HomeMy WebLinkAbout40132471 - Permit@ City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (I/|-19), Santa Ana, CA 92702
lnspectaon Requests: (7 1 41 667 -2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 4(1132471
Pin #: 7731lJ
Project Address: 4522 W Posey St
Assessor'sParcel: 108-120-35 Lot: NA
Unit:
Block: NA
Btdg:
Tract: NA
AddressRange: 45184522
Historic: No
Suite Range:
Zoning: R2
E
Owner:
Address:
Contractor
Address:
Phone
Tenant Name:
01 1 '16002
01 't 16002
01 1 '16002
01 1 16002
01 1 16002
0'1 1 '16002
51604
51604
51604
5't604
51600
51604
Hang Bui
4522 W Posey Street
Santa Ana, CA 92704
(917) 913-4158
Dat T. Nguyen Corp. dba lnr
15151 Spar Street
Garden Grove, CA 92843
(8s8) 610-6900
Fee Type Amount Qty Fee
Furnace/Comp Combo 126 90 1.00 $126.90
Bathroom Fan 30.52 2 OO $6'1.04
Range Fan 32.30 1 00 $32.30
Gas Piping lncidental 22.38 2 00 $44.76
General Plan Update ZZ.Ck i 1 0O $22.08
lssuance 55 04 1 OO $55 04ii I,]:
,i i
Gen€nol Pl.tn Updote Fee
01116002- 51600000-
llechon icsl
01116002- 8160{000-
ICL Ch€ck 11{l
Planning Conditions
Single Family Dwelling
Alteration
Fire damage repair
Chavez, Dave
*
10196809
Occupancy:
Constr Type
Code:
R.3, U
VB
cMc 2016
Date:
Date;
Date:
$342 12
$0.00
$342.12
oan5t20't8
Account#
$22.08
$320.04Every pemit issued shall become invalid unlessthe work on lhe site
authoized by such pemit is commenced withih 180 days aftet its
issuance, or if the wo* aulhoized on lhe sile by such permil is suspended
or abahdoned fot a pedod ol 1eA days after the line the wotu is
commenced
lnspector MID#: 2018-144167
011 16002 51600
011 16002 5't604
Fee Total:
Paid to Date:
Balance Oue
Phone:
State Lic #: 1010381
Lic Type: B
Bus Lic #: 370296
Workers' Compensation lnsurance:
Carrier:
Policy f:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Rebuild house -like-for-like. Replace rafter & drywall.
Reroof with tear-off, install comp shingles.
MECHANICAL.INSPECTOR RECORD
DATE ID/SIG.COMMENTS oWNEI' BUIT-DER DIT-CARATION
I hcEby rlliln undcr p.nilry of pcrjury rhd I an cx.n{'r nom rhc a)nr ros'Li.cDsc ljw for rhc rbllowing rnsotr (Ssr0ll.5
DusiN$ lnd Pdcssion Codc): Afly Ciry or CouNy trhi.h ruqunc( r p.nnil n, .onsrBcl, ahcr. i provc. &'noli\h or rcptrt ;ry
ntu lurc. p or h ns isuana. ulqr (iutcs Ihc olplicmr rbr su.h pcrlnil h filc r si8rcd n cmnl thlt hcor shc is liccn{d puEuanl
tu rh. [ori\ion\ ol rh C.nh.kr\ I-i..nrd tjw (Clulr.r 9. GnMrmi.B $irh Sc.rtrrt ?0(n of Divtion I oflhc aunocsa rnd
PoLsions co,tc ) or rhd h. or \h. is crcnD h.e'6nr and rh. tllsn {(tr rhc ,lL8cd cxcnprion. A y tn)ln' ion ol Sslion ?03 1 .5 bt 0ny
rn!licrnr lor ! li.nir su$jcctslhc rlpli.0nl ro acivlltctrolrtoln.r nrrcrhr nvc hutrdrcrldollitr (S5fi)).
-1,
as owner of lhc Fopcny. or !r, en{,lords wnh w!8cs 8 rh.i sh co6pcn$li.n. will d. llE wor* !d llE slnxl@ is nol
intcd.d oroficEd for ek (Se.r0{4, Busircs and ProfcssioN Cod.: Tn Contr.croas Liccns Lsv do€s mr alply ro dovffi6f
!h. ImIErly wts tdlds or ii{mK rh.M[ atd Bh. dcr.Eh rDrk hilmll or hcrslf or lhmuAh his or het o*n cmplorccs,
prcvid.d rhar skh if,pm\tdnts@rcri orded or6,T.cd for s]..lf. howcq. r,r h)ildtr'g or hp@wcn{ L sld wilhii om )t{
olomphlbn, lh Ower Build.r will hlw tlE hun o of |'Dvine rh,l t! or rlrc dil ml hoild or iqmw fi. pmFly for tlrc poqft of
l. es owmr of rhe pop.(y. e rxclurivcly conrlcrinB wnh lietrsed conr6croB ro dlodru(1 'lr ptujcLl (s6. 7(x.t Brsir.*
ad Piofcsion Cod.: Thc ConlGln s Liccnsc tiw dms nol aprly lo !n o*ns of pmpcny *no huilds or improves $crcon.
dnd who onr.d.ri fo. s.h rEjcck*ith. Cooracrn(s) li.cnsd DoN@r t6 rhc Cont&rdls LkIn{ hw),
I n icrcn,fl trn(ftr Sc.rio] .ll & PC lnr rhi\rcrnn,
Drl.:- orM-wonl(rG;aifrmiiiii[
DECI.AXAIIIN
I h.r.by dfm lndd pcdlt, oftBhry om of rlE followirg deldlliom:
-l
hrvrnndwill nni uinrCcniriclrcolconsentk,S.lt:lo\urcn)rworkcrso.pcn\arn,a\phvidcdlnrbysc.riotr.rTlx)orrhr
tantr Cod.,n,(h. Frform,n..orlhc sorl.r whichlh. tEnln is issu.d.
_l hsvcand*ill nEintain *orlcn' .loFostrrioo i.su,arcc-ss Equircn by Sdt n lTm.a rhc Libor q,r.. hr lhc p.rformmc of
lh. wor* ror whkh $ir p.mit is h$ed. My *6rkds .\mpctrsrnrn inslorx Mi.r ffd lrliy numtEr dc:
t8
-l
ccnifytur in rhc tx.formrcc of rhc work for rhi.h rhis pdmir ir issucd, I shlll nol cnploy any Fnon in;ny numr
so N ro bcconr slhJcd ro rhc workd( oq,€nBrn,i h*s of &lilomia. und acB rhar if I .h.nld bccom .ubjer ro
'h.woikc^ c.rrcn\srn,n phlisionr.fScdio.]TOOolrhc rjboi Gxlc.l xhnll. ftnhwirh..nlFly *irh thos psvirions..
WARNING: hilurc ro w!rc wo cr'conEnsion covcrug. is utrl.wtu,, and shall slhrd e mplotlr h dimitul Fuxkx and
civil fincs up ro om hllndEn rlousad dollos (SILD.0OO). in Mdirion h rlrc cosr ot mmpcnetnrn, d!tugri as polidcd fd rhc:;il+f,rn eppauta-
ll( l\\l l) ( ()\ll{\( lr)l{
r)r(t.\R\llr)\
I hcEtylmrmlndcr peEll, of Friury lhal I am licetrsn und.r pmvnion ofChofls 9{comftncing qih Sc.don 70Oo) ofDivisbn:l
oa lhc Businc$ od PmfcsiorN Code. rd ,ny lic$sc is in tull foEc ond dltd.
0 o
colstkt( IroN LI:N t)tNc ,\(: IiN(:\'
AfILICANLPESAAAIIQN
I lrrhy lnif,n und.r pctr0hy oilcrjuryotrc ollhc lollowinB dNlaralnrns:
l)rnx,lilbn PcrnrnlAsl,e(os N.rilicarion Fcdcml &c8ullr io's Onlc 40. ffi6)
Rcqun.d bncr.l Norinciriotr
l.cniryrhnr rh. fcrlcrul r.galari( * eg0rdinS *h.{os r bvaldrc nor+plicablero rhh tmr.rr
-l$diayrh,rlhalcrldrhisalFliclri.nand(,rcrhnrrhcah.!einfffdbri.ni\c.r(rlaerNr..o,nplywirhallCilyondCouolyodinamcsandSrrr.L'wsrcblinBrobuildir8consrdction.edh.rcby0urhorircrc,'rcscnririvcsollhkCn, d Colnry ro cnrc, lron,L
obvc mntioncd nn'pcny ior ir spccl ion 0ut[lo*s
Afdicanl or A8cnl Si8nollrcx I
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulalion
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rouqh Mech.lflggt -,'.lJ4d,,)
Final Test
Meter Release
FINAL tt $1|fl,{i ME D)
Notes, Remarks, Etc Ut
APPROVALS
Other
lo,
t*+nye6--l
Ihcn$y.lltmtrfdcr Nflrlry ol l)ctury thrr rhcrc isrcotrirucri lcMnrg r.cN, lor rhc I'( lormmc ol rh. $or\ io. which rni\ pcrmir i\
iriu.d lsc. 1097, ci!. c I
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