HomeMy WebLinkAbout101102784 - PermitCity of Santa Ana 20 civic center Ptaza (M-19), santa Ana, cA 92i02 ' Building
Permit Counter: (714) 647-5800 lnspectaon Requests: (714], 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 1O11O27a4
Pin #: 4583tri
Project Address: 2736 N Bristol St
Assessor's Parcel 002-261-08 Lot. POR 25
Unit Bldg: Address Range: 2736-273a
Tract: poTTs,BoRoEN ANO SIOWEL Historac: No
Suite Range:
Zoning: C1Block: NA
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Alteration
Repair storefront
Bakery
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
VB
cBc 2019
x-o60232014/.J
'1 st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd
Valuation:
| / ii I it-t l1-ltlor{nii::'J/sJ
,;i i ice; ii i ii
i r $/ 10?t-i
$12,000.00
Description of Work: Repair damaged storefront window & door due to car damage.
t, !; i uJB6Uyyl -
'cnsqcL ion Totoi
Planning Conditions:
Owner:
Address
rtt0tn9
i l i6'-r[2- ir.duiLriltl-rnt Ri rion riluulc Fee
i i iiio'l:- iidt'tll.t[ltt-
i rie Sads ievsiv irr:,
i i idr:rirl- iioirnDLl-
/(. Au i id ine
i r r.6tuJ- ilottitu0(r-
i(rsi ii, i DurumerLs
1i i ?iin-r2- i777ur:rur:r-
i6(l
t_.Li i rrrrrrirrir169i;
$223.73
tila OE,
$1 , Lr[
S749. t:l-1
Engineer
Address:
Architect /
Desiqner
Address
Phone:
License #
Planning Approval By
NPDES lnsp. Req'd
PWA lnsp. Req'dl
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Carvajal Verny
Amsden, Julie
07776002
07776002
0 77 76002
0 777 600 2
07776002
0 77760 0 2
57607
5 3600
57770
5 7672
5760 0
5760 7
Permil Fee
Subject to Field
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Date: 01/0812020 Misc. Receipt
Date: Misc. Receipt
Date: 01/08/2020 Misc. Receipt
Subject to Fieldr John Pham
No
No Account#
Fire lnsp. Req'd
Polace lnsp. Req'd
Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless lhe work on the site authorized by
such permit is commenced within360 days after its issuance ot il the work authorized
on lhe site by such petmit is suspended ot abandoned for a peiod of360 days aftet
the time the wofu is commonced
$'t66.53
$'r66.53
97.82
$1.00
$22.95
$57.20
No
No
No
No
Total
01 1 16002
01'116002
0'1116002
0'1 '1 16002
01 1 16002
$22.95
$223.73
$1.00
$166.53
$7 82
$422.O3
$0.00
$422.03
lnspector MID#: 2020-156968
51600
5160'1
51612
53600
57770
Fee Total:
Paid to Date:
Balance Due:
Myrna Diaz
1975 30th St, #409
Boulder, CO 80301
Contractor: PremierRestoration
Address: 4030 N Palm St, #301
Fullerton, CA 92835
Phone: (714) 859-3173
State Lic #: 1032152
Lic Type: B
Bus. Lic #: 374774
Workers' Compensation lnsurance:
Carrier State Fund
Policy #: MKG881Q190717
Expires: 09lOSl202O
Phonel
Tenant:
Phone:
License #:
Plan Checked By:
Permit lssued By:
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWi!IiR BUILDEll DEI,CARATION
I hcrchy alltnr u.'.lcr pcmhy ot !.rjury thll I m excmnr liom rhc C, ra(rs Liccns. li, for rh. ftnbwnrS tc.q,n (S..7o.ll 5
Bu:in.\r ann PftJfcssdn Culc): Any Ciry or Cotr ry vhkh rc'tutrcs ! Fmnr k) coniruLl. llrcr. imPrnrc' 'lcfrol*h or el.t ..v
srn'.rurc, p n() r issrancc. aho rcquircs lhc lnplicant,irr \uhFmr t) hle0 sign { dltcmnr rharh.or shc i\ li.o{J pesxMl
l,) lhc t'r)vnn,ns ol rhc Conhcttr'* Lrcnscd Lrw (Chtprcr 9, Con,tuNii! wilh Sccrion ?lm ot Diviqion I ol rhc llurinc$ dd
Pmtis{ons Conc ) or thxr hcorshc is c\cmpl rhcElion 3Jxl rh. hans Lr rhc alkgcdc\.nflion Anv vi,,lari,nol StrtD70ll5 bvanv
rpphur li,r r Fmrir nrhjccls lhc anplrcad n, a vil lcn.lry ot nor morc rhan fivc hundrcJ dollm (5500 )
l. !s owncrotrhc I,1 lxny or nry enfl,yecs wilh wrg.s 3\ tht'r v,lc .onrl]cnerion. *ill d0 rh. *drk dd lh (Bi@ i\ ior
inrcftLJ or.fl.rcd tar salc (S&.70.14. Bu\ncs dJ Polcstions aillcr'l hc Conrracttr's LNnsc La* doc\ lor {fly o an owncrol
rhc onlllcny wh, tuills or ih[fr,rcs rltren. n] wh) dcs suc[ urrl. nimrclror hcrellor rhs'ush hr dr h.r own cnllovce!.
pR,r .J rh.r such impn'EnFnl! !r m,l ilrc,rlcJ o..ficnl lbr qlc Il, howcvci rhc hil'liry or impbvcmm is soll sirhin !,nc ycr
ol.onrl)Lrir rh.O*n$ Au,Ucr wrllhrvc rhc $u.Jcn olpnriry rha ht or shc Jil,n l i0 or imnn'lc rhc fn,Fny fu rh. puF* oi
-L
$ owncr or rhc pNpcny. .!n €(hsiv.ly cdntr.hS wrh liensJ q,nk&n)n b onstru.l lhc 0o]ccr iS* 70411. Businc\\
and Pulssirn CoJ.: Thc Cohkdoa! Lic.nsc L.* dE! noi aplly k a,i oencr ol ptoFrr, who builds or imptoves lhcr.on
anJ who L\rnrra.h lor su.n FoJ.crr wirh r contn tonolic.nscd purulnr ro rhc cunlr..kx's Licnrc ljw)
_Lmcrcnpr unJcr Sc(r
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TIECLARATTON
I hcEhy {litn un,lcr Fnalry.rpcriuryonc ollhc ri,lb*i.3 dcclarrri(,s:
I havc nwill minra'n dCcnillc . dl C.nsenlnr Sclf-ln\orc lor wdtkcs conlEnsdi(n,. ri |)n)lidcd iirr hv Sc.rirn 1700 dl rhc
l]t$r Codc, brlh. pcrtumanc.ofrhc work tor whichrhc pcmir is i\st.'l
* i,avc an,r wirr nramarn work.n coot nsanoo in.urakc. Ns rcquaRl t'y S&t o. .tIro or thc tihor c:odc. rur ihe pcrfomc of
rhc krk ror whah rhislcmir ix h$..1. My woikcH omF.nrrti,n insur.t$ clrid ,dl tIlty numbq {e:
r-fl t(ork, a ra o? (? -oo /-,,t',"", q. I U/'ro
I ccflitylhal inlncrertormnccorlhc wo* lM whrhlhtrPcrmn is rsucd,I shrll nor cmlldy .ny t'.Nn ,n .nv mrEr
$ *tub.com biccr ro thc woltcF onp.nqrioi l.ws or Cnl orni.. and asEe rhrr lf I shouil hcdw suniar h th.
M)&ds.onDcnsat()ntrovisionsofS..rion]700oflhcbhtrOxjc,IdEll.fdnhwirhdmplywirhrlx,{povrnonr.
IVARNING: I'ailur ro *cm sork.r' cnnp.n{tion covcEgc is lnl.wtul, rnJ sh,ll :tbicr an .nrloyrr b 5iniftl l'enlras atul
civil nncl up to om lrutulrc! rhousand JdUs ($10o.0o0). i6 rJdrion k) rhc con orcomFflsriiur, danuscs,r !tuvid.d nn rhe
Sc.rbn 1076 or rhc llbr Co!c. hlcrcsr and atomy. tb$.
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Dgcla8arlo!
I hcEby.flnm undci Fhalry ol p.rJury rhtl I am liq.,l un,l$ l,tvkionotChaprcr I (.lrhmruine wilh Sdb.7m0) d'Divi\ion l
oi lhe Blsi'rcs !.'l Porcsions CoJc, {rl my liccnr n h tull ,oft ,,,1 ctiel
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[t*Prt-..t,d ^-lo7o4la
CONSTRUCTIoN LENDINI; A(JFNCY
I h.rchy .litm unds lroall, oi p.rjury rhd lhcrc n r d,Nhrli,n lenJing rgcncy flr ihc Pcrlotucc or th. work fu *hic,r rht rm 6
i\stcd (Scc. 1097, Civ. C.)
anJ Counrytu cnlo uFlnlh.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Rool Sheathino
Shear Wall
Framino /zgza Z- (.sn + /lcr3
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
FINAL /-rc uu 2- t7,+,4A'2D
Certificate ol Occupancy
Notes, Remarks, Etc.
:-.
Sublloor/VenVl nsulation
Lm.lfl \ AJJt\
-
AITIICAILDECIIB^IIAN
I lEn:b, alrm undcr pcnalr, ol tcrjury oN or lhc bll,win8 dahrarbns:
D.mlnion Pcrmih-Ash.sro\ Noiilic,rn,n F.dcral Rqu,rlions (Tnt 40. Pd6)
R.qtrNd l.rrcrof Nniliution
Lcdifyrh.rth.lcncrrlrcAularioh ns.rdinS lshcsl.s rcn$vd rc nor arrtl'c.hlcro lhis P!+cr
!h.rc nrnroncJ ,tup.ny ntr u(trcli('n
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Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA92702
(714) 647 -58s3
SPECIAL INSPECTION/COMPLAINT
INVESTIGATION FORM
SUBJECT ADDRESS:
tr
Purpose of lnspection:
SUITE:
Residential Fofr<
4 7t,-r eM-
o//o
Requested by
Name:
o Owner o Contractor o Real Estate Agent fotu.
0c,u --)
Address
Phone:
ACTION TAKEN:
INSTRUCTIONS:
PERMITS REQUIRED:
PLANS REQUIRED:
tr None Reouired' 4-,
OK Subject to Field\
a Correction Notice
tr Plan Check RequiredF
Yr Bu ilding a Electrical o Plumbing tr Mechanical
lNl
x"
Site Plan tr Floor Plan n Roof Plan XElevations
n Electrical Plan o Plumbing tr Mechanical
egular Fees n Penalty Fee n lnvestigation Fee
NOTE: Building permits for unpermitted room additions require a site plan, floor
plan, roof plan, framing plan, and elevations
Remarks:/W/LL\(./)c
i,Lt -tTdfN1-lrt /z eir'
UNI O 7-1)
oate: 1fl4/t/) Timetn:/ / D 0 ( rlT ime o eparrca: / t 4 {f/L') I nspecto r/t D :
T*f,Io---*"" ro,rs: Monday-Thursday 4:00-4:30 PM and Friday 3:00-3:30 P.
Permits may be obtained Monday, Tuesday, Thursday, and Friday 8:00-4:OO and Wednesday .10:00-4:00
Office Use
Tracking #:1 Amount Paid:Receipt #:
Received by Date:
Date:Address tagged
FORM 84 02-2009
Distribution: White and Yellow - Inspector Pink - File Copy
Commercial/l ndustrial
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FEES:
n
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3' 10"--------------
\o
RI
60
a.l
a]
+
3',1',
t\4 f
'lop
3'
LMt_T
at
RI]lvl ll
ar
+
F- Door
MBt.ll
3',9'3',2',
l0' 8"
3'9"l-3' t0''
Main Level
Page: 2I /712t)20DU:.?,