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Home My WebLink About40135582 - 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-b853 Permit #: 4O135582 Pin #: 56598 11.? Proiect Address: 3770 W McFadden Avea Assessor's Parcel: 144-561 -09 Lot: NA Unit: E Block: NA Bldg: Tract: NA Address Range: 3000-3290 Historic: No Suite Range: Zoning: SP2 Owner: Address: Phone: Tenant Name: Contractor: Address: Phone: Rio Vista West LLC 2443 E Coast Hwy Corona Del Mar, CA 92625 (s4e) 667-7888 Royalty Massage New Bear Wind lnc 13304 Netzley Place San Gabriel, CA 91776 (626) 383-2020 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 Fee Type Vent Fan/Comm General Plan Update lssuance Microfilm Records Amount 46.99 23.79 59.30 4.05 Qty 500 100 100 1 .00 Fee $234.95 $23.7e $59.30 $4.05 $?3 .79 $4, [t5 $?? +. 25 $1 r 3?t"t, [t[t ( tt-t. 3.1 ) Botch*:593tltt - i,/26/ 2LI?1 ID: ELIZABETHoff ice: (:TYH Trnns*: 27 I of 6Acct*: Refi: 40135582 Rcpt*:032959t13 - 3/26/2tt2l lt:t: E6 AH Tnonsoct ion Totol tl r Jg? .b+ Neur Benr td ind Inc t State Lic #: 1059216 Lic Type: B Bus. Lic #: 378070 Workers' Compensation lnsurance:Carrier: Exempt Policy #: Expires: Genersl PIon Updnte Fee 01I16082- 5l6lr08trLl- ll icrof i lm & Documents 01116002- 577700fi0- Ilechqn icol 01116002- 5160+01[]- Cnsh Chonse Notes: Mechanical for new massage business Fee Total: Paid to Date: Balance Due: Building Use: Commercial Job Type: Tenant lmprovement Nature of Work: Tl Planning Conditions: lnterior Tl only. Planning Approval By. Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Occupancy: Constr Type Code: Date: Date: Date: B VB cMc 2019 05126t2021 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Amsden, Julie 01 1 06078 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its 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. 01 1 16002 51600 01 1 16002 51604 01 1 16002 57770 $23 79 $294 25 $4 05 $322.09 $0 00 $322.09 lnspector MrD# 2021-164765 M ECHANICAL.I NSPECTOR RECORD APPROVALS DATE !D/SIG.COMMENTS OWNER BUII.DER DELCARATION I hoeby affm undd Jmalty of psjury that I m cxmF film the Contractors' Liccnse llw for the follorving remn (Se.70-11.5 Buinas ud Profsion Code): Any City or County rvhich rcquirs a pmit ro conslrud. alt(. improvc donolish or repair oy struc1uq prbr to its isumcc, also rcluirc thc applicant for such pemit to file a signcd stalm@t lhal he or she is licmsed pwant to the provisiorc of the Contrrctor's Licenscd law (Chapler 9. Commencing with Setion 7000 of Division 3 of the Busincs ud Prcfsions Code) or that he or she is cxmpt thsefrom and thc bcis for the alleged exqnption. Any violation of Setion 7031.5 by any applicantforapennilsubjstslhe applicanttoacivilpcnalyofnotmorclhmfivehundreddollas($500). -1. c osno of the propcny. or my employm rvith rvags c their rclc compmulion. u'ill do the uorl. and thc $ructrc b rcl intaxlcd oroffscdforrlc(Sc.T0,l4.BusinsandhofsionsCodâ‚¬:Thc('ontractor'sl-icmselrrvdo6notapplytoilownsof thc prclEiy who builds or irnprove th6oo. ad uho do6 such rrcrt himself or hcMlf or lhrcugh his or ha own mployc. provided that such irnprovqmts ilâ‚¬ not iilqdcd or offqql for sle. If. hos'6,6. the building or impovomt is sld rvithin one yw ofcompletion. thc Own6 lruildq will hale thc burdm ofproving that he or she did not build or improvc thc propqly for thc purpos of ele). -1. as orvne of the prop!fly. an exclusively contracling rvith licmsd conlractoGlo coNlruct thc prcjet (Se. 7044. Bsins ard LloftssionCodc: l'heConlractor'sLicenscLawdo6nolapplyloanorvnerofpropcnywhobuildsorimproveslhersn. and who onlEcls for such prcjects wilh a Contmcto(s) licmsed puBuant to the Conlraclor's Licms Larv). -l m excmpt unds Sction-. B. & P.C. for this rwn. Dsle: _ Owner: rlQ8tsE&LgQllPilsAltlt! USCIAEAITQN I hoeby affirm under pcnalty of perjury one of the follorving drcluatiom: _l have dd will maintain a Ceaificate of Corent to Self-lnsure for rvorkers' conrpensation, u prcvided for by Setion 37U) of the Labor Codc, for lhe lnfonwcc of lhe rvork for which lhc pmnit is issued. _l have and rvill maintain workers' compcnsalion insurance. 6 required by Sation .1700 of thc Labor Codc. for the lEfomncc of the work for rvhich rhis pcmit is isucd. My workrs' compenstion insurancc cffiis ild policy numbq {e: Policv Number: Exnires: fucqt;ty tt rtin the psformocc of the work for rvhich this pqmit is issued. I shall not qnploy any pson in any mannq-io re to beome subjet lo thc wortc' compcnstion laws of Califomia. and agre that if I should become subj(l lo thc uo*m' compwtion prcvisiom of Soction 3700 of the Labor Code I shall. fonh$'ith comply Nith thos prcvisions.. -l IVARNING: Failue to Eurc $ork6'compsBatiotr coveage is unlarvful. and shall subjst m onplolu to riminal tEnltie md .. civil fina up to one hundrcd thoMd dollffi ($100.000). in addition lo thc cost of comperoation. damagc o provided for the Setion 3076 of the Labor Codc htq6t ild attorney's fs. ",,", l/26fTetl I ICENSEN CONTR/ACTOR D.FCI.A]TATION I hereby affirm under pcrialty of perjury that I am licenscd under provision of Chapter 9 (commcncing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 0LicenseNurnber: CONSTRUC'TION I-ENDINC AGENC}' I hrcby afffm undq fmalty of psjury that thsc is a consnrction lmding agmcy for the perfommce of the work for which this pqmit is issucd (Ss. 3097. Civ. C.). Lender's Name: Lender's Address: ,r, ,c N.T TECLAM. I M>y aflirm under penalty of perjury one of the follorving declarations: Dernolition Permits-Asbcstos Notification Federal Regulations ('title 40. Part6) -Required Letter of Notification f?.*ify that the fe<leral regulations regarding asbestos retnoval are not applicable to rhis project. -l cdiry that I have read this application md statc that thc abovc infomation is conct. I agre to smply with all City and County ordinancB ild Statc Laws rclating to building construclion. and hseby authorirc rcprGolalivG ofthis City md County to mtq upoo thc above mentioned property for inspection prrmQses. ^ Applicant or Agent siq ^t',rr", J ll 9Q0 ? IPerrnitee narne bqL9 """,fllef\oLl Appliances Meta! Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation -,lrrV l--n^ lnsulation -H ilr UY Smoke Detectors Installed Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Ranqe Other Hood Type ! Hood Type II Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar aq4,l (/-'2 / Rough Mech. Final Test Meter Release FINAL cr48^24 9,&3r^4rA nJrl Notes, Remarks, Etc Carrier: i/r4 LgLI conrrrcto,, NQtz VWr Vtrl k{