HomeMy WebLinkAbout101103381 - PermitProject Address: 3900 S Bristol St
Assessor's Parcel: 412-131-22 Lot: NA Block: NA
Unit: B Bldg:
Tract: liA
Address Range: 3800-3950
J
Historic: No
Suite Range:
Zoning: CR
cify of santa Ana 20 civic center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {O11O338{
Pin #: {0929EP
Building Ljse: Commerciel Occupancy: B,U,S-1 1st FL Area: 1035 Palio:
Job Type: Addltlon Constr Type: VB,SPK 2nd FLArea: T.l.Arca: 41876
Nature ofwork: TltAddlflon code: cBc 2019 other Areas: yards Req,d:
Existing Bldg. & use: commedc.t Flood zone: x{602320259J Garage Area: valuaUon: ll,43o,ooo.oo
Proposed Use: # of Stories: TotaL 1035
D€scription of Wo*: lntoriorti to include demo of an oxbting 4,OIO SF merzanlno, Emoval ofexistlng stairs laadlng lo basemsnt and constructlon ol
now staiE to beaemonl domo ofnolt{oad bearing partition wall3 & bathroomE, construction of new ADA accessibla lo3lrcom6,
of 1,035 SF vestibule. Scope of work to include exterior work including new exterior doors, new concrete dock &
Planning Conditions:araa demo of existino alrrminrrm storefront and construction of alumin sforafronf (21 roofton HVAC rtnifs
to be romov.d & new equlpmont la propoBod, including HVAG unit, Erd rmd q.lfyttihsaflnCtgliuiH*fiFcro.nod with new
owner: ArneYoungnEDl.trtu&UE[nT0{il,Se78 HobbvLobbvcomtruction
Addr$s: one corpor.te, sulto 200 Addr€s3: 7707 SouthwEat44th Steet Address: P. o.8ox 2076
Newport Be.ch, CA 92660 Oklahom. Clty, OK 73179 RogeB, AR 72757
Phon€: (949) 760{591 Phone: ('ro5) 7{5-1557 Phone: (808} 65A35Ja5.rt. 289
Tenrnt Hobrry Lobby state Lic*: 9'$286 Llc'ns€ #:
' Llc Typei B Architect/ pB2 archttectrB & Engin.edno, fvr!.t.Wvtr : -lrrf , , . 8us. Lic *: 371314 Desrsner:
| '1f+L1Ol4'rAn workerd Compensalion ln6ursn@: Mdr€ss: P. O. Box 2(r8
nip ,o r-*- ot Et tNl\tb cafil,tt acc ametlcrn ln co Roge6' AR 72757
Pdiat *. wlRc8ag4t29 Phone: (888) 65635r5.xl 289
E)ek6s: 1,,31m20 LiceB€ #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd: No
Planning lnsp. Req'd: Yes
Gomez, Pedro
Scott Fazekas & Assoc.
Chavez, Dave
No Y9'
Fire lnsp. Req'd:
Police lnsp. Req'd
Date: 0310412020
Date: 06/1 812020
Date: 0712312020
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
0777600 2
0 77760 0 2
0 77760 0 2
08907007
0 77760 0 2
077760 0 2
077760 02
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 2
Bldg. Stds. Revolving
General Plan Update
I ssuance
$5,984.05 J
$12 ,213.51
$295.65 /
$4oo '40/
$58.00 "/
$23.79 -/
$5e 30/
$19,034.70
$1 1 ,797.46
$7,237 .24
No
Yes Account#
74251
Total
5760 7
53600
5777 0
24000
57672
5760 0
57607
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No 01116002 51600 SZZ.IS./7
Every permit issued shatt become invalid untess the wo* on the site authorized by 01 1 16002 51601 $o'o+s'gs V
such permit is commenced within 360 days afrer ils issuance,o r if the work authoized 9] ] 1999? :191? $Sa'OO '/
onrhesirebysuchpermitissuspendedorabandonedforaperiodof 360aaysanel 0111600257770 $295.65/
the time the work is commenced. 08901001 24000 $40O.4O v/
Ollt C.@2 ..lS3Lao tt t O *aE
lnspector MID#: 2019-155793
.S+-
Fee Total:
Paid to Date:
Balance Due:
SITE-WORK DATE ID/SIG.COMMENTS OWNER BT'ILDER DELCARATION
I hcrcby amrm undcr pcnalty of Frjury that I m cxctrrpt fmm lhe Contraclon' Liccns hw for thc followitrg rcen (Se.7031.5 '
Business ard Prcfession Code): Any City or County which rcquircs a pcmit to @nstrut. slter, improvc. demlish or rcpair my
sttrturc, Irbr lo its issumc, also rcquircs lhe epplicml for such lEmit to filc o signd st0tcmnt thal lrc or slE ir liccnsd punuut '
to the Fovisions of thc Contractor's Liccnred l:w (Chapter 9, Crmncing with Sction 70@ of Division 3 of thc Busiress md r
Prcfessions Code ) or that hc or she is cxcmpt thcrcfmm ard the bosis for thc allcgcd cxemption, Any violalion of Sction 7031.5 by any .
applicani for u Frmit subjEts the applicant to a civil pcmlty of nol mrc lhu fivc hundrcd dollus ($50O).
_1, as owncr of the propcrty, or my cmployecs with wagcs as their solc compcnsation, willdo thc work and thc stnEturc is not
intended or ofl'ercd for salc (Sec.7044. Business and Professions Codc: Thc Contractor's Liccnsc [,aw docs not apply to an owner of
the properly who builds or improves thcrcon. and who docs such work himsclf or hersclf or through his or hcr <lwn employees,
providcd lhal such impovcnrnts are not inlcndcd or offercd for salc. If. howewr, thc building or in{rroverrcnt is sold within onc }ryu
of conrplction. thc Owncr Builder will have tlre burdcn of proving thil he or she ditl not build or inqrrove the propcrty for tln purpsc of
salc).
-1.
as owncr of thc profrcrty. am exclusivcly contracting with licenscd contractors to construct thc proirt (Scc. 7W. Busircss
and hrlfcssion Code: Thc Contractor's License Law docs not apply to an owncr of propcrty who builds or improves thercon.
and who contracts for such projccts with a Contractor(s) licenscd pursuant to thc Contractor's Liccnse Law).
-IamcxcnrptundcrScction-.B.&P'C.forthisrcason.
f )ola.
WORKERS' COMPENSATION
DECL^RATION
I hereby affirm under pnalty of perjury onc of thc following dcclarations:
_l havc and will rraintain a Ccrtificatc of Conscnt lo Sclf-lnsurc for workcrs'comgrcnsation. as providcd for bySection 3700 of thc
l-,abor Codc. for the pcrformance of thc work for which thc permit is issued.
_l havc and will nraintairr as rcquircd by Scction 3700 of thc [:bor Codc. for thc pcrformarcc of
thc work for which this compensBtion insurancc carricr and Snlicy numbcr arc:
a
6 aPolicy
_l certity that in lhe pcrforrrmncc of thc work for which this pcrmit is issucd. I shall not employ any pcrson in any runncr
so as to bccome subjcct
workers' compcnsation
to thc workcrs'conrpensatiorr laws of Calilornia. and ifl to thc
provisions of Scction 3700 of thc [:bor Code, I
WARNING: Failurc to sccurc workcrs'compensation covcragc is crinrinul pcninltics arrd
civil fincs up to onc hundrcd thousand dollars (S100.000). in
Scction 3076 of the Labor Code, interest and attorncy's fccs.
as provided for thc
t
DECI.ARATION
I hereby affirm under penalty of perjury that I am liccnscd undcr provision of Chaptcr 9 (comnrcncing with Section 7000) of Divlion 3
of the Business and Professions Codc. and my liccnse is in full force and cffcct.4License
/D
aDate:_
W
I hcrcby alfrm undcr lEnally of Frjury that thcrc is I construclion lcnding agcrcy for the prforllrmc of thc work for which this Frmit is
iswcd (Se. 3097. Civ. C.).
Lrndcr's Namc:
Lcndcr's Address:
APPI ICANT NECLAILAT'ION
I hcrcby atlimr under pnalty of perjury onc of the following declarations:
Dcrnolition Pcrrnits-Asbcstos Notification Federal Rcgulations (Titlc 40, Part6)
-Rcquircd
lrttcr of Notification
lbdcral rcgulalions rcgarding asbcstos rcnnvalare not applicablc to this projcct.
read this application and with all City and County
and County to cntcr uflon thcordinanccs and Statc [:ws rclating to
above nrntioned property for inspection
Applicnnt or Agenl
Pernrilee nanre
o^r", ( ft*?-ow
Set Backs
Forms/Steel/Holdowns -7-Zl \MLU,
Erection Pads J
UFER Ground
SLAB Floor
S u bf loo r/VenVl ns u latio n
Roof Sheathinq -q''h
Shear Wall .{UAt tl
Framing i,sz)f 7-Ll J:IMN
lnsulation/Energy yAtil\
D
rt lnt. Lath g .2 \lalln
B]6wn Coat
N/asonrv
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Engineer Final Report
Flood Zone Certif .
I .?
FINAL \)
Certificate of Occupancy lt
Notes, Remarks, Etc.
(-I I,)t CovEr)1 t h Cri
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BUILDING. INSPECTOR RECORD
Rev. 08-07-201 5
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