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Home My WebLink About40234149 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #:40234149 Pin #: 45 Project Address: 701 S Kilson Dr Assessor's Parcel: 011-094-01 Lot: 6 Unit: Block: NA Bldg: Tract. 608 Address Range: Historic: No Suite Range: Zoning: Rl Owner: Address: Phone Sashi Sureen P O Box 62004 lrvine, CA 92602 (7141 933-0537 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 Fee Type Bathroom Fan General Plan Update lssuance Microfilm Records Amount 31 .72 22.9s 57.20 3.91 Qty 2.OO 1.00 1.00 1.00 Fee $63.44 $22.95 $s7.20 $3.e1 i22.95 $ 12(t .64 93,?1 ll r215.S4 t Tenant Name: Contractor: Address: Owner-Builder Phone State Lic #. Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: NOTtcE OFVtOtATtON Botch*:529{l - n/g/2019 ID: PZun i go Off i ce: CTYH Trnnsi: 32 4 of 4Accti: Refi: +a234 119 Rcpti:02803133 II/8/2019 3:str PI| Tronsact i on Totsl tl r 215.S4 Snsh i Sureen Genersl Plnn Updote Fee 0l I16002- 516001100- [lechon i cn 1 011160112- 51604000- Il icrof iIr & Docurents 01116002- 5777u00CI- ICL Check 0(t394Building Use: Single Family Dwelling Job Type: Alteration Nature of Work: Remodel Occupancy: Constr Type Code: Date. Date: Date: R-3, U VB cMC 2016 Planning Conditions: lnterior ti only. No exterior alterations or modifications Planning Approval By. Plan Checked By Permit lssued By. Subject to Field: , Julie Buirdins Permit #: 1021021 86 Every permit issued 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 the sife by such permit is suspended or abandoned for a period of 360 days after the time the work is commenced. 11t08t2019 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Mechanical for bathroom fans Fee Total: Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $22.e5 $120.64 $3.91 $147.50 $0 00 $147.50 lnspector MID#: 2019-155753 r M ECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/S!G.COMMENTS OWNER BUILDER DEITARATION I h6cty affm und6 Frulty of pcrjury ths! I m qmpt from lhc Conirelw' Licce t:w fur thc followitg tumn (54.7031.5 Bwine ard Profeion Codc): Any City or County which rcquire a pcmh lo ooltruct. altq. improvc damlish or rpair uy stsuc{urc. prbr to its issmcc. al$ rcquic lhc applicet for such pcrmit to filc I signcd $almmt ihlt hG or Ct b licascd pwrtn to thc provisioB of thc Cootnctor's Licoscd Lrw (Ctrpt6 9. Comocing with Sction 7000 of Division 3 of thc Buirc ud Prcfc$ions Codc) or thd hc or she b qcmtr thccfrom ed thc bssis for thc sllelcd smplion. Any violation of Scrion 7031.5 by ey appliciltforrpcf,nitsubjclsthc spplicEnttoacivilpcnaltyofnotmorcthmfivchundrcddollus(3500). 99 t, * o*o of ttr" propcily. or my ffiploym with wags r thcir rclc ompasation, will do thc md( Ed thc structrc b rct intodcd or olIacd for slc (Sc.7044. Buiae md Profsioro Codq Thc Conlrsclor's Licme [:w do* not eply to u om6 of thc popaty who tuildr or improvB thqa[ ad who do6 such wlt hirelf or hffilf or thrcugh his or hr om mployc. providcd thst such imprcvqtHN e mt intad.d or otfqcd fur slc. lf, how, tlE tuildiru or irprovcnrnt is sH within orc try ofconpllioo thc Ovna BuiEa wil h.rc ttE burd6 ofproving thd hc or shâ‚¬ dit mt buiH or irprovc lhc propsty 6r thG Frpoe of sb). _1. as owner of the propefly. arn exclusively contracting u'ith licensed contractoni lo construct the project (Sec. 7044. Business and Prloftssion Code: The Contractor's License Larv does not apply to an owner of property who builds or improves thereon. and who contracls for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law). -- _l arn cxcnrpl un(lcr Sccliott . l]. & l'.('. for lhis rcasort. Dnre: lllogl l1 orvner: ,r,.r,.*,ror,#.ii,un -|g1r,,tnl't.ltrx I herctrv a{Iirru urrrlcr pcnaltv of pcrjury onc oItlte lollorr ittg rlcclatations: -l have urd will maintain a Certificate of Conscnt to Self-lnsurc for workers' compcnsation. 8s provided for by Section 3700 of the I-abor Codc. for the performance of the work for which the pomit b issued. _l have and will maintain workers' compensation insurance. as required by Section 3700 of the kbor Code, for the pcrformance of the work for which this pcrmit is issued. My workers' compensation insurance carier and policy numb are: ('irrr icr': Policy NI.,.-L*.l'rPilcs (!t ceniry that in the performance of the work for rvhich this perrnit is issued. I shall not ernploy any person in any manner-sb as to become subject to the workers'compensation laws of ('alifornia. and agree that if I should become subject to the u'orkers' compensation provisions of Section -1700 of the Labor Code. I shall. forthrvith comply wilh thosc provisions..I WARNING: Failure to sccure rvorkers' compensation coverage is unlarvful. and shall subject an employ'er to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation. damages as provided for the Section 3076 of the tabor Code. interesl and attorney's fees. I urt.r [, Ot' l1 LIC ENSED (:ONTRAC'I'OR DE('LARA'IION I hercbyaffirm uncler penaltyof perjurythat I arn licensed under provision of Chapter 9 (cotntncncing s'ith Section 7000) of Division l of the llusiness and Proficssions Code. and my license is in fiull force and effect. License Number: CONSI'RUC'I]ON I,ENDING AGENCY I horby aflirm under tmalty ofpqjury that thqe is I conslruction lending agency for the pqfonnancc ofthe work for *hich this prrnit h issued (Sec. 3097. ( iv. C.). Lender's Name: Lender's Address: APPLICANT DECLARATION I hcrdryaftrn under penalty of perjury one of thc following declarations: Demolition Permits-Asbcstos Notification Federal Regulations (Tillc 40. Part6) -Required Later of Notification --l cstify that lhc fcdsal rcgulations regtrding asbslos remrrval are not applicable to lhis prejBt. tLI cotify that I have read rhis application ild stale that (he above infonnation is cor$l. I agre lo conrply with all City and County ordinancB and State l,arvs relating to building construction. md hcrcby authorize reprGcntativs oflhis City and County to ql6 upon lhe above mentioncd propeny for inspcction purpos6. Applicant or Agent Pennitee niune og . tg 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 Range Other Hood Type I Hood Type II Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar I i I Roush Mech. rt l2s lltl P/-/f0 /UV f',tfifplalt Final Test I I Meter Release I I I FINAL / / .3 /7i'%SULy1 Notes, Remarks, Etc.'t Contrrctor: