HomeMy WebLinkAbout40132860 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, CA92702 Mechanical Permit #: 40{32860
Pin #: 622o4
City of Santa Ana
Permit Counter: (714) 647-5800
Project Address: 3922 S Flower St
Assessor'sParcel: 410-29142
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Unil: F
Block: NA
AddressRange: 3800-3928
Historic: No
Suile Range:
Zoning: R4
Phone
Tenant Name:
Prime & South coast L P
50 California St 920
San Francisco, CA 941'114606
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(7141492-5490
Fee Type Amount
01116002 51604 Clothes Dryer - Residen 40.34
01116002 51604 Min Fee Adj 33.04
01116002 51600 General Plan Update 22.08
01116002 51604 lssuance 55.04
Oty
1.00
1.00
1 .00
1 .00
vttl2gtg I0: f,t6Af
'ons+l 112 7 t:-
Ref+: 4lll3?S(- r1113/201S 3:31 r1 t1r354,1
Fee
$40.34
$33.04
$22.08
$ss.04
Phone
iJr '
(it,
ns SerV ices
pdote Fee
00t]0-
4nfi0-I,r.r3753 Authi: l7
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more unl Occupancy:
Alteration Constr Type
Washer/Dryer Code:
U, R.2
VB
cMc 2015 Notes: lnstall new washer dryer in existing closet.
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Teri
Every pennit issued shall become invalid unloss the wo* on the sile
authotized by such pemit is comnenced within 180 days after its
issuance, or il the work authoized on the sile by such permit is suspended
ot abandoned fot a peiod of 1 80 days aftet the time the wo* is
comrnenced.
11t1312014
Account#
$22.08
$'t28.42
$150.50
$0.00
$1s0.50
lnspeclor MID#: 2018-147626
01 116002 51600
01116002 51604
Fee Total:
Paid to Date:
Balance Oue;
Lot: NA
Btdg:
Tract: NA
Owner:
Address:
Contractor:
Address:
State Lic #: 102110'l
Lic Type: C-36
Bus. Lic #: 354095
Workers' Compensalion lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: OBl24l2O19
Building Use:
Job Type:
Nature of Work:
APPROVALS DATE ID/SIG,COMMENTS
Appliances
Ir4elal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer a. .ls,l"4@;lt-n-/9 ,.iltoz
Residential Range
Other
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release ,t J-.* -/FINAL AYle-o vr.-7\nr-M)
Notes, Remarks, Etc.Irl tl I
O\&N ER BUILDER DEI.CANAIION
I fid.bry srtrm undd p6.lty of pdjury lhlI I d cxmo ion lh. Cohltacros Liccns. t2w for$. fotlowing !!en (5€.7011.5
Bcin6s ed Prof*ion cod.)r Ary Ciry or Co@ly which (qriB a p6nn to coisltud. allo, i6prcv., &inol,sh or rAqi ey
3itucluc Fio. lo iri isoe., aLo r.quir6 lbc .pplicel lor ruch p.mn lo frb ! sign.d $dci@l thtl lE or slE ii li.6a€d pa$ut
lo 1te pmvisioN ot th. Contr0clol. Lie.sd t w (Cta!l6 9, Com.ncing win Sadon ?000 ol DivLion 3 of lh. Buirc$ ed
PrcrNio.s Cod.) orthll lE or!t. i5 q.n r thccliw od lh. baiir for lhc all.s.d darplion. A!, violrrion ofs{lion 7011.5 by dy
,9pli@l for rp.mn subjdllrh. applica b a.ivil !@ltyof "or
mrc$u liv. tundr.d doum(1500).
I. d oMn of fic propaty. or 6y .Eplor6 wro erg6 s th{ solc cohpqBaion. {ill do lh. vc,t ad rh. *ldft i! sl
itrdt(H or o0aql tor eL (Se ?044. BNi.d sd Prcf6iod code Th. conlE.lois Lic@ kw do6 nol @ply lo e osG oa
rh. FDpsry wto hoil& or imF!6 fio6l! lld who dG sch srt him.lf or h*lf or lhDush hi! or ha om .mPlord.
provid.d d $.h inFovalE rls c ml inlad.d ddldd 6r sL. li to*c. rh. t idine or inp.&dE !t $ts vi'nii oi. t a
otconphrn'(d8ordoB!iE6silh.th.hddofFtrvngth,h.orsltdilmlbuildo.nnFowth.FoFryforlh.Bdpo*ot
-1,
s oMs oathc pmpsty. m aclui!.ly conf&ri.s with licftql .onrrdos lo coisrucl th. projdr (S( 704,4, SBiIB
and Prckrbn Cod.: Th. Conloclor'! Lic.tuc Law do6 nol apply b 6 .*n6 oaprcFny eho builds o. inprov6 thmn.
dd who oitids hr su.h plojei! wnh a Co Bdo(, lic@.d puRuan lo rhc (o.rr.croi3 Lic@ Law).
-t
M.xdfl undd Scdon-, B. & P.C for lhis r€$n.
D.lq o,trE:
lroSsEE!:coMlDNiaIo!uEclAlalla!
I hdcby 6IIm undr padry ofpBjury of,. ofh. hllowin8 d..laalioB:
-l
hav. dd$ill mainhin r C.nifical.oacoNnl lo S.lf-lcuc lor mltdl .onPd30tion, 6 Pmvidcd lor by S.ction 1700 oflh.
Lsbor Cod., for lh€ pqfode.. olrh. *o.t fo, trtrich $. p@il is i$u.d.
-l have 6d vill oainhin workcn comp.Briion imuranc.. 6 requir.d by S.clion 1700 of rn. Lobor aode, for lhc pqlbmec. oi
rhc worL lor which thb p@il is iasu.d. My wo,k6, comp.nsotion ituure.c cani ed policy numbs e.:
Policy N@ba:-Elpt6l
I csirylhar io rhc p6tomoc. ofih. {ort atr wfiicfi rhis pcmil is i$uel.l stall not mploy uy pd$n in any neno
e s to b..oo. cubjdl to llE *!rk6' conlqsalion laws otcalilomi& Md tgK rhd if I should bdom. subjd !o ttc
sort6' conpasriotr proviiioN of Sdion 1700 of$. Lrbor Codc. I shrll. ionhwilh comply wnh lho* ptoBiod..
WARNINC: Failu. lo sm work6' comp.Nlion
civil no6 up ro orc t@dcd rhousd dolls ($100
Serion 30?6 of thc Lator Codc, id6.{ ed lnorEy ,
i5 unhwful, ard shrll srbjel & aplord lo diinal pdahi6 dd
in lddilion lo lh. @31 ol compcNiion. ddag6 a prcvidcd for fi.
Drre_ Appliont:
I h.rcby alrm !.d6 p.i.lty oapEjury thd I m lica6.d ofchlpld 9 (comacins rvith Sdlio, 7000) ot Divisio. l
ol the B6ins md Pols@E Cod., md ny licd* b in tull forc.6d c,Id
o--L \12\
I hcr.ly amm undd p6all, of pejury lhal th6c is . coNlruclion lddins srnc, aor rh. PsfomMc€ ollhe so.t for whi.h rhis lEmit is
issucd (sfr.1097. civ c )
ASEICANI.DECI.dMITO!
I ha$yaIftn!od6 pqalty ofpqjlryon of th. following dd@liois:
D@olirion Pmirs-Asberos Nolificarion Fcdfrl R.sllariois (Tirl. 40, Prn6)
-R.quircd
taraof Noificdion
-l
cdiry that fic f€dcral rcrll.tioB rcesd!8 6b6los roDval m nol spplicabL lo thi. prcjd.
-l
cqri& rhsl I hav. rad rhis dprlicdion 6d !tar. rhar rh. abotc i.aomation is corel. I asc lo conply wl1n tll Chy dd Coul,
ordimce md Shr ties relnliry t ildins codtucrion. ard hcreby sulhoriz. rcFMtalir6 ot this Cily an<! Coult lo dlq uPon lh.
.bov. mmlion.d popdy for
pplicdl or ABo' sign.rurcl
II
MECHANICAL.INSPECTOR RECORD
Hood
f-------T------
--l--