HomeMy WebLinkAbout30139849 - Permitcity 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 #: 30{39849
Pin #: 32379
qProiect Address: 3822 S Flower St
Assessor'sParcel; 410-291-02 Lot: NA
Unit: H
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
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
Fee Type
01 1 '16002 51602 Clothes Washer
01116002 5160C General Plan Update
0'11 16002 5160i lssuance
Amount
13.97
22.08
55.04
Fee
$13.97
$22.08
$55.04
Qty
1.00
1.00
1.00Phone
Tenant Name:
Botch+:4516? -8/t|/2018
TronE+! 77
Ref+:- 8/ t+/2018
0f f ice:
Acct+:
Rcpt+: (r?
Trsnsoct
IO:
301
3:3
t67nState Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412018
Generol t
tr 11160(t2-
Plurb ins
t"rt 116002 -
lloster cr
CC*:rrxr
on Total
lunb in9 Serv ic€s
L6n Updote Fee
516000s0-
i 1602090-
rdrrrrl*r*37:i3
lr€sferr
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:
Alteration Constr Type
Washer/Dryer closet Code:
Escamilla, Manny Date
Date
Date
U, R-2
VB
cPc 2016 Notes Convert existing closet to washer/dryer.
08t14t2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Zuniga, Allissa
Every pemit issued shall become invalid unless the wo* orl the sile
authoized by such pennit is commenced within 1 80 days aftet ils
issuance, or if the wo* authoized on the site by such permit is suspanded
or abandoned fot a peiod of 1 80 days attet the time the work is
commonced.
lnspector MID#: 2018-'t45397
ogt1412018
Account#
01116002 51600
01116002 51602
Fee Totat
Paid to Date:
Balance Due;
$22.08
$69.01
$91 .09
$0.00
s91.09
Phone:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS owNER Btl!r-tlER DELC,IRATION
I hcrchy rflnor u cr lcn0lry oi pcrjury rhir I rm cxcnDl tiom rhc ContracloK Licnsc L!$ for rhc hlbring rcnn,n (scc70.115
Businc\s and Pn,f.s*,n Cltc) Any Ciry or Couniy shich rcquirtr r ltrnnr i, .un{ru.r. .lrc!. impntrc. dcnn,lish or Epoi rny
{rucrurc. plitrr) ns nsulncc. aho Equncsrhc applir.nr lor \u.h txrnril h [h. ri[ncd srnlcm"! rhll hcor shc n liccn\L\r pursurnr
ro lhc pn,visiotrs ol rhc Conrructtr\ l,iccn\cd lr{ (Chlprcr i). CoNncncnr! wirh sc.ri.n ?OtD of Divhion I ofthc Busincs\ otrd
l'mL$n,ns Conc ) or rhrr hc orshc t.icnDr rhcrerronr narh.tlsirinrrhcallcscdcxcmfli.n Any vol[on or SNtion 70ll I 5byun!
q'tlicrnrrdaFrnircuhjccr\rhd,tpli.a.rroa.nilp.tuhy.lnorntrcrll firc hundrcddolld( (550)
_1. as ower of rh. FDFny. d nr.nqlolcs wirh *as$ N rlEt ele @mlEneion. wi[.lo rh &it arn {E mdw b mr
in.d.d trofi.Ed le $lc (Sc.?o44. Busimss snd PbfcsbN Codc: Tn ConlrcldsLiNMljvddsmlalplrlomovBol
thc lNrEny who build. or inprews th@n dd ehd dB $.n elt hinklf or hdsclf 01 6mugh hh o, hcr own .mployes.
prcvi&d lh.r $ch inpmEmds e ml id.ftkd orotr rcd lor sh.Ii homE.lh. t{iht'8 or in9rwmni is Fld wniin om y@
ofonpkraotr ln. Owmr Builder will h!v. l}l birftkn of prlvin8 hd hc 6, rlE did 6t tdjld d irrmw df, pstEny aor tho pulFlr of
-1.
as owmr of rhc pq,cny, um erclusiwly conrrmrinS eirh li.cnsd conh.ro6 ro onsrtocr rhc Fojccr lsd. 7044, Bu{ircs
r.d Proi:sba Coihr Thc Conrtulor's Licen$ bs des mr Eiply ro dn o*no ol ntup€ny wh. builds or imt,mv.s lt Nn.
lnd {ho @nrmls for sEh projsrs wirh s Conrr.cro(, ltrNd l,!rsu.r lo rh. ConEdoli U.etrc Ljw},
I nmcrcrnpr utrdcr Sccl S. & P.C. iorlhn rcason.
!O8f,!BI:I]O!IIDNIAIIQ!
DECI.AXAII]N
I lErcby aifirm undcr F.dly of Fjury om of ltE follositrg dc.ldlions:
I j,hrr (i u.turrhclrrli,nMrcorrhcs.rk rnrwhichrh.p.nnir i\ isurl
-l
hrvc lnd will minllin wor*cB .ohlEnsalion iNuEmq as EquiEd by Sccrion lTm of ll.l t lh. Cod., fo. rte F.lo,.ec ol
bn iNurunce caricr od Fric, nu mb.r e:
I
_l.cniry thar in rhc p.raornBn.c ofrh. sork lor uhich rhh lErnn is i\sncd.l sh0ll nor cnrploy rny ptMn ifl My mantr
s a r. h..o'ru subj(l b fic wofics' ontrrelion l,ws ol Californi.. and o8Ec llEl if I sholld ttc6m suhjel 16 rlE
*orkcs omrcns0rion nmlisn,nsofScclion 3?morlhc L orCodc.I sh,ll, ionhwnh omply tilh lhos rmvtiohr.
WARNINC: Fdilurc ro surc w.rkcs convrnsarion .ovcm8c is unl0w6rl. ond \hrll subFl on o,ploycr
'o
qiniMl pcnalrics ud
ro orc hundrcd rhousand doll0ls (SloO.!)()0). in .ddirion ro rhc cosr of cohpenetion. d!tuBcs !r [ovid.d ror rh.
\q.\s As
I hcrcl,y rfiln udcr pcmlry or Frrurr rhd I rm liccn\.d ion of Chlo6 9(commncing wnh Selion ?00o) ofDivht'n 3
of rtc Busincs ond Pmfcsions Codc, lnd my licetrs n in tull ,hc otd ctfccr.
3
I h.(hyrnir u.der rctrrlryofFruryrhnr rh.to i\ a.on{ru.ri(,n lcndnrg alc,rcy ror rhc p.rrumun.c oflhc work nx shi(hrhi\ pcnli n
i$ucd (Scc 1097. (i! C ).
AIEIICANI.I}ES.AAAII!]N
I h.Eay arim undc. rctulry of p.rju.y oe df rh. lolli,sini dehor ioorl
Dcanlirion Pcmits.AstEstos Norificoriotr Fcdcr0l Rcslldions ( l'irlc 40, Panr)
-RcquiEn
1.rrcr ol Norifi cllbn
-l
cdify rhd I how rc.d rht aprlicorion ond shrc thar rhc ot v. infomrion h cotut. I agr ro.omtlysirh.ll Ciry rnd Counry
ordiMnccs llld Sllrc liws rcbl ing tNildi.E consrrucrioG urn ficrcby lurhornc rclrc*nrlrivcs olrhis Cirydd Counryro cnrd uF)n rlr
!ho!€ mcnriorcd psrcny lor
UNDER GROUND
Waste & Vent
Gas-Underfloor
Building Sewer
Area./Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Roof Drain
Tub/Shower Test
Rouoh Water Heater
POOL/SPA
P-trap/Drain Line
Ivlain Drain/Pool Pipino
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
I
Rough Plumbing (?/,
Final Gas Test rI
Meter Release
FINAL 'tln l*Anoib-/o-
Notes, Remarks, Etc
Water-Under floor
Gas Service
l
I ccaify rhd ih. fcdcal nlllations rcSarding asb. r.mv{l e not +pltlbh lo thn poFl.
' ,,," Y tY-lf
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