HomeMy WebLinkAbout20166243 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-'19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Electrical Permit #: 2lJ166243
Pin #: 1474()
Proiect Address: 3900 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unrt: F
Block. NA
Bldg:
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
q
Owner;
Address
Contractor
Address:
Phone
Prime & South Coast L P
50 California St 920
San Francisco, CA 941'114606
(714) 556-7960
Western Plumbing Services
1810 N. Linrvood Ave.
Santa Ana, CA 92705
(714) 492-5490
011 16002 s1603
01 '1 16002 51603
01116002 51600
01'116002 51603
Amount
23.87
22.90
21 .25
52.98
Fee
$47.74
$22.90
$21.25
$52.98
Qty
2.00
1.00
1 .00
100
Phone
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: OAl24l2O1a
Planning Conditions: lnterior work only
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless the uvork o, tho site
authorized by such permit is commenced within180 days afler its
issuance, ot il the work authotized on the sile by such parmit is suspended
or abandoned fot a period of 180 days after lhe time the wo* is
comfienced
Date
Date
Date 06t20t2018
Account#
$144.87
$0.00
$1M.87
ki,
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
$21 .25
$123.62
lnspector ]tmD#: 2O18-144166
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balance Due:
Fee Type
Dedicated Circuit
Min Fee Adj
General Plan Update
lssuance
Tenant Name:
l.le:
6enerrl Plor
r-11116r: :r?- El
EIP':tc i,:fl1
Ur C.: t
Building Use: Multi-Family (5 or more uni Occupancy:
Job Type: Alteration Constr TYPe:
Nature ofWork: washer/Dryer Closet code:
Planning Approval By:
U, R.2
VB
cEc 2016
Notes: Convert existing closet to washer/dryer in hallway.
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Lile Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Groundino / UFER
To rquerng
Sub-Panels
Air Conditioners
Rool To p Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ce ilings (Hard & Soflit Rouqh
Ceilings (T-Bar Rouoh)
I\/eter Release
Rough U>r/ta '+Ft''-qVA
Service Meter (
FINAL tdt<lt(An6tW lrr'
Notes, Remarks, Etc
OWNTR EIIILDER DELCARATION
I hcrcby affirm undcr pcnulry oi pcrjur, rhar I m cxcmfl frcnr rhc Conh.'on l,ic.nc l:'$ lor rnc follo$ins reN)n (s.c 70.11 5
Buri.cs and Pn,lc\si{,n Cndc)r Any Ciiy or Cou.r, *hth rcllircs o pcdir tr conntucr. drcr. imln,vc. d.noli\h '{ rI)Jn !try
iruchr.. priur ro n \ k\unn... trls. rcquircs rhc +!li(ror itr such Flrir i(, fiL r \ign d {arcmnr thd lt or shc i\ licctred puru!trr
r, rhr pmvnn,ns or lhc 6nrrack, \ l,icenrc{l t * (Chrntcr 9. Connncmirs wilh Sccrion ?o(X) ol Divhn,n 3 of rht 3!\inc$ and
Prol.srns Codc) or rhdr h.oish. i(cx.npr rhcr.fio.rrid rlrbrsis fd rlr allcsdd.xcnrJ)lnrn. Anyviol i,'nolSccrion?0.11.5!'yrny
ifplic.nt for. p.nni suhjNr lhc aptli.inr to..ivilp.n,lryornor rrerclhM livc hultrltrcddollnrs (S5m).
I. ,\ ownf of rhc ptupcd y, or my c'nployccs sirh wagcs rs rhct eh conp.n\arn,n, will do r}t work ,ild rtr (MUc n k
inrcndcd or o,Icrcd for salc (SN ?0.14. Busirrs and Prolcssi.ns Codc: rhc Conrracrols Li..nsc tiw docs nol amly Io an.srcrol'
rhcpn'l*nv *ho blildr or in,rovc\ rrrfr,.. Md $lnr dEs ssh $olt hnnsclior hcrslfor rhou8h hh or hs own.'npk,yc.\,
p.oridcd rhil su.h nn8rvcnf,nk e n.r inrcndLrl .r onaicd lbr sL t( ln$rrcr, rhc ttuikli,rg or i,npmknrir is s,kl *irhi,r onc Jr*
of.o,rplcrion, rh. Owncr Blikcr will hnr rhc burdcn ol pmving lh.r h. or snc dn d huil1 or irqrot lhc pmFny for rlE purF,{ ol'
-1.
is oqncrofthc ro|rny. amcx.lusncly.onkdir8 wirh li...scd.o racrm ro constru.r rhc F)jccl (Sc.7o{,{. Bu\incs
md lh'ics\i Codc lhcConrrocrn\ Liccnsc Luw does nor applyro 0nowtrcr., propcfly wlx' huilds or impmvcs lnc.coD-and who.o.trr.krdsu.htmj.rrswhhaGrnrturrc)licco\cdNsunrrorhcConrlcltnrl-iccn*ti*).
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Date O*n.r
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DICI,AIAU(rN
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Ihrvcd wrll lir airlaC.nifi.nrcofC.iscnrkr S.lf li\lrc ntr *orkcs Lrnnttri{dhr, $ pmvidcd tur bySs.^ti{ lrmolrhc
trbr ('odc.l{r rh. ldr(ntrrnN.frhr work fir *hi.h rhc pciinir is i$r.d
I havc and willhainrai'r workcrs .o,hp.nrdrnrn i.surrncc, as rqrncd hySccriohlT0Oofrh. bbor ctld.. fir rhc pcrto rtrftcof
rhc work fttr which rhk pcinir is issucd. M y sorkc^ conrFnsrrion in\ntun.c cdicr md tx)li.y nun$.. dc:
lccdifyrhbr inrhc pcrtorronccorrhc work a{tr *hichrhh p.rni is nsucd.l shDll hor.nl,k,ytrnylc on inanynmnncr
h .s b b...nr subj.rr ro rhc No cs conpc.s.ridr lrw\ of CaliLrnir. ud a8rcc rh rfl should heom subjsl rorhc
vorkcF' coq,cmd ion pmvhions of Sarion 37uJ af rhc ttrtb. C.dc. I shnll. fonhwirh comnly wirh rlns pmvnionr
WARNIN(I trrilur h {cur. $orl(.r\' con,p.f\rri,r (rvcr Ec i\ uthsln]. md \hrll \uhi.cr , .nlnk,ycr h d'n,nrl lfmlrd nil
rnil 6Dc\ trp lo otrc hutrd.cd lhou\rnd Jolh^ (Oo.mO). in uddirt l. rhc c6\r .f coht iunr, danrgcs 0s lrovidcd rn (h.
S.crion .ll)76 ol'rhc tiktr Onc- i'rrrrc
I h.rhyainhu .rItnrlryrl pcrjrryrhxr I n,I 'hrprcr 9 (connfui.ing wnh S..l
of rhc llu\inc\\r Pnni$n,n\Co{h. tmd n,y licctr!. is i', rnllnncc rndcft.cr
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I h.Eby lrtrm undcr p.nlly of pcrjury ll',1 lturc is ! oistruction lcndin8 !8cmy for lne p€dolrMe of lhe sork ro. whi.h rhir Fmit ir
isskd Isd. 1097, cit. c.).
APILICAI{LDDI;LAEAIIO!
I lrrhy {ninn undd p.alry of r.rjury oft of rh. fououin8 dn-.hhr io..
Dctulilion Pcrnilr.Asb.nos Notificarion Fcderil Rc8ulorions (Tirlc 4{. Pm6)
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l.ncrof l'.lorifi cdion
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'cpularion\
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,hic 9(ircd nml,cn, ri{in\pccri,n nuqrsc\
ly wirh rllCiryad Counry
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