HomeMy WebLinkAbout40131992 - Permit (2)Btdg:
Tract: 1944
Address Range;
Historic: No
Suite Range:
Zoning: Rl
q
Assessor'sParcel:'198-311-14 Lot: 73
Unit:
Block: NA
Permit #: 40{3{992
Pin #: 60562
Owner:
Address:
Phone:
Tenant Name:
Phone
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Fe6 Type
Heat Pump
Bathroom Fan
Range Fan
General Plan Update
lssuance
Dung ilgusen
Satchi:13187 - 1/!0/2tll8 ID3 L
off ice: CTYH Tronsit l7Acctt! Refi: 6tr13
Rcat ir02229279 - 1119,/2q19 !1'.?
Tronsoct ion Totol ltr62
Dung Nguyen
1405 N HaEtings
Santa Ana, CA 92703
(714t 722-3452
Owner-Builder
01 I 16002 51604
01'116002 51604
01 1 16002 5'1604
01 1 16002 51600
01 1 '16002 51604
Amount
86.82
29.36
31.10
52.98
Qty
1.00
1.00
1.00
1.00
1.00
ROSA4ol
1992
?AN
2.92
E
Building Use:
Job Type:
Nature of Work
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016
Sing16 Family Dwelling
Addition
Addn
Notes:
6€nerol Plon Updote Fec
81116002- 516011000-
llechon icol
01u600?- 51604000-
Vi so
CCi: *i*r*rr*II**4 39,{
_ t?l .?3
_ t2([.t. ?8
il t 422.92
Authi:13?31f
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Arabe, Jill
Buirdins Permit #: 10194120
Every pemit issued shall become invdlid unless the work orl the srila
authoized by such permit is commenced within 1 80 days after its
issuance, ot il tho wotk authoized on lhe site by such permit is suspended
or abandoned for a period of 180 days eftet tlle limo the wotk is
cofimenced.
lnspector lVlD#: 2017-135398
Date
Date
Datey$'"tn"no"', *"n,o4t1012014
Account#
04110t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01116002 51600
01116002 51604
$21.25
$200.28
Fee Total:
Paid to Date:
Balance Due:
$221.53
$0.00
$221 .53
City of Santa Ana 20 Civic Center Plaza (M-'19)' Santa Ana, CA 92702 Mechanical
Permit Counter: (7141647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1405 N Hastings St
Fee
$86.82
$29.38
$31 .10
$21.25
$52.98
Contractor:
Address:
MECHANICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS
Appliances
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer '7 -1-/0 ..t/.1 ele,4/)
Besidential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
enrngs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rou gh Mech.7 -7.-//J/at*e .t?
Final Test A
Meter Release .nt
FINAL Y'7 -tr y{+w
Notes, Remarks, Etc
OIINTRBT]II-DI]R DI]I,CARATIoN .
Bt\i'rr\\ rnJ !totc\\n{ Ctxlu) Ant Cir, or Cootr! shirh rcqrnr\ r If nr nr .ornnrcr, al(.r. iht)r)vc. dcnm|$ or rqxt rtt
t'rhclnrnionroarfu(i,nrrrrtr'sLi.rn*dl-a*lchrnrcrLC.nnncci'i8*irhS..li, run ol Diviii,r I ol rh. ll'isi,,.\\ ni
rt'tliu rnl' i|tirnir\uhj.rr\rhr rlplicrnrt,rcililnrnJlrrolnornmihr filc hu drc dollnrslSS00)
-!.asowerofrhclhpcny,oro,cmnlottcswnh*ascs!srtcnsob@nn.sarion.pilldortEwolla.ddEsnBrmisnor.inlcn H or offcEd aor slc (Se ?044, Burirc$ dd PmLs.ions Cod.: Ttc Conlrlclols LiccnE Liw dca ml lnrly lo 6 ovtur oa
rh. Fst.dy wls buillr M inlm6 rhc6n. old wlb dds sh s* himslt 6r hcr$lf or rh^rgh his or her oen cmployccs.
rrovidcd rhol su.l' ihnmrcmils m not inErnd or ofrcEi ior eL. lt how.w, ltr buildiry m ilnpmwmnl is sld wit,in orc )ru
of.on{,htion. llf, Owmr Builhr will h!rc llE bur&n of lmvin8 $ar rE or srE dn d hild or impow lnc p|otEry for l,E rrrF$ of
l. d*owtur{frhc nn'Fry. iorcxclu\ivclyconr.a.rins sirt licc.ed confacro^ roonlmc' !h.Imrcr {scc.7ol4. Busnc$
ond PttriLrsion Codc: Thc Conlriclols Licc"s.I-.w dms no' ipplylo tr.owtrd ofprorcny wno huilds or improrcs rhcmn.
dnd who onrdrs lor \!ch pF,cclr *irh a Co racr on n , iccnserl pucronr ro rhc Cont&ttr ! Li.c,{ ll*).
-l
adcxcrrfl lndcr Ssth
DECI.ARATI(}N
I hcrcby,tlitmxndcr |)c.,hyoll.rjurtomorlhc loll.snrs dccl&rrn,n\:
lrLhtr (i c.lnrrlrc |xrfonnrnrc ofnr Bork 1,r whi.h11[ |[anir ir i\susl
-l
hovc lnd wilr mlintlin workN corp.nsalhn iD ramr, as Eqrncd by Scction l?00oflhc tit'or Codc.lor rhc Dcfomrrc. of
lhc qork lor *nich lhis pcmrir is i*ocd. My por*cs o'qcns{ion inslErc dric! dd policy rumbo @:
ll,li.y Nrtr '.r: I;it'irc1
-l
ccdilrlhl inrhc |rrturmrccof lhc qork tor qhich'hislxnnlr is is$cd. r shrll nor cmploy.nypcMn in rnyhann.r
s, ar ro hcom \!bj.d ro 't. uorlc*' conpcn\lrion lass of Cqliforni!. nnd asrc rhar ir I sh,uld h.oft suhj(t lo lhc
sorkcr( compcnerio. prorisi',nr or s6ri.n 17fi) ot rhe Uh.r Codc. I rhall- f(nhsirh cof,tly pirh lfu)s pmvlsions..
WARNIN(; Frilur ro {cur. sorkcB' ..rqrns,{ t,r .ovceg. i\ unlastul. atrd shall subjcct m crploycr lo sinrinal rEro lics Md
civil fincs u,l b om hnndicd rhousa.d doll&s (31(X),(XD), in rddnion ro rh..os of.ohpcnsario.. domScs as fovidcd lor rfic
LIrIjNSrDrONrX llA.B
DETI,I1.B]|IIoN
ol rfu tltr\trsxnd ln)li\\io',\ Codr. rnd ,y lkctr\c ir iD lnll,nr.. n cfii:cr
I,lte: ConlEctor
qANiIB]JCIII}NJ.INDINC.dIiE (I
I hcrcbr.lfirnu cr Nntlryollujuryrl thcrki(on{ocllotLndir!r8.tcytrthcnIln'nbic.orrh.workrorEhi(hrhis|trn i\
i({,cd (Sc...1097. Civ C )
A.TTUCAII.DE1;LA8A:TION
I rrrcl,y.mnn tr Mcr lcnrlry or fcrjury onc ofrM rolk,wnr! dLrl.r.tionsl
Dcrelirion P.rn k ArbcdosNorificliio! r€dcral Rcsohr iuF lTnt 40. Pnn6)
-Rcquncd
lll'cr of NolifEoli'n
abovc mnliotrcd pmpcdy lor
Appli.d or Agcnr Signarurc:
Pmi'eciam(rnio:tr UU4
)or(
IAPPROVALS
Metal Fire Place
Furnace
,"," nq l0 ?al!
;:::dj:tJiJil:ffi;t
-lrcn
It rhrr rhc 1. cn'lr.!,,hri(n,\ rclrdi'rg x\tr$o\ r.nn,vx rrr mr rfd.rnlc ni rhis n(+d