HomeMy WebLinkAbout30140714 - Permit (2)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
t
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
PermitCounter: (714)647-5800 lnspection Requests:(fi)667-2738 lnspectorSection: (714)647-5853 4:._
Permit #: 3014o^714
Pin #: 3o,437
Owner:
Address:
Phone
Tenant Name:
Contractor.
Address:
Phone
State Lic #: 934742
Lic Type: B
Bus. Lic #: 350983
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9107432
Expires: 0710112019
Ngo Hong Tran
9051 Belcaro Drive
Huntington Beach, CA 92646
(785) 550-0181
HD Engineering Constructio
1402 N Parson Place
Santa Ana, CA 92704
(7141495-00s6
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 1 6002
01 1 16002
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 602
51 600
51 602
Fee Type Amount
Water Closet 14.22
Shower 22.25
Sink 12.70
Clothes Washer 13.97
Dishwasher 11 .97
Garbage Disp 10.66
New Sewer (First 100') 64.60
Add'l Sewer Connection 22.25
Gas System 1-4 44.51
Tankless Water Heater 65.57
Hose Bibb 15.47
General Plan Updpte 22.08
Qty
3.00
2.00
5.00
1.00
1.00
1.00
1.00
1.00
1 .00
1.00
2.00
1.00
1 .00
Fee
$42.66
$44 50
$63.s0
$13 97
$1 1 .97
$10 66
$64.60
$22.25
$44 s1
$65.s7
$30 e4
$22.08
$s5 04
HD Eng i neer t n
6eneral Plnn
01116[t[t2- 516Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked
Permit lssued
Subject to Field:
Building Permit #:
Accessory Dwelling Unit-D Occupancy:
New Constr Type:
ADU Code:
Julie
Date:
Date:
Date:
1 01 981 95
R-3
VB
cPc 2016 Notes:New detatched ADU with
(1121 bath, laundry, great
(3) bedrooms , (21 bathrooms,
room, kitchen
04t30t2019
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 1 16002 51600
01 1 16002 s1602
$22 08
$470.17
Fee Total:
Paid to Date:
Balance Due:
$492 25
$0 00
$492.25
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
rssuance, or if the work authorized on the site by such permit ts suspended
or abandoned for a period of 360 days afterthe time the work is
commenced.
lnspector MID#: 2018-146937
a
)
l-/
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND ,,,
Waste & Vent L /tt 'n /4^/12 t/Z/,A/
Water-Under floor
Gas-Underfloor
Building Sewer
ArealStorm Drain
I nterceptor/ Cla rifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test I ,Lc-Z)
Rouqh Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back FIow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back FIow Device I //
[/,rlaho( /r?r 'kn eLTl-/ttt/
Rough Plumbing qsFinal Gas Test
/
Meter Release I
I I
FINAL WZ '(/)Wlc ,fff,l
Notes, Remarks, Etc.t,
()\\,Nl.R Btlll,t)ER
I tmby affm undcr pcmlty of psjury that I m cxctrpt Eom th. Contmctoa' Licor Law for llE following rcen (Sc.7031.5
Businas ard Prcfcsrion Codc): Any City or County which rcquircs a pmh to @[druct, altcr, impmrc, &mliih or ETrir any
structurc, prbr to its irrurcq ds Equic thc elrplbsnt for sch pcmit to ,ih 8 rigcd ltrtmt tlfl hc or she h lierEcd puBad
to thc lmvisions of thc Contrsctu's Liccrlcd L8w (Ch8ptfi 9. Comcrcing with Setion 70fi) of Divirion 3 of thc Busincsi and -
Pmfcssions Codc) or that hc or shc is exempt lhcrc&om and thc horis for thc allcgc{ cxcmptioo. Any violation ofSction 703 1.5 by an),
appli€ntforatrcmitsbje.tsthc applioniaoscivilpcrltyofmtmrclhsntivchur&cd&llm($500).
_1. as owner ofthe property, or my employees with wages as their sole compensation, willdcr tlre work and thc structure is not
interded or offered for sale (Sec.7044, Busirrcss and Professions Code: 'l'he Contractor's License Law does not apply to an owner of
the proJrerty wtn builds or impmves thereon" and who does ruch work himself or herself or through his or her own employees,
provided that such improvements are rnt intended or offered for sale. l[, ]xlwever, thc building or impnrvement is sold within one ]€ar
of comphtion, the Owner Builder will have thc burden of proving that he or she did rnt build or improve the propcty for thc purJnse of
sale).
_1. as owner of the pmperty, am exclusively contracting u'ith licensed conlractors to construct thc pnrject (Sec. 7M4, Business
and Profession Code: 'l'he Contractor's [.icense Law does not apply to an owner of properly who builds or intproves thereon.
and who contracts ftrr such projecls with a Contracto(s) licensed pursuant to the Conlraclor's License Law).
-l
am exenrpt under Section-, B. & P.('. hr this reason.
Date:_()rr rrer'
WORKEILS' CONI PI:NSAI'ION
DECLARA'I'ION
I hereby affrrm under penalty of perjury one of the follou'ing declarations:
_l have and will rnaintain a Certificale of Consent to Self-lnsure lbr rvorkers' contpensalion, as provided fur by Section 3700 of the
Latxrr Code, for the performance of thc work for u'hich the penrrit is issued.
_t have and will nraintain workers' conrpensation insurance, as required by Section 3700 of the l.abor Code, for the perfontmnce of
the u'ork for which this permit is issued. My workers' compensation insurance carrier ard plicy nutnber are:
Frl nn:
Policy 1/2t'1 ta
_l certi& that in the performance of the work for which this permit is issued. I shall not
so as to become subject to the workers'compensation laws of California, and agree that if I
employ any penlon tn any manner
should become subject to thc
workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with ttnse provisions..
WARNING: l;ailure to secure workers' compensation coverage is unlawful, and suhject an employer to criminal penalties and
compencation, damages as provided for thccivil fines up to one hundred thousand dollars (5100,000), in addition to the
Section 3076 of the Labor Code, interest and attorney's fces.
rlate: \L, t Lrtl t r,\-1 | "f
I hercby affirm under penalty of pdrjury that I am licenscd under provision 9 (comurncing with Seclion 70(n) of Division 3
of the Business and Professions Code, and my license is in full force and
License l_
I hereby affrm urder penalty of perjury that ttrere is a crrnstruclion
issued (Sec. 3097, Civ. C.).
agency for the performance of the work for which this permil is
Lender's Name:
/^*,
Address:
APPI,ICAN I' DI.,CI,ARA I'I0N
I hereby affrm under penalty of perjury orrc of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations ('l'itle 40, Part6)
-Requ
ired Letter o f Notification
_l certify that the federal regulations regarding asbestos removal are not applicable to this project.
_t certify Ilurt have read this application ancl the atnve infornration is correct. I agree to comply
representatives of this City
with all City and County
and County to enter upon theordinances and State Laws
above mentioned property
IAppllcant or Agent Slgnature:
Perrnitee nanre
to building
thtt
ancl hereby authorize
R -f--rq
filt//- ''/>,t/tl
'J-cll4 0h
I I
-/D tfTi
rrl'
a
".rr,W%'r+_ Contractfr E 4