HomeMy WebLinkAbout20166373 - PermitProject Address: 3918 S Flower St
Assessor'sParcel: 410-291-02
Unit: G
Block; NA
Bldg:
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
q
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA92702
lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Electrical Permit #: 2O166373
Pin #: 53E37
Contractor
Address:
Prime & South Coast L P
50 California St 920
San Francisco, cA 941114606
(714) 556-7960
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
Fse Type
01116002 51603 Dedicated Circuit
01116002 51600 General Plan Update
01'116002 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
Bot€hi:4{745' llll/Zolg I0: CCUELLARoffice: CTfi Trons+: 54 9 of 16*cct+: Refi: 20166371
Rcpt?:0231?907 - 7/11/2018 3102 PA
Transoct i on Totol ilrS!5.5?
9estern Plud ine Senv ices
Slate Lic #: 1O211O1
Lic Type: C-36
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412014
Generol Plqn Updote Fee
01116002- 51600000-
Elect. icol
0lt 16002- 5r603m0-lhster Cord
CC+ rII*Irrrrrlrr3753
322,rX
t lo4 -6?
tl r I55.52
a,th+:1701o4
Planning Conditions:
Plan Checked By
Permit lssued By:
Subjecl to Field:
Building Permit #:
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type
Washer/dryer Code:
R-2
VB
cEc 2016 Notes: lnslall a washer & dryer in an existing closet.
Dale
Date
Date
l\,lisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Total
Amsden, Julie
Every pefinit issued shall become invalid unless the wotu on the sile
authoized by such permit is commenced within 180 days aftor its
issuance, or if lhe wo* authorized on tho site by such peftnil is suspended
or abandoned fot a period of 180 days aftor the time the work is
commenced
lnspector MID#: 2018-144562
o7 t1112018
Account#
01 1 16002 51600
011'16002 5'1603
$22.08
$104 62
Fee Total:
Paid to Date:
Balance Due:
$'126.70
$0.00
$126.70
Lot: NA
Owner:
Address:
Phone:
Phone:
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION
I hdEby lllrft undcr pcnilry of Frjury rnol I or cxemfl lun lhc Conrs.fuF Licctrrc Low lor lhc lollowing m$n (Scc.7ol l .J
Bu\incss ,!xl Prof.sion Codc)r Any Cily or Counry whkh rcqutci r trrinir ro mtr(ruc|. alrci imptoli thn,lkh or rput iny
rh.luE lrirt its issu!tre. oko reqliB\ rhc aptlklir ir \u.h lfrnrt lo fiLa sisncd slarcft lhnr h.orshc is liensed l,!6ta.l
ro rhe Fovisioni of rh Cdnractols Liccnsd tir (Cho,,lcr 9- Commcmio! *irh s.crion 7000 of Division I orrhc susincs ttrd
Pn'lc*iotrs cod. ) or rhar he orshc tcicmnr rficrcr'mn and rh. b€\is for rh. ,lk8cd cxcnurion. Any violarion ols(tbn 70115 h, any
aprliclnt ior !lemir suhjccklhc rrtlic,nl ro acivilp.Mlryoinor fttrcthan livc hundrcddoll0B($500)
l. N.wncrofrhc pm|Eny.or ry enrplorE\ wnh waB.s ,t rhcir slc onwtrslion. will do lhc wort dd rtr YMN h ml
i.dcrl oroftrcd lor sk (Sr.'.7044, Boairess,nd Prorc\1ions Code: Thc Co rocr{, s l-icen{ liw dds tro( {Ply to an o*icr or
rhc pmrcd, sho hnilds or in{mvcs tlL]1M- and who dms s.h mrl him{lf or h(sclf ot thmuAh his or h.r oancmployes.
F.vilcd lhol such impnrcftnh d ft, idcndcd d ofincd ior nrlc lt howcki rh. boildi'r8 or irnnmrcrEd h $ld $irhin un( FJr
ofofl{,Lrbn. riE ow.er Builkr will has ttr bxdMorp vine lhd lE or shc dil mr l{iu or iqn,r ih. poFny ror th€ PurF,s or
-1.
as o*Nr ol thc ,nopcny, r cx.lu{ivcly conlndir8 wiih liccnrcd coorracn,\ b con{ncr rh. toi{ (Sa 7l)4.,r' 8u\ift+
and Ptr,rcsionCodc ThcContnctols Liccnsc Lr$der nol!!plrro aiou orltoP! yvhohuildsorimlmvcsrhcrcon.
rtrd who conlrucrsfor slch pmjNk wnh a contia.ttrl, li.cn*d Puisuinr lolnc conkD.ttrt Li.cn{ L.w)
-l
rmercnDr unds sc.ri,
Irrle: Ovrer
woR(r'I.s coNfl 'FNSAT()N
DECI.AEAIION
I hcrc$y afiirm undcr pcnrlry.rI''rjuryonc ofthc blbwin8 dcclnrtion\:
-l
n,k dd wiu minrDin 0 ccnificilc ol Conscnl l. Sclf lnsurc fo. work$f .\'mpcnsr ion, !s pmvidci ror by sdrion l7fir of lh!
Llbor Codc. lor thc pcdo.tuncc ofihc work ror whicn lhc Fanil h h\!cd
I hxr.r d \illn'ri' ntrr trorkcrr cotr,fcr\rrio, ilr\urxn... r\rcqriturl bt s(r ion 3700 ol lhc tit{tr Qd.. tu thc PcrforroEc ol
i,,n i.\xnmcc clnis lnd Frlicy nunhcr ucncrmir i! tilcn M\ sorlun conmclsrrw €-^r*^
"\OatoX(pS1 g Zr"tY
I .cdny rhtlt ir thc pcrfo!ronrc ,,f rhc sor* f.r shi.h rhis p.irnrl h is\uc(1. I shsll nor.n!n.y 0ny pct\on in iny ntnncr
s rs b bc.r'm sLbrNr io rhc workcs' conDcns0lion lawsofCalinnai . r.d.Arc rhd iil should hccomc srbF.r b rhc
sorkcr( c.mFnsrrion F,v6ions ol Sccln,. 37LrO ol rhc Lutxn Gdc, I \hrll, ionh*ith conll)ly e irh rb* pbuGiotrs
WARNINC: t'rilurc lo rccure w{rkc^ .onDcn{dnnr .ovcrn8c is utrh$tu|. rnd \hnll \ubFj trn cDfloycr lo anninal Fn,ltiN and
civil fitrcs up r. orc hundrcd ihoxsand dolla^ l$loo.fll(jl. i. addirion ro rhc.os ol.oq)cnsition. drtugc\ rl liovidcd nr lhc
Sccrion 1076 ol rhc uhtr Codc, i crc( {nd alkncy.s
,",", 1'\\'\i
I hcrchylilnn uidcr p.ndxyol rrjuly rh lamli.r.ealu.dc.PmvisionoiCh.t c.9(c.marncingwirhscction?um)otDivi\ioo.l
of lhe Busi.cssud Px'fcsiorNCodc. d lnyrrcns is in fulliorcc andcffc.r
b \OZ-\ ld \
o,," I1tt lt
CONSIBUCIIIIN.LINPIIG.dGENII
I hcEby atfirm undcr rEnrhy of p.ijury rhd rhn. G 0 oNlruclion hndins ascncy ror rhc F.noinurcc or rh. {oik tuJ whah fiis I'crnil is
hsued lss .109?. Civ C.).
AITLICANIDECI.AIAIIOT
I Hry afim undcr pcMlr y or pcrjury om of lhc followin8 dslr ioni:
D.nmlirion Pcrmirs'AsiEsros Notifi.arion Fcdcml Rcguhiio.s (Tillc 40. PM6)
-Rcqun
d brrcr orNdifrarion
I ccnifyrhrr rh. fcdorrl rcBuhriotrs rcBardins r\t do\rcnmrlrrc n.rlPplic$lc torhil!r'j.rr
lccnilyrh l hivc rc0d rhis rrirlicrihn di n,rcrlxtrrh.$rvc infonnltion ncotu.r l,!tNlocomtlywilhullCiry,nd county
odindnccsn d St.tc Laws Ehring t, huiUing .onirnrclo[ lnd h.rcby ourlxri& lcPrcscnrrrivcs.rrhis Cily lnd Cou.ryi..nrn uF)nlhc
xhovr rcdri( c t','t).'lyli)r ir\t.r
A|l|)li(,.1 or,\[.nl Si*n$lum Date
P"*il* ."* {p.l.il ( \\^4i^to1^
1 .1\.td
Site-Work
Underoround
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding / Grounding / UFER
Torqueino
Sub-Panels
Air Conditioners
Rool Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinos (Hard & Soffit Rouoh
Ceilings (T-Bar Rouoh)
l\/leter Release
Rough 7-t7-lk 9.tu761
Service [tl]eter
FINAL *-Ll-t4 r i*n -,t -)'iz )
Notes, Remarks, Etc .ulj
ELECTRICAL-INSPECTOR RECORD
Transformers
ba5-7-
t nd.is Addrc$
-
tt
I