HomeMy WebLinkAbout40132538 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 4O132538
Pin #: 84782
Assessor'sParcel: 410-291-02 Lot: NA
Unit: F
Block: NA
Bldg:
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
E
Owner:
Address
Contractor:
Addressl
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(7141492-5490
Foe Typo Amount
01116002 51604 Clothes Dryer - Residen 40.34
01116002 5160C General PIan Update 22.08
01116002 51604 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$40.34
$22.O8
$55.04Phone
Tenant Name:
Botch+!45654' 8/2r/2O18 I0: C(:uE["LAR
0lfiEe: CTYH 1p6ef: 59 12 0f 12
Acct+: Refi: {t1132538
Rcpti:02365203 - 8/2912018 3.21 Pl1
TPansoctio'l Totol tLt2?1.42
llestenn Pluab i ns Services
Phone
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X5879
Expires: 0812412019
Generol Plon updcte Fep
011t60(12- 51600(100-
llechoo icol
0tu6002- 5160{0(t0-
Foster Cord
CCi: rr*rlr**r*rr3753 tl r2
Auth+:171?4
4
Building Use:
Job Type:
Nalure of Work
Condominium
Alteration
Washer/Dryer
R-2
VB
cMc 20'16
Notes:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invdlid unless the work orl the slte
authotized by such permit is conrnenced wilhin 180 days after its
issuance, or it the wotu authoized on the sito by such permit is suspended
or abandoned fot a peiod of 1 80 days afler the time the wotk is
commenced.
\0S Hernanoez, xattry o8129t2014
Account#
Misc. Receipt:
Misc. Receipl:
Misc. Receipt:
Total
$22.08 $117.46
$0.00
$117.46
lnspector MID#: 2018-145752
01 116002 51600
01 116002 s1604 $95.38
Fee Tolal
Paid to Date:
Balance Due:
Project Address: 3808 S Flower St
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
MECHANICAL.INSPECTOR BECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hscby .fiim lndcr Fnolry of prj!ry thlr I m cxenfl 6om !h. ContracroF' Liccns L3w for lhc iollowin8 rc!$n (Se,7011.5
Busi.c$ and Prcfc$ion Codc)r Any Cit, or Counly which rcquircs 0 ,trnil lo snsltuct. alld. impow. dcrmlish or Ep8n any
slod@. rsior to il3 i.su.N, ,lso EqunEs lne lpplkel aor slch Ffti lo nb ! sign.n slalcmrt rhai h. or slE b li.cnrcd purs&l
ro rlE pmvnhf,s of llf, Conrrmrols Lians{ L.s (Ctaflcr 9. Conftfting enh Sccion 7000 of DilGion I of fie Busincs 3nd
Pmf.ssn,ns Codc) or rhd hc or xhc is .xcn9l o.rcton and rhc b6h fo. lh. !lh8.d .rcmprion. Any vioblion ol S.dion 7011 5 by any
ortli.anl ror s pcm subjer lhc aprlic"nl lo s civil Fnoliy of nol mR ltan filc hlndted doll$ ($5m)
-1.
as owftr of Ihc pdFn, or ny cn9loyd. eirh wrgcs as lhcir slc @npc6!tion. will do tl* Pdt ond tlE indm is @r
ilner<Ld orotrc,cd fd sb (Se.7044. 8usiffis.d Prea.siotu Con rTn co mcrolr Licetrc Liw&B el eplylo owmrol
rhc FDPcrry *ln h{ilds or itrproh rlttu( ad wls dc sh s* hitucu 6r h@lf or lnmu8h hk m h.r om.n{rloFc!.
provi&d rh.r su.h tunprcwmnls e flor hknd.n d ofi.rcd fm s!. l( lneE dE tliultg o inlnEEnr is $ld wihin om iEa
dfotrplerbi, rlt Ovnc. Buildq eill trw 1lE t rd.n ofpoting dur lE or sh. dil iol buiE or inDrcw th. poFry lor dE puqnsc of
-1.
asowmrofrh€ FoFny. amcxclusirclycof,rnclins wnh [c.n$i o rrcror ro.onsh.t rlE pmid (Sc. ?044. Bu\ims
,rd PrDINion Codc: Th. Conmcrors Li.cn.c Law dcs nor apply ro rn own.r of prcrcny *ho blildi or imp,6ws lhc@n,
und who onrErs for such pmiErswirh a C.nrB.ro(s) liccn*n pusrant ro rhc Conrador's Lb.ne t w)
_l m.rc.rtr xods Sdion-. B &PC l'or lnn rca$n
Drre: oPner:
ttoR(ERsi ciintPEl\s^ rx )N
DES/AA.IIA!
I hcrchy fn'n uMcr p.naltyufncrruryonc olrhc n,ll,wirg d.rlumlnN
-l
hlve dd will minllin ! Ccnifrcatc 6f Co.*d ro &tt-lBue ftr *dt6 omFnslrion. 3s gDviltd lot by Setior l7m of lh.
r2bo. Cod.. aorltrc pdfolmrc of lt tr* forshkhlL tdn is is{ert.
-l
hcw lnd qill miil.in wo.kcrJ .on Ensalion insurarcc. ac rcquircd by Scclioi :1700 of thc Llhot Codc. lor ihc pcrformcc of
l,!c mrt lor ehich lhi! Fmii is issu.i. My wort6 emp.nsdion insurffie .dicr 6rd plicy nunhc, m:
l.cnily lh,t in Ihc perfoirrume olthc work tor uhich thn rrmit t tsuerl.l shdl n r.mphy y p.rcn in nny manncr
$ ns ro h(sm suhjar ro rhc wo c6 comFn\dion hwsof CalironiL dd dgN Ihar ill sholld tNom subFr lorh.
portss ohpcnslion rmvisions or Stlion :1700 ol rh. LaE r Codc. l shatL fonhwnh conq,ly Pith rn s Imvisioor
WAXNINGT Frihrc ro sur. eorkcn' .orm.trs0l ion ovcriBc is unlaqtul. and shrll slbjcct an onFi,rcr
'o
diriml Fmhics ind
.ivil in.\ u,, b utu hundrcd rhousand dollm (Stm.Om). nr irion lo rhc con olcoqEnsrio.. dd@gd as rrovidcd lor lh.
Sdlion 1076 or rhc t$or codc. inrcrcsl ed 3 o.Ey s f{s
I icrcbyafirnondcr pcnalry.a prrjury rhd I dn' li..nkd unJ.r pn,of Chnnrc. 9 icommE inc sirh Ssrion 70fi)) olDirision.l
of rhc Businc$ nnd Profc$ions Codc. dd ny liccns is in luu rorcc ar{.nc.r.
UeNccbls: I ie
I hctohy afitnrnd.r Fnnlry.lFryurylhd rhcrc h r con(rucrinn Ldios ascmt fttr rhc l( omM.c orrltr sort lo, qllich rhis Firnir i\
trucJ rS( :1097 Ci! C )
ATILIIANLI'ECLAE{ITN
I t(.by ,f@ u nd.r ,.naxy ot p.rjury om of r hc hllowirS delml ionx:
DcnDlit bn Pci,nib.Asbc os Nolilicdlion ltdcrol R.:3Uklion\ fri[ 40, Pxn6)
Rcquncd t.llcr ol Nolifi clliul
-l
ccnify th.t rhc lcdcral rcslkrions rcsardins e{lEtus remell !rc Nl ,prlh.hlc ro rhis pmirl.
I.dlityrhd I hdv. r.od thn npplicarion dsratcrharrh.abvcinf nrrion ii.oBr.I rerc ro mnDly wnh rll Ciry ond Coul,
ordin0nccs and srarc I.t{. elaring to bu
8bt,vc @ntiomd pop.ny ftr insF.lion
con(ruclion, ind hcrchy Nlhorizc rcprcsnrlrivc. .rrhil Cirymd counrr ro cnr.r utEtr thc
A
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openinos
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.{,lul ht ii t"n4z 7)
Final Test Ul I \-
Meter Release
FINAL r/t/r6 t 'irr@)/02_-
Notes, Remarks, Etc.
lnsulation
Vents
Hood
l:rnnc.