HomeMy WebLinkAbout40132298 - Permit (2)City of Santa Ana
Permit Counter: (7 1 41 647 -5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit #: 4lJ132294
Pin #: 47931
Project Address: 2941 N Hesperian Wav
Assessor'sParcel: 002-231-28 Lot: POR 17
Un:B
Block: NA
Suite Range:
Zoning: Al
ry
Owner:
Address
Phone:
Tenant Name:
Contraclor:
Address:
Thomas Pham
2941 N Hesperian Way
Santa Ana, CA 92706
(714) 890-22s0
Owner.Builder
01 1 16002 51604
01116002 51604
01116002 51600
0'1116002 51604
Amount
43.62
30.52
22.08
55.04
Qty
1.00
2.00
1.00
1.00
Fee
$43.62
$61 04
$22.08
$55.04
Generol t'l(tn Updote tee
fl1116r"102- 51600000-
nschon iEol
0r1160rl?- 51604t100-
r.l iso
CCi: *rlrr****r*r284 7
Bat c
off i
Arct
Rcpf,
hi:,(
ce:
iz02
YH ln(lns
R
9/
44
ef+
2U1Iotol
Building Use:
Job Type:
Nature of Work
Commercial
Alteration
Fire damage repair
Occupancy:
Constr Type
Code:
B, S-r
B
cMc 2016
Planning Approval By: Date:
Plan Checked By: Date:
Permit lssued By: Chavez, Oaue L, Date: 0710912018
Subject to Field: Y ' Account#
Planning Conditions:
Buildins Permit #: 1 01 95932
Every pemit issued shallbecome invalid unlessthe work on the site
authoized by such pennit is cammenced vtithin 1 80 days after its
issuance, ot if the work authoized on the site by such permil is suspended
at abandoned lor a peiod of 1 80 days aftet lhe time the work is
commenced.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
011 '16002 51600
lnspector
01116002 51604
$22.O8
$159.70
Bldg: Address Range:
Tract: POTTS, BORDEN &Ilistoric: No
Fee Type
Add'l Vent Sys .'
Bathroom Fan '
General Plan Update
lssuance
Phone;
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
I
Auth +
Notes: Mechanical. Owner.Builder form on file.
Fee Total;
Paid to Date:
Balance Due:
$181.78
$0.00
$181 .78
MID#: 2018-141110
MECHANICAL.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS OWNER BUILDER DEICARATION
t hcrcby amrm undcr rEnalry of pcrjury thrt I u.rcmpr fmm lh. Conus.tou Lians L!* for lk lollosing r.&en (Sec.7031.5
BBirc$ !d Prclc*ion Codc): Atry City or Counly which EquiG r p.m ro 6r{Mr. ahd. impmve &mlish or EI'!n !nr.
struclu., Fior to hs hslecc. ds rcqlncs lhc applicdr for such ltrmi to lib a siSncd std.m lnal h or slr ( Iic..scd plhu.or
to rhc pbehions of itr Conl'acrol. Lisnsd trN (Cna/.r 9. Comrcing qith Scctiotr IlO0 of Divirioo I of lhc Susincss 8nd
Pmf.ssions Codc) or thrr tr c slE ir cr.qrr rheEliom and rhc b.sis for rh. aU.Bcd cxcnlprior. An, viohrk,n ofsctlirn 7031.5 by a.y
oplli.anr for a pcrmir slbj*rs rhc onplica ro a civit pcBhy of nor mrc lhe lirc hlndrcd dollsrs ($50O).
-1.
ai oencr ol rhc poFny, or my emplorex viln vagcs as th.ir sk conr,Ensl iot. will do lh. wolt 6!n dE srudw is ml
i.l.nd.d tr olI.Ed for sk (Ss.7044. BusinBs &d Ptofcssiom Codc Th€ Coflre'or's Lisn* tlw dm3 nol .pply lo m oqnd ot
rhc Fapcny vho lriBs6! i,{mBrtEeo s who rh.s sh s* hiGeli or ncrElf or lnouSh tis or n rouncmploye.s,
lrovidcd ttut such imlmwNnrs m mr hrc'd.n o oficrcd for s0h. lt, ho*cB. rlr t iui.s or h{ewftn' is sld wnhin om }E
of.onplcriotr rtI oqrcr Btrilld will hlw llE tordcn of p'oiine lhd rE or she dA d build o, i'r{rcw dE P,qny fot th. F!PoF of
-I.
as owmr of rhc pmpcny. rm cr.hsivcly conractins *nh [censn oir&loB ro consrtucr ihe r,rc.id (S(. ]044. Bsincs
ail P,Dtusir Cod.: 'thc Cdnkkror's Li.c.rc tiw do.s ,ol apply ro e ownct of pmpcny who brilds or inptovq th.rcon.
ond who conrmts for Mh ,to,}.rts qifi. Co Gro(s) liccn$n llBu r 16 rhc C.,trn loas Lic.r€ t w)
B
c/o**"x
TECI,ABAIO!
I hcrcby ltlirm undci pcmxy or psjury on. of fic ro[.*irs d(la!lio.s:
I hrrc kl$ill iMirr(_cnillcrrcofcon{cnrroSclllrNurclnrsor[cN conlxnBrn)n. rs pR)ldcd fdbyS.{rim:]70Oolihc
L'htrOxlc- lnrlnc llllornuNcofihc *or* nr *hichrh. pcfl ir
's
n\ucrl.
Ihrvcandvill@i rin workcB compnsotion iosuronc..0s rcqlircd by Sd ion 1700 of rhc ltrbot Codc, for lhc pc ormnccof
$. work for whkt rni\ Fmi is isMn. My *ort6s conpcns.liotr inslnmc fficr !.d tslicy numb., dc:
l',h) Ntr 'h-
-[\nn.'-l
ccnil'yrhor in lhc Frfornuncc.llhc w.rk tu which rhis tcrdh h issucd.l shall noi.mplo, atry pcAon in uny haMf
s ar ro lt.!m subjdr t! th. *o*.u' ..mp.trsrion l.ws of C0lifonri4 Md !8N lhd ir I should li.om subJ&i lo rh.
qorter conlcn$rionFbvkionsolS.clion lT0oolIhc til$ Codc.l shall. fonhwirh coq)ly wir[ rhos ,rovisions
WARNINC: raiturc to surc $ortcr @hpcnsrion Lolcsse h rnltrwrul. ,nd shnll subj.cl 0n ctrllrlo}tr ro rinitul Fn,Lics a.d
h onc htrndr.d rh.0\rtrJ dnllr{ lSllI).(XD). in trddiri|tr L, rh. .us ol compcnstion. dlnEgcs !1 trovidcd f.r rhc
DII;II.I{IIAN
I hctubyafirrnund.i t.nllr! dlFrjury rhd I 0m liens{ undcr,rmvisior ofCh{prcr 9 (..omtrinB with Ss..tion 7(J00) otDilnion.l
ol rhc lrusincss ud,tofs\on\ Codc, ttrd.ry l{c.s. i\ nr rulln,.c xl criccr
D.r. ( onlro(lor
CA!$f,]]CTAN.LE!DIM.ACIM:I
I hcnby rlitnrnndcr pcmlryofIl.rjur, rhd rhcre i\ ! mn{rucri,n kndnr3 alcn.y li,r rhc ttrrri{n(n.c olrhc worl r.r thi.h 'hilrrnrir s
i\\u.d lS( .1097. Civ C )
IfTLICANLDES/I&IIIAN
I rNydlirnrundcr rcnrlry.l D{riury onc orrhc n,lh*i'r! dNluri,)ns:
Dc nliri,,, Pcnniis Ashl{o\ No!ifi.di, r lr.dcrul RcSularrx (l il]c.l0. P n6)
Rcquncd l.ncr ol Nolilic!lirD
I cMiryrlu rhc fcdcrul E8uhtions rcsorditrE asbcstGrcm\allrc nor lPpli.rbr.lo thn poj..l.
U.eflifrrh l h,vc ud rhi\ nppli.aii.n 0.d i.rdhd rhc0tr\r info.indior iscotr(l I lsre lo NnDly *irh nll Ciry 0ft1 Counry
ordinnnccs rnd Sr.rc h$s rlar ins lo huilding rcby aulhoriru rc[csntulivcs of this C yundCounrylocnt$ upon rhc
!bo!r mnln,ncd propcny for inspccrn,n t ,.,.,,tk/tat?Atplirrtrr or ernr S'Emru
x
Appliances
lvletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
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
Openinqs
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.
Final Test
Meter Release
FINAL tlttlu'lv '$)u6/rt -?)
Notes, Remarks, Etc.
{
I onre
i-+-
-=-
I
Ii-