HomeMy WebLinkAbout40131367 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), S€nta Ana, CA92702 Mechanical Permit #: 40131367
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Pin #: 13321{
ProjectAddress: 2418 W Lori Ln Unit:
Block: NA
Suite Range:
Zoning: RlAssessor'sParcel: 399-151-20 Lol 22
Owner:
Address:
Tai Chi & Hong Ho
2418 W Lori Ln
Santa Ana, CA 92706'1201
(7',t41277-0484
01 1 16002 51604
01 I 16002 51604
01 1 16002 51604
01 1 16002 51600
01116002 51604
Fee Type Amount
Clothes Dryer - Residen 38.83
Add'l Vent Sys 41.99
Type ll Hood 63.12
General Plan Update 21.25
Qty Fee
1.00 $38.83'1.00 $41 .99
1.00 $63.121.00 $21 .25
100 .,,. ^ "..$52.e8-tlJ.,lUHnL..LH
Phone:
Tenant Nam€lssuance 52.98
Conlraclor
Address:
B
0
Tr
ffice: (lYH Trons+r 169 3 of 4c(ti: Ref+: 40131J67
cpt+:02006727 - ?/3/2AL? 3t12 f,n
ransuct ion lotsl $S56,'10Phone:
Toi Chi & Hons Ho
Genenql PInn [Jpdote Fee
r'tl I16002- 516(0000-
llechon i,:rtl
r.l I I I 611rl2- 51 6tr4r10r-1-I(:l (:heck r:rtr3r:rg
$196, 92
$gi6, r:rl:r
Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Addition
Addn/Patio
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 20'16
Notes: New laundry room & relocate kitchen to addition.
Planninq Conditions:
Planning Approval By:Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Teri 09/05/2017
Account#
191547 $218.17
$0.00
$218.',|7
Every pemit issued shall becone invalid unless the wo* on the site
authoized by such permit is commenced within 180 days after its
issuance, or if lhe wok authodzed on the site by such poonit is suspended
or abandoned lot a peiod of 1 80 days afrer the time lhe wofu is
commenced.
lnspector MID#: 2016-132298
$21.25
$ 196.92
Fee Total:
Paid to Date:
Balance Due:
Bldg:
Tract: 2419
Address Range;
Historic: No
Owner-Builder
State Lic #:
Lic Type;
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
01116002 51600
01'116002 51604
MECHANICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Com pressor
Misc. Equipment
Duct Work
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
tl
Rough Mech.Ir btfl Lt,rhfq)
Final Test
Meter Release
FINAL /-n Lr1u41
Notes Remarks, Etc.
OWNER BUILDER DELCARATION
I h@by lffrE uf,dd p@hy otFjury lhat I m q@F froo rh. Co .!ooB Lic.N llw lor lh. followiry r.en (5*.70]1.5.
Bains &d Prof*ion Codc): A., Ciry or Cou.ry which r.qunB a p6tn lo @islruc1. ato. imprc!.. d@o[tn or '!'.n !n,
$rucruq rio. ro il3 b3@c.. .l5o ..quic lh. applicel for N.h Fnil lo filc r siF.d sal.l6t lh, h! or snc b licds.d plBur'l'
lo lhc provilioes of 0E Co 6rd ! Liccns.d kw (Chaprr 9. Conndci.s wth Sedioa 7000 of Division 3 of lh. Dcins od
Pmlcsior! Cod.) or th.l tE or dE i! .x.'Ipt lh4arob ed lh. bBis for t5. alL{.d qmplior Any violalion of Sdion 701 L5 by an,
applicsnr for . p.mir cubj6$ th€ ,pplic! to ! civil p@ty olrcr moE thd fiv. hundrcd dollas (t500).
I, B olrG ofrh. protEly, or oy .nplorc oitt eaa6 6 rh.ir $lc .onp@alion. will do ltn mrl( rId llE nn*l@ b ml
ir 6d.d or otcEd for sL (Se.7044. BNird ed ProadioE Co:E: Thc ContEcrois Lic6. t w 66 nor aprly lo e oMd ol
th.FDpqry who hil& or inglE rh@o. dd who do6 *h @rI hi@lf o. h@laor ll@u8n ni! or lE oM dployc
provid.d lhll such inpmv@ls ercl inlgdcd ororsai for$h.lf, how@.lhc bqildi.8 or trrFowl i. sld wirlin on. )@
olcohpklior thc Ow Buitb will hrw tn hrhn ofpbvnU $,( h.o.$.did d h dor ibp@rc rh. t@tEry aor ln. Ftrpos of
l. so*n6oarh.prcpcly, @ qclsiv.lycof,lracting wi$ lic@.d co 6cloBlo coisltud lh.poj..1(56. ?044, &EirB
aid ftofssin Cod.: Tn. Conkedois Lic.6. ljw do6 oor flpply ro @ oMa ofpropdy who boild. o, iftprov6 lhoef,,
.nd who ont6.l3 ror $.h FDj.ds witn. cotun ro(r ltd!.d pGu!,n lo t. aonrrerd s Lic@ l$).
ll
I hacb, amm !.dr poaly of
th.vcddwillMi.i!.cdtifrcrtcolco.glros.llJN@forwofi6@npdsrio,LaFlvidcdforbyselioi1700oftt
Labor Co(k for lh. p6forMc. olrhc wo& for which thc Dc h n isd.
I halc &d eill naialli! *0116 conp.@riotr iDs@cc, s rcquid by SBtioo lr00 oith. L5bor Codc, foi lhe pdfonrakc ol
lhc wo* for whi.h lhis Fmn ii ie.d My wrl6 conFsrioa iaue. @iE ad policy numbd eci
I cc.lify lhat in ln p..nrmanc€ ofth. worl for which lhb pdmit isi$u.d.I shall nol.ntloy my r6on in any mann6
$ a to h.com€ subjel lo rhe wo*d compdsrlion hs ofcalifohi.. ed ,sE lhd il I should beon. 3ubjcr lo rh.
wo*d' NmpqMlion provisioB olscrio. 3700 oflh. Lab.! Codo I shall. fonhu ilh onply *nh rho* pmvi.ioB..
WARNINC: Failur.lo su. qork6s' comFNlion corms. is unlawtul. ad shall 3!bj*l e flplolt lo omin l pdahi6 md
cMl lin6 up lo one hu.dtcd rho@nd doll6 ($l ,000), in addnion ro lhc cosl of contmrri6.. d@a86 a povid.d for rhc
I h@by a,Tm uf,d6 poalry of pgjury ltn I m licalal und6 pmvilion of(tupts 9 (coftM.ins snh S.crion ?000) of Di!i.io. 3
of ln. Bcin* ed PDaBioN Cod.. drd 'ry licdc b in tuU foc aql .tfal.
COTIfAILqIIO]TIEIDIIG-&GEICI
I hq.by amrm und6 peElly of pdjury that Ihq. is 5 coNlruction lddins asdcy for rl'. p6lome.c of rh. $orr aor *hich rhic p6nn !s
issu.d {Sd. :109r, aiv. C.)
l-uu! -NLoEC!"1-BrlI0r
I IEL*D dfmnu s ps,rh,-olprilryo.colthc firll(nvi,g de.liolnns
DcnoliriL{ Pdn'irsAsl{s(x Norilic n ltdcral Rusuhrnrns llirl.,10. I!tu16)
Rc(ttrtrrd l.erlc' of No(ifi !{ri(,,
_I cgliry $d rhc fcddal r.subdo6 Esading abd6 Moval 6c ful appltabl. to this Foic.r.
is cotral. l6srdlo 6nply*irh aU Cirrdd Counry
rcprs.drriv6 ofrhn Cily md Coutrly ro 016 uFn th.
^., If t+l tz
APPROVALS
Pre-lnsulation
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Cuir:
Poli.y Numbd:_ __-_ ____Expn6:
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