HomeMy WebLinkAbout10196911 - Permitq
Proiect Address: 3601 S Bristol St
Assessor's Parcel 410-301-11
Unitl Bldg: Address Range:Suite Range:
Zoning: C2Block: NA Historic No
city of Santa Ana 20 Civic Center Plaza (M-19), Sania Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (7'14\ 667-2738 lnspector Section: (714\ 647-5853
Permit#: {019691{
Pin #: 17244
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Miscellaneous
Accessibility upgrades
Commercial
Fast Food Restaurant
B,M
VB
cBc 2016
x-0502320259J
1
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $13,000.00
0
Planning Conditions:
,4 ..
lotoi
7 /2/2(|15
a lllL/
Owner:
Address
Phone.
Tenant
Bristol Retail XY, LLC
520 Newport Center Drive
Newport Beach, CA 92550
(949) 398-8750
Conlractor; JT Site Services lnc
Address: 615 N Benson, #M
Upland, CA 91786
Phone: (909) 985-5660
State Lic #: 992829
Lic Type: B, A
Bus. Lic #: 369884
Workers' Compensalion lnsurance:
Carrier: Benchmark lns Co
Policy #: CST5011085
Expires: 09/30/2018
1'qn50r.:l r
[ !i itP irer..,l ces lnr
:,jd0tlU0tlr-
1(),:U$ent 5
Phone:
License #
Architect /
Desiqner:
Address:
r, rrirr ir.1 :r'i il,rdot q t ,, t.
rII,,nlti.,rlillililt.
Ron Bar{lo iErAs$ociates, lnc
Ronald Jaftlegj8artlo . nrrIrfir,
19522 J Hi Rd
Trabuco cA 92679
(949) 45Phone:
License #c-13166
Planning Approval By Mar, Escarlet
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'
PWA lnsp. Req'd;
k, Jason
Amsden, Julie
Dale: 0710212018 Misc. Receipl
Date: 0710212018 Misc. Receipt
Date. O7tO2t2O18 Misc. Receipt
Subject to Field:
No
No Account#
07115009 57601
07716002 53600
07175002 57770
07716002 57572
07116002 57600
07716002 57607
: 11rl llrl.il_l '
Permit Fee
Ptair4efegtfee j,r
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
$160.2s
$222.16
$3.76
$1.00
$22.08
$55.04
No
No
No
No
Fire lnsp. Req'd
Police lnsp. Req'd TotalPlanning Insp. Req'd:
Landscaping lnsp. Req'd Flood Zone Cert. Req'd; No 0 16002 51600
Every permit issued shall becofie invalid unless lhe work o, lhe site aulhoized by
such pemil is commenced within 180 days after its issuance ot if the wo* authotized
on tha stte by such pemil is suspended or abandoned for a peiod of180 days after
the tifie the work is commenced
lnspector MtD#. 2018-144402
01 1 16002 51601
01 1 16002 5'1612
01 1 16002 53600
01116002 57770
$22.08
$215.29
$1.00
$222.16
$3.76
Fee Total:
Paid to Date:
Balance Oue
$464.29
$0 00
$464.29
Lot: NA Tract: NA
Oescription of Work: Voluntary accessibility upgrades
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Stories:
l{t,rh+f 441'7:r - 7/2/2alg ID: J(
Engineer:
Address:
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS O'IVNER AUILDER DELCARA'TION
I h.rchy rffirn undcr pcnrlryofFrjtrry rhrr I u cr.nrpi lnr. rhc ConrrtN Lic.i* L s ror rr folk,snr8 rcason rSN703l.5
Burr.\s ,nd Pdcs\ion Cdl.): Any Ciry or (i,unry shich rcqrnc\ r lf,nnir t, .otr{rucr. ilrcr. improvc. ncndi\h t{ rcnln ony
srru.rurc. lriorro irs hsumcc. rlso rcquncs rhc {'Ili.nnt f.r \u.h lEnnn b fiha sisncd sdcmnr rhar hcor fic is liccn\cJ pururnr
ro rhc pn'vi\n,n\ of rh. G,ntr.kn \ l-i..n{d l-ss (Chrprcr 9. Con,nrn in! wirh S..ri.n 7(XX) ol Divisiotr :l ofrhc llu\inc$ atrd
Pmltsr.s (-odc) or thal h.oishc iscxcmpr rhcrcftumdM rhc hnlis hrrhcnllcpcd crcnrlrion Anyrirnllionol'S(_rion70ll5byrtry
arpliclnr lor!permir suhj(h rlE upplicrnlk'3civilpcnalryofnolnrorcrhrniivchundrcJdollrsl3500)
-1.
is owmr of lhc pmpcny. or my cmployccs with wrAcs as rhct $lc onl.nsal ion- will do rl'd work arxl rh. snr@ ir nor
inrc lc{l oro0crcd for slc (SE 7044. Busin.s and kolcssi.ns Cdlc: 'I'h. Contr$rois l-iccn* lrs'der nor {0!yk,ano*ncrof
thc lmlEny who hoilds o. irl]i)eEs rlErc.. &d who dm\ \Kh *,i hnnsclloi hfislfor rhtuugh his or hcr own cmPhyecs.
pRrvid.il rhtrr so.h inPIo{mnrs m nor inrcndcJ o, ull.ftrl f(n elc li h,wvd, rtr huikling ur ir{trorrmnt ii sU wirhin om )rf
olcoflrlcrion. $r Owncr Buinr vill h!rc lh. hxlcn ol pruv,.g rlu hc .r shc did nol build or impro\r thc lopsly tor lhc puqr$ ol
_1. r\ owncr o, rhe lmpcnr, arcrclrlie.lyconrracring wirh li.cnscd contr.nrsro con{flcr rtr,mrc.! (Scc.7(}1,l. ltun.cs
aftl Plofssir Cddcr'lhc Cotrtrador's Liccns. L.w docs mr.tply i. anowncr of pnlcny who l,uilfi o. improvs ihtrcon.
lnd *ho conlncls lhr such pmjcts wirh a Conlmcro(s) liccnscd ounua"t ro rhe Conrracroii l,i..nse bw).
-l
m d€qr unil( Sc.rioi .B.&PC forrhis E4on
D.1., O*r..
}T!}AtrE&S:!!JMENIAIION
DICIdN{II.N
I hc6by rmfln undcr Fnrky of r,.rjury onc ofrhc following dcclrroriotrs
Ih.vconl*illmra.CcniaEarcofcon*nrtosclfltrrurctbrworkcGcomlcnsalion,aspmlidcdrorbyS€crionl?00ofrh.
hh)r C.d.. for rh. pdf.nMrc .l rh. Nork for whth rhc pcrfrn i\ i\su.d
-l
hare and will minhin {orkc( con\xnsorion insu6mc, os rcquircd by Selion lT00 of rhc ktxn Codc, ror rhc lsfoflmne oi
l\c qql lor whKh rhF r{rmil i\ nnEn. iy'J ] rkch a mncnsornn rtrsuBtrc..{i( arltini) numh' tr.
,*^, Er-Lnarz l(
o
Iccnifyrhr i'r ih. pcrr{rrunce ofrhc work f{n whichrfii\ p.ihir i\ i\\udd. I shdll tror .mtlo, a y p.r$n in uy nnnucr
*,Nt,bc.om{ubjc.rrorhc*orkc6.onl.trs0lionhssolc,liroflrir.MdusNrhlritl$o!ldif,cont\uhr..rrorhc
Rr'*cr' conr.nsdiotr lrovisions ol Scclbn :l7Lro ol ihc Lthn Codc. I \hall. tbnhwith onrply wir h itus !rcvisionr
WARNINC lrlilurc ki scu. workc^ .o'h|xn\dnnr.ovcag. is unhwful. aM \hntl sub],cr rn cnrdoycr ro rinrinll pc'rhic\ md
.ivil find\ u! t,.,r hundrcJ rhonsrnd dolld (trlrlo.UD)- in uddirhd n) rhc.os of.onrrEnsrlion. drmagc\ !s pmvidcd fu rhc
Sr.rtrn.1076,'frhr lrhtrCoJc, tr crc{ rM anonf,y (
z/zlt r
I hcmhy rfim undcr pcnllryofpcrjrryrhr I ar licc0ql undcr pnlnion ol Chaprd 9 (conmn.i'rg wirh Scdion 7Lr(x))oaDirnion l
ol rhc ansi.csand PRntssionr Codc. unn nry liccnsc is in lull lore md cllccr
gqztzq
tlz/ r c 5'f Srf-< S-rlv,<.J
rQlstBiJcraNrllDlNcic[Acr
I h.'rhy rlfirn utrdcr ncn,lry o t pcrjuly thrr rhcr i\ r.onsrtucrtun kndnrg rsri.y rar rhc Nnohnan.c ofrhc $ork n, which rhi\ rrn,ir is
ir{'.d rSc. llnr ('iv a i
AITUCANLDEITAAAUON
I hnhy dlmr undcr pcnrhy of trrjury orc ol rhc tuln,qir8 d..larations:
DcnDlirbi P.nnns Ash.ros Norifi.drion ftdcrrl RcguhrnnN (Tillc,l0. Pdn6)
Rcqntcd L.rrcrtrl Nor ill.oiion
l.cnit rhrrrhc ltdrrrl rcEUhri(nr r.lrftli',9 J\h.{o\rcntrtrrlJr tror xfplrrhlc !i dn\ In,i(r
l.cdify rhd I hrvc rcid rhh afpli.irim Md {ntc rh{r rhc ah)!c inLnnrl()n is.orcd. I ll8re r. mnrply wirh rll a'nrrnd counry
odimn.cs d Srdro trw\ rl,ring b buiklinS.oniru.rion. ud rrrcby dudrnrzc rct,rcscrrdnrs oirhis Ciry and Cottrry i, drcr ul.i rlt; -':,.: ;;,.:"'q"-*.) -)-
,.,mtrircn,nr,nrin,): fl 5o,rt TP".
*",212//r
Set Backs
Forms/Steel/Holdowns
UFER Ground
SLAB Floor
Subf looriVenVl nsu lation
Roof Sheathinq
Shear Wall
Framing
lnsu lation/Energy
Drywall
Brown Coal
l\4aso n ry
Pool Fence
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL g-t7-19 V"WIL)"
Certificate of Occupancy
Notes, Remarks, Etc
Erection Pads
Ext./lnt. Lath
T-Bar
4/.4,,/r r
a
I{'.1 ". A.l,l',..