HomeMy WebLinkAbout40132385 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714).667-2738 lnspector Sectioni (7 1 4) 647-5853
Mecha n ical Permit #: 4O132385
Pin #: 44938
Proiect Address: 1001 W Stevens Ave
Assessor'sParcel: 930416-'16 Lot: 1
unit: 316
Block: NA
Bldg: 31
Tract 10'158
Address Range:
Historic: No
Suite Range:
Zoning: R4
E
Owner:
Address
Contractor:
Address:
Janet Tominaga
1001 W Stevens Ave #316
Santa Ana, CA 92707
(714) 557-1311
Sterling Builders Group
18375 Ventura Blvd #811
Tarzana, CA 91356
(866) 303-0820
Fee Type
01116002 51604 Bathroom Fan
01116002 5160C General Plan Update
011'16002 51604 lssuance
Amount
30.52
22.O8
55.04
Fee
$30.52
$22.08
$55.04
Bgtchi:4lgz - 7/3Ot2O,3 I0: 6q96114pOffice: STYH Tronsl: 22 I of {A(ctit Reft! 40l3r3SERcpti:023{{4fl) - ?t1frl2I,,.g t0:27 AnTronsoctiql Totol 1539.28
Staol ine 8ui lders Group
Qty
1 .00
1 .00
1 .00Phone
Tenant Name:
Phone
State Lic #: 1O1224O
Lic Type: B
Bus. Lic #: 364004
Workers' Compensalion lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9158786
Expires: 05/1012019
{rrerol Plon lbdote Fee
011t6{D2- 5r6m000-
llEdron i col
01 I 16{102- 5l604mo-
ICL Check 013890
t22.08
385.56
t539,28
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permil #:
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Bathroom Remodet Code:
R-1
VB
cMc 2016 Notes: Remodel existing bathroom
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa
10197165
Every permit issued shall become invalid unless the wo* on the site
euthoized by such permit is commenced within 180 days aftet its
issuance, or if the work suthodzed on the site by such permit is suspendod
or abdndoned fot s peiod of180 days after the time the wo* is
cgmmenced
0713012018
Account#
$22.08
$85.56
$107.64
$0.00
$107.64
lnspector
01 1 16002 51600
01116002 51604
Fee Total
Paid to Date;
Balance Due:
MID#: 2018-144983
MECHANICAL.INSPECTOR RECORD
O[1{ER BTJTLDER DELCARAITON
I lErcby.rtrm unds Fndly of perjury rh8l I @ cn!,6u rhc Conrdos'Lic.ns Llw forrt follo*ing r&$. (S&,?0ll5
ausin.ss and Pmfcssion Codc)r Ary Ciry or Coufly phi.h Eqlircs a lani lo @isrMl 3Xo. iriprovc, &mlilh or Epan My
smdorc. rrtu ro iK issoaE. d$ EquiE! $c atplicafi fo, s.h Fmn ro nh r sigmd {!Iem rha! lE .r dr is Uc.ns.d puruanl
ro rhc prcvki.ns oftE Conllrclols Liccncd lrw (Ctrpl( 9, Conrcncing Nilh Ssction ?00o of Dilision 3 oflhc Blsines and
Pbf.ssiom Cod.) or thar tE or shc h .x.m9l rhcefrco rnd the &sls for rlE alkScd cr.mprion. Anyviohtio.ofsccrionT0:ll.5byany
qrpli.er for a pcdir subjels rlrc .pplk.fl ro a ciyil pcelt, of mr mrc r.n fivc hundEd dollar (5500)
-1.
rt owm, ol rhe lmtEny. o. my cnploti!. wnh wae.s a rhcn $k or{Enrdaoll. wal! d. rh. vdi. ad ttr sinaIE ic mr
inlcndcd tr oltdd ftr sle (Se.?044. Btsimss ed ftof.sioN Codc TrE Clnlmdoas LLI.$ kw docs ml apply to !i owcr of
lrr rspcny ahd t{il& or inp,.6 tltetr dd }ho doc et Elt hinsclf o, hcNlror ihhueh hb o her own cmplorE.s.
!.o!idcd lhsl such imgroEmnls m tut i.lcn&d orotu for slc lt hokrci lh. trildiiB or i,rFo!1ftd h sh snhin nnc rs
ofonpleioi. rlt Oqid BuiU6 will har E burdd oftDving rhlr ir ot shc did mr build o. inpDw 6e pEpefly to. dE pxrpos oa
-1.
6 o*ncr of rhc lrcIdy, an crlu.ively contddinS wirh lk€n*d conrrchn lo eInocr rtE trei$ (Sd. 704!. BuriN*r
{n hofsbn Cod. Thc Contrelols Licc.s L"w dcs mr lpply ro !n owncr of protcny *lE builds or imlorcs rhcr@r.
{nd wh. onlocrl fir *uch pmirrs sirh a C. rcb(O li.n*d plBuhr ro rh. c.nrBdor's La.ns tlw).
I rmcrc,nfr udcr Sccrn)
woR(ERS. C(IMPFrIS{TI(}N
DECI.AMIION
I h.rcby nltrr lhdcr pc..ht of Fijury ooc of thc following ddlearions
,LrcJ'riu'ltru'nrrtr'JLcn'filJrr,C.irrr,Srll ln\urt' ftr rorkc^- .o.rt nsd ir{, r\ f)vd.d ntr hy Ssrio! .1?{x) ol rhc
r :.t{, ..,,r.. r,,h" rirLrr,xkc rr'hr *i r ir sh[h rht F,r I i. ts.1..1
_l holc ond will D0nrlaitr wortcN comFnssrion insuEncc, as Eiutd by Scdion 3700 of lhc L,bor Codc. for lhc Frfo,i@* of
th. $o* for *hich Ihh pcnni( is nnen. My wort6 @mrcnsation insurec .atriq ,nd policy n!6b., e:
9 rn-te f,-< tw ?
776
_l cc.rily Ind in Uc l)crfortu@ orrhc work rtn {hih rhis p.rnl is hsued.I shnll nor cmploy lny pcmn in any nrtrrcr
n' N lo t*com sublcd b lhc wo*cs comFnsal ion hws of Calinxnia, ond agN ltal if I sholld hccotu suhJ.cr ro rh.
workcs omtcnsalionpo sionsofSection 3?00oflhc tjbor Codc.I slDll. fonh$ilfi NmPly {irh rtne pmvhioos
WARNING Fliturc b sure sorkeB' mmp.nssl ion svcmBc h unh*tu! .nd shrll srbj$l d ciplortr ro ciftiel p.M[i.r rd
civ,l fincs ut ro om hundrcn thousand dolhs (Sl addiliotr to lhc co{ ofcotnpcn\ario.. drmgc\ r\ Pi('vidcd for rhc
Sdion 1076 olrhc L,bor
LIICLISAUAN
I hcrctyulfirnunncr pcnslry o I perjury rhrr I a'.lienen utrdcr tnovirion ofChapr.r I (.\,nnkncinB wnh Sdio. ?0ur) olDivisbn 3
oi rhc Ausircs{ Md Prof.s(n,rs Codc.0 nr} hcn\c n in tull tu.c kl.lic,
gAIIAI]CIXTNIEBDINGJOEICI
I t E-by smm und.r FElry of lcrhry rh.r rh.rc is s mnldMlbn hnding ,gcfty for $c Frfomm. ot thc wk for which lhis pcmn ir
issu.d (S.c. 309'r. Civ. C.).
d.tt|.lc NfD[cl^aarlo!
I l.a$y rltinn unJcr ntfrlly o, r{rjry on. olrhu t,ll,,sirs dccl rarnnN
I)r n)lirnD I'cii ir\ Astldo\ Norifi.rh.i lidcml Rctulxrion\ arirh,10. Prn6)
-R.quncd
Ltncrol Norilicdion
-!
c.niayth0t rhc icdcral rcBuhtions Eg!rdi.8 0shc(os rcnbvtrlorc.ol utrplictrhlc lo rhh,,mJc.l
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
It/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Bough Ductwork Ir/z/r,h €.rurrzl /rA---
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Hough Mech.hA/nt lrrnan /d2_-
Meler Release
FINAL u//"//*-&'rztv>t
Notes, Remarks, Etc.
l.dnir, rhar I hrvc rcld rhk dprli.trtion d {6r. rh,r rhc ah,!e infoMion k c.lml.l alr lo ompl, wnh lllCilyand Counl,
Hood
Final Test
/r/zz4o.4*--l--
I .,,i,1'. NJir
bu ildinS condflllion. nnd
ilx& mnrion d pnptny ftr
=