HomeMy WebLinkAbout10196606 - PermitEProiect Address: 3750 S Bristol St
Assessor's Parcel:412-131-12 Lot: NA
Unit Brdg AddressRange: 3600-3798
Historic: No
Suite Range
Zoningr C2Elock NA Tract: NA
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter; (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: lO{96606
Pin #: 49946
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Tenant lmprovement
Tl/New Restroom
Commercial
spec suite
B
V B, SPK
cBc 2016
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Total
Patao:
T.l.Area: 1426
Yards Req'd 2@
Valuation: $51,200"00
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Storiesl
Description of Work: New interior partitions to create an accessilble unisex restroom
Planning Conditions:
8atchl0l50n - ?lfilzola I0: cct.,ELl-AR
oitlce: CTYH TrooBt! {l 2 ol 9Acctt: Reft: 101?&t06
Rcrtit0:E{4{93 - Tl3fl.lmtt ll :15 Atl
Troncoct loo Totol tl r 693.2tt
MCG BRISTOL WEST LLC
PO BOX 28739
Santa Ana, CA 927998739
Phone:
Tenant PERMIT C ANCELLED
DATE:
Contractor: GoldlineConstruction
Address: 3004 Gainsborough Or
Pasadena, CA 91107
Phone: (6261222-6174
State Lic #: 994034
Lic Type: B
Bus. Lic #: 370002
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fur
Policy #: 9134311
Expires: 06/03/20'19
Engineer:
Address
boldl tne Goostrrucf.l on
Generol Plon llpdote Feeol 6qn- 51600000-
8u i ld int
olt t6(m- st60lm0-
Sldr 6tdt R€volvire
0l u6{rll- 5l6t1n0-
t22.08
34lr.t4
t3.00
tt4 .26
t22.56
t 11693 ,20
Phone:
License #
Architect /
Desiqner
Address:
Central
Vincent
f/&riBttidCinr,ira
frHi6002- -53600000-
Hff'"iffiHffi
& 0ocurentsMHfr;
Flores, lvan
So, Anson
Zuniga, Allissa
Date: 05/31/2018
Date: 07/19/2018
Date: 07/30/2018
Subject to Field:
l\.4isc. Receipt
l\4isc. Receipt
l,4isc. Receipt
0 777600 2
07776002
07116002
07716002
07776002
07776002
5160 7
53600
57770
57672
57600
s760 7
Permit Fee
Plan Check Fee
Microlllm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
71044
Total
$356.50
$499.10
$22.56
$3.00
$22.08
$55.04
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Flood Zone Cert. Req'd: No
Every pemit is'ued shall become invalid unless the work on the site authoized by
such permit is commonced within 180 days aftet its issuance,ot if the work authoized
on the site by such pemit is suspended or abandoned for a peiod ot180 days atler
the time the wo* is conmenced.
lnspector MID#: 2018-'143695
01 1 16002
01 1 '16002
01 '1 '16002
01116002
01116002
51600
51601
51612
53600
57770
Fee Total
Paid lo Date:
Balance Due:
$958.28
$484.84
$473.44
Owner:
Address:
\(
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Plannang lnsp. Req'd:
Landscaping lnsp. Req'd:
Phone:
License #:
$22.08
$41 1.54
$3.00
$14.26
$22.56
BUILDING. INSPECTOR RECORD
SITE-WORK ID/SIG.COMMENTS OIYNER BUN,DET DTJLCARATION
I hcrcby aflirm undcr pcnrlry (,r pcrjuiy rhdr I am cxcnrlr fbo rhc (.onrrlcrql Liccnsc liw Lr rhc following rcrn)n (Scc 70ll 5
ausincss anl Pn)fcsstun CqlcJr Atry Cily.r Counry which rcqutc\ r tc ir r. co.(n.t. rlrcr. inDnwc. dcnrolish or rc!!n lny
(ru.ru.c- !!ior ro ns issusr(- aho r.qotcarhc aprlianr fd su.hlr.nnn rJ filc. signcd storcmnr lhlr h.orshe t licenscd pr*ud
ro rhc UovlsioN olilE Corlruclor's Lianscd liw lchlllcr 9. ComnEncin8 w h sc.rbn Turo of Division:l of lh. Blsinc$ ud
PmLss io ns Codc) or rhrl lEor shc n cicmrl rhc,crroo md rhc ha\i\ r{n rhc k8c,lcxctrrflion Atryvidoli!.oiScc'in'?0.115by,ny
lprliconr forapcnrir suhjc.k ih. ippli.anr ro r.ivil!.nrhy.fno! morc rhn llvc hufrtrcd dolle\ (S5fi1)
I. N ownfiofthc tioFrly. or ry clnployrcs silh urscs as lheir slc con{Ei\ar ion. willdo rrE work ffn rhc slruclm i\ .or
i c.dcn or ollc.cd lor solc (S( ?Ot4.llusincss md t'rolcsi,,n\ Cudc l hc conrido. s Liccnr liw docs nor +ply k,0n oqNr ul
rh. trmlEdy wh. huilds or inDmus th.Nn. 'nd wto dms {ch $.* lrinsclf or h**lf or lhrough hi or hcr .*n rnl.'loyccs-
providcd rhf,r such improtmnh m fr, intc cd or oficEd for ek. lt', howstr, Ih. hrillinB or i'n mvcm n sU $irhi'r onc itd
ol coq"lclinr tlE Owncr Buitlcr sill h,w rhc hurdci ot Itroins rhd hc or shc dA llol build or inFmrc rhc poFdy fot 'rr
puqb$ oa
-1.
a\ own.rolrhc ropdy. amcr.lnrivcly.oftrcrin8 pnh liccnscd conrractrs ro consrflcr rh. ln,lc.! (Scc.7()+'1. Busncs
nnd hDfc$hn c.dc ThcConlrocroist-iccnscLawdocsoorapplyro own.r of Prcrny who b! ilds or inrprorts rhcrmn.
rnd who conrBcsfor ruch pn,jcb silh r co n b(rlNrscdl{nua ro rhc conrrncktr\ t-icc.sc tiw)
lrm tr.f,!r otrLl.r S.rri,)B & PC hrlhisr$nn,
Dal.: O*ner:
WORKEILS' C'()IIIPtrNS,tT!ON
lzEl:llaA.Ilo!
I hcrcby arfirm!.d6 pcnalry orpcrjuryom olrhc followir8 dmhralbnsl
-l
nlve aBl r ill Eiorrin r Crnificdc of Co \cnr b Sclf tn\urc ftr $orko i c{mpcnsrrin. r\ prov dd for bySccrion:17(x)ol rhc
Lilnr Codc. for lhc Friornramc oflhc iorli lar whichrhc prnnir i\ i\\u.d.
-l hrvc udwill mrinl'in *or\crr comltn\rrion nr\urrn(. r\ rcqurcd bySc.riotr.l?rx)ol ihc l-ahtrcodc, ror rhc ncr,hnnrnceol
Jr N n<uftl Eftnk.t o
'tcn\.hon 'nsu.trRccoricr lrdrlty numh.' m
z Pu-"/
-Qr7/?t I 6,) i
I (nify rhd in rh. l.iio.mkc.lrhc work f{tr *hich rhir t mir is i\\uctl. IthrllhrcnlPloy rtry pcsotr in ony m mr
s .\b h€onr $hjccl rolhc workcriconycn\arion law\orCalitunri( rtrd uerld iIl \hould hc('m shJ.d brhc
workcts co pcnsrri,,npovti{,ns.lSccrnn,.l70O.frhcInhnCod..lshill.linhwilhco'nplyuithrh,sl)n,visi(,n(
wARNING: F lurc lo scurc workcs .om|Enr i('! covcri i\ u hsful. rDd shill nrhjLd {r crnbycr t,5i'nnd ff,irlric\ rid
.ivil lrtr.s up to onc hundr.d thousund doll ldiri('i b rltr .o{ oi corEnsnr nr- drnhE.\ r\ p'ov'd.d lnr rhr
S..rn 3076ofrhc Lahtr Qnlc. inlcrc( d '9*-\,?Oo-t
LttErtriL()Lut&la[
DXILI&UIQN
I hcrcbylllirm unJcr pcnslry oftcrury rhd I rm li.ctrsol utrdcr tmvhion oiChrprs 9lcommncing wirh Scrhn 7l[0) ol Divi\ion:)
or rhc Dusi,rcs md PmltssionsCod., aJ nyliccnsc is in full r.r.c Dxl clT.cl.
o
a-r 5 Czrs
g.)!$LlJcllrlllENDlNclcENcr
I lErchy rflirm undcr Fnxliy or t rurylh,r lhcr.is,.onstdcrion h i"s.scncyforrl'.!.ni,rtuicc.rrhcworkn,whichlhnpctrirh
n\ucd (Scc 109r. Civ C )
Lrndca\ Nrnc
AITIICAILIIECLAAAUON
I H)y amnn utrdcr,rcnllly of pcrjlr, om ofrhc aollowins dccldarn,n*:
D.n{lnion P.nnir\ A\b.sl.s Norifi.ariotr lcdcral Rcgul.riotrs (Tillc40, Purl6)
-Rcqlt
d ldrf of Norificdi,.
l.cniryrhar lhc fcd.r! I rc8ula r io.s rcsadnrs !\lEsro\ rcn'!rl lrc ornmli.,blctJ rhisl)lo]ctr
-l
ccniiylhal lhNc rcld lhhrppli.linMd nrrc rh{ rhc rh,vr i'itunt(trtrr i\coiiccl lrEech$'nplywirhillCiryrtrdCou.ry
ordinomcs and Stalc liws rcldinsro ildi+.oisfldn{ rd hcrchyourhoriTe rcEcscrlrrivc\ ofrhi\ Ciiy aid Counly ri cnlcr uF)n lhc
,hovc h*nltr)ncd lm|trty f.r irsr
,\DDli.trnl or A[.nl SiEtrolure k 7-<n./?
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Roof Sheathinq
Shear Wall
Framinq
lns u lation/E n ergy
Drywall
Ext./lnt. Lath
l\/ aso n ry
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
FINAL
Certilicate of Occupancy
Notes, Remarks, Etc.
DATE
Subf loor/Venti lnsulation
Brown Coat
,
Pool Fence
I
L'*
GtrCcr'. AddR$'-
----+---