HomeMy WebLinkAbout20165780 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Electrical
EProiect Address: 3816 S Flower St Unft: B
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 410-291-02
Owner:
Address
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
(714) 556-7960
Western Plumbing SerYices
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
Fee Typ€
01116002 5160: Dedicated Circuit
01116002 5160C General Plan Update
011 16002 5160: lssuance
Amount
23.87
21.25
52.98
Fee
$47 .7 4
$21.25
$52.98
Qty
2.00
1.00
1.00
Tenant Name:Botch+:{3635 - 1/7/zOtS
oft ice: CTYH Trons+! 22Acct+: Refi I
Rcpt+:(f2258738 - 3/7/zOLg
Tronssct ion Totol
20 t 65,
tlz12 (
$1 r 2?tlt.
Phone
l,lestern Plurb ine Senv ires
Geneiol Plon updote Fee
01116002- 51600000-
E lectr icol
01116002- 51603000-
lloster Cord
CC+ !I**IrI****tr4823
$ 1r_I.l
$ 1r2?t.t, t
Auth+: (r?6682
Building Use:
Job Type:
Nature of Work
Planning Conditions;
zunis", atrir"u Na
lvlisc. Receipt:
lvlisc. Receipt:
l\,'lisc. Receipt:
Total
Fourplex
Alteration
Washer/dryer
R-2
VB
cEc 20't6 Notes: lnstall a vyasher & dryer in an existing closet.
ost071201a
Account#
$121.97
$0.00
$121 .97
Every pemit issuod shall become invalid unless the work on tho site
authotized by such permit is commenced within 180 days aftet its
issuance, or if the wod< aulhoized on the site by such permil is suspended
ot abandoned for a peiod of 1 80 days after the tine the wod is
commenced.
lnspector MID#: 2018-'143'146
$21.25
$100.72
Fee Total
Paid to Date:
Balance Due:
Permit #: 20{65780
Pin #: 57o,44
Lot NA
Phone:
Contractor:
Address:
State Lic #: '1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: OBl24l2O18
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Buiiding Permit #:
Occupancy:
Constr Type:
Code:
Date:
Date:
Dale:
01 't 16002 s1600
0'1 1'16002 51603
ELECTRICAL-INSPECTOB HECOHD
ID/SIG COMMENTS
Site-Work
Underground
Pole Bases
Lioht Standards
Spas, Pool, Fountains
Sions (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Buildinq
Under Slab / Floor
Bondinq i Groundino / UFER
Translormers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipmenl
Factory Wired Unit
Walls (Conduit)
Walls (Rouoh)
Ceilinqs (Hard & Solfit Rouoh
Ceilings (T-Bar Rouqh)
It/leter Release
Rouqh 5-r-ty b.%a
Service lVleter
FINAL ibzlrq lvat )
Notes, Remarks, Etc.a(Tt
OWNER BIJILDER DELCAR TION
I h$cb, afrtro und.r Fnally ol !,crjury lhrl I am cxctrrpl rhm ttr ConlBcxrs Lreo\c tjs ioi
'hc
iollowinS lcosn (Sc.70315
Busincss ud Profrss.n Codc): Any Ciry or Coul, shich rcquircs r Frnll ro con$d.r. rllcr, imtrovc, dcmlhn or elair lny
slrucrurc, pritr to irs ii\ume. !k. rqunrs rhc q,plkn r(, such ltmir ro tilc ! sigrcd st0t.nEnr thal lr or shc is liccnscd punu@r
k, lhc tmvisions or lhc Co.tsclols Liccnscd LIw (Chaptcr r). Comntncirs sirh sccrion 7000 or Division I of lhe Businc$ and
Profcssn,.s Codc) or IhbrtE or shc isqcmpr thcrcfrom lnd rhc hlst lor rh( alhlcd crcmplion. Any viohlionoaScclion?{,.115 hy dny
trrplicunr hr a Fennir subjds rhc lpplicant ro ! cilil p.nali y or nd m.m rhan fivc huturcd dolles 1S56).
-l,
rs oqrcrol rhc pmpcny. or mycnrphyec\ Nilh *agcs x\ rhcir y,l. c.nrtcnsnrrn. willdo lh. work md lhc sltrr@ is Rn
inrcfrlcd oroltcrcd fir qL (Sd 7()ll4. Busirc$ d Bbrcsiotri C.dc Thc Conlro.toi{ Lienrc h* dc\ nor tpply t) nowftr of
thctmFny who ioilds.r imDrcs lhcren. md who (ocs srch wd himscllor h.r{lror rhrough his or hcr o*tr cflPl{,yccs.
[ovidcd rh slch iBpmrctunk d nor i,n.nddl or offcrd fn elc Il txr$$s, Ih( ttriklinA o, irr0mvcnrnl is $ld wirhin , 'k ,rr
ol cohplcrion- rhc O{ rcr Brild.r will turw rhc hodcn .f F,vi.e ihd h. .r shc dd nr tflikl or imnmrc lhc nn,Fny for r({ puqxM of
l. n\oqNror'hc pn,|xny. rnrcrctusnclycontr0ctins wirh liccn\cd conlrucror\ lo coi(tucr ihc pr(r..r (scc. r(!1,1. Busir'c\\
aM t\trfcs\btr Codc: fhc Conrracttr \ l-i..n{ l-!w docs n.r rpply ti mown r orpiolcdy $ho huilds o! imp,orcr rh.r.otr,
rnd who.onrrckntr\kh!ft,Jc.l\wirhnCofta.k,(N)li..n\cdDursurtrllorlrco)nlracr{tr\l,iccn{lnw).
I rnickrfr unttursl{nfl .B &PC larlhi\r.rvr,
Dat.:- _ _ o*mr:
worx g*s clrtrlprtts,lrlx
DE!IJ.8AfIOts
I hcrchy dflnfr uid.r prMxy of pnjury om oflhc iollowing dalmrions:
-lhlvcandBillnEinr0iraCcrrirKa'cofCo.sc(rr.s.lal.ixrcfdrworrcnN.pctrstrtiotr.astmvidcdforbys*tionlTmofthcL$or C.dc. for rnc nslormrcc o, rhe wrk for which rhc ncmi n nru.d.
I hav. and willnrinrdir so.kcrr conrcnsalion insurrncc. r\ rcquiR'd hySmri{'n]700 ofrhc Llbor C1)dc, fttr lhc pc.lorutrc ol
r' coarn tr\rtid nlurrncc.rricr lrnry nunrhcr Nc:Wr'-
x Rt t-4 lt*
;r rriiuic ro $curc so.kcF conDcnsrrior corcralc i\ unu*llrl. x \htrll subjc.l dtr .trPl(,ttr l,r c.iDn,rl Frhic\ rdd
ut ro orc htrndrcd rhous.nd dollaG (Srllo.rxtr). in dnbn h rhc npcnsrrion. d.rN8cs !s poliddt for rhc
HT':T"H-+,1 v
DIIIABAIION
I hcrcby ilttnr undcr pcnllry of pcrjury rhd I am licn(l unds pn,vistun ofChaptct 9 (connNnci!8 Nilh S\.'rion ?ofl)) olDivision l
.r rhc Busi,rcs rnd Pmlcsios Codc. n nry liccnrc is ir ,ull n,e anl c'!91
^'1 t( -blo oSa lg-i(
COISIBIJIIIONIINDIIIjIIiENCI
I hcFby nfirm undcr Icn(hy.tpcrru.yrhi h.rc is, oNrucrion hndinS aSoncy for rhc lerfqnu.cc ofrhc worr ror vhi.h rhn rcflnil h
nsucd(s( 1097. ci!. c ).
AIIIICANIDECLABAIIqN
I ffi,t fim undcr p.nalryof pcrju.y orc of rhc ri,llowin8 d(hrart,ns
Dc'n,lirtrn Pcrnirs Asb.s.s Norificrrion Fcncral Rc8un ions (Tnlc40. P!n6)
RdquncJ I rrrcroi N,iifi(xri(nl
I ccniiyrhd lhnvc rerd rhnrpplicdrnnrd {rrcrhir rfu !)vc itrtunn nr ls.otrc.r l aguh.oiidy$irhrllCilyind On'nry
o irEmc\ a8l Srrrc liws tol,iigro ,ldinB consrDclion. and hcrc6y lurhnrir cprcsenrdivd .r thi\ Cny md Cou.tylocnlq Won lhc
rMlc nxnln cd nroncny ior
,\DDlirMl or l[.nl Siqmlu -S.t
&-Da,-
-/?
W@
APPROVALS DATE
Communications Cable
lccnilylh.r nrhc lcrlhflnrrccolrhc $ork fitrwhi.I rhi!tairnir i1(sord,l \lullnor cmt]hrrnyncrn)n in trny Nnu
i, r\ t, h.roDr \rhJ.crr) rhc wortoJ.. rlicr\nri hw\ofcrhlnarid. itr(lr8r..rhrr ill d uld n(o'tu \uh.Jor Io rhc
sorkc^.ompcnsrri{,npn'li\nrisolSc.rnrlT0OofrhcLrhrCDd..lshrll.nnh*irhcorllt*irhrho*f()visi(rN
tf,nJc''\ AJdr\\
-
l.c'lnirh{ tl[ ftncrulrcsnlsli('ns rc!ardins ash.{os rcnn)vrl rr. orn ,lrt tc hrhn!rcis'