HomeMy WebLinkAbout40132091 - Permitt City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mec han ical
l nspection Requests: (7 1 4\ 667 -27 38 lnspector Section: (7 1 41 647 -5853
Project Address: 2029 N Millwood St Btdg:
Tract: 3902
Address Rangei
Historic: NoAssessor'sParcel: 396-041-34 Lot: 79
Owner:
Address:
Trung Dam
2029 N Millwood St
Santa Ana, cA 92705
(71418754448
Fee Typ6
01116002 51604 Furnace/Comp Combo
01116002 51600 General Plan Update
011 16002 51604 lssuance
Amount
122.16
21 .25
52.98
Qty
1.00
1.00
1.00
Fee
$122.'r 6
$21 .2s
$52.98
Tenant Name
Contraclor
Address:
Temp Air System
2648 E Workman Avenue, #l
West Covina, CA 91791
(626) 482-3176
Botch+:43690
0ff icer CTYH
Acct+ !
REpti:02?610
TronEoct ion
-5/
Tr
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fotol
Phone
State Lic #: 807933
Lic Type: C-2O
Bus. Lic #: 335880
Workers' Compensation lnsurance:Carrier: Norguard lnsurance Company
Policy #: TEWC893547
Expares: 09/15/20'18
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rrl I 16002- 51 60110'.:r'l-
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rlt I 1 6r.102- 5l 6rl4rlLfl:r-
ICL Check tr03114
Building Use:
Job Type:
Nalure of Work:
Single Family Dwelling
Miscellaneous
FAU
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016 Notes: auth on file
Planning Conditions:
lvlccann, Melanie Date
Date
Date
05/10/2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total\U\
Hernandez, Kathy 05/10/2018
Account#
Every permit issued shall become invalid unless the wo* on lhe site
authorized by such permit is commenced within180 days dfter its
issuanco, ot il the work authoized on the site by such pemit is suspended
ot abandoned tor a period ot 1 80 days eker tha tino the wo* is
$196.39
$0.00
$196.39
MID#: 2018-'143288
$21.25
$17s.14
Fee Total:
Paid to Date:
Balance Due:
Permit #: 40{3209{
Pin #: 47143
Unit:
Block: NA
Suite Range:
Zoning: Rl
Phone:
t,; LED9ALE
:1 of:
1r:rl:t2!191
I r 4;. flll;at Q,'l
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:01116002 51600
01116002 51604
lnspector
MECHANICAL.INSPECTOR HECOHD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Bouqh Ductwork
Vents
Jqilet Room / Clothes Dryer
Residential Ranoe
Other
Hood
Jype I Hood
Type ll Hood
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Bough Mech.
Final Test
Meter Release
Notes, Remarks, Etc
OlryNER BUILDER DELCARATION 'I bcrcby artrn undcr Fn.lly of p.iury lha! I d .r.@t tom the Conticlo6' Lketrs b* for $. followiog Een (Se.70:l I 5
Buiinc$ udl Pof.ssion Code): Any Cny or County *hich r.quncs a psmir to onslruct. !lrs. impmve d.mlnh or Eprn my -sn!d!r.. lrbr ro hs issuec, aho rcquircs rhc amlkd t6r such lcrmn 16 fib d ri8n n s|armor th hc o,3lE ii li.enicd puNot
lo lt* IFvisiotu of iE Conh.ln r Licnscd tas (Chq,tcr 9. CommftinS *irh Sccrion 70m of Dirision I of rh. Busin.s lnd .
Pof€sions Codc) or that hc or sh. ir ex.mrl thcElion ed $c b&rh for rhc alkgcd crcnnrion. Any riolarion ofseri.,n 7031.5 by.ny
aopli.air for d pcmi subjds lnc lppliclnl ro ! civil Fruhy of not mrc lhm 6v. hundrd dolqs ($5OO).
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$ o*ncr of lhc r,rcFny. m my .mplorB3 wiih vog.s ar then sb conFnsation. will do th. sdt &d th. snEr@ ir mt
h.ndad or ofaced for sle (5&.7044. Brsift$ md kofc*shns Cd. Thc Conlrrctols Licre ljw dcs rcr lrply lo m owmr of
Itc pFFny who boild, or inpoE thdo.. rn wh6 dm sh hlt hatucll6r,EBlf or thrcugt hi.6 n r oM cnp&JlBr.
J,mvidcd rhtr 3uci inlo\aftors @ mr hrdn.d oroficrd lor sL. It h'M.lh. buildin8 or inpmwm.l is $l.l wnhin om ]t-
of@qrLtbo, tlE Ovmr Bui!.r wil hsE lhc hodM of proviog rh,r h. m shc dil ml build or inprcE ric tlBFny for dE puqr$ ol
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as owncr of lnc pmpcny. rm cxclusircly conlrdhg wirh lic.nsd .o.r&hn tu onstocr rh. loifl (Scc, 7044, Busu.{q
&d Boftiqion Codc: The Conrturoi r Lk€ns. kw dfts nor onply ro an owrcr .f proFny vho builds or impmvcr thcrcotr,
and who o dls for 3uch Fojcdr wnn ! Co.tuiorl3) li.cn{d psuor ro llic Conroclofs Licctrs trw).
I unrxcru' undd S$lion ,B.&PC lorLh6l.Mn.
UAatrEIN:.COMTEIAIITTN
DEC!$AIXON
I hcrcby atfirm ln.lcr lEnally oa psj!ry onc of lh. aollo*ing deld io.s:
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harc {d will flinllir 3 Ccnifrnc ol Co.Fnr io s.ll-loiurc fq so*6 @nFn$tion. a! piov'dcd ro, by Setio. l7m of 0!.
Llhor tuc. for lhe F.fmc of th. *orl lor whth thc lonl n is!.d,
_l hltc md *ill duinlsit eortcn ohp€.salion irumncc. rs rcquimd by Salion 1700 oallE Labor qd., for th. pcrfornrmc ol
rlE h for which lhn lcmit is hnaj. My vork6 compcn{lion i.sumRc cEicr 8rd F,liy numh.r m:
PolicyNumbq: ErpiEs:
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enily lhal in lh€ F o,mna ol lh€ work for {nkh thh F.nil is issucd. l shlll Nr cq,loy .ny p.Mn in .ny ronmrs as ro 6cmm sbje! io $. e&s onFnsarion hws of Calilohia aBd aEr rlur ifI shouH lEc.m iubjNr ro rlE
wortc6' .omp.nslion lmvnions ol Selion 3700 or lhc t bor Co<lc. I s,ull, Lnhwirh orpl, snh rhos tovhioft..
WARNINC: Frihrc ro scuE rorkcrs ompcnsarion covcroec is unlartul.8trd shnll suhjcct ar cmploy.r to niminal Fnrhis otrd*'KroTst1*ffi'**',"
DA:IASJSIQN
I hcrchy nintn u.dd p.nilry of Frjur! rhd I nn liNn{d u d( pn,!i\n,n ol Chaprd , (conhrtuina sirh Sr.rion 7LXx)) of Diri\i.n .]
.r rh. Bu\i'rcs\ rnd Prolcsions Codc. l8l mt licen\c is in lullforc!rtrlclltcl.
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(:(NSreucTIoN LrNDritG ^Grr\aYI h.rcby dfm undcr F@Iy ol pfjury lhd the B . @iinrri,. Lrdi.e .g.ry for rlE pcrfillljMc of lhc *dt tr wha.h inii tqmn b
issucn Ise, 3097. civ. c.),
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ccn ily lhol rhc tadcrul Eguhl ions rcB dirg osb.sos rc.mvnl & n.r,mli.6lc h ihis lroJ..r.
I !.,r r\ L' l h,\.,.r11 I r..iJI.l (,(,,1x n n,1. Li dn I lsre lo eftoly wirh allC yand Counry
onliruoccs Ml Srurc l-rw( Eld
utxrvc mnlioncd popcny for
Afpiic,.l or A8cnr s+narur
'<:T'i
I
Grease Duct
Above T-Bar
FINAL
l)alc: Oener:
L..dcas Addre$:
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rppucaiiiiii ii6F
I tu:ty .finn undlr Fn,lry of Frjury onc of rhc f6lb*ing &cldalionri
Dcmlition Pcrmik'Asbestos Nolific.tion Fcdcml Re8ullrions (Tnb 40. Pd6)
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