HomeMy WebLinkAbout40132193 - 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 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Mecha n ica I Permit #: 4lJ132159
Pin #: 8,6.274
Project Address: 5302 W Roosevelt Ave
AssessoisParcel: 099-21247
Unit:
Block: NA
Bldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: R2
ry
Owner:
Address
Phone:
Tenant Name:
Peter Pham
5302 W Roosevelt Ave
Santa Ana, cA 927032428
(714) 642-6608
Owner-Builder
Fee Type
011'16002 51604 Bathroom Fan
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
29.38
21.25
52.98
Fee
$29.38
$21.25
$52.98
Qty
1.00
'1.00
1.00
Eotcht:4425? - $/l!,/2ltg i[
off ice: CTYH Trnnsi: r-!Acctl! Pef+: 4
Rcpt+:02291848 - 6111./2rr1g I
Tronsoct ion Totnl il
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
LROSA2ot
13219.r-r37 AH
148. 65
Petan Fhfltl
$1r1{8.5t
6Pnerol Plon Updnte Fe
011t60q2- 51600000-
Ilechon ical
01116002- 516040011-
Cosh
Building Use:
Job Type;
Nature of Work
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Occupancy:
Constr Type
Code:
R-3
VB
cMc 2016
Single Family Dwelling
Addition
Addn/patio cover
Planning Conditions; All materials to match existing.
Planning Approval By
Amsden, Julie
1019s256
Every pefinit issued shall become invalid unless the work on the site
authoized by such permit is comnonced within 180 days atter its
issuanco, or if the wo* authotized on the site by such pemit is suspended
or abandoned lor a period ot180 da$ after the time lhe wo* is
06/r 1/2018
Account#
Converl existing attached porte-cochere into a tamily
room & full€ize bathroom.
Addition of attachod patio cover. Flood zone A.
Existing house 1041st, proposed addition 240sf, less
than 40%.
$103.61
$0.00
$r03.61
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$21.25
$82.36
MID#: 2018-140775
011 16002 51600
011 16002 51604
Fee Total:
Paid to Date:
Balance Due:
Lolr NA
Contractor:
Address:
Notes:
lnspector
MECHANICAL-INSPECTOB RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCANATON
I h.rcby amrm undd Fnlhy ol psjury rh,r I m.xcmpr fmm the ConlnctoB Lkc.!. Lle f6.lh. tollowoS rcsn (5€.?0315
Businc$ ad Prolqsion Codc): Any Ciry or Coldt *hth Equircr a Ftmi ro @o{ru.t..lkr. inprow. &mlish or rcpin dy
smcnft. nrior ro irs is.uaN. .ts ,cqui6 lhc .mli@r aor such |Emil lo m. . siSmd slll.mnl lhal l* or shc ii liccn..d pufttd
ro thc pmvhions of rhc Conlr&rofs Licensd trw (Chlplcr 9. Commndng wilh S.clion 7000 of Division I of rhc Busine$ 8rd
P@f.srioo. Codc) oi th h..rsh.iscxc,plther.from&dlh.h.skforlhcrllcgcdctnindon.AnyviolaiooolsdlhnToJl.Sbyan,
rpplicanr for . r,emit subtrls rllc appli.afl ro o .ivil pcMhy of flot mrc lh!. fivc hurd,Ed dolh.s (1500).
_1. !s oqa* of lhc tfrrcny. or my .mplo}ter qirh sa*es ei theh solc .orrlEDs.rion. wil do th. *ork !d rli .rmte is ml
imdd.d or orcEd tor elc (sc,70{4. Busiress ed ftDfesbs Codcr TIE conEeiols Lien* Law &Es iol ,pply lo o owN of
thc proFrry who t{ildr or itrpioB dEFtr.!d who drB sh s haffclaor rEBllor rhmuSh hk or hcr o*n cmployc...
pr.vidcd ih s.h inFnEmnrs e mr htcd.d orofrcr.d lor sb. l( lF$46. tlE t{alding or inpftEnl t $ld wkhin orc l&
ofconot hn. tn Oqn( Built6 will luE lnc tdntn olpDvi.g rhlt he o shc dn @l hik or irlpm@ dE poPdty 6. tE puqbs of
.H ,s osrcr of tnc ImtEny. rm crclusircly conlmctinS with liccnFd mnlraclof to onrrtrr 'tr PmFd (Se. ?04,1. Bosirc:1
PrDisbn Cod.r 'Ihc Conrra.iork l-ic.n.c hw d6cs nol apply ro s. ownd of prorcny *ho l,lildi or imProvct $@on,
who coilmdr for slch prcicrs eilfi a Conhdo(s) ltcnsrn DUB@| to rhc Conll.&roar Liccns t w).
I r .(tr1rr rRtrr Sr.n.
x"",ot A+tHa
DICLIIBAIIIIN
I hncby ortrh und.r Fnalty of pdjury o* oallr fouo*ing delddions:
I havc rd will minrlin r CeniaElrc of Conscnr ro S.lf'lns!rc for wor*s compenrnioL a\,'mvi&d lor by SNlion 3700 of ths
lnhor Codc, for rlE p.rfllffi of rlE wrt tor whhh th. p.mil is nsu€n.
I havc aod will nrinrain workcrC compcnsll tun insu.rncc. e! requircd by Sdlion 37(x) of lh tjbot Codc. for lhc p€rfo.rlM. of
rhc sork for whih lhii Fmil ir issrcd. My workss on{Ensdion insursncc cari.r lti policy.umbcr m:
lr,la, Nutr,hc'
-l\tnc.zlIJ ccirb rh,r inrhc rrf"mft. orrh.work rd whkh ihir p.rnir h hsucd,I shall ml erlplo, an, F^on i. a.y n6mrrus ro trom .uoFr ro rtrc qmkEr, mmn nsrmn la*s of clliforni!. lnd asB rnd if I .hould h.om subrccl lo ltrc
wo*eB..opcnerionprcvi\ionsofSdion3T0OoflhctiborCodc,lshell.forlhwithconplywnhttssprcvisioni..
WARNING: Failur ro sua mrl6' oopcnsdion .ohEgc ic unlawtul. and dEll subi.l u cflPloFr lo Eimin l !.mllis 8nd
civil nnci up ro oE hundrcd thorsnd .lollB ($100.00,J), h .ddnion lo lhc rosl of conpcs.tion. daM8.i N Pmvidcd for lhc
S.cri.n 10?6 ofrlE Lrb.r C.dc inrcrcsl ed allomy s f..s
6 qEIEL ?+IAI4
LrcINS.ELIONIAACIT'A
IIIIIJ.BAIIOIIIhcrutyultorudrrp.dlry.rFrjury$.tIa li..nyn undcr Imvision oichatls 9 (c.dmn.ios wi,h sdbn ?dD) ofDilhion l
oi rhc 0usimssond l\ofesionr Codc. dd iy li.cn* is in tull rohc
"rxt
ctIccl.
coll.trBlgll0lJ.rNlltNc-d$liNcr
I hcEhy 0tnmunner,,cnrlryolNrjuryrhar rh.tu h a mnnodio. kindinS !8!ncy lhr lhe pslonurcc ofrhc vorr rot whi.h rhh pcrnril is
issu.d (Scc 109?. (lv C ).
APTIILAII.DECLAIAIION
I hmt, trmnn nnds r.nalr, ofI,. jury onc ofthc folb*in8 d.rlnmrion!
o.r)l i Pcnni'$Arb.(os Norilicurion Frq,cr0l RcEuhli,,n\ ('lill..to. Pad6)
-Rcquncd
bxcr ol Notilic.li0n
l-cnrlr rhxt rh.l.J.mlrcgulJrhn. rcFffJinF trLo.'.m,'.,lrc n, Jnnhrhl,'r.rhN nFFcr.
frAd'lyrhd IhNrrcJ'lrhh pflrrLotrrtrd {.rc rhdrrhc0tnvc irlnflMnr hcomd LFL{ u ..npry wirh 0ll ciry lnd cornry
',^lnBn..\ ond Srtrrc ljrs rcUrin! k, hu'ld'np (.nrruLr'otr..rd h..cb!.urh.rizc.qrccnldircs olrhn Ciry Md A,unrylo ctrrn up.tr thc
sholc tunrion.d ptr,pcny fn ini D.dr i( r purBFcs
K,h.r,tr^,. sisni,. d2firr* ,',,,, ot-/tr/zot?
fETEF--?tL{-04
Appliances
[/]etal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer \\flre 'z,M6s)
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.E"r\5\8 r //LEtfr
Final Test
Meter Belease -,..2
FINAL //-tr-/8 ,47*"t4t s 2')
Notes, Remarks, Etc.
X
)
Grease Duct
lnstallation
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