HomeMy WebLinkAbout40132537 - PermitProject Address: 3800 S Flower St
Assessor'sParcel 4'10-291-02 Lot: NA
Unit: H
Block: NA
Bldg:
Tract NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
ry
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Mecha n ica I Permit #: 40132537
Pin #: 477OG
Owner:
Address:
Prime & South coast L P
50 California St 920
San Francisco, CA 941114606
(714) 556-7950
Western Plumbing Services
'1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
Fee Type Amount
01116002 51604 Clothes Dryer - Residen 40.34
01116002 5160C General Plan Update 22.08
01116002 51604 lssuance 55.04
Fee
$40.34
$22.08
$55.04
Eotch;r45654' 8/2912019 IOt CCUELLAfi
officP: CTYH TronsS: 59 ltr of 1Ac,:ti: Ref+: 40132537
ftcpti:0236520t - 8/29/?018 3t2l Pn
fronsoct i on Totol 11t291.42
Qty
1.00
1.00
1.00Phone
Tenant 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: OBl24l2O19
llestern Plunb ine Serv ices
Generol Plsn lredote Fee
01116002- 516(10000-
Itechon icol
01116002- 5160,1000-
lloster Card
CCi: *rr****rr*;*3753
5
{
tLt29
Auth+:17194?
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit Issued By:
Subject to Field:
Building Permit #:
Condominium
Alteration
Washer/Dryer
Occupancy:
Constr Type:
Code:
R-2
VB
cMc 2016 Notes:
\\ xernanoez, xattry
Date
Date
Date oBt29t2018
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the wo* on the site
authotized by such perfiit is commenced within 180 ddys after its
issuance, o( it the wgtu authoized on tho site by such permit is suspended
ot abandoned for a peiod of 180 days aftet the time the work is
commenced.
lnspector MID#: 2018-145755
0't116002 51600
01116002 51604
Fee Totat
Paid to Date:
Balance Due:
$22.08
$95.38
$1 17.46
$0.00
$1 17.46
Conlractor:
Address:
Building Use:
Job Type:
Nature of Work:
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELCARATION
I h.eby am.n lndcr llcdll, oa pcrju,y |har I e crcrry fed t C.nr,cro*' Lic.ns L€* aor lhc followi.s @en (Se.70:11.5
Ausin.$ lnd ftoresrion Codc): Any Cily or Counry which rcquircs a tf,rmi to onsrtocl aitd. ioprow. d.mlilh or Epln .ry
srrucrlr.. Fhr ro ns issuarc, ats r.qun6 rhc lppli.afl for $ch pcmi ro lih { sigEi nftmnl th lE or she h li.cncd Pursurm
lo thc tr.viri.B of lh. Corhclols Li.cnsd tis (Ctullcr 9, ConmncinS wilh Scclion ?000 ot Division I oflhc BusiDcts and
PmfcsshnsCodc)orthrtlEorshchcxcmprrh.rcfromandrnchasisforrhcalLscdcxcqnion,Anyviolalionofsclhn?0rl5by!n,
qTlicdnr for s pcmir subjdlr rhc lnpli.mr r a caril Fnalr, ol nor mE $d nv. hundrcd doll,rs (3500).
-1.
f,1 owE of $c pFFrly, or ny cnployes wilh *!8.s * llEt $lc rcmpcn*lion. {iI do tlr $ott .rd dx eulw is ml
inleldcd or ofcrcd for sL (56.10!1. Bliituis aod ftofc$io i C6dc, Thc C.nhdol s Liccnsc kw do.s nol apply lo e ourcr 6f
rrE ImFny sho hild... inpmE tlEm( !d whn d(B sh m* him.lf or nc*lf or llhugh hh or her owo cn'phyes.
providcd rhsr so.h inprowBnl3 @ mr i.rcnrhd ororrcrd for eh.li howcxi tlE trildin8 or imprcemnl is snld *irhu on. rs
ofcotr tcriorl rtE Osftr Builhr eill hah itr htdc, of ,mvi.g thd lE or sh. dd ml build or impmE th. I'trtEly ao. tL pqb. of
-1.
asowturolrhc pn,I)eny, &r.r.lusivcly.ortrdcling wih lkcns.d contrrcloslo consrruct rl* phFt (Scc.704:1. Bu\ift{
od hDiission Codc: Thc Conklcrols Liccnsc Lrw docs ml omlr r. an owncr ofpor.ny tho hlilds or impovcs lhcreo.,
and who d,nr@rr lor s!.h p6ir( wirh a ComEcr.(rl licn*d ,)trsulnr ro rhc Controctols Lisnsc L!{).
-lanrxcmfl
u.der Sei0
-l
h{vc .d will minrain o C.nificarc of Cons.nt ro Sclf' lns!rc for worls oqanerion, .. pmridcd for by Salion 1700 of lh.
Libo. Codr, lo. ih. p.rlo,mr of thc worl for *hi.h Ih. Fsmit is ksucd.
_l hlvc !trd Nill minrain eorkc^ comrcnssrion insonncc. .s rcquircd by Setion 3700 oa tt khor C.dc. aor lh€ PcrfoMe of
lhc wrk for whth lnls ,.rn r is hssd. My *orkos ompcnsrrion in$rme cuio !n polty numh.r m:
-l.cnify
rhar in $c pdfornr!.c.frh. work lbr *hki thig lonn is Gsucd.l shallnol cq,loyany pc*o. i. d., m.n.r
s ,. ro b..om subFr ro th. *orlcB'comFns.rion l"*s of Cdifomia. $d aB@ rhat ia I shduld b.com subjFl lo l,E
worlcB orp.n$!io. FovisioN ofScclion 3T00 oflnc bbr Codc.l slull. fonhwirh coq,ly wirhrho$ pmvisions
WARNTNC: Friturc ro slrc worlcB .6np.nsdio. ov.ne. h nnllsful, snd shlll subject an cnployc, ro oininal Fnnhics n.d
ro on. hlndrcd douidnn d.ls. ($IO0.O0O). in addilion lo lhc cosl of conpcnsdion. dumBca a$ provid.d for rh.
sdhn 3076 of rhc L{l,r Gxle, inbrc$ ald dno.rcy 3 fei
I lEBby affrm uode. Fndly of pcriuy lhrl I m liccnsd unds pmlision of Chapld 9 (comrcinE with Setion ?000) of Diehion l
oa lh. Busircss ud Pofe$ioni Code. dd my licen* i! in tull loEc srd cf,ccl
I heruhy amrh und.r Jrnrlryorp.rJurythd rlErc is. connrudirn hMin8 ascmy f.r lhc Frloimtu. or'hc work fo. which rhn lcrmil h
hsucd (Scc.109?. Civ. C.)
ATTUCAN:LDTILAM.TAN
It*m$,nfllnnu uN.,lryor!.Uuryotrcol rhcnnbBin8dslanrrionr:
l)cnElirion l,crmils A$c{os Nori6carion Fcdcral Rcguhr ion\ (Tn[ .rc. Pd6)
Rcquncd hnd of Norifi(irnn
IccnifyrhrrrhcLdc ltoBulirionsrcsmnir8!!n r.rrcnn^ali.cnorlnll.!hLlorhi\pmrlrr
I c.nilirhd I hilc rc rhi\ qrtlicnrn{ nlld {.rc r lkr rhc nh)!. itrLnr i,,n ir.om.r l aErN i, co rfly tr irh rll Ciry nd Coutrry
ordinlkes and st8rc Liws rcl&rin8 lo hfcbt.urho,tc rcprcsctrhrivcs olrm Cirylnd Codnry t, cnro upon rh.
rli,r nrnrioncd an'p.nt for
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rouqh Ductwork
Vents
Toilet Room / Clothes Dryer
Residential Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.qlfl$Tu 9'[&I
Final Test r. I )r
Meter Release
FINAL tpilbtt4T f.?7 )
Notes, Remarks, Etc.
lnstallation
-Tr--r
troSf,EBL:cottfENrarxa
DECLANATION
I hcrcby omrh undcr pctulty of Nrj!ry onc ol rhc atnk,s in8 deldarions:
D.lc: ppli6l:
...,."",.*
T
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