HomeMy WebLinkAbout40132507 - Permit (2)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
Mechanical Permit#: 401325117
Pin #: 90760
Project Address: 3000 S Sycamore St
Assessor'sParcel; 932-321-25 Lot: 1, 2, 3
Unit: A
Block: NA
Bldg:
Tract: 7494
AddressRange: 2900.3020
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address:
Contractor
Addressl
Leticia & Juan Minchaca
3000 S. Sycamore Street Unit A
Santa Ana, CA 92707
(7'r4) 510-5604
Henderson E Sons construr
'12938 Burbank Blvd.
Encino, CA 91316
(888) 806-0540
Fee Type
01116002 51604 Bathroom Fan
01'116002 51600 General Plan Update
01116002 5'1604 lssuance
Amount
30.52
22.O8
55.04
Fee
$30.52
$22.O8
$55.04
Qty
1 .00
1 .00
1 .00Phone
Tenant Name;
Phone
State Lic #: '1034553
Lic Type; B
Bus. Lac #: 370363
Workers' Compensation lnsurance:Carrie. State Compensation lnsurance Fund
Policy #: 9223900
Expires: 1213012018
Botch+!43357 - 8/23120tS ID: GARCIA
office! CTYH lronet! 4 ,6 0f 5Acct9: Refi: 4013251:17
Rcett!0?36(t747 - 8123l?018 8!32 Atl
Tronsoct ion Tolol 1727.15
HenderBon A Sons ConetPuct ion
r?2.G
rss.56
t72t .38
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Alteration
Bathroom Remodel
R-l
VB
cMc 2016
Occupancy:
Constr Type
Code:Notes: BathroomRemodel-
Chauez, Dave=)C..
10197467
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Date
Date
Date o812312014
Account#
$22 08
$85.56
$107.64
$0.00
s107.64
Every permit issued shall become invalid unless the wo.* o, tho slte
authorized by such peftnit is commenced within 180 days after its
issuance, or if the wotu authorizod on tha sito by such pemit is suspended
or abandoned for a peiod ot 180 days aftet the time the wo* is
commenced.
lnspector MID#: 2018-145598
01 116002 51600
01 116002 51604
Generol Plon Updote Fee
01116002- 51600000-
lleEhqn icnl
0111600?- 5160{000-
ICL Cherk 002691
Fee Total:
Paid to Date:
Balance Due:
MECHANICAL-INSPECTOR RECOFD
APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER DET,CARATION
I hcEby Dffirm undr pcMlly of F,jury lhlr I mercnfl lbf, rh. Crnmdoa Ltens. Ltw f6r rhe followi.e rclsn (Se7011.5
Blsiffis !d Prcfcssion Cod.): Any Cily or Counly whi.h rcquiB 3 Fm'ir lo conso.l. dtE. imrmw. d.mlnh or rcplt ey
sm.rue, |ri6r ro its hsuse. al$ icqun s thE spplicanr for such pcnir ro ,iL ! si8ncd sllreft rhor lE or shc ir licci*d pomanr
lo ltc Fovisioos oa lh. Conhcloas Li(ned t w (Cl'aplc. 9. Commmin8 wilh S..lio. 7000 ol Divihn I of lh. Burincs .nd
Pmfcasions Codc) orrhar h. orslE is cxcm rhdtfronand rhc basir aor lnc .8cn.xchption. Anyliolationofsdtion7011.5by3i,
applter fo, { pcmir sbjccls lhc {pplicant lo a civil p.Elry of tur tur rhu fivc huldrcd doll&s {1500).
-l,
as o*rcr of rl* proFny. or my cmployes wirh wagca 0, rrEn $k Nml,ensrbn. wiu do llf, wo* s,i rl* slrxlN is mr
inre,'d.tl or o,ftt! tor slc (Sa.1X4, ausimss md Proacssions Cd.: Th. C..lnclor's LtcnE L8w &Es ml lrrly to d owrcr of
tho rmp.ny vts hdild. o. in{mws 0E6tr trd who des rkh e* himsclf or hcFelt o, rhoush his o, lEr own co0loy.cs,
provid.d rh skh inrm1tftflrs re d inkndcd moficEd lor et ll howE, rlE tuitlin8 tr inrrmEftnr Ls s! *nnin oN y@
o f cor{,hlio n. lhc Ovncr Buil&J will hns tlE budcn of povinS ln3r tE or sh. iId rcl brild or iq'mrc E l,mFny ror thc puqnsof
-1.
N osncr of lhc [or.ny. sm cicllsively conlEcl in8 wilh liccnsd contrctor to construcl lh. pmjd (S(. 7044. B6insr
ond hb(\sbn Cod.i Th. Co.rocroar Lic.rsc taw docs nor aDplyro m os@r ot p.opcny who blildr or inpreki rh.rcon,
and sho onlmcrs ior sucn !,oJc.ls qill' r Conlnctons) licnsed putru r ro rlrc ConrR.tols Liccns Law)
-ld
cxchfl lnddrS6riotr-. B. & P.C forthi!rdson.
WORI(ETS' COMP'NSA'ITON
DEqdAAItaN
I hc,chy rfiiirnlndcr pctrohy of pcrj!ry onc otlhc aollowinS d(l.rorions:
-lharcu
will rointrh a Crnificrlc of Consnl x, sclr.lnsnrc rur wortcB ompcN0rion. as a,ovidcd for by Sr..ln l7rx)olthc
tjhor codc. ror rtu n nnrnm.c oflhe sork lor Nhi.h rhc ps'n ni\\ucd
_lhave ond will mrinroh workcB cornpcns ioninsuruncc.rs rcquimd by SR! ion l7m ol rhc Libor (lldc, lor thc pcdonnrmc of
rhe voi( rar qhich lhis Frmil is hscd. Myqorksl compctrsrli,in insurntrc conicr dxl Foltt Nmnc. r€:
c.,,". . 5ltqt€ c9NPeq*,+ion
OC ., - tzlvlie
_l c.dityll.r in rhc lcrtormtuc of thc wort for whth rhh p€rnn is is.u.n.l shall not cmphyaorrccon in any tunmrs alo tE om subr..r lo tlE m*ds onqFnelion l0$olc.lil6hi!. and agrcc rrd ifI should tr.om subiet io llE
wortc^ smp.nsdio. lmvisions of Scclio. l?u) ol lhc ldbr Cod.. l dtsll. fonhwnh omply wnh rnoc pmvirions..
WARNINO Failurc to w!rc *orkcrs conlrcnslion ovc6e€ is uakwtul. nnd shlll subJ..l !n cmplorr lo siminol ltMlltr ond
civil finc\ !r lo onc hundred lnousnd dollor ($ld).000). in eddilion lo th. cost ot comnc.salioa, daruscs as pn,vid.d for lhu
=?
LIcEES[DiOlr&tCrltB
oEct4BA.UlU
I hcrubyaitnundcr pcftlry of F.rjurr rhd l0n liccnsi lndcr provtion olChnprcr 9lcomtuncins sirh s..rii 7ux)) orDivkion:l
of lh. B!\inesrnd Ptotc$ionr Gdc. ud mrliccn* h in tull fotoT uxj eltNr.
'.loYt55b. Al?\tit
!aTi,Ii1BI(IIANTE!DINjj.A1iII!!:I
IhcrchyxllirnruDdciFnrlry.ll)crjuyrhnrrhcni\rcoi{ru.rionlcdingtr!.Myr.rrhcNrtonn.ncc.lrhcwnrkrbrwhichrhnpcrnriri\
i\\!.J rscc :lrD7 (-i! C I
AITLICANLDIILAa]IIM!
llElty dlinnrndrr ncnrlry ofncrjury nnc ofrhc foln,winr dcclarrrn,ns:
txNnirior PcirnirsAsh({os Nolifi.ati.n rrdchl Rc8uhrn'n\ (Tirlc.l0. PM6)
Rcqxncd Lcrrq ol Norifi.di,)n
-l
ccni{y lfilr rh. fcdenl rqrllrions Egedins Nbcsros rcmvol arc nor amlicable ro rhh orccl
6l anify rhlr I havc Ead lhis 0lplicarion anl srob fior thc shoE informrion n corE l. t aEN roomplywirh lllCiryand Corory
ivcs orihis City rd Counly lo cnls uron ltrordin0mcs.Ni Sldc lrws Elnlin8 ro bu ildine con{flcrio( and hcr6y_,lr&1p.n**nuohov. mnliomd pmFny for nr{Erion purF*s
Appli.anrorASc SigMrurc
e".,r,* -* ro,r"r, )( oiklo Shprhori
6/zil lE
Appliances
l/etal Fire Place
Evaporative Cooler
Furnace
lQpmpressor
Misc. Equipment
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Toilet Room / Clothes Dryer
R esidential 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
An)
Rough Mech.i (lr{ (i ,r$rtlr/
Final Test It ol
Meter Release
FINAL 4t\ER'to xmZ.:,'r9)
Notes, Remarks, Etc ul
Duct Work
Vents
Sr*rion 3076 or ihc t ifl Codc. intcrcsl and ltromy s fes
"",,'SlztliE
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