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Home My WebLink About40134896 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: 4O134E96 Pin #: 87{OO Proiect Address: 400 N Tustin Avea Assessor's Parcel: 400-043-09 Lot: POR 6 Unit: 401 Block: NA Bldg: Tract: 678 Address Range: Historic: No Suite Range: Zoning: P Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: PARK CENTER 4OO LLC 400 N Tustin Avenue, #260 Santa Ana, CA 92705 (7141 667-0602 Fitzgerald Campbell Service First Contractors Ne 2510 N Grand, #1 10 Santa Ana, CA 92705 (7141 573-2200 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 Fee Type Air Handling General Plan Update lssuance Microfilm Records Amount 47.95 23.79 59.30 4.05 Qty 2.OO 1.00 1.00 1.00 Fee $e5.e0 $23.79 $5e 30 $4.05 I State Lic #: 556812 Lic Type: C-36, B, ASBS, C-61, C-2, C-10, C-21, C-53, C-20, C-33, D-35 Bus. Lic #: 141280 Workers' Compensation lnsurance:Carrier: State National lns Co Policy #: AMX0820021001 Expires: 0211212021 +ULI To rst Cont B II A, SPK cMc 2019 beneral F1an Update Ltl 1 16t102- 516lt0trr_rr.l- 11 icrof ilm & Docunent trl 1 16002- fi777tr(r00- llechsn icol 1t I t Anfi?- ql Ar-rl-r-rfrfr- Building Use. Job Type: Nature of Work: Commercial Tenant lmprovement TI J ulie Occupancy: Constr Type. Code: Date: Date. Date: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Buirdins Permit #: 1 01103356 Every permit rssued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its rssuance , or if the work authorized on the site by such permit rs suspe nded or abandoned for a period of 360 days after the time the work is commenced. \-/ 09/09/2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Notes: Mechani.cal for Tl Fee Total: Paid to Date: Balance Due: 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23.7e $1 s5 20 $4.05 $183.04 $0.00 $183.04 lnspector MID#: 2020-158442 M ECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/S!G COMMENTS OWNER BUILDER DELCARATTON I hcrcby aflirm undcr pcnalty of Jrrjury thal I m exempl frcm thc Contrcro6' Lkrns hw for the following rcen (58.7031.5 Busin$s ard hofession Codc): Any City or County which rcquircs s Frmit to cotrtruct. 81t6. imprcvc, dcmlish or rcpair my strucrure. llk r to its issuance, ds rcquircs the applicmt for such Jrcrmit to file a signcd ststcrcnt that he or she is licensâ‚¬d pusmt to thc prcvisions of thc Conhctor's Lhensd t w (Chapter 9. Commncing with Scction 7000 of Division 3 of the Businesr md ProfessionsCodc)orthstheosheisexcmpllhcrcfromedthebasisforthesllegedexcmption, AnyviolationofsElhnT03l.5byany applic8nt for r pemit subjcts the spplicrnt to a civil pemlry of mt mrc thm livc hundrcd dollrs (95@). -1. as owner of lhe property. or my employccs with wages as their sole compensation. will do the work ard thc structure is not inlendcd or offered for sale (Serc.704a. Busincss and Professions Code: Thc Contractor's License [.aw does not apply to an owner of thc propcrty who builds or improves therenn. and who does zuch work himself or herself or through his or hcr own employees. providcd that such improvcmcnls are not intended or offered for salc. If. however. the building or improverncnt is sold within one )car of complcthn, thc Owncr Buildcr will have the burden of proving that hc or she did not build or improve the propcrty for the purpse of salc). -1. aso\l'ncrof thc propcrly. arnexclusivclycontracting u,ith liccnscd c()ntractorsto constntcl ttrc pnrjcct (Scc. 704.1. Ilusincss antl [htlbsskln Codc: 'I'hc Contraclor's Liccnse l-aw does not apply to an owncr of propcrty who huilds or irnproves thcrcon. antl who contracls ltrr such projccts with a Contractor(s) liccnscd pursuant to thc (lontractor's l-iccnsc Law). -l anr cxcrnpt undcr Scction_. B. & P.Cl. lirr this rcason. ( )rr ncr. WORKERS' COMPENSATION DECLARATION I hcrcby affirm undcr pcnalty of perjury one of the following declarations: I;thor Crxlc. ltrrtlrc pcrlonttlrtcc of thc work lirr which thc pcrrnit is issucrl. -l havc and will maintain workers' compensalion insurance. as rcquired by Section 37fi) of the l--abor Code. for the Srcrformance of thc work for which this is issued. My workers'insurance carrier aml plicy number arc: >fi4>ll\rlicy a -l ccrtify that in thc performance of thc work for which this grcrnrit is issued. I shall not employ any frcrson in any manner so as lo become subict to the workers'compcnsation laws of California. and agree that if t should become subjcct to thc workcrs' compensation provisions of Section 3700 of thc latnr Code. I shall. forthwith comply with thosc provisions.. WARNING: Failurc to sccurc workers'contpensation coveragc is unlawful. and shall suhjcct an employcr to criminal penaltics ancl civil fines up to onc hundred thousand dollars (S100,000). in addition to thc cost of compcnsation. damages os provided for thc .Scclion 1076 of l-atnr Code. interest and attorncy's fees. LICENSED C()NTRACTOR DECI ARA'I'ION I hcrchy al'flrnt undcr pcrtalty ol'pcrjury that I arn liccnscd undcr provisiorr ol'Chaptcr 9 (conrrncrrcing with .Scction 7(XX)) of Division 3 of thc Busincss atrd Prol'cssions Codc. and rny liccnse is irr l'ull lirrcc arrd cllbct. ILLiccnscNurnhcr: c()NS'!'Rl.rc',t't()N LtiNt)tN(; AGl,lN(:l' I hcrcby rflirm undcr Jrcnally of JEriury that ltm is a onstructk n hnding agercy for thc Frforrore of thc wrk for which this permh is issued (Scc. 3097. Civ. C.). lrndcr's Name: Lendcr's Address: ,TLICANT DFCLAR t I hcrcby aflirrn undcr pcnalty of pcrjury onc of thc following dcclarutions: Demolition Permits-Asbcslos Notification Fcdcral Rcgulations (Titlc 40. Parr6) _Requircd lrtter of Notification -l ccrlify thal lhc fc(lcral rcgulatiols rcgilrding osbcslos rctnovalarc not ilpplicdblc lo this projcct. -l ccrtily thnl I hnvc rcad this opplicalion und slotc that thc ahovc i[lo]ntati()n is corccl. I agrN lo comply wilh all City and Counly ordinanccs and Statc ljws rclalilg to building conslruction. lnd hcrchy auth)rizc rcprcsntalivcs ofthis Cily ild County Io cntcr ulDn thc alxrvc nrcntioned propcrly for inspection purlmses. Applicant or Agent Pcrnritcc nanrc Datc:)rrla Appliances Metal Fire Place Evaporative Cooler Furnace Compressor It/isc. Equipment Duct Work Pre- Insulation lnsulation Smoke Detectors Installed Rough Ductwork Vents Toilet Room I Clothes Drver Residential Range Other Hood fype 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 Meter Release -FINAL ll"L5,ZP.tt"h*?F/9 Notes, Remarks, Etc. I)ale: