HomeMy WebLinkAbout40132387 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Mechanical
Permit Counter: (714) 647-5800 lnspection Requesls: (714\ 667-2738 lnspector Section: (7141647-5853
Permit #: 40132347
Pin #: 308{4
Proiect Address: 3750 S Bristol St
AssessodsParcel: 412-'131-12 Lotr NA
Unit:
Block: NA
Bldg:
Tract NA
AddressRange: 3600-3798
Hisloric: No
Suile Range:
Zoning c2
E
Owner:
Address:
Contractor;
Address:
Phone
MCG BRISTOL WEST LLC
PO BOX 28739
Santa Ana, CA 927998739
Goldline Construction
3004 Gainsborough Dr
Pasadena, CA 91107
(6261 222-6174
Fee Type
01116002 51604 Bathroom Fan
01116002 51604 Man Fee Adj
01116002 5160C General Plan Update
01116002 51604 lssuance
Amount
30.52
42.86
22.O8
55.04
Fee
$30.52
$42.86
$22.08
$5s.04
Qty
1 .00
1 .00
1 .00
1 .00
Phone
State Lic #: 994034
Lic Type: B
Bus. Lic #: 370002
Workers' Compensation lnsurance:
Carrier: State Compensation lnsurance Fund
Policy #: 9134311
Expires: 05/03/2019
PERMIT CANCELLED
INITIAL:
Eotch?:{5077 - Ufilm$ I0! CCIJELLAR
0ffice: CTYH TronBS! {l 3 ol 9lccti: Rsl+! 40132397
Rcpil: (D3{4{9{ - 7lfilmla ll:15 All
Trooso(tion ToUql 111693.20
Goldl i ne Gonstruct ion
Gsnerol PIon lbdot€ Fee
011l&t?- s16flIm0-
It€dlotr i col
olt tgx!?- 5I60{m0-
ICL Ch€cl &fm29
t22.08
t lzs. {2
3l r 693 .20
Building Use:
Job Type:
Nature of Work:
Planning Condations:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Commercial
Tenant lmprovement
Tl/New Restroom
Zuniga, Allissa
10196606
Occupancy:
Constr Type:
Code:
DatJ
$4:.
B
V B, SPK
cMc 2015
07/30/20't8
Account#
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
$'128.42Every permit issued shall become invalid unless the work on the site
authoized by such permit is commenced within180 days aftet its
issuance, ot il the work authoized on the site by such pormit is suspended
ot abadoned for a peiod ol 1 80 days after the time the work is
commencod.
lnspector lvllD#: 2018-'143695
01116002 51600
01116002 51604
Tenant Name:
DATE:t\ro\r
Fee Total
Paid to Date:
Balance Due:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DEL(ANATON
I hcEby 8ffirm undc! pcnally ofF+ry rh3l I d cr. /iiomrn Co racroF Liccns kw for rhc tollo*ing @s! (S.c,7011.5
Busincs ,nd Prcfesrion Code): Any Cny or Cou.ry *hich r€guiei 3 lonir ro @nslocl. lhci inpro$, rlcmlish or EI'!n ey
shcM. rhr t6 ir. i.su,m.. dso rcquiEs thc srplk. lo, such Fmi ro fiL . siencd sl,l.c.t ihal tf, or sh. Ls lkcnltd luNel
to th€ pmlishns olrlE ConrDcxtr s Liensd Lis (Ch!flcr 9. Cohm*ins sirh Sc.rion 7O0O of Dirision I of $. BusiNs.nd
P,bfesiions C6dc) .r $ar hc or .h. is .rcnp thcEfiom urd rhc b.!h fo. lhc llh8.d .ftrpiio.. Any viol,iioDol Sc.lion 70] L5 by &y
lppli.ant for a Fmil slbjNls lh. apt,licant lo s.it il Fmhy of nol mm rh 6vc hundEd dollss (S5m).
_1. I ow@r ol ihc popeny, o. my enDbyes wnh wrgcs &r rhcn $L! conFnsllion. vill do lrE wdt !d rlE stEtE ir ml
i c,xh or of.rcd for ek (SE.?o&. Busimss !.d Prof.srions Cod.r TIE C,nrftlols LLrn* L{w dcr nol q,!ly h an owftr ot
rhc l,oFny sho !.ildi or in+iDB rlxtutr rld whd dq Mn k.i hinklr or h.elf o. lhm!8h iis tr h.r own .nplorrcs.
p.ovacd thar such itrqmkmnls @ fr'r hlcnd.t or oficr.n fot sk. lf, howwi rha hrilding o, itfiftE h $ti wilhin orc )€r
of oft{,letion, itf, Owr Buildcr wiu h,E llf ttrdd of rmvin8 'h.r
lf, or slrc dil mi hiE or iq,bw rtu [rolEry fo, llE lllrFc ot
l. rs own r of ttu tmtcny, onr cxclrxivclt lonlrn lin8 wilh licctrsd conkflors lo onsrtoct lhc prorNl (Scc 7044. BusiEsr
and EDi.ssionCodc'IhcConrrrctolsLiccnscLawdocsnor.mlrtoaiowneroflorcny*hohuildroriorovcslhcrmn,
and Rh. conrrdls tu s!.h pn*.r$ wiih a Conrd.k d\) liccnscd pxBunr r. $c Codracbrs Li.cn$ tr*).
I an.rcmt xnd.r sccriu
IYoRKFRS' CoIITPFNSATI0N
DECLAf,ANAN
I hcrchy aalrfl lndcr pcMlry olFrjuryonc orrhc Luo*ine dc.lnrarions
I hnvr Mdwill roinrrin r Ccdiilcare ol cun$nrh s.l[Insur lor *o.*c^ .o'n .nsarior, rs troridcd nn hlScdion lT0Oolrhe
tlt$,.'rh. fn' ,hc Frfo,nbn.c nf,h. *o'k f,r trhi h,hc |c,n,i i. ir\Jcd
rZ( ru c ana " r n monm n " ukc6' cornnctrrJr r.tr insurrnlc. as Eqltcd by Sccrin l?O{} of I h. Lrhr Cod.. lnt rh. lElforrok. or
uorkcn conrD.nsdrio. in\lrancc cari.r ud policynuhb.tdc
+Fn
Ll
-l
ccrrify lnar ir rhc D.rfonmtre olthc qorl for which rhh pcrmit is issucd- I shlll.or.mtloy dny IcB.n in 8ny mn.cr
n, Itu l..com.ubtccr ro rh. worrds cont .s ion INwiotcltir.nia dnd.erc.lhal ilI should tEcom subicl lo lhc
worksc conrcns bn ,'r,vhi.ni of Sc.rn,n 1700.l rhc tjhrr Co<lc. l shrl, ronhwirh mmply wilh thor pmvhiotrs..
WARNING: Flilurc ro wurc workcs' conDcnsJrbn covcmgc is unhwhl and sholl slbjer M cnDlorrr lo dininrl p..rlras and
civil nncs up ro om hundEd thous.nd dolles ($ion to rtc cosl ot comnciqtion. damscr d\ Dmvid.d for th.
SRtion 30?6 ollhc tihr Cod.. inl.rcsl lnd !t
LrcE!5ID!!}NISdCIAB
DECI.ABAIION
I h.rcbylffimrundcr pcnlltyolrrjuryrh l om lirna{ undc. rrovistun of Ch,pr$ 9 (.o.rft&inE wnl sdi irtr 7fiD) of Ditition .l
nl rhc susitrcss ond hotc$ionr Codc. ud my liccnsc is in full fore ad ctlccr.
N
Cl,tlliIBjIrIIONInlUNGTIIi.El.l:I
I hcruhy rrfiro undcrytrrliyor txrjury rhar rhcrc i\ r cotrnrucrbn kndi'rg,!.h.y Lr rhc ftrr nrun.c olrhc work lb, *hich rhn pcrnrir h
ir{cd (s( 11097. ci! c.).
AITLICANfI]ECI,A&IIION
I hr$y allid undcr !.nrlrt orpcrjury onc ofrhc lalk,*inr dcclamrion\:
Dcmolirion PcnnirrA\h.jo\ Norificnri(r l;crl.rilRcAuldri(,n{(_Iitlc 40, Pfi6)
-Rcqutql
l.llcr oI Norifi cari{{
I cdifyrhar rh.fcd.rul r.Erhrionr dgariling r$Gt,srctrx,vdld nor rmlkabh h rh$ pmjd.
-l
csrily lhlr I haE rcad thh ion dd srarc rhd tlE utovc inlornErn,n k .(lrer. I ag@ 16 condy wilh al! Cily lnd County
odiMnccs atrd Srarc tiws rlar ion. 0d hcrcby aurtsrirc rcprckntalivcs of rhis Cir y end Counry lo .nro trA,n rh.
ahor mnrioni p6r.ny for 7-7o -
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Meter Release
FINAL
Notes, Bemarks, Etc.
Other
Final Test
I