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Home My WebLink About101101579 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: {O11O{579 Pin #: {s{e:Ji Proiect Address: 2128 N Tustin Ave-a- - Assessor's Parcel. 396-341-07 Lot: POR 9 Unit: B Bldg: Address Range: Tract: A.B. CHAPMANBlock: A Historic. No Suite Range: Zoning: C5 Building Use: Commercial Occupancy: B 1st FL Area: Patio. Job Type: Tenant lmprovement Constr Type: V B 2nd FL Area: T.l.Area. Nature of work: Tl code: cBc 2016 other Areas: yards Req,d: Existing Bldg. & Use: Commercial/Offices Flood Zone: X-0602320164J Garage Area: Valuation: Proposed Use: Dry Cleaner Service # of Stories: Total: O Description of Work: Tl includes the installation of (2) conveyors for movement of clothes, clothing rail, & counters to create a dry cleaner Planning Conditions: lnterior work only. No exterior alterations or modifications. 912 $33,000.00 Owner: Address: FREDERICK A HEINECKE 2128 N Tustin Ave Unit# B Santa Ana, CA 927057828 Contractor: Park Kenneth K. Address: 1261 N. Patt St. Anaheim, CA 92801 Phone: (7141 525-8890 State Lic #: 892257 Lic Type: B Bus. Lic #: 351 542 Workers' Compensation I nsurance: Carrier: State Compensation lnsurance Fut Policy #: 9036169 Expires: 1212012020 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: Steven U Bae Steven U Bae 10925 S Broadway Los Angeles, CA 90061 (323) 757 -3161 23724 Park Kenneth K. Kenneth K Park 1261 N. Patt St. Anaheim, CA 92801 (7141 52s-8890 Phone: Tenant: Danny's Cleaners Plan Checked By: Permit lssued By: NPDES lnsp. Req'd PWA Insp. Req'd: Planning lnsp. Req'd: Consultants Amsden, Julie Planning Approval By:Guevara, Jerry Date: 0912512019 Misc. Receipt: Date: 11118/2019 Misc. ReceiPt: Date: 11l21la}1g Misc. Receipt: Subject to Field: No No Account# 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 57770 08901001 24000 07776002 57607 Permit Fee 07776002 53600 Plan Check Fee 07776002 57770 Microfilm Records 08907007 24000 SMIP - Category 2 07776002 57672 Bldg. Stds. Revolving 07776002 57600 General Plan Update 07776002 57607 lssuance Fee Total: Paid to Date: Balance Due: No No No Fire lnsp. Req'd: Police lnsp. Req'd:Total $237.12 $328.32 $19.s5 $9.24 $2.00 $22.95 $57 20 Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within360 days afterifs issuance,or if the work authorized on the site by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. $22.es $294.32 $2.00 $19.ss $e.24 $676.38 $328.32 $348.06 lnspector MID#: 2019-154621 BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,DER I'ELCARATION I hocby affum unde pcralty of perjury that I m cxempt frem thc Coilraclon' Licre law for the follorving rwn (56.7031.5 Businos md Profsion Codc): Any City or Counly rvhich rcquirs a perrnit to construct. altc. improre. donolish or rtpair uy slructurq prior to its isuilce. also rcquirs the applicet for such pcmit to filc a signcd slalmmt that hâ‚¬ or shc is licqsâ‚¬d pmualt to thc povisions of thc Contractor's Licmwd tarv (Chapts 9. Commcncing with Sction 7000 of Division 3 of thc Bruins md Prcfe$ions Code) or that hc or she is cxcmpt thqefrom and the b8is for thc alleged exonption. Any violation ofSec,tion 703 L5 by any applicantforapemitsubjatsthc applicanttoacivilpcnaltyofnotmorethmfivchundreddollrs($500). _- _1. as owner of the p'operty. or my employees with wag,es as their sole compensation. rvilldo the work and the struclure is not intended or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's l,icense larv does not apply to an orvner of the properly rvho btrilds or improves thereon. and rvho does such work himself or herself or throug,h his or her orvn employees. provided that such imgnovanents are not intended or offered for sale. lf. hos'eter. the hrilding or improvement is sold rvilhin one year of completion. the Ouner Builder s'ill have the burden of proving that he or she did not btrild or improve the propaly for the purFnsc of sale). I. as o\\,ner of the properly. am exclusively contracting rvith licensed contractors to conslruct the project (Sec. 7M4. Business and Profession Co<te: 'l'he Contractor's License Larv does not apply lo an orvner of property who builds or improves thereon. and rvho contracts for such projects rvith a Contractorls) licensed pursuant to the Contractor's License Larv). t an exempt under Seclion-. B. & P.C. for this reason. Date:_Orr ner: WORKERS' COIIIPENSATION DECLARATION I hereby alhrm under penalty of petjury one of the follorving de'clarations: _l have and rvill maintain a Certificate of Consent to Self-lnsure for w'orkers' compensation. as provided for by Section -1700 of the Labor Code. for the perfonnance of the rvork for rvhich the perrnit is issued. -__l have and rvill rnaintain workers' compensation insurance. as required by Section 3700 of the Labor Code. for the performance of the rvork for which this permit is issued. My workers' compensation insurance cilrier and policy number are: {u *lD Nurnber:_-?r^z/td?tt _Expires:Z _ _l cerriS that in the performance of the w'ork flor rvhich this permit is issued. I shall nol etnploy any person in any tnanner so as to become subject to the w'orkers' comporsation laws of California. and agree that if I should becotne subject to the w,orkers' compensation provisions of Section 3700 of the L.abor Code. I shall. forthu'ith comply rvith those provisions. WARNING: Failure to secure rvorkers' compensation co!'erage is unlawful. and shall subjc'cl an onployer to criminal penalties and civil fines up to one hundrcd lhousand dollars ($100.000). in addition to the cosl of as provicled frlr the 3076 of the l.atxrr inlerest and attorney's fces. t,l(' llNS ltl) ('ON'l'ltA("1'OR l)li('1,,\R,\ l'l0N t hereby a(Tirm uncler penalty of perjury that t arn licensed under provision of Chapter 9 (contmencing rvith Seoion 7000) of Division .1 of the Business zurd Professions Code. and my license is in full force and effect. $::'-r,w, b -225_rB __ 7 contrrctor: l.iccrtsc Nurnlrer: CONS'l'RU("1'l(rN t,liN l)l NG i\GI'lN('\' I hcrcby affm undq pcralty of pcrjury that thqe is a corctructioo lcnding agacy for thc psfomocc of thc wrk for which this pqmh is issucd (Se. 3097, Civ. C.). lrnds's Nmc: - l.endcr's Addrcss: APPLI(]AN'T DEC LARA'IION I hotitry aflinn under penalty of perjury one of the follorvirrg declarations: Dernolition Perrnits-Asbestos Notification Federal Regulations ('titlc 40. Par16) -Requiled Letter of Notificatiorr _l certify that the lbderal regulations regarding asbestos rcmoval are not applicable to this projcct. _ I corify that I have read this application and state that thc alx'rve inlontration is correct. I rvith all City and County and County to enter upon theand l)ntc:/? Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bfloor/Ve nUl n s u latio n Roof Sheathins Shear Wall Framinq lnsulation/Energy Drywal Ext./lnt. Lath Brown Coat Masonrv Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif. t I FINAL lt L@lt'i Dtrfio ,--#k9 Certificate of Occupancy ,t Notes, Remarks, Etc.t J,7 t t