HomeMy WebLinkAbout40132174 - Permit (2)AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
erProject Address: 3806 S Flower St
AssessodsParcel: 410-291-02 Lot: NA
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 40132174
Pln #: 77382
Owner:
Address:
Conlractor:
Address:
Phone
Tenant Name
Prime & South Coast L P
50 California St 920
San Francisco, CA 941'114506
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(7r4) 492-5490
Foe Type Amount
01116002 51604 Clothes Dryer - Residen 38.83
01116002 51604 Min Fee Adj 31.81
0'1116002 51600 General Plan Update 21.25
011'16002 5'1604 lssuance 52.98
Qty
1.00
1.00
1.00
1.00
Fee
$38.83
$31.81
$21.25
$52.98
Phone
State Lic #: 1O211O1
Lic Type: C-36
Bus. Lic #: 354095
Workers' Compensation lnsurance:
Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0412412018
Bctchi:44174 - &/$/];lle I0. o oroIeElS
office: CTYH Trons+j -{t 6 of 6Acct+3 F*li: trt-r131174
Rcpti:02289236 - 6/:1?trli? ?ir-rr-r Pl'l
Tnonssct ion Tot0l $S69.??
Uegtern Plu b ing Selrire:
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By
Plan Checked By;
Permit lssued By:
Subject to Fieldl
Building Permit #:
6enerol Plon Update Fee
(r1116002- 516(10000-
nechoo icol
01116002- 516t1400(r-
llosten Cord
CC i : ****r r r**r r*.:- 75 -.j
t2r . ?5
i123.62
t869, ?!
Auth + I 115819
R-l
VB
cMc 2016
Notes
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every pemit issued shall become invalid unless the wo* on the site
authorized by such pennit is commenced within 180 days after its
issuance, or if the wotu authodzed on the site by such pemit is suspended
ot abandoned fgr a period of 1 80 days after the tifie the work is
comnenced
lnspector MID#: 2018-1438't3
06/06/2018
Account#
01'116002 51600
01116002 51604
Fee Total:
Paid to Date:
Balance Due:
$21 .25
$123.62
$144.87
$0.00
$144.87
unit: B Bldg:
Block: A Trac{: NA
Multl-Family (5 or more uni Occupancy:
Miscellaneous Constr Type:
Dryer Code:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEI DELCARATION
I h.rcb'y .llrn lidd Fnalry ot pdjury rtd I @ q@pr tlE rh. conr6l6 Licce Lae fo. lh. following rcen (s6.703 L5
Businds Dd Profdion Cod.): Ary City or Coudy which rcquic a Fni ro @Iioct, .116. irPIovo &moli.h or r.Fi. dy
stlucls.. rior ro ns is.dc.. aLo rcqliB ln. eplicer for sh Fmn b fiL a sien€d $d@6i thd lE .. !h. b lic d plN&tl
lo lt pmvisioE oloE Contoclois Licd!.d Lrw (Ct!9rd 9. Com4og wilh Sethn 7000 of Divirio! 3 oflh. BBins @d
Psfdsioru Cod.) o. rhll h.o, sh. b a.mpl th.r.6oE dd lh. bdlis aor th. all.g.d qdflio!. A.y viohtio. ofsetior r03l.5 by any
sppli.ant lor a posit 3ubjeB r[. rppli.er ro ! civil pmty or tur noE rha nvc hlodrcd dolla! (1500)
I, B oM6 oflhc FoFrn or ry dployd *irh was6 s rhct elc conp65dion wil do thc work sd lh. sltocl@ b m(
i ai.d o. ofr.rdl ao. eL (Sc.7044, BuirB Dd PrcfeioN Cod.: T1. contraclor's Liccc Law doB nor @ply to an oms of
lh. FoFty who hoil6 or in rov6 thden. &d who 66ech wfi hinslfo. h6.lf or thrcugt nis or hr oM drhyc.
prolid.d $'r !u.h imFo!@@ts @ml intad.d orolldrd forsL.ll houcc,lh. hiildil8 or itrprc\did t eE wnhin oN t@
ofonpLiio,L rh. o,n6 Buil,ld qiu haw rhc h{do of poviis t!. hc o. sh. drd mt hrld or inFiv. lh. prtrFly for lF. putFE of
-1.
s ol{c olrhc Dropary, e .r.lsiv.ly .od.adins vih licd*d coilodou lo mi$n l lhe ptujc.1 (S(. ?044. Bunn6
rnd ftDG*rbn Cod.: Thc Conlftlor's Licas. Law doB not apply lo o osnd ol propdiy who blilds or ihprov.s lhdon,
dd who .oitdcls for su.h Fojcls wth. co @ro(s) licdsd paler lo the Cotu.cro. s Lic.w kw)
_l dncrcEfl uodo Sdlion . B. & P.C, aorihis r6on.
wonxr!ls'coMpENsArIoN
PECI.ASAIION
I hccby .fi'm uodo pa.ly ofpqjlry onc oflh. following deldlioG:
-l
hlE &d will nairrain . ccnifi.ar otcoMr ro sclf-lBu. fo. ert6 compasdior. a F.vi{i.d for by scrio. 1700 ollh.
Labor Codc aor rh. psfollMcc ot$c mfi for which rh. FBit ir i,su.d,
_l hav. ed will oaint'in wort6 comp.N io. iNlr&cc 6 r.qun.d by Selion 3?00 ol rh. I$or Code. lor it. palome.c of
rhc @& for shhh rhb F@il is lq.{ My work6' comp<salion isurDcc cmi6 &d policy .unbd dc:
I ccniry ihd in lh. p6aomdc. oarh. work aor shich lhi Fmil i! Lrsucd. I shau nol onploy ey I,600 i. ey n&ner
$ B ro b{on subjar to th. wo*d compqasrion Lws ofcalilodi6. &d asE rhar il I should h..os. subjel lo lh€
*ort6' omF,s.rion povisioN of Sdion 1700 otlh. kbo. Codo I shall. fonhrirt @npl, wirh tno$ pDri!io6..
WARNING: F6il@ ro cr. so d'6mpoMio. covdaS. is unh$'tul. ed shsll subjccl u dplo)Er lo diiinal p.nal6 dd
cilil iin6uproon nlbdrcd rto@d dotla ($100,000), ii sddirion lo rtc cosr of comtssdion. dm8.s 6 provid.d aor rhc
Sclion 3076 ollh. trbor Codc inro.e ed
Drter_ A
I h@by rllm ulda F.rtry of pdjury tll! I u lics8 d @dq FDvirioi ofchlpla 9 {@omdcine wth Sdio. 7000) of Division l
of th. BsiB.nd Pref*ioa Cod., dd oy li.as is i! tuU foc aad.llcr.
I hdlby aitm undr p€nahy of Fjury lhal lh6. is a coairuclion Lndins asscy lor lh. Ffonndc. ofrh. wotk forrhichlhis Fsmil is
is!.d (S( :l(197, Civ. C.)
altt!(atlD[clAaalla!
I h:!by allim {ndd pcnah y oa pdju.y one of rnc aollowi.s d<l&ar ioN:
D€molition Pmils Asb6ros Notiljcarion F.ddal Resol ions (Tnt 40. Pan6)
R.quircd L.lt6 of Nolification
I cdi! lhd th. fcddal EaulatioN Esodins sbGtos moval rG not arplirblc ro rhis pojd.
_ I cfiiry lhar I havc rad rhi! applicaiio. rnd (ar. $sr rhc abo!. inlomtion n con.<1 I ag.6 to coiply wilh rll Cily &d Couf,ly
ordinancB md Sralc Lsrs r.lains ro buildins .onnrudiol dd hd.by authori7r rcF66larive oflhis Cny ed Counly lo €nt6 upon thc
abov. malion d poFny for
Appli@r or Agar SigEt@r A_
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer G-12-)K Yr.'lltt)\
Residential Range t,\7
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rou gh Mech.
Final Test
,
FINAL /0/l///r Otl,brnt'/tL-
.," G.L. Lx
Meter Release
Note_q.Eernq49,E!9- _