HomeMy WebLinkAbout40133724 - PermitPermit #: 4lJ133724
Pin #: s83Ed{
Proiect Address: 1417 E Franzen Ave
Assessor'sParcel: 396-242-26 Lot: 5
Unit:
Block: NA
Bldg:
Tract: 9151
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Tenant Name:
KLEIN, WESLEY A TR
1417 E FRANZEN AVE
Sanla Ana, CA 92707
(7'.|4).972-',t389
Jesus G. Torres
4910 Howard Street
Ontario, CA 9'1762
(909) 633-7218
01 1 16002 51604
01 1 16002 51604
01 1 16002 5'1600
01 1 16002 51604
Amount
68.14
22.95
57 .20
Fee
$68.14
$23.26
$22.95
$57.20
Fee Type
Type ll Hood
Gas Piping lncidental
General Plan Update
lssuance
Qry
1.00
1 .00
1.00
1.00
Phone
State Lic #: 752073
Lic Type: B, C-23
Bus. Lic #: 373293
Workers' Compensation lnsurance
Carrier: exempt
Policy #:
Expiresl
Botchi:So7o? - Z /A/20L9 I0: ororolesl
Notes
. . F,ee Total;
Paid to Datel
Balance Due:
ofl ice: CTYH Tronsi: 134Acct+: Ref+:
Rcpti:0268?331 - 7/8/2(tl9
Tronsoct ion Totol
Jegus 6. Tonnes
Jesus C. Torres
6enerol Plnn UpdoLe Fee
01r16002- 51600000-
llPchon icol
01116002- 516U{000-
Viss
CC+: t**t***ti**r2337
401
9lr1
3o{
737?tlPn
03.21
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Alteration
Kitchen Remodel
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016
Planning Conditions; lnterior remodel only. No exterior alterations or modifications
Planning Approval By:
Plan Checked By:
Permit lssued By:eri
Subjecl to Fieldl
Building Permit #:99442
Evory pefinit issued shall bocome invalid unless the wotu on the site
authorized by such parmit is commenced within 360 days aftet its
issuance, ot il lhe wo* authotized on the site by such permit is suspended
or abandoned for a peiod of360 days after the time the wo* is
commenced.
Date:
Date.
Date: 0710812019
Account#
Misc. Receipt:
Misc. Receipt;
Misc. Receipt;
Total
01 1 16002 51600 $17'1.55
$0.00
$171.55
lnspector MID#: 2019-150073
01 '1 16002 5'1604
$22.95
$148.60
City 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;
Phone:
Contraclor:
Address:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE rD/stc.COMMENTS
Appliances
Metal Fire Place
Eva Cooler
Furnace
Com pressor
Misc. E quipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Ro h Ductwork
Vents
To ilet Room / Clothes Dryer
Residential Range
Other
Hood
Iype I Hood
T ype ll Hood
Grease Duct
Fire Dam per
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
f,ough Mech.
Final Test
Meter Release a)
FINAL 9)t'1r?UfunW lrt
OWNER BUTLDER I'ET,GARATION
I h6.ry rmm uidd Foaty ofpajurr rhll I @ qcmpi 6.n rh. Co,ra.Ion Li.@ L.w lor th. tollowing lletr (Sd.?011.5
B6ins od Proldion Codc): ry Cny or Courny which r.qute a pdrn ro consd.l, dhq. ihprovq <tarolbfi or Eir6 y
nddue Fior lo iti isueq aho rcquiG rhc .pplicol aor such Fnil ro 61. , !i8@d $a.,Mt thd lE o, thc b li.o3.d pGu&n
ro thc prolisions ofth. Co r*rois Lic.ns.d L5w (Chrprd 9, ConD.6ci!8 {irt Sfttio. ?000 of Dilhioi I offic Blsir.s dd
Prcf*iod Cod.) o, $ lE o!lhc i! d.mpr rhdcfrohed rh.bBub for rh. rllcg.d cxmption Ary rioldion oasnrion 701L5 tyany
lppli.et lor a p.mir subjda rh. lpplicet lo a civil p.@lry of oor mr. rh!. fiv. tundr.d dolles (1500).
l. a o\\c olrhc ptoFnn o, toy mdorB wirh wagB B fi.n $L @mpcr5.rion, will & th. wort ard th. sfld@ b Nl
inld*!.d or ofi.rcd for el€ 1Se.7044. aNiIs ed Pi$l6ioB Codq Tte Conlraclor's Lic@ L3w do6 not .p?ly ro !n osns of
0r.FlFry who hilds or imFov6 $@r ed wlD do6 sch srt tin*lf or hd.llor rh.oush his or hd oM mplorB.
Fovidcd lhal sucn imFoffiB emt nlaidcd o.otu forsL.l( ho\86, fi. hrildi,E or imF!6ar is $ld wnhin oE t@
ofcoopl.lion, ln. O*re auiklc willh^r tlE hrdd olpreving lhd lE or sh. did rcr hild 6r inFow d. p'DFty 6rlh Fnpoeof
_ l. a osre ofrh. pmpdr. @ .r.llsivcly .o radins Nith lictr.d conrrddoR lo mdrucl tlE projd (Se. 1044. B6ms
trd P,b&ssioo Code: Thc Contraclois Lic.ns. Law do6 .ol applt lo 0n osnd olpro!.ny $ ho blild. or improvB rhd6n.
a.d sl$ mrmds nx .h Ftrjc.rs *irh r Conra.to(s) licqs.d pu6@ lorh.Contr.ctois Licd. L.N).
-l M crmpl unddselion . B. & P.C. for this rlen
!A86E8g.I:qMTENIATON
DECI,ASAIION
I h@by altm !!dd pouly ofFjury oic ofth. lollowiig ddlratioN:
I havc drd will ,nainlain , Cdiiical. of CotMr ro S.lflrou!. for s.rl6 comp.Nariotr s Fovid.d for hy Setion l?00 oathc
Labor Cod., for th. ,6fotuc of rh. rvorl aor which th. Fmit is isu.d.
I h!!. and sill mai.lai. &rk6 coop.Balio. i6udnc.. a rcqut.d by S6rion l70O oflh. tnbor aodq for rh. p6follMc. oa
lh. wo for which thii pdmir ir isu.d. My wo.k6 compsssrion iflsurocc cffii.r sd p.!ic, nunbd s:
-l ccailylhal in lh.pdlormanc.oalh. wort for whi.h this poni h issu€d. I shall nol flploys.y p6on in sny muns$ a ro b..orc subjd ro rhc wo.I6 onFnerion l.N orcrlir6miL ud asB rh.r ia l lhould be.oft sobjd ro th.
wod{6' compderionpDvi.iosofs*rion 3700 ofrhc L.bor Code I {Dll. fonlNirt conply \ith rh6epovi,ioN..
IVARNINC: I:ailurc lo surc \ro.k6s' compBsarion .0\.6r. is unh*f!l. and 3hall sub.j<l o @plor!. h onnin.l Fuhi6 dd
hund..d rnoue.d dollm ($100,000), in addirion to 1fi. .o5l of comp.@tioG deag6 s prolid.d lor thc
l) 11( 1..\li \l li)\
1A ZO7 3
I hd.by amrm undei F.ih! ol pdjury rhar lte. is a coNto.lion lodin+ alcn.y aor thc pofoflMc. ol$. $ orlt lor $hi.n rlris pcni n
i.sucd (S(. l\0q7. Civ. C ).
lxndo s N.nr.:
PPT ICAN'I DfCLA&\'IlON
I lEtt .mmunder Do.lry otrEriury on. of rhc lollo\rinx d(laralions:
l)cnnn ion P6hic.Ash.rosNorin$riohFedr.l R.!ulalions(lirl.40. ltafl6)
Rel"ncd ldts or Nolifi cation
lnstallation
Notes, Remarks, Etc.
I ht by 8mm und6 Fdlyof Fju.y thn I d licosd u.d6 ForGion olchaptd 9 (comdci,rs wirh Sdion ?00o) of Divbion 3
of rh. Bueins ed PolBlioro Codc. &d my ltm* is in tull for. od cfi.lr.
that rlc f€daalr.SulllioN rc8arding sb.$o! roolalae not Oplicablc lo lhis prejrl.
rhis amlicarion ddsrarclhnr rhc abovc inlomarion is con4r. I .g.e ro comrly \ilh all Cityand Coxnr!
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