HomeMy WebLinkAbout40132447 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mechanical Permit #: 4lJ132447
Pin #: 96666
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Proiect Address: 1201 S Genoa Dr
Assessor'sParcel 108-382-07 Lot: 46
Unit:
Block: NA
Bldg:
Tract: 3528
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address
Phone:
Tenant Name:
Contractor:
Address:
Nhu Quynh Dang
13163 Newland Street
carden Grove, CA 92844
(9s6) 777-9999
Owner-Builder
Fee Type
01116002 51604 Bathroom Fan
01116002 51604 Range Fan
01116002 5160C General Plan Update
01116002 51604 lssuance
Amount
30.52
22.O8
55.04
Fee
$61.04
$32.s0
$22.08
$55.04
Qty
2.OO
1.00
1.00
1.00
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Polacy #:
Expires:
Bot(h+:45444 - 8/17l?018 I0: HGARC0lfire: CTYH Trnnsi: 35 3 o0Accti: Refi: 411132447
ftcpti:0?356370 - 8/17/2018 11:5t An
Tronsoct ion Totol 1735'5s
$148.39
ET4tl.Irtr(11.42\
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Owelling
Alteration
Remodel
Date
R-3, U
VB
cMc 2016 Notes Remodel existing kitchen and (2) bathrooms. No
structural modifications. Auth on file.
Date
DateZuniga, Allissa
Buildins Permit #: 1 0197303
Every permit issued shall bocome invalid unless the wo* on the site
authotizod by such permit is comnenced v,tithin 180 days after ils
issuance, or if the wo* authorized on lhe site by such pomlt is suspended
or abendoned lot a peiod of180 days aftet the time the work is
commenced.
08/09/20r8
Account#
$170.46
$0.00
$170.46
lnspector ltAlD#. 2018-145281
01116002 51600
01 1 16002 51604
$22.08
$148.38
Fee Totat
Paid to Date:
Balance Due:
ilhu 0usnh Dons
General Plon Updote Fee
01116002- 516A0000-
llechon icol
011160&2- 5160{000-
Coeh
Chonse
Euilding Use:
Job Type:
Nature of Work:
Occupancy:
Constr Type:
Code:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNTR I}UIT-DCR DELCARATION
I hcrchy rltun unlcr trnrlry ol Erjury lh l nnr cxc'npr fom lhc c(nn'do* l-,ccosc l-nw for ihc Lllosing rctrsr isc.7l).115
Btr\inc$ rnd ltolc\\i,r Cixld) Any Ciry or cou y *hi.h r.qutrcs a Nnnir lo con(rud. rlrcr. imprk. drfrolnh .r rrFir trtry
(tu.ru'r. prntr lo ih islurn.c, dl\o rquncs ihc rlpli.rfl lnr su.h Frnrir ro Ilc r sisncd n cmnl'hlr hcor shc i\ ltctr\cd pursurtrl
ri rhc pravnion\ ol rhc Co rucroir Ii.cn\cJ l-as (ChlPrcr 9, Con r.n.$! wirh Sc.riur IUXJ ol Division.l ol rhcB\nr\\rd
Pn,f.\\ion\C.dr)orrhrr hror\lf, i\cxcnu rhclcior dnd rlEhsn hr rhcallclcdcxcrnptiotr Anyvnrhri,niofSc.totrT03l5hyrtry
+flicr r rrtr n p.nnir subEchrhc .tt'licnnl lo acirilpctrrllyol trot morc rhan lir huiJrd.loll.^ (S5u)).
-1,
N own6 6fuhc lmFny. or ny .q,loyes wnh wa8.s ,s lh.n st compctrstion. {ill do ric adt ard $c strBl@ is ml
indncd or ofi.rcd lor slc (Se.?044. Busimss and Pmfcsions Codc: Thc Conrador'i Lieoc Lae {to.s nor oPt ly to aa otncr of
rh. !6Fn, wh,t ild\ or inpmws ttEmn. &d who des Mh wlk himclf or h€rclf or lhmusn hh d h.r own c"'rloyss.
providcd rhat such imrmrcmors @ mr hrddcd oro,Lrn &r elc, li howi lh. trildin8 or iq,mvcmnr h eL! slhin orc rt
ofon{,hraon. tlE Owmr Ad&r vill n vc lhc burd6 of provin8 tlrl nc or shc did ml huild or inproE Ut l,oFny for t}E Purpos of
l. .s owncr or lh. poF..ly, .m cxclusircly corlEclins rilh liccnred co.relor io @BLnd rL rr.itr (Scc. 7044, Bulims
lnd EoEssbi Code: Thc Conra.k s Lic.nrc L5e docs Nr r$ly ro $ own.r of trcpcny {ho brilds or impov.s rhcrcon,
rnd *ho m.rra for sucn pDirls wirh a Conrncto(, licnsd pur@nt ro lhc C.nteror's Liccnsc tiw).
I rr.rc rlr und.r S..r .t
!!:!LNBIUTN
I h.rchynfllnnund.r F.rhyof p.rjurroncof Ih.
_l hlw a,n will minrd. a CcnifEatc of Con*n o Sclf.lnorc aor *o eR conpc$arion,I pmtidcd for byS6lbn 1700oalh.
bnor Codc, for rhc p.rfoMe of rhc wo* ror which rh. Fmir k Lssmr.
-l
h.vc and sill moinrrh wortcn codp€nsation inslrarc., &s cquidd b, Se.rioo l70o of lh. tjbtr Codc. for lhc pdfoimM of
thc vork for *hhh lhis pcmil is i$ucd. My workoC @nFnsllion iosul,re stt un F,l.y nunb.r ec:
Po,icyNunb.r:-ErDirs
WARNINC: r{ibrc ro surc M*er' ahFnqrion .ovcEsc is lnh{rul ,nd shall subjer M cnlroter lo sininal FlDlri:r a(l
civil fir\ uD h onc hundrcd thouqnd dol
Sation 1076 oirlE lrtrn Cdq i.rcrcd and
(sl ro itx cosl of conFn$lion. drrEses as p,.viddl rd lhc
,,,",-</q [19tt
I lErcby afllm !nd( FcMlry of p.rjury rhni I nm licn*d undcr otChoDtcr9 (onmrcins wirh Scdk n 7(m) of Divirion 3
of rhc ltusinc\s and Pn'ic$i,nrCodr, rid dt lkc.sc ii i. fullfore 0rd.ffsl
l)il( (onlrrrt('r
l1)ISrrueI]AI-LEIOlMr!1inNC]
-l
anify rhll Ihs fcdcml rgllari6nr Egardins dbcsroi r.mval e nor appli.,blc t, dis lojccr
lccnilirharlhrvcrcudrhhlptlicarionaidsrorcrh rhe ihovc infomr ion n c.ft.r l agm b .onply wirh nll Cily und Cou.l,
odinanccs and Srarc l,!s\ rclaring aurhorizc rcprc(nlorircs ol lhh Cir, ond County t cnr$ u|)o. rrE
rlx,lc trrnri.dcd propcny f{n ii
7Aprlicnnt or Agcnl SiSnarurc 3
Appliances
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
lnsulation
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Hough Mech.
Final Test
Meter Release
FINAL r.l[. fl /2c27
Notes, Remarks, Etc.
Ivletal Fire Place
Pre-lnsulation
Smoke Detectors lnstalled
-l
enifr rhat in lhc r.rformN 6f lhc wort for whkh rhat pemil is ksucd. I snnl nol cmploy an, Fron in a.y ME
$ s t. t {o@ bjccl ro rh. wo*6 ompcns.tion hvs ofcrlifohia, and astr lhar if I should lE om sbj.{t lo llF
w6rl6{ s"{Ensarion pmvirions of SeIion 3700 of lhc l2hor Code, I slEll- folheirh omdy wnh rhs povirhns..
Liccns. Closs
-lj.cnse
Numhcr:
-
t ndcls Addrcs:
-
appr rc.Iiil iif frF
I lBrby dlm hdcr p.nrlryofpqjnryonc ofihc rou.win8 dccldarions:
D.n.liri.r Pcrmirr-Asb.sos Nolificarion F.dcral R.Suhtions (Tillc 40. Pan6)
Rcqutcd L.ns.lNdifEoliotr
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