HomeMy WebLinkAbout40133321 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit #: 4lJ{33321
Pin #: 59816tPermit Counter: (714) 647-5800 lnspection Requests'. (714) 667-2738 lnspector Section: (714) 647-5853 8/
Proiect Address: 2145 112 W Civic Center Dra
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: RlAssessor's Parcel: 004-1 53-12 Lot: NA
Owner:
Address:
Ngo Hong Tran
9051 Belcaro Drive
Huntington Beach, CA 92646
(785) 550-0181
01 1 16002 s1604
01 i 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
Fee Type Amount
Furnace/Comp Combo 126.90
Clothes Dryer - Residen 40.34
Bathroom Fan 30.52
Range Fan 32.30
General Plan Update 22.08
lssuance 55.04
Qty
1 .00
1.00
3.00
1.00
1.00
1 .00
Fee
$1 26 90
$40.34
$e1 56
$32.30
$22.08
$5s.04
Phone:
Tenant Name:
Contractor:
Address:
HD Engineering Constructio
1402 N Parson Place
Santa Ana, CA 92704
(71414ss-0056Phone:
State Lic #: 934742
Lic Type: B
Bus. Lic #: 350983
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9107432
Expires: 0710112019
'tLP [, r. Lr4C,.I
lrsn ssct i ol
{sfins Dnn
FlO Eng ineer
Building Use:
Job Type:
Nature of Work
Accessory Dwelling Unit-D Occupancy:
New Constr Type
ADU Code:
R-3
VB
cMc 2016 Notes:
Planning Conditions: A/C unit @ rear yard.
Planning Approval By:Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Julie 04t30t2019
Account#
01 981 9s 01 1 16002 51600
01 1 16002 51604
$22.08
$346.1 4
Fee Total:
Paid to Date:
Balance Due:
$368.22
$0 00
$368.22
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.
Inspector MID#: 201 8-146937
a
.)
I hreby affm undc pdalty of pqjury thd I m cxcmpt ftom thc Contrclo6' Liccnr [:w for thc following rcen (Sa.7031.5
Buinss ud Profeion Codc): Aly City or County which rcquis a pomit to onsruct, altq. improvg &rndish or rcpair my
strucluc, Fior to ils issuocc, also rcquirc thc qplicet for such pemit to 6lc a signcd statmt thar hc or slE is li@sed pwari
to the provisions of thc Contractor's Licensed l-aw (Chapter 9. Commencing rvith Section 70@ of Division 3 of the Business
Professions Code) or that he or she is exempt therefrom and the basis for the alleged exanpion. Any violation of Secrion 7031.5 by
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.
-1.
ds owner of the property. or my employees with wages as their sole compensation. will do the work md the sructtne b not
intended or offered for sale (Sec.7M4, Business and hofessions Code: The Contraclor's License Law does uot apply to an owncr of
the propcrty who builds or improves theroru and who does such wort himself or herself or through his or her own employees.
provided that such improverrcnts are not int€nded oroffered for sale. I[, however. thc building or improvanent is sold within one ]€ar
of complaion, the Orvner Buildo will have the hrden of proving thd he or she did not build or improvc the property for the purposcof
sale).
-1.
as owner of the prop€rty. am exclusively contracting with licensed contractors to comtruct the project (Sec. 7U4, Brsiness
and hoftssion Code: The Contractor's License Law docs not apply to an owner of property who builds or improves thereon.
and who contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's Licerse Law).
-l
arn exempt under Section-. B. & P.C. for this reason.
WORKERS' COMPENSATION
DECLARATION
I hereby affirm undcr paralty of pcrjury one of the following declarations:
-l
have and will maintain a Ccrrificate of Conscnt to Sclf-lnsure for workers' conrpensation, as pnovided for by Section 3700 of the
Labor Code. for the pcrformance of the work for which the pcrrnit is issued.
-l
have and will maintain workers' compensation insurance. as required by Section 3700 of the labor Code, for the performance of
the work for which this permit is issued. My workers' compcnsation insurance carrier and policy numbcr are:
Policy o
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certi& that in the pcrformance of the work for which this permit is issued, I shall not onploy any person in any manner
so as to become subject to the workers'compensation laws of California. and agree that if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply with thosc provisions..
WARNING: Failure to secure workers' compcnsation coverage is and
Dste:
I hereby aflirm under pcnalty of perjury that I am licensod under provision of Chapter 9 (commorcing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License
civil fines up to one hundred thousand dollars ($100,000), in
Section 3076 of the l-abor Code. interest and attorney's fees.
4 lTtlt r
Date:Ul4tl t17tI
the
lending agercy for the performance of the work for which this pennil b
with all City and County
and County to erter upon the
L
I hereby affrm undcr peoalty of pcrjury tha there
issued (Sec. 3097, Civ. C.).
a
Lender's Name:
Lender's Address:
,rr tc' Nr ""ct RAT
I herdry affirm under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40. Pafl6)
-Required
Letter of Notification
certi$/ that the lederal regulations rcgarding asbestos rernoval are not applicable to this project.
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certify that I have read this application
ordinances and State laws relating to building
above mentioned property for
Applicant or Agent
Pennitee name
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer t.-6-11 Q-cZ'-)
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release rl - ??-
FINAL IQ\U1D J KIYI tll_'.Y07
Notes, RernarXs, Etc.,1
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M ECHANICAL.I NSPECTOR RECORD
c.,a*, SRTE fi/-nJF
(Exoires:
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ContrectobZ