HomeMy WebLinkAbout20166548 - PermitqProject Address: 3750 S Bristol St
Assessor'sParcel: 412.'131-12 Lot: NA
Unit:
Block: NA
Bldg:
Tract: NA
AddressRange: 3600-3798
Historic; No
Suite Range:
Zoning C2
20 Civic Center Plaza (NI-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Electrical Permit #: 20{ 66548
Pin #: 84108
Cify of Santa Ana
Permit Counter: (714) 647-5800
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
MCG BRISTOL WEST LLC
PO BOX 28739
Santa Ana, CA 927998739
Goldline Construction
3004 Gainsborough Or
Pasadena, CA 91107
(6261222-6174
Commercial
Tenant lmprovement
Tl/New Restroom
10196606
Fee Type Amount
125 Volt Receptacle 1.45
Light Switches, Occ. Se '1.58
Light Fixtures 1.05
NIin Fee Adj 69.30
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$1.45
$1.58
$1.05
$69.30
$22.08
$55.04
State Lic #: 994034
Lic Type: B
Bus. Lic #: 370002
Workers' Compensation lnsurance:Carrier: State Compensation lnsurance Fund
Policy #: 9134311
Expires: 05/03/2019
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Eotchi!{so77 ' llfilmlB ID: CCUELLAR
0fficel CIYH TPoBsS: {l { of 9Acctir Ref+: m1665{g
Rcpti:l[84{{95 - Tmlm$ ll:15 All
fronsoct Iofl fotol ll r 6?3,20
Goldl ire Constrrrt i on
G€oarol Plon tltdote Fee
011 16(m- 516flIXt0-
Elef,tr icol
0l t l60&t- 5r6Gm00-
ICL Chack ooloin
i22.08
1t28.12
tt r693.20Occupancy:
Constr Type:
Code:
B
V B, SPK
cEc 2016
07130t20't8
Account#
011 16002 5'1600
01'1 '16002 51603
Date:
Date:
Date;
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes New interior partitions to create an accessilble unisex
restroom.
$150.50
$0.00
$150.50
$22.08
$128.42Every permit issued shall becone invalid unless the wo* on tho site
aulhotized by such pemit is commenced within 180 days after its
issuahce, or if lhe wo* authoized on the site by such permit is suspended
or abandoned fot a period of180 days after the time the work is
cofimenced
lnspector MID#: 2018-143695
INITIAL:
%\t4t(
01116002 5160:
01'116002 5160:
01116002 51603
0'1116002 51603
01 1 16002 5160C
01116002 5160:
Phone:
Zrnig", n,1,"., 0/
Fee Total
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEi DI'LCAR.T'f ION
I hcrchy r,nr uktcr pcmxy or Frury rhd I nn .rcmpl fsnn rhc Conrrlclos' l,iccn\c La* ,hr lhc lollogins rclqnr 156.- 7011 5
Buli'rcs lnd Profcsio. Codc): Any Ciry or couirt ehich rcqrncs a pcrfrir x, .onnrucr. ahs. in[r,c, dcnoinh or rclln rny
{flcrxri prin k' irs iss!trrcc. al$ rnuircs thc 0ppltmi lor su.h Frn ro llLa \iencd {,kmfl rhd h.o, shc i\ li.e[*d pur\uanr
r. lhc pmlisions of rh. Cotrin.r.fs Li.c.{d ljw (Chaptcr 9- Co rnEncirs wirh Scction 7O(x) oI Divnion ] oI thc lrusincs oid
Pnfcsions Codc I or lh.r trorshc iscxcmpr rhcrcrromand rl[h,sG rurhc rllcscd dr.nl,i.n Aiyvnn(n)nolSccri,)n70]l5bytrny
atpli.anr rd r p(n'i! srbjct rte applicanr ro acivilpcn.lryolnor nnrcrhan fivc hundrcd dollnm ($5m)
I. rs oBrcr oi lic nmpcny. or my cmploFcs w [h wagd $ rlrir {]L ..nFnsari(,n. qill do rhr {ink ,nd rhe n*rk is tror
dcMcd or .lr.rcd lar slc ( Ss.'.?O44- Btrsirc$ !!d Prolcshns Cod. l hc C.nkrttr-s l-iccnsc bw dms nor lptly r. m o* ncr ot
rhc pmpcny Bh. build\ or muovcs rtrrs . u lahod(rsskh*olt hnnsclfor hcrklturihn,ogh hisorhcr.str. rllovccs,
Frtided dur such inrnr,{mnk {c rot inrcdd.rotl'cBi lor *rlc.ll th$cv!r. rh. hurldiry or iryrorcnE.r is hll*irhin.iE }rr
ol.onrpEli{u thc Owner BuiULr willlrvc llr bordcn ol l,r.!in8 dd hc or dr dtl nor htrild or irylfu rhc rrcIany f.. ihc plrax,r ot
L a\ nsncrolrhc nmpcny. unrcxclu\ivcly co.tndnrS sirh li.cnscd conkr.ttrstu.on{dcr thc ti(lNr (S...704rr. Bus'k,r
aRl Pmlcsin G)d.r Th. codkrcn* s t.i..n\.lis doc\ n.rulrply to.tr o*Nr ofl,ropcnyuno huilds or ihffovcs rhsruor.
and *ho conr.acrsforsu€hlmjcclswithrContm.r)(s) li.cn*d Nnumr h rh. Contr,ctn s Li..n\c ltrw)
MBtrE8[tAUtrN,r[tO!
DICI/AA.IION
I hcrl'y {rl'tm undcr lEfllllyol Dcriuryorc ofrhc,alhsirx d.chhrion\:
-l
lEvc B<ill roint?h ! Ccnificqlc of Conscnl toSclalnsxtu for workcrJ.r'np.nern,n. as pbviddd fd byS..rhn,lT0O ofthd
hn r Codc.lor thc rcrformMcc oflhc worr
'irwhi.hIhc
pc,hir n nskd.
rhc wo nrwhichrhi\ Pcmir i\ ilsrd My q co,rlcnsarn,n nsurarc.rdicr rnl tx)licy nu'nh.r rc
rt 9/ t,
-lcc
ily rhir i. rhc Irrronhtuc otrh. wo* rn which rhis Fnnir h nsucd.I +trlltr,r cmpkry any pcnotr in any monrcr
{, N r. bccom suhjcct to lhc vorkcr( comtcNrlion laws ol cdlir(min.,nd agm rhir irI should hc.onr {hj.cr t, rh.
*ortc6 conlE.sarionlmvisionsofsstion3700ofrhcl-atrC.dc.lshdl,fod[sirlr.or y wilh rhosc tmvhions .
WAkNING: FJilurc ro $urc worklr conrpctrsdi,nr corer+c i\ ufhtrlu
.ivil lincs up ro orc hundrcd lhous*nd dollars ($l(
l. 0ft1 shall suhjc.l an cnl|)lorer lo oiniml Fn,llts rnd
th..os ofc.nD.nsdbn. drro!.s rs provtcd lor rhcQz-
D I \k \ ll()\
I hcEby !finn unld FmlryorFrjurt ihri I ur liansd undcr pruvkiotr ol Chopr.r 9 lommencins wirh Sccrion 7m0) olDivishn 3
or rhe au\incs bnd Profcsiors Codc, and my licctrsc is in rullrom d*ratltr.
77qa= q
-z?-7o-/8
COISIBUqIIQN.LEN.DIXC-AGENII
I hcehy rmnn und.r pcndly ol pcrjury thal rhR is n onriru.tirn Lnding lg.m! f.r rh. p&tomftc ot th. *.ik ror shi.h rhi{ Frmir h
issued lScc. 1097. Civ. C.).
APIIICANIDECIIBAIIO!
I h."cny affinn u nd.r pcnelry or Dcrjury oe 6l rhc follosins dahr.t ions
Dcmhn,n Pclnns Asbcsros Nolificllkrn Fedcrol Rcgulolions (Tnh40, Pan6)
-Rcquired
kncrof Norifi carion
ogre lo .onDly wnh ,ll Cny ind Connly
ri\rs ol rhir Ciiy aod Counry
'o
..ro upon rh€
-l
ccnilyth,t lhc Ldcmt rcguliri.ns rclrdiis a$estos rcmul orc not aldtahlc rot
I ccniry thrr I harc rcod rhs,nnlkdri.n ain irtc rh.' rh. rh v. 'nk,mrion '...ffir I:i*:ffiw";ru--^2-7 o-tr
Site-Work
Unde rground
Pole Bases
Light Standards
S Pool, Fountains
Lile Satety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bondin / Groundi / UFER
Transformers
Torqueing
Sub-Panels I
Air Conditioners
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilin gs (Hard & Soflit Rouqh
Ceilings (T-Bar Rouoh)
Rough
Service lvleter
FINAL
Remarks, Etc
Sions (monument)
Roof Top Equipment
Meter Release
Notes,
-l
IncicnU undcrsNion_. a &PC r{trrhi\rc!$n
Dale: ()ln.r:
I.n'lc'', dJlc!
I