HomeMy WebLinkAbout40132913 - Permitu Mecha n ica I Permit #: 40{329t3
Pin #: 77832
City of Santa Ana
Permit Counter: (714t 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, C492702
lnspection Requests: (7 1 41 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 5022112 W Sixteenth St
Assessor'sParcel:'100-170-35 Lot; NA
Unit:
Block: NA
Bldg:
Tract: NA
Address Range:
Historic: No
Suite Range:
Zoning: R2
Owner:
Address:
Phone
Tenant Name:
Ouc Kien Tran
5022 W 't 6th St
Santa Ana, CA 927031106
(714) 902-3468
T & T Construction Service
9985 Aster Circle
Fountain Valley, CA 92708
(714) 508-r083
01 1 '16002
01 '1 16002
01 1 16002
01 1 16002
01 '1 16002
0'1 1 '16002
5'1604
51604
51604
51604
51600
51604
FeeType Amount
Furnace/CompCombo 126.90
Clothes Dryer - Residen 40.34
Balhroom Fan 30.52
Range Fan 32.30
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
2.OO
'1.00
'1.00
1.00
Phone
State Lic #: 650089
Lic Type: B, A
Bus. Lic #: 157194
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 9045107
Expires: 1010112019
Building Use:
Job Type:
Nalure of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Single Famlly Dwelling
New
ADU
R-3
VB
cMc 2016
Occupancy:
Constr Type
Code:Notes: New detatched ADU with (3) bedrooms & (2)
bathrooms
Date:
Date:
Chavez, Dave Date: 111261201Av.z.
Account#
Misc, Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Buildins Permit #: 10196388
Every pemit issued shall becone invalid unlessthe wo* on the site
authorized by such pemit is conmenced within 1 80 days after its
issuance, or itthe work authgrized on the site by such penit is suspended
or abandoned fot a peiod of 180 days after the time the wo* is
commenced.
01 1 16002 51600 $337.70
$0.00
$337.70
lnspector MID#: 2018-143276
0'1 116002 51604
$22 08
$315 62
Contractor:
Address:
Fee
$126.90
$40.34
$61 .04
$32.30
$22.08
$55.04
Boj
0fi
Ac,
R.i
r/26/?ALg'onsi: 70
Ref+:- tt/26/2fr
I0: c(
4(r13:I 2:5d
t14r ?t
:rn Senv ice
ote Fee
l(t-
Fee Total:
Paid to Date:
Balance Due:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE tDistG.,COMMENTS OIVNER B(III,DI]R OELCARATION
I hcrchy iilirr urdcr lcnrlly ,,r Nrlury rhar I nm cxctrrtr frurr lhc (i)nir(rtrr l-i.cNc lrw ld lhc lbllowin8 rca{,n (Sc.7011.5
Ilu\inc\\ lnd Pmf.\!t,n C,xlcr Atry City or Cotrrry rici rcquirc\ r Fnnir ro .on(n'cr. ollcr- ifrInrlc- d. nni\h ,{ r.f.,ir Jtry
ntuctur. prin tr [\ i*urtrcc. r'li, rcqunr\rhc lppli.rnr tur $rh N"nirb l]lc a \l3.cd {itnrnr rhar l[tr \hc
^
licenti Durulnr
ro rhc pn)vni,n,\ olrlf, Co tr.r,'\ l-i.cn\L\l llq (ChrDr.rt). Comnrnciis \irh sc.rirr ?rDo ol l)iri\i(n .l .r rhc Bunmr\ rnd
Prncsin\ Cod.) or rhrr lr r\hc i\ $cnrpr rlrcrclromind rhr hr\h f(trrtf, i lc!cd crcnll)rion Antvidnriiro{Sc.rionTl).ll5ryrny
itpli.rnilor.I'cnnirsuhjcchrhcrp!li.r brcivilpcnrlry.lr( nnxrhu livc lrndrcd dollt^ ($5ft)
l.r\oqnrrofrhcl)n,liny.rtrnrycmployr\sirh{rgc!r\rhrirqnc.onDcnurion.$illdorh.soltuxlrF.{ro1uc\rn
rnc crl .rolttrcd nn {I.(SN 7l!.1, tsu\in.s\ tutPhfcr\oi\adlc:1hcO,nrack,-rl-icci\cLtr$dQ\nolJIPI,t,snnsndol
rhc|x)|rny slx,hiiu\ori'n .ks rlrNn- !trd wM des su.h *. him\cllorhc^clforrhniulhhi\o'hcro*n.nlplolcc(.
t,n'vi,lcd rh(t su.h irnmvcn.nr\ cnori cd n.fLtd nt \tlc lf hot cv.r. rhr huildinS or i'll|, orcnrf
^
{rkl wirhin.nc )tr
of$mplcri(nr. rh- OsNr Auillcr w!lh!rcihchu'd. of prolin! rlhr h:.r {t did nor huiu or nryx)vc rhc F)Nny ir rh. NrP{ ol
-1.
n\ownerotrhl rft,rdy. rrcxclulirlycoolri.lins wirh licutr{d c.ntrrk,\ n) co.srud rhc pniccr (scc 7([4.Btr.i"ls
rnd Pn,ll\si,,nCod.:'l hc Coirnrtt s Lrc.n\c l,iwrlo$ Dor0!Plyro !nowmr ofln,Fdywho buil or i'nln,vc\ rhcrcon
rdJ {ho co rr.N Lr such tnoi.l{ wirh r Ax Bcron \) licc'r{d Nr\uanl h lhc Contrr.rr'\ Li.cisc liw )
I mcrc6.r und.r S.dbn , B. & P.C. lor ths ersn
UOBf,ESILCqMISNSAIION
0EcllllAroN
I hcrby .mrn u.dc, !.nrly olpciury orc ot lh. tolloaing del@lio.s:
lnhtr(i c. li'rrlr p.rloirrutr.c olrhc qork lor *hichric rt ir i\i$u.J
-l
havc and sill @inrain sorkcs coml,cNdion insuhtc. !. Equiad by Seliofl 1700 of rhc L2bor Co{h, for llE pdtolffi of
rhc work r.r ehhn Uir p.mir is iss!.n. M,$i lcr!,omFFutr'r Numrc uricr Jd F,lny nunh.r nIV\A€Tafi--' -+-^{o- 6t -lqbo
-l
c.rlify thnl inlhcp.raormnccofthc work LrNhkhrhisl.rnil h nslcn.l shtrll nor emiloy.nyFrsotr ii rnymns,
s !s ro he.om s!bJ.{r ro rh. m&6 o,qEnslion lEf,s of Catifomia, and !8tc rnal if I sholll bctom subjccr b ttr
mrlcs' onp.nsorion lovirion. oascclion 3100 of lhc L3hor Cdo I duu. fonhwilh omlly wilh lhoe 0bviiions..
WAI{NING: Flilurc ro scurc workcri contF.r\rrbn cov.tnSc is trDh{tu|. 3nd \l[ll lubr.rr ilr .nr!L)er lo nini al ,.nrhi$ !n<l
civrl fincr up h oN hundrcd lhoosrnd dolln^ ($l(X).001). nr:ddirn,n l{) lhc colI of.onDcnsnlion. dlnlgcs * pnvi.lrl riri rh.
Sr{ri( 1076ol rhc lih.r Gxlc- inicrcdxtr rronrcy s fcc\
?t--(E epprloor ?A I /JOrr"r l\
UCEN$ITSJNIAA!.:IIB
I]ECI,AXAIION
I tuEh!lmrmu cr Ii.oahrotFrrury rtur I am lien*rd uMcr F,visbn ofChdptcr 9 (commncin8 *ilh Ssrbt 7o0o) oaD'vi\ion l
or rhc Busift$dn,l Pmfcssion\ Codc.,ri nryltcnr k h rull ror.c andeaiccl.
&e56C^9q
CONEISIJI:III}NIINPINIi.&CDXCI,
I hcrchy atfirn undclEnrll, of pcdury rhar rh.r is,.onid.rbn lcndinE qcn., fd rh. l.rfornEm. oilhc ruk for *hkh rhh lEnil n
isrtrcd (S.. 1097.Civ C ).
Ic.diarrharrhc,tdcralrcFllnii,nsrs lin!r{rno\rc xrallrc tr.r rpttlicrbtr b rhh In,l..r.
!4rrdilrrlrrIhrL'c,'tlrhL{Jnnl(irior,ndn u thar ihc rh)k inrinrr i('n is cor.cr. I rsre h ..nrfly wnh .ll Crry ind Connly
onlirtrncc(rndSrorcliw\relarinsi,buildinS.on(ru.rnru hcrcb, rullatrizc rdPrc*nhrnc\ {)lthh Cily dCoxnryroc tcrulFnlltr
abovc mmioncd polcny for insF.|ion purtoss.
eppri"m * eg"m sa*r..X -Il Vd,,tJ -2d .t3
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
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
Rough Mech.r/6ln TL rrwctf;?b)
Final Test ur\
Meter Release
FINAL Ht4lu 1 lvr[wtaL *)
Notes, Remarks, Etc.t I t'UI
coroo-,rllra.
Llndcas Adrlrc\s:
-
lppr tcar,ri oriilr,rii
I h.dry amm undcr pemhrotp.ijlryonc of'hc lolhwing dNldolions:
Dcmliion Pcnnirs Asb.sos Norifi.alion rrdcml Rcsularions (firL40. Pd6)
_R.qun.d bllcr ol Noliff,alion
n .tr)
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