HomeMy WebLinkAbout40132540 - Permit (2)Cify of Santa Ana
Permlt Counter: (7 1 41 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702 Mecha n ica I Permit #: 4013254l)
Pin #: 24611lnspection Requests: (7141 667-2738 lnspector Section: (714) 647-5853
Proiect Address: 3928 S Flower St Unit: C
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Historic: NoAssessor'sParcel: 410-291-02 Lot: NA
Owner:
Address
Prime & South Coast L P
50 California St 920
San Francisco, CA 94'1114606
Fee Type Amount
01116002 51604 Clothes Dryer - Residen 40.34
01 116002 5160C General Plan Update 22.08
01 116002 51604 lssuance 55.04
Qty
1.00
1.00
't.00
Fee
$40.34
$22.08
$s5.04Phone
Tenant Name:
Contractor
Addressi
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
Eotcht:4S654' A/29/2t)18 I0: CiUELoffice: CTYH TroBsi: 59 5 ofAcct+! Refi: 41113254r:,
Rcpti:02365196 ' 8/291?Ol8 3t2l Fn
Tronsact ion Totol ll 12?1.42Phone
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412019
Uestern Plulb ins Serv i.eE
G€nerol Plon llpdote Fee
0111600?- 51600000-
llechon icol
01116002- 5160+000-
lloster Cand
CCi: rr***rr**r*r3753 t1r
Auth+:1719
Building Use:
Job Type:
Nature of Work
Condominium
Alteration
Washer/Dryer
Occupancy:
Constr Type:
Code:
R.2
VB
cMc 2016 Notes:
Planning Conditions:
Planning Approval Bla
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
$ternanoez, xattry
Date
Date
Date o4t2912018
Account#
N,lisc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall bocomo invalid unless the wok on the site
authoized by such petmit is commenced within 1 80 days after ils
issuance, or if the work authorizad on the site by such permit is suspended
or abandoned tot a peiod ol 1 80 days aftot the time tho wo* is
cgmmenced.
$117.46
$0.00
$117.46
lnspector MID#: 2018-145753
01116002 51600
01116002 51604
$22.08
$9s.38
Fee Total
Paid to Date:
Balance Due:
Suite Range:
Zoning: R4
E
.08
MECHANICAL.INSPECTOH RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinqs
F.D. Drop Test
Above Hard Lid
Above T-Bar
i.lcv,,.c,4 It Tj 6r)Rough Mech.
Final Test uJ
Meter Release
FINAL lzz)
Notes, Remarks, Etc.U\
OWNER BUTLOEX DEI,CARATION
I h@by .mr'n uodo pcnrlly of pcriury fiol I m crcmpl ftom lnc Conlr!.lo6 Lic.nE Las for lh. fouowing E sn (5(.?031.5
Busin*s md Pmf.sior Codcl: Any Cily or Colnty qhi.h cqoiB a Fmh ro con{rud. all.r. imprcw. &mlish ot tprit oy
srru.ruE. prior lo its i$am. abo EquiEs rhc lpplher fo. $ch Fmil lo lik ! si8*d rla|cft thrl lr 6r lhc i! licqsd l,ur$trt
io rhc pmtiionc oltlE ConlEcrols Liccn*d l,w (Chlprd 9. Comdcncing wirh Scclior 7000 ol Division I oflhe Busincss and
Pmlcssions Cod.) or rh.r lE orshc is.xcd rt cfiom and rh. he\t to, rh. alkeen cr.nq,lhn. Any viohlion of Serhn 70l l,t br .ny
applic! a6r a FmI flbiects thc alplicml lo a civil p.mlly ol Nr rmE lh fivc h!ftlr.d doltds llt00).
-1,
&s ownf of rhc pioFny. or ny .n{lort s wnh w.gs B rlEn $t ompctrglhn. *ill &, llt wdl ard 0E sr.xrm is ml
i,rcrH or o6.Ei for elc (Se.?044, Busimss snd Pref.ssions Codc Thc Conr&rofi Ltc6F liw docs nol apply lo .n oercr of
lhc pmpcny who builds or nq,ors rhc@n. od {ho dG. Mh mrt himslf or trn.laor thrcl8h hie or h.t ow..dplo}tc.,
prcvid.d rhar such ioprowftdse ml i cixH trorcEd lor$L.lthoMEi llE hoildnu or iqmtd ir$ldsithinmFm
of@n$lcrbn. tlr Owrr Builkr eill h,w {E buncn ol Fmvin8 lh,l h. or sh. did ml hojld or irstoE Uc pDtBry aor rlE purlbs or
l. ss.wncr ol lhc l,opdy, omcrclusivslyconlrsrins *ilh liccnrd .oildro6 !. .oisrod rh. rmjel (Scc.7044, Bu5im:r
lod Prot6shn Coder Thc Conrddoi, Lic.nsc Lrw docs n6r trptly ro un ownfi of prcFny uho blilds or imnrovcs lhcton,
and *ho conlBdsfor such pmjc.ls wirh uC4ntmctorls) ltctrsd 0lrsunr lo rh.CodDdors Li.cnsc ttr*).
-l
.m.rcmfl urd.. S€tioL--. B. & P.C. aor lhir l.en
Osn€.
UAf,TEIN:CAMIINSAION
DEII.AIAIIT,N
I herchy rrrnu.d.r p.nlhy of pcrirr, otu oflhc tollosiry dccllDlio.s:
l hrv..rkl will hinirinrCcnific.tcolConscnrroSclfln\urcnrsorlc.sco'npcns tun,Nlro\idcdlarbySccrion:lT0oofrhc
lintr Cod.. li,rrhcp.rturnri.c.lrhc work lorwhich lhc t6mir n hsucd.
I how and will m,inrnif, worlcts compcnsalion instrrrcc. as rcqlircd by Scclioo 1700 ofll[ tlbor Codc,lor rhe p$fortucc of
thc sort for wnich lhis lcrmil is nsu.t My lorkc6 s,mpcnsrtion i.sutuN.Micr and polky nun$.r ar:
WARNINC: lhil!rc ro scue w.rkE cof,p.neri.n cov.i8. is nnllwtu|. ond shall subjccr a. cmplorcr ro diriml JEmllis lnd
civil fitrcs u! to orc nundrcd thougnd doUa ($100,000
Sccrion 1076ofrlE L{bor tue, inrcrcd and dnomy s rccs
.ddnion ro rh. cosr ofco ion. &@gcs a pmvided for tlE
I hcrcby lmrn u8l.r Fnahy ol Frjury lhnl I m lieflrd u prolisio. ofCh.prcr 9 (.om,Encing wilh Sstion ?000) ofDirhiot:l
of lnc Busiflcs lnd Prcfcsions Code. ed ny liccnr is in full loE. ond .ffel
I hcEhy s,firm undcrycMlr, of Friury rhdr lhde h u .on.r
i.rucd (sN. 309 7. civ. c.).
nding lg.ocy for lnc ncrfomtu. oflhc wort fot which lnb Frmil h
AIzuIANI.D&CLAIAIION
I tmhy rnim un,lcr Fnrlry or tf,rjury o c ollhc rbllownr8 dcckrrlnnr!
Octrdilion PcirnirsAst (os Norifi.nrt'0 Ftdcral Rcgthrnrn\ (1ir1..10. Pd6)
-Rcqutcd
lartcr of N.rificrir)i
-l
cc(ity rhar thc fsdenl Esulalions rgeding .srrsbs rcnDvd m d 0ldicahlc to lhh I'Io]cct.
I *diiy'hrr I hrlc rcdd rhnarDlto trand (arcrhnr rhc atnlc inrornurn,r i\.oftc.r lsarNrocoDnlywilhallCirrrndCou.ry
.rdiorftc* a.d sbrc tlws rcblin8 lo b!
ltrve trnrb.cd ltupcdy ror insFdn'n
ofrnis Ciry Md Countyrd €nre! ution 0r
t
b
II
I
E
IIilE
lnstallation
Poli.y Nnnlb.i-Expncs:
-
-lceaifyrhdr
inrh. p.in,mn corrhc worl for rhichrhis p.rmir n issucd.l sidlnor cspk,, rn! P.son i.any m rcr
$ as ro tr$nr subi{l lo lhc worten omp€nsation lass ofc6lifomi!. dd 4m Ih,r irl stould tsom suhicl ro ll'c
workcN .onlpcns ionrmvtions ofSccln,n lT00ollhc tihtr Gxlc.l shlll. rodhwirh.onrrly with rhos lmvhion\
t ndd r Nrfr:
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