HomeMy WebLinkAbout101101904 - PermitProiect Address: 2703 N Bristol St
Assessor's Parcel: 232.051.11 Lot: POR 14
Unit: H_1 B Bldg: Address Range:
Tractr POTTS, BORDEN & SIDW Hisloric: NoBlock llA
Suite Range:
Zoning: Cl
city of Santa Ana 20 Civic Cenl3r Flaza rM-19), S:ani" Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 Inspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
o?
Permit #: { Oi I 019O4
Pin #: 66317 r$
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
TI
Commercial
B
VB
cBc 2016
x-0602320144J
1st FL Area
2nd FL Area
Other Areas
Garage Area:
Total
Patio:
T.l.Area: ,1,140
Yards Req'd
Valuation: $12,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Oescription of Work: T.l. - lnterior demolition to remove existing partitions. T-Bar ceiling work.
Red Mountain Group
1234 E. l Tth Street
Santa Ana, CA 92701
Contractor: Vu Hoang Pham
Address: 14101 Bowen St
Garden Grove, CA 92843
Phone: (714) 489-7488
State Lic #: 1040763
Lic Type: B
Bus. Lic #: 373852
Workers' Compensation lnsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer
Address
Phone:
Tenant Mathnasium of Santa Ana
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #
Donald J lnman I Associatos
Donald J lnman
513'l Fox Hills Avenue
Buena Park, CA 90521
(7'14) 521-0554
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA Insp Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp Req'd: No
0 77 76002
017 76002
0 7776002
07776002
o77760 0 2
o77750 0 2
$296.40
$410.40
$39.10
$1.00
$22.95
$57.20
Graham, Jeffery
CSG Consultants
zuniga,Arlissa {\L.//
Dale 1012112019
Date 11/08/2019
Date.'11118/2019
Subject to Field:
Misc. Receipl
Misc. Receipt
Misc. Receipt
73652
Total
57607
53600
57770
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Updale
lssuanceFire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd No
Every permit issued shall become invalid unless the work on lhe site authoized by
such pemil is commonced within360 days after tts issuance,ot il the wo* authodzed
on lhe site by such permil is suspended or abandone.l for a peiod of360 days aft|jr
the time the wotk iscommenced
lnspector MtD#. 2019]t54757
01 1 16002 51600
0'1 1 16002 5160'1
01 1 16002 51612
01116002 57770
$22.95
$3s3.60
$1.00
$39.10 Fee Totat
Paid to Date:
Balance Due
$827.05
$4'10.40
$416.65
Planning Conditions:
Owner:
Address:
I,:(l
BUILDING- INSPECTOR RECORD
SITE-WORK DATE COMMENTS olvlif R ul' .t)uR Irt:t-(-aR^T(rN
I hcr.6y allrn u cr pcnahy (n Frtury lhal I !m ctcryi fn)n rhc Conr.arhc' Liccnt Law n)t rh. nru.winS !t'$n (S'c 7011 5
Britrc( .rf,t P!ncs()n C(il.): Any Ciry or Counry whrh rcquter a ltrmt r) .ondrucr' rlr( rmpnrvc. JcmoLsh nr rnat v
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h lhc Frv$i()n\ o, rlr Conlr..(tri l-i(n{J tjw (Chrflcr 9. ConmcnrrP * [ S&ion ](xlo .t Divislrn I 'f rhc llu ncss r'l
Pn,,csn,n\Codc)orlhlihcorshcr.rcmPrlhcrcironrnJrhehr\nt.rrhcallcgcJ.rcmJ'hon.Anvvirll trrnotSc.rirDT0ll5bvrtrv
dlpl'canr n)r rpcm \uhjccis rhc anpliunr b rLiv,lNtrilryot Nr morc rhrn t]!c hundrcllJollrs (5500).
l.is own.i.lrhcpNfny.orhy.n{'loyccswrlhwaSc\a\Ihc,rnn comPcn\lrtrrl qdldo ilr work a rh.ntutNi\nn
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IAB(E8s:CQIIEENIAIIOX
DECI.ASAIIAN
I hcrdl,y rlrrm undc. rcnaliyorp.rjury Dnc rflhc ltllowins Jc.ld,rons:
-l
havc Dl will minllh a C.d ilirrc .t Conscd b S.l{ ln{rE tur worlcF' (ofrll.nelrnr. as Prcvrl.J tbt bv S(inr rTIx) ntlh'
Iitxr CoJ.. tar rhc pcrlomn.c .I rhc htk 6r with rh. Fmil ir rsucd.
I hlvc in,l s ill nuinrrin *olkcr' .omFnsarion nsratuc. ar rcquircJ bv Sculir .1700 of rhc tihor C{ e fffrhcl.rf'muncol
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v) a\blRohc nrhr..rr' rhc*)drn $ ipcn\ri'n laws ol Cd'tunM, .trJ !!rc. rhxr rll \ktrrld t&onE \uhi.rn)th.
workc^ rohn ns,rk r pniri\i,,ns or S.cr (rn l7lx) Ilh.l,rhrColc.I(hrll lnnh*irhcomllv *rrhrln,s Pn'v$('ns.
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S(r(,n 1076 ol lhc Lah,C(ilc, d .rc{ !trd!tumy
DECI ARATION
I hcEt y alrirm undcr pcn.lry o, pcrjury rhal I m lEcnEal unJct pn,vto. uiChlpret 9 (omm.ch8 *irh Sdx'n 7u[) ol D*trn'n ]
I rhe Busircs rnJ Prutasions Co'jc, u nylLcns is nlull li)Ec dil.flcd
104 076 z
P/fr/14
CONSTRUCTION T FNDIN(; AGENCY
I hcrchy rfitrm un'lcr FmhyofPcrJury lhar rhcrc i\ a ($n{Ndi)n b ing rscncy nx lhc P.rnrrutuc of lhc wort ntr wtuch rhn p'rmir n
tucJ(s.r roe7.Civ C ).
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ordfm(( i , srarc l,rws rcbbn8 n) burllrry cond
r. triinnL(trn' L\.on.(r I rErc. k,..n v w I xll ( rry ]n'l (nunrr_
hcrchyiurho .rqJ,c!.nL rvcvn rhL\t'rvrtrJ(.nunryktcnrcrtr|r{trlr
'lrnr nunrfrJ |i]t).'1! l!,
lpplicFnl or ,\xtnt siEn.
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVlnsulalion
Rool Sheathino
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
lt/11,/t T Ft,fi-t 'cLr
Handicap Req I
Deputy Final Report
Enoineer Final Report
Flood Zone Cenil
I ,{",lxl244 tA/rr,ga #d
Certificate ol Occupancy
Notes, Remarks, Etc
ID/SIG.
T-Bar
FINAL '",, "////a7/4
APPLICANT I'ECLARATION
I lrtusy allim u nJ.r nenllty ol pcrjuty orc or rhc nnk)wms 'l..lddDnsl
De,Bniion PemiB- \bc\tos Norficar('h FcJ.rtl Rc3ullri(,ns (l'r1..r{) P.n6)
_RcquiddL crotMniliurin
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