HomeMy WebLinkAbout40133294 - 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 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
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