HomeMy WebLinkAbout40114542 - Permit (2)Project Address: 5007 W Fifth St
Assessor's Parcel: 100-242-09 Lot: POR 11
Suite:
Block: NA
Bldg:
Tract: 1078
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738
Mechanical Permit #: 4O114542
lnspector's Section: (714) 647-5853 \I
Owner:
Address:
Phone
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Westminster Press lnc
4906 W lst St
Santa Ana, CA 927033110
(7'.,41210-2888
Single Family Dwelling
New
New sfd w/att garage
Fee Type
Furnace
Compressor
Decor F/P-Gas
Clothes Dryer
Type ll Hood
Bathroom Fan . .'
lssuance
fr,Z
,--' 23.50
16.00
32.50
Amount
23.50
40.50
Fee
$23.50
$40.50
$23.50
$23.50
$23.50
$64.00
$32.50
Qty
1.00
1.00
1.00
1.00
1.00
4.00
1.00
Tenant Name
Contractor:
Address:
Owner-Builder
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
(
Occupancy:
Constr Type:
Code:
Date:
Date;
isc. Receipt:
Misc. Receipt:
Misc. Receipt:
Notes: Letter of auth on file.
Fee Total:
Paid to Date:
Balance Due:
MID#: 2005-66821
2001
Amsden, Julie 06/09/2006
Building Permit
This permit shall expire by limitation and become null and void if the wotu authoized by this permit
is not commenced within 180 days from the date of this permit, or if the work authorized by this
permit is suspended or abandoned at any time after the work is commenced for a peiod of 1 80 days.
Before such work can be recommenced, a new permit shall be first obtained to do so.
Account #: 01 1 -01 -591 5 lnspector
q $231.00
$0.00
$231.00
Phone:
)
MECHANIGAL.!NSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS Oru-Builds Dclratba
I horry lmm ulda palty of pqjEy rhd I E @pt foE tbe ColtrEtoE' Li(rc kw for thc folloviog run (8.703 I .5 BdiD6
ud Prcftssioo Codc): Any City or Couty which rcquim a pcait to @Drtrd, Elts, iEFovc, <Lmlirh or rqah ay rtrurtur, Fior to iaiswc, rlso roquiE thc ap,plicsd for such Fmit !o filc r rigrod d!t@t thst hc or stc b ficocd prga o thc povisbu of tbc
Coorncror's Licancd LEw (Cbrptq 9, Co@@irg witi SE{io! 7000 of Divicba 3 of th. hEiB aod Profasiou Co&) or rhlt h. 6
rhc is ao;l thac&on ud tbc basir for thc allqcd aogbn.Aay vblrbn of Scrion 7031.5 by my rpplicut for 8pm[ sbj6t th.
rpplic4prto a civil pcaa&y of rct mrc tha 6vc huldrcd dolba ($m).
lZ, s ow ot tdFopaty, or Ey oployc with waga s thct rch oryoraio4 will do tbc wort ad tbc srrurtre ig rct iaradcd
or offacd for srlc ( Sc.7044, BuiB tDd Proftrsbs Co&: Th. CoDtstor'r Licc Irw do€ Dt qply to E ow of th. FoFty
who buil& or imFos &@q ed u/bo do6 nrc.h wort hirelf or ha*lf or thrcugh his or hc om opbyrcs, fovi{tod thrr $r.b
imprcv@@t! e mt imodcd or offaod for ulc. I{, howm, ttc hildiag or impovaat i! sld whhio oE yw of ooplctio4 thc
Orc-Bui.ldq will havc thc hrda of pmving thd bc or rhG Dt build or impow for thc prpos of sb).
_I, u ow of tlc Fopqty, u qclwivcly onmaiag with licanod @ltrrton to oDltrEt thc polrt ( Se. 70aa, BuliDd Ed
Proft$ba Co&; Th. Corrcor'r Lirrc Iry do€ rct lpply to e ow of !:otEty who builds q iEFovs thsaa , aod who
oofrt3 for $ch Fojcls with r Coffiq(r) Iicalcd Fnurd to thE Coelcbr's Lic@E Iry.).
-IE
udq for this reo.
DEtc:
(t 2!.DO
I hq$y sffim ulda poaly of pcjury oa of thc following
I havc od will uiaain r Cstifqtr of Co@r to Sdf-lDsw for wrl6' @Epa&tioo, I providcd for by Sccbn 3700 of thc
Labor Codc br th. pcrfow ofthc wort for which thc paail is isrod
J havc sl will nrirrh rcrtc' oqosdi@ iqraocc, a
rcrt for which this pqmh is isrod My wortc' @Ep@srtio!
rcquircd by Sdbn 3700 of thc tabor Codc, for th€ pqforue of thcime miaud policy !ub6 rc;
PolicyNuba: Expiu:
(Ihis ryior accd rct bc @Eplltcd if thc FEit is for Ooc hundrcd dollm {St00} or lcs)
,y'*tfyldutAr}rFforrcofthrrc*forwhi:bthispqnitisisr4Ish8llDtcqbyuylmninuyresstorfccuc nbjat o tlc wrt6 ' orpasrioa lry: of C:lifom4 od rgr thd if I rhould be.rc $bjcct !o rbr worto'
fovilbu ofsrtb! 3700 ofthc labor CodC I lhslt fonh\dth with thos provisiou..
6 .E-oo 6
WARNING: Failw ro w worhc' omposation ir ufEwftl ed sbrll nbjcr u oplolu o qiniul paahic and civil
fiac up o orc huo&cd thouad &lL6 (S100,000Xn "idirin! to rb. coa of oopanrtio4 dugc u povilod for tbc Soctioa 3076 of
thc Labor Codc, id6€{ md rtorDcy's fc.
LICENSED CONTNACTONA DECI,/\NATION
I ha$y rtrrE uods poaty of pcjury tlat I m licancd udapovitio! of Chrytq 9 (om@i!g with Scdiol 7000) of Divisbn 3 of
thc &siru aod Proft$bs Co&, ad my liw B ir full fore od cffcct
LimClrs:_ Li.rcNEbq_
Dale:
CONSTN,UCTION LEIYDING AGUICY
I hscby rtrrE ulds panty of pcjury tha rhsr i3 r so*Iuctio! ladiag !g@y for th. pqfotDre of tb. wo* 6r which tbis psnir ir
irncd (Sc. 3097, Civ. C.).
lada'sNe:
Iada'rAd&u:
Doolitioa PmitgAsbcstos *o*o r* rffiffi
_ Rcquircd Lata of Notificdbr
I qnfr.b fu.lrcgubti@ re[diDg ubcdw rovrl re ut sDplicabtc to this po]rt.
_yf,etity ttat I trvc rad thir ppticaba od *rtc tha tbc rbovc iDforutbn is @m.t t lgre to oEply yitb
&di@ ud SttG Is rcJrtiag to hildiDg oDfiitctbq ed bfrby rutborizc rcpratdic of thb City rDd r
all City and Couty
Couty to @tq upot ihc
lbow EldioDcd prcFty
Appticrrt fi rgai
Pminc."a(Fiat):
Pupos.6/q o6
Appliances
Metal Fire Place
Evap Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
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.
FinalTest
Meter Release
FINAL