HomeMy WebLinkAbout40232244 - PermitProject Address: 1330 S Rita Way
Assessor'sParcel: 109-375-09 Lot: 6'l
Unit:
Block: NA
Bldg:
Tract: 2070
Address Range:
Historic: No
E
cify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA'27O2 Mechanical
Permit Counter: O14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit#:4o.23224
Pin #: 1O7O4
Owner:
Address;
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Fe€ Type
0'11'16002 51604 Bathroom Fan
01116002 51600 General Plan Update
01 'l '16002 51604 lssuance
Amount
29.38
21.25
52.98
Qty
1 .00
1 .00
L00
Fee
$29.38
$21 .25
$52.98
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Bot,ch+!{{4ll - 6/20/2n18 I0: o oroleslS0ffice: CTYH Trons+r 50 4 of 5Acct+: R€f+r 40232?t4
Rcpti:02299673 - 6-l2t1/2tr1g 4:17 Pn
Tronsoct ion Total tl1015.97
Troca Vu
Notes: Legalizemechanical.
$103.61
$0.00
$103.61
Generol Plon UpdotE Fee
01116002- 51600000-
llechon icol
ru116002- 51604000-
ICL Check 00511
t2l .25
i8?.36
t1 r015.97
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By
Permit lssued By
Subjecl to Field:
Building Permit #
Single Family Dwelling
Addition
Addn
Occupancy:
Constr Type
Code:
R.3, U
VB
cMc 2016
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
efl
295773
Every permit issued shall becone invalid unless the work o, the slle
authorized by such permit is commenced wilhin 180 days after its
issuance, ot if the wo* authorized on the site by such permit is suspended
or abandoned for a peiod of180 days after the time tho wod< is
commenced
lnspector MID#: 2018-141900
o6120t2014
Account#
01 116002 51600
01 116002 5't604
Fee Total:
Paid to Date:
Balance Due:
$21.25
$82.36
NoflcE oF UouTrorl
Suite Range:
Zoning: Rl
Tracy Vu
21845 Michigan Lane
Lake Forest, CA 92630
(949) 510-6661
APPROVALS OATE ID/SIG.
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Rough Mech.
Final Test
FINAL -t /?bltN,iN r<-v
Notes, Remarks, Etc.
OWNEN AUILDER DELCARATION
I h.eby arrm undcr pcnoty ol lcrhry rhd I d cxcmpr fmm thc Cor 6croN Liensc Lrw to. $. ro.win8 Ea$n (S.r?031.5
Businc* and Prolcssn,n Code) Any Cny or Co! y which ,.quitus a Fnil lo construcl. lllcr, ihl'rovc. &mll(h or ctun aoy
srtucror. Fi, b ns irsuore, alm rcqltcs rh. orplicsnr for su.t pcrd ro fiL a ligmd 3l.rcm rhlt hc or sh. L [ensd pur$ant
b rh. ImvisioB of dE Co.t@mls Lisnscd L3w (Chaprcr 9. ComNncing with Sftlion 7000 of Dilhion I .tllE BBincis !.d
Pofcshns Codc)orrhrl lEorshc Lscxcnpr thcrcfomand thcb0sk forthcallcscdcr.hprio.. A.rvioturionolSslionT0ll.5by.ny
applic.nr lor ! ,,cmir subi(ls lhc applklnr ro r cilil pcnslrt of not mrc fian filc hundcd dotle! (1500).
-1.
as owncr of Ih. r,mFny. or my cnl'lo)es wirn waecs !s thcn wh comFnsorion. will {h tlr @k a8t hc srn&r@ ir rct
intodcd orotrcrcdforsk(Sd.7Ol4.Blrinc$uodR$fcssionsCodqTIECo.a.tolslice.sL!*.lo.smllpplytoanowkrof
lh. tmpcny who btrilds or i,pmEs tlE@n, rnd rho des $ch s* hiNclf or hcrslf .r lhmush his or hcr ow. cmddrcs.
6vid.d lhdr slch imphhmnri @ mr hrcnd.n or offcEd for slc. li h.uei t r buillli.8 or in oEE h sld *ilhin om rce
ofonFtrion. llE O,tur BuitLr will hsr rlE bdlcn of ImlinB rt r hc or shc dA tur hriu d ir!{oE $c popqry fm tlE pu4Ds of
-1.
N owncr ofrhc t'otcrry. om dclusivcly conrEdins enh licctr*d conrEcros ro cornnd rlE trcirr (S&. 7014, 8u\ims
.rd PDrLBskio c.dcr Thc Conrm.tols Liccnsc Ltrw docs lor.tlplr ro nownd ofrioF.nysho builds or i-rovcs rhcreon.
and vno co.tncrs lor $ch pmjccts wnh a Contmclois) liccnsd nlrsunt rornc Conrrucrr\ l"ken* bw).
D!(.:
I hcrcbt afiirnr undcr tcntrlryof ,.rjDry
-l
hatc ard will Binrri! a C.niftar. ol Conscnr ro Sclfinsurc for wrkctr comt.ns on. !s prcvidcd for b, Sccrion 3?00 of rh.
Labo, Code. ror E pdfoll11aF of Eeort aor wtth ttE I'.mir i3 i*ued.
_l hlvr and *ill moinrsin workcE comp€nssrion inslnnce, s rciuned by S.crion :1700 of rh. Lrbor Codc. lor fie p.rfolmrcc ot
lhc srk fm whth lhk pcrmh is kr,cd. My *ortcN' corwnsalion insorae cdi.r ord rDlby number @:
Policy Numb..:Jrrircg:
_l ccniry rh,r in rh. p.rr.,mn.. orrh. work lor vhih lhh F.mir is issu.d. I shall ml cmploytrtry p€mtr in sny nMN.
s s ro h.{m subj.s b rhc rcrtcs coq,.nsrion lawr of Califomio, lnd a8N rhd if I sholkl tE oft srbjcd 16 ttE
workcs conp.ns.tunlrcvisionsofSelion l?00 ot rlE ktrr C.dc- l nElL fonhtilh contlr virhtlt)$ tmvisions..
WARNINGT Fdltrrc lo wu.. workcr uomp.ns$bn covcm8c is u.l.wful. and sh6ll slbjccl $ coployd lo cttuin{l lrmhics Md
.iril find\ up k, ok hxndr.d rhousr.d (!lm.urc), in sddnion lo rhc cosl ofcompcn$lio.. d!mg* ar nrolid.d ror rhc
Sccri,)n.1076 ofrhr Ltrhtr Cod.. nrl$.{ and
I ncrcbyaiirm under Fnallyoll.rJlry rhar I ad lien\.ri ui.lc' pr.virio. drChaprs 9 (.onmmin8 wnh Scrbn ?fix)) orDilhion ]
oi rhc ansi csr.nd Prolisions Codc. a mylicctrs is itr tull for(c und cltccr
AITLICANLDECIAAAIION
I h.rtt)yafimundcr pcnolry ofFdury on orrhc rolbtins dsle{idn\l
D.nbliri.n PMnirl^:tr{or Noriicalioo Fcdcr.l Rc8ul.liou (Tnt,11J, Pud6r
-Rcquncd
t.ltcr ol' Nolifi cdio.
&d Ounrylo cntcr upotr the
6 ?
Psmi,\{nr
0
MECHANICAL.INSPECTOR RECORD
II
COMMENTS
Other
Above T-Bar
Meter Release
D.L:-,4
l-iccn\cch$ Liccn* Nu rh(r l
IAIiIBI&IIANIINDINCAqEN(I
I lErcby rffirfl undcr p-trrltyol pcrrtry rhor lhcrc i\ ! on(rucli,,n Lnding lscky for rhc F,hmuncc ol rhc uork to. which rhit p$mir ir
hsucd lSc.. 1097.Civ C.).
II