HomeMy WebLinkAbout40132556 - PermitPermit #: 4O132556
Pin #: 22413
Project Address: 313 N Birch St Unit:
Block: NA
Bldg: Address Range:
Tract BIRCH ADIYPARK Historic: Yes
Suite Range:
Zoning: SD84
q
Assessor'sParcel: 398-591-10 Lot: PORS 38, 39, 40/l
Fee Type
01116002 51604 Alter Vent Sys
01116002 5160C General Plan Update
011'16002 51604 lssuance
Amount
43.62
22.O8
55.04
Qty
2.OO
1.00
1.00
Fee
$87.24
$22.O8
$55.04Phone
Conlractor:
Address:
Owner-Builder Botchft4gTTl - 916/2OLg I0: NGARCIA
0flicer CTYH TnRns+: 38 4 ol' 4Acct+: Ref;: 40132556
ftcpti.(23790?8 ' 9 /6/?tl8 11323 AtI
Tronsor:t ion Totol fl r 944.85
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
L ipnnette Chuns
Generol Plon Upd(te Fee
81r16002- 51600i100-
nschon irol
01116002- 51604000-
ViBo
cc+ ! rr*r**rrrr*r4121
_ 522.t-t8
t14?.?8
$1r 944 . 85
Auth+:0116894
Building Use:
Job Type:
Nature of Work:
Commercial
Tenant lmprovemenl
Tl-lst & 2nd Floors
Occupancy:
Constr Type:
Code:
B
VB
cMc 2016 Notes
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
rnandez, Kathy
Date:
Date:
Dale:09/06/2018
Account#
Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
10197054 $22.O8
$142.28
$164.36
$0.00
$164.36
Every permit issued shall become invdlid unless the worr( o, the srte
authoized by such pemit B commenced within 180 days ?ftet its
issuance, ot if the wo* authodzed on the site by such pemil is suspended
o( abandoned for a peiod ol 1 80 days after the tirne the wotu is
commenced.
lnspector MID#: 2018-144073
01116002 51600
01116002 51604
Fee Total
Paid to Date:
Balance Oue:
cify of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (714]. 667-2738 lnspector Section: (714\ 647-5853
Owner:
Address:
Tenant Name:
Liennette Chung
243 Newport Ave.
Long Beach, CA 90803
17141612-2917
American Legion
Phone:
Planning Conditions:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE tD/srG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Fire Damper
Openings
lnstallalion
F.D. Drop Tesl
Above Hard Lid
Above T-Bar
Bough Mech.
Final Test
Meter Release
furful*t9/,/.2l6lt4 1 AA-/
Notes, Remarks, Etc.-)-U
/eil4lth r/tua777d /* f'/'t v/, rtl l'/d/.-/L 7 r-..-'
OWNER BUILDER DELCARATION
I heEby atfirm undcr lcnalty of !€rjury rhar I m eietrfl Ircm rhc Conm.rou Lie.* Llv fo, rfu iollowirS rc.$n (Scc.7031.5.
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ro thc Foviiions oarlE Conraclof3 Licnscd Lrw (Chapr$ 9. Coo@ncing wirh Scction ?OO0 of Divhion I ol lle Btsinc* and
Pma$sioN Codc) or ln lEorsn is.rc,pr $6d0nerd lnc blsh ror thc alLgd €rcdnrion. Anyviolaliono!sccrFn7ojl.5nylty
applis,r for ! pcmi tubjels rhc applic!fl ro ! civil pcMlry of mr md rhrn tiv. hu.drcd doll6 (t500).
L trs owNr or lhc phFny, or my cmployca virh wrBcs 3s rhcir sl. .omFnslrion. will do rhc wdk ud rlE sr.xr@ ic d
intcnd.n oroflirc{ aor slc (S*.I)44. Busiiess ud Pmfessions Codci Thc Conrrc&r's Lsns t w do.s nol .pply lo e owmr of
rh. pbFnt wtnt iL& or intmB rh.Bm. arn whD tter *h h* hifrs.lf or h.elf or lhreu8h his or lEr ovn crn9hyccr.
Inlidc<l rhar s!.n inlmvmnis @ mr inicndaltrollcrcd for slc lllrwftirLt iUi.Bor in{mwnEnr h $ld withinorc rg
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rhc work fo. qhkh rlii Fmi is ic$cd. My w.rkd ompeNltion insuEncc trtr ud polty numbc, e.l
-I.crlify
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s as ro !.stu subjcr !o rlE so*cr3'onp.nsrio. laws otcalifomia and a!@ rh.l ir I sbuld bdom srbjEl lo lhc
vort(c6'oq,cnslrionpnvisionsotScclionlT00ofrheLatorCod..lsluU.fonhwilhc.oplywthrh.epmvisi,ns..
lo Kurc wortcrs oryf,nsalinn ovcagc is ulr 3ubirr d cnplorr. ro oimi.ll lEmlris and
thousnd dollaa (S1(D.000,. in add
uqiNll!_g)Nrxi(Iats
DUcl
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of rlE Blsituss and PrcfBhns C.dc, &'d ny lkctrc is i. tull toe ard ctr(l.
S.crinn TlXX)r ofDiri\i.n ll
LimNc Clffsr Lic.ns Numhr
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l;OX AICUOXLENDINGTICENCI
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rl!)h trrtrrnnrd tn'Fay n
Aftli.rnrorAgrtrrSigturu
Pnnritcc noft tl'rint ):
Furnace
Grease Duct
FINAL
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