HomeMy WebLinkAbout40132162 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 40,,,?2162
Pin #: 8.25,42
Proiect Address: 2029 N Millwood St
AssessolsParcel: 396.041-34 Lotr 79
Unit:
Block: NA
Bldg:
Tract: 3902
Address Range:
Historic: No
Suite Range:
Zoning: R1
E
Contractor
Address:
Phone
Tenant Name
Trung Oam
2029 N Millwood St
Santa Ana, CA 92705
(714l.8754448
Stephan Refrigeration
12812 Knott St
Garden Grove, CA 92841
(714) 894-6500
F€eTypo Amount
011'16002 51604 Furnace/Comp Combo 122.16
011'16002 51600 General Plan Update 21.25
01116002 51604 lssuance 52.98
Qty
1.00
1.00
1.00
Fee
$122 16
$21 25
$52 98
Phone
State Lic #: 658149
Lic Type: C-20, C-38
Bus Lic #: 342972
Workers' Compensalion lnsurance:
Carrier: State Farm Fire & Casualty
Policy #: 90CW8362
Expires: 01/30/2019
Stephon Eefr isePot ion
Geoerol Ploo Updote Fee
01116002- 51600000-
Itechon icul,
1116002- 5160400(r-
V iso
i:(:+ : ********i*r*8643
t
63
Auth+:07Cr03Building Use:
Job Type:
Nature of Work
Single Family Dwelling
Miscellaneous
A,lC & Furnace
Occupancy:
Constr Type
Code:Notes:
Planning Conditions: A/C in rear yard.
Planning Approval By: Mar, Escarlet Date
Date
Date
05/30/2018 Misc. Receipl:
Misc. Receipt:
Misc. Receiptl
Total
Every permit issued shall become invdlid unless the wo* on the site
authodzed by such permit is comnenced within 180 days aftar its
issuance, ot il the wort authoized on the site by such permit is suspended
or abandoned for a period of 1 80 days aftet the time the work is
commenced.
$196.39
$0.00
$196.39
lnspector MID#: 2018-143288
01'1 't6002 51600
01116002 51604
$21.25
$175.14
Fee Total:
Paid to Date:
Balance Due:
Owner:
Address:
Rotch+i44039 - 5/30/2018 I0: JGt
offace: CTYH Trons+: 49 IAcctir Ref+i {sl3? I
Rcpti!02284{00 - 5/30/?018 1!16 P
Transoction Toto1 t363.9t
R.3, U
VB
cMc 2016
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permit #:
05/30/2018
Account#
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
tll'.r'-Qb1Rough Mech.ble 2 br .(
Final Test
FINAL
Notes, Remarks, Etc.
I c.niry rhal in fi. Flomanc. oarh. sork lor which lhis pdmil is i$ucd. I shdl mr op16, oy F6o! in .oy menq
$ B to b.corc subjdl lo rh. sorl6'@npcation las ofcalilomi., od .gEc lhal il I $ould b..orc subjel lo lhc
erL6' .onp.Mlio! pr$ioN of Serion l?00 oalh. tjbor Codc I CDll, fonhwirh rchply vitlt lho* povi5ioE..
WARNTNCT Failur. lo su. wrt6'
civil lln6 up lo o.. tundrcd lhouend
S<tion 1076 ofthc tlbor Code im6Bl
covm8. is unlNtul. !d shall rubjd & @ploF ro stnin.l Frtti6 ed
00.000). in a.lditiofl lo lhc cosl of coareGdion, dnrugd a provided Io! lh.
uc[NsxD_coNrlacfoa
DEC!$AI]OT
I hftby 6frm u.dd p6uX, of pojur, $,l I @ li@s.d @<hr rrolsi@ of Ctsptd 9 (cod,lfuitrs *nh Sdlion 7000) of Division l
of tn Bcins ed ProfBios Cod., ed dy liccM L ii tull hrc &d c,Ic.r,
!3
I hcrcby alrm !nd6 Fnally of pdj!ry rlEl
tiucd (56 30s7. Ci!. C.).
lodins asdcy lor lhc pdfoi:@cc oafi. wo.l aor shich this pnnn 6
AfIIICANLDICIiAMIION
I n6!y ,Irm und6 p6.lty oaFjury oDc of lhc folloNirg delealionsl
Dcdolition PdnieAsb6ros Nolificarion l€ddal Reularions (Till. 40. Per6)
-R.quircd
L.rlfof Notiiolion
haE r.ad rhis applic.rion and slal.ltal rhc abov. inlomatio. n .oftc.r I !8ra to .ompt Nnh all Cny and Cou.ly
tlws r.l.Iin8 lo buildins coBlrucr ion, od h.r.by aurhoriz. rqrBdariv6 o f $is Cit, dd County to .nls upon lh.
rhe:
Hood
Meter Release
OWNER BUII,DER DEL(]AIIATION
I h@by ,mm und6 pmalry oa pdjory thrl I m cxcmpl fNrn lhc conlG.lou t,kos. L!* aor th.lolloNing r€8n (se70ll5
Brsin6r lrd Proaeion Cod.): Any City or Counly Nhich rcqune a pamil lo @drud. ah6. inp.ova {kttolish or Ep6n ey
nru.1ur.. pnor ro its isutrce. alio r.q!t6 $c aDplicet for slch p6rir lo filc a sran.d slalmol lh,l n or shc b lics.d pnmei
ro rhe lrolisio6 of th. Co.lr.crors Licms.d Liw (Chapt6 9. Conncncins wilh Sdion 7000 of Division I otlhc Busin6s and
PElsions Codc) or rhrt hc or shc i! .xcmpl lhs.iioh dd lhc bsis tor lhc allcs.d c{@priof, Any viol.tirn orsedion 7011.5 by an,
applica for a pmn subjars rh. arplicdrlo,civilp6ahyoinolmor.rhdfivcnnndraldolles(t5OO).'
l, c ownd ofthe pmp.ny. o ny €mployG vilfi was6 s lhci $L .\rtpcl3.lion. will do rh. wort ud lle srude b .ol
inradcd or otIs€d for *le (Sd 704{. Bsins dd Proasions Cod.: Tn. G)otraclols LicGc L.v do6 nol ,pply & e ownd of
$c pmray who buildi or impmce th6on. .d who do6 such *o't hituelf or h6.ltor rholBt hi5 o! ha om o.ployr6.
provid.d thd sucfi imFoYs* s @ nor i dd.d or olfd.d tur sL ll ho$6s, fi. boildins or iqro!..Ml b sll wi,hin onc ,a
of(ohpldiotr tn. Os.6 Blit€r will fisvc lh. hetd ofprovins lhd h. or slE drd mr tnild or inFov. lh. Flpsty 6r $. BrIDs ol
t. s osnq oflh. propqu d d.ldiv.ly .ontocriog wio li..6.n conlr0ctoB to onslrucl llE p.oj.cl (5*, 7ol4. Auin6
atd EDfr.sion codc: th.Conraclois l-icosc t w do6 trol .pply lo u ovni of propdt, *ho builds or inprov6 thcmn.
aod Eho co.,lEds lor 3uch ploj&ls *nh r Conhuo(, licdsal p6udl b lh. Conhclois Li.dc t *)
- I mcxcmpl und6 Scdion-, B &PC aor Oi! rcaon.
D.l. _ Onnd
xoatrESaiaMEll ro!
DECLARATION
I ls€by atiim undr p6ahy ofFjury onc onhc touowiig ddledioBl
I havc ed will ,mintain a CcnificaE olcon$t lo Sdlf-lnsurc lor $ork6 comFM ion, s provid€d lor by S*rion l70o of rhe
L,bor Code, for tn. p6lom c€ oilhc worl for Nhish lhc p€rmil it iisued
I hlvc and will nai.lain worlds' .omp.Ml ion i,La..ncq s rdtui(n by S*lion l?00 ollh. rabot Code. tor lh. p.rfom ccoa
d. wo,k aor $hich this p.mil is necd. My work6 osFNlion iGurtuce ceier and poli., ,rmb.r E.:
/./4='-
fcd66l csuLlioB Gsdding abdoe rmld d. nor applicdblc 10 lhii pmjel.
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