HomeMy WebLinkAbout20172852 - 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
Proiect Address: 2225 112 W Downie Pla
Permit #= 20172852
Pin #: 73795
Assessor's Parcel: 399-153-09 Lot: 108
Unit:
Block: NA
Bldg:
Tract: 2419
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Hai Nguyen
2225 W Downie Place
Santa Ana, CA 92706
(7141 258-6e43
NT&M
23526 Cavanaugh Rd
Lake Forest, CA 92630
(7141 706-2824
01 1 16002 51603
01 1 16002 5160r^
01 1 16002 51
01 1 16002 5160C
01 1 16002 5160;^
01 1 16002 5777C
Fee Type
New Res
Low
Update
lssuance
Microfilm Records
Amount
016
39.56
57.40
23.79
59.30
4.05
Qty
748.00
1.00
1.00
1.00
1.00
1.00
Fee
$1 19 68
$39.s6
$57.40
$23.79
$59.30
$4.05
I
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Rcpti:Ll3?114753 1/;5i?tti1
Tr nn snr:t i on Tot n I
ID: (:(.UEl.-l-rit
+
$?r731
lg5';'20
State Lic #: 1030481
Lic Type: C-10
Bus. Lic #: 367M2
Workers' Compensation ! nsurance:Carrier: State Fund
Policy #: 9231643
Expires: 0 511712021
HT&N
Building Use: Accessory Dwelling Unit-D Occupancy:
Job Type: New Constr TYPe:
Nature of Work: ADU Code:
Planning Conditions: All materials to match existing.
R-3
VB
cEc 2019
Gerrerql Pl nn UpdnL e Fee
Lrl 1 16LtLr2- 516ltll[ttl[r-
Electr'ic0l
Ltl 1 161ilJ2- 516u3[CIr:r-
I'l i crof i Im & Docuffient s
rrl I 16r_rt 12- 5777rJut_tt-r-
Visct
C(:* : *****r ****** t 836
Notes. Construct detached ADU to include (2) bedrooms ,l2l
bathrooms, kitchen, living room, laundry area and
porch
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
()[Hernan dez, Kathy 0212512021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date:
Date:
Date.
Buildins Permit #: 1 01 1051 69
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.
01 1 16002 51600
01 1 16002 51603
01116002 57770
$23.79
$275.94
$4.05
Fee Total
Paid to Date:
Balance Due:
$303.78
$0.00
$303.78
Inspector MID#: 2020-162347
ELECTRICAL.!NSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safetv /Low Voltaqe
Fire AIarm / Dampers
Communications Cable
Building
Under SIab / Floor
Bondins I Groundins I UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilinss (Hard & Soffit Rouqh
Ceilinqs (T-Bar Rouqh)I
Meter Release Q'-/'(-21 4k,,"-u)
J
Rough )-z;b4 WC '}Jl
Service N/eter
FINAL cl ac,zl f?-u t Nzrs ryt
Notes, Remarks, Etc.
OWNIiR BUII,DER DI'I,CA RATION
I hereby affirnr under penalty of prjury that I anr excnrpt fronr the Clontractors' Licen-se l-aw for thc following reason (Sec.7031.5
Busincss and Prol'ession Codc): Any City or County which requircs a pcrmit to construct, altcr, irnprove. dcmolish or repair any
structure, prior to its issuance. also requires the applicart for such perntt to file a signed staternenl that lre or she is liccnscd pursuanl
to the provisions of thc Contractor's l,iccnscd I:w (Chaptcr 9. Commencing with Section 7fiX) of Division 3 of thc Business and
Professions Code) or that he or slre is exenpt therefronr arrd tlre basis for the alleged exenrption. Any violation of Section 7031.5 by any
applicant for a pennit subjects the applicant to o civil penalty of not more than llve hundred dollars ($500).
_1. as owncr ol'ttrc propcrty. or tny crnployces wilh wages as their sole compcnsation, will do the wcrk and the stnrturc is not
interrlxl or offered for sale (Sec.7B+. Business and Pnrfessions Code: The Contraclor's Licensc [-aw docs not apply lo an owncr of
the property wlro builds or improves lherooru and wlro does such work himself or herself or ttrough his or her own entployees,
providcd that such irnproverrcnts arc rnt intcndcd or ollcrcd for sah. Il. however, the building or inprownrcnt is sold within one year
of complctbru thc Owner Buikler will lrave thc burdcn of proving ttra lr or stre did not buikl or inrprove thc propaty for thc purposc of
sah).
_1. as owner of the propeny, am exclusively contracting with liccnscd conraclors to conslruct thc prcject (Sec. 7OU. Businers
arxl Protbssi<lr Code: The Contractor's License Law does not apply to an owner of property who builds or intproves lhereon.
and who conuacts for such pr<rjccts with a Contractor(s) licenscd pursuant to thc Contraclor's Licensc hw).
-IantexenlptuttderSectitltt-,B.&P.C.tbrtItisreason.f l^.,..
WORKIiRS' COMPIiNSATION
DECLARATION
I hcreby atTirnr undcr pcnalty of pcrjury onc o[ tltc tirllowing dcclarations:
_l have and will nuintain a Certilicate of Consent to Self-lnsure for workers' competuation, as provided for by Section 3700 of the
Labor Code, for thc Jrcrfornuncc of thc work for which thc pcrnrit is issucd.
-l
have and will nraintain workers' conrpensalion insurance, as required by Section 3700 of the l-abor Code, for the 1rcrf<rrnur,.-e of
thc work tbr which this pcrnrit is issucd. My workcrs' con4rcnsation insurancc carricr and policy numbcr are:
Carrier:
Policy Nurnbcr: Expires:
_l certify that in thc 1^-rfrrrnuncc o[thc work for which thi.s pcrmit is issued, I shall not enrploy any frcrson in any menncr
so as to bccomc subject to thc workcrs' compen.sation laws of California. and agrce that if I slnuld becorrc subject to the
workers' c<lmpensation provisions of Section 3700 r.rf the Labor Cqle, I stull, forthwith comply with thosc provisions..
WARNING: Failurc to lrecure workers' cornpensation coverage is unlawful, and shall subjcct an employer to crirninul pcnahics and
civil fines up to one hurrdrerl tlxrusand dollars ($IOO.CX)OI. in addition to the cost of comgrctsation, danuges as provided for lhc
Scction 3076 of thc latxlr Coclc. intcrcst and attorncy's l'ccs.
or,.,^Q-fl f- floN
I hereby affrnr under ;rnalty of perjury that I anr licensctl under provision of Chapter 9 (comnrncing with Scction 7000) of Division 3
of the Business and Professions Code. and my license is in full forcc and effect.
License ro3"Arl
o^t", &-9 f '% Q-,1
CONSTRUCTTON LENDING AGENCY
I hcrcby affirrn undcr pcnalty of pcrjury that thcrc is a construction lcnding agcncy for the pcrlbrmance of the work lbr which this grcrmit is
issued (Scc. 3097. Civ. C.).
Lender's Nanre:
knder's Address:
A PPI,ICANT DECLARATION
I tucby aff-rnr undcr pnalty of pcrjury onc of thc firllowing declarations:
Dcmolition Pcrnrits-Asbc'stos Notification Fcdcral Rcgulations (Title 40, Part6)
-Rcquircd
l.cttcr of Notification
_l ccrtily that thc fcdcral rcgulations rcgarding asbcstos rcmnval arc not applicablc to this projcct.
_l certify tlnt I luvc rcad this applicalion arxl statc tlut lhc ahovc infrrrnution is correct. I agrcr to conrply with all City antl County
ordinanccs and Statc laws rclating to constructioq and hcrcby authorize rcprcscntatives of this City and County to cnter upon thc
above rnentioncd propcrry for
Applicant or Agent
Pcrmitcc nanle l(
08-0 -201
I