HomeMy WebLinkAbout20169869 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter. (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-585fl
Permit #:20169869
Pin #: 44975
Project Address: 2405 W Hall Ave
Assessor's Parcel: 412-314-16 Lot: 68
Unit:
Block: NA
Bldg:
Tract: 8203
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
NHAM TRUONG
2405 W HALL AVE
Santa Ana, CA 927045516
(714') 540-8757
Alps A/C & Heating lnc
1895 S Santa Cruz
Anaheim, CA 92805
(714) 633-8892
Fee Type
0't116002 51603 FWU
01116002 5'1600 General Plan Update
01 1 16002 5'1603 lssuance
Amount
25.76
22.95
57.20
Qty
1.00
1.00
1.00
Fee
$25.76
$22.9s
$s7.20
Batch*212416 - lt-t/g/217t9 ID: onorslesl5
Oflice: CTYH 1psn5i: 64 2 clf 2Acct*: fteli: ?0169s69
ttcpti:tr277364$ * l(t/g/2ttl9 3:t:r2 Fn
Trnnsqct ion Totnl t317.?3
State Lic #: 667953
Lic Type: C-20
Bus. Lic #: 177939
Workers' Compensation lnsurance:Carrier: Benchmark lnsurance Company
Policy #: CST5014221
Expires: 1011912019
Alps A/C & Hefltins Inc
Generol Plnn Updste fee
Lrl I 16(102* 516[1000r:r-
Electr i cnl
t:r1 I 16(102.- 5l6030LrLr-
ICL Check 1123361
ttt./
i32.7
t317. ?
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Miscellaneous
HVAC
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2016
10/08/2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Replace compressor in rear yard.
Fee Total:
Paid to Date:
Balance Due
n, Julie
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permit is suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51603
$22.
$82.
95
96
$105.91
$0.00
$10s.91
lnspector MID#: 2019-154976
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER I)I]I,CARATIoN
IhcrchyatlirmundcrpenallyofpcrjurythdtIamcxcmllliontheConlrrckxs l-iccnscl-awli)rllEli)llowillgrcason(Scc.70.11.5
Busincss and Profcssion Cu.lc): Any Cily or CouDly which requirc's r Frnrit lo eonslnlcl. allcr. inlfrovc. dcnx)lish or rcplir anyt'
stnlcturc. plior to its issuancc. also rcquires lhc apllicant li)r such Frnil k) filc r signcd slalcnrcnl lhal hc or shc is liccnscd pursuant
k) thc lrovisions of the Contractor's Liccnscd Lrw (Chxplcr 9. Conrnrcncin8 wilh Sccli{)n 7fiI) of Division -l of thc Busincss and '
ProltssionsCodc)orthathcorshciscxcnlptthcrcliomandlhcblsisli)rlhcallcgcdcxcnrpti(m. AnyviolalionolScctionT().ll.5byany
apflicanlli,rapcmitsuhjcctsthc apnlicanlloacivilpcnallyr)fnotrxlrcthatrl'ivchundrcddollars($5(n).
_[. as owncr of thc prolEfly. or my cmployccs with wagcs as thcir s(rlc conllcnsali()n. willdo llrc work and lhc strutrrc is not
irilcndcd orofltredforsalc(Sa.?(X4,BusincssandP()lcssionsC(xlc:'l_hcC()ntrack)r'sl-iccnscljwd()csnotafplyk]anowncrol'
thcpmFily whobuildsorimprcvcslhcmn.erlwhod{rcssuchwo*hinscllorhcrsclforthn)uShhisorhcrowncmpl(}yccs,
provided that such inrpruvemnls rc ilil intendcd orolLrcd lor elc. Il, howcvcr, thc huilijing or impn)vcmnl ir sold wilhin onc ycil
ofcunplcti)n, the Owner Buillcr will havc tlE burdcn oiproving llut hc or she dil nol huild ()r in{rrovc thc pn}FErty for thc lurfx}* ot
salc).
_1. as owncr of the propcdy. am cxclusivcly contraclirS wilh liccnscd conlrxck)rs k) conslnrcl lhc projcct (Scc. 7044, Busincss
anl PmfissitnColc:TheContrack)r'sLiccnscLawdoesnotapplyloanowncr()fprolErlywh()buildsorimproveslhcreon,
and who conlracts lbr such pn8cls wilh a Contractd(s) liccnscd pursuant lo lhc Contrack)r's Liccnsc lnw).
I anr crcmDl uodcr Scction . B. & P.C. Ii)r lhis rcason.
lVORKERS', Col\IPENSA',ilON
I)I:CI,ARA'TIoN
I hcrchy allirm under penalty of Frjury ()nc of lhe li,lh)wing dcclarati{nrs:
_l havc ax.l will maintam a Ceflillcatc of Conscnl k) Sclf:lnsurc tor workcrs eonrpcnsalirln. as p()vidcd ti)r by Scction .1700 of lhc
ktrcr C(xlc. Ibr thc pcrlbrmncc of thc work lbr which lhc pcriltit is issucd.
x hevc and will maintain workcrs' compensation insurance, as rcquircd by Scction -l?00 ol thc Lahor Codc, lif thc pcrformance of
work li)r pcrnlit is issucd. My workcrs conrpcn$xtion instrancc cafticr iurd F)licy rilnrbcr:uc:
t'olicy Nu
_l ccrtif y that in thc perl()rmance of Ihc work l()r which lhis pcrnril ir issucd, I shall n()l cmpl()y nny pcrson in any manncr
so as to bccorc suhject k) thc workcrs' cotrlpcnsrt ion hws of Calili)rnir, rDd {grcc lhal if I sh)uld bcc()nlc suhjcct k) thc
wu'kcrs'compcnsationp()visionsofSection.l?0Oofthcl-rtxrrCrxlc.lshrll.l'orlhwithcomplywilhthoscfll)visions..
WARNING: Failurc to securc workcrs'conrpcnsali()il covcragc is ntrlnwlirl. rld shall suhjccl an ctrrpk)ycr lo crinrinal Fnrltics and
Scction -1076 of C(xlc, iilcrcst and atk)mcy s lacs.
I hcrchy allirm undcr penalty ol pcrjury thal I anr liccnsed Chrptcr I (ronrmcnciilg wilh Scction 7000) ol Divisi()n -1
of thc Busircss and Prol'cssirns Codc. md my liccnse is m lill li)rcc an(lcllcct.
[-lecnsc a Nrrrlhcr:GG7?<-=
CONSTRUCTION LENDING AGENCY
I hcrcby aillrm under penally of Frjury that lhere i\ a construction lcnding agcncy fi)r thc pcrli)mMcc of lhc work t(rr which this frcmit is
issued (Sec. 1097, Civ. C.).
lxnder's Namc:
landcr's Address:
APPLICANT DECLARATION
I trcrcby alim under pcnalty of frcrjury onc of lhe fi)llowing dcclarali{)ns:
Dem)lition Pcrndts-Asbeslos Notificalion Fcdcral Rcgulalt)ns ('l itlc 40. Pan6)
-Required
ktter of Nolification
_l ccnily that thc ladcral regulalions rcgtrdin8 astrcsk,s rcrnovtl iuc ilot applicuhlc k) this proicct.
I ccnily that I havc rcrd this applicdtion imd sldte that thc atr)vc ilrlbrnul!)n rs corrccl. I agr(r k) c(nlply wilh all City and County
ordinanccs and Statc Laws rchting b buildinS construclion. ilil hcrehy aulhorizc rcprescnlalivcs ofthis City and County to
ahovc nrcntioncd p()pcny lbr inspccti(tr1
Applicant or
Itennilcc nrnre
qupirr.r urxln thc
Site-Work
Underoround
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service Meter It
FINAL 4lt4 71),/r A/taF*ry
Notes, Remarks, Etc I rl
I