HomeMy WebLinkAbout30139968 - PermitProiect Address: 3806 S Flower St
Assessor'sParcel 4'10-291-02 Lot: NA
Unft: C
Block: NA
AddressRange: 3800-3928
Historic: No
q
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30139968
Pin #: 78475
Owner:
Address:
Contractor
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492.5490
Foe Type
01116002 51602 Clothes Washer
01116002 5160C General Plan Update
01'116002 51602 lssuance
Fee
$13.97
$22.08
$55.04
Qty
1 .00
1 .00
1 .00
Tenanl Name:
Phone
State Lic #: 1021101
Lic Type: C-35
Bus. Lic #: 364095
Workers' Compensation lnsurance:
Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0412412019
Eotthi!{5910 - ,ll3/2018 ID: oh
0ff ice3 CTYH lrons+: l9Acct+: Fef+r j[13?
Fcpti302383262 - 9/13/2018 10:50
Trdnsoct ion Totol t670. i
uestern Plurb ine Serv i ces
Generol Ploo Updote Fee
01116002- 516r10tr00-
Plurb ine
r1111600?- 51602000-
lldster Csrd
CCS: rr+rrrrIlrrr3753
$69. t:l
Auth+;-l;
Building Use: Multi-Famlly (5 or more uni Occupancy:
Job Type: Alteration Constr TYPe:
Nature of Work: Washer/Dryer code:
Planning Conditions: lnterior work only
Planning Approval By:
PIan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Every permit issued shall become invalid unless tho work on the site
aulhotized by such pemit is connenced within 180 days aftet its
issuance, or it the wo* authorized on the sito by such permit is suspended
ot abandoned fot d peiod of180 days after the time the work is
commenced.
lnspector MID#: 2018-'t46066
01 1 16002 51600
01 1 16002 51602
$22.O8
$69.01
Notes: Convert existing closet to washer/dryer in bedroom.
U, R-2
VB
cPc 2016
Orozco, lvan iN/
Zuniga, Allissa \ \
0911312018
09t13t2018
Account#
Mlsc. Receipt;
Misc. Receipt:
Misc. Receipt:
Total
Bldg:
Tract NA
Suite Range:
Zoning; R4
Phone:
Amount
13.97
22.O8
55.04
Date:
Date:
Date:
Fee Total
Paid to Date:
Balance Oue:
$91.09
$0.00
$91.09
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DET,CAR TION
I lEeby lmm lodf n nalry ol pdjury $nl I d crcnpt fbo rh. CorlDclc Li..trE tiu for lhe following of,sn (S*.7C41.5
BusircB rJn Profcsraon Cd.)r Any Ciry or County *hich rcqlits a ltmir ro ennrud. alr.i iDl,mrc. &tulish o' Epa, oy
shcrw. pdor b ns h$re. also ftqrids thc rpdhd for skh P.mir lo 6h. siSn d slalrmnl lhlr lt or shc i! li..n*d tlmut
ro llE Fovilionr of dE ConlBclols Liccnsd Llw (Chrllcr 9. ComnEtuinB *Ih Se.li.n 7000 ol Division I of lhc Ausincss {rd
Pof.ssions Codc) or rhlr hc or ih. h ex.nfl lhcrcfhn snd E lErir lo! rh. rlhgcd.rcnlption. An! lioklion ofsetion ?03 L by.ny
aprliclnt for ! pemir subj*rs thc appli.@r to a civil p.oally of oor mrc thd fivc hurdEn do[a (1500).
-1.
s o*ncr of rhc pmFrry. or hy.ndoyM wnh waB.r ,s rhci $lc ompcn{ion. will .b lh. ect od tE sur.l@ i! @r
illledcd qoflcrcd ftr slc (Ss 7Oa4. Busimss sd PreLssions Cndc T,t Conmdd i Lkcn* hw docs mr.Pplyl. o*erof
rfi. Fsp.ny who huildr or inproB tlrtun, od -tn d6 Mh e* hiNlf o. h.rkllor thnud his or hcr own.nt,l6ycca.
lmlidcn rhd such imp,lEmnts e ht in.nded or olErd for $L.lt loE6.0E tlihing or irptutftd h $ld *Ini! oB ttr
ofonpldhr!. Eo!,@r BuiLls wil h.rc E borncnofpovin8 dd trordr did mt h)id d irqhE lhclmFny fordEp,po$of
-1.
!r.*ffi of rhc Fqdry, am cx.lBivcly co.rtrrin! willl li..nsd contncloF lo on$rucl rlE omjcd (SF. 7044, Butircn
0nd Ploa6six Cod.: Th. Conrrudol s Lic.ns Liw dGs mr E rly ro d o*n6 of prcp.n y vho builds or improtr lhcmn.
,nd *ho onrtur. tor such noirrs wirh a CoitEcio(O licss.n puBMl b lhc ConF&rols Lilns t w).
_l !n c&nF uldo sEaon----, B. & P.C. ror rhis lwn
D.rc O*nei
TOTf,E8I:COMPJNSAIIA!
DECI.AEAIION
I hcrciy .mrn uder pcmlly of psiu, onc of lhe follooi.C dccleliom:
l hnvc$dwill ntrn ir0Ccnific colConscnrr,'Sclaln\urcntr$orlcifco{.nJdiotr,rslmvidcdlbrtySccrn,n:l7U)ofrlti
hlxr ( od.. tur rhe p.rrontun.c ofrhc qork hr *hich
'hc
pcnnn n issucd.
-l
hrvc und *ill Mirtlin sork.s codleosation inslrlke. as eqlittl by selioo lrmof lh. Llbor Codc. t{r lhc perrormncc ol
rhn llcrnrir t n\uct My trn,k6 c.'nncn+<V €,'"',"--^
srn,n nFurmcc crricr d polty numbe. uc:
',S
C,bYb b .'z-h'L^
l..diiy rh,r in rh. pnforflmc ofllE $ork rbr which rhis pcrmil is hrucd, t shrllnol eryloy lny lctson in a.y tun(
s a. to hcc.ft slbjer r. rhc wort 6 ..mp.nsdion laws ol C.lifornia. ind lBE lh.l it I should t .om s!6i*l ro rhc
so*cn'compcn*rionpmririDnsofsdionllT0(,ofihcrib.C.dclshnll.fonhwnhcomrlywirhrrocpmvlcions.
WARNING: F ilurc to suB workcr'compensation colcmrc h u.hwful lnd rhdl subj.rt rn cmllors lo dininal lEMlris.nd
civil tin.s ul) ro oE hundrcd lhouslnd dollus lt
., rhc Busirc$ ind flolt$ions(inlc. unl nryliccne i\ in lull,,nr rlcltt.r
C-6G Ls?- \to\
.\3.x
(ON TASCIIONI,ENDINC.ACEIC1
I hcNby (iirm undcr Fmky.rp.rjury rhd rhcrc h J.onetucri,n lctrdinS a8cmy nn rh. rdoh'un.. ofrhc vork lbr which lhh Pcrdir h
is\ucd (sc..l097.Civ. C ).
AIPTI{:AII.DISIdSAIIIIN
I ffiy .flm un&r pcnalty of Frjury om of rlt folloqins ddhor ioor:
Dcrelir i.. Pcrmirs-Albc$or Nolific!! ion Fcdcrll Rcg!l!! k ns lTirlc 40. Prn6)
R.quncd krrcroiNolificari,n
I c..liiylh0rtl'eltdcrilresularbns rc8ddirrs r\hLnos rcnr)ul Jr. tur rfpliclhlc ro lnis pr+d
-l
ccnif, rha, I hNc rud rhh orplica d storc rhd rhc atnr inlomrb. h.oret l,Em ro oq,,y wnh allCnrlnd Coxnry
drdinams a.d sldc tlws rclalin8lo
ahorc mnrio.ed pmFny f.. insFd
6pEscn'div.s oflhis City and Colmy ro..r.r ut$n tlr
Appli$nl o.1[.nlSiAn u 4.rj'\x
UNDER GROUND
Waste & Vent
Water-Under floor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Pipino
Tub/Shower Test
Rouqh Water Healer
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rouqh Plumbinq 1 1.1 r('fi l,^rro rJ 'rub )
Final Gas Test u\
Meter Release lrt ?va-m 4?
Notes, Remarks, Etc.
Gas-Underfloor
Rool Drain
FINAL
in add ion ro lh..os of conqrnslion. .hmB.s !s lolidcd fot rlE
,r",{.']31
lrrl." \N'n.
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