HomeMy WebLinkAbout30139324 - PermitBldg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: C4
EProject Address: 3430 S Bristol St
Assessor'sParcet 412-141-12 Lot: NA
U nit;
Block: NA
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAgzToz Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853
Permit #: 30139324
Pin #: 37836
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Springstead and Associates
3300 lrvine Ave. #250
Newport Beach, CA 92660
(949) 797-9040
wss
Tri-State General Contractor
565 Country Club Dr
Escondido, CA 92029
(760) 471.1333
01116002
01116002
01116002
011 16002
01'116002
01116002
0't'116002
01116002
011'16002
011 16002
01116002
5160i
5160i
5160i
51602
51602
51602
51602
51602
53602
5160C
51602
Qty
3.00
'1,00
4.00
2.OO
1.00
1.00
1.00
1.00
247.26
1.00
1.00
Fee
$41.07
$10.47
$48.92
$31.06
$8.62
$42.85
$21.42
$42.85
$160.72
$2',t.25
$s2.98
Fee Type Amount
Water Closel 13.69
Urinal 10.47
Sink 12.23
Floor Drain 15.53
Drink'g Fountain 8.62
Sewer Alter/Repair 42.85
Wtr Htr (Comm up to 50 21.42
Alter Drain^/ent 42.85
Ptc - 6so/o 0.65
General Plan Update 21.25
lssuance 52.98
Phone
State Lic #: 9221Os
Lic Type: B
Bus. Lic #: 369279
Workers' Compensation lnsurance:Cariet. Employee Service Group
Policy #: WCI'125684
Expires: 0410112019
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
T.l.
West, Glen
Link, Patricia
10195185
M
V B, SPK
cPc 2016 Notes T.l. - lnteriolrbriid (to rgmbhie:ekisting
partitiUr{{A CMng Cndrih$lAttation or new shelving
and oi'iitflon$tfor offices) for new shoe retailer.
ceirinq' tJJ*" ng.ceisr$lrl{}'ppgraoes, shetving over
5'9", facade improvements.
Date:
Date:
Date:
o4t26t2014
o6t1412014
Account#
01116002 51600
01116002 51602
Fee Total
Paid to Date:
Balance Due:
Every pormit Bsued shall become invalid unless the wort on the site
authoized by such permit b comnenced within 180 days aftor its
issuanco, or il the wotu authoized on lho sita by such pefinit is suspended
or abandoned for a peiod of180 days aftet the time the wo* is
commenced.
lnspector ltAlD#: 2O18-142814
Botchi:,t{303 - 6/11/2At8 I0: ELIZABETH0fficEt CTYH Tronsi: 34 3 of 4AcctS: Refi: 301393?4
Rcpt+:02294690 - 6/11/?sl8 tzz?l Pll
Irtrnsoct ion Totol 13 r 900,81
Tr i-Stote Generol ContrsctorsBuilding Usei
Job Type:
Nature of Work:
Occupancy:
Conslr Type:
Code:
Misc. Receipt: 70861
Misc. Receipt:
Misc. Receipt:
Total
$482.21
$160.72
$321 .49
$21.25
$300.24
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND /.^\
Waste & Vent 6-11-lY g
Water-Under lloor \J
Gas-Underfloor
Building Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Waste & Vent ^n-lb , \zD'e t')
)Water Piping (.l/ub )@-
Gas Pipinq
Roof Drain
Tub/Shower Tesl
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq
Final Gas Test
Meter Release "A\7-Zo-lY Nt[tt}
Notes, Remarks, Etc \_/
OWNCI' BUILDER DELCARATION
I hcr.hy nlrnm undn ltnrlry ol pcrjury rhrl I !n crcnrfl ri.D rh' 6nlmcl.r' l,iccn{ lrw r.r rhc rolk,sing rersn (Scc ?011.5
BL\ir.ss $d Pnn ssiotr Codc) Any City or Counry {hich rcqutc\ ! F-i,nir n) .o.srfl.'. alrcr. imlnrc. dcnnlish nr ruFn st
(ru.trc. Eiorlo irs isruime. ah. rcqltcs rh. {Ilicrnr fi, su.h Frnir ro ulc r siEncd srarerunr ihat h.or sh. t li.ctr$d purumt
b rhr pnivnn,n\ urrlf conra.ld \ Lic.trscd Low (Chrlrcr 9. Conrmcn.ins wirh s(rion 7t(l) ol Division I ofrht Brsin.s.id
Pmfcsi. ns Codcr o, thrr hcorshc i\crcnur rieclionand th. h nntrrhcnllc8cd.xcnuion Anyvdllioo.lS.cri ?0.1l5bynny
.!rlicanl lb!rDcnnir slbjccr\rhc appli.rnr k,,.ivilr.tralryolrx, nn. rltrn liv. hundrcd dollsfi ( l5m)
-1,
s owM oarlE pmD.ny. m hy cftplott.s with wagcs ri rh.ir sl. .onp.Ndion. Mll do lhc erl Nld rlE ltutw i3 tul
iincid.d 6iof.r.d rd $1. (Se 7044. Busi,.ss d Pm6ssioN Co<tc: TIE Contdols LtcN bw dci mr.p!lylo uo*mof
rhc l,mrErry who hlildl or i'robE thd6.. rd vln dG uh elt hituctr or h.Rlf or thmu8h his 6 ho ow!.tplo)tcs.
provi&d rh0t sKh impmEc'nr e er hkrxlcd orotu for slc,lf. novqti th.lriildinS or inptlrm.t t sld wiriin oB Fe
orotrphriorl r osm Buiuf wiU lEw 0E hink orpmvi.s lnsr lr or srE dil mr ttrild or inprcw d. FDiEty Lr E Ftr!.sof
t, .s owocr ot rhc lrordy, am cxclusivcly conl[crins wirh liccoed .onttu roN ro snslrucl llE pmi{l (56. 7OH, Buiinc$
lnd Pmftrsion Code: The C6nrtutor'* Lkcnsc kw dds not apply lo an o*nu oa proncrry who bnilds or imProvcs lhcrcon.
rnd who 6ntmk lor such poJcds sirh , Co.tndo,ls) !k nsed pxd@r lo lh. C.ntEclols Lian* L€s).
-,
uncxc.U urn r Sal
X?3a,,....,.,'r-u:(t aarla!
I hr\ c Md *ill nui,rrlin x Ccn ificarc of coh{nr ro scll-lrntrc f(, Bolkdi conDdn\ n[ N tln)vdcd lor iy Sccri,rn ]7(x) ol rhc
Lrh, Ollc.lirrhc pcrionninccoflhc Rtrk f(n wh(h rhc rMnn is i$u.d
-l h.re and villminr.in work R .onFnsotion insuramc. !s rcquircd by S*ri.n l7{xi oflhc Llhor Codc. foi thc pertornlm. of
lhc work for whkn rhis l.miI is is .d. My wortc6' ompc.salion iflrnrakc.min.nd nolky numSct 4:
'a-o va
-rl
-l.cnify
thor in rhc lcrtdrmocc orrhc wolk ror which rhis Frmil h hsmd.l shlll noi erfloy.ny p.mn in lny mnnd
sn!r.lE.nrsubF.irorhcworkElcom,En{ionb*sofcalilon.,nd!g@ihaiillsthuldbe.oftsubierlorlE
mrrctr enrpcns.r ion pmvhionr of Salion l?o) o{ th€ Labor Codc. I shal. r.,nhwnh con'ly pith lios lrevisions.
WAININCT Failuc ro sDrc m.kc* conf.ns ion ovcmBc n lnhwfuL qrd shrll subj.rl M.nplotsr lo di{iml lxMhie tnd
civil fincs ur ro orc hundrcd lhousand dolhs (3100,000), in lddnion 16 th. con of car4.nslion. damBca !r pmvid.d lor dc
Seclion 1076 oathc t hr C.dc. int.rcsl end 0ll*a-/4t?
t]I(]"laarlaN
Ihcrchyrllir uddnctritydlpcrJuryihriIrnlicc{dundcrpro!i!i,DolChiprcr9l(onuncrciDgwirhS..ron7(XX))olI)ivtianl
ol rh. Bu\i'rc$ rnd Ptufcssio,rCod.. dnlmy liccn\c h hlllbrec rRlc c.rE o9
#",.,&ru:I E( c"^*a",
(;oxsrSL{:ul}Nr[lDlNc-f{jEllr
I hcrcb, ll'rtn under rtmlrrorp.rjury rhnr rh.rc k d.on{flctiotr tndin8 lscncy tur rhc Frfonn,ne ofrhc sork for which rhis Imnir is
tsucd (Scc.1097, Civ. C.).
A.PILICANLDtrCLIf,{IIO!
Ihc.cbta0tmunderpcnrllyofI,!rj!ryoncof thcrolto*in8dccla iotrs:
Drmlirion Pcrmirs.Asb.sos Nolificathn ltdeml Rcslblnri\ (Tirlc 40. PM6)
R.quncd kncr ol Nolifrdion
l..niryrhd rrr icrlcral rc8lloriom rcsa.din8 ashcdor rcfl)valrd norltFliclhlc h rhi\ Proicr
-l
cen ity thd I luE md rhis applic{tion &d nirc rhr! rhc drw i.fonmliotr is coEcl. I !g@ lo .omply wilh {ll Cily end Counl,
ordinamcs &d Sr.rc tlws rcllrins ro lriuioe cdn.mcdor. a.d h@by Ndoriz rcprcsntaliEs of lhi! Cny and Counly lo cnls upon lhc
rtxx. 'mnri{, rd p()pcny for
i*"**"^,,&'14'!*
5tr8t
a
Fill Line/Back Flow
FINAL
Q