HomeMy WebLinkAbout40132316 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civlc Center PIaza (M-19), Santa Ana, C492702
lnspection Requests: (714). 667-2738 lnspector Section: (714) 647-5853
Mechanica I
tProject Address: 3905 S Flower St
AssessoisParcel: 410-291-O2 Lot: NA
Unit: F
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Hisloric: No
Suite Range:
Zoning: R4
Owner:
Address:
Contractor
Address:
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(7141 452-s49O
Fee Typo Amount
011'16002 51604 Clothes Dryer - Residen 40.34
011'16002 51600 General Plan Update 22.08
011'16002 5'1604 lssuance 55.04
Qty
1.00
1.00
1.00
Fee
$40.34
$22.08
$s5.04
Tenant Name:
Phone
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412018
Botch+:{{745 - tlltt?Otg I0: CCUEI-LAft
officE: CTYH TPonei: 54 l,t ol 16Acrti: R€f+: {0132316
Rcctiz(f)3ZVll2 - 7llll2gl8 3t02 Pn
Tronsoct ion Totol tlr 355.52
ldestern Plurb ine Senvices
Generol PIsn lrpdote Fee
0111500?- s160000(r-
llechon i co I
0u16@2- 5160{000-
lisster CordCG+:rrrfir*rrrrr3753
Notes: lnstall a washer & dryer in an existing closet.
,22.08
395 .39
tlr3i5.52
Auth+:170104
Building Use:
Job Type:
Nature of Work;
Planning Approval By
Plan Checked By
Permit lssued By
Subject lo Field:
Building Permit #
R-2
VB
cMc 2016
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every permit issued shall become invalid unless the wo* on the site
authoized by such permit is commenced within 1 80 days after its
issuance, ot il the wofu authoized on the site by such pemit is susponded
or abandoned for a period of180 ddys after the time the wotu is
conmenced.
07I't112018
Account#
$22.08
$95.38
$'1 17.46
$0.00
$117.46
lnspector MID#: 2018-14457O
01 1 16002 51600
0 1 1 '1 6002 5'1 604
Fee Total:
Paid to Datei
Balance Due:
Permit #: 4O1323{ 6
Pin #: 15864
Phone:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
(714) 556-7960
Planning Conditions:
Multi-Famlly (5 or more uni Occupancy:
Alteration Constr Type:
Washer/dryer Code:
MECHANICAL-INSPECTOR RECOHD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Eva porative Cooler
Furnace
Com ressor
entIrrlisc. E UI
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rou h Ductwork
Vents A\
Loilet Room / Clothes Dryer -7-17-tK t-w1d
Residential Ban e
Other
Hood
e I HoodT
e ll HoodT
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Dro Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
FINAL -t)
Notes Remarks, Etc I UI
OId]\'ER BTIILDET DELCARAIION
I hcEbyamrh! cr pcn lry of Fdury tnal I m cxcrpr fion rtE Conhcton Li..n$ Lls for rlE folowin! l6n (S&.70]t.5
Busircss aod Pr.fcssion C.dc): A.y Cily o. Counly whi.h EquiEs ! tEmn to o$ttu. arto. inpror. dcmtish or Epu! uy
srocrlrc. prbr lo irs itruft. aho rquiEs rh. spplkant for such Fmn lo [k a ligtud stdcmnt rh{ h. or sh. h tiensn plNs.r
lo llE pmvlrions ofdr Co.trucrors Lien*d b* (c1Bplcr 9. Comnciig with Seior TOOO of Diehio.I of ltE Eusincss.rd
Pmfcsions Codc) or rhd h. or shc is cxo.pr rhcrefroh and lh. brsir for rhc athged crcmprion. Any v,okljoo otsdtionTOll.5 by lny
appliconl 16r r Frmir subjects rhc oppli.anr |o acivilpcnatryornot mE than fivc hndrcd dotls! ($5OO).
-1.
as owrc! of lh. pslEny, or ny emplor8s wnh waBcs s rh.n eh onpeBdkJn. pilt do rhc *mk Md th. strurm ii rcrjnlcndcd or oflcrcd ror slc (Se.7(x4. Busirss lnd Pmtc$io* Codc: Th. q)nta.xr,r Lir@ Ljw d@s mr +r y to m owni 0frh. I,oIEny who hiild, or iryrcws lhretr and v,n d6 $ch vo* hi6.cta or hcr$lf or tnmueh his o h.r osn chrlorcr\.
pmridcd tn.r act inVmEmnGm ml htcnd.dorofi.ftd fd et t( horcE, dE hritdi.g q in$oEril h$u wirhnoft )rsoloiloLliotr rhc ol,no Bualhr eill IEE llE bdfttcn ol ltroenE th.l he or stE dn ml hlh or iml,mE rtr pmFry to. tr p!.F$ of
-1.
ai ouncr of thc pmpeny, m exclusivcly conrrcr ins wilh licnscrl .onrd.hr ro conntud th. Imjcc! (Se. ?Oi4, B$mcs\
and Eorisshn Codc: Thc ConIrc.lols Li.ensc t!* docs nor lpplylo 0n owncr ofpropcny who blitds or nnnrovcs llcr$n..nd who contrsds for sn.h pojccr, wilh a Co Bcro(, ticcnscd pusu0n! b rh. Cont@rols Lic..sc rjw).
I rDcrcnr[ und.r Sc.r
W(}NKF[S' COMPENSATION
DTIdAAIION
I h€rcby .rfi.m unde, p€nahy oa pdrury om oarh. tolto,inS del,ni6n.
Lr6i, (-r c. rnrrhclr.rfonn{n(c.lilr *.lk t' which lhclf,nnir tr n(nt
will nmi ,in wo c6 compcnsarir,n in\unrcc. o\ rcquncd hysc.rioi ITOOofthc Lnhor cGl., for d.
Mt wolkch @lrltrnssrion iNurMc. coicr ad plicy numtcr urc:
q.l
WARNNC rriturc ro sm *or*c* compcnstion ..!chac is !tr10wtut. lnd sialr subFr m cmp
civil fincs W ro om hundEd thouqnd dottds (glo0.o0o). in &tdiln,n to lhc cost or.o6pcnsario..
lorr lo aininal Fmki$ snd
daro8cs ar Frovidcn for rhc
Sdion ]{16 of rlE Llhor Codc. inr.rcn od tormy s fes** -J'lt'16
^*-.,
LI(',ENSliD C(rN',t R^( ,l0R
DICLAIAIIQN
ol lh. Lltrnnr\smd Prolt$io.\Codc. od r licrtr{ is full nn(mdcflicr
IsZl(bl-r.lr.tY
(I(INSIRIJCTIoN t A.NI)IN(; A(:T'NCY
Ihcrubyriirmu.rpcnalry.rFrjuryrn lhcrc hrconsroction knding B.ncy lbl rhc pcdunurc. oirhcwork n whjchlhkp.r6ir h
is\ucd rscc 1097. Civ. C ).
A}}I ICANT DECI .1!IATIO{
I lrntyrnnmutrJcr Nnrhy or!.rjury oic.l rhc hrkJwi'rs ncchrnrir)i\:
Dcnmlirn,nPcnnir\ A\hc{o\ Norilic0riorRd.rut RcgutalioNftirtrt0. ld6)
Rrotncd l.xn n, N..fi.,i.n
-r
ce,lify ltu rh. fcdcol rcgulalions EBrding $b.sr6s,emvatm nor ll)pti."bt ro
'hir
nmi{r
-l
.enify lhd I h!v. ead rhn ap,rication dn sht. rhal rlE !ho!c inror@rion L\ .ocr. I asrc lo $mplt sth rI Cn, ard Couiry
ordinn.ccs and shrc li*s E ildlnS c.i\rMIiotr &d h.rchraurbnrc rcFcsnlatiws olrhis Cn, ann Couflly ro cnlcr ulnn rhcrh)rc trr rioncd t0Fnytu ir
Appli.atrr or Asc.r Sisnrtu \ l\.\z
Meter Release
tll->ha'I
n
-l
&nify rhll in lhc prrortuncc oftnc work lor qhkh rhii l).rmir is isslcd. I shrtl nol chptoyrny pcr$n h on! mm*ts as to h.or subjccr to thc mrksl mmr.nsurion hws oic ilonh. ud a8rcc rhol ifl shoutd lr.om subicd lo thcwortm comFnsarion ,rmvisions of Sdrion ]7m of thc tihor Cqlc,I shalt. forthwith c.mnly wirh rh6* Drolisions.
L.ndn\ Addr6\
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