HomeMy WebLinkAbout10195787 - Permitq
Proiect Address: 3941 S Bristol St
Assessor's Parcel 410-301-18 Lot: NA
Unit: D Bldg Address Range: 37O'l -3941
Historic: No
Suite Range:
Zoning: CRBlock NA Tract: NA
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (714) 647-5853
Permit #: 10195787
Pin #: 83361
Building Usel
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Commercial
Tenant lmprovement
TI
Commecial
Tea Shop
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
B
VB
cBc 2016
x-0602320259J
1
1 st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l Area:
Yards Req'd:
Valuation:
0
Description of Work: Tl-lnstall partition walls, t-bar ceiling and moveable seating
Planning conditions:
Engineer
Address:
h+ ;43s84
re; (. JYll
- trl2ll2t11t1
Tfong+; /l II
Owner:
Address
Phone:
Tenant:
Greenville Ranch LLC
2'125 E Katella Ave #100
Anaheim, CA 928066078
Ding Tea
Contractor: Ngoc Ky Nguyen
Address: 8822 Kennelly Ln
Anaheim, CA 92804
Phone: (714) 261-3361
State Lic #: '1014704
Lic Type: B
Bus. Lic #: 369377
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #l
Expires:
ptlir [r?26810:i -
Clnsq,:t i(]n Totq I
lie l.le uven
i/ )11')itl!
Phone.
License #
Architect /
Desiqner:
Address:
Phone:
License #
ilriBrttI Flon t pd(lbe
r t 1 I 6r:r:12- 5 I 6r:x:Ilor:t-l'rildins
r t l1611112- 5l6r-r l r:[](-
11ds Stds (evol v ins,l I 16r:ru2- Ii6lttnrr_r-'(: Euildins
Planning Approval By
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Orozco, lvan
Heidari, Fred
Hernandez, Kathy
No
No
No
Dale: 0512'll2O18
Date: 04/19/2018
Date; 05/21l2018
Subject to Field:
Misc. Receipt
Misc. Receipt
[Misc. Receipt
07776002 57607
ottt aooz s36oo
o7776002 57 770
07776002 57572
01776002 57600
07776002 57607
Perrnit Fee
Plan Chdcr Fee
Ivlicrofilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
\A
$332.10
$2.00
$395 42
$ 1 8.10
Fee Total:
Paid to Date:
Balance Due:
s279.12
$790 84
$ 1 8.10
$2.00
$21 25
$52 98
$1,164.29
$395.42
$768.87
TotalFire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Landscaping lnsp. Req'd: No Flood zone Cert. Req'd: No
Every pemit issued shall becofie invalid unless lhe wo* on the sile authoized by
such pemit is commenced within 180 days aftot tts issuance ot if the work authonzed
on the site by such pemit is suspended or abandoned for a period of180 days after
the time the wotk is cofimenced
lnspector MID#.2018-143143
01 1 16002
01 1 16002
0'1 1 16002
01 1 16002
01 1 16002
51600
51601
51612
53600
57770
.t .t 63
3@40
$35,000.00
70686
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER B('I!-DI:R Di]l,CARATION
I hcrhy rlltm uid.r pc ry r)f pcrlu,y lhir I aN cxctrrt lioDthcC(n rfldon l-iccnsc L'w fitr rhc folk,wi.8 rc0wn (Scc 70ll5
BuriNsr rnd Proiessirr Codc) Any Cir, or Coutrly *hich .cquircs r prmir h .on{flcr. rl'c.. inl!)mvc- .tmlish or rFn rny
nrudurc. nriorlo ns issuamc, dso rc{lutu\ rhd trlplicur r(trsu(hpcmir hlilcrsigrcd sldcnrnl lhal heor \hc h li..n$d purs!$r
h rh. F)viqnrns orrh. Contrn lols Liccnscd Liw (Chaocr 9. Cor.rcncins wirh sccrioh 70fi) or Divisnnr I of lhc Aurincs and
Pmlc$ions Codc)orlhrl hcorshc n dcmll rhcrclrom.od rhc hNn lor rlfnll.g.'lcxcmprio. AnyvtnolionolSccli{,n70ll5byrny
{plicatrr t{, a pcnir sul'J..r\ rh. dtpli.anr k, a.ivrlp.nnkyorn.r nxtrc rhnD lire hund.cd nolh6 (S5(D)
_1.tr\o*ncrollhcp'o|*nt.(trtrrrci\pk,yc.\wirhwac$r(rhcn$b.o.Dcn$ri.n.$illdolhcsork d rhc {fl.hm is Nn
inrcfrtcJ orofltrcd for $lc lss T(114. lnrirrcs md ltdt(iotrs C{tc,'l hc Conkr(r'\ t.iccns trw d.cs nor lnplyh ]n o*tur of
rhcpmlrny *ho huilds or inDn,vB rh.tun. irxlqtu docs nrch ryoA hnnscll or hrr\.llor rhtuugh hh or hcr owtr enrPloyces-
D..vidcd rhal (h inll,oremnh m mr inr.ndcJ or olIcrcJ rbr slc Il t(rv.vd. rh. hnklin8 or irrlr.ovc'Enr is $ld sirhh onc )trtr
olrnnrlcri,n. rh. o*mr Bu,lh wiu h,vc lhc n{rdo oilmi.g (hjr h. or sh. dil mr liild or imtimlc rhc ptuFny for tu Nqnc ol
I..\otrtrcr.frhclx)J)tny.lnrcrclusivcly.o rncring*irhliccnscdcotrtrctrski.utr{fl.irh-protdlscc7(84.B!.i"rs
mJ Ptrrb$ion Codc -t hc C{,nrrttr s t-i..n\c Liq docs nor Jptly l. m owncr ol pDt^-dy *ho hoi[h or i'n[.vcs rhcrc.n.
rtrd qho con rcr s rd such I'nicrs wirh u Conr6.t,r1\) lircnscd rurs!,ir tu rhc Coftndoi s Liccns h$ )
Imcrc dunn.rScrtron .B &PC lorthnrD"'i
Dole: O*m.:
woR(Itld(' colril NsATl(|N
D[!:I.A.BAIION
I hcrcby rflirn undcr pcnalry ol pc.jury one oflhc iolk,sin3 dslururio.\:
I h!\r and will tuinr{innCcniarcrlcolColscnt loSclf lnsurcIq $ork.ri c.nrp.trsdi,,n. is Providcd lbt hy S(rion l70O ofrhc
I-rhtr Cnlc. r{n rhu l.rr.rmn.c ol rhc wort hr *hich th. ncmit ir isstrcd
-r halr &d $ill man rin +ort$s .onrri-n\rrn,n nrurrmc. rcqundhtsc.rionlT(x)oirhcljhorCodt,torrhcr.rrurnDn.col
rhc wort aor which rhis rcnlit is irsucrl My qork.* .onipcisdn nNUrM.c.lnicr and Jinicy nu'nh.r rc:
Rnicy Ntrrhcr:-
_lccnili rhri h Ihc ncrtui,tur.c.lrhc \ork ld *
v, !( kr bc.onf, rubi..r ro rhc $o r kcr( co nrEnsn' ion
s.rkcF ..nrNns idr pmvisi,)ns of Sccri :l7mol'
WARNIN(i: Firilurc r, {.urc w.rkcF conv'.nslt()
(Nil lir.\ ut l. otrc hundrcd Ihousrnd dolhrs isl(
[ich rhi{J{nnir ir is{'cd.l n,rll
h*\ ol Cxlili,anr. r rltr rlrr
lhc I rhtrCotlc.l \hxll. ndhsirh
n.onrr8. '\ unlr$lul. r d nfl
x).(x)l)). in i,ltliri,[ 1o rhc.oi ,
0orcmPk,ya.y t r$tr ir 0try n nncr
ifl sk)uld t{rotrE suhi.r t, rh(
comply virh lho\c pmvni{,ns
I {bic.r 0n cmnblrr ro oini'rrlIr ,lri. rid
mtrtr\rrnnr. ,lxn g.\ r\ tnvnlc(l li! rhr
Sccriotr:1076 ol rhc trh, C(,,. ffrrfttrr c. inrcrc( a.d lrlomy \ lce\
6 oron-,., (
Ihcrcby rlliirn utucr r^_n0lr, olI]crjuy rh l sh liccn{ar u d., nrovi\ion ol Ch{rcr 9 (.nnrmncin8 wirh Ssr bi 70fl)) of Divniotr :l
ot rhc ausiM\\ md Porc$ions Odc. ai my liccns is ir lull hrcc ud cfr.cr
,*-*"(,
IAN R.UCI,IONI.ENI),I iENq
I hcrcby rlimrundcr |ctr.ltyolpcrjuryrharrhcrc n r con{tucri{'n !tulin! rsrtr.t ln thc lcrlonumcc olrhc *ork ror $hf,h rhn lxflnil is
hsurd rscc 1097. Ci! C )
I-cfldcls Nanrr
-arfucANrlrlltrl&Lua!
I htoby nmm undd l.mlr, ol t{rjLtry onc olrh. n]lk,*nrB dc.laftri,,ns
DgnDliri,r |cmir\ A\h.(osNorin..riotr frdcral Rc8ulrridr\lTirl. 10. 1'an6)
Rc!uircd lxrrrr of Norifi cdi,rr
_l ccnilirhnr I la'vc rcxd rhi\.ppli.rrotr flxl {rrcrhdrhcnhrvc iohnnrri,)n iscotrccr I alttr lv wirh illClrlr nl(\nn \
ordinamc\ lnd Slnrc tiss rclnring h buildint (.Nru.riotr. dkl hcrchy lurhrrizc rcnrc Ciry ard Counly ro.nlcr upon rhc
rhr( n( !iultr,,lur\ l,i nri]lrlr,' Dtr'D!\.\
,\trlicr orAEolSiqnnlun,:\
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathinq
Shear Wall ^DFraminq014/A-,W gtr {4
lns u lation/E n erq y lzr C
Drywall 6"A"lX ptwg)
Ext./lnt. Lath
Brown Coat
lt/asonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif .
/4,
FINAL 7-75-lg x-V{-\tS
Certilicate of Occupancy
Notes, Remarks, Etc.
a,d'ic,
I cndoi\ (idk\s
I.cnrfr_rhrt rh.lidcrrlrcEUlrtiotr\ EgIdinE r\h.{.\rrftnrlrrr norx|flr.rhlc tu lhn pnil.tr
Arry-'PlG
-----t-
-: