HomeMy WebLinkAbout10196913 - Permit (2)q
Project Address: 1200 W MacArthur Blvd
Assessor's Parcel 410-301-10
Bldg: Address Range Suite Range:
Zoning: CRBlock: NA Tract NA Historicr No
City of Santa Ana 20 Civic Center Plaza (M-'19),'Sdnta lna, CA92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'!'4) 647-5853
Permit #: {O{96913
Pin #: 55707
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Miscellaneous
Accessibility upgrades
Commercial
Fast Food Restaurant
B,M
VB
cBc 2016
x-0602320258J
1
'I st FL Areal
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $13,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Planning Conditions:
Engineer:
Address
inClns+: t[19
- ? /21'tit1s
Ownerl
Address:
Phone:
Tenant:
Bristol Retail XY, LLC
520 Newport Center Drive
Newport Beach, CA 92660
(949) 398-8750
Contractor: JT Site Services lnc
Address: 515 N Benson, #M
Upland, CA 91786
Phone: (909) 985-5660
State Lic #: 992829
Lic Type: B, A
Bus. Lic #: 369884
Workers' Compensation lnsurance:
Carrier: Benchmark lns Co
Policy #: CST50'11085
Expires: 09/30/2018
t I
Phone:
License #
Phone:
License #
rT liitr
Ioto I
res In,
Architect /
Designer:
Address:
Ron Bartl6& Agsoc
Ronald Jaines,Bafil
19522 Jasper Hill
Trabuco Canyon,
(949) 4s9-9494
c-13166
92679
te lEe
L-l l" _r-
Planning Approval By
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd
Mar, Escarlet
Kwak, Jason
Amsden, Julie
Dale 0710212018 Misc. Receipt
Dale. 07102120'18 Misc. Receipt
Date: O7l02/20i8 Misc. Receipt
Subject to Field:
No
No Account#
07776002 51601 Permit Fee
07776002 57672 Bld9. Stds. Revolving
07776002 57600 Genetal Plan Update
07776002 51501 lssuance
$160.25
$1 .00
$22.08
$55.04
Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pemit issued shallbocome invalid unlessthe work on the site authorized by
such peftnit is commenced wilhin 180 days aftet its issuance,ot it the wok authoized
on the site by such permit $ suspended ot abandoned fot a period of 180 days after
the time the wotu i6 commenced
lnspector MID#: 2018-144404
01 1 16002 51600
01 1 16002 5'160'1
011'16002 51612
$22.08
$215.29
$1.00
Fee Total:
Paid to Date:
Balance Due:
$238.37
$0.00
$238.37
Unit:
Lotr NA
Description of Work: Voluntary accessibility upgrades. Plan check fee collected on 10196911
a.
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG,COMMENTS'OWNER BUILDER DEI-CARA'IloN
I hceby,ilirnr undcr pcrolry or pcrjury rh l amcxcmpl liofr rhc Contrcrorf Lircnc L3* Lrrhd rallowinS rc$on (S(?0ll5
Busincs oftl Pn'fc\lnnr Codc) Any City or Coul, which lcquircs . lrnrit lo conio.r' alrcr. iDl'rovc. dclr,ith or Npair atrv
srrucrurc. pri(rt, ir\ issuancc. atw rcqutcathc Jltili.dr tbr such fflnir b filc s siBncd srdcnEnt rhol h.or shc i\ liccn{d Pulsuanl
ro rhc ttr.vhk,ni orrhc conhclor's Liccnsed tn{ (Ch,Ir.r 9. Commcncin8 wirh sc.rio. 70(x) ol Divhion:r or rh' BNnr( rnd
Pmr.sioN Codc) or rhri hc or she n crdnpr rh.r.rrom.fld thc hash lor rhe alLgcd cxcryln,n. Any vnnd norsc.rh ?0ll 5 hv !trv
nlicant lor a prmrir suhjc.(rhc 0Dplica to acivilpenrllyofnot d.rcrlm 6vc hundrcdn.lh^ (S5fi0
!. A owrcr of lhc pmpcrlr. or dy .'nploto\ wirh w!8cs rs lhcn sb co.{.ns,l ion. will do r,E *ork dd $. IMUF k trn
intnncd or oficrd fttr el. ( SL- 1044- Busincs snd Lht ssn s Cdc Thc G)nkrint s Liccnsc LlR docs n.r aPplv to !n owmr of
rhc tmlEny *ho boilds .r i !rews rhcmn. ud sho dms su.h *{)tt hinrcll or hcrslf or lhmugh his or hcr oqn c tllovccs.
providcd rh.t s!.h in{rre$mnh m frn L cnd.\l .r oftEn nr st. lt- hrwc!&, th. huildin8 or in{mrcn..r t $ld *ilhin orc }€rr
ofcoq'lcrion. rhe O*n.r Brild.r will hrw lhc budcn of,rrovins rhJ! rr .r sh. dil M ttriE or iml,mk th. pmFly lor rhc NrI.v .r
l. aloskrofrhe pmD.ny. uncrclusivcly.unki.rtrS wilh liccn\cdconkact s r, .onstrud lhc FDcct (Scc. ?04'1. gunncss
ond PFrc$bnc(.:1hcConlrrtolsl,i.cn\cl,!wdocsnotaprlyro0noqncroinn,Pcn,whohnildsorinlprovcslhereon
,nd sho conrmch ior such rnjc.rs wirh n c.nka.ro(\) Iicc.sL!.1puN0nllo rh. Conkn rocs Liccnsc l-a$)
I rnrcxcnrpr unLlcrsarnin .B &PC l.rrhnrcin
Drlel Owmr:
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DECIIXA.IION
Ihcrchytrmrmundcrprrrllyolnsjuryomof rh.followirBdcclar ionsl
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Lrbor Codc. ntr rh. rdroirmrcc ofthc work fir ehth rh. pdmir i! issucJ
Ylhrh 'd
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2Q1,r 61.1 4 -1k
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I cnilt rhar in rhc lcrfoiinrRc oilhc $ork r(, which Ihis l]crmir is i\sucd.l \h llnol cnrDloy !ny F.ison in trnv monncr
qi as r' bc.o'm subicr ro rhc *oik s'conlFcnsorior hwr otCalifomia. Md r8m rhoi itl sbuld b...m subJccl t,rtu
{o dJ conDcnn id I,n,visn,ns of Sccrior :1700 ol rhc litnr C.dc. I shnll. ionhwiih co.Vly wirh rhos pDvi\ions
WARNINC: Frlun ro sure *or*c^ onDcn\diotr .uvcslc is unloNlirl. rnd drll suhicr an ct{lolc. b Lritninal lf,Mlris and
civd nm{ uI ro o.c hundrcd rhonsatul dollan ($100.0001. in Iddirion k, rhc.osl ol conrP.nsdn,n dmB8cs !s rnr'nnd ntr rh'
\.(rrr ll)160r rrr lrtxtr cod. i'n.r.n 0d irkrncv \
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of rhc B!si'k\\d d I'$fcssbnsCodc, d 'nyl'.ctrs. i\ tull lorLr aBlclltcr
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C()NSTRUCTION ! nNIllN(i A(;I'INCY
I hcrcbylrfirm undcr Fnrhy or,'.rrurr rhd rhcre n a coondcrion h.din8 oscmy nrihc llrrornEn(c olrhc work ltr *hichrhi\ Frmir L\
issucd (Sc..1097. Civ C.)
APILICANLDES.AE.EIITN
I lEtr$y aninn uftlcr pctrdxy ol !.rjuty orc ol lhc lollowins dcclamridFl
Dd.$lir n Pcnnih.Ash.nos Norificlrnin tud&rlRcAulaliotrs (lirlc 10. Pd6)
Rcquncd bllcr of Nolificarion
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I $nify lhar I havc reud rht rrPli.ation dul sr0rc lhul rhc otovc intormrion is cot.tl lasrelocomtlywnhollCirvttrdCouniv
onii.amcs ard Shlc t ws ElulinB ro btrilding consldcrion. ond hcrchy uxrhoriz. tcPt€rco!,ivca orrhh Citv lnd Cou.(vro cntcr uPon rhc
I rhM rc, tr r,iDm.:n!rd'nnf,cri,nroum'{s
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l'
ft.!-+? /z l/F
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Rool Sheathinq
Shear Wall
Framino
lns u lation/E n ero y
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
FINAL x-\749 u"v+14
T-Bar
,/r-r\
Certilicate of Occupancv
Notes, Remarks, Etc.
trndcl\ tiam:
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