R.{un.d klls olNoifi eioD
flS'*,i',r',,r h0\. rqd Iht ippt'.ari.n dd slarclhat lhr i!.oEd I asre to conply trnh allCily and Counly
.rc l-aws !€hlins lo buildin!
aborc morioncd piotdt lor iBpdlion purpos
Apl,licMl or ,l.nl Sitnrlrre
Pmiremm€{prrno: TTa r" rrf.l ^q
l0 l6 "i;*-*
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
Meter Release
Rough .)l\o{,b
FINAL 'l(q/t(a\ es
Notes, Remarks, Etc
i:"np4*_ _Li.m. Nomb.r
q
issu.d (Sc 1097.Civ. C ).
L!nd6 s Nam.:
. , I cdif, rhd rh. faldrl rcBularioB rsrding 6b6ros ronov,l dc ml appl@bl. lo this pbj..l
z:-,/
'b/ry/,,)
Service Meter