HomeMy WebLinkAbout40134473 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714') 667-2738 lnspector Section: (714) 647-5853
Permit #= 4o^134473
Pin #: 35445t
Project Address: 2048 W Washington Ave
Assessor's Parcel: 004-1 62-26 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner.
Address:
Phone:
Steven Tran
2048 W Washington
Santa Ana, CA 92706
(7141 510-1 792
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Bathroom Fan
General Plan Update
lssuance
Microfilm Records
Amount
31 .72
22.95
57.20
3.91
Qty
1.00
1.00
1.00
1.00
Fee
$31 .72
$22.9s
$57.20
$3.e1Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation !nsurance:
Carrier:
Policy #:
Expires:
Cr
ri
t:t 1 I I 6002 - 5l 6t tl [ttt[t
i22.95
$98 .92
s3,?1
$739,31
- Building Use:
Job Type:
' Nature of Work:
Single Family Dwelling
Addition
Addition
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cMc 2019
Planning Conditions: All materials to match existing.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buirdins Permit #: 1 01 1 01444
Every permit issued 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.
Chavez, Dave
a4rb
02t12t2020
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Mechanical for new bathroom.
Fee Tota!:
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$22.es
$88.92
$3.e1
$1 15.78
$0.00
$t t 5.78
t ?i ?02rrrnsi: 6 F
Lt
rri Updsbe Fee
Sl6trcrtr0tt-
Inspector MID#: 201 9-154330
a
t
M ECHANICAL.I NSPECTOR RECORD
APPROVALS DATE ID/S!G.COMMENTS OWNER BUILDER DELCARATION
t heby affm unda paalty of pa'jury tba I m qmpt ftom thc Contnctors' Licens law for thc fotlowiog ron (Sc.il31.5
Buins aod Prcfeion Co&): Any City or County which rcquirc a pcmit to snstruct, aha. improvq danolish or rcpoir uy
strucluq prior to its ismcg ds rcquirG thc applicut for Buch pqmit to 6lc a sigDcd statqmt that hc or slE b licsasd pwust
to thc prcvbioG of thc Conurctor'! Liccnrd Lrw (Chaptr 9. Comocing whh Setiotr 7000 of Divisioo 3 of thc BuincS ud
Proftsiom Codc) or tllat hc or shc is acmpt th6c&om ed thc b6is for thc allcgcd qmption. Any viohion of Sclion 7031.5 by any
applimt for a pcrmit subjets th€ applicut to a civil pculty of oot mrc thn fivc hundrcd dollrs ($500).
-1,
B om6 of th€ Fopqty, or my mplolB with wag6 I thcir slc compcGarion. will do tlE vut Ed thc dn5lE b mt
inqdcd or offqcd for slc (Sc.7044. Buire 6d ProfqsioB Code Thc CoilnctG's Licae L:w do6 mt apply 1o m offi of
thcprcpcty whohuildsoriEp.oEthaoqodwhodoerehwrkhiroclforhclforthrcughhisorhcromoployc.
providcd that such irurcvorEls rc mt idadad or olEcd br sh. lf. how. thc hrildiog or iryrovuu* b old within onc )a
of conpl*bn thc Ovmq Buildq will harc thc hr&r of proving thd tc or she dil mt brild or inp.ow thc FoFty br thc prrposc of
$lc).
dt, c omq of thc propqty, m qcluivcly conracling with licmcd conttrtots to onstrucl thc proj6{ (Se. 7fi4. BciB
and Proftsrbn Codc: Thc Contr8ctor'r Licffi [xw do6 not apply to m ownq ofprcpcrty who builds or improvB th66rl'
md who contncts for such projals with r ContEclo(s) licoscd pmuet to thc Contrsctor's Licmc [:w).
-l
am exempt under Section-. B. & P.C. for
D,b,.2l luzg?9
DECLARATION
I hereby affrrm under penalty of pojury one of the follorving declarations:
-l
have and rvill maintain a Certificate of Consent to Self-lnsure for workers' conlpensation, as provided for by Section 3700 of the
Lahrr Code. for the performance of the work for which the polnit is issued.
-l
have and will maintain workers' compcmation insurance. as rcquired by Section 3700 of the Labor Code. for the perfonnance of
the work for which this permil is issuod. My workers' compensation insurance carrier and policy number are:
Policv Number: Exoires:
Ul, certiry that in the performance of the work for which this permit is issued. I shall not ernploy any person in any manner
so as to become subject to the workers' compensation laws of California. and agree that if I should become subject to the
workers' compemation provisions of Section 3700 of the Labor Code. I shall. forthwith comply wilh those provisions..
WARNING: Failure to secure workers'compensation coverage is unlawful. and shall subject an employer to oiminal perTalties and
civil fines up to one hundred thousand dollars ($100.000), in addition to the cost of darnages as provided for the
attorney's fees.
I ICFNST'N CONTRACTOR
DFCI '^ RATION
I hereby affrm under peoalty of perjury that I am licenscd under provision of Chapter
of the Business and Professions Code, and my license is in full force and effect.
9 (commencing with Section 7000) of Qivision 3
License Class: License Number:
Date: Conlractor:_
W
I hotby alfm unds pqulty of pcrjury thd th4 is E @nsruc{bn l@ding agcy for thc pqfotMc of thc m]t 6r wlilch this Fmi b
isucd (Se. 3097, Civ. C.).
Lender's Name:
l,ender's Address:
APPI ICANT NT'CT .ARIATION
I her€b}, affinn under p€nalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Rcgulations (Titlc 40, Part6)
-Required
Letter o f Notification
I certifothat the
Vfr*rytnaIhave
federal regulations regarding asbestos rernoval are not applicable to this project.
read this application and state that the above information is correct. I with all City and County
and County to erter upon theordinances and State Larvs relating to building
above mentioned property for inspcction
Applicant or Agant
Pennitee name }\
and hereby
*,",2,1D1 2O?g
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Insulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type !l Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.lt -L/do R-{z 1
Final Test
Meter Release ul ,^
FINAL /24.rc)b /1l wrendv
Notes, Remarks, Etc
D
?hen