HomeMy WebLinkAbout20169800 - Permitcit.y ()f Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Electrica!
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 \;V
Permit #:2O169EOO
Pin #: 84934
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 004-153-12 Lot: NA
Owner:
Address:
Phone
Tenant Name
Contractor:
Address:
Tracy Tran
9051 Belcaro Drive
Huntington Beach, CA 92646
HD Engineering Constructio
1402 N Parson Place
santa Ana, cA 92704
(714) 495-0056
Fee Type
01'l 16002 51603 Serv Meter
01116002 51600 GeneralPlan Update
01 116002 51603 lssuance
Amount
55.37
22.95
57.20
Qty
1.00
1.00
1.00
Fee
$55.37
$22.95
$57.20
State Lic #: 934742
Lic Type: B
Bus. Lic #: 350983
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9107432
Expires: 0710112019
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
Alteration
Service meter upgrade
Chavez, DaveYc
Occupancy:
Constr Type
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2016 Notes: Service meter upgrade. Upgrading to dual meter box
and relocating to AOU, per contractor. Handout given
09t27t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600
01 1 16002 51603
$22.95
$112.57
Fee Total:
Paid to Date:
Balance Due:
$135.52
$0.00
$13s.52
Every permit issued shall become invalid unless lhe 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.
lnspector MID#: 2018-14307O
Proiect Address:2145 W Civic Center Dr
Phone:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUIt,DER DELCARATION
I hcrcby alfirm undcr pcnally ol FErjury thdl I nm cxcmfl lilnn lhc Contraclors' I-iccnsc Law li)r thc li)lbwing rcason (Scc.7031.5
Busincss and Prolission Crxlc): Any City or County which rcquircs r lErnlil lo conslrucl. allcr. improve. dcnxrlish or rcpair any
\tnlclnre.pri()rkrils issurncc.alsorequircsthcipfhcanttbrsu(hlErmitlotilcrsigncdstalcnEnt lhatlrorslEi{liccnsd pursrant
Io thc provisions ol thc Contraeklr's Liccn*d hw (Chnp(cr 9. ConrnrcncinS with Scction 7(X) ol Division -l of thc B[sincss and
I)rolessionsCodc)orthathcorshciscrcmptthcrcliomandthcbrsisli)rthcallcScdcxcmpti(rn. AilyviolationofScctrrrT03l.5byany
upllicantti)rrpcrnlitsubjcclsthc applicdnlk)aeivilpcnxllyol'n(ntrr)rcthrnfivchundrcddollars($5tX)).
_1. as owncr ol thc lroFny. or my cnuloycr's wilh waScs as lhcir solc conpcnsxli{)n. will do thc wo* anrl tlt sttutw Ls il[
intctllerl orollcrcrlli)rsale(Sce?()44.BusincssandProt'essions(ixlc:lhcCollrrcl(,r'sl-iccnselrwdocsnotapplyk)anowncrof
lhc prulrcrty who huilds or improvcs lhcrq)n, {il who d(rcs such work hinlsclfor hcrscll or lh()ugh his or hcr own empl(}yccs.
providcd th{l such irrprovcrrcnls rc not intendcd orotlircd firr salc. ll. howcvcr. lhc huilding or inrprovcnrcnt is sold within one yeu
salc).
_1. !s owncr ol lh(' profrc(y, am cxclusivcly contricltrrg wIh liccnscd conlrack)rs k) con\lruct thc p(*cl (Scc. 7044, Brsulcss
and RotissrxrCixlc:ThcContraclor'sLiccn{cl,rwd(}esnotapplytoanownerol'propcrlywhohuildsorimprovcslhcrcon,
and who contracls lbr such p()jccts with a Conlrack)r(s) liccnscd pursuant k) lhc Cl{)ntrack)r's l-iccnsc l-aw).
-lamexcmplundcrsection-.B.&P.c.li)rthisrcason.
\\ ( )ttKI._RS' ( I )t I I't.tNS,\1 t( )N
I)li( t.,\R,tt toN
I lrcrcby all irrn undcr pcnalty ol pcrjury one of thc li)llowing dcchrdlrrns:
_l hrve drj will maintain a Ccnilicale of Conscnl k) Self:lnsurc k)r workers compcnsation. as povidcd for by Sccti()n -l7OO of thc
Ijh()r Gxlc. lbr thc Frfomancc (,[ thc work for which thc permit is issucd.
thc work lilr which lhis pcrnrit is i\sucd. My workcrs conlpcnsation insurancc carricr nnd F)licy rrunrhcr u'c:
5I'()licy
>' f ^l
_l ccnify lhat in lhe pcrlhrn]ancc of thc work l'or which this pcrnril is issucil. I shall not cmplrry any grcrson in any manncr
q) as to bccorc $ubjecl lo lhc workcrs'compcnsation laws ofCalili)rnia. and agrcc thBl if I should bccom subjcct lo lhc
workcrs' coml^-nsalion pR)visiurs ol'Scction -1700 ot lhc tihor Cixlc. I slull. ti)nhwith comply with lho$ pNvisions..
IVARNINO: l:iilurc k) sccurc w()rkcrs'rotrlpn\rli()tr covcrrlc i\shrll subjccl rn cnrploycr k) criminal ,*"L'nnd
llrcivil fincs up lo oDc hun.lrcd thousand dollus (S rr nrl,lilir)n e()sl ('l' conrpcnstli()n. rlanrages as
Sccti(rn -1076 ol lhc Litx)r C{xle. iilcrcst and
I hcrchy atlirm undcr penalty ol p(rjury that I anr liccnrcd undcr provisrrn ofChaplcr 9 (commcncing wilh Scction 7U)0) of Division -1
ol lhe Busircss and Prol-csst)ns Codc- afrl nrv liccnsc is in Iill t'(,rcc ilxl etLet
[.iccnse Nrrmn+r:
D"t",rdll 1 i lA
,r- ( I ' I
I hcreby atfirm undcr lrcnalty of FErjury that thcrc is a construction lcnding
issucd (Sec. 1097, Civ. C.).
knJer's Name:
ti)r thc pcrtbrtruncc of thc work IiJr which this Frcrmil is
hndcr's Addrc\s:
APPLICANT DECLARATION
I lErcby allinn undcr pcnalty ol pcrjury onc of thc Ii)llowing dcclnrationsl
Dcnx,lilion Pcrmits-Ashcsbs Notilic{tion Fcdcral RcEtht()ns (Titlc 40, P!n6)
_Rcquirc'.I hltcr of Nolilicalinr
with all City and County
and County lo cntcr UFD lhc
atx,vc mcnti()ncd prcpcily ti)r
Applicanl or Agcnl
Pemritee nanre {prinl
*, - 1pl lt1
Site-Work
Underground
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor I
Bondinq / Groundinq / UFER t7/7D L+w
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilings (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)I
Meter Release I o -7/)DfV \u >tr, 2
I \
Rouqh I
Service Meter V,I ,"L 7t)12rr Y)c >w 67
F!NAL (t 7 '1 t)bilr,l n,*jYl
Notes, Remarks, Etc.rl \ l'
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