HomeMy WebLinkAbout40132226 - PermitProject Address: 1026 S Dennis St
Assessor'sParcel: 108-721-14 Lot: 75
Unitl
Block: NA
Bldg:
Tract: 8924
Address Range:
Historic: No
Suite Range:
Zoning: R1
ry
@ City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechan ical Permit #: 40132226
Pin #: 66171
Owner:
Address:
Vicky Nguyen
14272 Webbet Pl.
Westminster, CA 92683
(7'.t4l.623-0204
H L Home
I1071 Dune St
Norwalk, CA 90650
(562) 412-18r 8
Fee Typs
01116002 51604 Bathroom Fan
01116002 51600 General Plan Update
01116002 51604 lssuance
Amount
29.38
21.25
52.98
Fee
$29.38
Qty
1.00
1.00
1.00Phone
Tenant Name:
Phone
tL Hollt
lenerol Flon ljpdote [-ee
:rt 1 16002- 5160trr]0[-
1e.hon ic0l
11116002- 516040W-
/i90
CC+ : ***r**rr**x*?t15 Auth
Building Use: Single Family Dwelling
Job Typei Addition
Nature of Work: Addn/Patio Cover
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field:
Buildins Permit #: 1 0195551
Date:
Date:
Date: 06/18/2018
Account#
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016
Planning Conditions: Shower not permitted in addn. All materials to match existing
Notes: New family room, powder room (no shower), & open
patio with solid roof cover.
$103.61
$0.00
$103.61
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pe.mit issued shall become invalid unless the wotk on tho site
authoized by such pemil is commenced within 180 ddys aftet its
issuance, or if lhe wotu authoized on the site by such pernit is suspended
or abandoned fot a peiod of180 days after the time the worl< is
commenced.
lnspector MIO#: 2018-141437
01 't'16002 51600
01 116002 51604
$21.25
$82.36
Fee Total:
Paid to Date:
Balance Due:
Contractor:
Address:
State Ljc #: 812009
Lic Type: B
Bus. Lic #: 354204
Workers' Compensation lnsurance:Carrier: Exempt
Policy #:
Expires:
Botcht!{4349 - 6/ fg/z$tS I03 Pz
office: CTYH lrons+: g0 4&:ctl! fiefi: +u132
Fcot+:02297873 - 611812018 3: ?8
TronsocU ion Totol ll rtltl4
MECHANICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Fu rnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
I
Rough Mech.fu1'f,,-ta9
Final Test lr I IU
Meter Release
FINAL p \l8 l\?)A
Notes, Remarks, Etc.ul
OWNER BUILIIER DELCARATION
I [crh, amrn ud.r ,cM]ry ol pc,jury lhal I u cxcmd f&n llE C..rrto Lt.nrc L3* for lhc follo*i!8 Etsn (Ss'7oll.5
Busincss ,n{ Pn,lc,rion Codc): Ant Cily or Counly *hich rcqun s d Frdil lo.on{ru.|. !lid. inorow. d.mlish.r Elon an,
strucrurc. ,rior ro irs hsunN, slb rcAuires th. anplicdr lor such Fmjt ro lih { sGmd std.m ln.l lE or sh. ir liencd liedr
io rhc pmvhiom of irE Conhdols Licensd t s (Chlplcr 9, Commcmin8 $ith Sdion 7000 of Davhbn J oflhc Busincs and
Pofcsions Codc) or rhd lf, tr slE n cxcmpr rh.rciiod und rh. basis for rhe allcgcd .xcnption. An, viohtionofsetirn ?031.5 by an,
apdi.anr for d pemit subj{rls rhc .pli.ant m d civil lcnalry of .or rcrc thu fiv. hundrcd doll&s (S500).
-1.
as owM of rlE pmFny, or n, .nploles wilh waScs !s llEn $b @mpcnsdaon, will tu lh. wort and lh. *nIl@ is mr
irrcnd oroftcrcn for $lc (Sc 7044, BuriNrsa.d Prorcisio.s c.dd Thc ConlEctois LiInc L!* &Es.oi dl,I,ly ro owrc.of
rhc pmFny who huilds or iqnovcs tllcotr u{l wlF dts sh e& hiGclt or h.sclf or lhmu8h his n! hct ow..mplores.
Dmlid.n rhlr sucn imFmwr s @ rcl inlurt n o.onbrcd lo. $lc. ll trwcw.llE hiHing o, itrpmkmni i! eh wnnin orc )4!
or coiplcrio.. tlE Owmr Buildd wil hlw d* burdm ot pmvir8 ln l he or shc did Bn boild o. irpmrc lhc pmFyl, fot thc I'!4m of
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as osn.r of rl* prcp.iry. d cr.tusively .onMing wirh lisn*n conlreloF lo connru.l tE Foiil (se 70{4. Buircs
and ftDlc\sb. Cod.: Tnc Conrr{lols Licctrsc ljw d6 ior sorly ro oosn.. o[ prop.ny wio builds or nnDrcrcs 1h.r.6..
and qho conlraft fn ,u.h l'DFc$ with r Conrnclo(i) liensi puruudl lo ttu Contudor's Li.cM Liw).
I lmcrcmo! undcr S.crion . B & PC forlhn r.d\on.
D . ()rn..
EQBf,E8E.CQMTEIAUqN
DECI.AIAIXON
I nceby ,mrn undf Dcnllry of pdjtrry orc of rhc rollowin8 d@lamlions:
-l
harc ard *ill Binlain r Ccdifrar. of CoNfl ro S.lllr$e for wk6 conFNdio!. $ FDvidcd for by SeIjon 1700 of tlr
Llbq q!dc. lo! rlE o.rft|m@ ol rh. sort for whicn ltu ,Ermil k i$cn.
I h0tc ond aillmdint0in workcrl cotr{xnsart,n instrsmc. as rcquirdbyse(rn ]700 oflhe Llbor Codc.lbr r,r nofor@ncc ol
r w.rk for rhih lhk Frmil is issKl. M, wo*c orpen{ation insuratrc c,rif.nd PIi.ynlmbo !rc:
-l
ccnilr rh in rhc p.rtormn.c olfic wolk ior whi.h lhis ltcnnil is hrucd. I shtrll noi.mrloy 0ny p.Hon in any manncr
s ssto bc€onE subjcr ro rhc *od<eB ..qrNdiion hws orcalifornh. Md tr88 thal itl stFuld bcroft {bi(r ro lh.
uorlcc'ompcnerionpolnionsofserirnITLUolrrrLit r Cdc,l shall. ibnhwilt cotrgly *ithlhos ln.vlrb.s.
WARNINCT F lue 16 s@ "6*6 6tr{Ens,rio. ovcBB. t unla*ful. atrd shrll subic.l o crnnlor.r to riminal PcElrics lnd
ciil fines un lo onc hudrcd rhoxsdnd dollrs (!l00,ooo), in rJdnion lo lhe cosl ol hsrn,n. drm8ca as providcd for thc
Cod., inrm$ aod lnorry s fccs.tlL eppu*r >-
Llt[lsul-(aul^c-r!)B
DE(.|BAIION
I hcmby dfrm undo Fnslly oa p.riury lhll I em licenxn !tr&r tmlision of ChaPs 9 (coommin8 *nh Selion 7000) of Dithio, :t
or lnc Busin.ss ed Prof.$ionr Cod.. {d my lk.n* L h tull fom urd clfel.
t\
D.l.: 1 (*,""X=-
tl).Nsral(-uQNll,lllllcJ\rif\1r
I hcEby arftrm under Fnalty of l).rrlry lh.r ft* n 6 .!6mdion lending .8.Ny for lhc pc.fom*e of lh€ sorl for whkh rnis Fmit h
iNitrcd (SN.1097. Civ, C ).
AITIJCANfDECLAAAUON
I lmbyrimnuft.r !.nrll, oI trrjry onc otrnc 61kr*nrr dcchrnrion\
l)cntnirt,i Pclnir A\b.do\ Norili.rrid Fcd.rtrl Roluhrnnrs (l,tlc 40, I!n6)
Rrqutrcd lxrr*orNi ifi.ati)n
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ccrrify rhd rhc fcrtc,rl dgxl,iions E8ardin8 asb.slos rcmval arc ml apdicabk ro rhis tmld
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cmify rhrr I hav€ ,cad ihn rpplklrio. ,.d arc lhor thc ohov. infondtun is coBl. I r8rc lo .on ly ein el Cny dd Counry
ordinlnccs nal Sx c Laqs rcbrins ro huilding .onshdion. r,rl hcrcby rcprcscnllrivcs olon ciry Md counrylo.nlcr uNn ih€
lbovc nEnliomd pmFrl, lor
Amlicatrr o. As.nl Si8nrlur
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APPROVALS
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