HomeMy WebLinkAbout40132013 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Mecha n ica I Permit #: 4lJ132l)13
Pin #: 5lJ772
Project Address: 4007 W Wisteria Pl
AssessolsParcel: 108-601-22 Lot: 45
Unit:
Block: NA
Bldg:
Tract: 4548
Address Range:
Historic: No
Suite Range:
Zoning: Rl
q
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
JOEL MENDOZA
4OO7 W WISTERIA PL
Santa Ana, CA 927042'143
(714) 830-8134
Ovyner-Builder
01 1 16002
01116002
01116002
01116002
01116002
01 't 16002
51604
51604
51604
51604
51600
5'1604
Notes
FeeType Amount
Clothes Dryer - Residen 38.83
Add'lVent Sys 41.99
Bathroom Fan 29.38
Laundry Fan Envir. Air 33.54
General Plan Update 21.25
lssuance 52.98
Fee
$38.83
$41.99
$29.38
$33.54
$21.2s
$52.98
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Botch+:43302 - 1/16/2018 I0: CCUELLARoffice: CTYH Tronsi3 161 4 0l ',Accti: Refi: 4rll32ri1:t
Rcpbi:02232957 - U r6/2ttL8, 4ttn P$
Ir.onsoct ion Totol tl r ?32. tt7
r0[L flEND0ZA
Generol Plon llpd(te Fee l
U1 I l6tr02- :i16r-l([]00-
llech0n icnl l, i
r:r1 I l6(r02- 5l6r:14r:rrlu-Vis(l i.l,'
Add iti df 6f (qtguttfr ilrtf,t4t'B{th rodHlt$l lStindiy
room & a family room. lncludes conveGion of one
existing bedroom to media room. GGUSD #4862.
$217 .97
$0.00
$217 .97
Building Use: Single Family Dwelling
Job Type; Addition
Nature of Work: Addition
Planning Conditions: All materials to match existing
Planning Approval By
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016
Amsden. Julie
10195244
o4t1612014
Accou nt#
Every pemit issued shallbecome invalid unless the work on the site
authoized by such permit is commenced wilhin 1 80 days aftet its
issuance, ot if lhe work authorizod on the site by such perfiit is suspended
ot abandoned fot a period of180 days afler the time the wo* is
commenced
MID#: 2015-123940
01 1 16002 51600
01 '1 16002 51604
$21 .25
$196.72
Fee Tolal:
Paid to Date:
Balance Due:
Qty
1.00
1.00
1.00
1.00
't.00
'1.00
Phone:
Plan Checked By:
Permit lssued By:
Subjeci to Field:
Building Permit #:
Date:
Date:
Date;
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lnspector
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OW]{ER AUILDER DELCAAATrcN
I ho.by allm 6do pculty oapcjury [d I m.r@F tw rh. C. rrclo6' Lic@ bw tor lhc folloqioe 1a$! (Sc,70] l.t
AEins od Prca*ion Cod.)r Any Chy or Cour y which rcqutd ! Fnn lo onstuct alrd, impolc dotrofisn or EPln oy
sEu.luc, Fior to ils iss@c.. also r.qui6 $c alplicdl lor such FrmI to fiL a iig..d 3rar@6r rhn h. or sn i! li.tu.d pueol
to th. prcvisios of ln. Conr@roas Liccn$d tjw (Chrpld 9. CoIumdns wnh Sccrion 7000 ot Divbion 3 of th. Busins lnd
Prof*ions Codc) or rhit h. or rh. t dmpl dudom &d rhc to!i! for thc dl.gcd cronpiioi. a,y violalior of Saliot 701 L5 by ey
applicor lor a Fsil subjei! rh. rpplic&t lo . civil po,lty of nol moE lin fivc huidr.d dolb6 (J500).
fA.A. * *^. * r* **y. or hy cdplo,6 witr wa86 s rhcir elc conrpoBdio.. {i[ do &. Nltt ed t!. srru.rw is tur
i.tqd.d or ofcr.d t ' elc (Sc.7044. B!si.6 dd Prof6lio6 codc Thc Cod.rclori Li.@ L3w.los mr ryply lo e oMa of
th. Plop6l, who tuikl or i,,F!ve ttoEr ed wno do6 st wlt hirelf ot hcBllor llDush hi3 or lrd oM @ployc
provi&d rhil such imFolc6l3 e d nna&t oroltold flr s.L. I[ hoM. th.tui]dine or i,n mMEn is $ld uthi! oic ta
ofohpLtiotrfi.ol*rnBuildwiu halcln.U!&nolPtovirs fia h.orsltcdid @l h dor @FDE dE P'DFry ror thc FdFos of
l. s ownd ofrh. lopety. m cxclsivcly contr.ding with lictrcd coiracloB lo cointucl Oc phjan {s€. 7044. BBin6
ad Elf*rion cod.: Thc conradofs Li.cEc l-aw do6 nol lpply lo & o{nd ofpop.ny who buil& or impov6 fi6@n.
ed who @nt6c1r for sucn ptujdls sith a C., @ro(, liccE d pBuer lo lh. Cormdoi3 Li.d* Lrw).
D. & P.C. for this rEen.
DECI.ABAIIO!
I h@by afiim u!d.r podty olpsjury on. ofthc aollowing d.clealioB:
I h!!. 6d sill minlai. a Ccni6dr. ofc.nsl lo sdANu. for wo.kc omFaalioi. a Fovid.d for b, sc,lion 1700 of th.
ttbo, Cod., hr rhc pdfo,l@c. of thc vorl lor wtich llE p6ril i3 i!!!.d.
I hav. and will mai oin wo*6 comFmalion iBurrncc. as rcquircd by Sdlioo 1700 oflh. t bo. Cod.. for thc FIommc. ol
thc wort for whkt lhis pmril is isu€d. My wort6 .ohFMrio. icu6.. c&i6 @l policy nusbd 6e:
r/Zallcdraythdi.rh.psfolrMc.ofrh.vortforqhrhlhisFhiri!issu.d,I3hallnormployuypdloni.,nMdh e lo bcom. $bjer ro rhc @*6'conFaarioi h*. olcalifomia. .d lac lnd ial lnodd beod sbjer ro tlr
wo d' mnFsrion ptuvisioB ofs.dion 3700 otth. L$or Codc I 3ndl fodlNilt @nply with thoE prcvilioro..
WARNINC: Frilurc ro suc wort6' .omFMrio. @v@!. b mhwtul. ed shall subjd e dployd lo ooiBl FaLt dd
civil fo6 up ro oi. ho.drcd lhoend dons ($t00.000), ii a.ldnion lo rt cos of cohp€darion. daMgd 6 Fovid.d for $e
Codq im.Bt 0d.liotry s aG.
IIIJ]NSID-(IINIBAI]IOA
UE(jdBAI(lx
I harh, arm uid6 F.nny of Fjury th,l I m licdlscd unds FDvision ofchspld 9 Gomdins wih Sddon 7000) olDiviliotr l
oa $c BGin6 &d Pof6ioB Cod., ud my tic@ i! in tu! fo@ &rd .Ird.
CANiIAUCIIONIINDIIC.ACITCY
I h6.bt .mnn uf,dd F"all, of p.rjury lhat lh6c is . mnnEdion hdins ardcy lor ll& potuil@cc oalh. wort for shich this pqinil is
isu.d {s(.1097, civ. c.)
AT8IICAII.DESASAIIO!
I h.*t rnim undq p@rXy of Fjury orc of fi. fouowins d..l,r.liodi
Ddolirion Pfrire&bdro! Nodficarion acd66l R.sukrio$ (Tnh 40, Pd6)
-Rcqun
d l,ld of Noriftdlr
_l c61iry ft6r rh. l.ddal r.guLtioc Es{dile aberos mov.l d. @t e?lic.bL ro thir projct.
TA .ai,fy th,n tl@. ian$b.ppli..lio. dld nd. dlt rhc aboE ilforDdion is corrqr. I lsE ro adply with ltl cily md Cou.ry
odil@6 sd Star. lts Elaliie to buildiig coMucliotr &d h66y.ulhoria rqG.ddic of lhi! City ed C.u.ly to aIa upoi llE
abov. r6'ion.d pmp.ny to. iNF.lion purros6.
Applicol or ABmt SigndluE:
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.9l'*iltX I i..nrrv&,/??)
Final Test /r
Meter Release
FINAL tlDLlltt 'l(l,rA^tu,"U r71)
I al 1t/
Hood
Notes, Remarks, Etc.
I
I