HomeMy WebLinkAbout30139674 - Permit (2)city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Plumbing
Permil Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
wProject Address: 3822 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unit: F
Block: NA
Bldg:
Tract NA
Owner:
Address
Contractor
Address:
Prim€ & South Coast L P
50 California St 920
San Francisco, CA 941114606
(714) 556-7960
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492"5490
Fe6 Typo
01116002 51602 Clothes Washer
011'16002 51600 General Plan Update
0'11'16002 51602 lssuance
Amount
13.97
22.O8
55.04
Fee
$13.97
$22.O8
$55.04Phone
Tenant Name:
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 354095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412018
tJestenn PIurb ine Serv i ces
Generol Plon Updote Fee
011160{n- sl6@000-
Plurb ine
01116002- 516$zno-lloster Cord
GCi: r*Irr*rr**rr3753
Notes: Convert existing closet to washer/dryer.
t22.08
t69 . ll1
tlr355.52
Authi:17(r104
Planning Conditions:
Planning Approval By:Fregoso, Vince
Plan Checked By:
Permit lssued By:
Subjecl to Field:
Building Permit #:
msden, Julie
Every permit issued shall become invalid unless the work on the slle
authoized by such permit is commenced within 1 80 days after its
issuance, or if the wotu authgized on the site by such permit is suspended
ot abandoned lor a period of 1 80 deys aftet the time the work is
commenced.
07111t2018
Account#
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
WasherrDryer Closet Code:
U, R-2
VB
cPc 2016
Date
Dale
Date
07111t2018 lvlisc. Receipt:
NIisc. Receipt:
Misc. Receipt:
Total
$22.08
$69.01
$91.09
$0.00
$91.09
lnspector MID#: 2018-144560
0 1 1 '1 6002 5'1 600
01 1 16002 51602
Fee Total:
Paid to Date:
Balance Due
Permit #: 3O139674
Pin #: t5190
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
Qty
1.00
1.00
1.00
80tch+:{4745 - 7ltll2ola I0: CCUELLARotti(e: CIYH Tronsl: 54 5 of 16Acctl: RafS: 30139674
Rcpti:02fi12903 - TllllmB 3|OZ Pn
Tronsact i ofl fotol 111355.52
Phone:
Building Use:
Job Type:
Nature of Work:
PLUMBING.INSPECTOR RECORO
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouqh 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
/.^..\
Rouqh Plumbinq 7'zo-{g k"tJ]a)
Final Gas Test
Meter Release
FINAL 7-71-14.,Vkr.*rt/.az)
a1Notes, Remarks, Etc
OWNER BUILDEf, DELCAIATTON
I lErcb, alItrn undcr F.llry ol Frjury $.1 I m d.ml'l tls rhc C.nlracro6 LiitrE t e for lhe follosirg rc&. (Sc.7031.5
Businc.s and Prof6sion Cod.l: Any Cily or Ciunry ehth rcqlircs . FrnI lo 6iir d. aXa. anprec. &mt!h o. EFn 6y
soucrG€. Fir ro lrs irslad. .&o FquiEi lh. .}?tican fo, sh pcml ro fd. . sigmn 3r.l.m th.t lE or slE b lkctu d puMar,
ro rhc povhionr of dE Conh.rols Liansd k* (Chsprd 9, Commeine wth S*rior 7000 ot Divishn 3 of llE Blsircss and
PrDfci.io8 Codc) or Ud lE o, .h. b €kmpl thcrenon nd llE ho.n fo.0E .lL8cd .xctrplion. Any lioblion olsc.ibn ?011.5 6y uy
lPplkanl for a p.mit subtrlr llE al,plicanl lo s.ivilp.nallyofmt mE lna. fitG hordcd dollrs ($500).
-1.
a o*n6 of thc potEdy, or my cn:ploles wnh wagca a ltF! $lc codFnsslion, *iI do ln tult &d rlt lttlM h mt
idcDdcd or oficEd for sl. (Scc.7044. Busiftrs and PrefcsBions Codc Th. Conr.etn s Licc.* t v d*s nol lpply to an owNr of
lh. poFny who hiildsor in{,brcsd*mr eln who do.s sh m hiruclf orhemlf or llNlsh hn u ho own.8plor.s.
pro,idcd rh.r su.h in{roEmnr. @ rci i.larded dolEfd f6r elc. !f, hoemi ttE hildinS or ihpmrcEnl hsUqi$inon Fe
ofcotrpLlion. rhc Own.r Buithr will hlw rtE hr&n of pmvir8 tnlt IE or slE dit m! tdild q inpmE ihc prcpqly lor dE l,qns of
_1. as osncr or rhc lmpcny, d .xclu.ivcl, .o.r&rins wirh li.rn{d .odlncros ro onsldcl rh. pmjccr (Ss 7044. B6imrs
sd Pistssion Codcr Th. Conl@tols Licctrsc Li{ docs nor a!,Ily ro onnwn.r olnnFn, who blildr or iipmrcs rhcrsn.
rnd qlF conlmds for such poj.rts wnh ! Conthcro(s) lkcnsd plFunl ro ih. Cont.ciols Li..ne Lnw).
-l
om crcmpl uidcr S.ctio ll &PC aor lhn rcaso.
II}Bf,EEI: TMIENSAIIAN
DEII.ABAIIqN
, hercby Nfirn und.r Fmhy ol Frjury onc of th. followinS dchnlions
l.rlu (n,[. hr lh. pdtunmncc olrhc \o* lnr lvhich rh. j]cnnir n nn(d
I h*. and willnoinlain worlcB coq,cnsalion insurotr.. as r.quncd byScctioi 3700 of rh. Llhot tuc, fo. rlE Frfomrc of
n nsucd My *trtm' compc$dion insurofle catrir and Iiolicy ,!mbc, el
1\\\t
-l
ccnify rhul in rhc ltrformrc. of rh. eork lo, *hth rhir FrmI h i!su.d, I sh.ll nol cmtloylny p.Mn in ay n&ocr
$ a3b tB.o'm subi..llo llE worl6! oqrcnsdion hws ofclliforni0, and asd tlur if| sholu h..om bj(tr lo lh.
workdc sFpcnsarion pmvLions.f Scction 3?00 of lnc LdDr Codc. I dEll. fonhwirh oduly *irh lk,E lovi\ions..
WARNINC: Fuiltrrc lo $urc work tr .onD.nsalion svcd8c is unhwtul. {.d shall subjccl an cnpl.,rer fir ciminal FMlriec tnd
.ivil rinc! ul, h on. hunded lhousrnd doll0rs ($l00.uD), in oddilhn lo lhc cosl of.ompcn$tbi. damgcs as Providd for thc
Sc.riM 3076 orthc bhorcodc. i crcsl nnd
'1 \\.)
DECIABAIION
I hcEby 0fiiirn undfi pculty of leriurt lhar I dm laen*n ondcr pmvi\ion orChdflr 9(.onihnc,r8 *nh Seli,fl'7000) ofDilii.n:l
of rh. Busin.$ 0nd Prolcsshns Cod.. !n my li.cn$ is in full loN nnd cfid
c<L \62 \Io!
b *"*""
CONS1BI]CI]IJNIENDINC-&qENSI,
I hcrch, aflnd undci Fnslrrorp.ijury rhd rhcrc k 0 consrucrion Lndin8 l8ctrcy for rhc pcdommc.trhc sor* tbt whicn rhn Fr.ril k
ks'cd (Scc .109?. Civ. C.).
AIPII{:ANLDECI.AMII$i
I H,,atrmundcr pcnlhyolpcrjury o@ orrh. followine d l& iohsl
Dcm,nion Pcirnn$Asb(slos Nolificalion Federol RcBuhlions frnt 40. P!d6)
-Rcquircd
t llcrof Ndirrc i,n
-l
Nniryrhrr rhc tud.rillcruhrt'ff r[ddiic ,sh({o{ rm)vrl rc ior trtfli.lbl orhr pmjNr
l.cnily rhtl I h,vc Ead rhis appli.alion and stnlc lhll thc,how inlnndion h corel. I rle ro.orrfly wnh illCi'y snd County
ordinatucs onil sr,rc tlws Bhrir8 ro buildinB.onnrudion. ond hcrcby 0urhoria rcprcsenistivcs ofrhir Ciry rnd C.unlyto cnis upon the
hrrc nrnrnn,cd lx,|tny nr
lpplirutrl or '\t.nr SisnElu 1. \\' \t
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Lcndciq Addrc$
lem lmnrmc(rrinl):