HomeMy WebLinkAbout20166802 - Permit (2)City of Santa Ana
Permit Counter: (7141 647-5800
20 Civic Center Plaza (M-1 9), Santa Ana, C492702 Electrical Permit #: 2O166802
Pin #: 46134lnspection Requests: (714\ 667-2738 lnspector Sectaon: (714) 647-5853
Project Address: 3808 S Flower St Unitr F
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning; R4
E
Lot: NA
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114506
Fee Type
01 116002 5'160: Dedicated Circuit
01116002 5160C General PIan Update
01 116002 51603 lssuance
Amount
24.79
22.O8
55.04
Fee
$24.79
$22.08
$55.04Phone
Tenant Name:
Contraclor
Address:
Western Plumbing Services
'18'10 N. Linwood Ave.
Santa Ana, CA 92705
17141492-5490
/29 /1t1tt3-tlnsa::;5
Phone g/29 /2tt1t;
or:L r orr lot(
Stale Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: Stat6 Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: OBl24l2O19
TE
ttt
E1
Lr1
11o
u6b ins Ser v i,.es
on tlpdate Fee
il61100t:l[-
!l.i03r:ltr:t-
dx*Ix*I*3753 Auth+ r 1
Building Use:
Job Type:
Nature of Work
Condominium
Alteration
Washer/Dryer
R-2
VB
cEc 2016 Notes:
Planning Conditions
Planning Approval By:
Plan Checked By;
Permit lssued By:
Subject lo Field:
Building Permit #:
Date
Date
Date
04t29t2018 Misc. Receipl:
Misc. Receipt:
Misc. Receipt:
Total
{)( nernanoez, xatnv o0t29t201A
Account#
Every pefinit issued shall become invalid unless the wolk on the site
authoized by such peinit is commenced wilhin180 days after its
issuance ot if the wo* authorized on the site by such peinit is suspended
ot abandohed fot a peiod ot180 days after the time the wo* is
commenced.
$'101 .91
$0.00
$101.91
lnspector
01 116002 51600
01116002 51603
$22.08
$79 83
Assessor'sParcel: 410-291-02
Owner:
Address:
Qty
1.00
1.00
1.00
tii
Pezeshkpour, Ali
Occupancy:
Constr Type:
Code:
Fee Totat
Paid to Date:
Balance Due:
MID#: 2018-145752
ELECTHICAL.INSPECTOR RECOBD
APPROVALS DATE ID/SIG.COMMENTS OWNER AUILOER DELCARATION
I ncrchy aflnn undcr Fn.lly of Frjury lhll I aflr excmpl lmrn lhc Co rlclors l-iccns tnw t r lhc following re*o (sN 70.ll.s
Businc$ .rd lrofcsiotr Conc): A.y Ciry or Counr, which requnc\ ! pcnnn ro c.idtucr. rkd, impiovc. d.nnnish or rcpnn any
nrucbrc. I'itr b ns issuarc.. aho nlunes rh. ,pplaor f(r ruch I*m ro lilc a siSEd {aEnE thd nc or shc h liccn\.d puruon!
r. rhc provtionr otrhc ContEctoir Li...Ed Llw (Cndprcr 9. Conrocncin8 wirh s..(ion 7flx) ol Division 3 olthc Businc$.nd
Por.si..s Codc) or rhit hcorqh. is cxcmpr rl[rcrmn,M rhchasi{ lor rhc rllcecd cxcDtrion. Any violalionofSccrionT0.ll5 h, lny
aptlicont for0 pcnnit subjcckrhc itplicrnt lo 0civilpc.rltroinot nFrcrhin five hundre]ddollatr (S5t()).
l. rs .wn.r or rhe pmFdy. oi ny edpluyr.\ wnh *agcs ai rhct {L .o,nl).nerioi, will do rrE wort dd E (Muc t rn
ink o.l orolIcrcd for slc (Ss.7(}14. Busincsrnd Profc$tuns Codc:1hc Contracnn !l-icensc Llwdoc\nor,rplyro,nowmror
rhcpn,pcny who bnilds or tnf(,rcs rh.Ni. did who &rs soch *ork hi'nscll.r he^clfor rhouEh his or hcr oan cmployccs.
providcd rhlr such inlllmrcnEnt m rer inrcajcd ofcrcd lorsb ll howrcr. rhc hilding or iq,mwr iss,kl*irhinn c rJr
of(nphlion. tlE o$'mr aui}lc will h!( Ih. budcn oflbvire rh,l tE or shc dil ml $uild or iq,m\! rhc rmFn, for rh. rr4sr.r
-1.
!sosnerolrlElopcrry. lnrcxclusivclycodricrins sirh liccnscd conrrucn,n t, con{'acr rh.rn,ic.r (sN 71r14,lrurtrc$
anl Pisltssior C.dc Th.G)ntrcktr sLi.ctrsc Law docs nor lprlyro rnown r ol troltciirwho truilds nr imtrorc\ lhcreoo.
and *ho conlrds lor such,,oj.!h wirh ! Co.lracro(9liccnrcd puruanr ro rh. ConrlrrDis Lkrn* lir)
lrmcrcnDr und.rSc.rio
tQaxE&strQuf[NsartQB
DICIAaAIIOA
I hcrcbradt undcrl)crrllyolpc4uryonc.lrhclnllowir8d(lnrarnnN
-lhivc.nlqillmi
ain a Ccdiararc ofconrnl lo Scll.lnsurc for worksi comncnsalioo. as lovidcd a.r bysc.'i( '17ft)orrl.trtrtr Codc. for rhc !.rformr. ol rhc work for which rh. dmn is isiucd.
-lhrvclndwillnrainrairworkcr'conrIlnsarioninsuroncc-$rcqutcdhySccrion.lT(noflhct-*nrcod..turrhclrcrloirnimc.irhe $nrk nr$hi.hrhi\pc ir is i$uNl Myworkcrs .onfcnsarion i'ruran cricr aririni.y ix rtur rc:
I ccdify rh r in rhc lcrLir:rn.c olrhc *ork nr *hrh rhi\ rdnir is i\{rcd. I sIill nor cmnloy rtry pcron in ]ny nBtrncr
q, !s ro bcn,nE sul]jecllo rhc *orkc6 conD.n\llion L,e\ol Crlifon,ir. {nllgncrhtrr il I \hould hc.onf, \uhlc.r ro rhc
rorkcn c.rlpctrs0rbn nmvnbns olScdion:lTO0oirhe Lrh, Codc.lshnl tunhwirh conr/y *irh rhosc tiovisions.
WAnNNC rdlun t, sur. sork.N .oiD.n{rion $v.ra!c is unl.$tu|. rtrd shnll suhjE' .n cmplorr lo siminll Fmhts Md
cNil iltr.s u! b .fu hxndrM rh.usrnd dolla^ {S100.(XX}), nr
Suclotr 3076 ofrhc lnhrr Codd. i crcnindrnorncy s Lcs
lhcr.by rlltnundcr pcnrlryofnrrjtrry rhrr lrm lic.n{d un,lcr \(trrrlfl t)idqi1ontr ctr(tr!\rhSc.li( r(rxr),,1l)\i\i(r, \
oi rnc Busircssnnd Polt$ionsCodc. sd nrylicctrs is ir iulllbrcc ina cllirl
i\\Ed (Scc 1097. Civ C.l
d!ILICANIDECLABAUq!
I hf,$y nrnn undcr pcnally orpcrjuryonc.frh. blnrwins d.clcolions
Dcnn'lirnnr Pcrnrir*Asb.eos Norificrriotr Fcdcr.l R.Strhridrs (Tnb 40. P.n6)
Rcquncd htrv.lNotifi.ntiur
l.cnifyrhdlh'vcN rhn rfDlr.trotr.trd slarc lhd rhrrh)yc ifnrn ioniscod.cr l0erccr.mnrplywirhlllCiryudCotrniy
odrnuNcs and Stlrc tiws Elatir8 to l,u hcrcby 0ulhtrir Eprcscnlarivcs oalhh Cny lnd Counry t, cni.r u,in rrr
,hvc rmnrioNd ,mFny for iri
Applirx r Aqrnl SiBmrur\
l'e 'ilm nnmerpn r:+ ,1
X'
W1^'!koy^
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Bualding
Under Slab / Floor
Bonding / Grounding / UFER
Translormers
Torqueing
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Soffit Bouoh
Ceilings (T-Bar Bough)
Ivleter Release
Rough fl\tlr( ',hlttt€ tt-t v,
Service IVleter tt I 0
FINAL ///q//*Oyot*/a-
Notes, Remarks, Etc
Sub-Panels
l-ir!n{ Ch\s
L.trd4 \ \ddrc!\
!.cniiyrhd (hc riicrrltuguLri{,n\ rc!rdinE x\hc{o\ Enx,vrl i.o nor ilplicrhlc t, rhn fnijrcr
I