HomeMy WebLinkAbout20167392 - Permit (2)Pin #: 7932lnspection Requests: (714\ 667-2738 lnspector Section: (714\ 647-5853
Project Address: 3922 S Flower St
Assessor'sParcel: 410-29'l-02 Lot: NA
Unit: F
Block: NA
Bldg:
Tracl: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2()167352
Owner:
Address
Contraclor
Address:
Phone
Tenant Name:
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
17141492-5490
01'1 16002 5'1603
011 't6002 51603
01116002 51600
01'1 '16002 51603
Amount Qry
24.79 2.00
23.80 1.00
22.08 1.00
55.04 1.00
.1/i.i,/1r:r1rl (l):
Fee
$49.58
$23.80
$22.08
$55.04
ll1 ,
ll,
.nnE+:11?
- tt/13/ztl
1
s
Phone
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and casualty Company
Policy #: 90C6X6879
Expires: 0812412019
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permil #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
washer/Dryer Code:
Date:
Date:
Date:
U, R-2
VB
cEc 2016 Notes: lnstall new washer dryer in existing closet.
efl
lvlisc. Receipt:
NIisc. Receipt:
l\,lisc. Receipt:
Total
11t13t2018
Account#
01 1 16002 51600
01 1 16002 51603
Fee Total:
Paid to Date:
Balanc€ Due:
$22.08
$128.42
$150.50
$0.00
$150.50
Every pennil issued shdll become invalid unless the work on the site
authoized by such permit is conrnenced within180 days aftet its
issuance, ot if the wo* authoized on the site by such permit is suspended
ot abandoned fot a period ol 1 80 days 1ftet the tirne the wotu is
commenced.
lnspector MID#: 2018-147626
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
(714) 556-7960
Fee Type
Dedicaled Circuit
Min Fee Adj
General Plan Update
lssuance
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lr
I
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lFd(tte FEe
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Planning Conditions:
ELECTRICAL-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
pas, Pool, Fountains
Signs (monument)
I-ife Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueing
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouoh
Ceilings (T-Bar Rouqh)
Meter Release
Rough )l-tq -/,LY /oZ J).tD/-O?)
Service Meter
FINAL 4vlb'lYlttu,n d?a)
Notes Remarks, Etc U11r I
OWNER BT]I LDI]R DELCANATION
I h€rcby aflid uodd p.nalry of p.rjury rhd I m cxnpr iiom rhe conlraclou' Lic.ns. bw for rh. follovinS rNn (5(.7011.5
tsusin6s dd Proasion Cod.) Any Cily or Coum, whi.h rcqute . ponn lo cooslrucl. ah6. inprcvq ddolah or Ep6n sy
(rucrur€. Drior ro irs isumce. also requn6 rh. spplic r io! such Dnn lo nL a si!.di stal@d Oat h. or sh. is licff.d pumet
ro rh€ FolisioB offi. conrracrois Lic.nled kw ((naprd 9, ComrcncinS with S€clion 70Ct) olDivision I ofrh. BGin6 dd
PrcfNionsCod€)orthrth.orshciscxcmptrhqelio'nudthcbsislorrheau.s€dddprio..Anrviolalio.ofsdlionT0ll5byany
aprlicant foi a pmit subj*ts rhc arplicdt ro . ciril pdalry of not mrc lh& 6!e hun&.d dolles ($J00).
-1.
6 own6 of th. pmFnx or my cmplq€s silh !as6 s th.n sE comp.nsarbn. wll do $. u.rl md lh. sddrc is ml
intco&l oi o'lr.d for el. (s{.704-4. BEi.e md Prcasio6 Cod€ Th. ('oniractoi s Lic€e Law do6 nol apply lo e o*td ol
lhc pmpqly vho hril& or inprcvB th66n. rd who do€ s'rcfi woll hims€la o, ho *lf or lhroush his or hr oM .mploy.6.
providql (hal such i.provoE ns s€ oor inradcd or or6cd tor slc. ll hos6,q. thc buikling or iopror@m is $6 silhin one ,@
ofoopl.lion. tic O*rs Adrl6 *ill lErc lh. tordo oaprovinB tld he or sh. did noi build or improv. 6c pmlsly for lh. pEFs of
_1, s o*no oflh. lroporn @ .r.lBively conhding wirh lic.roal co.rEro6 lo coNlrud tlE proj..r (S(. 7044. BGi.d
ad l\olhst n Codc Tn. Co tr.roa s Liccnsc Lav dos nor apply ro an ovr€r o aprcpfiy vho b!il& or improvc th6on.
dd Nho co.'Ecrs aor such projds wnh a aroilmdo(, licftal txuo.m lo rh. Co"tracrois LicN Las)
_r ancrcnltn undd Serion , B & PC lorrhisr.Mn
D.l.: O*n€r:
WORI{ERS' COMPENSATION
DEC!A8AUq!
I hn.by .ilid uddr p.naxy oapojlr, on. oath. aollovi.s 'iddatio6:
_I harc ed will @imai. a cdifical. of coBal ro sclar6u. for rvork.6 @mpensr ion. s pror i(H lor by Sdrio, 1700 ofrh.
L.bor Code. for lhe Flom cc.f thcwrt for shich thc pmn b issu€d
_l hale a.d vill
'nai.rai.
woik.rs conpmarion isurrnc., ar r.quir.d b, Sdion 1700 of$e tibor Cod€. fo, lhe Faotun.c of
rh. *ork lor $hich rhis pdnir ir i5sudl My lorlcB comp..sarion iNurancc csid Md policy numbrr 6c
PolicyNunrbdr Expi'cs:
_l c.difyrhar in lhe ldfom,ncr ofrhc *or! for whi.h rhis pd,nn b i$u.d, I sh,ll not mploy any pmon in any Ednd
e ato Lt omc ubjdl to lhe woltsa compas.liofl laws ofcalifomia. and arE thlt ial should b.Loi. subjd to rhc
{0lk6'comp.GalionprcvisionsoaSElionlT00olihcL.borCodelshall.fonhvilhcoip}wnhlho*poviions
'\!ARNINC: failre lo suE wolksJ comp€nFlron is unhwlul. a.d shall subj$t d mploF lo oiminal FElti6 ed
addirion lo th€.osr ofcon!.nsarion, damgc a providcd for Ihccivil nn.s up ro o.c hundrcd lhousd doutrs ($l
Skrion 1076 ofrh.ljhorCodc, inrdBt md afioirEy s
I lErctry amrnr utulq pemllyoflErlu.)lhar I am licdns.{ u olChaprs I (comf,d.inu snh sdi6n 7000) olDnision I
of rh. Busin6s md Pioi6ios Cod.. md ,ny lic.6. is in
L(ztto t
I hftby amnD u.dd p.mlt, ot pdjury lhal ln6c is a conndcl
issucd (S<.1097, Cir. C )
aEocy aor rh. !€aomd.. oarlE sort for which lhis Fmit ts
AIfI,I(AILDECI,AIAIIOX
I no!b, arm uids pdalry ol pfijury onc of fi. ,iillo*i.g delaotions:
Dcooliion P€mils-Asb6t* Noriication F.ddal Rcsubrions ('rir! 40. Pan6)
Rcqlncd Llltd of Noricdion
-l
cslifythat ihe Ld6alresuhtions Esrdins 6b.stos,onoval arc nor apph.ablc lo rhis rroj<r
-l
cs1iry lhar I hav€ r.adlhis a arc lhal rh. abve infon.arion is cotr€d. I a8re to comply lith allCityand County
.'ii',3Dcs and Slar€ t{\$ relatLn! (r
aho\c mcnrioned prop.dy for itrrp<r
ofihis Cny and Counlylo 616 upon rh.
Applicanl or Agenl SiBnolu.c:
t t\*\e-r"M'-V/L -
DATE
Sub-Panels