HomeMy WebLinkAbout40132315 - PermitCity of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853
Mec hanical Permit #: 40132315
Pin #: 79926
Project Address: 3926 S Flower St
Assessor'sParcel: 410-291-02 Lot: NA
Unit: B
Block: NA
Bldg:
Tract: NA
AddressRange: 3800-3928
Historic: No
Suite Range:
Zoning: R4
q
Conlraclor:
Address:
Phone
Tenant Name
Prime & South Coast L P
50 California St 920
San Francisco, CA 94'1114605
(714) 5s6-7960
Western Plumbing Services
1810 N. Linwood Ave.
Santa Ana, CA 92705
(714) 492-5490
Fee Type Amount Qty Fee
01116002 51604 Clothes Oryer- Residen 4O.U 1.00 $40.34
01'116002 51600 General Plan Update 22.08 1.00 $22.08
01'116002 51604 lssuance 55.04 1.00 $55.04
Botchi:{12-4.! - 7ltt/ZOLB I0: t:CUEr,r.AR0fficp: CTYH frons+: 54 - -i of 15Acct+: Ref+: {[l32;1li(ceti:02322899 _ 7/tr/20t8 3tq2 wlTronsoct ion Totql -fi rlif.l:
lestcrn plurD ing Serv i ceE
State Lic #: 1021101
Lic Type: C-35
Bus. Lic #: 364095
Workers' Compensation lnsurance:Carrier: State Farm Fire and Casualty Company
Policy #: 90C6X6879
Expires: 0812412018
_ ,22.0$
_ t9$.58
3l r355 -.i?6rrtht:170104
Building Use:
Job Type:
Nature of Work
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
ttilulti-Family (5 or more uni Occupancy:
Alteration Constr Type
Washer/dryer Code:
R-2
VB
cMc 2016 Notes: lnstall a washer & dryer in an existing closet.
Date:
Date:
Date:Amsden, Julie
Every permit issued shall become invalid unless the wolk o, the slle
authoized by such permit is conmenced within180 days after its
issuance, or if the wo* authoized on the site by such petnit is suspended
ot abandonod lot a period of180 days aftet the timo the work is
commanced.
07t1112014
Account#
$1 'r7.46
$0.00
$117.46
lnspector MID#: 2018-14457'l
01 1 16002 51600
0'1 1 16002 5'1604
Fee Total:
Paid to Date:
Balance Due:
Owner:
Address:
I
Phone:
Generol Ploo lbdote Fee
011 t6{n2- 5l600mo-
lhchoo i cq I
01116002- 51604m0-
Itoster CordCCi:firrrr*rr rIZE3
Planning Conditions:
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
Total
$22.08
$95.38
MECHANICAL-INSPECTOR BECORD
APPROVALS DATE ID/SIG.COMMENTS OI4'NER BUILDER DEL(AIAIION
I hercby llrm !idc. Felty of Friury rhd I m .xciu fmm lhc C! mtoB Lian* t w lor th. tolto*ing E.en (Se.7O3 LJ
Busirc$ ad ftof.$ion Codc): Any Cny or Colnty which fquircs r pmh ro onsttucl, .h6. idpmve rhmlish or r.p!r e,
stddur.. prhr ro irs issuamc. dso rcquirs rhc arpliclnt lor such Frmir lo tilc a signed {rlcmit rhat tE or rhc is licnscd puls@r
ro rhc tdvhio.s oftr Conrmroii Liensd L!* lchaph 9. CohNBing enh S*tion 7000 otDivkion 3 of rtE Busire$ lnd
Prcfc$ionr Cod., or rhlr Lor shc n.xcmF rlEehon dnd tlE hasis for rtE stkg.d cxcnlpdnn. AnyviobtionofSccihnTO3l.5byrny
apDlicant aor c Fnnir subjc.k rhc .nplica to a civil pcn,try.t mr mrc $d filc hundEn dotm ($5Oo),
-1.
s owmr ollhc l,ltEfly. d ny.tr'pk'F$ wirt erlcs .s thei sL onFr$tion. wi d. ilE wk drld dE sEEiE is hl
i.tcftLd or of.r.d fo, sh (Se.70{4. Bulifts* md ftsfc*ion. Codc: Thc Conlmciols Lic.ns Uw d@3 mt mDty to d oeEr of
thcpmFdy sho hiil& m iqroEs 0E8., sld who dcs $ch *o* hi@lr or hcetf o. thmusi iis tr lEr ovn cDployer.
Fovidcd ln3t such hpmrftil! dht hlcd.n Goftfd fdrslc.lL IDEE, tlE brilirg tr in+ioEmot n sU wnnnr orc )ruofoflptxirn. tlE O*rc. Builicr will IEE rlE t rdo ofnDvitrg rlEl lE m dE da d toitd or irprcE ll.tc lNroty fm dr ltrpoe oa
-1.
as o*d of rt !m!cny, m .x.loriv.l, conrE tins wnh lien*<t .onrado6 to @trdtuct lh. l'Diet (Sa 7o4:t, BusiBr
a.d ProfNion Coder Th. Conr.clor's Lkcns. L.w d@s .or atply to u o*ncr of propcny sho builds or iht,rcles th.rora.d who atuzcts for suct ptujcct! wirh a Co.lFclo(s) ticr$d pus@l ro thc Co Ecrots Liene tnw).
_l m€xcnpl unda SNdon-- B, & p.c. for lhis rcason.
woR(FRq, coltPFNsaTtoN
DECLAR-ATI(IN
I herchyll'itnr undcr Fn,hrof pcrj!ryo.c ol'th. followin8 dcclanrions
-l
hovc srn will minlli. a C€nifEatc of C,nenr ro Sclalns!rc for worl€6' snp.nsdioo. 6 poviEn aor byS6tio. tToO oflh
Labo! Codc, tor rhc tcrfomrcc ot thc worr ftr whi.h rhc pcmir is hskd.
_l harc lnd will miflain *orLn compcnsrion iEu.aftc, &s rcqui(n by SetioD l7m of dE Lnbor Codc. tor the perfortum. of
My pork.m co.lF.{rnrn insururcc ..ricr !trd policy numb.r dc:
B'ZL1tX I
-I..niry
rhlt in Inc pcrfoirmm old. work ttr *hi:i ttis ncrnrir h hsucd. I shall not erpto, any D€ren in any manmrb !\ ro hcom subjc! h !h. solkrn ompetrslion lnws ul califodi!. ond !-qN that if I should txcom rubj.d ro rlE
workcN comFnstion pmvhionsolScclion lruofthc ti|lrG)d.,I ihall. forlhwirhco.rrly whh rhos provirions..
W RNNG: Flilurc lo $cuE qorkcrs' comrcnqtion ovcnec b unbwtuL lnd .hall suhixt d cmploFr to aiminsl Fnrhds and
civil fines up ro onc hundr.d lhoDr0nd dollds ($l$,01D), in oddnibn ro rhc cosr oacoh0cnsario., danBecs as providcrt for thc
Serbo .1076 of thc titrr l).].tt
LtcuNsFD C()NTR,t(:TOR
DECI,IMfION
of rhc Busincs rnd Pdisshns C.dc, md m, ticcnrc is ir tult t)ra d cii{r
CZL L6-Z ( Ld\
,r., '') ' (
( IINS'I l{t CI()r_ Lt,NDIN(; ,\(iIj\( l
i\{ulrs.r lo()7. ( i\ ( )
AIIITANLDICI,AAAIIQ!
I ffiy i,linn ukrcr lrtidlrv olr.rjury otrc otrhc tullosnre dr.larirnrns:
D-nnllirn,n P.rnrirlAshcsos Noiifi.ddr F.dcrtrl Rquhriurs (Tirtc40, Prd6)
-RLlNidl
lx[.r of Norifrcation
-l$nilith
lhc rcdcr,l rcso llr ions rcsuding rsb.so\ rc.xrvrlnrc ml urplicnhlc b rhit pojccl
_l ccnify riar I hrk i.rd rhis,mlic0rbn 0!d narc rhar rhc ftrv. infi,'mlion i\ corsr.l tr8rc b.ooply snh all Cnyand Colnry
ordinlnccs and srdrc Lass rclalins to blilding consrrucrio hcrcbyourtnizc reprcsnlalivcs (,rrhis Cnysnd Counryto cnr$ upon rl[
rtx,vc rrtrri(ftd ln,Itrnv fff in\
p!11.0r or As.nl Sisndu
\)pliances
Ivletal Fire Place
Ev rative Cooler
Furnace
Com pressor
tvllsc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rou gh Ductwork
Vents
Toilet Room / Clothes D ryer
Other
Hood
Type I Hood
T e ll Hood
Grease Duct
Fire Da r
Openings
F.D. Dro Test
Above T-Bar /-'l
Rough Mech.7-lvlE h.W:!1
Final Test
Meter Helease
2_2t_tg fy,*ttt*lt fzi.
Notes, Bemarks Etc v,
Residential Ranoe
lnstallation
Above Hard Lid
FINAL