HomeMy WebLinkAbout30139396 - PermitProiect Address: 3904 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unit: H
Block: NA
Bldg;
Tract NA
Suile Range:
Zoning: R4
E
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAi27O2 Plumbing
Permil Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O139396
Pin #: 24756
Contractor:
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
Western Plumbing Services
t8l0 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
Fee Type
01116002 51602 Clothes Washer
01116002 5160C General Plan Update
011'16002 51602 lssuance
Amount
13.45
2',t.25
52.98
Generol PIon Updste F€e
01116002- 5160000tr-
Plu:b ioe
0111600?- 51602000-
IloetPP Csrd
(:C+ ! rrr*rrrrrt{823
Qty
1.00
1.00
1.00
Fee
$13.45
$21.25
$52.98Phone
Tenant Name:
Botch+r63635 - 5/7/2i18 ID: CCUE:I0ffice: CTYH Trons+: 22 10 IAccti: Refi: 3013?39r
Rcpti:022587{2 - 3/7 /z(tLg 11:42 AII
Tronsoct ion Totol $11290.8,
Phone
State Lic #: 1O211O1
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6x6879
Expares: OBl24l2O1A
U€stern Plurb in9 Serv i ce5
$l r2?0.8{
Authi:026682
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alte.ation Constr TyPe
Washer/dryer Code:
Date:
Date;
Date;
R-2
VB
cPc 2016
,.aV
lvlisc. Receipt:
lvlisc. Receipt:
l\4isc. Receipt:
Total
Zuniga, All
Every pennit issued shall become invalid unless the wg* on the site
authotized by such petmit is conmenced within 180 days aftar its
issuance, ot if lhe wo* authoizod on the site by such permit is suspended
ot dbandoned fot a peiod ol180 days aft the time the wo* is
commenced.
lnspector MID#: 2018-143173
o5to7t2018
Account#
01116002 51600
011'16002 5'1602
$21 .25
$66.43
$87.68
$0.00
s87.68
AddressRange: 3800-3928
Historic: No
Owner:
Address:
Notes: lnstall a washer & dryer in an existing closet.
Fee Total
Paid to Date:
Balance Due:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER DUN,D!:R D!:I,CAR4TIONI hcrchy rlfinn rndcr lcnrh' r'i Nrjury rhd I m cxrnlpr ltum ih ConrachF L,iccnsc rr* tiI rh: r.tnrwinE rcavrn {SN.70I 5Bt\irc( r Ptur.sn,n Cqlcr Any Cny or clrunrt $hich !.qun.s n Fnnir b .on(rucr. rticr. nnrro\r. d.nnrh !r rlJn Jny
sfl(urc. prktr kr ns r*urn&. rl$ rcquircs rhc atpli.rnr ttr \uch JErnrir r. 6tc I sigkd \txrcnrcnr rhd h.or slr ir ti.. $d plrsunnr
ro rhc nmvi\ir)ns ol rhc cl,nrrlcttr { Li.cn{d Ldw (Chr|rcr 9, Conmchci.E wirh Scdior 7([D or Oivision :1 of rtc lju\ilcs ind
Ihrcsrioa\Codctorrhrrhcurlh. hcx.nrpr rhcrcirorrtrd rhc tlNn nrrhc attcgcdcxcnunnr Aiyliohrinnol'Ssrion?0lt 5 hy rny
rrpli.atr' hr r Fnnir suhjcch tlrc iptli.r ro,.ivilpctr.tryortror'norcrhrn fivc hu.rlEddoInrs(!;t00)
-1.
as owNr of th. F.larly. u ey ctrVloy*r witn sag.s s thcn sb corrr.B{rhn. will do lh3 *ort !d rlE srEle k mt
int nd.n 6r o,Icrcn for sh (Se.7041. Bliiftss ed PrDf*sions Codq Tt* ConF*roas Ltc^e t,w dGs not apply to e owN, or
rh. FDncrly vlbt ikls or iqmrs th.er &.1wh. des *h s himctror h.Mlaor thmld his or hcr own.nptorrcs.
nrovid.d lh,r ruch ihprertrEnts mmr ini.ricd orotu lor $h.lf. hdsls. rE hil]irS d inprowE i. $U *nhin @ Jqrofoq'klion. tlE Ou,H Auft.r will h.E lhc hrtcn ofFovhg ll.!d tr or shc dn d hoild or iri+row rhc pDIEty 6r dE pEibc of
_1..s owns ofthc pDpdy, @qclurieclycontrading wnh ti.enscd contaclo rosnerucr rlE roicct (Ss. ?0a4. Busincs
and Eoftaiion Codc: Thc ConrEckrt Liccnse tr* docs tror lpptr to an ownc, ofDop.ny who builds o. improvci thcrcon,lnd who onmds for su.h l,mjdi wnh u ConlEclorlr) licen$d plNu.r ro the Co.lDcrors Lkenc Lr*).
-l
!m.r.E!r u.d* SNr a & P(' rnrrhn rcr\on
woRKF[q, coMPt l\ls,{f toN
DECLA8AIION
I hcrcby rmrm undcr F.dry of Frlury oe of thc folk Nin! dddorions:
-l
htrv..odwill minlah 0 Ccn ifi..r. or Con* ro Scta-lnxur. nr w.rksl mnD.nsirion. N pd,vidcd for b,Seclion ITOOoithc
Lihor Code, for rhe lcrlo.mr. 6i lhc work for etich rhc !.rdi h nsucd
_l hoE ind will maintain worlcBi com!.nsa{ion inslrancc. 0s r.quiEd by Selion :t7lJO or rhL bhor Codc. ror ilt rcrtotuncc or
My ion insum*c.-rtcr and nolicy numh.r uc
ZtL4 I t rT--T-'-
I.cnilr lhol in llE pcrf.rtutuc olrhc work for which rlis pciinir is issBl.I shatt nor cnDtoy any pcron in uy m.nn.r
so slo b..om {bjc( ro thc sork n omp.nerion hws ofc,tildrnia...d agE rhol it I shoutd tE onE ubikt ro lhehrkcs onp.nsatio, p,ovisions ofS.crio.1700olrhc LIk'r Ood.,I sh,ll. rontwirhomtty wirh rrss lmviriois
WARNINC: Faihrc lo $m wortcn enFnelion 6ve6gc is unla*tuI. .nd shlll srbls e mptols lo diminat FMti. ald
civil nn.r np ro otrc hundrcd rhouend dolhr (!!m,uD), in lddilion to rhc aon. dlmBcs as tolidcd for rh.
S.t,r$
DT'CLA IIATIoN
I hcrc$yafirm undcr I,cnrlryol!.rjury rhtrr l,n li.cnxn undcr p6visn,r otChqrrq 9(conrmrcin8 wih S.crkrn 70fi)).tDivish:l
ol rhc Bu\irEs\ {nd Profcstuns cod.. nnd hy liccnc n ir fuU roft un rff(t .L
-<.1,t?o
(0NslRllcT(|N I l.NntN{; A(;DNCV
I herchy 0f6.fl uMcr p.Mliy o r pc,jury thrr rhcn h a.on{tucrion hndnrS necncy r$ rhc ltrronturcc otlnc work for whRh rhis Frnir is
i\suc{ (Se 1097, Civ (').
APPI I{:ANT NN'CLARATIoN
I lf,fts, alltn undcr pchxy.rrfjk, oN ot'thc t'ottowin! dc.t&tninr
Dcnn,lirion I,.nnirs sh.ro\ Noriii$rirr l,cdcfll RcEUtdionr flirlc 41), ftn6)
Rrtuncd l!rcr.t Norirr.dior
-l
.cnify rhar rlE f€dcrll rcSuhrhns Egr.dins ast slos Emv.t & .ar al,tti..btc ro this pmj.!r.
l.cnil,rlN llu{ rud rhi\ appli.rir)nodshrc irlorroriotr r.odc.r l,sr.{ r' conlPly wilh lllCnylnd counry
ordi'rn.cs nnd Srrrc Lr*\ rul,rine h 6nildi.g eprcscnr iv.sofrhnC yandCounlyroenrsuB'nrhc
al,olc Nnriomd rr.pcnr lor in 5.t,/F
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underlloor
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Roof Drain
Tub/Shower Test
Flou h Water Heater
POOL/SPA
P-trap/Drain Line
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Back Flow Device
Rough Plum bing 9-{-lk v.v/1b)
Final Gas Test
FINAL to/q/t*6rtoz*-
Notes Remarks, Etc.
Buildino Sewer
Water Pipinq
Gas Pipino
Main Drain/Pool Pioino
Lawn Sprinkler
Sanitary Sewer/Cao
Meter Release
/m.-
l.ndcis Addtus\: _