HomeMy WebLinkAbout40132175 - PermitCify of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA927O2
l nspection Requests: (7 1 4\ 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mec hanical
Project Address: 3824 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unit: A
Block: NA
Bldg:
Tract: NA
Suite Range:
Zoning: R4
E
Phone
Tenant Name:
011'15002 51604
01 1 16002 51604
01116002 51600
01 116002 51604
Owner:
Address
Contractor:
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
western Plumbing Serviceg
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-s490
FesType Amount
Clothes Dryer - Residen 38.83
Min Fee Adj 31.81
ceneral Plan Update 2'1.25
lssuance 52.98
Qty
1 .00
1 .00
1 .00
'1.00
Fee
$38.83
$31.81
$2',1.25
$52.98
Phone
State Lic #: 1O211O1
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensalion lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0412412014
Botcht:4417{ - 6/6/2ttl8 I0: oooroleslSoffice: frIYH lronsi: 39 3 ol 6Acct9: Ref+! 4tl132175
Rcpt*:02289233 - 6/6/?019 2:nrr PII
Tronsoct i on Totol $$69.22
l,restern Plurb ins Ser,., i ,'PE
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
6enerol Plon updote Fee
0lll60(12- 516800tr0-
hechon i col
01116002- 3160+00(r-
l'loster Cord
CC+: r*rrr**r****3753
_ t21 .25
t123.62
ls6?.22
AUt h +: t55959
Multi-Family (5 or more uni Occupancy:
Miscellaneous Constr TYPe
Dryer Code:
R-l
VB
cMc 2016
Notesl
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Hernandez, Kathy
Every pemit issued shdll become invalid unless the wod< on the site
authotized by such pemit is commenced within 1 80 days aftet ils
issuance, ot it the wo* authonzed on the site by such permit is suspended
or abandoned fot a pedod of180 days aftet the time the wo* is
commenced.
06/06/2018
Account#
$21.25
$123.62
$144.87
$0.00
$144.87
lnspector MID#: 2018-143814
01 1 16002 51600
0't 116002 51604
Fee Tolal;
Paid to Date:
Balance Due:
Permit #: 40132175
Pin #: 4EOO4
AddressRange: 3800-3928
Historic: No
Date:
Date:
Date:
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.OWNER BUILDER DELCARAIION
I hd€by .nm undd p.nrlry of pdjury thar I m ddpt lrcd rhc cootac,roR Lic@ llo for lh. IollowiD8 r.e. (sdro3l .5
Bcinas atd Profsion codc)r Any cil, or comy {hkh r.quir6 a p6,ril ro co6rocl. dts, i-provc tldnolbh or c?an ey
shct@, priorio ire isumca !te. r.qliG fi. rppli.el for !!.h Fmn lo fil. s si8...t $dffir lhd h. or rnc is licN.d pEudl'
lo rh. Fovisio6 ol tlE Co.r6croas Lics*d Lr* (Chaprc 9. ComminS wnt S*tion 7000 of Divllion 3 of lh. Buincls .nd
ProfdioB Cod.) orlhd lE or shc is d.opl rh@iioh dd rhc b€sir [or lhc.lLscd d.ortion. Aly liol io. of Sdion 7031.5 by any
appli.al lor a pqoir subj<k rh. applican to a civil p.ulty olnor 60r. thM fiv. hun&cd dou@ (1500).
-1.
a omd otuhc prop6ty. o. my dployB wirt wagB s rh.ir el. @np@!nion, wil do tk vort !d $. 3rtui@ b ml
intad.d or oE Ed for !.1. (Se 7044, Buuirc &d Aofdioru Co&: Th. Coorreloi3 Lic6e Llw 1106 oor eply lo e olG of
thc propdty slD hil& or in!o6 dE@r, dd *,ho d.c sh wd( hiNclf or h*lf o. lhrcugh hi5 or hE oM dploy€6.
prcvidcd th.t sucn n FDrqEr& c @r inrald.d oro&td h. sL. lt ho$€6. tltc blildj4 or irqro!.@lis sld whhin on ,s
of@npldioo. tlE o\*na Bdld.i si! har thc b!d.n ofprovins lhl( tr or sh. did @t build or 6For LlG F!Fr, 6. $. pqF* of
-.1,
a oM6 ofrh. popoty, o .icluivcl, .o racriis wnh liGE d .oirr.crou ro @Blrud llE FljrEl (S*. ?044, Bcin6
dd PD&sir. Cod.r Th. Co,lrslor'i Lic.@ kw dc not 6pply ro d o{nE o f prop.ny who buil{Ls or impovd lh6eon,
ed who 6tna.1s for seh Fojds wih a cotur.to(s) licsed rNU&r h rh. conradofs Licmc La{).
_l m cr.mo ddd sdion_, a. & P,c. lor rhi! !.en.
D.t.: orn€:
lottrEafltoMrEltarlo!
DECIAMIIA!
I hdeby dlfm undd p.tulry ofr{jury onc olthc followins dels.tioE:
-l
hsv. Erd will Minr.i. d CsrifE.r. of CoN.nl b S.lf-lNuE aor mrt6 cohp.nsarioo. a Fovid.d lor by S6taon 1700 of rh.
L,bor Codq for lnc psfo,rmc. of th. m* for which th. pmir ir icau.d.
I h.v. .nd will n.i!t!i! eort6 conpqMtion i.sura.c, a r.qun d t Sclioi 1700 of rb. L.bor Cod.. for lh. Flotrucc of
lh. e{ for wlicn rti. Fnn i. i$u..l My er[6 @nposarion iBU4. @n6 ard ,olicy nunbs E l
PolicyNuhbq: Erpncal
-l
.ariry rhd in rh. Frfomoc. ol rhc vorl for which rhis psDit is assue( I rlull nor @ploy any pas6n in dy ben6
$ a io b..omc aobj{t to lh. eork6' omp@lion la$s of Calilomia d sBE that if I snould beoft subJ<t lo thc
work6' conposrtion poisioB olsetion I700 ofthe Lat r Cod., I shall. aonhwilh comply Nith lfioF pmvisioN..
WA|ININGT F ilu.lo su. mrt6' comF@lion covdg. is unla*tuI. dnd shall subj..l m dploF lo oiniml p6trld6 dd
civil fr6 !p ro on. hlndrcd tho$d.d dollm ($100,000). in addirio. ro rh€ cosl olcomp.Mlion, dlhs8d a provid.d lor lh.
Sc.rn{ 1076 olrh.l-ahJr( odc, idcrd i d ornc)
Dolc: Appliont
"F)unn-
fffr-
LIcTNSED coNrRAcroR
DECldf,AIIotr
I heb, amm undd F.rlry of psjury thsl I m liccrBd undr Fovisior of Chspl6 9 (smMciis virh Sdrio! 7000) of Dili5ion l
ol th. B6ioB atd Pof6ioB codc, ed Ey l(.@ i. io 6,ll lo.c. ad ctf<r.
t_
colgrf,lJcrIa!_lllrtlc_ac&rcr
I hdcby alfid und6 Fnahy dapoj!,r_rhd rhdcis a NtrrlNclio.lodi.e a!o.t fo, th.pglonn ceoflhcworkforwhichlhisp6hil i
issu.d (Sa. 1097, Ci!. C.)
A.EETICAIfDEC!.AA{II()I
I hftt'_v rflinn undo p.n.hy olpsjuryone ofihc iollo*i.! d€lealions
Demolirtun P@nirs Ashtsn,i Nolific on F.&ral Reruh iols ( f,rlc 40. Ptu16)
Rcqrndl Lllrd ol'N.rindnnr
I cdiry that rhe fcdqal rcrulatioB EgEdin8 eb€ros Enolal e. nor appltahl. to $is prcj4l.
I cdliry rh!| I halc Md fi! ,ppltdion ad llar€ Od rh. abov. inhmaio. i. con .1. I a8E lo conpl, wilh all cily and counly
ordituc6 .nd Sbr. LaB E&iins ro trildins conntucliotr &d hdcby ruthoria rcp@!a1iv6 oflhi. City dd Counly lo ot6 upon rlE
abov. dotioncd p,Dpdy for
Applicnl or Ag@| Sigu(@:X,\rvrrN"'-
\ 'V t't'ttr
Appliances
lVletal Fire Place
Eva porative Cooler
Furnace
Com pressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer G-7-lE
Residential Range
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Dam per
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release
FINAL 7-a-tg )fa4(
Notes, Remarks, Etc.
COMMENTS
)l
PmileMc(Fiir):
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