HomeMy WebLinkAbout40134524 - PermitProiect Address: 2105 N Pacific Avea
Assessor's Parcel: 001 -072-10 Lot: 57
Unit:
Block: NA
Bldg:
Tract: 1724
Address Range.
Historic: No
Suite Range.
Zoning: R1
\t(Mechanical Permit #: 4O134524
Pin #: 119OO
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Owner:
Address:
Phone
Hang Nguyen
7301 Mirage Dr
Garden Grove, CA 92840
(7141 414-7557
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type Amount Qty Fee
Bathroom Fan 31 .72 1.00 $31 .72
General Plan Update 22.95 1.00 $2z.gs
lssuance 57.20 1.00 $57.20
Microfilm Records 3.91 1.00 $3.91
Bobcht:54566 2/26/2t-r2tl ID: nmCIroleslil
0f I i ce: (:TYH Trnnsi: +7 + ol 5
Acct*: Ref*: 411134:1?4
Rcpti: Ll?9112921 ?/26/ zttztt 11 : 1g An
lronsoct i on Totsl t577 , L4
Hnns Hsuven
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #.
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
6enerol Plan Update Fee
01116002- 5160000rr-
llechsn icol
0t I 16002- 51604U00-
ll icrof iIr & Docunents
01116002- 37770000-
Visn
CC3: rlrrrrrrrr**2798
i22.95
$gs .92
$3,91
1377 .!+
Auth * :09?Lr?0
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
!nt. Bathroom
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3
VB
cMc 2019
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buildins Permit #: 1 01 1 0 2858
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2020-157 127
Chavez, Dave ,<y'0212612020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes. Legalize interior bathroom
Fee Total:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51604
01116002 57770
$22 95
$88 92
$3 91
$1 t 5 78
$0 00
$t t 5.78
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS 0\\'NI1R BU I I,DER DEL('ARA'I'ION
I hqcb affm unda pcnalty of pcjury that I m qmpt from thc ContEcloB' Liceroc [:w for thc following twr (Se.7031.5
Bwiass urd Profcarion Cod!); Any City or Couay which rcquiro a pcmit to coBtruct. ahc. imprcvc doolish or npair uy
srucluc. pdor ro its isue, also EquiG thc applicmt for such pcmit ro 6lc a signcd statmat tha hc or shc b licqrcd pssaa
to thc povisiom of thc Contrctor'! Liccnscd L:w (Chspr6 9, Comdcing with Sction 7000 of Division 3 of thc BBiB ed
Prcfeions Codc) or thar hc or stE b qmpt th@from ud thc bssis for thc allcgcd aoption. Any violuion of SErion 7031.5 by 8ny'
applicmt for a pomit subjcls thc tpplic&t to s civil p@hy of rot morc th8 fivc hundrcd dollm ($500).
l!. u oma of thc Fopcrty, or my mployc with wag6 a thcir slc compesarion. will do tlr w* ad thr $rudrc is mt
iatardod or offccd foi slG (Sc.7044, BBiB ud Prof6sioB Codc: Thc Conlnclq's Liccrc taw do6 trot ,pply to u ow of
rhc prcpqty who bilds or improu thmn ad who do6 sh wrk himrclf or hmlf or thrcugh his or hcr om cmployccs,
prcvidcd tha uch improvqmt! c mt intadad or otH for eb. l[, how, thc hiklitts or impmwmrt is old within onc ]a
of orpl*ioa tltc Oma Builds will h8rc tbc hrdo of provirB thd hc or shc dil ot hiE or inprow thc popcry for thc prpo* of
sb).
_1 c omr of thc p(op6ty, m cxcluivcly ontracring with tienscd contraclon to snstsuct the Eojet (Sc. 7044, Build
ad Proftsim Codc: Thc ContnAor's LiccN Lrw do6 ml spply to m own6 of propqty who builds or imprcB lhcmtr.
sd who ontsrt! for such Foirls with a Contracto(s) limscd p$@t to thc Contrrctor's Lic@ [ry).
-l
arn exempt under Section-. B.P for this
Dere: Oi *l uorlo
I hercby alfirm under penalty of perjury one of the following
_l have and will maintain a Certificate of Conseflt to SelGksure for workgrs' compensation! as providcd for by Section 3700 of the
Labor Code, for the performance of the work for which the pernrit b issued.
_I have and will maintain workers' compcnsation insuranc€. as required by Section 3700 of the L:bor Code, for the pcrformance of
the work for which this permit is issued. My workers' compqsation insurance carrier and policy numhr arc:
Poticy Number: ExPires:
Et certiry that in the performance of the work for which this permit is issued. I shall not employ any person in any manner
so as to become subject to the work€rsr compensation laws of Californiq and agree that if I should become subject to the
wortcrs' compe$ation provisions of Section 3700 of the Labor Codq I shall. forthwilh comply with thosc provisions..
WARNING: Failure to sccure work€rs' compensation is and and
cMl fines up to one hundred thousand dollars ($100.000),to the
attorney's fees.
LICFNSED CONTRACTOR r
DECIABAIIAN
I hereby affrm undgr p€nalty of perjury thd I am licensed und6 povision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License Class: License Number:
('o rt I racl o t'
CONSTRUCTION LENDINC AGFNCY
I hEcby alfim unds paulty of pcrjury tha ilEc i! I ons(ruclb! knding agmy for thc pcfomc of thc wtk frr which thb psmit b
isucd (Sc. 3097, Civ. C.).
Lender's Address:
I hercby affirm under penalty of perjury one of the follorving declarations:
Demolition Permits-Asbestos Notil-rcation Federal Regulations (Title 40, PaI16)
-Required
Lrtter of Notification
-l
certi& that the fedcral regulations regarding asbtos removal are not applicable to this project.
ffil-t ccrti$/ that I have read this application and state that with all City and County
and County to enter uPon theordinances and State Laws relating to building
above mentioned property for inspcction purposes.
Applicant or Agent
Pennitee name
and
o*,otfz-ol zoz-
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 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
Rough Mech.
Final Test
Meter Release It lt ./2
FINAL )lal?{r|t oDfr/u4 M
Notes, Remarks, Etc.I I
Section
ll.r 1...
Datc:
/
**nt k Naanext