HomeMy WebLinkAbout20166804 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (r\/-19), Santa Ana, C492702 Electrical Permit #: 20{ 66804
Pin #: 63628lnspection Requests: (714\ 667 -2738 lnspector Section: (714) 647-5853
Project Address: 3928 S FIower St Unit: C
Block; NA
Bldg:
Tract: NA
Suite Range:
Zoning; R4
q
Assessor'sParcel: 410-291-Oz Lot: NA
Owner:
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
Amount
24.79
22.O4
55.04
Qry
2.00
'!.00
1 .00Phone
Tenant Name:
Conlractor
Address:
western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
State Lic #: 1O211O1
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensalion lnsurance:
Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0U2412019
6enerql Ploo updote Fee
(r1 I 1 6002- 5 16r:10000-
Electn icol
0111600?- 516tr3000-
llosten Cord
CC+: rr*rr*rrr***3753
Building Use:
Job Type:
Nature of Work
Condominium
Alteration
Washer/Dryer
Occupancy:
Constr Type
Code:
R-2
VB
cEc 2016
Notesr
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Pezeshkpour, Ali Date
Date
Date
oat2st2018 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
\Nn*nandez, Kathy oal29l201a
Account#
Every pemit issued shall become invalid unless the wo* on the site
authorized by such pemil is commenced within 180 days afler its
issuance, ot if the wotk authodzed on the site by such pernit is suspended
or abandoned for a period of 1 80 days after the time the work is
$126.70
$0.00
9126.70
MID#: 2018-'145753
011'16002 51600
01 1 16002 51603
$22.O8
$104.62
Fee Total
Paid to Date:
Balance Due:
AddressRange: 3800-3928
Historic: No
Fee Type
01 116002 5160! Dedicated Circuit
01 'l'16002 5160C General Plan Update
01 116002 51603 lssuance
Fee
$49.58
$22.08
$ss.04
Bol,:hi:{5654 - 8/29/2OLg I0: (:tlui:
office: CTYH Trons+: 59 6 olAcct+: Refir ?0166$rJ
Rcpti:02365197 - 8/29/2018 3121 Pn
Troosoct ion Totol tL t291.4.
llestern Plulb ins Serv ices
$l t2
Authi:1719,i
Phone;
i:,:-- ,llS
lnspector
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrcb, aflirm und.r pcmlry or 0.ijury rhDt I m cxcnul fror thc Co rudrK l,iccnsc La* tor lhc iollowins rcn$n (Sr 7o3l 5
Businc$ ff'd Prolc$ion Codc): Any Clty or Connry whi.h r.qui(\ r rtr rir ro snnflcr. dlrcr. nn rovc. &trslish or mrdn any
stu.rrc. ri, ro ih hs{ec. lls rcqoncs lhc arplkanr r'or such peilnn ro nk . siSmd (itcnEtrt lhd tr or shc is liccnred punurnr
ro rhe pmvisions ofrtE Conracrols Liccn\cd tjw (Ch|pr.r 9. co'hmi.ins wnh Scdk,n 7000 .f Oivi\nrn 3 ol rh. Burincs 6d
Pft,rc\si{,nrCodc)orlblrh.orshcneicnrtrthcrclomandthcb.s^forlhcal,cSencxcmplion. Anyvi.lnlionofSc iotr?011.5nystry
lrplic.n( Ior . rumn subjca rh. Lmltuanr b n dv il pcMlr y ot mt nnnc tl[n nvc hundrcd dollar (S5m I
l. ,r o*nct nf rhc popen y- or my enployes *ilh N!3cs 0s thcn sh compctrsarion. will do rh. eo.k aM rhc sltu1urc h ftn
inlcndc.l or oficrcd lor slc (S( 7044, Busim$ and Pn,fcsions Codc Thc Con,r,croi{ l-icc.sc lls &,cs nor llplyi. nnowerof
rh.rmFny sho ioild! or itr{mvcs rhcmn. and who dtux $.h x,k hins.lfor hcrslror rnror8h his.r hur own cnqnoyccs.
providcd rlDt such nnrlovcm.k m ior inrcn&d or ofcEJ lar solc ll howcrcr. rh. blilLlirS or inDmrmnr h sou uilhrn unc Fir
ofconplcri{ (lr Owncr Bliu.r will h.vc rtr hurd€! ol [ovirrB rh.r hc or shc dil .or tDik or inpmr rhc pnl,).n] lor rhc l,uqDc of
_1. isoa,rfiof rh. pmPd y, anex.lu\ivdltcontacri'rs sirh liccnrd colnrrnnhcon{rucr lhc lrni{r (scc 7041, Bu\mc\\
ntul l\l)fs\hr Codc 'lhcGnrrrlcrols Li.ctrsc Ltrs docs tror rrrflyk) rtr.q cr of,)flrFcny who builils ornnriovcs lhcrco..
lnd Nho .onlmn r.r suchpiojc.rswirhsCo trcbrl,liccns.d pururnr toih.Conkacntr s Lkcnr tisl
ldtrrcrc tnu (l.rs..rnnr .tl &1,(. larrhlsr.rvn,
.uatf,l:f,.rrallfliNlauaN
DECIdA6.IIO!
I hcr.hy llftn undur pcmllyolrErjuryon. olrhc rollowin! d*lrrJrtnK
lhrvcandNill.Enain!CcnilicllcolConscnrhScll.l.suEforworkcF€np(tr\dnnr..\prcvtdcdlorbySL{ion:lT0oolrhc
Labor Codc. ror I hc perlornumc of rhc worl ltr which rh. tdrir ir i\ru.d
_lnavclnduillnrinrnirqorkcscomFnsalionnNurlnc.rsrcqutdbyscc'n'nl70oolth.Liho.cod.,lorlhcFrfoirmnccof
fic uo* tu *hich rhn Frmil ii hslcd Myworkc$ comp.nslion insuERc c,nicr 0M Frl,cy trumbc! uc:
l.rdiryrhlr inih. pcltonroiccofrhc a1trt l rhichlhh p. nir is isucJ.l shrrlnot curtlr,yan, pcson iD,nyflunncr
s s h hcoff $ftjcd ro rhc vDrkns ..'npcnc n,n bws ol Caliiorni!. lnd r!rcc rh irl \horld l{conE $rid hrhc
+t*ss.omFnsariotr,iovrsionsofsc..rrcnlr00.frhcltrhnGrlc.I(hnll.fonhsirh.onplysirlrh{phri\nnr
TyARNINC: Firinrc b cclrc wo cr' conrlEnsrrnr ..v$igc is utrh\rul. Md shrll suhFcl .r c rfk)yn ro ai riml NMllics rnd
.i!il fincs !t lo om hundrcn lhousrnd doll s ($100.fix)). i[irion lo rhc con .l comp.nsdion. da'u8cs us prolidcd for th,
s rion]076olrhc Laho, Cdq inrcrc( i.d utrorrcy s r{\.
Appli(nnl:
I hcrcby (liinnundcr pcndryoftc4ury rhd I nnr li.crrd ion otChafrd 9lcomnrncing *irh S.ctiin 70(n) ol Division:l
I hcEby !flirmundcr lrcndtyofpdjury lh rh.i. i{ o Lrn ruct
ssucd (Se 1097, Cir. C )
r!.n()_ ttr rh. ncrtui,mmc ofth. *ork ntr {[irh rha n nni '\
AIfIICAILI]ECI,IIf,AIA!
I M,yafflr un'l.r Nntrlry.rpcrjuiy o.c.rrh. fdlo,ir8 dc.la,utions
Dcmulirion Pcirnirq Asb.sos Noriricarn i Fcderul Rcs!lutions (Tillc40. Pln6)
*Rqtuircd hucr ol Notilicari.n
-l
ccrliiylh4 thr ri{crclE8uhlion\ rcBrdirS astEsos rcnmv,l {c no!,ppli.ablc ro rhis prulccr
-l
ccnililh0r I harc rctullhis itplic,rion srrlc rhar rfu abv. irfonMr i(,. rs .orccr I rgia ro omply wnh ill C y and C.utrry
ordnrB-^cs md Shrc L{ws rldirS of rhi\ Cny rnd C ()uf rt t).nr.r !N 1hr
nlc N ri{nrcd fn,rny,n'
/\ppli.rnl or AAtnl Si*ndlu
Undgrground
Pole Bases
Light Standards
Spras, Pool, Fountains
Signs (monument)
Lile Salety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Root Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rouqh
Ceilin s (T-Bar Rough)
Bqugh qtq6 \rn^,le,27)
Service IVleter U \
FINAL b I i-zY'rrr,"+ t afi)
Noles, Remarks , Etc.f[l \a=-
Site-Work
Ivleler Release
,,1 rh( Btr\i"r\ rnd l1otu\\i(r\C.dc. nl trry i..n\. n i',lul
C-"*".\