HomeMy WebLinkAbout20166242 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical Permit #: 201ti6.242
Pin #: 14291
l n spection Req uests: 17 1 41 667 -27 38 l nspector Section: (7'1 4) 647 -5853
Project Address: 3810 S Flower St Unit: G Bldgl
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
E
Assessor'sParcel: 4'10-291-02 Lotr NA Blockr NA
Owner:
Address
Prime & South Coast L P
50 Calitornia St 920
San Francisco, CA 941114606
(714) 556-7960
011 16002 51603
011 16002 51603
0'11 16002 51600
01116002 51603
Fee Typ6
Dedicated Circuit
lvlin Fee Adj
General Plan Update
lssuance
Amount
23.87
22.90
21 .25
52.98
Qty
200
1 .00
'1 .00
1.00
Fee
$47 74
$22.90
$21.25
$s2.98
P hone
Tenant Name:
Contractor
Address:
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490Phone
Slate Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0412412018
rol
i0n Totul
Plurh ins Se
Plon updotE- 516t:ttfl:ttrn-
Building Use: Multi-Family (5 or more uni Occupancy;
Job Type: Alteration Constr TYPe
Nature ofWorki washer/Dryer Closet code:
U, R.2
VB
cEc 20'16
Planning Conditions: lnterior work only
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
S 06t20t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wo* on the site
authorzed by such permit is commenced within180 days aftet its
issuance ot il the wo* authotized on the site by such permit is suspended
or abancloned fot a period of 1 80 days attet the time the wotu is
commenced.
$144.87
$0.00
$144.87
lnspector MID#: 2018-'144'163
01 1 16002 51600
01116002 51603
$21.25
$123.62
Fee Total:
Paid lo Date:
Balance Due:
$ /?11
t+ r r:r22994t|7
r1116ur:r2't 6 irl0r:|
lo':
c(
Notes: Convert existing closet to washer/dryer in hallway.
Date.
Date:
Date:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Sions (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueino
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rouoh)
lA
Rough 6-21'lt ,k W",t)
Service lvleler U (.1\
FINAL v x.w10
Notes, Remarks, Etc \:7
I}WNER BI III,DN:R DI]I-(:ANATII)N
I h.rcby rflirm u.dcr ,'.nohy of periury rhal I !m.r.nl,r frcm lnc Conlracror' t,iccn* ljw fo, rhc followins rcas,n (S* ?0ll t'
Busincss and Prolssion Cod.)r Atry Ciry or Counry whicn rcqut s r tdnrir ro .on{fl.r, nlt.i nDprovc, dcmlish ry Ennir 3n}
(rudurc, Fitr ro ns nsuarcc, als rcqutcs lhc applica lor such Firtrir ro filc a stncrl (alcmnl rh.r lt o. rhc iq li....cd purfl,nr
ro rhc nn,vhiiri.lrlr Conr&r.as Lienscd Law iChafler 9. Conm.n.ing wirh sc.rion 7o(D of Divhion 3 of rhc Ausinc$ rnd
PoLsio.sCc'dc)orrhallIorshciscrcrrrrhcrcfmmsndlhihasislorrhcalLScdcrcmprion.AnyviolarionolSccrionT().ll5hy!n,
{'Iliconl for 0 pcflnit subjNls lhc applicrnl ro uciviltcMllyolnol nmrclhan fivc hrndrcd dollar ($500)
I. * own r of lhr ltr.lEdy. or ny cnlpb)rrr wilhwr!.\a\Ihcn vnc cunrF.nsdion. willdo lhe work l1dth. strudw i! nol
inrcd.t ororcEd lor $lc (5(.'7044. Ausim$and Pmfc$io.s C.nc: ThcCo rerois Lienre tiw de\ nor lpply io an osfti or
rlr pftrrny who builds or ihpr.vcs rh.rdri, snd wh. dtos {ch Nort hinsd}for hcr$ll or rhbugh hir orh$own cmtloyccs,
providcn rhar such inlnrcrcmnB m ml inlcnded or ofiurd f.r sL. ll h.pclcr rtE trildin8 or in!.mEmrr h hld wirhin om }!s
olorllt)Lion. tnc ow.cr Buildcr w hnvc,E buftl. oi Jn)ling dla h. or shc dA nor tnrild or tn ow lhc lmIdy for lhc puqrsc ol
-1.!souncrollhcFropcdy.amcxclusivcly.ontrmlinAwithli.ctrsdconricl('nloconshcllncpmJccr{Sc?0.r4,Bu\im*.nd ADfs*i.. C.dc:'Ihc C.nkkktr * Li..ns. Ltrw docs nor atpl, h ri ow..r ofporcdy who bnilds or imnrovcs thcrcon.
aod who conrrads for such l,oj(ls wirh a ConrBcronO liccnsd !u utrr rorheConrrocrols Lie.sc laq)
-l
arcientpr undcr Salioo-. B. & P.C. aor lnn rc!$o.
O,..r
IOAK!&T:g,DIIEIIAIIAN
DECLIXAIIQN
I hcrcbyalfi n undcr p.nrkyolp.rjuryonc ofthc iolbwinS d..l.rations
lhuv.rndwill@inrrin.C.dia{,r.orCon$nrroS.lflnruEfrrwortcsco'qc.sarion.astmvidcdforbySccrionlT0Oofrhc
t!b.t Codc, lor rh. pcnn rorcc oa rhc *ork for which rh. pcrmir i\ nsucd.
,l havcord willnmint0in workcs conrpctrsariotr i.sur.ncc, ns rc{uncd hy Scclion l?OO of rhc tlhor 6de. r'or rhc l,crrorroncc of
rhc *ork for shi.h lhir F.mir is ks.n. My wortcB .on!.nsurion insrucc curicr ud F,licy nu mbs dc:
Polkv Numbcr
-ErDrr:
-l
enity rhlr io rhc perlorrunce orrhe *o,k r.r shi.h rhis ri.rnir h i\su.d. I shlll mr.npl,ry any p.r$tr in.ny mmRr
v, * b rr..ft subF.' tu rh. workcs .o.Dcnsaln kwsorcalirorni(.nd l8e.rharill should hcdom suhjcd lo rl'c
wotlec smp.nsl ion pbvisions ol ssriotr 3700 .l lh. tjho. Codc. I shall, lonhsirh omDly wirh tho$ F)vtion\
WARNINCj Fiilur. ro surc qorkcn omncn\rrio. corraSc is u,l,wtul. and shrll \uhFl !n cmplorcr ro dmin,l pcMlrics ud
crvil lincs trf to otrc hundrcd rhousrM do ($l(x).()(x)), ir iddilion ro lhc co( ofcomrcnsnrion-
Sc.rio01076 ofrhc Lat r Codc, inrcrcst and
I hc.chj- rllnmukl., Fnxhyol trrj yrl,rr l rN ll.ctrwl u vnnnr ol Cl pror 9 (.ontrnc ctrrF qih Sc.{i(r r(x)l)r !l l)ivi!it :l
of thc BusiNssaM Prulcssions Codc. rxl my licctrs n in iullioiccatolcft\.'l
t bu(r(
I hcrcby al6rn undcr Fnallyofpcrjury rhar I
issucd (S...l097.Civ. C ).
hn lcndins ngeky ror ihc p.rrurmRc.lrhc work rbr which lhn rirnit k
APILICANIDECI.AXAIIO!
I trEhy damr unds p..ally ol lErjury om oflhc lolloeing dslmlionsl
Dc'ftlirn,. Pqmns Asbr{os N.rifi.drnrn Fcd.rnl R.Suhri.ns Onb 40, P.n6)
R.quncd hlt.rof Norifi cainn
'rgul ri(rN rc!rrtli',! rn{ro\rdnnnrlxrc nor rft,l'.xhl( n) rhi: I'hlc(r
rcad thh.p/i.arion atrd olc rh.rh. abvc irbrnrnr ion k concd I asre lo ompl, wirh lll Cir, rid Counry
b bxrldin! .orl{fl.rion. .Jri hd.by iurlxtrizc ircs oilhis Citr ond Couniyb cnlcr rF,o rh.
L'b'\n
c.-
Pole Bases
lVleter Release
7-Zo'4
l-irctrsc Nutr{rr
tf,ndcr's Ad.($:
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