HomeMy WebLinkAbout20166377 - PermitqProject Address: 3906 S Flower St
Assessor'sParcel: 410-291-02
Unit: F
Block NA
Btdg:
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
City of Santa Ana
Permit Counter: (714) 647-5800
20 Cjvic Center Plaza (M-19), Santa Ana, CA 92702
l nspection Requests: (7'l 41 667 -27 38 l n spector Section: 17 1 4\ 647 -5853
Electrical Permit #: 2016G377
Pin #: 13617
Ownerl
Address
Contractor
Address:
Prime & South Coast L P
50 California St 920
San Francisco, CA 941114606
(714) s56-7960
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
Fee Type
01116002 51603 Dedicated Circuit
0'!116002 51600 General Plan Update
0'1116002 51603 lssuance
Amount
24.79
22.O8
55.04
Fee
$49.58
$22.08
$5s.04
Qty
2.OO
1.00
1.00
Tenant Name:
Stale Lic #: 102'110'l
Lic Type: C-36
Bus. Lic #: 354095
Workers' Compensation lnsurance:
Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X5879
Expires: 0912412018
Generol Plon updote FeE
t:rl 1 16002- 516000(10-
Elertr icol
011160(12- 51603t00-
lloster Cord
c{:+ : rr*tr*rrrrrr3753
t22.U8
tltt4 -67
t I 1355 .52
Auth+:170104
Botch+:4.(7{5' 7/Ll/?DlS I0: CCUEI.LAR0ffi(e: CTYH Tronsi: 54 15 ol 16Acct+: Ref+: 20166377
Rcpti:02322?13 - 7/ll/2018 sttfl Pn
Tronsoct i on Totol tlr355.l?
ldestern Plurb ine Serv ices
$126.70
$0.00
s126.70
Planning Conditions:
Plan Checked By
Permit lssued By:
Subject to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr TYPe
Washer/dryer Code:
d
Date
Date
Date
R-2
VB
cEc 2016 Notes: lnstall a washer & dryer in an existing closet.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Amsden, Julie
Every permit issuod shall becofie invalid unless the work on the site
authorized by such pemit is commenced withinl80 days aftet its
issuance, or if lhe work aulhorized on the site by such peftnit is suspended
ot abandoned fot a peiod of 180 days aftet tho time the wotk is
commenced
lnspector MID#: 2018-'144570
07111t2018
Account#
01116002 51600
01116002 51603
$22.08
$104.62
Lot: NA
Phone:
Phonel
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Fee Totai:
Paid to Date:
Balance Due:
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Unde rground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dam pers
Communications Cable
Buildinq
Bondinq / Groundinq / UFEB
Transformers
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment
Facto ry Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Sollit Rouoh
Ceilin gs (T-Bar Rough)
Meter Release
^\\Rouqh 2-t1lr x\+)d
llLTlotn 4fweL/?\)
Notes, Remarks, Etc.
OWNER BUILDER DELCARATION
I hcrchy rffi.nr undcr pcn!]ryof IrjuD thar I on cxcnrl lmn rhc Conrhclos l-ken* ljw for rhc follo*ins Ensn (Scc 70115
BulnEss rnl Piofcsn,n Codc): Any Cny or Counry $hich Elltcs r p€mir b c.ndtucr. alrs. inprolc, ddmol,sh ,{ RNt r ,
(rucrurc. Fiorto ns hsu!n.e. dl$ r.quncs rhc.prltdnr rd sxch Fmi' b fiL r si8trcd s,rc,rc lhr h.orrhc is liccnrd lu6nMr
Io rh pmvnnns.f rhc Conh.rors l-ic.oscd ljw (Chutrcr 9, Connncncin8 sirh Secrion 7rx)O ol Divnion I orlhc Bu\iids rnd
PR,fcssians Codc).r rhar tr.r\ho i\.x.'upr rhcrcrr.mMd rhc hiis lbrrhc allcscd cr.mpriq' Antvn,hrn,norsc.rbiT0.rl5hyr y
rpt'licnm fo.atlcrnir sxhj.rrsth. rttlic0trl r. rcivilpciallyofNrnlkrh,n fiv. hundr.ddollr^ is5fi))
UOBXEBS:TOUIENSAIIAN
DEIIA.IAUAN
I h!rcbyrlinmundern n{hyolpcriurynmolthclollowirxderldarir rs
_lhavcandvillnuxtrlni,Ccni,ilar.ofCotr*nrroSclflnsurcnnworkcA conlrDsr!bn.N provid.dlorbySccrion3?UroIIhc
tjhor Codc, for rh. rcrfonm colrhcw.lkforwhi.hrhcpqrni h issucd
_l h3lc and rillmrinhin *orkcr' comr.nsalion insur.Dcc. 0s rcqun d by Sccriotr ST(x) ofrhc tihor Codc.lorlhe rErtorronc. of
suqlM! {,trtcF (ornncns0rinn irFuhncc curicr
&r'-w. rtl<-
40 Y.-r"\ \g
I ccniry rhrr in rhc p.rfornumc orrhe *ork nn whici rhis pcmn n i\!ucd- I \hrll nor cardoy any r.^on in any nBnncr
$ 0\tohNnrc subjcl lorltc sorkcr{con{.trsrtnJn hssofCalifonri{ rnd rerc rhd ifllh.uld hc.om subjrrr ti'lhc
solkol conrt^*nsarioD Frvisiofls ol Scdiotr ]Tm of rhd Lrhtr Codc.l \hall. tunlNith.umfly wirh rlxxc frovisiotrs
S.dion 3076olrhc tjtnr Codc- ir crcstatrd alrorrcyt
,r.,",-\'l['\g
I hcrb,afti. hdcr pcnalty ol pcrjlry rhar I n ljencd undcr tmri{iotr ofchoutcr9lconrftacins rilh s.cii.i 7ffx)) orDiviri,n l
of lhc Busirc$ and Pn,fcssions Codc. arn my liccns. is in lullfoe! ud cficcl
\ozt(o\
IONSIBI]qIIQNIINIJIN1;-E{jIjI.CI
kiucd (Sec 1097. Civ C.).
l,ndeis Nam:
-
AIIlJQlNLllEll,/laAIlON
I l*rcbyaffinnrndd lcn lly.f rcrlurtuncof rhc Llbwirgdcclarali{nN:
Dcnrn ioo Pcrnits Ashcnos Nolificarion rcdclrl RcEuhrnnr (lnt t0, Pan6)
Rcqunc l.rr$olNorillcrrin,
lcdirrrhrrlhavcr.odrh(rpplicrrn,nandnar.rhlllhcih)lcinlban,ionirc.rcdl]sreroconrdy$irhtrllciryadCoutrry
ordi"rnc.s !n,l Srnrc I-x\rr'.ldirg lding cotr!rurrion. ml hcrcby!r'rluizc rc|nC\.rhrivcs ol rhi\ ( iry rtrd C.unry b cnrd utin rlf,
trh,vc nrnrhnc,l tr.p.ny inr inlnccl
4npli(nnt o. Ae lSiAMlu
Vl1v,v\
,rr.1\\a
ELECTHICAL-INSPECTOR RECORD
Under Slab / Floor
Service lVleter
FINAL
l. $ osic. .f rh. pmpcny, 6r my enllolces *irh wr8cs as rhct solc sry."$rion- will do rh. srl ud rh. rrntl@ iq tur
n cnd or ofi.rcd ror ele (S(.7o14, Busin.s Md Proresions Cdc Th. Co.r,.!o. s Likn* tle &rs nor 0prly ro r. owncr ol
lhc lmlEny who boildr or nrtMs rhc6n. .rd wh. docs {ch wo* hinNcla or hc.slf or rhtuugh hh or hfi o*n cnDloyces. '
F,vid.d rhlr such inlmttu.G m nor inrendcn oficEd lor slc. ll howcvtr, ltr t{ildiry o, inr0mwn nl n $U *nhin om Ftr
of collphlion, tlE o*mr Buiher will haE ll[ hrfltcn ol pi6ving llrr1 lt or she dil Dl hrild or idq,bve ln. pEldy for tr tu.FN ol
-1,
asowncroflheF,Icny. amcxclusivclyco ructing wilh liccns.d contaclon lo snnfld ttE !rojecl (Scc.70,14. Bunnc$
snd hDrcssi,r Cod.: Thc C.nta.rors Lic..r L,e does to,r applyro uno*ner 6aDrorcny wtxl builds or imnrovc! rhcr6n,
!trd who conrmrsfor such pmjccrs wnh a q,nrdo( 9 li.enrcd p!6u,nr r. rhcCotu&rofq Lhcn* Liw).
-l
omcrc'npi utrd.r Scclion-. B &PC t rrhis6r$n
Dale: Oer..
Exftcsl
W,{RNIN(;: Fiiluid r, $.urc *orkc6 .onfriN ion covcr gc i\ rtrlatrtul. itrd \hall su$J.cr ,n cnDb)u ro dnniral Farkis nnd
cNil ,incs np h onc hundrcd thousrnd doll0B ($loo.mo). in addirion ro rhc co\t ofcom|Dnsatio., dnruecs rs pnridcd lor rhc
-l-\L lr
L.frl.r'c Addrc's _
-l
ccrlifylhd th. ri\lcral rcBU lnl io ns re8rt i n8 lsrEn.src r,valarc nor lprlkrhhlo lhc pmjcci.
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