HomeMy WebLinkAbout40131995 - PermitProiect Address: 3394 S Bristo! St
Assessor'sParcel: 412-141-22 Lot: NA
Unit: B
Block: NA
Btdg:
Tract NA
Address Range:
Historic: No
Suite Range:
Zoning: C4
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical ermit #: 40{3{995
Pin #: 83963
Owner:
Address:
Phone:
Tenant Name:
Conlractor
Address:
CP Bristol SA LLc
6400 S Fiddlers Green Cir #1820
Englewood, CO 80111
(720) 493-s100
L&LHawaiinBBQ
Vay Construction Corp
721 W Santa Anita Street
San Gabriel, CA 91776
(526) 861-8822
01116002
01116002
01'116002
011 16002
01116002
011'16002
01116002
011 16002
51604
51604
51604
51604
51604
5360:
5160C
51604
Qty
1.00
2.00
1.00
2.OO
7.00
704.24
1.00
1.00
Fee
$43.62
$226.48
$30.52
$131.14
$299.81
$457.76
$22.08
$ss.04
Fee Type
Alter Vent Sys
Type I Hood
Bathroom Fan
Evaporative Cooler
Cooking Equip
PIC - 650/o
General Plan Update
lssuance
Amount
43.62
113.24
30.s2
65.57
42.83
0.65
22.O8
55.04
coPy
Phone
State Lic #: 1015328
Lic Type: B
Bus. Lic #: 37M12
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 9168098
Expires: 101142019
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenanl lmprovement
First Time Tl
West, Glen
Brodowski, Teri
05/08/20't8
o3t27120'19
Account#
Misc. Receipt: 70813
Misc. Receipt:
Misc. Receipt:
Total
Occupancy:
Constr Type:
Code:
B
V B, SPK
cMc 2016 Notes:
Date:
Date:
Date:
10196084
Every permit issued shall becone invalid unless the work on lhe site
authoized by such pefinil is commenced within 1 80 days aftet its
issuance, or if the work authoized on the sito by such perrflit is suspended
ot abandgned for d peiod of180 days aftet the time lhe wo* is
commenced-
lnspector MID#: 2018-142596
01116002 51600
011 16002 51604
01 1 16002 53603
Fee Total
Paid to Date:
Balance Due:
$22.08
$786.61
$175.10
$1,266.45
$282.66
$983.79
Planning Conditions:
MECHANICAL-INSPECTOR RECORD
DATE tD/stG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork 4"1q"1 YMI-\I \
U
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
6-L't"t1Rough Mech.v-u*t\
Final Test
Meter Release
Notes, Remarks, Etc
OWNER BUILDER DELCARATTON
I hdcby aflim u(td poaty of pdjuy thal I m q.mfl fron t Contn.roB Ucens. Ls* aor th. follo{i,8 r.en (Sa.7oll.t
BBiis and Proleioi Codc): Any Ciry o. Cooiry whcn rcqutE ! Finit lo on$tuct altd, iEprov., ddrolish or rq.i &y
sttucruc. prior ro irs i$u@., ,to r.qutd lhc appLicmt for $ch pd n to fih . sigol sld.ffil rnal h. or sh. b lim.d P@ot
lo rhe povisioN of t Conlrlclr! Licn*d Lrw (Cluprs 9. con'ndcins wirh sdiion ?000 of Divsion I of thc BNiDs ad I
Pofsions Codc) or lhrl h. m lhc i! dchd rha.ftom ed ln h6i! for lh. allcg.d.xo!pli@ Ary violalior ofsdion 70ll.t b, e,
applicet lor a pdh subjdrs thc 6ppli@r ro a .ivil pciahy ol lor mc rte r,ec nun&.d doud (5500).
-1.
6 oM6 of thc ,rolEry, o, o, @plow6 wnh wa86 s lh.t sL comFaalio'! trill do $. @rt dd fi. qrulr b nol
inr..d.d or otrccd for rsl. (58.7044. B6ine ed ProfdioG Cod.: Th. Conl[clors Lk.@ L!* do6 rct tpply lo & ouq or
lh. popdy who hddr or impmvB rlEor &d wbo d6 sch srt limsllor nGllor thrcush hi3 or hd oM mPloyc
prolid.rl rhar such inDro!€6l! e rcr nllad€d orolIdld fo. s"l. l( howwd.lh. hoilding o. ioprc\@l b eld wilhi. on. y@
ofo'trpkion rn 0*16 Buildr. wil h6E rh. buda ofFovhs dld h. or dE did mt bold or inPllrc lh. PloFty lbr dr porFs of
-1.
s oM6 ol rh. ,ropay. m 6cl6iv.!y codGcling w n ficasd cotidclo6 to co!5fiu.r th. Fpj.( (Se. 7044. B{si6
r.d P,otosi)I aod.: Thc Com,.clofs Lic.N Lav do6 nor apply 10 & opn6 of piopsty who buil& or imprev6 lh<@n,
aid who 6iract3 fo. such Foj613 with a CoDrra.ro(, li.a5!d p$u: ro tb. Conlr.clors Lic6. te).
-l
d cxdpr udd S6rio,! _. & & P,C. lor tlis raon
D.re or.s:
l4onsEBSca!48lNEAEON
DO TAEAIION
I ha.Sy allim undd pdal! olDcjury orc ollh. followi4 dcl&alioEl
I hav. $d will tuinlain . Cdrilical. ol CoMr to S.lf-lcuc for wortd @frr.olalio., 6 provid.d for by SElion 3?00 olth.
rttr Codc aor thc pdtonnscc otlhc sort Ior which lh. poni is isrocd.
I have ud will nainhin workdl conp.B6rio! insueca s equir.d by S..lion l?00 ofth. tlbor Cod!, lor thc pdfomdc. of
thc wort lor whtb rhit pdnit ir isu.d. My wort6 comp.@rion iNuMc€ cmi6 dd policy nuobo e.:
-l
cdiry lhar in the psfomd.e ofthc worl fo, which Os ponn is isu.d. I shlll ool dplo, dy FMn in my amd
e s lo teoo. subj6t to thc @ri@'omp.G.rior las orcalirohit" dd asc rhd ill should b<om subjet lo thc
wo*6 comFMtion prcvilioN olstnion l?00 ofth. Lrlor Cod.. I sh.ll, fonhn ilh.ooply wilh lnoe FovilioN..
WARNTNG: F.ilur.lo K{. Rork6' omp.,sdion covcraEc is !ih*a!1. md shall subjdl d Gnplorr lo ciointl FBlis dd
civil fin6 up lo otrc hudr.d lhoutud dolls ($100.000). in addnion to ltc con of compqslion. danag6 a provid.d for th.
Serion 3076 oatnc bbor Codq i!ta61ud alloftyt f6.
ADDllst-
UcENEDIO!:tf,ACrOf,
DEqa&um[
I hdlty .ftm undq p6sty of pdFy ttar I d lier!.d @dd F!!!io. of Chal6 9 (omtriig wilh sdb. 70@) olDivkion l
of rhc BNi,B ed PrcfdioB co&, ed ny lk.e i! in tull forc ad .fcl
Lic.e Cbs:-Lic6. Nuab6
D .i Cotrtncto.:
COIIIAICIIONIENDAGIGENII
I hfrhy aflm 6dd Fi.lty olFjlry lhn th6c ir . oodturb! k dilg r8.n y for lhc Ffomm. of tlE wo,t &. {'lljch thh pcEi b
i$ucd (Sc. 3097, Civ. C.).
aItllcall.lEcldSarla!
Iha$yatrrEuldrD.rattyofrdj!.yorcof tn.fouosirsdels iom:
D.noltio! P@il$Alb€los Nolificdion Fcdd&l R.guhlioN (Thlc 40. Pal6)
-R.quircd
L.rld of Noti6.dio,
-l
cdiry th.r lh€ f.ddrl rcsuhtioB ,cgdding ab6to3 ldoval &. nor .pplicabL lo lhis pmi*r
-l
.diry thd I hav. qd lhie rpplic.tion sd slal. th.r th. atov. inlomltion is coftcl I rgG lo conpt wnh dl City ..d Coonly
ordnsk6 ed Sutc t wr GbrinS ro building coNrrucriotr ald h6cby surhorie,cF6otrliv6 of lli! Cily ed Coulylo 616 upon t
abov. Mtioncd propdy for iBp.dior purpG6.
Apolic&t or Agdr SiEoalure:
r.EtzEtIS.illtill
APPROVALS
/r\
u \\-/
/\
FINAL
I