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Home My WebLink About20174258 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Electrical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #:2o^174258 Pin #: 55403 oZrProiect Address: 1905 W Hall Ave-a Assessor's Parcel: 412402-36 Lot: 80 Unit: Block: NA Bldg: Tract: 3679 Address Range: Historic: No Suite Range: Zoning: R1 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Tuan Anh Nguyen 1905 W Hall Ave Santa Ana, CA 92704 (909) 217 -8287 Protech Seal Construction lr 1932 S Janette Ln Anaheim, CA 92802 (7141 2e3-80s3 Fee $s2 21 $23 79 $5e.30 $4 05 $23 .79 $111 .51 t4,05 t1r247.08 State Lic #: 1007054 Lic Type. B Bus. Lic #: 378707 Workers' Compensation lnsurance:Carrier: Norguard lns Co Policy #: PRWC202134 Expires: 0112012022 Botch*:611664 glg/2172t ID: II(:AZALES Uf f ice: (:TYH Trnns* 2 9 I of 6Acct*: Ref*: 201 74218 Rcpt *:034Cr6351 I /g /2tt2I g:59 Al1Trnnsoction Totnl tlr24l,tJg Protech Senl Construction fnc, Generql Plon Updste Fee Ltl I I 60[12- 5l60tr0(rtr- Electr icol trl 1 I 6tr02- 5l 6113(10[r- 11 icrof ilm & Docunents trl 1 16002- 1777tr(rtr0- ICL Check 1176Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked Permit lssued Single Family Dwelling Alteration Pool demo Occupancy: Constr Type: Code: Date: Date: Date: Misc. Receipt: Misc. Receipt: Misc. Receipt: Total R-3, U VB cEc 2019 Notes: Demolistr/infill swimming pool & remove associated equipment. Amsden, Julie Subject to Field: Buirdins Permit #: 1 01107908 Every permitissued 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. 09/09/2021 Account# 01 1 16002 51600 01 1 16002 s1603 01 1 16002 57770 $23.79 $1t1.5' $4.05 Fee Total Paid to Date: Balance Due: $139.35 $0.00 $139.35 01 1 16002 51603 01 1 16002 5160C 01 1 16002 51603 01116002 5777C Fee Type Amount Demolition (includes ren 52.21 General Plan Update 23.79 lssuance 59.30 Microfilm Records 4.05 Qty 1 .00 1 .00 1 .00 100 t lnspector MtD#'. 2021-168667 ) ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG COMMENTS OWNER BUILDER DELCARATION I hcrcby alfrm under penalty of Frjury thal I m cxcmpt fmm lhc Contractors' Licens Law for Ihe following rcarcn (SN.7031.5 ' Busincss ard Profcssion Code): Any Cily or Counly which rcquircs a Jrcrmil to conslruct, altq, imprcre. demlish or rcp8ir any , structure, prior to its issuece, al$ rcquircs thc applicant for such JErmit to filc r signed slalcmnt that he or shc is licensd pusill ro the prcvisions of thc Conr.ctor's Licensed [:w (Chaptcr 9. Comncing uith Sction 7000 of Division 3 of the Busircss ud PmfcssionsCodc)orthathcorshciscxcmptthscfromandlhcb&sisforthcalhgcdexcmJ,tion. AnyviolationofSetionT03l.5byany applicant for a pemit sbirts lhc applicant to a civil pcnalty of nol mrc lhan livc hundrcd dollus ($50O). _1. as owncr of thc propcrty, or my cmployccs with wagcs as thcir solc comlrcnsation. willdo thc work ard thc structure is not intcndcd or offered for salc (Scrc.7o44. Business and hofcssions Codc: Thc Contraclor's Licensc Law does not apply to an owner of thc propcrty who builds or improves thcreon. and who docs such work himself or hcrsclf or through his or her own employccs. providcd that such improvenrnts are not interdcd or offcrcd for salc. If. however. thc buikling or improvenrcnt is sold within onc )rcar of comphtion. ttrc Owncr Buildcr will have thc burden of proving that hc or she did ncrt build or improvc thc propcrty for tirc purpse of salc). _1. as owncr of the propcrty, am cxclusivcly contracting with liccnscd contraclors lo construct thc projcct (Sec. 7W, Business and Profcssion Code: Thc Contractor's Licensc Law does not apply lo en owncr of prolrcrty who builds or improves thereon. and who contracts for such proicls with a Contraclo(s) liccnscd pursuant to thc Contractor's Liccnsc kw). -IamexemptunderSection-.B.&P.C.forthisrcarcn.Date: Owner: EQ85E8IiTOMTENSATXON DEqLA8AUQN I hercby afftrm under pemlty of pcrjury orc of thc following dclarations: _t hsrc atd will mintain I Ccilficatc of Consnt to Self-lnsurc for workc6' smJrcnsstion, as pmvidcd for by Setion 3700 of thc k}r Code. for the pcrforue of the mrk for whhh the pcrmit is issucd. Tmr"unawittmintainworkcrs'compcnsationimur&ncc,&r rcquircdbysetion3Tmofrhâ‚¬bborCodc,fortheperfomof the work for which this permit is is$cd. My workss' @mpensrlion insumc cmicr urd policy number rc: poricy N" b"r, PRU)e Lo'Ll ll'l Expircs: lf,- ec.- ?L _l ccrtify that in thc performancc of thc work for which this perrnit is issued. I shall not employ any pcrson in any manner so as to bccome subject to the workers' compensation laws of California, and agrcc thal if I should beconrc subject to the workcrs' compensation provisions of Section 3700 of thc [:bor Code. I shall. forthwith comply with thosc provisions.. WARNING: Failure to secure workers' comlrcnsalion covcragc is unlawful, and shall subjcct an cmploycr to criminal penalties and civil fines up to one hundred thousand dollars ($100.0001, in addition to lhc cost of compcnsation. damages as providcd for thc Scction 3076 of thc l-abor Code. intcrcsl and attorrrcy's fccs. erp. OCI-04 -21 LICENSED CONTRACTOR D.FCI AITATION I hcrcby affrm under pcnalty of pcrjury that I am licenscd under provision of Chapter 9 (comnrcncing with Section 7000) of Division 3 of the Business and Professions Code, and my liccnse is in full forcc urd effcct. Liccnsc Class:re _l-iccnsc Nurrtbcr:loo*oCt4 -7 W I hcrcby alfirm undcr pcmlty of perjury thal thcrc is a @nstructk n bnding agency for thc pdfomnce of thc work for which this permil is issucd (Se. 3097, Civ. C.). I-ender's Name: knder's Address: APPLICANT DECI ARATION I hcrcby affrrm undcr penalty of pcrjury onc of thc following declarations: Demolition Permits-Asbcstos Notification Fcdcral Rcgulations (Title 40, Part6) _Rcqu ircd Lcttcr of Notification _l certify that the federal regulations rcgarding asbcslos rcmoval arc nol applicablc to this projcct. f,rccnify that I have read this application and statc that thc abovc information is correct. I agrcre to comply with all City and Counry ordinanccs and State [:ws rclating to building and hcrcby authorizc reprcscnlalivcs of this City and County to cntcr upon the abovc mcntioncd proprty for insgrcction Applicant or Agent Permitee name soP, C4 -O ?-21 Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding I Grounding I UFER Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinss (T-Bar Roush) [Vleter Release a I Rough I o/ t/t,{4{l 4 Service N/eter I I V FINAL to/t,, lr,,rl^{* Remarks Etc. , Qn., nA n7 On1tr An Guttrli)Carricr: