HomeMy WebLinkAbout40132586 - Permitq
Assessor'sParcel: 410-291-02 Lotr NA
Unit: G
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Hisloric: No
Suite Range:
Zoning: R4
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: 1714\ 667-2738 lnspector Section: (714) 647-5853
Mechanical Permit #: 40{32586
Pin #: 74165
Owner:
Address:
Contractor
Address:
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
17141452-5490
Fee Type Amount
01116002 51604 Clothes Dryer - Residen 40.34
01116002 5160C General Plan Update 22.O8
01 116002 5'1604 lssuance 55.04
Fee
$40.34
$22.O8
$55.04Phone
Tenant Name:
Phone
State Lic #: '1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6x5879
Expires: Ogl24l2019
Batchi:45910 - , /f3/21!lg IDr ors:"gff1gq: Cl-YH lrongi: 19 :1 ..
A,:ct+: Ref +: 4l-rl3li"ri
R(pr+:0?383261 - ?/13/2(Ug 1 :56 A
Ironsqrt ion Totol t670. irr
[,e5tern Flu bins Services
GEnecal PIon Updote Fee
ultt6002- 51609000-
llechon icol
ull160(2- :;i6U4(r00-
noster c6rd
CC+: r r*** *I*rrrx3733 Auth+31:'r,:
t22. tl8
995. f,8
67n.50
Building Use:
Job Type:
Nature of Work
Planning Conditions: lnterior work only.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Zuniga, Allissa
Every pemit issued shall become invalid unless the wo* on the site
authoized by such pemit is commenced within180 days aller its
issuance, ot it the work authoized on the site by such pennit is suspended
or abandoned fot a peiod of 180 days after the time the work is
commencid.
lnspector MID#: 20'18-146066
09/13/2018
Account#
01 116002 51600
01 1 16002 s'1604
$22.O8
$9s.38
Notes: Convert existing closet to washer/dryer in bedroom.
$1 17.46
$0.00
$1 t 7.46
Multi-Famlly (5 or more uni Occupancy:
Altsration Constr Type:
Washer,/Dryer Code:
U, R-2
VB
cMc 2016
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Project Address: 3805 S Flower St
Qty
1.00
'1.00
1.00
Date:
Date:
Date:
Fee Totat
Paid to Date:
Balance Due;
MECHANICAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNET, AUIDER DELCAf, ATION
I hcrcby lfftn undcr l,cMlly of Fdury lhal I m cxcrpl lmn lh. Conr.c{oR LiNre Lrw for lh. folh*ing iasi (S$,7d31-5
Buiim.s 3rd Profcssion Co&): Any Ciry or Comry *nict EquiB ! prni ro otumcr. .hd. i'rpoE &mlish or rrEn rny
slru.t@ Fi,r lo ils lx{ec, rl$ rcquiEs 0u.pplhsr for such I'mi lo nb r iaer.d slarcGnt fiar lt or dE b lic.D*d plll@r
ro rh. prcvtiDns oa tlr Co ncrois Lken$d Llq (Chaprcr 9. Comrcing wirh Sccrion 1l(r0 of Division 3 of tlE BBim$ .nd
Pmfcrsions Code) or $fl he o rlE i! cxcqrr rheEftom{rd rh. beris for lh€ {lbgcd excr{irioo. Any viobrion olSc.lb.703l.5 by rn,
applic! for !p.mil subic.ls th. rppliclnl lo r civilp.{hyofrci mrc rh& liv. hundEddolbr (t500).
-1.
a. owM of rh. |nDFny. u my cmplorrd *irt ergcs I fien sb @mp.ns!rio., wiU do dE ert ,td 0E arErrc n m!
i,tc .t or ollcEd Lr eL {Se.?O14. Busincs 0nd Prcf.sion! Codq Thc Conlnctols LieE t w d@s rcl lpply lo d owmr ol
the pDFny oho hikls or in m6 lltoll atd *h {km uh srt hinsclaor lr*lf or rnough his or her o{n.nploy6.
povidcd lh3l s.h impormnk e not inl.ln n or otrcrcd ror slc. lr. thwi th. t iuing or inpmrcmnl ir sld whhin oR Fa
of.olphrbtr tl! Oce, auiEa sin luw rlE hlrLn oarrnaing drd h. or $E dn mr h,ild or ir{'rE dD 06F!y for lll porpo$ ol
-1,
a owEr ol rhc pmFdy. m .x.lusiwly conhcli.8 wnh [..Ncd conlrdo^ ro of,slrucl ltp prtrj.rt (Se. ?044. Busincis
dd Proltssion Co<lc: Thc Conrlcrois Liccn* Law &E! not .pply ro an o*nc. of rml.rry eho builds or improwi rhci6n.
and who .o 6cls lor sh proiEts wnh a Commro(s) lk.ns.d ptrdunr ro rh. Conrmrols Lier* t w).
, m cxcmn' undcr SMDn , B. & P.C. for
'hir
lEsn
l)nlr l)\n.r
EOASEf,I'.CIIMEEIAIIO!
DIqLABAII{A
I h.Eby afilm undcr pcMlly of pdiury onc of $. rolosin8 d*ldriions:
-l
tuv. lrn will minrain ! Ccrriartu of Con*nr ro S.lfinsuE lor sork6 ompcNarion. .s P,lvklcd for by Sftrion lru of rlr
ttt r Cod.. fo. ihc pcrlormre ot thc m* for which lh. pmil ir ksrcd.
_l ilvc lnd qill mainrain $orkcs compcns n,ninsur0ncc.as rcquncd byScction 3700 ofrhc LsborCodc. fo, rhc Pcri,mtc of
, worlGl ompcnslio, i.suEm. @ir ard polty aunltr sc:
<'otl rq
_l ccnili thnl in lhc pcrformme of$c wort for which $is pcret h bsucd,I sh0[ nol cnploy any p.Bon h lny mnmr
$ $ lo b6om subj8l lo lhc *o 6 oqEn*tion bwsof &liaomi& arn.grcc lh3l if Isholld beom suhjd lo lL
*ork6j compcnstion pmvlsions of S€clio. 3?00 of th. tibor CL{c. I shall. fonhtith mmply qnh lhD$ pmlisions..
WARNINC: Foilurc ro ccurc w.rkcB cotr{Enslrio. covemsc is utrlr{tu|. lnd shall s!bj.{ !n edpl6$r lo cinio,l Foxicr dd
cilil lincs up ro om hundrcd tholsnd dollas (.ddirion ro th. osr oI Nml.nsarion, &tus.s as lrovidcn for rtr
'"*"iaTrg:tt'"".
LlclxsEotoNrlacltaB
DUCIAAAI]I.IN
IhcEbyarfiflnundflrnnltyofprlju,yth l on liccn*l utulcr ptuv(i"n ofal;iid e(mm*-Nnrs wilh Scclion ?mO) ol Dirnion:l
ot rh. Busin \!aid Pi{,lc\sio n s Cod.. rnd 'nyli.ci* ir i'r full lorcc fll cit.r
c3b 1,o-z \14 \
CI]]jSIaIEITANIIiNDINCJIiINI:I
n\ucJ (Scc :liD7. Civ C )
AffLlCrlltLDI:CLta IQl
Ih.'!byrflnnru .rI{Nlt,ol plrjryomulrh.li)llo$i'udd.hrrrior:
Dcnrolli,rtr Pcnnnr \hcno\ Norilr.rNn ltdcril RcSultrrio \(1irlc l0. Id6)
Rcq rcd I clcrolNorili.rri'n
I ccditi rh.i th. r.der.l rulllnrions oe,dine rsb.stx qmldard nor rtpli.$|. io rht pm,ccl
-l
ccnify rh.r I tuvc rcod thn lppltarion 0d srarc rhrt thc.hnvc informrion h consr.I acrc ro compl, wirhallCiryMd Couoly
ordiMnccs dSrorcbwsrehr od h.rcby NrlDria Eprcr.ral ivcs of lhis Cny dd Counly lo cfllr ll'on fi.
lhove mnlioncd lotcny lor
Atllic r or ABcnt Si,lnoru
q.-utg
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. E quipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rou gh Ductwork
Vents
Toilet Room / Clolhes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.I 4 trflt(G tt,tcil4 >b)
Final Test \)'
Meter Release
FINAL *>trtl>-tl .,//1-
Notes, Remarks, Etc./
lnstallation
/d/a /rt'
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