HomeMy WebLinkAbout40132858 - Permit (2)Cify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA927O2
l nspection Requests: (7 1 41 667 -27 38 l nspector Section: (7 1 4') 647 -5853
Mechanical Permit#: 4O13.2ASA
Pin #: 4509$\
Assessor'sParcel: 410-291-02 Lot: NA
Un:C
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Histoic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
Prime & South Coast L P
50 California St 920
San Francisco, CA 9411'14606
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
01116002 51604
01116002 51604
01116002 51600
01116002 51604
Fee
$40.34
$33.04
$22.O8
$55.04
Feo Type Amount
Clothes Dryer - Residen 40.U
Min Fee Adj 33.04
General Plan Update 22.08
lssuance 55.04
Qty
1.00
1.00
'1.00
1.00
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State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: OBl24l2O19
erv I {'P5
dote Fee
ll-
1753 AuLh+:17
I
Planning Conditions
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Multl-Family (5 or more uni Occupancy:
Alteration Constr TyPe
Washer/Dryer Code:
Date:
R-2
VB
cMc 2016
Notes: lnstall a washer & dryer in an existing closet.
B ki, T 11t13t2014
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall b invalid unless the work on tho site
authodzed by such permit is cammenccd within 1 80 days afret its
issusnce, ot il lhe wo* authoized on tlE site by such pemit is suspended
ot abandoned fot a peiod of180 days aftet the time lhe wo* is
commenced.
$ 150.50
$0.00
$150.50
lnspector MID#: 2018-147623
01116002 51600
01116002 51604
$22.08
$128.42
Fee Total:
Paid to Date:
Balance Due:
Project Address: 3904 S Flower St
Building Use:
Job Type:
Nature of Work:
Date:
Date:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I b@by .rm udd panlry of Fj$y thd I d .r6pt Eor llt Co.rf,cloB' Lic.is. L5w for lhc follosing @r {Sd.roll.s
Buin$ sld P.obrio. Cod.): Any Cny or Couily ,tich r.qliB s F,nn lo conntuct. tllc inProrc. darolbh or E ar dv
sttuc{u., Fror ro ils isud.€. sle rcqui 6 th. applicul for such Fnnn b filc . siSncd $armd lhd hc ot shc i! licc.s.d psudl
lo fi. p.ovi.ios of dE Conti&t6! Li@i$d Lr* (ch!9ld 9, Co@4in8 Mlh sction ?000 of Divtion 3 of lh. Brsin* 6d
PofdoB Cod.) or dDt lE or sh. b ddpl lho.&on ald lh. h.si! for lhc dkecd d@diof,. Any viol,lion olsEtion 7011., bv uv
applicmt for a pmh subjets rhc appli@l lo s cilil p€Mlty of nol hoa lhu liv. huf,dred dollm {1t00)
-1,
s l)$M ollhc FlFny, or my cnplo,6 wi$ w!86 6 tlE el. conFsaliol! will do lh. *o,t !d rh. *rd@ b rct
ina&d o. olIdqd fo. elc (sE 7014. Bcins od Proi6sioB Cod.: Th. contoctols Li.@ L{w dod nol appl, lo e oms of
ln.Dllpdry who boildsor irtp.ov6ln6o( 0d who do€$chs hi"E.llor h#lfor lhough hb or ho oM.d9lott6
provid.d rhrt s!.t imgtrr€Gll3 6 ml Lnod.d dorad aor sh. l[ hoB6, dE hildtits or imFDrqftll it dd wnhin oE ]@
ofconpldio4 $. Otr!6 Boiltc will isE th. tritdd of prctog $tl lE o. slE did nol bui6 or imprew ln. FtPdtv for thc ptrFe of
-1.
6 os!6 oalh. prop6ly. e dcluiv.ly co r&ting wilh lic..&d colrEcloBlo coGdcl th. Foj.d {Sc 7et4 &BhB
ud PrDfissbn Cod.: Th. Conlractof s Lic$c Law do6 nor apply lo o*f,r ofproFny who buildsor inptuv6 lhdofl.
and who entEcrs ror 3u.h sojcG win s co Bcto(,licsB.d p6u! rorh. cont6ctoa! Lic@ tis)
I dn.xempt undr Scclioo-. tl. &P.C aorlnisi.6on
Dot€ orn.r
!48K!8$IOMTEN!AIION
DEC| ASAUA!
t tftby alfm und6 p.ri]ly ofFjury orc offt. lolloviis d..llr.tiocl
-l
h.E dd wiu ui ai. 6 Cdific.ic of CoNdl to S.tf-Ireurc fot wkss o p..!aioq s poqd.d fo. bv Sdlio. l70O otoE
Labor Cod., for thc Ffotu.. of thc @rt for whi.h $c pgftil b isru.d.
I h!v. and will mainrai! woik63 mmp.@liof, idud.c. s rcquir.d by Sdion 3?00 olfi. kbo. Co.L, for th. Faom@. of
thc Bork for which fiis pqnil is isr.d. My worlGt @nFEalion icl@cc csid ed poli.y nlnb.r d.:
Poli.y Numb.r-ExPiB:
-l
cdriry lh in rlE pdaormc. ollh€ vork ror whkh rhis p.a.il is issu.d. I sh8ll nol @plo, ov Pd&n in &v n@d
$ s 10 b..o,nc subjdr ro ric @116' cohp.realion laws ot Cslifomia. ard asG thal if I slBuld b€.on $bjel lollE
solt6 codp.Mrion pbvi,iom of S.clior ]TOO ollh. t bor Codc l sltrll. lonhrYilh conply wilh lhos Provirio6
WARNltlCr raifur€ to su. w.l.u' comp.salion
.ivil fn6 up lo onc hundrcd lho@d dollm ($100
S..rion 10?6 ofth. tibor Codc. iild6l &d !(rmy r
i! u.lawf!|, ed shall subjd m 6ploF to ainiel po'dtt ed
addnion to rn. cosl ol cortrp.Nlion. ddna8e s provid.d lor thc
I hody amm u.d6 paalry oapdjury ttul I @ lien*d ion ofChaplq 9 (commmcin! wilh S..1irn 7000)ofDivision l
of lh. Buins dd PDt*ioB Cod.. sd fty lic.e G in tull torc d .lId
\ DL\r6 (
Ihcrcbyanlnnundnp.nahyofpedtrryrharihd.isa.oBrtudionlmdinsasm.ynrrhepgfonnanccofrhe*oi(lnrwhichllispmnitt
isslenlS( 3097, Civ C )
I..nify lhai I haL c r€ad lh6 appl icsrion and star€ rlml rhc aborc iolonraion is.oftdl. lasr€lo conplywiri.ll Cnyand Cou.ty
o'dinan.6 md Sr,r. h$s r.lot (.F6cdrliv6 oflhis Cny dd Counly lo nls upon {a
a!ov. nodon.d p@p<ly for
Appltur or As6t Signar@:
Appliances
Metal Fire Place
Evaporative Cooler
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer tl'/? -/g'€n loz BY J,Url"ar?)
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release lr
FINAL zHb ti1 5)
Notes, Remarks, Etc.(tt )t
Furnace
D.L:_
LendersAd&s:-a". rt:aNT prar RArroN - _
I hddy afm undr Fnalty ofp€.jury ooe oa rhe aollowing d.cldal ions:
D.orolirion Pmirs-Asb6kx Notificarior [.dml Rcsulslions (Tillc 40, Pd6)
-Reqrn
d Lclld oa Notification
-l
cdiry lhar rh. acddal eeulatioN rcsedi.g sb6los roold d. nol @plicable lo rhi. pmjdr
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