HomeMy WebLinkAbout20168224 - Permitcity bf Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Electrica!Permit #:2lJ16,A224
Pin #: 348506l
Assessor'sParcel: 004-153-12 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: R'l
Owner:
Address
Phone
Tenant Name:
Ngo Hong Tran
9051 Belcaro Drive
Huntington Beach, CA 92646
(78s) 550-0181
HD Engineering Constructio
1402 N Parson Place
Santa Ana, CA.92704
(714) 495-0056
Fee Type
01 1 16002 51603 New Garage
01116002 51600 General Plan Update
01 1 16002 51603 lssuance
Amount
o.'14
22.08
55.04
Qty
486.00
1.00
1.00
Fee
$68.04
$22.08
$55.04
Contractor:
Address:
Phone
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
Plan Checked By:
Single Family Dwelling
New Garage
New Garage
Occupancy:
Constr Type:
Code:
Date:
Date:
Date: 04/30/2019
Account#
U
VB
cEc 2016
Permit lssued Amsden, Julie
Subject to Field:
Building Permit #: 10198197
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
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total:
Paid to Date:
Balance Due:
$22.08
$123.08
$1 45.1 6
$0.00
$145.16
lnspector MID#: 2018-143070
0'11'16002 51603
@
Proiect Addressi 2145 W Givic Center Dra
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ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCA&ATIJN
I hseby afnm undq peoalty of psjury lhat I m exempl from the Conlractors' l-icense Law for thc follou'ing rwn (56.7031.5
Busines md Profssion Code): Any City or County which requira a pmit to construcl, alto. improvc, dmolish or rcpair my
structue, prior to its issumce. also requirB the applicat for such permil to file a signed statmmt that hc or shc is licffed pusumt
to lhc frovisioN of the Contraclor's Licenscd law (Chapta 9. Commencing rvith Setion 7000 of Division 3 of lhe Busins ild
Profe$ionsCode)orthatheorshcisexcrnptthgefromadtheb6isfortheallegedcxonption. AnyviolationofsectionT0-ll.5byany'
applicantforapsrnitsubjslsthe applicanttoacivilpenalt)'ofnotmorethmfivehundrcddollus($500).
_1. r owno oflhe propefly. or my mployc with wags c thcir sle compengion. will do the wo* md the stnElrc b not
intmded or offqed for ele (Ss.7044. Busine md Prcfessions Codc: The Conlractot's Licry Law doc nol apply Io il owns of
the prcperty who builds or improve thoon, md who do6 such wort himself or hosclf or through his or ho om employee.
provided that such improvmts dc mt intqded or offq€d for sle. lf. how*<. the building or improvmot is sH within onc )q
ofcomplaion, the Orvnq Buildq will havc thc hrdo ofproving tha he or shc did not build or improvc the prcpqly for the purpo*of
sle).
_1. I oms of thc prop6ty. m exclusivcly coilracting wilh licmsed contractoE to coNtruct the projcct (Ss. 7044. Businm
md Profosion Codc: The Contractor's Licctrse Law dos trot apply to il owntr ofproperty who builds or improvB thssn,
and who contmcts for such prcjccts with 8 Contmdo(s) licmed puNu&l to the Conlraclor's LiccN Law).
I m exemDt unds S(tion-. B. & P.C- for this rmon.
Da(e:_- __Owilcr:
DECLARATION
I hcreby a{Iinn under penalty ofpojury one ofthe following declarations:
_l havc md will maintain a Cffificate of CoN6t to Self-lNure for workers' conrpensation, 6 provided for by Sation 3700 of thc
tabor Codc. for lhc pofommce of thc wor.k for which the pomit is issued.
_lhaveandwillmaintainworkerc'compcNationinsurancc,o requiredbySrction3T00oftheLaborCodc.forthcpqfonnmceof
de:
q- ltq
T ;t_l cdify that in lhe pofomance of the work for which this psrnit is issued. I shall not mploy any pmon in any
s 6 to berome subiet to the sarkm'cornpssalion laws of Califomia. md agre that if I should bocome subjst to the
work6s'compqvlionprovisiouofSectionlT00oftheLaborCode. Ishall. lonhwilhcomplywiththosprovisions--
WARNINC: Failure lo secure work6s' cotnpensation coverage
civil lines up to one hundred thouwd dollm ($100.000), in r
S6tion 3076 of lhe Labor Code. intsBt ed attorney's fm.
is unlarvful. and shall subjet an qnployer to oiminal pqultio md
conrp€Nalion. danag* c provided for thecosl of
L+lzsl toI)atc:r\
I h6eby affirm unds penahy ofpdjury that I m licosed undo provision ofChapls 9 (contnmcins with Scction 7000) of Division 3
ol lhe Businas and Profsions Code. md rny liceme is in full force ad effect.
Liccnse Nurnlrr:
I hoeby affirm under penalty of pqjury that thqe is a conslruction lending agocy
issued (Se. 3097. Cir. C.).
po'fonnmcc of the rvork for which this pqilil is
Lender's Nanre
Lender's Ad&s:
APPI,ICANT DECLARATION
t luebyallim unde pmalty ofperjury one ofthe lollowinS decloationsl
Dernolition Psmits-Asbeslos Notification Fedsal Regulations (Tille 40. Pd6)
-Required
trtter of Notification
-l
csrify that the Hsd regulatioN rcgsding cbstos rmoval ae not applicable to this prcjet.
-l
cdiry that I have r€d this application od above infomation is co[ec1. I agre to comply with all Cily and Counly
ordinance md State [,aws relating to building hreby authorizc reFrrcotativ6 of this Cily ild County to flt6 upon thc
above rnqrtioned proptrty for inspstion purpos6.
Applicant or Ageil(o ArA--lhlr:
Pern!ite nime (print):4 fr71+-/4
,(14t,
Site-Work
Underground
Pole Bases
Lisht 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 (Rouqh)
Ceilings (Hard & Soffit Rough
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh ff a,l\l CZ'T
Service Meter i tl - A,
FINAL 5YW 4 t 7A \)trrn'Pry5"1
Notes, Remarks, Etc.'l 't ut
n-,,
I
?
_ Contraclor: