HomeMy WebLinkAbout10197372 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714],647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
q
Proiect Address: 3750 S Bristol St
Assessor's Parcel 412-13',1-12 Lot: NA
Unit Address Ranger 3600-3798
Historic: No
Suite Range:
Zoning: C2Blockr NA Tract: NA
Building Usel
Job Type:
Nature of Worki
Existing Bldg. & Use
Proposed Use:
Commercial Occupancy:
Tenant lmprovement Constr Type
Change of Contractor-Tl/New Restr Code:
Commsrcial Flood Zone:
spec suite # of Stories:
B
V B, SPK
cBc 2016
x-0602320259J
'l st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patiol
T.l.Area:
Yards Req'd:
Valuation:
Description of Work: CHANGE OF CONTRACTOR/LETTER ON FILE/AUTH- FILED. New interior partitions to create an ac c essilble u nisex restroom.
(iffi 'I nons+: 13
Rpf+:
I
l|]11
1/t4Planning Conditions:
Owner:
Address
Metro Town Square
3719 S Plaza Drive
Santa Ana, CA 92704
(714]- 54642s5
Conlractor: Spruce Grove lnc
Address: 3719 S. Plaza Dr
Santa Ana, CA 92704
Phone: (714) 5464255
State Lic #: 229077
Lic Type: B, C-12
Bus. Lic #: 136426
Workers' Compensation lnsurance:
Carrier: Safety First lnsur
Policy #: FCL4058142
Expires: O1lO1l2O19
o r:i
Spru€e ve.Ini
/ 2ttlg
Engineer
Address
Phone:
Tenant:
Euildin:
r:r1116002- 5l60l0tr0-
I(:L (:heEfl U0203(l
Architect /
Desiqner:
Address:
Central Pacif ic Design/Build
Vincent Tran
13242 Hazel Street
Garden Grove, CA 92844
(714) 7'19-{s58
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'
PWA lnsp. Req'd:
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
,lvan
i, Teri
Fire lnsp. Req'd:
Police lnsp. Req'd
07176002 51601 Change Owner/Contr
07776002 57672 Bldg. Slds. Revolving
07716002 51500 General Plan Update
07776002 51601 lssuance
$661 1
$0.00
$0.00
$55.04
$121.15
$0.00
$121.15
Total
Flood Zone Cert. Req'd: No O 16002 51601
No
No Account#
Every pemit issued shall become invalid unless the wod< on lhe site authoized by
such pefinit is comnenced within 180 days atter its issuanco,or if tho wotk authorized
on the site by such permit is suspended ot abandoned for a period of180 days after
the tifie the wo* is commenced.
lnspector MID#: 2018-143695
$121.',ts
Fee Total:
Paid to Date:
Balance Due:
Bldg:
Permit #: 10197372
Pin #: 6{9{O
2@
$51,200.00
Phone:
License #:
Phone:
License #l
Date: 08/15/2018
Date: 08/15/2018
Date: 08/15/2018
Subject to Field:
I\,1isc. Receiptl
lvlisc. Receipt:
Misc. Receiptl
SITE.WORK DATE ID/SIG.COMMENTS OWNE'I BU!LDI]R DELCARAlON
I hcEl,, lrfirn Mder l{nilly ol pcrjury rhrr I m .rcnr nun lhc Contrkt{ l-iccnsc u* ri, rh. rollovin8 rcaq,n (s.c 70ll s
Bu\in.s\ rnd Poli$ion Codd) Aiy Cir, or Counry *hich r.quir.\ r lEi,nir k' ron{ .r. .lrcr. itnPnrc. &'mlish 'r rcIJir lnv
sdcrurc. p orlo ils hstraftc, also rcqute\ lhc lPllicnr rt* ru.h |tnnirl,' rllci \i!trcd (.lcnrnr lhrr hc.rshc i licensed ntr^umr
t' lhc tmvni.ns oi rnc Conlractr's Liccned bw ichiPrcr 9. Co nncrcn8 wirh Sccrnrn 7uD of Divhion .l or rh' Bn(in's rnd
Pnnassions Codc)orlhar hcor\hd (cxcnn lhcrcl'ronrflnnr[c tlnN rar rhc trllcscd cknltri(nr' Anv riollris.r Sdion 70]1.5 hvanv
rptlicrtrr for a lernir su6ach rhc umli$nr t' r .iv il Fnrlry oi nor nuc rhrn fi$c hu reddollr\{S5tD)
-1.
!s owncr ol rhc nmFny. o. my enulo,6i wirh wn8.s s. rhcn $k conP.nerion. will do rhc wori .Jd rhc stn!ft n mr
inrcrdd or dffcrcd ror slc (Sc 7044. Brsiftss dnd Profc$bns C(xl.: rh. CoMadoi r L,iccnr Ljw docs nol lPplv ro ,n otrncr ol
rhcomlEny wlF htrilds or inur.ts rlL]Nn. !d wtx' dG {ch Rr* himtllor hci\clfor rhm!3h hk or hcr own cnDlove€s.
provid.d rhat such inDmwmnh m ml inrcndci or ontrcd for sL lt lx'scrcr. rhc huiklinBo. irpmvcmnr ii sll wirhir onc,s
;fconpkrt'n. lll Owncr Builtq *ill havc r,r blldetr ot Proins rtun h. or $hc dil ml tiikl ot ir{'ove tnc pmFnv ror 'lr
puqnc ot
l.rsoeftrolIhcprcleny.am.r.lusivclycotrl.rcri[Csirhli..\cdconrrcror\k]conitu.trhrp(+cr(Scc7014.Au{ncss
.nd hrl6\ionCodc: Thc Contaclois l-iccns. Law doc\ tror rDnlyb mo*Nr.lnt0P. vwfi.buildsorinrprortsthcrcon'
nd who co mcF f.r sd.h Fmicds wnh u Conhcro(t li.Ln\.d Pursu n, rhe (i,nhr(r\ Liccn* Lf,sI
I a'ncnnlPl undcrSsrio B & P.C n)! r[irr.Nnr
lloRKr RS' (l(llll PENSATION
OEC',Af,AIIAN
I hcrchy ran.nund.r r.n0hy of lcrjnry 6nc ol thc rollowin8 dccbtarions:
-lhakmdwillnui
dnaCcnificatcofc.nsctrlroSclflNurct{,workcrs clmpcnsrn,n. rs Providcdl'orbysdrionlTlx)olrhc
L,hor Codc. for th. p$fornEnce oflhc work r.r *hi.h lhc t'cnir i\ issx.d
I hrvc andwill mrinrdn workcrl comp.nsaliqr insurricc. rs rcquncd hrSdion]Tmoirhc l-abor c.d..lor lie Pcrronnxn" 'f
rhc work t r shich rhis rcrnnl is issucd My w. $ omFtrsrtion inrurrn c .,nicr d Plicv nt
'bcr
rc:
I.crill,lhrr in lhc pcrtunmtrrcoltlrc sork lnr shi.,rrhn Nnn i\ isL.d.l \lHll { c rpl.vrn} l^-^oi ir dnvm!nncr
\) rst, hc.of,rc \trlB.r r,lhcsorkcrs .otrlnctr\arur hw( ul ( dlilnnrir. rklrlrcc rhrl il l\lnn'l(lh.rtnrc stuc.l brh.
sorkc^ comp€ns rn,n pmvnions of Sccr im lTm ol rhc htFr Oxlc. l
WARNIN(;: Flilure to rcnrc workcr' coNPcnsrrion colc(8c is lnlr
\hall. li,r rlrwllh conrly *irh
uwitrl, ,nd \hrll sublccr rn
n b thr ..s olc.nDcnlnrrh!r\ Dtl (lolr'\ lllri)rxr) 1r
DrcI.AMIION
.cn*{ utrdcr prcvi\bn ofCh{'rcr 9(conrntnci'rg wirh Sarion ?0U, ofDivisio! lI hc'.hr- rlllrn,und.r |r nlrtol 1).'i,tr)
of rhc Bu\itusxnd Prorc$ions Codc. iJti fry li.cnsc is lull lorcc ml .ffccr
I hcEhy Jfinrundo p.n,lry ol pcrjury rhlr I
k('c(lrs.. 1097 Civ C I
ion lcn.lirg rgci.y l lhc p.nnmn c olthc Notk hr which rhis Pcrnri n
aPpl lcaNtlllt(ll {R l'loN
I trrhy.fllan undcr pcnally otFrjory onc oflhc nnbsi',s dcclnnrnn:
Dcmolinnr Pci,nin"Asb.slos Noliii.rridr Fcdcrrl RcBuhlior ('l irlc 40. I'M6l
-Rcqunrd
Lcncr olNorilt{ri,n,
rclulir(nN res:trdi',x n\ltnoi c tr)vL'lr. ntrr|fltrhl. ri (h\ P(Ird
iorn rRL{rn: rh rh.rhtro d,l I rSrN k, c.nul, qnh nI Cily rnd ci)r rY
)/t4 /l4u/l
Set Backs
Forms/Steel/Holdowns
Erection Pads
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathino
Shear Wall /,
Framinq 1-211r k(v
lnsulation/Energy \4
Drywall 1-25-16 X.u)(
Ext./lnt. Lath
Brown Coat
It/asonry
Pool Fence
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Ceftif
,a
FINAL lc-lt-lV t7Certilicate ol Occupancy
Notes, Remarks, Etc.
BUILDING- INSPECTOR RECORD
UFER Ground
T-Bar
vJLlll
Policy Nonhcr:-ErPtcs: =-
I cnd.,'r Addrc*
-
f-r