HomeMy WebLinkAbout40131620 - Permit@
EProiect Address: 1921 E Carneoie Ave
Assessor'sParcel: 430-222-12 Lot: NA
Bldg:
Tract: NA
Address Range: 1901-1921.
Historic: No
Suite Range:
Zoning: M'l
Phone:
Tenant Name:
Contraclor:
Address:
lvy Geng
192't carnegie
Santa Ana, CA 92705
(949) 445-2435
UM Media
Owner-Builder
01 1 16002 51604
01 't 16002 51604
01116002 51604
01 116002 sl604
011 16002 53603
01116002 51600
01116002 51604
Fee Type
Furnace
Heat Pump
Alter Vent Sys
Bathroom Fan
Plc - 65vo
General Plan Updale
lssuance
Amount
63.14
86.82
41.99
29.38
0.65
21.25
52.98
Feo
$63.14
$86.82
$83.98
$58.76
$190.68
$21.25
$52.98
Phone
Slate Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Botch+r43628 - 5/7/zfite
0ff ice: CTYH Trnrrsi: IAccti! Pef
KcDt+:0?259284 - ".,.t7 t?al
Trcnsoct ion Totol
GEnerol PIcn updnte l!.:
El I161102- 5I gr:ttror:ri-
llP.: h6n icol
itl I l6r:r(r?- 516r-t4(rrr:,-
F,/t llech0n icnl
Lrl t l$0Q:- iJ 5 t:r 3r:rr-[:r -
Visn
CC+ : **rir***Il*rt:t4 :4
l,/ i s0
CCa: i*r**xrrrrrfl! ! :
Ivg Geng
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By
Plan Checked By:
B, S-1
VB
cMc 2016 Notes
$:i r 000, (tlr
A!,th*:r:r;r7956
9417. 37
Aut f i : i:r78r:!74
en
Permit lssued By , Teri
Subject to Field:
Building Permit 0193944
Every pemit i$ued shall become invalid unless the work on the site
authoized by such permit is conmenced within180 days altet its
issuance, ot it the wod< authoized on tho site by such pemit is suspended
or ebandoned for a peiod of 1 80 days aftet the time the work is
commenced.
Date:
Oate: 1210412017
Date: o51071201E
Account#
Masc. Receiptr 70303
Misc. Receipt:
Misc. Receipt:
Total
$5s7.61
$161.89
$395.72
MID#: 2017-138228
01116002 5't600
01116002 51604
01116002 53603
$21 .25
$345.68
$28.79
Fee Tolal:
Paid to Date:
Balance Oue:
City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 4Ot3{620
Pin #: EO745
Unit: G
Block: NA
Owner:
Address:
Qty
1.00
1.00
2.OO
2.OO
293.35
'L00
1.00
$3{:. 6S
s29 .79
Commercial Occupancy:
Addition Constr TYPe:
Addn/TURoof Mtd EquipmenCode:
lnspector
APPROVALS DATE ID/SIG.COMMENTS
Appliances
It/etal Fire Place
Evaporalive Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulalion
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
n*,od-aRough Mech.tlttlt4G .)
Final Test trrt )t/
.h'wo\laFINAL?hr10 .ra,,)
Notes, Remarks, Etc.)
OWNER AUILDER DELCARATION
I hdcby arfm undq poully of p.rju.y lhal I dn .xm non lhe conlraclos Lic.@ L.w ior lh. followin8 ra&i {s.c.?o:l I .t
Bcin6s md Proasio. Codc): Any Cily or Counly which r€quir6 . looir lo conslxci. tlt6. inprcve ddolbh o. Ep.n'any
srruciw. Fior ro ils isuMco dso rquirG rh. appli.ot lor such F mil ro lilc ! sisncd (oltul lhEl h. or shc n ltds.d PuNtrl
lo rhc g,ovi5io6 oftfi. Conlradois Lic.ns.d Law (Chlprd 9. Conomcirg wnh Sdlion ?000 of Division I oflh. B6i.* and
Prof.$iof,s Cod.) or liar h. or she is €x.mo lh6€tio,n dd the b*ir to. th. llleSed exnplion AnyliolalaonolSdtion?01l.5by.ny
spplicdl for s psmit subj..r! th. rprliclot lo a cilil plBlrt of ior morc lhn fiv. hundrdi dolld3 (t500),
l e os,r olthe FoFny. or my .dtlo)B wnh w!g6 & lhct eL @sFssrio., wiu do lh. wolt ed lh. !fii.lG i nol
inr6d.d orofcrcd forsd. (sc.?04.r. Busi.6 &d PoG.sioB coda Th.conko.toi! Licmc Las &6.o1tpply to oMdol
th. pmldly who h .Lu s imprcvB lhqor! od who dG such B!.t hitu.ror fi@laor thmu3n his or hd om .nDlott6.
ptuvid.d rhd such inprovomt! & ml t ad.d oroftoEd aor sL. l[ tDw.lh. hrBing or inFrl€lrd is sE wnhin onc )@
ofompldion, rlE olms Boitjd will h!v. iE h!d., ofpiovilg rhd h. or $. did @l hild or inFov. fi. PoFty for [E PltPoF oa
l. s om6 ofllE FoFaly, m q.lusiv.ly contd.lins $ith licas.d conthcloB lo conslrucl lh. projd (Sc, 7044. ABinB
ed Aoistr codc: Th. ConrBror! tic@ Law doe .ol alply lo & owtrd of prop.n, who builds o. nnprovd ln66n.
.nd *ho conrmts ror sucn projds haco d.ro(s) lic6a.d puBuafl rorh.Contradoa! Lic6e Law).
I hd.by afliro und6 poally of
I ha!. ad will @inrrin s Catilicst. ofaoMl to SdHBurc lor rvo*6 onpaB.rion, u Fovid.d for by S..iio. 3700 ofln
Labor C.d.. lor lnc polomMe oflh. $o for which lhc pqinil is iarued.
I nrtc and will mai.tain work6 conp.@tion i6urucc. s .t<lut d by Serion 1700 of thc Labor Cod.. aor rn p€fom&.. of
lh. wo* aor shich Ihis Dqri i3 is.{ M} trortd @nposarion iBurecc cni6 sDd policy nunbd ec
Icdirylfistinlh.pdforekcof$.$orttdwhkhUispcnilisi$u.d,Isfi.llnoldnpLydyptMnineym.s
so B ro b€en subriEr ro lh. wort6' onp.Mtiof, l.ws of arlifomis. dd lse lhd ifl lholld bdon. ,ubjdt lo th€
work6' @EFn$lion pmlkioB oas..lion 3700 of thc Llhor CodG. I st ll. lonh*r$ conpl, wilh ltoF Prcvisions..
fARNING: F ilor.lo sE wo 6' o'npsN'lion covsagc is uilavfirl, dd shdl 3ubjer e olployd lo dif,jnal paalriB dd
cilil lioB !p lo o.e hundr.d ltonsand dollm 100.000). in additior lo thc co oa
oIlt !t!lu]
I h.abyatfmundd Fulyofpqjlrythat I u li€o!.d un<lcr Fovbionotor a 9 (co@.i!g win sdiot 7000) otDivisio.l
of the BuilB and RofBioB Codc ad oy lic.B i. b tul fot.6d.Itc.r.
LitM cls:-Licdc N@bal
CONSTRUCTION LENDI{C AGENCY
t bcrby dfim ud6 FEliy ofFjury tlld $@ is . @dEcrio. lodi.s asdcy for rhc P6fol!1rc olllE mtr ftr *ltth $is pdmi n
eu.d (Se. 1097, Civ. C.).
ATTIIIANLDECIA&IIION
I hq.by amm undcr pmtlty ofrsjury onc.flhc followi.S ddlarerions
Dinrlirtrn Psnirs-Asbdor Notilicarion feJ.r.l RcSulat ions ( rnlc 40, Pan6)
R.!utcd tnrs of Norilicalion
I califylhrt tb. f.ddal rcgulations Esodin8 6b6ros rdovalo..or aDlicabl. to thjs prcjel.
sral. thar rh. dboE infomdion i. coo.d. I arre lo conply *ilfi 3ll Cny and Counl,
airy ed cou,ry lo .nl6 upotr lhc
Applicot or ABot S,Enat
"*,,-XV6
t(
MECHANICAL.INSPECTOR RECORD
Meter Release
*",J
l)rrr
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