The URL can be used to link to this page

Home My WebLink About40127122 - 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 d Permit #:4O127122 Pin #: 9O3t I Proiect Address: 100 E MacArthur Blvd Assessor's Parcel: 411-081-26 Lot: NA Unit: Block: NA Bldg: D Tract: NA Address Range: i0Gl40 E. MacArthur Historic: No Suite Range: Zoning:SD76 Owner: Address: Phone: Tenant Name: Contractor: Address: Lyon lntegral MacArthur Place, LLC 100 E MacArthur Blvd Bldg# D Santa Ana, CA 927075779 (949) 252-9101 Tilden-Coil Constructors, ln 3612 Mission lnn Avenue Riverside, CA 92501 (gsl) 584-5s01 01 1 16002 51604 01116002 51604 01 1 16002 51604 01 1 16002 53603 01 1 't 6002 51 604 Fee Type Alter Vent Sys Type I Hood Cook'g Equip PIC - 650/o lssuance Amount 19.77 50.29 29.12 0.65 39.91 Qty 1.00 1.00 1.00 158.82 1.00 Fee $19.77 $50.29 $29.12 $103.23 $39.91 Phone: State Lic #: 208556 Lic Type: B, A Bus. Lic #: 341840 Workers Compensation lnsurance:Carrier: Travelers Property Casualty Co. Policy #: DTJUB-7994L753T1L14 Expires: 0110112015 Building Use: Job Type: Nature of Work: Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Condominium Supplemental Commercial Kitchen West, Glen Link, Patricia 06t01t2014 06111t2014 Account# Misc. Receipt: 61943 Misc. Receipt: 62132 Misc. Receipt: Total Occupancy: Constr Type: Code: Date: Date: Date: R-2 IIIA, SPK cMc 2013 Notes: Commercial kitchen - recreation deck building. lnstall Type I hood. Grease interceptor required. Buildins Permit #: 10179983 Every permit issued shall become invalid unless the wofu on the site authoized by such permit is commenced within 180 days after its issuance, or if the work authoized on the site by such permit is suspended or abandoned for a peiod d 180 days after the time the wotu is commenced. Fee Total: Paid to Date: Balance Due: $242.32 $242.32 $0.00 !nspector MID#: 2013-110768 M ECHANICAL.INSPECTOR RECORD APPROVALS DATE !D/SIG.COMMENTS Ownfi - Buildfi Dcclaralion I hereby aflirm under pemlty of perjury that I 8m exempt form the Contradors' License law for the following reson (s4.70] 1.5 Bsincss snd Profcssion Code): Any City or County which rcquircs a pcmit to coNtruct. altcr, improvc, dcmolish or rcpair my struclue. prior to its issuancc. &lso rcquirB thc applicsnt for such pcrmit to filc a Bigncd statcmcnt thst hc or shc is licc$cd punuant to thc pmvisioN ofthc Contracto. s Lrcensed Law (Chapter I, Commencing with Setion 7000 ofDivision 3 oflhe Busin6s aod Prof6siom Codc) or that hc or shc is cxcmpl thseftom and thc bsis for thc allcgcd cxcmptiotr .Any violation ofsetion 7031.5 by any rppticant for a pmnil subjects thc applicanl to I civil penslty ofoot morc than livc hundrcd dollm ($500). _1. 6 owncr of lhe propqny. or my cmployccs with wag6 as thcir solc compcNation. will do thc work and thc strucluc is nol intmdcd o, offered for $le ( S*.7044, BusinBs and Ptofcssions Codcr Thc Conlrsctor's Lic€BG Lsw do6 not.pply to an owner oflhe pmpcrty who builds or improv6 lhdcon. and who doo such work himsclf or hffilf or Ihrough his or hr owD cmployG. providcd rhat such improvcmcnls arc not intcDdcd or offqcd for salc. lf. how.v6, thc building or improvcmcnt i! sold within otrc ycu ofcomplction. thc Owncr-Buildd will havc thc burdcn ofproving lhat hc or shc not build or improvc for th€ purposc ofsalc). _1. 6 owncr of lhc propcny. am cxclusivcly contracting with liccmcd contraclon to coNtrud thc proj€i ( 56. 7M4. BBin6s ud Profe$ionCodc TheContrador'sLicc6€Lawdo6nolapplytosnownqofpropcatywhobuildsorimprovBthcrcon,mdwho contr.cts for such projds with a Contr.ctor(s) licenscd pursunt to the Contrador's License kw.). .-_l am ercrnpt undcr Section Dalc: & P.C. for this rcuon. Ou'ncr: }VORKERS COIIIPENSATION DECLARAl'ION I hcreby amrm under penalty ofperjury one oflhe following declarations: _l havc ud will mintain a Ccnificatc of Co6cnt to SclfJEure for rcrkers' compeNtion, as provided for by Sstion lToo of the labor Codc. for thc perfomncc of thc work for which thc pcmit is issucd. _l have and wtll maintarn workers compensation insurance. as required by Section 3700 ofthe Labor Code, for the perforronce ofthc work for which this permit is issued. My workers' compensation insurance etricr and policy numbcr trc: poticyNunbqt NTg 6-?q74L7S)T'lLlCl rxpircs: I- /- If (This scction nccd not bc complcted if thc pmit is for Onc hundrcd dollsn {$100} or less) _t ccaify that in the pcrfomancc of the work for which lhis pcmit is issucd. I shall not mploy any p6on itr any manncr so s to bccamc subjst to lh€ workcrs' ampenstion laws ofCalifornia, and agre that ifl should become subjst to the workets' with those provisions.. d/rg" ,t unto*tu|and shall subjct an employer to qiminal pculrics and civil aililition to the cost ofcompensrtion. damages 6 providcd for thc Scction 3076 of WARNING Failure to secure workers' compensation fincs up to onc hund.ed thousmd dollars ($100.000).in lhe tabor Code. inlerest and attorney's fees LICENSED CONTRACTORS DECLARATION I hccby aflim undr pcmhy ofpcrjury that I m liccnscd unda provision ofchsptcr 9 (commcncing with S(tion 7000) ofDivision 3 of the Buincss and Profcsioro Codc, md my liccmc is in full forcc aod cffcct. l.icense ti""*rNu *, ZQ5fiQ D'* 6'27'/c/ contncto. 'TiLlS,A) - (alL COrlrS1lc+tLlDPt th@byafrmuod6pcultyofpgjurythat**ffifficcofthcwortfoIwhichthispmitis irsucd (Sc. 3097. Civ. C.). lrndo's Namc: l.ender's Address APPLICANT'S DECLARATION Dcmolition Pcmils-Asbcstos Notification F.dcral Rcgulstions (Titlc 40. P8n 6) _ Requbcd ktts ofNotification _l ccrtify thst lhc fcdcral rcgulatiom rcgdding 6b6tos rcmoval ec not spplicablc to thfu projcct. - I ccdiry thst I have rodthis application md ststc thrl thc abovc infomrtion is cotrcct. I agre to comply with all Chy and Couty ordimncB and Shtc laws rclating to building coctruction, md h6eby authorie rcprGatstivcs of this City md Couty to mto upon thc abovc mentioncd prope(y for, Applicant or agcnl si8.: I'cnnittee namc 6-zz- Appliances Metal Fire Place Evap Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar f ^^ r t ,,1 JIA / ,lll '/L,rRough Mech.F)-n rra t.t*A Final Test I I Nt t t' lvl Meter Release /- FINAL llsqu ,*rr,, Trzt$ttillEllS Dnc. 6-2?-lr.l ^opn6t: