HomeMy WebLinkAbout20166777 - PermitCity of Santa Ana
Permit Counter: (714\ 647-5800
20 Civic Center Plaza (M-1 9), Santa Ana, CA 92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2lJ166777
Pin #: 52787
Proiect Address: 3384 S Bristol St
Assessor'sParcel: 412-141-22 Lot: NA
U nit:
Block: NA
Bldg:
Tract; NA
AddressRange: 3300-3398
Historic: No
Suite Range:
Zoning: C4
q
Owner:
Address
Contractor
Address:
01 1 16002
01 1 16002
01 1 16002
01 '1 16002
01116002
01'116002
51603
51603
51603
51603
5'1600
51603
Qty
20.00
4.00
8.00
1.00
1.00
'1.00
Phone
Tenant Name: La Michoacana Universal
CP Bristol SA LLC
17870 Skypark Cir. Ste 108
lrvine, CA 92614
Hathaway Construction
141 N La Salle St
Redlands, CA 92374
(9511 5224037
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se 1.58
Light Fixtures 1.05
Low Voltage/Comm 33.88
General Plan Update 22.08
lssuance 55 04
State Lic #: 1033627
Lic Type: B
Bus. Lic #: 370560
Workers' Compensation lnsuranceCarrier: Exempt
Policy #:
Expires:tlndrrt
6r'rIrr[-rfl
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued Byi
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
T.t.
Chavez, Dav Ue 't1120t2018
Account#
B
V B, SPK
cEc 2016
10197505
Every pormit issued shallbecome invalid unlessthe wo* on the site
aulhorized by such permit is commenced within 180 days after its
issuance. ot if the wo* authorized on the site by such peinit is suspended
ot abandoned for a pariod of 180 days aftet lhe lime the work is
commenced
T.l. - Nely panltiong to create counter/service tr€a,
moveable seating for customers, accessible restroom,
partitions to create prep area, new equipment. No roof
mounted equipment or facade alterations.
$154.72
$0.00
$'154.72
lnspector MID#: 2018-145673
01116002 51600
01 1 16002 51603
$22 08
$132.64
Fee Total:
Paid to Date:
Balance Oue
Fee
$29.00
$6.32
$8.40
$33.88
$22.08
$55.04
Phone:
Bcr t0ff hi:47!-,16 - 11/?tJl:tr"r1g It); LRoSALES''Pi ,TYH Frqns+: ?5 2 0f ?+! Ref+! '.ttt1$6777
,.0244??7,\ - 11./l(r/:it!18 .1r51 PHEr.:t Jr T,tf itl $r.9.3r_,
-.!t:':.i- : :1 6r.t3t .I-l
l) ft
Building Use:
Job Type:
Nature of Work;
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
l\4isc. Receipt:
Misc. Receipt:
lvlisc. Receipt:
Total
Notes
ELECTRICAL.INSPECTOR RECORD
COMMENTSAPPROVALSDATEID/SIG.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundino / UFER
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)ll-zz-.1{)44.14
Ceilings (Hard & Soffit Rouoh \4(
Ceilings (T-Bar RouOh)'- g"l7 \"V{rft
l\,4eter Release
Rouqh
Service Meter
FINAL '-E-l"l B-YJA
Notes, Remarks, Etc
phrvt$. he,blc,4)tl otxlE{ ?\ q4.}0JZ
l\7
OWNER B!tLDER DELCARATION
I hscby amfln unds p.flalry of D.riury lhd I e q.,nd &on lh. Conlr.clos l-icense Lsw for lh. followin8 r.Nn (5€.70115
R6in6s dd Prorerion Cod.): l\., Cny or cou y qhi.h r€quir6 a p6r.n to conlltud, .l'd, imPtov., &oolish o, Epar ey
srtuctd.. rior b t5 issumc.. also r.qutB thc arplictrl tor such p.oir lo nl. . si&n.d slllmdl thal hc or dE is licds€d pugml
to rh. provisio.s of rh€ Conloclois Licen$d tl* (Chaprd 9, Commcncins *ilh Sdlion 7000 of Dilisiof, 3 oalhc Busines ed
Prcf.sions Codc) or rha h. or .hc is .rdpl th6.tom d th. bcis for lhc all€scd ddfli... any violttion otselio. 701 I 5 by my
applica for al)mil subj..ls th. applicant lo acivilplEllyofnor noi.thm 6v. bundr.d dollds(t5001.
l. s o$nq ol th. D.oDsly. or oy coplorG wnn tr59- s rheit $lc conlpqstion, qill do IIE {o.t dd rh. slnf,1e E mr
inrqd€d or olrdcd fo, el. {Sc 7044, BNi.6 ed Prclsions Cod. The conh.lol s t,icds ka .L6 nol apply to e o*M oa
rne polEny s,h. llril& or iqror6 thssn. .nd lho doe 3!ch *o* hi'nsclf or h.Elf 6r rhtoqh hA ot hd orvn cdPlorte,
provid.d lhat sucn mFor/!@c & mr inroddlorolI.rql forsal..l[ hoN6's. rhc blildin{ or in|roEMr is g,ld within on rd
ofompkio( rh. Owns AuiEq will havc lh. hlda olFovi.s th, h. or sh. did noi hlild or i,nFovc $. FrFl, for th. pupoe of
l, 6 osnd o f lh€ Dror6l]. m .x.l6ively cor6&ti.s with licft.d contacloE lo .o$ltucl lh. pmjer (S( ?O14. BBin*
and hoisir Codc: Th. Conlrrcloas Lic6s. Law do6 nol aDplylo e o*nd oaDop.ny who builds or improv6lhEon.
ed *,ho conr.ds for 3uch ploj*c wih a Coflrad.(r licdsal puuMl lolhcconrtdors Lic.M t s).
I n exanpl und6 Salio!-, B & P( lorthis rcen
D.le: oaner:
I!986Ii8!:CAUIENSATAX
DECIdBAIIO!
I hqeby atlim und{ penalry of pcjury on. ofrh. followins d(lamlions:
-l
have dd will ,nrinlair . Cenificlrc ot CoMl lo S.lr-lNurc lor krk4l mnrpdsrion, s prNidci aor by Sction l70O of th.
Lrbor Codq lor rhc p6fomoc. o f lh. mlt for $hkh lhc pqnn is iisu.d.
_l ha\. and willmaintah work.i!' cou!.Natioi lequn d 6ts{rioD1700 ofthe Labor Codc,lor the prlontr ccol
ion iBurd.e.Mio $d polry nuobd e:rhc *oih for rvni(h lht p.mrit is i\su.d. My *orkdr
,
PolicyNmbrr Y Expn6:
I cenilyrhat inrhepsforoancc olrhc worL tur which rhis pgmir is issud. I shallnol onploytry pmn in aoy mens
e 6 to b6on subjd ro rh. woftm' .omp.Gatior Lws of Calitomia. od asre th, if I sbuld hc(om subjal 16 th.
Nort6 conp.Ntionl)rovirioG of sdion 1700ofrh. tabor Codc. I st ll,lonh*nh conDly snhthos previ3io6.
WARNINO: Failur. ro sdc {orl.u snp.mrio. ov@sc is uola*n,L dd sh.ll subjd .n 4ploys to dninal Pduhid Md
civd nn6 up to one hundr.n thouwd doll6 {$100-m(
Sdion 1076oarh. tibor Code. inla61tud onorrcy s ad
comFNrioo. dana!6 6 provid€d for rn
-//'2 '/9
!&CIJAAIION
I hd.by rrm unda p@lt, ol pajury thal I d lic€flsqj undd proBiod oici.I)ls 9 Gomnmdtrs wi$ Seciion 7000) of Division ]
ot rh. B6ine &d Proldioro Cod., ed my liccN is in full forc. and .rfdr
N o
,*.,:)l:2D:18 ,^"*."
0n w'11
I hcrchy arm uodd D.EIry ofD6iury ltal lh@ i. a codtudio. lddins aBdcy tor lhc poaomdc. oarh. "ort for which lhi! Fmt b
issu.d (se.1097, Ci! C.).
AfTLICAILDECI,AXAIIO!
I lErty afim undd p€oalry of pajury onc oa rhc iolloqin! ddldolions:
D.mohion Ps'nitsAsb6los Norificalion F.d@l R.sllariotu (Till. 40, P616)
R.qrt.d laldolNotifi qlion
Eaedine 6b6ros r6rmlsc nol a$,ltablc ro fiis pojal
nudstflrcrhatlhcabovc inioml.tnrn iscodd I asre to &nrply * iln all Ciry and Couoly
auirrt r.rrMt.tiv6 oflhis City d Cou.ty lo di€ ulon ilE
abore nrnlioned propeny
Appli.rn( or Agonl SiEn!lu Iilpernrire nrne rprinr: Xr ffi
o 8