HomeMy WebLinkAbout40132926 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechan ical Permit #: 40132926
Pin #: 93376lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Project Address: 2513 W Harvard St Unit:
Block: NA
Bldg:
Tract: 3623
\
Assessor'sParcel: 408-093-18 Lot: t0
Vicky Tran
2513 W Harvard St
Santa Ana, CA 92704
17't4l6234204
01116002 51604
011'16002 51600
01't '16002 51604
Amount
30.52
22.O8
55.04
Qty
2.00
1.00
1.00
Fee
$61.04
$22.O8
$ss.04P hone
Tenant Name:
Contractor:
Address:
H L Home
11071 Dune St
Norwalk, CA 90650
(562) 412-r8r 8
Refi:
1?. /1(t
4rr l3
1r63
Phone
Slate Lic #: 812009
Lic Type: B
Bus. Lic #: 354204
Workers' Compensalion lnsuranceCaffier Exempt
Policy #:
Expiresl
G
(r
n
0
I
ote Fee
00-
ec
11
l
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Addition
Addition
Occupancy:
Constr Type
Code:
R-3
VB
cMc 2016
Noles: Add (2) bedrooms, (1/2) bathroom and I full bathroom,
family room/convert (e) bedroom into llbrary. SAUSD
#3790.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Date
Date
Date f 12412018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
TotalSubject to Field:
BuirdinsPermit#: 10197747
-tr'
Every permit issued shall become invalid unless lha wo*on tho site
authodzed by such permit is commenced within 180 days alter ils
issuance, ot il the work authoized on lhe sile by such pormit is suspended
ot abandoned fot a peiod of 180 days after the tirne the v/o* is
commonced.
$138.16
$0.00
s138.16
lnspector MID#: 20'18-145713
01116002 51600
01'116002 51604
$22.08
$116.08
Fee Total:
Paid to Date:
Balance Due:
Owner:
Address:
Fee Type
Bathroom Fan
General Plan Update
lssuance
ii
,i
i1
Suite Range:
Zoning: Rl
Address Range:
Historic: No
t'
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS oWNER BT'II,D!]R DFJLCARATION
I tumhy rntn undcr Fciilly or Fdury rhir I r'n cxcnU riinn rhc (i,nrrdr l,i.cns. llw a{n rtu i,lk,wbg N/\'n (s:.7n:11 5
l]tr\ircs aftl Ploli$ion Co.lc) Any Ciry.r Cornr, whi.h rcqtrms r tr n tu .ufnru.r. rcr. iD|rn.. dcnrulnh or rrprn rny
{ncruru. lri(t h ns $\urt.., ,l$ rLapt$ rhc qrplrr tr nrh lr:iiniru ill. r \i8D.{l nrtnrir rh lt or shc is li.cttd Putsurnl
n,rhctn,vi\i{vNolrhcCoitr.nr\I-i.rtrscdl.dw(Chrprrr9.(lnnnrn.in!EilhSccrion7(xX)olDivi\i(.1ofrltBu\lncsr.d
Pnri\\i,nr\(int.).rrhrrh.orsh.i\cxcnDrrhc.clionr{ndrhctxr\isiorrhcrllcgddcxcnrnrn,n.Anyvk)hiiunofSccrion?0315hyany-
rnrli.r nn Fnnir \uhJ..B rhc rlfli.rnl h i civil Nnrlrt oi Nl nnrc I hon fix hutulrcd d.llar\ (stfir.
-1.
us ownd of th€ Im,Edy. oi my enployss wirh srSc$ a{ rh.! el. compcnsdri. sil do tnc sol a&i hc srMm is mt
inrcnd.n or oncrcd for srlc (Se 7044. Busimss lnd ftolb$ionr Codq Thc Conta.ror'r Licc.sc lfw do.s .or lpply lo an oencr of
rhc pn'Ffly who tiikls or irltloa lltmn, dd wh. dm trh ml* hinsclf or h.r.lf or llvoqh his or her ov. .nploltcs.
pmvid.d rhal such i,pmvtmnts @ n htcndcd or ofl'sld lor sL. li lsmw tlE lDildins or iqewD.r is $ld whhinonc )tu
ofsrglcrii,r. rh. Owmr Build.r wiI hrv. lhc bodm of pmvi.E rhd hc or shc dil nol blild or nrpEw thc pmFny fo. ilE puqDs ol
-1.
N o*rc, of rhc ImFiy, am cxclusivcly mtrlract in8 wilh liccuscrl contEcl{rh lo .oniroct ttE pmrcd (Scc. 7044. Buincr'
ud Eoltssbfl Co{h Thc Contracr.i s Licco* llw docs nor !ppl, ro qo owncr of pml.ny eho builds or imDrov.r rh.rc6n,
rnd who $nrrd'i ftr such Eoirrs with ! ConIncto4o licn$d ,usurnr ro rhe Conrrucrois Li..n€ L!w).
-l
a6 crcmpt und.r SNrio
l,rr' ()1' .r
ill)f,f,E85_C(rMtrNtAlJlr!
I}&CIAMIION
I hcrcby ltfun u.dcr F.alry of pcrj!ry onc of thc folloqirS d.ctdll n'.s:
-lharcadsillnxri'nri',rCcnilicarcofCon\ctrrk,Sclll,rnmli'rtrorkc^.or.pcn$rior.r\
ptr,vidcd r(t hy Sc.llr :t7lD tl rhc
lihor Cod..lin ihc |ErtunnNc ofrh. *ork aor which rl( Fcrnir is is{rd
lhrknnd sill rn iinwo crl conDcnsrlioD nsumncc. !s rcqutcd by Sccti{'n -17{X) ofrhc tiho. Codc,lor lhc Perlnrron.col
rhr work for whi.hrhi{rfimit is rsucd. Myqolkcs comFctrsrtnr irsuarcccrricr el f.licy nnmbct dc:
xI ccnrfy rh!' in rhc Frlormmc nfrhc worl fm *hKh rhis !$mil n assu.d.l stull nor.mploy rfly p€r$n in lny tunmr
/*). r" *mm,utricr r, rtrc wor*c'Lcomacntatnn hw\.t Cdlrlor r.ond asRtha! il I.hould hc.otr {bryrrorhc
wo&dr comF.rdion tmva\ioN ol Sccrion 37m or rnc l,tor Cdlc. I shall. fonhwnh onrly {irh rh.s tmvirio.s .
s..rnr 1076olrhc Lrtfl (-1xt. inrcrderfd rrron.y \ 1..!
(
Lll:ErS[lLgJNlrdCr0e
DECI,AIAIION
I hcnhy rnirm undc, l.n,hrolperrury lhnl l,D li.cnrn utrdcr provhion oICnlprcr 9 ($m,tun.nrB *rh sNtion ?000) otl)ivisio..l
ol lhc Busimss and Pmfc$ions Csic, dxl ny li.cn* ir ir lul, r.m dII criacr
R b(Lu o4
caNliISlguQNfflDINC-dCXllI
I hcmhyrfln'!dtulcr rf,irllyorrcrjur],thi( rhcrc hr. n(ru.ri( r lcRlirs a8cn.y f{n rhc p.rinnrtr..c orrhce.rk hr$hich lhnplrnrl n
i\\ucJ rsr. 1(I)? Ci! C I
AITUIANLDECLAEAIAN
I hcr.t, dnnn undcr Nndrry orp.rjury.ft ofrhc tallowinS delardrions:
D.nblrion PcirnirsAshc{os Nolific ion ltdcml Rcsuhr ions lTnt .(). Prn6)
-Rcquircd
ldtcr of Ndifrarion
_l .cnily rh i rhc l.dcrul rcBxld ions rcSdding r\h(ros rc xrvil ffc nor lnlli.$lc b rhir Itu,L{L
U4&iiyrhll I hrrc '.rd rhis rnllicrrtrn Ml narcrhrrrhcrh,!c 'ntunnari( i\.oftcr I (aie ro .onDly tr ith ru ciry rnd coxtrrJ_
ordifun dsnndSrlrr Lrssrclnrn8tu huildir8.on{nrchon..nLl hcr.h} urhrirr rctrc.cnr rcsofrhisCityMdCoutrlyroclrcrup.nth.
lhow mntioncd pmFny for
Apnlirxnr or Agcnr sr8nrr
Appliances
l\4etal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Toilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar /A\
Rough Mech.qcltq17".ilr/pv
Final Test rl L
Meter Release
FINAL llult.4 fr Arqad1 .)
Notes, Remarks, Etc.JI
-,
,"'.,r tt [1?.1 te ..".*,*t4 .\t L- Bai',rr
*. ' rrt'gt [t'
Duct Work
Vents