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HomeMy WebLinkAbout40133294 - Permit (2)City 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 ft? Permit #:4lJ133294 Pin #: 36945 Proiect Address:2301N Tustin Ave Assessor'sParcel: 396-141-01 Lot NA Unit:A Block: NA Bldg: Address Range: Tract: A.B. CHAPMAN Historic: No Suite Range: Zoning: C5 Owner: Address: Phone: Tenant Name: Starbucks The Liese L Rago Family Trust P O Box 1493 Santa Ana, CA 92701 (702l-217-7900 01'116002 51604 01't't6002 5'1604 01 1 16002 51600 0't 1 1 6002 51 604 Fee Type Bathroom Fan Min Fee Adj General Plan Update lssuance Amount 31.72 12.82 22.95 57.20 Qty 2.00 1.00 1.00 1.00 Fee $63 44 $12.82 $22.95 $57.20 Contractor Address: Phone. Excel Construction Servicer 1950 Raymer Ave. Fullerton, CA 92833 (562) 291-2000 State Lic #: 852879 Lic Type: C-36, B, C-10, C-17 Bus Lic #: 343729 Workers' Compensation lnsurance:Carrier: Traveler's Property Casualty Company of America Policy #: U85K9867861926c Expires: O3lO1l2O2O Building Use: Job Type: Nature of Work Commercial Tenant lmprovement lst-time Tl Occupancy: Constr Type: Code: Date Date Date B VB cMc 2016 tt Chavez, Dave aQ. 08/06/2019 Account# Misc. Receipt Misc. Receipt: Misc. Receipt: Total Notes. Fee Total: Paid to Date: Balance Due: Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Buildins Permit #: 10199380 Every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 36'0 days after its issuance, or if the work authorized on the site by such permtt ls suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 51600 01 1 16002 51604 $22 95 $133.46 $156.41 $0.00 $156.41 lnspector MID#: 2019-150689 MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNf,R BUILDER DELCARATION I hcctry aflim unds pmalty of pfijury thd I m qempt film the Contraclos' Licmc Law for thc following r@F(Ss.7031.5 Buinss ild hofsion Code): Any City or County rvhich requir* a pemit lo construct. alt6. improvc. dmolish or rtpair my structuc prior to its issumcc. also require thc applicmt for such pcnnit to file a signed statmql thst hc or drc b licosed pusant to the provisio8 of thc Contractor's Licosed larv (Chapl6 9. Commencing with SEtion ?000 of Division 3 of the Busine md Prcfsions Code) or that he or she is cxmpt thocfrom ed lhc basis for the allegcd crmption. Any violation of Sccrion 7031,5 by any applicant for a pcmit subjets thc applicant to a civil pcnalty ofnot morc the tive hundred dollus ($500). -1. 6 o*Ts oflhe propcny. or my mployc with waga r thcir rclc compostion. will do thc wck ed thc stnrlw b rct inlodcd oroffqed for sle (Se.7044, Busins ard hofesiom Code: Thc Contnctor's Licmc law doc oot apply to m olvnd of lhc pDpcfly who huilds or irnprcvc th@n. ed who do6 such $ork himsclf or h€rclf or thrcugh his or ho orw employe. provided that such imprDvmB Ee rct intodcd or offqcd for slc. lf. howa.6. thc building or irnprovmt is mld withio onc )s ofcompletioc thc Omq Buildq will havc thc hldo ofptoving that he or shc did not build or improvc thc prcpsty for thc purpo$ of slc). -1. s own6 of the propsty. atr cxclusively contracting with licmsed conlractoE to consrud the projcct (56. 7044. BBin* md PrefesionCode:TheContraclor'sLicflscLawdo6notapplytoanownsofpropeflywhobuildsorimprovesthq6n. and who contracts for such projsts with a Contracto(s) licensed pursuilt to the Contractor's Licmsc Latv). I anr c\cnrpl undcr Sccli()n . lt. & l'.('. li)r this rcason. Owtrer: WORKERS'COMPENSATTON DECLARATION I hocby affirm undo pmalty ofpcjury one ofthc follorving daluations: -l have ard will maintain a Ccttificate of CoMt lo SclfJNurefor workm' compmation. I providcd for by Setion 3700 of thc L€bor Codc. for thc pqfol]rlmc of thc wo* for which thc pamit b issucd. _l havc and will maintain -1700 of the tabor Code. for thc pqfomucc of lhc uork for shich this od policy p<rlt,..,|cq Policy "u I -,1 ceniry that in the psformmcc of the rvork for rvhich this issued. I shall not mploy any pemon in any manno and agre thst ifl should become subjat to the$ G to bccome subjet to lhe work6'compcnsation laws IYARNING: Failure lo ssure workss'compensalion coverage is unlarvful. and shall subjecl an mployr to siminal poaltiB and civil fines up to one hundred thousand dollam ($100.000). Sstion 3076 of the lnbor Code. inlsst and attomcy s f6. in addition to the cost dmagcs re provided for the .lc- lr I hcreby allim unda pmalty ofp€rjury thal I m licoscd of Chapts 9 (comqcing with Scction 70(x,) , "rr}r, Iof the Busin* dd Profsiom Codc. md rny licosc is in full force ed effect. ,EszstqILiccnsc Nunrlu' (l^-} I hcrcbr allirnr rntls penrlty ofgrcrjury that thuc is r issu.d (Scc. l0r)7. ( iv. (.). l.cnrlcr's Narnc: a8ocy for the ptrfommcc of the rvork for rvhich this pcmit is Lends s Addrs: APPLICAN DI:('LARA'IION I lut{r1 allirrn undo penally ofpojury one ofthe folk)$,ing de.larations: DcnNlilion Permils-Asb6los Notilicalion lredsal Regulalions ( l illc 40. t an6) Rcquircd Letts of Nolil'icalion _l celifythal the lldqalregulatiore rcguding cbstosrmovalrc nol applicable to this prejcct. -l cdi$/ that I havc r@d this applicalion sd state that with all City and County ad Countyto mt6 upon th€ordinancs and State lass rchting to building above lnmtioncd prcp€ny for Applicant or Agst Pmitenme Noe _*," - B-(6-(( Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation ql 9lV4 14 ,L.{tl c/l q) lnsulation Smoke Detectors lnstalled 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 It Roush Mech. q/< hq Phs'7-?>ury Final Test tt - , ,f Meter Release --n FINAL ,1/77?t //.J;U @ Notes, Remarks, Etc. -+ I)n(ei A /e. - fl-,License('las: U o",", . 81( 6r H (intrlctor !L l