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Home My WebLink About40134272 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Mecha PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853 nicad Permit #:4fJ134272 Pin #: 57497 Proiect Address: 2148 S Bristol St Unit: D Block: NA Bldg: Tract NA AddressRange: 2104-2160 Historic: No Suite Range: Zoning'. C2Assessor's Parcel: 408471-17 Lot: NA Owner: Address Phone Tenant Name: Au Zone Santa Ana Llc 5850 CANOGA AVE 650 Woodland Hills, CA 913676573 Thomas lnternational Comp 15030 Goldenwest Cir #1 161 Westminster, CA 92685 (6s7) 36s-9978 01 1 16002 51604 01 I 16002 51604 01 1 16002 5160C 01't16002 51604 o1116002 5777C lssuance Microfilm Fee Type Amount Clothes Dryer - Comme 56.63 Min Fee Adj 15.72 General Plan Update 22.95 Qty Fee 1.00 $56.631.00 $15.721.00 $22.951.00 $57.20 ;ii','r., riEo ('itrl;l r $5sr Reli: 4rLt.i,i ll/2 i;3/2fi20 3:4S Pn t772.23 122.91 $ 129 . ti5 13.91 t772.23 $156.41 $0.00 $156.41 57.20 ne,b?[9,;',,]ii,i tli;, Contractor: Address: Phone State Lic #: 876125 Lic Type: A, C-10 Bus. Lic #: 367085 Workers' Compensation lnsurance: Carrier: Exempt Policy #: Expires: .- --::-Hr-L l, r r ii,:pti; tt28i73ii ironsaction TotoI Building Use: Job Type: Nature of Work: Commercial Miscellaneous Dryer lnstallation Occupancy. Constr Type: Code: B VB cMc 2016 iirotlos internoL i urrtti Coitpnrts rleneroi Pion Updqte Fee r-rii io0[t2- Si60tGiiii- i'iechon icoi i.ri i i6uu2- 5i {iL1.i06ii-iiicrofiir & Docurents 0iiio002- 3777(i60fi-i(L Cirecir 0l1S? Notes: lnstall new dryer within existing utility room Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Zuniga, Allissa Date: Every permit issued shall become invalid unless tfie work on the site authorized by such permit is commenced within360 days after its rssuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 360 days after the time the work is commenced. 01t03t2020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total 01 1 16002 51600 01116002 5'r604 01116002 57770 $22.95 $129.55 $3.91 Fee Total Paid to Date: Balance Due: lnspector MID#: 2019-154342 MECHANICAL-INSPECTOR RECORD APPROVALS DATE ID/StG.COMMENTS OWNER BUILDER DELCARATION I hcrcby affirm undcr pcnalty of pcrjury thlt I m exempt fmm the Contracton' Licenrc law for the following rearcn (Scc.703l.5 Business and hofession Codc): Any City or County which rcquircs a pcrmit lo constroct. altcr. improvc. dcmolish or rcpair 8ny struclurc. prior lo ils issumc. also rcquircs lhc spplicanl for such fErmil to file a signed stulcmnt lhst he or shc is licensed pursmt Io thc pmvisions of the Conlraclor's Liccned law (Chaplcr 9. Commcncing with Scclion 7000 of Division 3 of the Busincss and Profcssions Code) or thsl hc or shc is excmpt lhercfrom and the basis for lhe allcged excmption. Any violation of Section 703 I .5 by any applicant for a pcrmil subjsts lhe applicsnt lo s civil penalty of not more thm fivc hundred dollus ($500). -1. &s owrcr of the propeny. or my cmployecs with wages s thcir mle compcnsation, will do the wtrk aid tlrc stnrtw is rct intend€i or offcred for eh (5@.7044. Business and hofcssions Codc; The Contractor's Licens kw d@s not apply to an owrcr of thcpmpcny whobuildsorir{rovsthemn.andwhodessuchworkhimselforherselforthrcughhisorherownemployes. providcd that such impDvemnls re rct iilendcd oroffcrcd for slc. If. howcvs. the building or itr{,rcwmnt is mH wilhin orc }es of completion, the Owner Builder will hore thc turdcn of ;mving that he o. shc dll mt build or imprcve the prcFny for thc purJrs of uh). -1. as owncr of thc pmpcny. am exclusivcly contracting wilh licensd conlraclom h construct the pmj6t (Sec. 7044. Busincss ard Proftssion Codcr Thc Contractor's Liccnsc Law docs not apply to an owncr ofpropcrty who builds or improvcs lhercon. and who conlEcls for such Jmjects with a Contmclor(s) liccnscd pursuanl k) lhc Contractor's License [aw). }Y(IRKERS' COI\IPFNSA'I'I()N DECLAIIA'I'ION I hercby affirm undcr pcnalty ofperjury orc oflhe followin8 deldationsl l;rtxrr (irtlc. I<rr thc pcrlirrrrancc oflhc uork t'()r which thc pcrntit is irsucd. -lhavcandwill mainloiowo.kers'compens0tioninsurancc.as requircdbyScclion-lT0OofthetjborCode.fortheperfomrceof thc work lbr which lhis pcnrit is issucd. My workcrs'insumnce cmier md lnlicy nunlhcr ecl Policy _l ccnify thal in lhe [Erformrcc of lhc work which lhis pcrmit is issued. I shall not crnploy any pcrson in any manncr s as lo hccom suhjecl to lhe workcrs'l8ws ofCalilbrnia. and a8rcc that if I should bccorc subjcct lo lhc workcrs' compcnsalion provisions of Scction ofthc Lstmr Codc. I sh8ll. fonhwilh comply with thos provisions.. WARNING: Flilurc lo *cure workcN'comlrensalion coveragc is unlawful. und sholl subjcct an employcr to aiminal Jrcmltics and addition lo thc cost of com[rcnsation. damgcs as providcd for thc Setion 3076 of the tibor Code, intcrest ed eltomy's DECI'\RATTON I hcrcby affirm undcr frcnalty of Frcrjury lhal I am lien*d undcr prcvision ofChallcr 9 (comilrncing with Scctkrn 7000) of Division 3 of thc Busincss and Prolcssfuns Codc. and rny liccnsc is in lull forcc ard clfcct. ?a DTLiccnscNumhcr: - I hcrchy rllirm undcr NDrlly o, lrrjury thrt lhcrc i\ x con\lrclion lcidinS agcicy ti)r thc pcrlbtnxncc of lhc qork lbr which this pcrnrit is issutrl (Scc. 3097. Civ. C.). kndcr's Namc: hnder's Addrcss: - ATELICANI.ATI!:IABATQN I hcrcby aflim undcr pcnalty of pcrjury onc of thc tirllowing dcclaralions: Dcmlilion Pcrnit$-Asbcslos Notillcation Fcdcral Rcgulations (Titlc 40. Parl6) -Rcquircd Lcltcr of Nolilicntion _l ccnily lhxl thc ltdcral rcgulations rcgarding asnustrs rcrilovalilrc n(il tpplicablc lo lhi\ projcct. -E{ c!'a i ly I hrt I havc rcatl I his appl icrl ion aild stillc I hul lhc ahovc i nlt,rnlilt hn is corccl. I ilgrcc lo coDtply w it h illl Cit v and County above mnlioned pmFdy for Applicanl or Agcnt l'crnlilcc nililr purpoFs. Appliances Metal Fire Place Evaporative Cooler Furnace Compressor NIisc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rouoh Ductwork Vents Toilet Room / Clothes Dryer Residential Ranoe Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openinos lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rough Mech. FinalTest Meter Release FINAL 74ll/?,e v tqrtHili /9) Notes, Remarks, Etc.I lt -l merempt under Setion- B. & P.C, for this rcason. Dats- 0rmcr- civil fincs up lo ore u"r",---t ll\j I)nle:t-7 -aa