HomeMy WebLinkAbout20171542 - PermitProiect Address: 5336 W Ballast Avea
Assessor's Parcel: 108-587 -07 Lot: 25
Unit:
Block: NA
Bldg:
Tract: 4559
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #:2o^171542
Pin #: 32459
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone
Nam Tran
5336 W BALLAST AVE
Santa Ana, CA 927041870
(7141 417 -7023
Landing Construction Groul
13882 Summerwood Pl.
Garden Grove, CA 92844
(7141 337-9238
01 1 1 6002 51 603
01 1 16002 51603
01 1 1 6002 51 603
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount
New Res 0.16
125 Volt Receptacle 1 .57
Light Switches, Occ. Se 1 .70
Light Fixtures 1 .1 3
General Plan Update 23.79
lssuance 59.30
Microfilm Records 4.05
Qty
66.00
4.00
4.00
10.00
1.00
1 .00
1.00
Fee
$10.s6
$6.28
$6.80
$1 1.30
$23.79
$5e.30
$4.05
State Lic #: 963678
Lic Type: C-36, B
Bus. Lic #: 375908
Workers' Compensation I nsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9016669
Expires: 0710912021
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Addition
Addition/Remodel
$l
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Verduzco, Violet
Subject to Field:
Buirdins Permit# 101102935
Occupancy:
Constr Type.
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: electrical for addition
Fee Total.
Paid to Date:
Balance Due:
07120t2020
Account#
Every permitissued 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 ts suspended
or abandoned for a period of 360 days after the time the work is
commenced.
Inspector l\'1lD#: 2O2O-157337
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
$23.7e
$94.24
$4.05
$122.08
$0.00
$122.08
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Siqns (monurnent)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondinq I Groundins I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)q lulw _-Prw67
Ceilinqs (Hard & Soffit Rouqh )/
Ceilinqs [-Bar Rouqh)
[/eter Release
Rough
/ttService Meter tl 'lFINALtLl lult0 DIJYL /
Notes, Remarks, Etc.
OWNIi,R BUTI,DI'R DE,LCARATION
I hereby affirnr under penalty of perjury that I ruu exen)pt fronr the Contractors' License Law for the following, reason (Sec.7031.5
Ilusincss and Profcssion Code): Any City or County which rcquires a pcrmit to construct, aller. irnprove. demolish or reJuir any
strucrure, prior to its issuance. also requires the applicant for such Jrernrit to file a signed slaternent that hc or she ls licersed pursuant
to thc provisions of thc Contractor's Liccnscd l-aw (Chapter 9, Commencing with Section 7fi)0 of Division 3 of the Busincss and
Professions Code) or that hc or slrc is exen4rt therefronr arxl tlre basis for tlrc alleged exenrption. Any violation of Seclion 7031.5 by any
applicant for a pennit subjects thc applicant to a civil penalty of not nrore than five hundred dollars ($500).
llt. ". owncr ol'the propcrty. or tny ernployces with wages as fheir sole compensation, willdo the wcrk and rhe structure is not
intendetl or offered for sulc (Sec'.7(X+, Business and Profcssions Cotle: The Contractor's Licensc l-aw does not aPPly lo an owncr of
the properry wlxr builds or inryrroves therurn, and wlxr drrcs such work himself or lprself or through his or her own entployees,
provided that such irnprovcments arc not intcndcd or ollcred for sale. II, howcver, $e building or improvement is sold within onc ycar
of conpletioru the Owner Builder will have thc burden of proving ttrat he or shc did rxlt buikl or improve ttre propaty for thc purposc of
yaht.
Yl. u, owner of the property, am exclusively contracting wittr licensed contractors to construct thc project (Sec. ?044. Business
arxt Protr:ssirur Code: The Contractor's License Law dors not apply to an owner of property who builds or improves thereon.
and
J,
who contracts for such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Licensc kw).
under Sectiorr-, B. & P.C. tbr this reasott.
I hc'rcby aflirm undcr pcnalty of pcrjur;r onc of thc
W(TRKI'IIS' COMPI'NSATION
DECLARATTON
Iollow ing dcclarations:
{ , n"r. and will nuintain a Certiticate of Consent to Self-lnsure for workers'comSrcrNation, as pruvided for by Sccrion 3700 of the
Lahor Code, for the pcrfonrunce of the work for which the pcrmit is issued.
{, n"r. and will nmintain workers' conrpensation insurance, as required by Section 3700 of the l-abor Code, for lhe perfonnarrce of
is issucd. My workcrs' conrpensation insurancc carricr atxl plicy nunrber iue:
:;""Ht#f".*
Policy
_l certify that in thc pcrfornuncc of tlrc work for wlrich this pcrmit is issucd, I shall not cmploy any lrcrson in any manncr
.v) as to become subjcct to the workers' compcnsation laws of California, and agree that if I should beconre subject to the
workers' corrrlrnsation provisions of Section 3700 of the Labor Cotle, I shall, forthwith conrply wilh thosc provisions..
WARNING: Failure to secure workers' compcnsation coverage is unlawful, and shall subject an employer to criminal pcnaltics and
civil fines up to one hundred thousand dollars ($100,000). in addition to the cost of compensation, danrages as providcd for the
Section 3076 of the latnr Codc. intcrest and attorney's l'ecs.o,.,,'il?-lb nor,.*,,.. {{o4 A/G0(YFAJtt
I hcrcby affrnr untler pnalty of perjury rhat I anr licenscd ,i6--*rf Chapter 9 (comnrncing with Section 7000) of Division 3
of the Business and Professiorrs Code. aml my licensc is in full forcc and effect.
License Number:
CONSTRUCTION LENDING AGENCY
I hcrcby al'lirm undcr pcnalty of pcrjury that thcrc is a construction lcnding agency for the pcrformance of thc work ltrr which this pcrmit is
issued (Sec. 3097, Civ. C.).
[.cnder's Name:
APPLICANT DECLARATION
I hcrcby affirm under Jrcnalty of perjury one of the following declarations:
Dcnxrlition Permits-Asbcstos Notification Federal Rcgulations (Title 40, Part6)
_Requircd lrtter of Notification
_l ceaify that the fcdcral regulations regarding asbcstos rcrroval arc not applicablc to this prnj€L
_l certify that I lnvc read this application and state that thc abovc infornration is correcl. I agrcc to conply with all City and County
ordinances and State laws rclating to building construction, and hcrcby auttnrize represcntatives of this City and County lo enter ugrn the
above mentioncd properly for inspection purposes.
Applicarrt or Agent
Pcrnritcc namc
7
08-0 -201 5
*,", t/ zolu