HomeMy WebLinkAbout40232423 - Permit (2)9?Project Address: 1130 S Broadway
Assessor'sParcel: 013-142-20 Lot: 8
Unit:
Block: NA
Btdg:
Tract: 458
AddressRange: 1130-1132
Historic: No
Suite Range:
Zoning: R2
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mecha n ical Permit #: 4o232429
Pin #: 526,42
Owner:
Address
Phone:
Tenant Name:
Contraclor
Address:
Phuong Phan
1130 S BROADWAY
Santa Ana, CA 927071206
17141200-9132
Owner-Builder
Fee Type
01116002 51604 Repair Vent Sys
01116002 51600 General PIan Update
011'16002 51604 lssuance
Amount
43.62
22.O8
55.04
Qty
1.00
1.00
1.00
Fee
$43 62
$22 08
$5s.04
Phuons Phon
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
lExpires:
Genenol Plon Updote Fee
01r16002- 51600000-
l'lechon i c(I
01116002- 516040{10-
Viso
CC+ : ***i*rr**rx;7092
_ $2?.0s
. $99.66
$898.70
Auhhi !|177770
I3uildino use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Alteration
N/V
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016 Notes:
Date
Date
DateChavez. Dave>c'04107t2018
Account#
10297244
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Oemo unpermitted garage conversion kitchen,
bathroom, partition walls and return garage to original
use. Remove drywall from ceiling. Remove washer
and dryer trom garage, relocate laundry facilties into
the main residence.
$120.7 4
$0.00
$120.7 4
01116002 51600
0'1 1 16002 51604
Fee Total:
Paid to Date:
Balance Oue
$22.08
$98.66Every permil issued shallbecome invalid unlessthe wo* gn the site
authoized by such pemit is commenced within 180 days afler its
issuance, ot if the wo* authotized on the site by such pefinit is suspended
or abandoned for a period of 1 80 days aftet lhe time lhe work is
connenced.
lnspector MID#: 2018-'t45'154
Botch*:45252 - 8/7/2015 I0r LRoSALES0ffice! CTYH Trons;! 2 2 ol 4Acct+: Ref+! ,(r:r!32423
RcPti:023{?692 - 8,/7/2(118 9:36 AH
Iroosoct ion Totol SS9S.70
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OTYNER NU I LDER D}:I,CARA'TION
I hcrchy alltm uftlcr pcnrlly ol l)crlury rhal I ur u.flpr ion rhc Coitr.ttr\' Lkctr* ljw tur rhe lolh$ire rcrvr lscc Trll 5
Ilr\i',c* rtul ltol!$i,D Cikl.): ry Ciry or Coutry whi.h rdtunc! r turnir t' con\lnrcr, !hcr. impnvc, dc hllsh or icPtir rty
{rucrurc. prnn ri ns iscuance, rl{i rcqutc\ rhe lppli.nd lir su.h t^-nnirt,lilc! \i!trcd {nrc ttrr rh hco! shc n liccnsLn Prunr
r' rhc !,ovisirrN .l dr C.nrn.rn's t.i.cnscd Ll* lChnprcr 9. Connlcncir! wirh Sccrn,n ?(XX) of Diviin,n :l ol thc Ausilrcsr rtrd
Pn,icsions Codc)orlhit hcor\hc i!clcnrDr rhcrcrionJndrhc hri ttr rhcnllcsrd crcnprn,r. Anyvn,hriotrol'ScclionT0ll 5 h, xtry
rprrlicanr lar t p.nrir \uhjc.r\rhc aprli.rnr b,.ivilpcn/lrrornor fttrcrhnn livc hundrcd dol16(S5fl))
Jb)
)ql..h oqkr.'lrltrr,n,ncdy.nrn'ycn'nlorcu\tr r' {is.\ as lhcir r,l. $ ,Fn\rior. will ,lo rh. Bor k and !hc (uru.c i\ nol
i' cndLrl or olhrcd ntr st (sN.70{4. In\ikss ,trd Plo lc$nflr Codc: l hc (tnrrrmroi s l,i.cn\c LN doc\ nor rrtly r. trtr ostrd of
rlt |mrtcny who huilds or impr,rc\ rhcF,n. ud who J,E\ \uch $ort h i'n\clf or h. clforrhtuuthhisorhcto*ncn[loyc.\.
p()! .d rhrr \urh infn^.nrin rfr n r inrc,rul or ott'.d f(tr slc. ll. ho\rcEr. rrs 6ui[ing or inpnM Etrr i\ a,lll sirhi. o c F{
oicon{'ldno. thc OuN, tsuiLl.r $illhrk rlL huRtcn olpn)vi',! rhar h. or \hc dkl Rr hoill or rryrot rhc pmpctly f{n rhc !!rF)t of
-1.
as osncr of rhc propenr. lnr erclusivcly conrrrine shh liccBed conho.roB to snslrud ltr pmjccl (S( 71X4. Bhines
,rid PDftssim Codc: Thc conr"dols Li..nsc tjq dss nol sprly lo M oqnc, of ptoFn, who build! or inprovcs thcr€on.
und who cootach forset rfticli wilta Coohd.(s) lien€d pununl to lhc Conlmtols Ltcns L,D).
.,t9 o"*.,14
DESAAAf:I!,IN
I h..c5, ,fti.fl utu1fi Fn,lly ol0cqu,y orc ofthc loll,,wirs de.-lralk,nt
I hsvc tulwillnuinrainaC..ilrarcoiConrcnll.Selllflsurcforeor*.r'.onp.n$dn,n.a{ ln,vider! ror bySe.-lion 3?(, otrhc
Llh, C.d.. nn rhc lclfommc olrhc work td qhich rh. lxrn i h nsucd.
-l
h.vc rnd willnroinlain workcN conpcnsarion in\!r.n.c- a\ rcquncdbySc.riotrl?00ollhcLsborCodc.lbrlhcl.,lonu'ccot
lhc work iorsnichthis prrmil ir n\ucd. Myworkda @ rncnsa,ioo insurnn.c.anicrudrslicynumbcr ue:
-l
enify rhar in rtc |lcrfortutuc otrhc work ao. shi.h rhi* r.rml is nsucd.l shlll ml cmploy uny pcRon in rny mtnRr
$ .r b b.n)m ubid ro fic wo dl snwnelion lows ofcaliforni0. ud lgtu rhot irI srhtrld tEcom subjccl lo rlE
work.re' omp.nsdior pmlisions of Sdion l?00 ol tlI Ltbor Cod., I dell. a.dh*nh oryl, wilh rho$ tmvhions..
WARNINC: Failurc h se workcB .oopcos,rion ovcng. is unltratul. snd shull subjer M cdplorr lo aiminalJtMhics ond
.ivil linc\ up lo oDc hundrcd rhousn d dolhn (S|(X),01X)), in dd io.. dutuCca es ro?dcd for lh.
Smrion 1076 ofrhc ll}nr Codc inr.6{r.d r omv'
o,,". . 8/-, I n, n,o-^,
UIIXSIDIIINITAEIOB
DECLAAA.IION
I h.toby lnnund$pctrillyolpcrjwythot I om liccnsdutrdcr nF!i\it'n,,rChrnroel.o rmncrn-s\irhScc'i,tr?trn)orDivkion3
ol rh. lr,sinc\s and Pn,r.sqion. codc. ald ny li.cnsc n in tull fom ufrl.iltcr
CONIISIqITONIIDDAG.{GESCI
t lErby sflrm undc, ,.Mlry of F iu.y thsl ilEe is a onslocli,i lediog !9.rcy for llE pdfot]re. of lhc *or{ for whah lhk tBmn is
hsucd (56. 1097. Civ. C.).
AIILICAILD&CLAEATTAN
I My &ninn undcr pcnahy or Frjury oft or rh. follo*inB delnral ioos
Dc x,lirion PcrmiNAsh.sos Nolificoiion t'cdcml Rquhrions (Tnt4). Pan6)
-Rcquncd
krrcr of Norifi .arirr
_l enity rhar rhc f.itcr,l Egulalions rc$rning atrnos rmvd dc ml lpplt.blc to lhis tFi{r.
-t
ccnify rhar I lEvc rcad rhis aDDli.lrion aii iblc rMr thc ahove info@lion G coKl. I osre lo ory)ly unh all Ciry and Counry
onlinumcs Md Srri. Lzws rchlinS ro huilditrB consrrucrn[ und ,uh.rircrcprcsc .liv.sorrhisCiryrndColnry
ot vc m ioncd Impcnyioi inspcclion
\a
, K lHlln t't G Ptlt )
,/t 'oTsueon0E
.//g
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room i Clothes Dryer
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
FINAL tll2Jlt?i Wn:vtt+<t a-,2)
Notes, Remarks, Etc.U I
-.'}
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