HomeMy WebLinkAbout40132168 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mecha n ical Permit #: 4O1?216a
Pin #: 33952lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 2021 E Kristi Ln Unit:
Block: NA
Bldg:
Tract: 2109
Address Range:
Historic: No
Suite Range:
Zoning: Rl
E
Assessor'sParcel: 400.162-19 Lot: 9
Owner:
Address
Marilyn & Richard Nelson
2021 E Kristi Ln
Santa Ana, CA 927014419
(7',t41667-7070
Fse Type
01116002 51604 Alter Vent Sys
011'16002 5160C General Plan Update
01116002 51604 lssuance
Amount
4'1.99
21.25
52.98
Qty
1 .00
1 .00
1 .00
Fee
$41.99
$21.25
$52.98Phone
Tenant Name:
Contractor
Address:
Rightime Home Services
1451 Edinger Avenue, #D
Tustin, CA 92780
(714) 9984300Phone
State Lic #: 765074
Lic Type: C-36, C-10, C-20
Bus. Lic #: 351300
Workers' Compensation lnsurance:Carrier: Liberty lnsurance
Policy #: WA763D508631017
Expires: lOlOll2OlA
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Miscellaneous
Ducts
Occupancy:
Constr Type:
Code:
R.3, U
VB
cMc 2016
Notes: Change out existing ducts
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
Date
Date
Date 05/31/2018
Account#
Misc. Receipt:
Misc. Receipt:
l\,lisc. Receipt:
Total
Every pemit issued shall become invalid unless the work on the site
authoized by such pemit is commenced within 180 days after its
issuance, or if the work authoized on the site by such pemit is suspended
ot abandoned for a peiod ol 1 80 days aftet the time the work is
commenced.
$116.22
$0.00
$1',t6.22
lnspector MID#: 2018-143703
$21 .25
$94.97
Fee Total
Paid to Date:
Balance Due:
011'16002 51600
011'16002 51604
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDER DSLCARATION
I hdcby a,Im uidd paalty of p6ju.y rh.l I @ qmo io6 th. cortE.loa Lic@ t w aor ln followif,B te$n ise.7031.5
BBii6s ,rd Prcf6io! Cod.)r Any Cily or Coualy which rcqui6 r Fni to mE{rud. ahd. imptuv.. ddrcllh o. r.r6t My
lrrudue prior to ire i$@cq .l$ Equn6 rh. .pplicet aor such p6nir lo lilc a li8ltcd 3t!rc!Mt Ih.l h. or sh. b li.@!cd pucu.lt
to thc FovisioB of $c Co Eclor.! Lk.oed t w (Ch!fld 9. Como.in! $ith Sc.lion ?000 of Divisior 3 of lh. BBin* ad
PDlNioB Codc) or thsl h. or !h. i! .x@pt lhn frcn &d tlE b.5is for lh. sllc8ed adpfion- Any violalior ofsdlion 701 1.5 b, uy
applicel for ! p.mil $bjel3 rh. ,pplicsl to a civil p.,rly of not noE thd fiv. hun&.d doll6 (5500).
L a osM offi. popdry. o. oy @plor6 *ilh wrg6 6 rhcir $L comp.n$rion, wil d. th. *st dn rh. nide a rcl
idad.d or or6cd for sL (Se.7044, Buits ed PrcasioN Cod!: Tt€ Conlr doCs Lica* L.w do6 not eply lo M oMa ot
rh. Fopdr, who hikh or i@.oB thdF,'. md who do6 scl s* hituclf or h$lf or ll'euah I'n tr td om dplorG.
provid.d lh,r cu.h impmvad r @ ml inlad.d or oirdld for sL. I[ now6. llE buildiq or irrmmatl is eld wihio otc r@
oa@ophrioGll!. One BliLk MU hrE ltE h(k otFoing rhd h. orlhc drd mt hiH or imFow dE FoFty lor th. pr!!o& of
I. 6 om6 olrhc FoFry. e ddBiv.l, conradins vth lico!.d coor,.cEa ro coislruct tlE pmj*l {s6. 7044. BiBinc
ed Eoftssion Cod.: Tb. Conkaclois Licasc Law do6 not ,pply to e ownd olprcFny who buil& or inprcv6 lhd@n,
ud {ho oir6.ls for 3uch plojds $itlt a colnE ro(, lkaEd plBud ro rh. Conrarois Lic@ Law)
I e crmfl lndo s<tion . B. & P.C, for rhis ren.
IAtSEStlCO!4rldtAIIO!
DECI.AEAIION
I ha.ny aflim lndd paaly ofpijury oE ofrh. followhB d..L.aros:
I h.v. &d will uiil.h ! CEtifEar. ofconsl ro S.lf-lsurc for workd ompoadior. a Fovid.d for by Sotion 3700 ol$.
Labo. Codc. aor lh. p6fomucc oau. wort ao. snicn lt. p@Dn i! i5.u.d.
*hdlcandsillnai ain worl6 .onpcGarion iNdnc., a rcquncd by S6rio. 3?00 oa '.t bor Co&, forrh. psfom8cc of
sort for whi.h rhis p.mi i! is.d. My worl6 conDoaaion iBlm.c c@d ad Ftcy .unbd @:
Lt
lbqc.74 o
-l
c.nily that in rhe pqlomsrcc of lh€ mrk for whjch this p6dil i! issucd. I shrll .or oplo, a!, p.coo io &, mend
e a lo b..om. subj61ro thc wo,l6'conp.erioi las olc.lifom,& od asr rh ial should bcofr.subjar lorlt
wort6'coop.GalionprevbioroofsaiionlT00oftlELrbo.Codc.ln'ullfonnwinenplywilhlhosprcvtioc..
wARNtNc: [ailo. lo s@ sorl6'onpsdion ovra*. is urlrwtul. &d 3hr]l subj.cl d ddo]q lo Einindl pd.hi6 snd
ii lddirioi lo ll'. c6l of comp€Ntio,. d.mg6 .s provid.d lor lhc
s
DECIAAAI]AN
In@byartrn.drpoan,oapsj"ryrharItunliGr*lund{povisioioachaptc9(commd.inr\ilhSelion70001oaDniion.r
of lheBusin€ssad hofBionsCode, &d hyli.dse is in lull rorce od clT(r.
za .<,.c/o 7oro77
!,!r5laucl!attE!DtNi_&c!!ll
I hcrcby riljm und$ Fnahyorpqjuryrhir rh5e s r.onsrn,cton lendin! rrm., lor nr p.Tlonrancc olihc\orl fo. \lhirh lhis p.lnril is
issr(l(Ss 3097. ('ir C ).
AIf,LI(A]IL!ECLIB4II!)!
I ngd,y aftnn uod6 p€nalt' ofpcrjury oneoathe a.lnnvins !(lmltuns:
Dcmohion llnrirs Asb.srosNorificarnrn rcldal Rcruhltuns (lirl.40, Pan6l
R.\uncd blto or Noriilcalion
I cElilt thal nE f.d.rol rcSulal iotu r€aardin8 Gbcios rdrov.l tre nol alplicablc lo lht p,ojc.l.
I coiay lhar I hav. rad rhi! applicarion ud 3ral. thd Uc rlDv. inaomltion is .ordl. I ag.e lo comply with all cily dd county
odiaancd ud Slal. Lass rchl to biiildinB co8rtuclio( &d hd.by alnhorik r.prenari!6 ofthi. City ed Cour, ro
abov. ndlioD.d pmp.ny lor
Applic&r or Asot Sisnauel r-'Z---.--Y
Appliances
Metal Fire Place
Evaporative Cooler
Compressor
Misc. E quipment
Duct Work
Pre-lnsulation
lnsulation
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
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.
Final Test
/
7/2-e,/h r'fr +7.a)
ID/SIG.
Furnace
Smoke Detectors lnstalled
Meter Release
FINAL
Notes, Refiarks, Etc.
T