HomeMy WebLinkAbout40132539 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechan ical Permit #: 40132539
Pin #: 296{8
l nspectlon Requests: (7 1 4\ 667 -27 38 l nspector Sectaon: (7 1 41 647 -5853
Proiect Address: 3822 S Flower St Unit: D
Block: NA
Btdg:
Tract NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
E
Assesso/sParcel: 410-291-02 Lot: NA
Owner:
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
Fes Type Amount
01116002 51604 Clothes Dryer - Residen 40.34
01 116002 5160C General Plan Update 22.08
01116002 51604 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$40.34
$22.08
$s5.04Phone
Tenant Name:
Contractor:
Address:
Western Plumbing Services
18'10 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-s490
Sotchi:43654 - 8129 /?OtB I0: CCUEoffice: CTYH Troos+: 59 I oAcct9: Ref+: 4(13253
Rcptir02365l?9 - 8/29 /?gl8 3:2! Pn
Tronsoct i on Totol tl'291.4
Stale Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: Oal24l2019
$estenn Plurb ins Serv i.:es
6enerol Plon t pdote Fee
01u600?- sr600000-
hecion icql.
01116002- 5r604000-
lloster Cord
C(+: r;;rrrr**r**3753
?.rli
ll t2
Auth+:17194
Building Use:
Job Type:
Nature of Work
Condominium
Alleration
Washer/Dryer
Occupancy:
Constr Type:
Code:
R-2
VB
cMc 2016 Notes
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit Issued By:
Subject to Field:
Building Permit #:
\JH Hernanaez, ratry o812912014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 180 days atler its
issuance, or if the wotk authoi.ed on the site by such permit is suspended
or abandoned for a peiod of 1 80 days after the time the wo* is
$22.08
$95.38
$1 17.46
$0.00
$117.46
lnspector MID#: 2018-145754
01 1'16002 51600
01 116002 51604
Fee Total
Paid to Date:
Balance Due:
Date:
Date:
Date:
Phone:
APPROVALS DATE ID/SIG.COMMENTS
Appliances
l/etal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Hough Mech.?/dt? Ti t^u*uJl rt)
Final Test I J\ \
t -t^--*4-17ldi,t"lmT >b\
Notes, Remarks, Etc ui
MECHANICAL.INSPECTOR RECORD
OWNER BUILDER DELCARAIION
I herby .flirm undcr pcmlry of pcriury thl I @ .rcopr fDr tc Co.lrsloB Ltcns L3w for lhe fouoqing rc(en (S( 70l l.t
Busings &d Pbfessio. Cod.): Any Cily or Counly which EquiEs a Fmh lo olslod. all.r, impmt, d.mlth or Ep&r ty
slru.th, priu ro its Gsuuc.. rl$ rcgutcs rh. lpplicad for slch rErmil ro lih a.igncd {aicmnl thrl lE or sh. n lienscd l)ur$ut
ro th. Imvisions ol llE Cofu0crols Lk.nsd t * (Chlprs 9, Conmctuing wirh Sccrion 7000 of Divi.ion 3 ol lh. Brsir.$ ord
Profc$ions Codc) or rhat lE or *lE h cxcmfl OcrcfNn and lhc hecis tbr rhc lllcgcd d.nprion. Any viohtion of Sation 703 I 5 hy ory
qpltr fo, . p.m[ subjNc rhc 4pli.!nr to a civil p..!lry of ldr ee lho fivc nundEn dolrs ($500).
--I, &\ ownr of rh. popcny, G my crploFs wilh *sgcs I tEt $h ompc.slrbn. pi[ do ll8 s* ald !E srtrdE is ml
inrdd.n or olYercd for slc (5(.7044. Ausie$ and Ptufcssions Cods The Conrrcrolr Li..nk Lls dGs ml !p!ly to d oqnd of
lhepmFny wi. hlil& i!p6B llEon. ud wno do6 sh eort him€lfor hcrslfor llftugh his or nd own cn[lolcca.
ptueidcd rhsr s!.t inpNrGnr! e m ink'idcd ororcad aor sh. lf. ho$w.0E tlildin8 or hpmwGnl b sH wilnin om rqt
of omphti,n. rhc Orrcr Blillr *iU hlw d* hhh. ofFovins rhd lE 6r ihc did mt hild or inpmw $€ ImFly for dE ltrrpos of
-1,
as oqnr of rhc pnpcnr. 0a crclusi!.ly .o.reling {irh lien$d contrcroE lo construcr llE Imic{l (SN. 7044. BNirca\
und PmrGshnCodc: Thc Conirsclols Liccnse Ltrv docs nol altly ro .vncr oflnrpcrry*ho builds or irpmrcs rh&con.
and who s mcts for su.h ,&j€d. wnh ! Contux)(.) lien<d pursuld to rhc Conh.ror's Lkcns L!w).
I m.rcmd unds Serio. . B & PC forrhr mMn.
Drl.: Ov..E
:uaaf,[Bs:l:0ltPiNtAr'laN
DECLAMIAN
I h.rchy amrn utulcr pctulr, of Iojury o.c of lhc rollowmg d.chrnri.ns
-l
h.vc &ld siu tuinrab !C.,rifi.arc olcoM to Sclf-ltri@ lor mrl6 .onrF.slion. !s prDvij.{ aor b,Selion 1700 olrlE
Labor Codc. for lnc p.rfomNc of lhc sort for whth llt plmil Lr issued,
_l h!!c ann will rainrsin woikc^ .onrn ncdion ii\udtu., d1 rcqunud hysrcrionlTu)olric L.hor (-odc. rbr rhc Frf{,nlncc.f
rhc so* li)Ishich thnFnnir i\ h\ucd My*ort.B comFnsario. inrotu.c.rfti,jr ut ll)licrnuDbcr m
tdicy Nunrhcr:-Exptcs
I..(ily rhri io rhc pc.formN. of tl'c work for vtich lhn I.rnil k hsusd. I shrll ior cfrrlo, any p.Mn in rny nDtrrcr
$ rs ro tf,.om srbFcr x,lhe *orkcs compcnerion la{s of Califonil lnd lgE rhd if| rhonld b.co.r subjat lo tlt
wo.tc^' omp.nsor ion prcvkions of Setion 3?0O of lh€ l-lbor Codc. I .Jlall, fonh*irh snply wnh lhos Iovnions..
WARNINC Failurc to *orc *orkc.J.onrrcnsirtr r utrirstul. ind shrll suhJccr rn.nrpk'ycr h ainnnrlFrt,lri\ rnd
.ivil ,lics u! ro oe h!.dred rh.$a.d dollrs ($l
Sr.ri,n.1076 ofrh. ubr Codc. inrcrcs ld itronry's iccs.
Drler- Appudnt
I h.rcby rfirn uo&r FEhy of p.rjury lhll I !m licnsd nr otChrrrrer gtconrEnci.s wirh s..rbn 7{D0) ofDivisiotr 3
D.lc: Corlmclo
I n Eby olirm undd FMlty of p.rJury rhar rntr is !
hsucd (s(, 109?. ci!. c.)
as.ncy fo. rh. Frformn.c of rhc *ort lor *hich rhh I'cmh s
AIIII( .ILl2IClr'LBtrIl0N
Ilrd)trllir run(ldlEtrJliy.l trrluryomof rhcli)lL'{ nrn..]ffiri,nN
l)cnrn,i,,f l'$nlr\ A\h!{o\Norific ri,n, f{dcrnl Rcg!hrnn,sil |c.11). I)J$}
Lrqotrcd l-rrrcrol Norili.nr on
-l
ceaify rhat rhc fcdc.rl Egrrhlioo. Egsrding asb.d.s Ercvrl . nor lptlicablc to lhir !rej*r
-l
ccnilyrhll I hak rcsd
'hn {'plk&r
ordinrnccs and Slatc tiws mldirE lo bui
,d irar. rhnr rht nh.vc jnfdmrio. is.old l.8E ro orr,y wirn all Ciry lnd G,unry
abovc nEnriomd pmlcn, for **(h.rchy a noir. rqdsdnl0tivcs ofrhis City ind Counryro cnlc! unonthc
Meter Release
FINAL
of rhc A!\iics rnd PDrc$n s Codc. ml nyli.cnrc is in flll laftt uxi cffccr.
tt
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