HomeMy WebLinkAbout40132290 - PermitAssessor'sParcel: 410-253-08 Lot: 36
Unit:
Block: NA
Bldg:
Tract: 7150
Address Range:
Historic: No
Suite Range:
Zoning: R1
E
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mechanical Permit #: 4lJ13229lJ
Pin #: 96,l|72
Conlractor
Address:
Loi Nguyen
3229 S Towner St
Santa Ana, cA 92707
(7',t4179s-1246
Hung Ngoc Nguyen
1209 ACACIA AVENUE
Garden Grove, CA 92840
(714) 506-2733
Single Family Dwelllng
Addition
Addn/Patio Cover
Chavez, Dave
10196313
Amount
30.52
22.O8
55.04
gotch+!44625 - 7 /3/2i18
off ice: (TYH Trorsi: 6(lA(ctir Refir
RcDti:02319197 - 7/3/20t8
Ironsoct ion Totol
PERMITCANCELLED
DATE: -/4
6enerol Plon lJpdote FeE
01115002- 51600000-
llechon icol
01u600?- 5160+000-
V iso
CCi 3 *rir**I}I*rI8582
Fee Type
01116002 5'1604 Bathroom Fan
01 116002 51600 General Plan Update
01116002 51604 lssuance
Qty
1.00
1.00
1.00
Fee
$30.52
$22.08
$55.04Phone
Phone
State Lic #: 9824U
Lic Type; B
Bus. Lic #: 368715
Workers' Compensation lnsuranceCarrier: STATE FUND
Policy #: 9226553
Expires: O2J22|2O'19
Hune Hgoa I'lsug€n
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By:
Permil lssued By:
Subject to Field:
Building Permil f:
INITIAL:)a -
Occupancy:
Constr Type
Code:
R-3, U
VB
cMc 2016
Notes: Add lamily room (l) bedroom and (1) bathroom,
remodel (e) bedroordAdd patio cover
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
vc^07 to5t2018
Account#
01 1 '16002 51600
01116002 51604
$22
$85
08
56
$107.64
$0.00
9107.64
Every pe(mil issued shall bocome invalid unless the wo* on the site
authorized by such permit is commenced within 180 days after its
issuance, ot ifthe wo* authoized on the site by such pemit is suspended
or abandoned fot a period of 1 80 days aftet lhe time lho work is
commenced.
lnspector
Project Address: 3229 S Towner St
Owner:
Address:
Tenant Name:
n
Fee Total:
Paid to Date:
Balance Due:
MID#: 2018-143093
MECHANICAL.INSPECTOR RECORO
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCANATION
I h.rcby affirh lndcr Dcnalry ot |lc.jlry tal I d.xenq lon thc Co trlon Lltns Li* for rlE f.h$ing..ssn (Se.7031.5
Buinc$ a.d Prcr.sion Codc): Ary Cily or Counl, qhkh rciuiB ! lrrnin ro sislmr. rllr. ihpmvc, &mlsn or c,uir ey
srncluc, prior lo ns iss!ffic. ah. rcqnarcs rh. trpplkanl for such Fmil to fi|. o siSncn slalcmnt rh.r hc o. $c k licnsd puN&
lo lh. !revkions of llE Conltultr's Lic.n*d Liq (Chsrlcr 9. ConmBine wnh S.clion 7000 ot Dieision I ot rhc Blsircs .nd
PDlcssions Codc) or fiar tE or shc Lr .xempt lhcrclion dd rhc buris for lh. sllc8pd.icmttion. Any {iolalion ofscdion 7011.5 by any
apllicafl for e pcmn $bj6l3 rlrc applic,nl lo r civil p.nllry ol mr mrc thM fiv€ hu.dcd doll4r (t50o).
-1.
a\ ovncr oflh. poFrly, or my cdplortcx wilh wag.s !s lhcir $lc @npcoslio., will do tlE *nk ud llE smrd@ Lr ml
inrcn Ld or o,Iern for sh (56.70{4. AEircs Dd Pml6sl,6 Codc Thc Conlroclols Li.eM tis d<xs mt q,Ply lo u o*ffi of
th. tmpcny who builds or inproB dE6n. and vno des sch mi( hih*lf or hcAdll ot thrcu8h his or ncr o*n cmployccs.
Fovid.d lMl such inpro@irs E bl i tudcd qoflcird &,r sk.lr.lFwE, itE hildinS m inPoEmrl is sld *irhin nm rE
ol complcriol rhc Owsr Buitl6 wil hrk thc burdcn ot prcvitrg rhll tE o. .Jc dil ml boild or inpmw th. ,)sl,6ly fd lhc ,,urpo* of
-I.
ds owrcr ordc pmpcny. om crclusivc!, .onroci ins silh licn$d .ooitmroF
'o
con$ruct lh. pmttr (Sa. 1044. Busoc$
aln PNtlshnCodc: Th. Cont roa s Lic.ns. kv docs mi atlly lo sn owncr of !,opcnr wll(, builds or inpmvcs rhcreon.
a.d who codack for such ,,ojccrs with o Connmrn(s) li.ln*d plFunr ro
'hc
contrclols Lkens Lrw).
I rmcxcn.r undcr Sarion .B &PC fo,rhtrcr.on
Drr.r Orn..
IOBf,E8S:.CI}IIfjNIAIIAN
DEqABAIION
I hcrcby al6rn under pcnllry of rE jory om of rlE following del4rdrbns
-l
h0vc ud $ill roinrnio ! Ccn i6.trr. ol con$[ h scll: ltr\uic f{tr sorkds conll].nlarn]n- ai Forid.d f.r hrsNrionl?0Ooflhc
L'b{tr ( odc, lnr rhc lcrl'oflromc of rh. Nolk rd whi.h rhc p.rnrir ir ksrd
-l
h!!e and s ill dainraio sorlrc compcnsalion insumncc, as rcquncn h, Scct ion 1700 of lh labor Codc. for the I'crfolrr@. of
4 ACN cMrcv)
S
-l
enil, lhol inrh.lErlormneof lnc wort for vhich lhis pcrm iiLi cd,I sh,ll not c'nploy any lc6on inrnymnncr
s N ro tEcom rubjer ro rhc hrtas ooFnstion lows ofcditomi& and r8rcc lhIt if I slhlld b..om lubid b tlr
*o*cs on\Tnsolhn rmiiiionr olsecrio. lT00 of rlE Lihor Cndc, l slEU. fonhwith.omlly eilh {h6* t Dvisions..
WARNINC: Fail@ ro scurc sorkcrs ompcosstion covcn-qc is !nla{t!1. and shnu aubJ.{ m cmllorr lo riminal Fmlrls and
cilil linc\ xp b onc hundftd lhousrnd dollaK ($10o.(DO). in ion ro rh..od or.o'nFnsrlion, dlluses as pr.vidcd tor rhc/;zu2a/av
DICLI.SAIIO!
I hcEhr rrfirh und.r NnrkyorNrjury rld I rfl lianed undd !rcrision olCh!flcr I (.onNncin8 sirh Sccrior T(i(x)) oroivi{ion:l
of rhc Bu\i.csseftl Pmlc\sion\ Codc, sl mt li.cna n ir tullli)rc. d cll(l
b g?
I ncEby (mirnuRlcr pcnolr, ol!.rjury ih,r 'lu. isa cotriru.riotr htrdir8 oscm, f{tr lhc p.ttortuftc.lth. work lor $hi(h rtis penlir i
i\sucd rS... l(})7. Civ. C.)
AITU(ANLDECLABAIIO!
I lEEty lilm rndcr Fcilhy urruriury onc olrhc loibwirs dalrlriqN:
D. n,liriotr PcflnirrA\hcnos Nolilicalion fcdcralR.Coldn,n\ l'lirl. d0, PM6)
-Rcquircd
l.(cr 6f Norili.arion
_l ccdify rhut rhc t dc.rl rcauhtions rcSardinB aslEsl osrcmvil c nor lpdkabL b thN prclRt.
h. trthvc nrfonmlion is corccl I uErE lo Nndy wirh all Cny a.d Counry]ll.d,ryrhd, hNc rcrd rhr JIIINd
ii^l'nzn.cs snd SrJr. b\\rcbrin!ro hui Eprsnrrrivcs oflnn Citydd Co!trryro.nr( uFn tlE
$ovc rcnriokd pDl.ny r(r nNrsrio
Amlicntrror Agcnl Si8n rc ac-
x
'4.--".. 6-+-oc-rg
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 Ranoe
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL
Notes, Remarks, Etc.
-,
Hood
C.dc. inlercsl otrd oltomy\ {es
Diie I
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