HomeMy WebLinkAbout40132313 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA927O2
lnspection Requests: (714) 667-2738 lnspector Section: (714\ 647-5853
Mechan ical
Project Address: 3918 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unit: G
Block: NA
Bldg:
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
q
Contraclor:
Address:
Prime & 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
Fee Type Amount
01116002 51604 Clothes Dryer - Residen 40.34
01116002 51600 General Plan Update 22.08
01116002 51604 lssuance 55.04
Qty
1 .00
1 .00
1 .00
Fee
$40.34
$22.08
$55.04Phone
Tenant Name:
Eotch;:{4745 - Tllllzgtg IDr CCUELLAF
office: STYH Trcnsi: 5{ 11 ol 16AcctS: Ref+: 40132313
ftcpti:02&12?09 - lllllz0tg 3197 Pn
Tronsoct ion Totol tt 1355.52
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:
Carrier; State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: Oal24l2O1A
Gen€rol Plon tlpdote Fee
01116002- 51600000-
lrEchoo ico I
0u 16002- 5160{frm-
noster Cord
CCi:rr*r;irrra*3753
t22 .0lJ
i95 .3S
t1r155.3?
Auth+:170104
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Multi-Family (5 or mors uni Occupancy:
Alteration Constr Type
Washer/dryer Code:
Date:
Date:
Date;
R-2
VB
cMc 2016 Noles: lnstall a washer & dryer in an existing closet.
Plan Checked By:
sden, Julie
Subject to Field:
Building Permit #:
Every pomit issued shall become invalid unless the work on the site
authoized by such permit is commenced within 180 days aftet its
issuanco, ot if the wg* authoized on lhe site by such permit is suspended
or abandoned for a peiod ot 1 80 days after the time lhe wo* is
commenced.
07111t20't8
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$1 17.46
$0.00
$117.46
lnspector MID#: 2018-144562
0'1116002 5'1600
01116002 51604
$22.08
$9s.38
Fee Total:
Paid to Date:
Balance Oue:
Permit #: 40132313
Pin #: 46134
Owner:
Address:
llestern Plurb ine Serv i ceg
Phone:
Planning Approval By:
Permit lssued
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE COMMENTS OWNER BUILDER DELCARATION
I lErcby ltfrn u.dr !.Mlry of pc.jury that I d.rcflpr fiom rh. Contrsrou Lt.n* Llp aor rhe folo*ing @€n (Se.7031 5
Busincse 0,t Pmfcssio. Codc): Any Chy 01 C.uiry which rcqliEs ! Fni b 6n$tu1 drd. inprow, dcmlLh or Grci, 6y
silctuE, Ftu lo ils t$Me. lls rcquiF3lh. ,pplk&r for 3eh Fmi ro liL a sigftn 3l.lcmt |t.r lE o. sh. b liansrt pu^u
lo lhc pmvisio6 ot ttE Contm.iofr Lk..Ed tlw (Chaprd 9. Comfttuin! airl S.dion ?000 ot Divisk'n 3 of rhc Busincs. 6nd
Prelcasions Cod.) orlnll tu cslE t.rcmpl llErcnDmdd ir. h&ri! 16r rn dh8.d cxenplion. Ary vi.blion of Scctbn 7011.5 by ony
ipplicd fo, d pcmit lubi(B rtE .plrlica & a civil ,€nrh, ol mr mr€ rhan filc nudrt dousrs (3500),
-l.
rs osr.r.l rh.|ro!.ny. (trnrycnrf]ovccs qirha !.\r\ rhrn {,lcro pcnlrri(n,. uillrlo rhc\olk rh.qnrrurc$n
IhD^{.ny sh. htriu\ or i'n[ovcs rhmrnr, a trh.d.c\\uch*or[hi'!\.ll.rtuR]lorrhnn,lhhi\orhrowf.ffoydc\.
_1. N oqncr of rh. I'mFny. d crclusiwly mah.'iog *arh ltc.ed c6nrn loB ro ornier rli lt6ir (56. 7O14. Burnc$
tui Anfis.bn Coder Th. Conrdhas Li.cn{ ljw docs ml.pplylo anowmroir,mFny who builds or improrcs lhtun.
lid qho o.uds for such Fojccts siin . cofiscto(9 lte.Ed tll!!1@r t6 rlE colld.roii Lt.ns t s).
-l
dcEmpt uds Serioi . B. & P.C. for lhis rce.,
I).I€ ()rn..
woRxuRs; aoNtPaNs?\iioN
DECT,AATIIIN
I hcrchr rlllrDr trtrd.r |.ntrkyolrc{uryonc ofth. hlk,wing dcclrrltiflr
lhaveand*illnuinrainaCcnific cotConscnrtoSclf.lnsur.lbrsorkcis.onl,tnsarion.0s providcdhrbyScdion.lTfirolrhc
litxtr Cdc- li)r rhc pcrfnrmrcc ol rhc $oA for whiclr r hc Frnrir i\ i\sucd
-l
h!$!ft1!ill n[inr{ir wolkcNi comtcn\arion nNur,rcc.,1 ruquircd hys..rnn:l7u)orrh. trho. Cod.. tor lhc lnlinn rc or
rhr "qk,n, whth rhn Frn'ir i. nsucd Mt n rlo. !r,mn.n\d'un 'n.u'rn!c,Jrh1 rrl Fntr'y humbfl s
.."". Sb"L<- Q-.",-
Ac-.v SZattqxc2t-'l 1
I..dify
'hal
in rhc pcrformtu..f rhc work li)r which Ihk pcirnil is hsucd. I sh0llnot cry1loy ony t son in on, hann.r
s us lo tE..m snbjcd to rlrc workcrJ .onDrnsdlion l0sr or Calirnmia. r.d .gm rh ir I should tt@m strbi.t lo rh.
wnrkus ompctrsalh lrorisio.s olScclio" l70oollhc hhn Codq I qhrll. ronhwirh.omply wi'h lhos. ptuvisions
WARNING: raibn h Ecuie *ortcn conrpcnslriotr covcmSc is utrl0etul. oid shall subicl !n cmFlorr lo siminal lEmlti* lnd
.i!il fi.c\ W ro oft hundrcd rholsand dolltrs ($loo.Otro), in addnion ro rhc co{ of cotr{,.nsalio.. daeScs as prcvidcn lbr lhc
s(lt,n:1076of rhc Latn codc. inrcrcn and Dllomy s
,,,.,1'\( \n
DEqJAAIION
I rlr llu\i'r.$rnd Ptufc\li,m\Codc rd iiylircn\c is ir hll turcu trlc,lc.r
c-C !6-z \tol
,"r", -'1 '\!' \x Xi,,uSZ-U
C(T STNTICTI(IN I FNDIN(I A(:NNCY
I h.rcb, lmrm uodc, lcnahy ot lcrjlry lnal thcrc n a .onstrudnn hdin8 oScmy lor lh. pcrformN of lhc srk tor snich fin rEmir is
issuc{ (S( 109r. Civ. C.).
AITLICANLIECbAAII!'N
I Lr$, !fim undcr pcnlll, ol tE.jury .rc ol lhr n k,wing dc.lmr n,s
Dcnxriri( Pfnrir\ Aih.sr.s N.rillcirion Fd .rnl Rcsulxrions ('litlc4lr. PrlO
-Rcquircd
I.ncr of Norifi crion
-l
ccnifylhd I n w rc.d lht trlrli.olion.nd srar.
'hd
rh. abovc inaomrion h comr.I l8e rooq,lyvilh.0 Cnyand Colnly
.,dtr,rN.! rnl sr.r. I r(\ r.ro blildi.s conntucrion. and h.rchy aurhnze EpreEnllrivcs olrhh Cnyad Cornrr ro cnrB uFn rhc
abor mnriomd prcpeny for
Applionr tr Ag.nr Signalurc:,"," t \( (8
1r\
Appliances
Ivletal Fire Place
Evaporative Cooler
Furnace
Compressor
It/isc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouoh Ductwork
Vents z-<\
Toilet Room / Clothes Dryer 7-174k \.vhu)
Residential Range
Other
Hood
fype I Hood
Type ll Hood
Grease Duct
Fire Damper
o penings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL 74)-lll iVitr*-et,,/."-Z/r)
Notes, Remarks, Etc.Ir
ID/SIG.
-l
ccdity lnal 0E lcdco! rc8nhlions ESardin8 asbcslos rcmval ,rc ml {llictrblc lo lhn poi{
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