HomeMy WebLinkAbout40132236 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 4(J132236rt
lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 Pin #: 7648+\
Project Address: 1107 W Memory Ln Unit: A
Block: NA
Bldg: 15 Address Range:
Tract: POTTS, BORDEN &Hlistoric: No
Suite Range:
Zoning: R4Assessor'sParcel: 232-051-10 Lot: I
Owner:
Address:
Kurt Hauffe
1107 W Memory Ln
Santa Ana, CA 92706
(7141925-7878
0't 't '16002
01116002
01 1 15002
01116002
01116002
51604
51604
51604
51600
51604
Fee Type
Heat Pump
Bathroom Fan
Range Fan
General Plan Update
lssuance
Amount
86.82
29.38
31 .10
21.25
52.98
Qty
1.00
2.00
1.00
1.00
1.00
Fee
$86.82
$s8.76
$31.10
$21.25
$52.98
Phone:
Tenant Name;
Contractor
Address:
Owner-Builder
Phone
Staie Lic #:
Lic Type;
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
fot(1I
Building Use:
Job Type:
Nature of Work:
Condominium
Miscellaneous
Comp
R-2
VB
cMc 2015 Notes
Planning Conditions:
Kelaher, Selena Date:
Date:
Date:
06/19/2018
$ uernanaez, xattry 06119t2014
Account#
Every permit issued shall becorne invalid unless the work on the site
authoized by such peinit is commenced within 180 days aftet its
issuance, or il the wo* authotized on the site by such pemit is suspended
ot dbandoned fot a peiod o1180 days after tha time the wo* is
commenced.
$250.91
$0.00
$250.91
lnspector MID#. 2018-144147
01 1 16002 51600
01 1 16002 51604
$2',t.25
$229.66
Fee Total:
Paid to Date:
Balance Due:
ltchi r 443'f ice: t:T'
:,:L+:
:pt,i:tr229l.onEoct iol
L'TT H(lU
h/19/21\1A I
Irons+: 56
Ref+ l- 6/t9/10ta
ienernl l'1
rl1161102-
lechon icol
tl1160lJ2-
)isn
CC+:****r
rn Upd[tte Fee
iI6rlu[x]tr*
l6l-r40r:fl1
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE COMMENTS
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Compressor
Ivlisc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Bough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Flange
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.7-g-t8 'tStn ,@a
Final Test
Meter Belease
FINAL 8-t3-t8 Jl6J-,-€a
Notes, Remarks, Etc.
OWNER AULDER DELC,{RANON
I h.rcbyaafimu lcr pcnahy of Friury rhd I d crcmpr filn rlE Co racros Li.ctrc Llw Io. rhc followin! rc{$n (Se.7011.5
Burincs drd Pof.$ioo C6<tc)r Any Cny or Co!fl, lhich Equits ! Fmn ro onimd !116. ihprorc, dcmlht o, EI,,n uy
slrucluE. pri,r lo its kslcc, lho ftquncs lh. +plicer for su.h IEmn lo 0L a signd st.lcm* rh{ h€ or shc n [snsd tumont
t6 lhc piotirions of tlr Co.ro.rois Lkcned ks (Cfiaprn 9, Comn(ins wirh Sccri^. 7$\) oa Divnion I oIlh. 8Bircsr and
Pmlessions Codc) or rhar tr or she i. ex.m[ t rcfrcft .rd rlt hErir ror rhc slkgcd ercflrrFn. Any v6ldrE;ol S(lhn 70] L5 by ony
q,plionl for r FrnI subj.tts rhc rptlic.nl
'o
!.iviltc.rllyofnol mrc rh& fiv. hundrd dolles ($500).
-1.
os owrur til rh. pbpcnr. or my .nDbrr.s wnh wl8ci .s rhcir $!c con .nsurio.. will do llE ,oll !d rhc sltrrft k mr
iddrtu or olt€rd for Fle (Se 7044. Busitu\s md Pbfcs\ions CdL: Th. Co.ricbr's Ltcnsc t,rw d@s not apply rd n. o*ncr of
thc nmrEny lho toild\ or itr{,o6 rhcNn. srd *t dds Gh wo,t hinsclror hcrslr.r rhouBh his or hcr opn cqthyccs,
ptuvtcd rh.r such nnpmv.motsm nor inlc .d ororaqd ltrsL.ll horcv6,lh. bninin8 or in{,mrcmnl hFld*hhrom Fr
ofcotrplcliotr. ltr Osrcr Bliu.r qil hat tte trrd.. ol prcvi.8 lhal hc or dr dt not build or iqmt lhc Fapcny fo! llE llurpo* of
-1.
aso*ncrolthc rm,Eny, smcrchsivclyconrracrins *irh licenscd co.tet*s b con*Iru.i rrh pmr.! (S(. ?(}l,l. Ausflcs
und FofLxsiotr Codc Th. Contoclols Liccnp Llw docs .ot +ply lo n y who huinh or nnp0vc\ rhcrcon.
rn,l who conrr!.rs ttr \!.h rmjcc( $irh a Contrt,(\)
tE
l)t:( l.1k \ ll():!
I hcrch, {ltrn uidcr l,cn&ny ol loj!ry onc of rh. tollowiq dcclusrinnsl
I hNc ad wau minl'ln ! C.nirf,arc orc.ncnr to s.ll- ln ur. ro. wrk.s .oq*nerion. a Fo{id.d for b! S.crion 1700 ol E
tlbor Codc to, rhc &rfomm ol rlE so* for whkh lhc Fmi! b hsu.d.
-l
hnvc .nd *ill nBintoin *orkctr coryEnsalion insu6mc. as rcqunld 6yScclhn l?Oo oflhc Lat or Cod..lor rhc pqfdmN of
lhc rork for whin lhG p.rn l is issucd. M, wollss .onpcnsolion insunnce curicr ard policy nu'nbcr e:
_l.enify rh.t in rhc pcrlorEre.rrhc vork ror whkh rhis r.rnir k krucd.l shrll noi.mpby rny ptilon in any mnncr
$ as lo tIsnx subiy' lo rh. worl@*' .onrpcnsalion lnwe of Crlifonin. .nd UE lhar if I should h.toe sub.jcct to llr
*oltda.on{xnsli.nri,vi\ionsolScclionlT0oofrh.ljhorCdl..Ishill.fonhsnncoq)lywithlno*pmvisions.
WARNINC: Foilurc ro scurc wolkcr $np.nsorion covcmg._r rn urpkrr.r ro dini'rdl Fnnhics rnd
civil nncr up to onc hudrcd tholsond doll6 ($l conrpcn$rhn. drnrgc\ r\ fnrvidcd lar rh.
Ssrion 1076 orrh.lru (:i,l€ inrcrc{and
D.,e: a/dub a
DEEIAf,AIIAN
I lrcrcby rmnnund$ lEMItyofncrjury lh$ , rm liccn*rn under !$visiotr olChrrtcr9 (<,mmnciis Birh Sccri,'n 7(xn I ol Divkn,n .l
of rh. Busincsrdnd Prutcs\ir)n\ (l'd..0rrt my li.cn\c h in tullforNd cllGt.
l)irr
SANIIAUEII0N]I:XDIIGrI{jIIII
Ihcrchyrllnnr! cryEndryoIpcrjuryrhrrrhcrc tasnr(tucli,)n h insrsciryfttrrhclcrrohuh_corrhcsorkbr*hi.hlh(Efriris
ir{r.d lScc lU)7. Civ C ).
Aftl.lcatrLDfcl. x uaN
Ilrrhyaflinnundcrpcnalryof p.rjrtryoic.f rhc lblkNing cclrdion\
Dcnx,lirnnr Pcirnir* sh.!os Nolific0rnn Fcdcftl Rc!ul{i('ns 1l (lc.l0- I'rni)
-Rcqun.
l.c(crolNorilirtk'n
I rmilirhar lhc lirdchl r.lrldons nol epli.,bb lo lht poi.1.
-l
ccnitilh.t I hrvc rc rhisarp I asE roo6dyqirh rll Ciryand Counry
.rdmrn..\ rnil Sr.rc Uws r.ld ivcs oarhis Ciry lnd Counry h c.r$ uBn' lh.
ohov. nEntiorcd proFny
ll)Ira
ID/SIG.
Policy Numh.r:Jtipncs:
-
F
f-------T------
--------T------
--------T------
:
--------T------