HomeMy WebLinkAbout30139597 - Permit (2)Project Address: 3900 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unitr F
Block: NA
Bldg:
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
q
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Permit #: 3O139597
Pin #: 2o,6,47
Conlraclor
Address:
Phone
Tenant Name
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-s490
Fee Typ€
01116002 51602 Clothes Washer
01116002 51602 Min Fee Adj
01116002 51600 General Plan Update
01116002 51602 lssuance
Qty
't.00
1.00
1.00
'1.00
State Lic #: 1021101
Lic Type: C"36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412018
U, R-2
VB
cPc 2016
Date
Date
Date
Notes: Convert existing closet to washer/dryer in hallway
Planning Conditions: lnterior work only,
Planning Approval By: Orozco, lvan
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Every permit issued shall become invalid unless the work on the site
authorized by such pemit is commenced within 1 80 days after its
issuance, or if the wotk authoized on the site by such permit is suspended
or abandoned fot a peiod of180 daw after the time the work is
commenced.
lnspector MID#: 2018-144'166
06t2012018
Account#
01 1 16002 51600
01 1 '16002 51602
Fee Total:
Paid to Date:
Balance Due:
$144.87
$0.00
$144.87
06120t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt;
Total
$21.25
$123.62
Owner:
Address:
Amount
13.45
57.19
21.25
52.98
Fee
$13.4s
$57.19
$21.25
$52.98
': a:TYl{
lrpt i 3 f.t?299409 -
l'ranssrt ion Total
['1utrb i n s
tl Plon updat
tat?- 516ifl:t('i!r:r
fio tn:
16011:
tloster Cond
CC+ 3 *rrrx*r*r{rr:
Phonel
Building Use: Multi-Family (5 or more uni Occupancy:
Job Type: Alteration constr TYPe:
Nature ofWork: Washer/Dryer Closel Code:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Under floor 7 a--.
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
I nterceptor/ Clarif ier
TOP OUT
Water Pipino
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Pipinq
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing 6/Y//A-vfi)ru v/^4)
Final Gas Test t --'
Meter Release rl
{ytrcila-FINAL l0ltiltk llrt ,
Notes, Remarks, Etc.
OWNElI BUILDER D!iLCATI TlON
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iu\nrc{s nlld Pn'i.sFtr c( ) Atry City or Counry *hi.h rcituirc\ r Ennil r) con{ruc1. rllcr- nnpovc. dcmolirh or Epd M,
{tucru.c. prnx ro ns hsuancc. rls rcqrtcsrhc applicrnr aq \!chpcnnir r. filca\igncd (r.mnr rhar hcorshc ir liccnscd ,ursudrr
r, rhc ptuvi(nrns urrh. conkr.lr\ Li.cnscd Lrw (Chr|,$ 9. Gnnncncnrg qilh Scdion TtxX) ol Divnt,n :l olrh. Bu\int$ Dnd
l']nlts\n,nsCodcrorrhrr ltorsh! is.rcnu lturclrorrtrd th. hisi\ for lhc!llcsed.rcmplion Any!i{'hrtrolsc.ri,nTI}.1l.5hynny
nnplicrnr lor a ptnnir suhtech lhc rpplicul ro uuivilrLnrlryolNl m,clh!tr livc hund,cd dollu6($5Olr)
-1.
I osnc. .f rhc p@Fdr. or my .q,lor!e *ilt wr8.s !s rhcn Fh sdp.nsdion. will do dE m* !d llr srtunr k ml
itrrcndcd or oficed for sle (56.?044. Blsin.s ond PDfcssions Cod.: Tk Co .urofs Liens Llw docs nor {ply io s ow..r ol
rh. pmp.rty who boilds o. ir{,@rs OEm.. .rxt who dc sh s* hios.f or h.alf or rlmugh his tr lEr own cnployccs.
providd lhll such im,"owrnls e nol inlcndcd oroM lor sh. l[ tD$va. ttE 6uildi.g d itrpmkm is sld wihinonc ]td
of€,r?Lliotr llr olxnr alids eiu hlE 0rc budd orrmti.g rlar h. or shc da mr hitt or irlmE ,E P,spsly 6r llf IlrFs of
_1. at nwtur of rh. Fopdy, md.hriElyonr.dins wirh licc.scn conrndoF rooBmcl E @.i(l {sd.'rol4. Busiics
dd h!6sih Codc: Tne CinrMror\ Lic.n$ Law docs nor.rplyro &owncr orprcpc y who builds or inprots lhcron.
lnd who ontra.rs for sEh pror.{rs {irh . Co 6clo(r) liccnscd Du*unt to rhc Conractols Li.rns Lre),
I adcicmor undc S(rFn .B &PC furrhilFen
uoaf,EBs:(:oMtrNsAn0!
DECLAAAUO!
I h.rcby amrn lodcr Fnalry or,,oj!ry onc ollnc aolhwi"S d6lmiio.s:
I hnvc adeillnui liorCcniliurcorConsunrt,S.lflNurcn,sorkrs.onpctr\ nnr.r\ povnlcd tur$J_Sccltu lT0Oolrhc
ljhr C{xlc- lnr rhc lditr nmNc oI rhc sork rhr {hich lnc pqn l is h\ucn
_l hltc and will maan'ain wortcm compcnra'ion insurdBc. N rcqdEd by Sd ion 3700 or lhc L.hor Codc. for lh. pc,lolfuc. of
rh. sort fo, shich rhir lemir ts bsu.d. My w6rkcB 6nFNrio! inlranft cMir &d polt, ounbcr @:
-l
c.nify rhat in thc llc formncc oflhc work for *tich lhis n rnrn is isucd. I \h!ll nor.nployriy pc^on in any nsnncr
$ a\h bccofu \!b]cd b rhc xbrk6 orptnsdion lnsr otcrlitodia otul.!n. thol ifl should t*onE subirl ro lhc
w.rkss con[.osarion lolist,ns otSerion ]7006rrhc L.hn (-odc,I shall. fonhwith comtly wilhlho* !m!isions..
WARNINC: Fiilurc lo wurc worksl otrl,ENtn,n 6rcBs€ h unhwfll. and shau rubhd u cnploter ro siminel IEmllis ad
ro om hudrcd rhousnd dollrs (5100.(x ), io addirion ro rh. co{ or c.qrn$rion. damScs m proridcd lor lhc
Sccri(r.llr?6ulrl[ l]}in a'{nlc. nncrci rnJ
I hcEbyalitrmundcr pcMltyolp.rjury thol I I ol ChaDrcr s (omm.ci.s enh Se.li.,n 7{xn) oi Division 3
ol lhc auiin \{ dd Prol.$io.s Cod., 0nd my ltc.e h
t h.rcby ,fli.m undcr F.iLy of psjury lhrl
kucd (se, 1097. civ, c,),
ruthn lc.din8 tr8crcy {or lhc F.fomrce olrhc trrk for wnich lhis pcrmil is
APPI !(:ANT Di'CI ARATIoN
I lrfthydfimuidcr l.ndlry orJ)cr.juiy onc olrhc foll,)$in8 dc.lsartunr
lI'nolirniPcnnir\ A\h({o\ Ndrifi.dnrn l:cd.ful R.!xbrn \(I'irlc4l), Pnd6J
Rcqun d hrrcr ofNorili.dDn
-l
ccn iiy r hot rhc fcdcrrl Esulolions rc8a.dinB astEsros rcnhlll dc nor appliclblc b rhir ptujcd
i! cord.I &Erc tocomllywilh {llCiryond Counry
.eF.*nraliwsollhir Cilyand Counlylo entd upon lhc
-. L'? O(x
DIETD\Afiilhl
Waste & Vent
Fill Line/Back Flow
tr.irs:
Drt.:
lclt t6t
D€
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