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Home My WebLink About40135319 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Mechanical Permit Counter: (714) 647-5800 lnspection Requests: QM) 667-2738 lnspector Section: (714) 647-5853 Permit #: 4o^{353{9 Pin #: 75665 //* Project Address: 251 1 S Daimler St Assessor's Parcel: 430-032-25 Lot: POR 14 Unit: Block: NA Bldg: Tract: 5771 Address Range: Historic: No Suite Range: Zoning: Ml Owner: Address: Phone: Tenant Name: Contractor: Address. Phone: Fuji Film 2511 S Daimler St Santa Ana, CA 9270s (s4s) 261-7800 CRB Builders, LLC 701 Emerson Rd. Ste 500 Saint Louis, MO 63141 (7141 833-2090 01 1 16002 51604 01 1 16002 51604 01 1 16002 53603 01 1 16002 51604 01 1 16002 51600 01 1 16002 51604 01 1 16002 s7770 Fee Type Amount Qty Fee Alter Vent Sys 46.99 1.00 $46.99 Fan Coil 61 .20 1.00 $61 .20 PIC - 650/o 0.65 108.19 $70.32 Min Fee Adj 53.96 1.00 $53.90 General Plan Update 23.79 1.OO $23.79 lssuance 59.30 1.00 $59.30 Microfilm fipgp6rs 5gr.rr-rr-r 4,W /:1r:r:1 1,00 EL- I zAPQdu5 0f i ii*: {:TYH I'r nn si z 2'} : rii 3 Arlct+:Ref'*:4tt13:j'it? Flcpt,iItr3?7943P, 4/?.9i?it?l 9"46 An Tr'nnsoct'ion Tofnl $1rBt-t'{':i6 (:RB Buildersr t-L-(: Mechanical- Replacernent and relocation of new column blender and new partial ceiling with extending soffit above blender. L State Lic #: 994508 Lic Type: C-36, B, A, C-10, C-20 Bus. Lic #: 370808 Workers' Compensation Insurance:Carrier: The lns Co of State of PA Policy #: WS1 108656 Expires: 0410112022 Building Use: lndustrial Job Type: Tenant lmprovement Nature of Work: Column Blender Planning Conditions: !nterior only Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: CSG Consultants , Julie 1 1 05920 03/1 0t2021 04t29t2021 Account# Misc. Receipt: 75246 Misc. Receipt: Misc. Receipt: Total Notes: Fee Total: Paid to Date: Balance Due: Occupancy: Constr Type: Code: Date: Date: Date. B, F.l, S-1 ilt B cMc 2019 1 $31 e 61 $39 78 $279.83 Every permitissued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its rssuance, or if the work authorized on the sife by such permitis suspended or abandoned for a period of 360 days after the time the work is commenced. 01 1 16002 s1600 01 1 16002 51604 01 1 16002 53603 01 1 16002 57770 $23 7e $221 .4s $30 54 $4.0s lnspector MID#: 2021-164364 ( ff^sden M ECHANICAL.INSPECTOR REGORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hreby affm unda psEtty of pgjury thst I m q6pt fiom thc CoilractoB' Licre Lrw for thc following ren (Sc.7031.5 Buincs and Prof*ion Codc): Ary City or Cou[ty which rcquiE a pqmt to onstruct. altc, imprcve danolish or rcpair uy struc1u& ttrbr to its issumcc, also rcquirc thc eplicmt for such pqrnit to filc I signcd statmt that hc or strc b licosâ‚¬d pwaot to thc provisioB of thc Contrrctor's Liccnscd trw (Chapq 9. Comcrcitrg with Sctiotr 7000 of Division 3 of thc Buirs ed Profsiou Codc) or thEt hc or shc is cxmpt tlEefrom md thc basis for thc sllcgcd cxmption. Ary violaion of Sctbn 703 1.5 by ey applicant for a pcnnit subjcts thc applicmt to a civil pculty ofmt morc thm fivc hundrcd dollm (t500). -I, as owner ofthe propcrty, or my cmplollee with wages as thcir sole compcnsation, will do thc work and thc stnrcture is not intendod or offâ‚¬rcd for salc (Sec.7044, Business and hofessions Code: The Contractor's Licâ‚¬nse Law docs not apply to an owner of thc property who h,rilds or improvc theroon, and who does such wort himself or herself or through his or her own employce, provided that such improvcnrents arc not intcnded or offcrcd for sale. If,, howevcr, thc building or improvanrent is soH within onc )car of conplaiorL the Ovmer Buildcr will have the hrden of proving thd tre or slrc did not buiH or iryrove the propcty for the purposc of sale). -1, 8s owncr of the propâ‚¬rty, am exclusively contracting with liccrsed contracton to construct the projcct (Sec. 7044, Buiness and hofâ‚¬ssbn Code: The Contractor's License Law does not apply to an owncr of propcrty who builds or improves thereon. and who contracts for such projects with a Contraclo(s) licerued pursuant to the Contractor's Liccflse Law). -l arn exempt under Section-, B. & P.C. for this rcason. flolo. YOBTEBS-qOMPINSAIIAN DECI.AEAITAN I hreby allim undo pcnalty ofpajury onc ofthc following delantiom: ,z-l have ud will maintain a Cstificatc of Commt to Self-lnsrc for workm' composatioo u prcvidcd for by Sstion 3700 of the / Labor Code. for thc psfomuce of thc rcrt for which lhc pqmit is isucd. Dk. (th'c *uort and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performance of for which this permit is issuod. My workers' compensation insurance carrier and policy numkr are: co. oF -OF t UADTA oo G f 2 2- _l certi& that in the performance of thc work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Californr4 and agree that if I stpuld become subject to the workers' compensation provisions of Scction 3700 of the tabor Code I shall, forthwith comply with thosc provisions.. J WARNING: Failure to sâ‚¬cure workers' compensdion coverage is unlawful. and shall subject an anployer to criminal penalties and hundred thousand dollars ($100,000). in addition to the cost of compensation, damages as provided for thecivil fines to one Scction Codq intcrest and attornâ‚¬y's fees. a,D Ad?) P.4ecosA LICENSEN CONTRACTOR DECIAIIATION I hcneby affirm under penaltyof ffiury that t am liccnsod undcr provision of Chaptcr 9 (cornmencing with Section 7000) of Division 3 of the Bwiness and Profcssions Code, and my licensc is in full forcc md efhcr. Cto c qqL{.;eg Number:3 W t hotbyaffim ud6 paultyofpa;jurytha tlscba@nnrudion lodingagcy forthcpcfomc ofthcwoil 6rwhichthbpqnn b isucd (Sc. 3097. Civ. C.). l.t'rrtlcr's Narttc. Lender's Address: APPLICANT DEC I.A,RATION I hur*y aftm under pcnalty of pcrjury one of the following dcclarations: Demolition Pcrmits-Asbestos Notification Fodcral Rqgulations (Title 40. Part6) -Required Lettcr of Notification _l certi& that the lederal regulations regarding asbestos removal ,!re not applicable to this projed. is correct. I agree to comply with all City and County above mentioned property for )f,pplicant or Agant \*r,n*n.me representatives Appliances Metal Fire Place Evaporative Cooler Furnace Compressor Misc. Equipment Duct Work Pre-!nsulation lnsulation Smoke Detectors lnstalled Rouqh Ductwork Vents Toilet Room / Clothes Dryer 1 Residential Range Other Hood Type I Hood Type ll Hood Grease Duct \ Fire Damper / Openinqs Installation F.D. Drop Test Above Hard Lid //ll /I -a Above T-Bar 7/t0/ /trDl@A vDt, Rough Mech. Final Test Meter Release //It , FINAL /UD/2r @thr.6dd Notes, Remarks, Etc \ ./ ZT