HomeMy WebLinkAbout40134774 - PermitI Proiect Address: 5336 W Ballast Avea
Assessor's Parcel: 1 08-587 -07 Lot: 25
Unit:
Block: NA
Bldg:
Tract: 4559
Address Range:
Historic: No
Suite Range:
Zoning: Rl
City 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^134774
Pin #: 58468
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Nam Tran
5336 W BALLAST AVE
Santa Ana, CA 927041870
(7141 417 -7023
Landing Construction Grou;
13882 Summerwood Pl.
Garden Grove, CA 92844
(714)- 337-s238
01 1 16002 51604
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
Fee Type
Bathroom Fan
General Plan Update
! ssuance
Microfilm Records
Amount
32.88
23.79
59.30
4.05
Qty
2.00
1.00
1.00
1.00
Fee
$65.76
$23.79
$5e.30
$4.05
;3 .56
Ref *
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State Lic #: 963678
Lic Type: C-36, B
Bus. Lic #: 375908
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9016669
Expires. 0710912021
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Family Dwelling
Addition
Addition/Remodel
Verduzco, Vio,",$
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cMc 2019
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
Notes: mechanical for addition
Fee Total:
Paid to Date:
Balance Due:
07120t2020
Account#
Buildins Permit #: 1 01102935
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 permit ts suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector rvlD#' 2020-157337
01116002 51600
01 1 16002 51604
01116002 57770
$23.79
$12s.06
$4.05
$152.90
$0.00
$152.90
M ECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS ()\l',NIiR IttIIl.l)l:R I)l,ll.c'A RA'l'l( )N ,
I hcrchy nffirm undcr pcmlty of pcrjury lhat I m cxcnrpt fiom thc G)nlrncb6' Liccn* ljw for lhc following rcasn (Sc!.t0.11.5
Busirrcss and Prot'csskrn Code): Any City or County s'hich rcquircs a Jrrmit h conslrucl. allcr, improvc. dcmlish or rcpair lny
struclurc. prior k, its issuancc. ulso rcquircs lhc upplic^nl for such lrcrmil lo lilc a signcd statcment thal hc or shc is liccnscd pursuant
to lhc pmvisions of thc Contractor's Liccnscd Law (Choptcr 9. Commcming wilh Scclion 7fin of Division 3 of lhc Busincss and
ProfessionsCodc)orthalhcorshciscxcmptthcrcfronandthchrsisforthc0lhgcdcxcmption. AnyviolationofSEtionT0.ll.5byany
applicilnr for u pcrmil subjccls lhc applicant to a civil pcnnlly ()f nol mrc lhan livc hundrcd dollars ($5(D). ?I
]Ll. as owncr of thc pmJrctly. or my cmployecs with wogcs as thcir solc conrpcnsatkln. will do thc work und tlE slnrctrc is mt
intcndcal or offcrcd for slc (S8.7O44. Busircss aod hofcssions Codc: Thc Conlrrcbr's Licensc Law docs nol apply to an owncr of
thcpn)Frly whobuildsorimp(rrcsthcurn.urdwhodocssuchworkhhnselforhcrsclforthrortghhisorhcrowncnployccs'
p()vidcd rh{l such inrpmwnrcnls arc mt inlcndcd oroftLNt for $h. lf. k)welcr lhc huikling or ir{rmrclrcnl is sH within orc ]ta.
ofcomJrhtion, thc Osrcr Buildn vill harc thc hurdcn ofpmving that hc or $hc did nn build or tr{,mtc 0rc pmlEaly for thc PurJxts of
srh).
I
_fl. as owncr ofthc propcrly. antcxclusivcly contracling with liccnscd contmclos k) construcl thc pmj@t (Scc. 7044. Busincss
and Pnrfssirn Codc: 't'hc Contraclor's Liccnsc Law does not apply to an owncr of propcrly who huilds or improlts lhcrcon.
and who contracls for such proFds with a Conlruclor(s) liccnscd pursurnt to thc Conlractor's Liccns [rw).I
lIon,"*q,ntundcrSmtittn-.B'&P.c.l.orlhisreason'**,llZ-lu **- I1eA-U614YEN-I I WoRKERS'C0MPENSATI0N
IIECI.AMIION
I hcrchy allirm undcr lrcndly of perjury onc of thc following delaral ions:
Mharcurdwill rminlainaCcnificoteofConsnthsclf-lnsurcforworkcrs'comJrcns{lion.as pmvidcdli,rbySctionsT(X)oflhc
t{bor Codc. for thc pcrfortruncc ofthc work for which thc prmil is issucd.
r, nou"and will maintoin workcrs' compcnsation insurance. Bs rcquired by Scction
for which this permit is issucd. My workers' compensation insurancc calricr<W-fi'nd
3700 of the Labor Code. for the Performance of
and policy numhr arc:lhc wrlrk
641 24Policy
-{t ""nifythat in the performance of rhe work for which this pcrmit is issued. I shall
so as to becomc subject to the workers'compcnsation laws of California. and agree that
workcrs' compensation provisions of Scction 3700 of the L:tnr Code, I shall. forthwith
T
not employ any person in any manncr
if I should bccomc subje"ct to the
comply with those provisions..
WARNING: Failure to sccure workers'compcnsation covcragc is unlawful. and shall subict an employer to ctiminal pnaltics and
civil fincs up to one hundred thousand dollars ($100.fiD). in addition to the cost of compensalion. damagcs as provided for thc
Scction 3076 Code. intcrcst and attorncy's fccs.
I ICENSED CONTRACI'OR
DECLARATION
I hcrcby atlirnr untler pcnalty ol'1rcrjury that I alrr liccnscd undcr provision of Chaptcr 9 (comnrcncing with Scction 7firu) of [)ivision 3
ol' thc Busincss and Prol'cssiorrs Codc. and nty liccnsc is in full forcc antlcffccl.
Liccnsc Nurnlrcr:
r^Y
CONS'TRUCTI(IN LENITING ACENCY
I hcrcby affirrn unrlcr lEntlty of Jrcrjury thot thcrc is a construct ion hnding agcncy for lhc pcrform0ncc of lhc work for Nhich lhis Frmil is
issucd (Scc. .1097. Civ. C.).
lrndcr's Address:
I tnrchy aflinn undcr pcnalty of pcrjury onc of thc ftrllowing dcclarations:
Dcnrolition Pcrmits-Asheslos Notification Fcdcral Regulations (Titlc 40. Part(r)
' Rcquired [-e'tterof Notification
_t ccrlily that thc fcdcral rcgulations rcgarding asbcstos rcrrxrval arc nol apJrlicablc ttl lhis projccl.
I
V t ."rrity tSat t havc rcatl this application an<l statc that thc ahrvc inlbrnrariort is corrccl. I agrcc lo contply with all City and County
ordinanccs and State Laws rclating to building construction. and hcrcby authorizc rcpresenlatives of this City
abovc rncntioned propcrty for inspcction purg)ses.
Applicant or Agcnt
Pernritcc nanrc (print
and County lo enlcr up,on thc
Appliances
N/etal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors Installed
Rouqh Ductwork
Vents ,l
Toilet Room / Clothes Dryer q l7.l lto wq67
Residential Ranqe ? ltt'nJ)Dll+frz
Other I I
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 I I I
FINAL tLl IrJlVo Dqr6 I
Notes, Remarks, Etc
{+o4 MGrY-nl
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