HomeMy WebLinkAbout20166375 - PermitProiect Address: 3822 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unit: F
Block: NA
Bldg:
Tracl: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
q
20 Civic Center Plaza (M-19), Santa Ana, C492702
lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853
ElectricalCity of Santa Ana
Permit Counter: (714) 647-5800
Contractor
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941 l'14606
(714) 556-7960
Western Plumbing Services
l810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492.5490
Fee Type
01'l 16002 51603 Dedicated Circuit
01116002 51600 General Plan Update
01116002 51603 lssuance
Amount
24.79
22.O8
55.04
Fee
$49.58
$22.08
$55.04
Tenant Name:
Phone
State Lic #: 1021101
Lic Type: C-36
Bus. Lic #: 3M095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: OAl24l2O1A
Batcht:{4745 _ 7l$/2gtg I0: CCUELLAft
0ffice: CTYH Troos+: 5{ 7 ol 16Acct+: Ref+: 20166375
Rcpti: O23lE?06 - 7/tll20t8 3.O2 Pt1
Tronsoct ion Totol tl r 355.57
Uestern Plurb in9 serv ices
General Plon lJodote Fee
01116002- sl600rm0-
Electr icol0r1t6dIl- 5t603000-
lloster Cord
CCi ! t'*rrfirrrrr3753
Notes: Convert existing closet to washer/dryer
- t22.08
t 1r.14 .62
t L355.5?
AuthS:170104
Building Use:
Job Type:
Nature of Work:
Planning Conditions
Planning Approval By
Plan Checked By
Permil lssued By
Subject to Field:
Building Permit #
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
washer/Dryer closet Code:
Datel
Date:
Date:
U, R.2
VB
cEc 2016
l\4isc. Receipt:
l\4isc. Receipt:
l\4isc. Receapt:
Total
Amsden, Julie
Evory pe nit issued shall become invalid unless the wo* on the site
authorized by such permit is comnenced within 180 days after its
issuance, or il the wotu aulhoized on tho site by such permit is suspended
ot abandoned for a pedod of 180 days after the timo the wo* is
commenced.
lnspector MID#: 2018-144560
07 t1112018
Account#
01 1 16002 51600
01 116002 51603
Fee Total:
Paid to Date:
Balance Due:
$22.O8
$104.62
$'126.70
$0.00
$126.70
Permit #: 20{66375
Pin #: {8929
Owner:
Address:
Qty
2.O0
1 .00
1 .00Phone:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,I}ETI DELCAR-ATmN
I hcrby .rfirm undfi ,rnrhy of p.lury rh8t I m .xcmpr rr.m rh. Cona.loF Liccn{ L.w lor ltc tolbvin8 Eav,n ls..70.ll 5
Busincss ,nd Prorcssion cod.) ny Cily or ConDrt shth r.quios r Fnnir ro con(rcr. rllc!. iryrove- .kmli\h .r ftrlt aiy
rrruclurc. Ilnorlo ils hsuoncc. aho rcquncsrnc omlicr.l lor ruch pcnnil ro lilca \i8ncd ddcmnr rharh.or shc is lrcnscd Fuuurir
b rhc pmvirio.s ofrh. Conka.ttr \ Licctrsrd La* (Chllprer 9. (nmmn.ins *irh sccrion 70q) of Divhion I ol rh. Busirr$ ard
I'n,lesi,nsCndc)orrhrr lEorihc i\ cx.nrrrrh.r.fnn.and rhc l,urt for rhc dl.B.d crcmpti.n AnyviolrlionofSccli.nT0ll5nyany
afrlic,d n, drcinir {uhjcc(rhc aplli.a,rl lo a c,!il p..dlry oi mt nucrhan fivc hund.cd dollm (5500).
I. osncr ofrhc pnrFny. or 'nyc'ryk,rks *iri *agcl ar rhrn v,h conv*n\dn,n. willdo rh w.* 0nn rht slulurc h frr
i.ndcrl ororcrcd ror sdlc (se.7(}l4, Busi,rc\s and Pmfc$ions c c ThcCofru.lff \ l,iccnsc l,wdo.\ troi dmly hano*ncr.f
rh. nor.dy who buil& or inDmvs rtEmtr. trRI qkr dd\ \uch w(r* hnnsclfor hcrcllor lhDugh his or hcr o*n cn,rloyccs,
polidcd rhrr lucfi impokm.h rc nn inr.nd.d or ollcrcd fo. \ak lL lx,wc!r. thc t{iklin8 or nnnmrcmlll G sold Nirhin dk lt
olconq,Eldr. rlEowncr ltuir:La sillhlvc lhchurdcnoflmvirSrhnt hcor{E ir fr,lttiuor i'tEo!. rh. lnlFiy lor rtE puqn\c of
l. is ow.rr ol lhc p(,pdy, anrcxclusivclyconlncting*irh li.cnrd nn Dclorlo llnstruct rh. rnjccr (Scc 7(n4. Bu\inc\\
lBl EDftsstnt Codcr Thc Conlracrols Licensc l,sw dNr nolapply ro an o*ncr otti(,tcdy wh. builds or imtrovcs lhcrcotr,
an who c.rmch r.r such lfoj(ts wilh , Gntru.fttr(s) li.cn$d puBudnr to rhc Conrlacrois Liccn{ lj*)
I rmcxcnrfr u.dcr Sccr
Dsl. Orner
I1!.BXIBSj:QuIENSIlI!)!
DI1I.A.8AII}N
I hcrchf d0ntrr utrdcr !cnihyolJrriLtryonc olrh. tull(N irx rlc(lnfuri([1
-l
hrv. furl will .uinrsin r c.d ificatc of Cotrknl ro Sclf.lNurc for Rorkcn comncnsolion. $ Ir.lid.d fttr hy sftrn,n :17(x) or rh.
kbr Cod.. for thc p.rLrturcc .l thc work lor which lfu pcrmn is hsu.i
I havc lnd *illmtrinuin uorkcri comp.nsdi(,n itr\uErce- ar rcqutcd bySccri,n.lTm ofrhe tibor Codt. for lhc lEihrmncc ol
rl'd \rorlt f(r ql,ilh rl,i\ N,n,ir n pC My *dkn. .omp.^"r,.n 'nurbfrc caEH lnd Inlry numhr ur
f7\4fw\1Vr"V
c^i z\ \t
I ccniryrhar nrrhc pcrb.tun.c orrh.*ork for shich rhi\ p.r.rir t i\\ucd.l rhrlltror ctrrtlorany p.ron inrny rtunncr
s) rsh bcconrc subj..l IoIhc wo*c6'conDcnsrlnnr hws.iCrllonria.ond uErcc rlDr il I\holld nc.o c{hl.crn,rhc
wolkcr' conlf'cnsatnnr rrcvisbn\ ol'Seclion :1700 ol'lhc Lstu Onlc. I shnll. a{,nhsiih .. Dly wirh 'h){
pnvhior\
WARNINC r,ilurc h \ccum workcn ompcnsdnrn .dvchgc is unlawful. nnd \hrll subjc.r 0n cnrlo}lr t' oi'ninal lEukics ond
.ivil fin.s ut b onc hundr.d rlx,xsrnl dollrs (Slm.ooo). in addiliun lo lic corl olcomF.nqliotr. d nSci rr rrovidcd for rhc
sc.ri(D 10?6 ofr)r lf,htr culc, ir fic{rM [onry's
^",
-l ]I,.11
IECIASA:III]!
I hcrcby rmrn undcr pcnrlryofr€rjury lhal I !n li(ns, lndcr rm6ion orChaplr 9 (comnrming wiln Scclion 7fi)0) ot Diision :]
ol rhc Businc$ end Pn,fcssions Code. ond my ltcnsc is in full forc and cLEl
,r" -l C.,<t-\G?-\\o \.il lx
taNslf,l]l:IrlNL[NDlNclcllcr
I hcrcby.tfirm undcr rcnrhyofrErj!ry rhd rhcrc n a.onsrdction lcndinc (8crcy a.r rhc FrldnEncc olllr work for w,richlhn Fmn i{
issucd (Scc.:1097, Civ. C ).
dstc mnrnncd rmlcn, lq msFrlnnnurns s -r.
Appri.rn,or^p6,sism,u\ NA> /
p€m.ename,prin,,, Jo )fui t"rttli^ l-r-''q I
l-\('s
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Si gns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Groundino / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilings (Hard & Soff it Rouoh
Ceilings (T-Bar Rouoh)
lVleter Release
,A
Rough 7-Zo-tg h-tLtr)
Service lvleter
FINAL 7-7t-14'lwfiv4t,21 .,r{>)
Notes, Remarks, Etc vl
L.ndclr Addr.(
-
i lIIU!:AIiLDlil.td&Uta!
I lrNby rin n undcr jicnrlrt ol tdjuy o rc nl lhc loll,,wirrr dc(l {riin\
I).Nniri{)n Pcnnir\ A\hc(o\ N.rifi.nrtr)n [;rdcful RrBuhri(,n\ II'r1r.10,I)d6)
Rcqum,l 1..(.r of Norifi .trri(rr
-_l.cnilyrhJ IIB tn.rul r.g,,Iri{,n\ r3r'di'rga\h(no\ romnrlr.c trrt]tl'.xhlcn)rlrisfhl..r
1
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