HomeMy WebLinkAbout40132608 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mecha n ica I Permit #: 40{32608
Pin #: 37315
..1lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 J
t ProjectAddress:21121l2 N Ross St Unit:
Block: NA
Bldg:
Tract 788
Address Range:
Historic: Ye3
Suite Range:
Zoning: R1Assessor'sParcel: 002-112-14 Lot: 36 & POR 33
Owner:
Address
Gary & Julie Humphreys
2112 N Ross St
Santa Ana, cA 927062508
(7141$41-3452
01116002
011 16002
011 16002
01116002
01'1 16002
011 16002
51604
5'1604
51604
51604
5160C
5't604
Fee Type Amount
Furnace 65.59
Clothes Dryer - Residen 40.34
Bathroom Fan 30.52
Laundry Fan Envir. Air 34.84
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
't.00
1.00
1.00
1.00
Fe6
$65.59
$40.34
$30.52
$34.84
$22.08
$55.04
Phone:
Tgnant Name:
Contractor:
Address:
Owner-Builder
r: (TYH
9/l?/2trlg I0r LR0SAL|
Trgns+r 33 4 of ,
Ref+: 1r_r132609- 9.'1?/?r119 lrrig Pfl
Phone
State Lac #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Iolol
,ul ie Hurnphr€
516040t:r0
{080
Building Use:
Job Type:
Nature of Work
Single Family Dwelling Occupancy:
Addition Constr Type:
Addition to 2nd Dwelling UnCode:
R-3, U
VB
cMc 2016 Notes
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
09/19/20't8
Account#
Buirdins Permil #: 10197129
Every permit issued shall become invalid unless the wo* on the site
authorizod by such pemit is commenced withinlS0days aftet its
issuance, ot if the wo* authorized on the site by such penit is suspended
ot abandoned lor a peiod of180 days aftet the time the work is
commenc:ed.
$22.08
$226.33
$248.4'1
$0.00
$248.41
lnspector MID#: 20'18-143158
01116002 51600
011 16002 51604
Fee Total
Paid to Date:
Balance Due:
(fH"rn"na"., xartv
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
lZ e oc 2( z s t, sYrr tfu,t"frfrfto1-tNspEcroR
REcoHD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Itiletal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork 2-t2, r9 ? &9)
Vents
Toilet Boom / Clothes Dryer Z-r2- t9 J).Sa bCvD
Residential Ranqe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
FINAL //-7-t? .Uc{*z I ,1)
Notes, Remarks, Etc
OWNTR AUILDI]R DET,CARA'TION
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work.tr compcns0iion pmrisions olssrion l7mof rhc tihor C{'rle.I shtrll.lodhwnh comPly *ithlhos lhehnrns
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.iril fincs ur lo or nudEd lllolsmd dollm (Sloo,mo), in rddnion to lhc cosr of conp.osolion. d.mBcs !s provid.d for 'h.
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AITIJCA I,I2T!:LABAIION
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Rstun d lxrrcr.f Noiilicrrion
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