HomeMy WebLinkAbout40135336 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738 lnspector Section: (/14) 647-5853
Permit #: 40{35336
Pin #: 27451
Proiect Address: 2225 112 W Downie PIa
Assessor's Parcel: 399-153-09 Lot: 108
Unit:
Block: NA
Bldg:
Tract 2419
Address Range:
Historic: No
Suite Range:
Zoning: Rl
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Hai Nguyen
2225 W Downie Place
Santa Ana, CA 92706
(714I- 258-6943
NT&M
23526 Cavanaugh Rd
Lake Forest, CA 92630
(7141 706-2824
01 1 16002 51604
01 1 16002 51604
01 1 16002 5'1604
01 1 16002 51604
01 1 16002 51604
01 1 16002 5160C
01 1 16002 51604
01 1 16002 5777C
Fee Type Amount
Furnace 70.66
Clothes Dryer - Residen 43.46
Bathroom Fan 32.88
Laundry Fan Envir. Air 37.54
Range Fan 34.80
General Plan Update Z3.Zg
lssuance 59.30
Microfilm Records 4.0S
Qty
1.00
1.00
2.00
1.00
1.00
1.00
1.00
1.00
Fee
$70.66
$43.46
$65.76
$37.54
$34.80
$23.79
$59.30
$4.05
State Lic #: 1030481
Lic Type: C-10
Bus. Lic #: 3674/.2
Workers' Compensation I nsurance:Carrier: State Fund
Policy #: 9231643
Expires: 0511712021
Botch+:59254 - 2/23/2t'?1 I0 ! (:C:UELLAF
0f f i ce: CTYH Trnn si : $tt 6 of 7Acct*: Refi: 40135336
Rcpti:032t14755 - 21)',-,/?021 13:26 F'n
Transoct i on Totql l2r 731 .1[t
HT&H
.
' .r '. '.i .1. ,.,:
Constructi detached ADU to include (2) bedrooms , (21
bathrooms, kitchen, living room, laundry area and
porch
Building Use: Accessory Dwelling Unit-D Occupancy:
Job Type: New Constr TYPe:
Nature of Work: ADU Code:
Planning Conditions: All materials to match existing.
R-3
VB
cMc 2019
Planning Approval By:
Plan Checked By:
Permit lssued By: Hernandez, Kathy
Subject to Field:
Buildins Permit #: 101 105169
Date:
Date:
Date:02t25t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes:
Fee Total
Paid to Date:
Balance Due:
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 51600
01 1 16002 51604
01 1 16002 57770
$23.7e
$31 1.52
$4.0s
$339.36
$0.00
$339.36
lnspector MID#: 2020-162347
rl
M ECHAN ICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DEI,CARATION
I hmB aftm ud6 parlty of pajury that I m cxmpt iom thc CrntrrctoE' Licm l:w for lhe followiag rcn (Se.7031.5
Buine ard Prcfeion Code): Atry City or Couty which raquirG a Fmit to strlrucl, altq, improvc dsrcliEh or Epsir my
stluduq Fbr to its ismcq alm rcquirc thc applimt for such Frnit to 6lc 8 ligocd stdaat tha hc or shc b ticqscd pwant
to thc provbios of thc Contretor's Liccnscd ljw (C1Efl6 9. Comociag witb Sction 7000 of Division 3 of thc BuirB ed
Prcfsions Codc) or that hc or shc b qmpt thEcfrom md thc bosis for thc sllcgcd qmplioo Aoy violntion of Sctbn 7031.5 by uy
applicant for a pannit subjcts thc ap,plimt to a civil p@ltyof rot mrc thfi fivc hundrcd dollm (5500).
-1.
as owner of the property, or my emplo),ees with wages as their sole compcnsation, will do the work and the stnrture is not
intendod or offerod for sale (Sec.7044, Business and hofessiors Code: The Contractor's Liccnsc law does not apply to an owner of
the property who builds or improvcs thcreon, and who docs such wort himself or hcrsclf or through his or her own cmployecs,
provided that such improvanents arc not intendcd or ofFered for sale. l[, howwer. the building or improvernent is rcld wilhin onc ]car
of complaiorL the Orvner Builder will have the hrdcn of proving thd he or she did not hrild or improve the prropoty for the purposcof
sale).
-1,
8s owner ofthe prop€rty, am exclusively contracting with licenscd contraclon to corstruct the project (Sec. 7044. Brsiness
and Prcf€ssbn Code: The Contractor's License Law does not apply to an owncr of property who builds or improvcs thereon,
and who contracts for such projeds with a Contracto(s) licenscd pursuant to the Contraclor's License l-aw).
-l
arn cxempt under Section-, B. & P.C. forthis reason.
Drte:
WORKERS' COMPENSATION
DECI,ARATTON
I hereby aflirm under paralty of perjury one of the following declarations:
-l
havc and will maintain a Cenificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
l-abor Code, for the performance of the work for which the perrnit is issued.
_l have and will maintain workers' compensation insurance. as requircd by Section 3700 of thc l-abor Code, for the performance of
the work for which this permit is issued My workers' compensalion insurancc carrier and policy number are:
PolicyNumber: Erpires:
_l ccrtiff that in the performance of the work for which this permit is issucd. I shall not employ any person in any manner
so as to become subject to the workers' comperuation laws of California and agree that if I should bccome subject to the
wor'k€rs' compensation provisions of Section 3700 of the l-abor Code I shall. forthwilh comply with those provisions..L
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an anployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100,000), in addition to the cosl of compensation. damages as provided for thc
Section 3076 of the Labor Code, interest and attorney's fees.
DECI.,ARATION
I hereby affrm under penalty of perjury that I am licenscd undcr provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code, and my licensc is in full forcc and effect.
loJ 04(lLicenseNumber:
ort.,,Q-t I -9, &rt
(:ONSI'RLIC'IION T,EN DI N(;,\G I'N('\'
I hcby affm uda pcrElty of pgjury that tb@ is r @nstruclion krding agocy for thc pqfotmcc of thc w* for which thb pqni b
Civ. C.).
Lcnder's Addrcss:
APPLICANT DEC LAITATION
I hcret y affinn under penalty of perjury one of the following declarations:
Dernolition Pcrmits-Asbestos Notification Federal Regulations ('title 40. Part6)
_Required Letter of Notification
-l
ceitift that the federal regulations regarding asbestos removalare not applicable to this project.
_t cdiry thar I havc rod this applicalion and statc that th€ abovc information is corcct. I agrE to comply with all City aod County
ordinanca md Statc [aw rclaring to building constructioG md hqcby suthorirc rcprsntativG of this City md Cou[ty to atq upoo thc
above mentioned property for
Applicant or Agent
Pennitec narne
o","' J-g t'-99,1
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Insulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Drver
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F. D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.q,L;'71 p-uZ
Final Test
Meter Release
F!NAL c1 _?,z\(?s-ti A € OA3 "2,,1 ,
Notes, Remarks, Etc.
Carrier:
oarc,&-g f -bA
conrractor,k dtrb
Lcnder's Name:
e
3q,
HPclto
r\Jts
*llgl
$arsT]P8
5e;E
=
qE
X'a =vl?rr\,-qY;H I?HI3ar
= cLt
x$NA -.0 lVE[;T3, lJ l.J
=.a\gi.]\,d.i€
HngIY;6'
-lJq s'F
-O ,-+ OEiliRcrL,
-a
a-
-J'IJo=o).r!\-0ar.)
-otD
=Ntll-{FE
tqF-6'-or.+t+o-lo-OJ
=.3loo
t+_!-
J
o)e+
-{E(pg.ing
".:J! P'tr}ra l_. +sq g
ur7,HOsrt(Jl A,su
LN(ll
C)
f,s
?
--.-l C\\bs
,.rfr