HomeMy WebLinkAbout40132036 - PermitCity of Santa Ana
Permit Counter: (714], 647-5800
20 Civjc Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 4O132036
Pin #: 8,43'32lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 909 N Sheffield St U nil:
Block: NA
Bldg:
T,act:2464
Address Range:
Historic: No
Suite Range:
Zoning: R1
q
Assessor'sParcel: 100-444-50 Lot: 50
Owner:
Address
Trinity Gomez
257 E. Osgood Street
Long Beach, CA 90805
(307) 2s6-7837
Fee Type Amount
01116002 51604 Clothes Dryer - Residen 38.83
01 116002 51604 Bathroom Fan 29 38
01116002 51600 General Plan Update 21.25
01116002 51604 lssuance 52.98
Qty
1.00
2.00
1.00
1.00
Fee
$38.83
$58.76
$21.25
$s2.98
Phone:
Tenant Name:
Contractor:
Address:
Owner-Builder
Phone
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy #:
Expires:
8otciit43{77 - 1/21/?tl0ff ice: CTYH Trcrnsi rAcct+: F.RcEti:0?240195 - 412tTronssct ion Totnl
t8
19
/2(rlg
I0l alrorole:154of
4 n13?r.136
l:4.4 r.
t I . rit0S.39
Building Use; Single Family Dwelling Occupancy:
Job Type: Alteration Conslr TYPe
NatureofWork: RemodelKitchen/Bathroomlcode:
R-3, U
VB
cMc 2016
Tr in it9 Gofier
Notes:R".o,19.-[Pf,J?gEi
0 16002- 51604000-
6enerol Plon Updnte Fq:ofi16002- Sldrlrlno0-
ICL Check 2914
i 150. i7
Planning Conditions: No change in floor plan crt 5
ll r 0rlr9 - le
e Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
B
Date:
Oate:04125t2018
Account#
6253 $21.2s
$150.57
$'t71 .82
$0.00
$171 .82
Every permit issued shall become invalid unless the wo* on lhe site
authod2ed by such perfiit is commenced within 180 days after its
issuance, ot it the wofu authoized on the site by such pefinit is suspended
ot abandoned fot a period ol 1 80 daF aftet the tine the wo* is
lnspector MID#: 2018-142933
01 1 16002 51600
01 1 16002 51604
Fee Total:
Paid to Oate:
Balance Due:
Planning Approval By:
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
Insulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.7 z,C\r{ut/./(i'l
Final Test
Meter Release -4,
FINAL 4'.s,,azds z)
Notes, Remarks, Etc
OWI{ER DUILDER DELCAIUTION
I haeby amm undd podty olpqjury ltal I @ .xorpt 6!m th. Contrelou Lic.e Llw lor rhc fouoqi.g rdon (Se.70J1.5
Bsin6! od ProlBion Cod.): A,y Cil, or Courny which rcqun6 ! pami lo @Blrucl. 6Iq. inpov., drtulish ot Ep6n my
srru.t@, ptior ro irs isuam. .ho rcquic thc arpli.et hr su.n F nil to 6k a sigrcd n6ffit thd lE or 3h. it licrud Pury.
ro rl'. FolilioB of ltc Co radof3 Licds.d Lre (Chlpto 9. CoMGing vnh Sdion 7000 of Division 3 oa lh. Bsind ed
Profrsio* Cod.) or lhrt hc or sbc b d.mpl thd.6on Ed rh. b.!is aor lh. tlh8cd ci@riion. Aly viol,tion otsdrion 701 L, by uy
applidr for r pdf,I subjds lh. rppli@r ro a civil pc$hy o rnor mG rh& nlc hlodr.d dolls (Jt00).
L s omd olrh. Fop€riy, or my mplot€ 9nh w!g6 s rh.ir sl. oopcNlion. wiu do di. rort &!d fi. d4c1@ i! ml
iitdxlcd o. otH for s.lc (Sc,?04,1. Bsind od P,oleioE cod.: Tt'. c.nrador'3 Lic@ Lrw &6 nol at ply lo e oMd ot
rh. FtrFty wno build! or im,r!6 $co.! ad who &€ sch @tt himclf or h6.lfor lhDush his or h6 oM .mploys.
Fovidcd rhd so.h ioltro€Gl! @ nor iflqld orolH forsL.I( ho\w.lh. hildins or inlio€ftd is $ld silhin oft,B
ofodpl(ion. th. olmd B!ild!, wiu lErc dE hrtn ofFoviie $n hc or slE did mt hrjld o. iEF!rc tnc FbFty 6r th. pqDs ol
-1.
s o\Ie olrh. Drop6ry. e .x.luivcly co.liactirs sin tico*d .otnrEcloB lo onslrud lh. proj..l (SB. 7044, Auind
Md Proftsbtr Cod.: Thc aonkoclols Licfl* Law do6 nol apDly to d ownn o apro!.ny who buil& or improve lhdon,
dd who @nt6ft for .h Fojco3 with a o(, lncBc{l pUsu.m hrlEaontraclois L'c6* LdN)
I hftby amm undo pqaltyol
I h6@ ed will @iil'in a CdrrEal. of coffdl lo SGII-IEU. fo! work6 @hpasdion, s Foeii.d for hy srtion 1700 olllE
t lor Codc, for 0!. pqfo'l@c. of rt mrt for wbcn tll. p@il k issucd.
I nxv. and will oainldr qort6 cof,p.Nalion iaurrncc. s rdluared b, Setion l7O0 otuh. kbor Cod.. for lh. psfomd.. of
lh sort for whtn rnis pmil is issu.d My vorl4 shpdBalion iNu&cc cini6 tnd policy numbs e:
-l
cdriry thal in lhc pdfomdce of $c worl lor whichrhii pomn t i,su.d. I shalltul mploy ai, pd$n inoy mmn6
$ 6 ro b€omc sobjor lo $. wo'kEl compoerion laNs orc'liromia. md as@ rhar if I snoold b..o'D. suq4r to rh.
vorl6' @np@io, polilioB ofsdtio. 1700 of th. tibor Codc I 3hall. fonhwi$ soply wirh ihoe PmvltioN..
WARNIN(;: Fsilure to surc workm' comp..s.lion covsas. i. unh{rul, md inall subjd e flploF lo oimin.l F@hi6 dd
civil aa6 up to on. hundr.d lhouend dolld 100.000). in .ddition ro th. co$ oa.omp.Mtio.. daha!6 6 prcvid.d lor lh.
Serion 1076 ofthc t,abor Code i.tais dil
ptd 1.,\t,\r(rN
I h@by lrm und6 p@xy oapgjury rhsr I u li@E d uda povision olcrlupl6 9 (@@.irs wnh sdi.n 7000) of Division l
of thc BchB md ProfBi@ Cod!, ed Ey licc@ i! i! tu[ foE.nd !rel.
Lic.NClN:
g)XsIA!JCIA!-tENDOEJGj:!CI
I hdcby .fnrD und6 p.oahy ol psjury that rh6c is a .onslruclion ldding ,g6cy for th. p<lomdce ot rhc *!tk aor $tich lhir IEnn is
ilruql(S( 1097. Civ C)
AIILICAEIDECIJf,AITON
I hddry aIEm undq p@.ty orFju'y oic ofih. followin8 d.cleliols:
DcmlirioD PhirsArhcro! Norifi..tio. rcdoal R.elldioB (Titl. 40, P.n6)
-R.quircd
1316 of Noifcaion
---\F r.,..l\-...^C\i\'vJ^^P-*"c\y'
)2F
MECHANICAL-INSPECTOR RECORD
I mJc'-r A id *\
I f?ldal rcgulalions rcsEdifls 6b6los rmoval se not afi,licabl. ro thb prcjd.
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