HomeMy WebLinkAbout30139915 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714]. 647-5853
Permit #: 30{39915
Pin #: 94724
Project Address: 3822 S Flower St Unit: D
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
E
Assessor'sParcel: 410-291-02 Lot: NA
Tenant Name:
Owner:
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
Fee Type
01115002 51602 Clothes Washer
01116002 5160C General Plan Update
011 16002 51602 lssuance
Amount
13.97
22.O8
55.04
Gmenql Plqn t pdote Fe€
01116002- 51600000-
Plurb ine
r:rll16002- 51602000-
llsster Cord
CC+: ff*rr{rrrrrr3753
Qty
1.00
1.00
'l.00
Fee
$13.97
$22.08
$55.04
Western Plumbing Serviceg
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-s490
Botch+t{3651 - 8/29/2gLB ID: CCUEL
0ffice: CTYH Tnansi: 19 I ofAcct+: Ref+: 3013991i
Rcpti:t1236519? - 8/29/2018 SIZL fn
Trdnsdct ion Tofol tt r29f.4i
Uestern Plufib ine Serv icesPhone
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412019
.l
Condominium
Alteration
WasherrDryer
Occupancy:
Constr Type:
Code:
R-2
VB
cPc 2016
$1r2!
Auth+:17194;
$91.09
$0.00
$91.09
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
\lff.Hernanoez, Kathv
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes
o8129t2014
Account#
Every po.mit issued shall become invalid unless the wotk on the sita
authoized by such pe.mit is comnonced within 180 days aftet ils
issuance, ot il the wofu authodzed gn the sile by such permit is suspondod
or abandoned fot a peiod of180 days after the tine the wo* is
comi@nced.
$22.08
$69.01
lnspector MID#: 2018-145754
01116002 51600
011 16002 51602
Fee Total
Paid to Date:
Balance Due:
Phone:
Contractor:
Address:
. t-ri
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNIi* AUILDER DIiLCARA'TION
I h.rcby !fltm lndcr pcnrh! ol Frjury lhar I N crc'nI ltun rh. Coftrrc!)n LiccNc tiw for thc loilo*ir8 rcrsotr tscc.7oll5
Ilusinc\s 0d Prcrc\sion C lc) Atry Cir! or Counry uiich rcqun$ r Frtrril ro onsrrud. 0lrq, nnp()vc. dcnn,lth or Eplt ifly
sru.rur.. ,tri,k, ir\ t\udc, aho rcqun.s rh.]nrlicanr ntr \uchrcmir nr nt a \isncd ($rcnur rhd hcorshc is liccnscd rrFurnr
b rhr provist'n\ ol rhc Con'lacrors Liccnscd ,jw (('haprs 9. Commcn.in8 *irh Sccrion 7(x)O of Division I or rhc ltusinc$ trnd
Prcfcsrn,nr Gdo)orrhrr lfor\hc N.rcnrfl rhcrcrflnh d
'hc
h6i\ to. rhc lllclcdcrcfrprion A.yviolltionotsccrionT0.ll5by ny
lpplic$ ntr a rDxnit subjc* rlr rppli.rtrrlo r.ivrlpcndlryol noi rnoBrhdn livr hondrd doll*s(35m).
-1.
rs own.r of lnc pmFny. o. my.ryllores sirh wrgci ds rh.n n,b 6n{Ensarion. {ill do rmrk!d 0E fier@ is mt
idc'ikd o oficrcd fu slc (56 ,044. Blsincs and Prof6ri.ns Cod.: Thc Clnrmlols Liee t w r!..s ml +ply lo sn owmr of
ln lmpcrly who boilts or hphE ltEs.. atd who dG nEn w* himclf or hcMlf or rhmt8h hh o. her oqn cn9loy..s.
lrovid.d thdl ru.h iml,.o\emorte hl hrcnd.n orotu Lr slc.It ho*!w. tlE buildin8 or inp6m.r i! $ld wiini. om )eot@n\t bIl. thc O*E Boi]:ld vill hlE lhc hodd of |,lving lh,l lE or r]* dil mr hild or inpmw the |,oFty lor f, nurFsof
I, N 6w.er offte lopcny. um.xclusirclycontnclins with liccnrcd controcron ro oflnEd tlr ImFt (Scc. ?044. Bu\ims
and Eoftsim Cod.: Th. Conhcror's Li.cn* lf,w doc. et q,rly ro d owncr of l)rop.ny who blaldi o. io,,r6h{ thcrc.n.and who onlfi.rs f(r $ch pmjsrs wirh a CbntEcrodI liccnsd puN$r brnc Conrrocrois Liccnsc tiw).
-l
m.rcnfl undcr Sccr It &PC fi,rhi(rc,$n
MAI(U&I]TAUIf,N/UIAN
DEl;l,rLBrtIl0N
I ncrchy !lftn utrdcryD0rxyol lujury orc ofrhc tulkrwins d..hainntrl
ll[vc ud slll unnri'rrCdir(rrcofCotr\cnrn,Srllln\urctnr\ukcr'con,Nn\rri{)n.r\ f0vidrd lor htS.rrn,n 17(X)ofrh.
L'txtr CoJc. ntr rhr pcrronmmr olrhc {ork tur shl.h rhc t-..nn[ r i\suctt
_l n.v. lnd will minloin work6 .oryrnsarion inruraftc. &\ rcqlncd by sNrion l70o of rhc txb6r Gdc. ro. rhc FrfomEr@ of
Ite srk for whtn lhis Fmn is iss.n. My work6 ompcnsdrion insurlncc ceifi drd lolicy .uEhtr ml
l .cniry lh{r in rhc pdrormec .r rh. *ork t6r *hi.h rhis lcrnr k n\ucd. l shlll not cq'loy ,ny pcron in dy mdnnf
$ !s ro bccom sul,jd lo thc *orlcB' .onrlEns.l ion laws ol Crlifomi!. ,nd ngm .h,{ ir I slbuld bcco,E sxhicd to rhc
*odsl comFnsti.n ,rmvhions .l Sdior l70o of lh. tntbr Codc, I shrll. fonhwirh strply with rho* pmvi\ions..
\lARNlN(;: l;rlrtrc r, \..urc sorkr^ ro t)ctr\n on
civil lincr xp k, otu honrlr.d rho!\rnd dour6 ($lq).(xD,.
S..rion 1076 of rlr lihr Codc. n crdn md diormy \ lccs
nion ro rhc cosr of cotrtl{
I hcEby lffirn undcr pcmlty of pcrjury ltul I trn lionsd
ol rh. B$incss d Pn,lcssi,nc Cod.. rd nry li.cnc a\
n ofchrl)ln 9 (orlmnci.g wilh sccrion 7000) of Divnion 3
I lrcnhy rinnr trtr(ld Ftrilryflt*rlury rlx rh.rcilron('tur
\u.d rscc l(li)7 Civ (' j
4cncv lnrdL Nnnnnrmcotrlt sork lnr whrhrlis Nmir tr
AETUCANLDICLAEAI]ON
I lrEby rflinn undcr ncnohy o, prriuy onc ol lhc lhlbwnrl dc.lahrionr
lXnmlirion Pcrnrir$Astf,{o\ Norili.al r r{d.rrl R.eulrltunr (Ti(lc.l0. Pr'(,
-Rcquncd
Lcxrrof Norili.{idr
I edifr rhrr rhc rircrulrcsullriotrs rsudinB astf,(os,cmvllarc not lpplico$lc ro thi{ pmjst.
I cdilyrl l hrvc r. rhisrrpli. t'n {arcrhrr rhc *xNr infoimarnn, i\con..r I age t, c.mply sirh all Ciry rid Cou r!
odtrEmcs 8nd Sr0rc Lxws rchring robui ot rhir Cir y and Counl, ro cnr* uFn iE
,h,vc nr.rt'ncd Impcny aor inspcci
Appliconl or Assnl SlsMluE:
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh Water Heater
POOLiSPA
P-trap/Drain Line
It/ain Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sa nitary Sewer/Cap
Back Flow Device
Rou gh Plumbing q r(A,*.<.l 7,>)
I Jt
Meter Release
FINAL lo lo K<ql41^yt\'€J49\r:Notes Remarks Etc
UNDER GROUND
Waste & Vent
Miscellaneous
Final Gas Test
unIslul. rtrJ \h]ll {rht(r ai
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