HomeMy WebLinkAbout20168225 - Permit)frf Cig of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA s2702 Electrical
W, Permitcounter: (714)647-sroo lnspection Requests: (714)ool-2738 lnspectorSection: (714)641-58u, tl/
Permit #: 2O16E225
Pin #: 7OEO2
Proiect Address: 2145 112 W Civic Center Dra
Assessor's Parcel: 004-1 53-12 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner.
Address:
Phone
Tenant Name:
Ngo Hong Tran
9051 Belcaro Drive
Huntington Beach, CA 92646
(785) 550-0181
HD Engineering Constructio
1402 N Parson Place
Santa Ana, CA 92704
(7141495-0056
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
/r 01 1 16002
01 1 1 6002
01 1 1 6002
Fee Type
New Res
Air Conditioner
FWU
Dedicated Circuit
Low Voltage/Res
Serv Meter
General Plan Update
lssuance
51 603
s1 603
51 603
51 603
51 603
51 603
s1 600
51 603
Amount
0.14
96.90
24.79
24.79
36.72
53.28
22.08
55 04
Qty
1 ,199.00
1.00
4.00
1.00
1 .00
1.00
1 .00
1.00
Fee
$1 67 86
$e6 90
$9e 16
$24 79
$36 72
$s3 28
$22.08
$55 04
Contractor.
Address:
Phone
State Lic #: 934742
Lic Type: B
Bus. Lic #: 350983
Workers' Compensation Insurance:
Carrier: State Fund
Policy #: 9107432
Expires: 0710112019
Bcrbch*:tlfitcel
A--llr,-ll-t- L a: .
Rcp t*: t-
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked
Permit lssued
Accessory Dwelling Unit-D Occupancy.
New Constr Type.
ADU Code.
Date:
Date:
Date:
R-3
VB
cEc 2016
Lrl 1 1,51ilJ
Notes: New detatched ADU with (3) bedrooms , (21bathrooms,
(1121 bath, laundry, great room, kitchen
04t30t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Subject to Field:
Building Permit #:1 01 981 9s
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 permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector
01 1 16002 51600
01 1 16002 51603
$22 08
$533 75
Fee Total.
Paid to Date:
Balance Due:
$555.83
$0 00
$555.83
MID#: 201 8-146937
ELECTRICAL.I NSPECTOR RECORD
f)*.
APPROVALS DATE ID/S!G COMMENTS
Site-Work
Underqround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Building
Under Slab / Floor '6)lLcL?{5.,e 2'( L)- o -
Bonding I Grounding / UFER I
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinss (Hard & Soffit Rouqh
-rl ,JCeilings (T-Bar Rough)I \n
lvleter Release Ptl lt X)r LYfU /
I
rv
Rough /7tl Af
Service Mete(l /17 //q f,C{t 0K -l)si 'kf,/ lDlt/ . 2r{S lt,(tu
a//FINAL I ru '7,Dfnt\')rrzWW
Notes, Rgmarks, Etc,1tI
-' htlf-l{I
I hqeb,y affm unda poalty of pcrjury thaf I m cxmpt from the ContractoB' Liccnse [:w for thc following r@n (Ss.7031.5
Buincs md Profeion Code): Any City or County which rcquim a pannit to coNtruct, alt6, improvq &mglish or rcpair uy
strucluc Fbr to its isuilcc, aho rcquic thc applicst for such permit to filc 8 sigtrcd statmt that hc or she b licaE d plNattr
to thc provisioE of thc Contractor'! Liccn*d taw (Chaptq 9. Comechg with SEtion 7000 of Division 3 of thc Bui!6 ud .
PrcfcsioNCodc)orthathcorshciscxcmptthqcfromudthcbosisforthcallegcdcroption. AnyviolationofSrlionT03l.5byany
applicantforapcmitsubjctsth€ 8ppticettoacivilpffiltyofnotmorcthilfivchundrcddollus($500).
-1.
a owno of thc prcpcrty, or my cmployG with wag6 a their elc compcmation, will do thc work ad the stnrc1rc is not
intdded or ofrqcd fq slc (Se.7044, Buiae od Profeioro Codc: Thc Conlrrclor's Licce taw doc not apply to m omq of
rhc propqty who builds or improve tt@n. atd who do6 sch wrt himsclf or hc8lf or thrcugh his or ho om oployc.
providcd that such imprcv@dts rc not itrtqdcd or olfqcd for salc. If, howm. thc building or imprcvqnq|t b sld within onc ]6
of conpliiorL thc Own6 Buikkr will havc thc h[do of prcving thd hc or she dll rct build or impovc thc popoty 6r thc Ftrpocc of
sb).
-1.
a omo of thc propqty, m qclBivcly contraaing with licansed contractoE to conslruc{ thc projd (Sa. 7044. Bwins
and Prphsbn Codc: Thc Coilnctor's Licmc Law doc not apply to u owna of prcpcny who builds or imprcvG th6@tr.
and who antncts for such prcjE{s with 8 ContEcto(s) licas€d puE@t to thc Contractor's Liccffi l6w).
I m cxmDt undq S(tioo-. B. & P.C. for this reon.
Orvner:_
WORKERS' COMPENSATION
DECLARATION
I hereby affrrm under penalty of perjury one of the following dectarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' contpensation, as provided for by Section 3700 of the
l-abor Codc. for the performance of the work for which the perrnit is issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the pcrformance of
the work for which this permit is issucd. My workers' compensation insurance carrier and policy number are:
Policy 1/24 '/M
-l
cerrify that in the of the work for which this perrnit is issued. I shall not
,/
employ any person in any tnanner
should become subject to thcso as to bccome subject to the workers' compensation laws of California. and agree that if I
workas' compensation provisions of Section 3700 of the labor Code. I shall, forthwith comply with those provisions..
WARNING: Failure to secure rvorkers' compensation coverage is unlarvful.and
civil fines up to one hundred thousand dollars ($100.000), in the
Section 3076 of the Code. interest and attorney's fees.
0
I hereby affirm under penalty of perjury that I am licensed provision of Chapter 9 (commencing with Sesion 7000)of Division 3
of the Business and Professions Code, and rny license is in full force and cffect.
<-.L
1tl toT'r
I hereby alTirm under penalty of perjury that there is a
issued (Sec. -i097. Civ. C.).
agency for the performance of the work for which this p,errnil is
Lender's Name:
APPLICANT DECI {RATION
I herety affirm under penalty of perjury one of the following declarations:
Demolition Perrnits-Asbestos Notification Federal Regulations (Title 40. Pat16)
-Required
Lettcr of Notification
-l
ccrlify that the federal regulations regarding asbestos removal are not applicable to this project.
-l
cerrify that I have read this application rvith all City and ('ounty
ordinances and State l.arvs relating to and County lo enter uF)n the
above mentioned property for
Applicant or Agent
I'crlrtitec nanre ( glrinl ):
that
Onr, \h ++
zt)
"' NIGT){A F/{D,oc/,
Z
re
---t-