HomeMy WebLinkAbout40132326 - PermitCity of Santa Ana
Permit Counter: (714), 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Mec ha n ica I Permit #: 4lJ1323.26
Pin #: 52O4O
Assessor'sParcel: 108-253-25
Unit:
Block: NA
Btdg:
Tracl: 4258
Address Range:
Historic: No
Suite Range;
Zoning: Rl
q
Owner:
Address
Phone:
Tenant Name:
Contractor
Address:
01116002 51604
01 1 '16002 51604
01116002 51604
01 1 16002 51604
01116002 51600
01 1 16002 51604
Qty Fee
1.00 $65.59
1.00 $40.341.00 $30.521.00 $32.301.00 $22.08
109 c,curr$.flfroa
t?2. rl8
12.23.79
Kevin Dao
8'19 S Dennis St
Santa Ana, CA 927042210
(7',t41721-3685
Fee Type Amount
Furnace 65.59
Clothes Dryer - Residen 40.34
Bathroom Fan 30.52
Range Fan 32.30
General Plan Update 22.08
lssuance Botchi : 44g11 - TAtlzrllsOwner-Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
0ffice: CTYH TPonE : 70 4 of 5A<ct3: Rsf+! 40132326
Rcat+:02325690 - 7/161?018 lr(!5 Pn
Tronsoct ion Totol t{r$94.01
Kev in Doo
G€nerol Plon ihdate Fe€
01116002- 516m000-
llechon icol
01116002- 51604000-
ICL Check 1457
Notes: Add attached ADU to (e) sfd-(1)bedroom, (1)
bathroom, kitchen
t4r 894. [1
Building Use:
Job Type:
Nature of Work
Occupancyl
Constr Type
Code:
R-3
VB
cMc 2016
Single Family Dwelling
Addition
Attached AOU
Planning Conditions: All materials to match existing,
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Dale
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Buildins Permit #: I 0196608
Every permit issued shall becofie invalid unless the wo* on the site
authoized by such permit is commencod within 180 days aftet its
issuance, or if the wok authoized on the site by such pemit is suspended
ot abandoned fot a pedod ol 1 80 days afrer the time the wo* is
commenced.
071',t6t2014
Account#
$245.87
$0.00
$245.87
lnspector MID#: 20'18-'143130
01 1 16002 5'1600
01 1 16002 51604
$22.08
$223.79
Proiect Address: 819112 S Dennis St
Lot: I
Fee Total:
Paid to Date:
Balance Due:
MECHANICAL-INSPECTOR RECORD
OW'IIER BTJILDER DELCAAATDN
I hcrcby amrn under Fnrxy.f Frjury lhll I m cx.nDr 6tro lhc CotrlEclou Lixn* L3* for lhc folloqing Elsn (5.c.7011.5
Blxincss a Profcssioi Codc) Any City or Colnl, whth EAuies s I'rft! ro cons@r. dlo. jnorcv.. dcmlhh or rcpair any
stode. pr!, t, irs isloam. alo rcqlits $c ,l,plic lor .ucn Fm ro nk a siemd slrr.mnl thrl lF or shc is lie.sed plhua
to rhc pmvGions ofttr aonrrmld s Liftn{t ljs (Ch!flcr 9. CommncinS wi$ Sedi6n 7000 of Diti.ion I oi tne Busimss and
ftofcssions Codc) or rh hcorshsi.excnqrhcrclrooa.drhch{.isforrhcallcgcd.r.morio!.A.rviol0rionofs.dionT0ll5byuny
dntrapc i subjNk rhc aptlic r lorcivilFtrdl',.rNr oororhi.livc hundrcddoll&st$500)
own$ofrhc pmpcdr, or my.mploy.rs wirh wlgs * rhcn sb con{.nsarinn, will.!o rhr sort 3!d dr n.r.lE ir ml
or onir.n for solc (Se.7044. Businc$ md Professions Co<lcr Thc Conrt.cror's Lietr* tis do.s nol aprly lo s o*flcr of
rhc pNFny *tht ilds or inpbB tr@n, &n wth dmmhmd hams.lf or hcrsllorlhmugh hisor hcrotu cnll)l{'yccs,
ptotidtd rhar s!.i in\a)tornrs @ tur hrcndcd o.oiTcrcn forelc.lf. ho*ercr llt hiuins or inphtd.r h$ki ehhinom Fd
ofc,npkrion. rhc O*ncr ltuitld will haw 0E b(ldcn ot8rviiB thlr lrc or shc dit mr l ild or irqhk ft. p6Fiy fd rrE purF$ or
-1.
( o*ner ofrhc rmpcny, amcxchsivcl, conrracriry *irh liccncd co.rmcb^ t'
o.d ProLssbn Codcr Th. Conrrrols Liccn$ riw docs nor rpply lo !n owrcr of
r qho c.rr \ li,r rich nrcJcc( wirh J (inn' ch(, licrn\u(l ftr^uxtrr k,
-l
dckcmfl undcr Stclji* zf rcfr t
DECLAR TTON
I hcicby alfirm unrlc. Foali, 6f Flu.y oE of lhc followine .tc.laotiors:
_lh!\clndtrillnuinkin!CrniturrdoiConscirhscltltr\r'cn,*.rkc^'.o p.flsdrion.NfolidcdforhyS(rnrn.l7 )orrh.
L xtr Codc.lor rlk lrrr'onn rc ol'lhc wolk nnNhich rhc Pen l is hs'cn
-lh c and {ill mainrain wor*c6 .om,coiarbn ior!6mc. {r FquiEd bt Skl ion l?m of lhc l.,bor Cd.. fo, thc Pc.fornee of
rlE ed. tor ,hth Oh Fmn i! is{cd. My *ort6 .orp.nsrion iosumm. .Mir ed policy Nnb.r scl
irrlh, nrrhc r.rforrorc.oflh. worl for qhichtht p.rmn k isucd.l sholl nor cruloyunyl.Mn in,nyn ncr
so N k, lEcom suh]cd
'o
rhc ro.tcrs contcnqrn,n irqs df Caliaomi!, aid .sN rhd if I shruld hc.onE sunjd lo rhc
workcn'comEnsarionnmvisinsorscc!i(,n17fi,orrhrlf,hnG c. t \hall n'nhsirhonlPly qith thoe povni,ni
WARNINGT Frilu,c r. snrc {olkca comD.ns ion
.ivil finur u0 (o oft hundrd ihousnd dollns (Sl
t
-
ConlncloP-
A.ITLIIANI,IIOABAIIAN
I lrr!'hyrllinuklcr lf, hJ olpcrluryoncolrhc loll,rwirra dc.hflr ion\
l)cn$liri(in llcnnirsA$cnos Norifirarn Fcdcrrl Rrgularn,n\ lTirle,l(,. Prd6r
Rrquncd l.r.rof Mnili.didr
I c.nilirhrrrh.lt&rrl
h compl, wirh lllCirydnd Cou.ry
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace ,,/'
Compressor l----
Misc. Equipment
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Toilet Room / Clothes Dryer
Residential Ranoe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Rough Mech.14ldRm
^b\a/n
,)
Final Test UI
FINAL rr9lrf T 'ez )
Notes, Remarks, Etc.U\
lb
Duct Work
Vents
Other
Above Hard Lid
Above T-Bar
Meler Release
ucuNtED-c(2Nr&IltaB
DIEI.AM.IION
I hcrchtrlllrnrondcrpcml(rolpcrjrryrhrr I rnlrci{dundcr Fn,lis nolChr0rs9l$nrnEncinstirhS&ri,7ID0)tiDni\i 3
ol lhc ltusincss.nJ PmicssnnFCod.. a nrr li.cnsc is ir llllln&udcrrc.r
co! x.ucuoxrENllNclliEu.l}
t hcrch, trt n. undcr Fnaliy ol pcrjlry rhar thcE s d c.nsn.ri,n LndinS aScncy for lhe rcrlbmh-'c of ll8 uork for whtch rhh Fmir k
hsucd (Scc 3017.Cir. C ).
knJ.r. \rnr.
-
L.n&r,t AddEsr:
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