HomeMy WebLinkAbout40132248 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mec han ical Permit #: 4O13224E
Pin #: 56751
Project Address: 2213 W Monte Vista Ave
AssessoasParcel: 010-303-18 Lotr '120
Unit:
Block: NA
Bldg:
Tract: 4659
Address Range:
Historic: No
q
Owner:
Address:
Phone:
Tenant Name:
Contraclor:
Address:
Ooantrang Dang
91 Legacy Way
lrYine, CA 92602
(714) 6s7-5899
Owner-Builder
Amount
29.38
21.25
52.98
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
Foe Type
011 16002 51604 Bathroom Fan
01'116002 51600 General Plan Update
01116002 51604 lssuance
Foontrong 0nn3
B(tch+:+4429 - 6l2ll2t)18 IDr qn
0ffice: CIYH Trons+: 50 1Accti: Refi: 4ti1l2(cpti:023tr0119 - 6/2L/2(!tB l.lt?
Tronsoct ion Totol tl32,,
Qty
2.OO
1.00
1.00
F6e
$58.76
$21.25
$52.98
Single Family Dwelling
Alteration
Bathroom fans
Bathroom fans. Letter of auth on file.
R.3, U
VB
cMc 2016 Notesl
Planning Conditions:
Planning Approval By:Date:
Date:
Date: O6l21l2ma
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:Amsden, Julie
Subject to Field:
Building Permit #:10196712
Every pemit issued shall become invalid unless the wo* on the site
authorized by such permit is commenced within180 days afler its
issuance, ot it the wotk authorized on the site by such permit is suspended
ot abandoned fot a peiod ot 1 80 days aftet the time the wo* is
commenced.
011 16002 51600 $132.99
$0.00
$132.99
$21.25
$'t 11.74
lnspector MID#: 2018-1439'18
011 16002 51604
Fee Total:
Paid to Date:
Balance Due:
1
Suite Range:
Zoning: Rl
Building Use:
Job Type:
Nalure of Work:
Occupancy:
Constr Type:
Code:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OI!N I]R BUII-T}Ei DTJI,CARATIoN
I hcrchy rfitm unlcr nLnalrvol nrrjury rhr I m cxcnfl li1rn rhc (ir rrdo Loisc lrs fU rhc tull.$in8 rcl$ (SN70.115
llusircs\ rnl Prurcsn,n cod.): Any Ciry or Coutrly Nhich rcquncs I Frnril n, ..n{rucr. rllcr. nn[ovc. dcnmhh or rcnrir rtrt
{ocnrc. pri(trlo ir\ r$ua,rc. il$ rcqurc\ rh. lp/i,nr ror\u.hr.nni' t{, filc I \igncn $arcmnt rhrr hcor {h. n liccn\cd lunusnr
to rhc pmvi\nr\ of rltr Coirrrch\ l.iccn{d Las (Chrlcr 9, Comnrn.ir! riri Sccrion 70fl} ol Di !n,n Iolrhc Busincs\ rtui
Pr.fcssiotrsCodc) oi'hrr h.or\hc iscxc rpr rhrrurrooand rhc hasi\ ti)rrhc allqcd crcmrlior AtryviohrnnrolScdionT0ll5htan,
lppliunlii{a p.nnir suhjc.rslhc rtl1ic,trr Io aci!iltcnalryornornxrcrhrtr firc hrndrcddolla^ (5500)
$.u, u*,"."r,,,.p",*ny,,tr r,.mplor.c!trirh*nsc(u(ihcnencc.nrFnsdNn.srllddrh.workudrh. ocrurci1troi
i'nc'xlcd orolitr.dlorsrlc(S.r7(}l.l.Busircsmdti,fcsn,n\Codc'lhcA,nhdoi\l-icnscl!$docsnoraDplyronnowocrof r
rh. $iFny alx) huikl\ o. i'Nxtu\ rlf,[-D. nl t,n, dms {Rh q!,i( hinrrlfur hcr{ll.r rhn,u8h his or hcr o*n c'ntloy.c\,
nrcvnkd rhrr \uch inllno{nEnN rc mr iflckldl or or rcdrl kr {'!c lr" hos.\cr.rh! huil(li'rg or inpmrcn.nr is knd wirhrom y.n
.l.1x,rrLrin rh. O*ncr Buikt r *illhavc rhc honlcn ofrn,ling (tur ht or \h. did nor htriki or i'nproE rhe poFiy hr rhc puqx'e oi
L as.w.cr otrhe lopcny, ad ciclusirly controcrin8 wnh liccn*d .o.r!dou ro sindd rh. !rcj*r (se,7u4, EBhc$
!r'd Proftssion Codcr Thc Conlmtors Li.cns. tjw des et {Dlr ro oi o*rcr of ropcrly vlD builds or imprcrs lherso.and who @nhcrs for suct ImieB wnh . Conhcro(s) lisn*d plrsunr lo rh. Conrkrois Lien* bw).
-l
m cx.mP unda Sftrio._, B- &,q.C. for rnis
DA;I,IBAIION
I hmby ,liirm und.r pcnalry of prjury orc of rhc louowin8 delarsln,nr:
I nrk ald will tuintain , Ccnirrrlc of Con*nr lo Sclf-lnsue ror sor*.u 6mp.ns0rion, xs pmviled fo, by Serion l?0o of
'h.tihor C!dc. for lh. pcrforlnlre ofth. mrl for *'tich rhc lcmir h issxcd.
_l holr and eill m.nnlin workc* .oop..s.ridn i.slrancc. as rcquircd bySstio.l7{X, otrhc Lobor Codc. tor thc perfommc of
thc lorl tu which thn p.mir is issucd. My eork i* conpcn$rn,tr i..uramc cutr ad policy truhber e:
'Ll
c.diry lh,! in t,rc Frfornm of rhc uorl lor uhth lhis F,oir is isscd.l sh{ll mr cmploy.ny FMn i! my nuMs s lo bc<om subiu io ihc m.lloC con c.$lion lsws of Califotuia. and a8E rhll if I sholld b.rom .ubid Io rlr
wort6 .onFBarioo povisionrofs{rbn lTmofrnc kbor Code.l dEll. forrhwirh snply w n rhos provisions..
UCtrNSELCONISAI:IO.B
DECLAB{IIAN
I hrtuhy allttr utd.r ttrrhyofltr]try rlrr I .nr li(nai ln,lcr tm!i\n,n ofChJ|r.r 9 rcoNmn.ing virh S(rion 7UX, oIDir,\i,,n.l
ol lh. Bu\ircslnkl Pn'L!{on\Codc. I rt li.rnr is in tu||lnrc. rlclllcr
licens Cless:_Lkcns Numb.r
CANiIBIiCIIONIADINGICENCT
I lE6by afftrm !nd.r FMlly of pedury thd tlaE b . oElocrioi la{iig .!fty for llE p.rfql1@c of 0c wtrt for whih ttis Frnil ir
tsued (S(. 109'7. Civ. C.).
/t-J cqrify tlul dE tu nlEgrrLrioB Errdirg.ib.!roi Emvrl e nor applizbL ro fii prei*r
A:l sniry th{r I hlr Erd rhis ,mli.lrion {d sl6re Oar rhc rtDlc inromrion is sm.r, t sgB ro coq)I, wirh s cny lnl counry
.idn',mcMnd Srtrrc bws rcbri4 r{,1,!ildins conslrucriotr. and hcr.6yaurhorizc rcprcscrr0tivcs offin Cit, dCou.lyloenlsurontE
,bove mnri.Ed IjDFny fd '""w'z-
Appli.lnr or Agcfl SiSMl
Sfer. ^ 'G/ 2t )t(,
Appliances
Iti'letal Fire Place
Evaporative Cooler
Furnace
Ivlisc" Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
To ilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
lQpenings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rou gh Mech.6 ?1 8y )K Pq ),bC4,.4
Final Test a
Meter Release lt
FINAL lt$\(tl ,,L(/l/4 'A)
Notes, Remarks, Etc
Compressor
o"", G/zr ltg
WARNINC: Fsilue k, surc workcc @mpcnsolion covcmg. k unhwnil. and shall subj.ct grtlloy.r to aiminal lrMhis ond
civil fitr.s uti ro orc h!.d,cd rhouslnd dollu\ (Sloo.om). in addibn to rhc cosi ofcoq,ctrs.rion. domBcs os rrovidcd lor rhc
:::iH,?lt'ixJ"S<p-.^. .^
t !cr! Nm
-
Lnd.r's Add.css: _
r pprrr:iiiliiiiiiiiidF
I hoE{ry.fiim under pcn0hyofperruryonc oflhc followitrg dNld.rions:
D.tulirino Pcrmir AstEsros Norifi.rtion ljcdcnl RcSulat ions (Tirh /r0. P,n6)
Rcqun d 1.tr6 of Notifrriaon