HomeMy WebLinkAbout20166081 - Permit (2)Project Address: 3824 S Flower St
Assessor'sParcel: 410"291-02 Lot: NA
Unit: A
Block: NA
Bldg:
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
E
20 Civic Center Plaza (M-19), Santa Ana, CA92702
l n spection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4) 647 -5853
Electrical Permit #: 20{ 66OE{
Pin #: 36641
City of Santa Ana
Permit Counter: (714)- 647-5800
Owner:
Address
Contractor
Address.
Phone
Tenant Name:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114605
Western Plumbing Services
1810 N. Lin\,vood Ave.
Santa Ana, CA 92705
(714) 492-5490
01 1 16002 51603
011'16002 5'1603
01 't 16002 51600
01116002 51603
Fee
$47 .7 4
$22.90
$21.25
$52.98
Fee Type
Dedicated Circuit
Min Fee Adj
General Plan Update
lssuance
Qty
2.00
1.00
1.00
1.00
State Lic #: 1021'101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensalion lnsurance:
Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412014
Batcht:44174 - 6/6/2lLg
0ff ice: CTYH Tr0ne+: 39Accti: Refi
Rcpt+!02?89231 - 6./ 4 / ?ftl
Troneqct iofl Totol
82t
lof6
?r.' 166081:tr[ Fll
[.,estenn PIuib ine Serv ice9
I0r anBnqleElS
$144.87
$0.00
$'t44.87
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe
Ded Circuit Code:
Generol PIon tlpdate Fee
01116002- 516([:r(r0Lr*
Electr i,:o1
01116{tt2- i16r-r3tnr[-
noster Cord
CC+ : r*r*trt*r *r*375.t
- *21.2r
_ i123.62
t869. ?2
Auth+ i 155359
R-1
VB
cEc 2016
Notes:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kalhy
Every pemit issued shall become invalid unloss the wo on the site
authoized by such pemit is commenced within 180 days after its
issuance, ot if the work authotized on the site by such permit is suspended
ot abandoned tor a petiod of 1 80 days after the tirne lhe work is
commenced.
lnspector MID#: 2018-'143814
01 1'16002 51600
01 1 16002 51603
$21.25
$123 62
Amount
23.87
22.90
21.25
52.98
Phone:
06/06/20r8
Account#
Fee Total:
Paid to Datei
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
Site-Work
Underground
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundinq / UFER
Transformers
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Sollit Rouoh
Ceilings (T-Bar Rouoh)
r,-.\
Rough V *.\471\
Service Meler
FINAL 7.2fi-r A"Yl")c
Notes Remarks \Ja7
OWNER BUII,DER DELCARATION
I hdrcty atnrh undc, ncnalry o{ I,crjlry lhol I .n crcnDl lmn rhc Cont..roN Lirnr b* trtr rh. rolh*irC rcavr (SN7o:llt
Busincss Md Phrdsio. Coder: Any Cn, or County vhicn rcquncs 0 Frnir ro ooslru.r. ollcr, iq)rcvq dcmlhh or rpor My
sltocrurc, priorlo ns issu0frc. lho r.quin*rh. amlka for \ochrcm lo nk a sigmd narcmnt lhathcorshc is liccnsed rruNmt .
ro rhc prolisions of rh. Contmror's Li..nscd tre (Charrcr 9. Conmcncins wirh Sc.tion 7ul0 of Divisio. 3 ol lhc Businc$ .nd
Prot.sidtrs Codc) or rh0l tE or sh€ t cxcmtt thcrclrom.nd rhc basis for rh. alh8.d.r.mp!io. Any violarion oaSc.ri,n 70:l I 5 by lny
rytlicanl rd rICnn[ slbjccls rhc applicanr rorcivil!.nahyofno' mrc thnn 6rc hundrcd dollr(!50o).
-1.
0s owrcr of rhc pmtEdy. or ry cq,l.yes wnh wagcs os rhet vnc ompcnerion. sill do tlE *ort and rhc sndm n mt
i .ndql or oflcrcd lor solc (Sa.?(}14. ausincss and Pror.sio.r Gdc] Thc C.nkacroi r Licc.* Li* doc\ nor q,plr ro a owr, ot
rhcpmlf,dy wtu htrildr ot impn,vcs rlENn. rnd who Btrn $sd( hnnscllor hcr*lfor $rcu8h his or h.r own cnployccs.
prolidcd rhlr such impownEnk e mr inrctolcd or ofi.Nd for {lc lt h.{$s. thc hihirs or in{'olcmnl is $U within om Fr
olorylerion. rll Owftr auiud will hk rtE brden oflDvin8 rhlr hc ot rhc dil mr buitl or impmlc rh. potiy Iffrlt pu4x,s of
_1. us own(olrnc pn,p.dr. sncrclusiv.ly.dnrrcring wirh liccn*d conlracroE ro co.srrucr rtE rnjccr (scc 7(44- aunncis
a l Pmrc\sin Codc: Tnc Conltacktr s Liccnsc tjw do.r nor aprly k, mowncr.tprt,n n, {hD boilds or imrrovcs rhc.con-and pho conh.h ror su.h rroj..k sirhr Conrrscro(9liccnsd pur(uo r. rhc Conrd.tor's Li.cn* trw).
-l
anrcrcnrfl unds Sdiotr .B &PC rorihis rca{,n
u0xtrE&t:rsutrNllr]Jl)!
DEIIIIIA.II!}N
I hcrcl'y alltmu.dcr pc.dlrt orFrtnrroncorrhc r.u,,*ins d(l[alion\
I h.ec ,xl will mi.rain tr Cenificarc ot Con{nt ro Scll nsuE lor wrkcs oarpcnsriotr. as pmvidcd lbr by Sccrion 3?0o oi ttr
Iltbr Codc. tor rhc pcrlorromc o I rhc work ior which lh. Fmn is L$u.d.
Ihr\randwillmtrintdinsnrkoaconpcixlrioninsuruNc.asrcqutcdbyScctnnr3?mofrh.tjhor(bdc.forrhcpdfonMncof
th. Eork rorwhichlhis p.mir i\ t$cd M y wortcr\' com,Ensal ion insum.cc caricr ud Dolicy numhcr rcl
('MEr
-l
ccnilylhrr inlhc oerlbrnunccol rhcBork l'o. ehi.h rhk,rrnir h n\u.d. I \hallnotrndoy rnypc^on innny 'nr.n.rM, A b lf,cdrc \ubjed lo lhc *ork.ri comp.ns0l ion l.ws ol Ctrlnnrnia. dd i8N rhd il I should h.onr ubjcd to rlr
sor*cn co'npcnsrrion pmvi\ions olSediotr -lT00oirhc Lrtn Ollc.l shrll n,nhwi'h conlnt wnhrh.* liovi\hns
WARNINGT Frihrc b $rurc workuh conrpcnsuti,in (tstrsc is nnkwtul. nd shall subjcct aI cnun,yrr b ninrinol Dcnallis md
civil fifcs up to onc hu dr.d rh.u\rnd d.llr^ lSl(rO.(uD, in rddni.n ro rhc co( or compcn\dion. d.ruscs as p!'vacd ror rhc
Scclknr 3076ofrhc tjt CnL. imcrc{trnd dn.mcy s acc\.
Dal.: nrr,*r, (
I h.Ebr oifiirn u.dcr p.nalry of F,jury rh,i I nn li€nr.d xodcr povnion ofCharrd 9l.onnrdins *ith Scclion ?On) ofDivisnnr.l
of rhc Burift$ dd Prufcsion\ Codc. ind By lt.n\e h in full ihre ad cl'lccr.
K
coNslBl]c[all.ElDllti-&aDNgr
I h.rcb, omrmunder trnally ol lcrrury rhal thsc ( r onsrM!6n knding.!.tut for ihc pridnutuc ofrhc *.rk for whi.h rhir l.rn r i{
hsr.d(s( 1097, civ c )
AITI.ICAI.IDECI.AIAII.IN
I ffiy ufm und.r Fmlry of p..jury oe of rh. aollosins d6L! ioos:
Dcmlirn,n Pcrmih.Asbcnos Norificrrion FedcEl ReSul.rions (Tirlc.lo. Pan6)
-Rcquncd
Lcllcrof Nolifi cadon
_l ccnrlyrhdr rh.ltd.ral r3ultrirnrs rSrding rstl.(o\ r.Nrvxlurc mi rnaliclhlc i, rhi\ tr+.r
-l.fiili
rhar I havc rcid rhis apnltalion ed (tlc lhal lhc alnvc nfornElion h.orel I lFe lo conyly *ilh .11 City lnd County
ordinaEes and Srarc L€ws rckrins ro huilding co.srdclion.0.d hcrcby aulhorir rcprcpntnrivcs ofrhn Cily 0nd Counry to cntcr upon rh
rl.in c riton.d ltri,ltnyror insFcri,
,.," t-b. \sADD,ionl or A*$l Sixntrlurr
IOATE
Policy Numb.r:_ExDircs:
Pole Bases
Torqueinq
Air Conditioners
It/eter Release
EtC.