HomeMy WebLinkAbout40132339 - Permit (2)Project Address: 1230 1/2 W Raymar St
Assessor'sParcel: 010-282-03 Lot: 19
Unit:
Block: NA
Bldg:
f ract 1470
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
l nspectlon Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mechanical Permit #: 4l)132339
Pin #: 53685
Phone
Tenant Name:
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 51604
01 1 16002 5160C
Owner:
Address:
Contractor
Address:
Phone
State Lic #: 922200
Lic Type: B
Bus. Lic #: 325079
Woriers' Compensation lnsurance:Canier: Norguard lnaurance Co
Policy #: DAWC862945
Expires: 1012012018
FoeType Amount
Wall Heater/Floor Furna 65.57
Clothes Dryer - Residen 40.34
Balhroom Fan 30.52
Laundry Fan Envir. Air 34.84
Range Fan 32.30
General Plan Update 22.08
oPlto Constnuct ion Co
0ffice! CTYH Trons+: 41 I ofA(ct+t Reft: 40132339
Rcatt:02327956 - 7/19/2019 ?r00 7f1
Tnonsoct ion Total t7r371.21
Michael Hoang Nguyen
'1230 W Raymar St
Santa Ana, CA 92703
(714) 839-8824
Oelta Construction Co
16027 Brookhurst Street, G"
Fountain Valley, CA 92708
17141362-1892
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$65.57
$40.34
$30.52
$34.84
$32.30
$22.08
01 1 i6002 s160,i ,.rr"n"" Bor.h+, { +yot _s?Mnors tg9 HcnF,c$lp 0a
Generol Plon Updote Fee
01116002- 51600000-
nechon icol
01116002- 5160{000-
ICL Check 00163
,??.t'{l
3258.61
17 t37L.?lj
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval Bla
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #i
Single Family Owelling
Nerv
ADU
R-3
VB
cMc 2016 Notes:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
10196328
Every peflnit issued shall become invalid unless the wotk on the sile
authorized by such permit is conmenced withinl80 days afret its
issuance, or if the wo* euthoized on the site by such permil is suspended
or abandoned lot a peiod o1180 days aflet the time the wo* is
commencad.
MtD#'. 2018-142742
07t1912018
Account#
01116002 5'1600
01116002 51604
$22.08
$258.61
$280.69
$0.00
s280.69
Occupancy:
Constr Type:
Code:
Fee Total
Paid to Date:
Balance Due:
lnspector
MECHANICAL-INSPECTOR HECORD
APPROVALS DATE COMMENTS OWNER NUII-DI:R DEI-CARATION
I hcrchy ritun undcr I[Mhy (, rurjlry rhd I !m cxeDpr li! rhc Conrracro6 Liccn\. lls rtr Ihc rolro*i,r! rcastr (scc.7o.rl 5
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lh. FbFdy wh) hiilds or itr!rctts tLen. &rd who d{4 o.h srl hi6*lror h.relr or ltmlsh nis o, hd ow..mPlorecs,
lnlidcd lhrl slch itrv,rctmntl @ Dl inl.fl(h ororcEt for sL lf, nokE dE l atdin8 s inrmwft i6 Eld wirhinom tw
of.oqlcliotr r osrc. Buili,fi eillh,E (E brdciofprDvirg rhtl tEorshc dn d hiltor inpbE th. tmFny forlt Purposof
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as osmr of lhc ,n'Ilcny. !mcxclusirclr.ont&tins uith licensd conlmroE k,.onnruci rlE t'oicr (St.7cl4. Busm$
ond Etrfsshn Codc: Thc Conl.0.lols Liccns. tiv docs nor stply to an o*nd of[ropcn, who builds or improvcs lhcrcon.
and who onrEcrs for slch lmixk $irn 0 C.nttucro(t licen*d punu!.r lo rhc Conl$clols Licctrs L{*).
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dcxcnrt !.d.r S6don- B. & P,C. for ftir rc&io..
Drt.: ovmr
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DEII.ASAITON
I hcreby ainn, udcr pcnalty of pcrjlry orc ot rhe hllo*i.g ddl{aiions:
l-rhor (ixlL. li)r rlI Nrronhicc rlih. No'k ntr Bhi.h rh. t)rrnir ]{ n\ucd
I haw and will nrainldin work B .ompcnsark,n insuoncc. xs Equirn b, Setion 3?(x) ol l,t trbor Codc. fo, rh. I,.rfrmre of
lhc wtrt aor pnih lhis lr.mil t hsucd. My worlcB comFnslion insuEncc (tricr anj poli., numbcr ml
kh G4 )A4->
lo
l.cnifyrh t in rh. F formN ofrhe work lor rhich lhn pcrmil k iss!ct!. I shlu oor .otkly any ,,.rsn in.ry 'tunmtso asro bccom subict lo rhc ro,tor conrFrsarion hws Dfc.liloni,, and,8r. drl ifl should beom subFct l.lL
worknl conrFnsllion ,rmvhions ofScclioD l7(x).frhc L!h.r Co<tc.l shall. todhwnhompl, *nh tbs povnions.
WARNINCT Flil,rc x, s.uE workcrJ comr.osarion cDvcne! is unkwtul, lnd shall slbixl copk,t r ro aininol I'cMnics and
civil lln.s up ro on. hutu]rcd lhousnd Jollffs ($loo.ffD). in lddirion lo rlt cosr o, coorpc.\lrion. donu8cs as providcd for thc
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DECLAAA.IIOX
I hcL*hyoriiflnundcrprnrlrlofpcrjuryrhar I xn li.tiqlxidcr pn'visi ol ch(I)rq 9l connmn(ins silh Sccr i,n 7m0) of Divitnr :r
of rh. Busirc\lrM PnrisvorN Codc. d my liccn$ is in lullnmcardcflccr
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tsucd ( sc. 4097. ci!. c )
AITUCANI.DEIIAaATAN
I tEeh,afi uidcr Fnaxy ofF jury orc of rM follosinB dcllrarionr:
Dcni)lirk,n P.flnir$Ash.ios Norinc ion rcdcrrl RCBUL(ionsl'lirlc 40. Pd6)
-Rcquned
llrrcr ol liorific.rioi
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.cnif, rhlr |lrc lcdcd rc$Llions ESsdinS sbcslos rcmval m not lrllicabk lo rhh Im.iEl
-l.cnifyrhar
I nlvc rcod rhn rpDlicark,n and iarc rh,r rhc *.v. inrormri(,n iscotrst. ltrgre ro c1rryly *nh trli Ciry 0nd Counry
oniir Ns,nd srd. t2ws rbrins ro buildins coi(d€rioL arn herchyaurh(riz. ict)l.snhrivcs oirfiis Cilyand Counrr ro.nl* uP. [r
lhow nxnrioncd pml,.By for i.Vsrion
Appli.mr or ABcnl Si8mturcl
Pc.nrira nmrc (prinl)
-
A 1 K-
Appliances
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallalion
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.//h 'q/l{ ra Yry4 )
Final Test - -l
Meter Helease
FINAL 1/e t'/tc.4 *'3t/
Notes, Remarks, Etc.
tD/stG.
Metal Fire Place
lnsulation
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