HomeMy WebLinkAbout40233400 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Cenler Plaza (M- 19), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 4O2334OO
Pin #: 5f 36\
Project Address: 1021 S Kilson Dr Unit:
Block: EAssessor'sParcel: 011-075-06 Lot: 6
Bldg:
Tract: 466
Address Range:
Historic: No
Suite Range:
Zoning: Ri
Owner:
Address:
Phone:
Tenant Name:
Conlractor:
Address:
Raul NEAliciaDiego
,IO2I KILSON DR
Santa Ana, CA 92701699
(7r4) 497{037
Owner-Builder
Fee Type Amount
01116002 51604 Wall Healer/Floor Fuma 65.57
01116002 51600 General Plan Update 22.08
011 16002 51604 lssuance 55.04
Qty
1 .00
1 .00
L00
F6e
565.57
$22.O8
555.04
Phone
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance:
Carrier:
Policy f :
Expires:
8{ttch3. {9236 - 1l?/2O19 I0: ELIZASEIHoffices CTYH lFoosi: l0 { of 4A<ctl3 Refi: 1rt233400
Rcpt i:0if587517 - 1/9/2Ot9 10338 Attfrcnsoct ion fotol l?l l.3l
Roul[[AlicioDiesoEuilding Use: Slnglo Famlly Dwelllng Occupancy:
Job Type: Alteratlon Constr TYPe
Nature of Work: N/V - Domo CarporuTrelllsrPcode:
R-3, U
VB
cMc 2016
Noles:t2?.o8
l1?0 .61
t9l?.00(t0,6?)
Genrol Plon l,pdate Fee
01160@- 5t 600000-
,tethon i col
olt 16002- 51604000-
Cdsh
Chcnre
Planning Approval By:
Plan Checked By:
Permit lssued By: Verduzco, Violet
Subject to Field:
Buirdins Permit #: 10299722
Date:
Date:
Date: 04/09/2019
Accountf
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
01 I 16002 51600 $142.69
$0.00
3142.69
Ewry pennit isstBd she bo(,o,rne invahd mless th€ wolr( on lrro sito
dlthotized by such pemit is @mfiehced within 1 80 days afret its
issuence. ot if the wok authoized on lhe site by such pemil is suspgnded
ot abadoned fgt a poiod ol 1 80 days afret the li,7l,o tl'€ wo* is
commen@d.
lnspector MID#: 2019-150643
01 I 16002 51604
$22.08
$'120.61
Fee Total:
Paid to Date:
Balance Due:
Planning Conditions: Approval to address Nv ilems only.
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER EUTLDAT D!T S TION
I lErty rn! ulda Dd.ly or FrBy $. I a qaqr too llE cdrr.d6 li.B L& bt rlE bllo*i{ lei (sd.d}lrj
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orEi@ Fix to i' ir8q .ro FquiB tL rppltd b. *h Fhi to nl. . rb.d flon th. lE d JE i li.d F d
b ir FoviriD of ltE cdr'-rdt Li6!.d llw (c|t.F6 e. c@i.a sit s<riE rc00 of Divbbn I or dE BqiE -d
PruEsbd Co&) d tt!, lE s d. i q.4. ttadoo ed tL Lit tr. tlr tlb.d dar9rbtr Aly vbLiD of Sdlit ?01 I 5 b, &y
@liod 6r . Fni sbi..lr llr ,plic{r io . .ivil Friy orDr tuc E fre be.t!.| &Urt (i5m).
L E o*ffi of rh. FlFry. nr 6, mplotG wnb w.a€ c rlEir Fk onpcriotr wil &t tlE rut ird ErrdEir ml
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llE pllp-ry wL toil& or iriFo€ $cEa ad sho dodrdr srt l lMlf or lE3.lf or loud hi! or ha.M aploy.q
pmvidd rh.r rucfi inF!ffit! e rcr iored.d oo,t rd trr $]. lf.lEl^!E,llE hlillts m iEFlvtrr ir rld wihb oE Jr
ofobprri'i. r,EOrc BuildE win hv. rl* hmtaofFsviil ! lE or !r! di! bl hild or irprow dE FoFly &r ilE F4o*of
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!d EDt i! Co&: TlE Co'rr*rd., Lic@ Lr,.b- d +pt ro -ol@ of FoFlt wlE brikb or lryroc $@a
&d rtD @mdr ld rd Fojct *iO. Coi.ddlr) li.@.d Fmd b rn cdlr.6c ! tia t *}
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I hclby .tIm uftb Ddulry otpcir.y oE of$. folowi'B daknFd:
-l
h.v. .!d will Ninlrh r C.nilicr. of CoMt b sdHNG for @k6a compaiio[ 6 FovitLd for b, sdlioi 1700 otrE
L.bor co&, ror rh. Ffoflle. ol rhc ad for which llE pann i! i!u.d.
-I
h.v. .nd sill Mi.l.i. m m .onpd.lion illtemc s Gtui!.d by S.sion t700 ollh. trbor Cod.. fot lic patultlec of
rhc srt aor wnich th6 Fnn ir isld My sd6 @trFldion ilatr. .Eit ad FIi.y .MbG d:
PolicyNwbr: Er9i-
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.driry Ud is th. F6.De of 0r Eit 6r $'tin tni. FEi i nE d\ I th] Dr cqb, Dy Fro in .4, l!.E
F .ro t@!E Dli..r ro ri. *dl6J 64a.ino L*r ofc.libmir Dd {rE rlr itl i.dd bdlc sticr |o $.
Ntt6 ohpd.d6trFlviiEofsdib!1700oftt lrtd Codc. I Lll. ft.lh,ii 6i+t, wio Oo. F!vibE..
WAnNING: F.il@ lo s@ krt6 omFEdbn ovstg. it 6h*tuL Dd trtl $br6r D srPbF lo cinii.l ,oli. !d
civil fod up ro oc h!.dr!d thoulld doll6 (ll0O,0O0). h ddiioi lo $. co! of.ooP.Nnior d!836 ! Fovid.d for tlE
('odq i a6t ud !fionEy ! 16 A
I,ICEISE.COIIAASIgB
DlCLtArIO!
I td6y .rEn uqb pa.ry of Fj6, ttd I E t.!d ro&i Flviiod of Ct F. 9 (@i!e til S.di6 7m) ol DniiD l
ot t[. aui.d -d ttDhir c.{., -d Dy la@ ir h tu[ 6r d c&i
carirBllcllll!ll!!ac.lli!!(I
I ha6y .rm undq Isdy o r pdiury thd lh@ ir. otr!.tu(rhr Lidins .rdy for lhc Ftffic of t srl 6r *hici lh! Pcna ir
i$!.d (sc. 1097. civ c.).
i llgJcaur-otcuaarq!
I ba6, .en u!& F.ly ol p.jB, @ ordE folosiB iL.lrriry:
Dao&bi ?ma9^$.r6 tlo.i6.rir tuad i.gltnbn! OhL ,O. Pn6)
-i.+ftd
Lai6 of faodr.rn
-l
.drit $n rlE &<b.l t adriod r.gr{i!s !t nc ,!mrd e tur +l..DL ro rli! F!t{
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cdrythd I th,. Ed rhir lp?lirtion rd ndc Ulr thc.!ot! irfor ionir rtl. I.sElo ond, sii.ll Chy.nd Couly
odiMs6 .d sl.lc trq Etiry ro b{ildins o'*ucrio'! i'd lE hy .!lhori& EFGnriE of lti! cny .,n Cour, lo 6lc uFn llE
.. loth," L1 I t
tboE mdio..d pmFry for dp.dbi FrDd,
^-,'-,-^*ii.l--*Ii[Zy,@P@hem{Fii,, 'R AUc ttt. l; e 60 /-,j
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
Residentral Ranoe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release IF|NAL q////Z 2k l+t1
Notes, Remarks,'EtC.L/
lnstallation
tttl