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HomeMy WebLinkAbout40133321 - Permit (2)City 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 -l 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. -l 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 I rt ) tS /odZ+-' N,rfA,'A4{ e 4 AltD- ^fO /loriwtYl./1n r/* /v/ M ECHANICAL.I NSPECTOR RECORD c.,a*, SRTE fi/-nJF (Exoires: \r l ContrectobZ