HomeMy WebLinkAbout30139913 - Permit (2)Project Address: 3800 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unit: H
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
E
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permit Counter: (714) 647-5800 lnspectron Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{399{3
Pin #: 70578
Owner:
Address
Contractor:
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
(714) 556-7950
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(7'14) 492-5490
Fse Type
01 '116002 51602 Clothes Washer
01116002 5160C General Plan Update
01116002 51602 lssuance
Amount
'13.97
22.O8
55.04
Fee
$13.97
$22.08
$55.04
Qty
1.00
1.00
1.00Phone
Tenant Name;
Eatchi:4365{ - 8l?9l20l8 I0: CCUELLAF
0ffice: CTYH Troosi! 59 ? of i2Acct+: Rel+: 3013??1i
Rcpt+:02365193 - 8/29/29tg 3321 Pn
Tronsact i or fotol lLr2?1.4?.
llegtern Plurb ins ServiceEStale Lic #: 1021101
Lic Type: C-35
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: OAl24l2O19
Generol Plon thdote Fee
01116002- 5l600tro0-
Plu.b in!
01116002- 51602000-
Itaster cord
CC+: rr*r*rrrI*r*3753 $l r291
Auth+:171947
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject to Field:
Building Permit #:
Condominium
Alteration
WasherrDryer
Occupancy:
Constr Type
Code:
R-2
VB
cPc 2016
Notes
\0(Hernanaez,
ratnv
Date:
Date:
Date:04t29t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pennit issued shall become invdlid unless the wo* on the site
aulhoized by such peflnit is commenced within 180 days aftet its
issuance, or il the wo* authoizod on tha site by such petnit is suspended
ot abandoned for a period of180 days aftet the timo the wo* is
commenced.
lnspector MID#: 2018-'145755
0'1116002 51600
01 1 16002 51602
Fee Total
Paid to Date:
Balance Due:
$22.08
$69.01
$91.09
$0.00
$91 .09
Phonei
,t!
PLUMBING.INSPECTOR RECORD
DATE ID/SIG.COMMENTS owNuR I!(,lLDltR I)l)-CAR Tt()N
I tur.hy Jrlnnr undn Nnrlrr o, pcrjltr.y lhir I nn cx.nrfl t rn rhc cotrrir.rorr' Li{nsc hw lirr rhc iollowins rclso (S.c Toll 5
Bu\nt\s trnd I''.fc\\i,,n Codo) iy Cir, or Cotrdy Nnich requirc\ r l{nnir ro con(n'd. rlrcr. i fmvc. dctrn,li\h ,tr rlnn Iny
slntrurc. fio o ts dsr.i.c. nho lcquncs rhc+tli.inr for soch l.nnirt,lilc r \i8ncd I c f, rhrrtr.or (hc i\ liccn{d l[Nurnr
k, rhr pn,vi\nnN .l lh! Corrrckn \ Liccn\cJ ltrw (Ch plcr g. ('.nrnrcncing $irh Sccri{)n 7({X) ol Di!ti,,n .l of rht llusi'rc\s nnd
Porc\non\ CodcJ or rhrr hr or \hc i\dcnrrr rhcturrndr.d rh. h!si\ larrhl Jlc[cd.icmnri{,n Anyln'larionufScd nT0]15hyrny
rtpli.r lu r llcflnir suhjNis rltr amli.dnr r, r.rvilpcnikvol ioi nrrcrh ln. hu ilr.ddollnrs(S5UD
_1. .s ownc, ol.h. pmp.dr. or ny cmployei snh s{ecs &s rhcn $b dmpcnqrion. sill do tlr vql ad tlE n dm is mr
idend.d or o6.Ed for eL (Sa.roa4. Ausims ed Pbfcsiom Codcr Th. Contmclols Lic..s tlw docs nol eply lo atr owrcr of
rh. !qEr, *ho hilds or lmpoEs rh.@'r urd who do.s st s* tins.lf or hcr*lfor rhtulgh hh tr h.r o*n endolei.
rmvidcd rhar sch irpownrs e mr i.t ndd o.oftcn ror Bh. li hotrlk. tlE b{ilding or irFDr4nr i.c $H silhin orc J4roforpLton. ltE Owmr BuitLr will h.k dF hrdu of Foving lh.I hc o, sh. did @r huiH or in{mE rhe pbpdry 6r rrE plrloE or
-1.
as owncr of rhc pmFny. am cxclusircl, conlfuring wth lienkd conlrclou to m.sldct lh. r,ojd (Sa. 7044, Bulim$
$.1 Potilb{Codc: Thc Co rr6as Liccnsc Lre docs rer ryply ro ano*.er ofprcpcny{ho brildN or idl,olcs rh.rco..
ad sho conrra.rs for ssn Imjels with ! Co.rrdo(9 lietr*d t uBmr b ihc Conr0dols Li.cnF L{w).
-l
m.xcf,pl undcr Sdlbn-. B. & P.C. i,lnk reason.
}ABtrIIIUIQMTJNSAITQN
IIECI.AXAIII]N
I hcrcby llftn undcr lcn.liyolncduryom otlhc i'ollo{ine dccl nrhN
_lhlvc md q,llnui ain a Ccniaf,nrc oiCotr*d to sclr-lnrurc ror sorkc6- co nr!.nsr r ion, rs pmvidc{l lor hySccrbn 3?Oil ofrhe
L.bor Codd. lor rhc p.rfonE,ftc ol rhc work fr whkh rh. n r6it ir issucd.
_l hllc lnn aillmintoin qo*c^ compcnsalion insENc.0s r.qun d hySccrion 1700 of thc kbor Codc.lor|lE Iof.lr1@. oa
Lhc work iir which rhh pcm is irnrcd My{ortcrs conwnsolion insumncc c$icr d, rolioy nuat ei e:
Policy NumbclJitiEsl
-l
ccnily thol in thc pr ormmc of lhc Bork for wni.h lhir t mir is i,sucd. l {hall not .mploy 0try p.son in any mmrcr
$ as ro bcatu subjd ro rhc wo 6'.on{.nslrion Lws of Calitomi!. md33Nrhar itI shoold b6om slbier rorlE
workcF'comp€nsrtionpmvnionsofSEtionlT00ofllEkborCodc.lshBll,forllBilhconplyqithrhospovisions..
WARNIN(; Irrihrc n' *"^.u( qorkr( co fri\rrion bj.ct rn cnploy.r to ninhal Fuhis Md
civil lin.s up ro 6rc hlodrcd lholsand dolla lll .on{Enerio., d.m8$ .s providcd for d.
S.clion l{}76 of thc Labr G)dc. imcEsl .nd a my r fes.
D.t :- Appllorl:
I h.rby !finm undcr rcnllry ot pc,jury rfilr I am licu*d n ofChaptd 9 (conmminE lnh SEri,. ?000) otDivirio! 3
of 6c Busimss and Pof.ssioN Codc, ond my liccn$ is i, tull
I tun6y afrrm und.r F!dr, oa pcrjury dd rhctu h a si{Mri6n
issucd {se. 3097. civ. c,)
.8.nc, ror rhc Frfoll]r,N of E work rbr *hict lhn lEmil is
AIPLI(SNIDECI,AE{II!'B
I h@b, nlim und€r Fn.h y 6f p.rjory oft.frhc folloBins dcchnrt,ns:
Dcmlirion P.irnits.Asb.stos Norificarion l,cdcral Rcgtrn i.trs (Tirlc40. Pan6)
-Rc!uncd
l.xcrof Notifi cllhn
-l
€cnify rhot lhc lcdcral rqularioDs rcEarding lsbcsros rcmov0l m nor 00dicable ro rhis lroJccr.
-l
ccnify thsl I h,vc rcd lhis f/ica
ordinoks and Srarc kws Elari,e ro b{
3lorc rhar rh. atnvc inlorrorio. is consr. LBre ro con ly sirh lll Cirra.dOounry
of$t Cnyed Countyto cnr6 onon rlE
trhovc mtrrioncd pml).ny for inspdion
.\DIli(rnl or \rr l Si!nnl"D.t.i-
UNDER GROUND
Waste & Vent
Water-Under lloor
Gas-Underfloor
Building Sewer
Area,/Storm Drain
lnterceptor/ Clarilier
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rou gh Water Heater
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing q r/r8 t,i,^ArrGu4
,_)
Final Gas Test
Meter Release
FINAL 7,lrx tr.?),-rt:>b)
Notes, Remarks , Etc.I
APPROVALS
L.nd.is AddEs:
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TOP OUT
tollr"llt1