HomeMy WebLinkAbout40133242 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mecha n ical
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853 Gl
Permit #: 40133242
Pin #: 35894
Proiect Address: 3510 W Fifth St
Assessor'sParcel: 194-24140 Lot: 4
Unit:
Block: NA
Bldg:
Tract 669
Suite Range:
Zoning: SP2
Owner:
Address:
Phone:
Tenanl Name:
Contractor
Address:
920 N Grand Ave LLC
190 W 3rd St
Santa Ana, CA 92701
(714) 393-8001
01116002 51604
01116002 51604
01116002 5160{
011 16002 51604
01116002 5160C
01116002 5'1604
F6e Type Amount
Wall Heater/Floor Furna 65.57
Clothes Dryer - Residen 4O.U
Bathroom Fan 30.52
Range Fan 32.30
General Plan Update 22.08
lssuance 55.04
Qty
3.00
1 .00
4.00
1.00
1.00
1.00
Trans+: 67 sRef+t 4013J_ 1/21/2 19 tL.4B
Fee
$196.71
$40.34
s122.O8
$32.30
$22.08
$55.04
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Eotch+i4949(r -
off i{e! CTYH
Acrt+!
ftcpt+:02534967
2t2 ?nfi I01 ccuELLAt
otL'
All
Tconqoct ion ToUsI
920 H 6rond Ave t.L(:
Single Family Owelling
New
New SFD & Garage
GenePol Plnn Updofe Fee
rllt16002_ 91601108(-
llechon icol
011160t12- 5160400r:r-
ICL Check 9219
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
t\t tl:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
Date
R-3, U
VB
cMc 2016
$ 1 t:r
Zuniga, Allissa
10197795
Every permit issued shall becone invalid unless lhe wolik o, the slte
authotized by such pernil is commenced within 180 days aftet its
issuance, ot if the wotk authoized on the site by such parmit is suspended
or abandoned for a period ol 1 80 days aftet lhe time lhe wo* is
commenced.
o212512019
Account#
$468.55
$0.00
$468.55
lnspector MID#: 2018-145562
$22.08
$446.47
Fee Tolal
Paid to Date:
Balance Due
Address Range:
Historic: No
Notes:
Owner-Builder
Phone:
01116002 s1600
011'16002 51604
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BU!LDER DETTARATION
I lE.t, llrm ui&r ,@dry oa pcjlry rhsl t @q@fl tom thc ConrE.loE Uc.ne ltw forrn followi,S rlbi (S6.7031.r,
Buins &'d Prcfqion Cod.)r Ary Cny or Coudy wnicn r.qun6 r Fmil lo oldrud. alls. imprcvc dsnolGh or lE.n ey
stteluc. Fior ro n! i$ueq also r.qliB rll applicd for such pdni h 6lc. sisrd nardMt Od h. o. sl!. b licd!.d F!t6r
ro lh. provisiom ol $! Conrrlctoas Li@nscd lrw (Ch6ptr 9. Cbm.ncing with Serio! ?000 ol Divirion I of lhc BBinB ed
I,rofcsiotu Cod4 or thsl hc or shc ie dcnpt thoctod ed $. bab for rh. alLscd q@prion. Aoy violalio. ofs6lion 701 1.5 by uy
aprlic&l lo. . pmit 3ubj€ls lhc applicol to ! civil pmlry ofnol eorc lhs 6!c holdrcd doll8 (rt00).
-1.
a om6 ollnc Fop6ry. orny dplorB wirh *!e6 a rh.n ek.onp@aio!. villdo tlE *orl dd lh. !iQd@ t @r
idtortcd or ofi.rcd for ssl. (3*.?044. Bcins ed PrcadioN Co&: Th. Conlnclor'! Lt@ bw do6 nol aeply lo e o*n ol
rn FlFly w$o hil& d irproG UEE( ed eho &c sdr eit hiG.lf or t'@lf or thrcr8n hi5 or h6oM mploy.6.
prodd.d rh.r such ioprov€GB e @r i'1d{,.r1 or ordd for s!. ll hoq@. rh. hiuiig or imFDrled i! sU winir oo. }6
ofcohpErio'i, fic ol*rs Buitda wil har rh. hrh otFovins lhd h. or shc did d toild or ftipiov. 6c popqty b. UE pxrpo. ol
-1.
s oBnd oflh. prbpqry. d qclBivcly .oDtractins wilh licots d co rlcroB to oisrud rla !rcjer (Se 7044. BEmd
and PtDftsiD Cod.r Th. Conl6cloai Lt.@ t s do* n i .pply lo o own6 ofpropdry who build! or inprcG 0!6@o.
ed vho coitr*l! tor such Fojc.ls eth a connado(s) li.dts d ptlli@r ro $c conr...rm'i Lic@ l,w),
I hceby rlrm undo pcnalryofpajuryoocolthc lollowitrB drcl&.tioB
I haEodpill mimah rCdifi..icofcoMr to Sclf-lBur. aorvort6 @ p4elio., a providcd for by Serion 1700 oalhc
L.bor Code for fi. pqfo,rMc. oaln wo f@ trfii.h fi. Fnn ir i$u.d.
_l havc and eill nainain el*ec compolation iBu]ec. a r.quir.d by Sdio! 1700 or $. r.bor Cod., ror rhc psfomuc or
fi. @rL lo. which rhis ,6nn ! isad My wqk6 Napotsdion iBu@. @id ."d policy numb6 c:
-l
ccdiry Ist in rhc pslomM. ollh€ work lm s hkt fiis pmn is issudi. I slall ,ot nploy.ny F6on i! ey de.E
$ a $ bao6. subjd ro thc wo.r6'compo.dio. Lw! ofc6lifomi6. Bnd ,!E lhrt if I d'ould bdom. sbj6t lo lh.
worl6' conp@rion prcvirioB of S.rion 1700 oalh. t bor Codc I shdl. lonhwilh comply wilh thos prcviiios..
WARNING: Failurc lo sd. so*d' @mpds{lion cov@r. is uilawtul. dd .hrll sdj.cl d oplolq ro cimj.al Frfti6 ed
lsd doll6 (S100.000). i. addirion rc rh. con or .omp60tion. dsag6 a Fovidcd for thc
I n@by amm lndq podty of Fjury thlr I D ljcqu.d u<kr FoBio, of Chlpld 9 (6m@ins wnh S6rio! 70OO) of Divisioa 3
of th. BGiIB ed PEf6siod Co&, rnd oy lic@ n in A ao@ ed.trEl.
Liccse Clsl LiccM Nudbd:
-
D.le contn.tor:
co!flf,lcnoB.l,DrDtlc-acElct
I h@by .Ifir{ @dd Fulty ol pdjury Oa th@ i! . coiltoclb! LodiDs .socy ft,r ti. Frol:ll,e of0. wo* 6r *iici rhis pdnn b
i33!.d (sd. 309?, Civ. c.).
I cdir, lhd lhc f.dchl rcsolalioN regednrS sbcatq ronoval e. nor applic0ble ro thi! projccl
I cariry lhsl I h!v. r@d rhis applicar ioo and $ar. rhal rh. atoy. i.hrnlalion i cocr. I sgre ro cohply vilt olt c y ed counry
ordiflancE dd Srai. Llss El,liru to brildine codrucliotr.etnoriz. rcpr6el,liv6 of this Cily ed Couly
abolc nalioncd popql, fot
Apeli.er or As6r SisGllE:/a
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room i Clothes Dryer
Residential Ranqe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rou gh Mech.
Final Test .-6)
FINAL vlelgo t,.rnnell)
Notes, Remarks, Etc.ttI ') t
Pre-lnsulation
Other
Meter Release
P.h.vNum$a' FrniB
Lende. s Addrs:
-
arpr.rc,llrlliiCiin,riid
-
I hdd, a&m und6 oaalty of p.rju.y oE of fic follosins ddldarioB:
O.molilion P@ir$tubd6 Noti6.rtio. F.darl R.guhrioc (Titl.40. P.n6)
-Rcqut
d kl6of Nolifi$lkm
F
I
i-