HomeMy WebLinkAbout30119179 - Permit (2)Plumbing Permit#:3Oll9l79
lnspectols Section: (714) 647-5853
PAID
rlAR ',l 4 2006
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315't t4
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/0'112006
$d
Building Use: Multi-Family (5 or mq16 g1 Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & drywall Code:
Planning Conditions: No Exterior Work.
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Noles: pd on M-48095.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Sub.iect to Field:
Date
Date
Date
Misc. Receipt
Misc. Receipt
Misc. ReceiptAhangian, Kathy 03t14t2006
Fee Tolal:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
Account #: 011-01-5912 lnspector MID#: 2006-68311
City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Assessor's Parcel: 400-141-06 Lot: I Block: NA Tract: 10823 Historic; No Zoning: R4
Owner: Tr Fee Type Amount Qty Fee
Address: 1345 N Cabrillo Park D l5 Water Ctoset B.l5 2.00 $16.30
Santa Ana, CA 927013106 Sink B. t5 j.00 $8.1Sphone: Dishwasher 8.15 1.00 $8.15renantName: i;:lffir'.,T ,Z:iZ 1.33 ,)3.1i
contractor: Young Kim lnc. lssuance 32 50 1 00 $32'50
Addressr 15814 Marilla st
Northridge, CA 91343Phone: (818) 892-6280
Euildino Permit #:
This permit shall expire by limitation and become null and void if the wotu authoized by this pemit
is not commenced within 180 days frcm the date of this pemit, or if the wotu authorized by this
pemit is suspended or abandoned at any time afrer the wo* is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new pemit shall be ftrst obtained to do so.
PLUMBING.INSPECTOR RECORD
OMa-Build.r D..hruid
I h6.b, anim u&r p6.19 orFju.y rn{ I @ ddF fm $. C@rerd' Li6!c La* for rhc foltowin8 Ba (r@ ?0r I 5 B6io6s
ed Pmf.$ioi Co&): Any Ciiy n Cluty whi.h r.quiG a pdnit ro cdt !4 .lld, improv., danoli5h or r@d. y rrudurc, pnor lo 16ism.., .h6 r.quic tlc .ppla@r lor iud pcmit to filc ! 5i8n.d skr.lMl th.t h. d 6t. ir licai.d p6ut lo $c pr!!ni6 of lhc
Coilrado! Li.ai.d Las (Ch.ptcr 9, Conhdcing with slcdo. ?000 of Divirion I of dt. BNin6s md Prcf6si6s Codc) or $a! h. or
sh. is d.nF $lrtfmn lnd 6. bt jt fo. tlc .ll.scd .xaFio .A.y violdio of Sctio 7011 5 by dy applicd f6 . pcmit 3ubj.cE 6c
.pplimr ro . civil pcnalr, of iol nd. dtal fiv. hudrd dollB (St00).
_1. 6 omcr of rh. Fopcrty, s my mployB with w.ag B $cn 3ol. mpc.saro., yill do rh. work ad ln. lrudu. is nor inEnd.d
d ofi.r.n fd ..1. ( Se,70a.. AEind ed Drcfqid Cd.: Th. C6E-l' r Uc4G t, d.6 nor apply ro s own.r ofrh. propcriy
who buil& d imFd6 rh@., dd rno dc auct wort hi@.lf or nddf o droBt hi! d hd oq ploy6, prcvid.d th.t ruchihprcvnor, a nor itrc..ld 6 or6!d fcial. !( hqdd, rtc buildirS d ihprcv.rnr i$old wi$in on. rd of @npl.rion,lnc
OM6-Buil&r *ill havc lhc bur.ki ot provins dlal h. or th. nor boild o imFo!. fd thc plrpdc oi sal.)
_1, a o@rof dc Fopcny. m.xcluivcly co r!Eri.8 virh liccnscd c@Eets ro colrud $c pojcd ( S@ 1oaa, B6ind&d
Prof6ion Cod.: Thc Cdt!d6r! Uc@. ltw dc not .pply ro d oMa of prcp.riy sto b!il& 6 imFov6 lhfton , dd who
cmFr.6 fd $d p.oj@u eilh ! CdEadd(, li6i.d pl,!@r ro dc Cdruro,'. Li@n* Llw )
WONI<E*S COM}ENSATION DECLAiATION
I hfthy !fiid u..Lr pa.lty ol Fjlry oic of th. foll@inS rbcldiosl
_l h.v! &d eill @inr.i. . Catificdc of C@ar ro Sdfltfu fd wdt6' @hp.ns8tio, s Fovid.d fo b, S@rion 1700 oa rh.
Labor Cod., ld 0!c p.rfdm.n@ of th. wnl fo which $c pmir h i$ocd.
_l havc ud vill fr.iilaii *q*6r cmpaslrion iuurue, s 'lquiEd by S.clion 1700 of rt. Llbs Codc, for rh. pcriomu.. of rhc
wort for which rhi! pfft i, iilucd My wdt6 .dFlado inlumcc @ia sd policy numbcr dr
b. @mpl.r.d if th! Fsit is for O& huidrcd doll6 {l I O0 } or le,
p6fme@ of lh. woi( for which fii! pmn h i$ed. Il.u of C.lif6ir! ad ase lhor
doll6 (l ! 00,000),in , d&n$B a prcvid.d f6 tlE Sad@ 10?6 of
t n@b, .ffim 6d6 pdllty ol pa;ury rlr.l t m timca *ao p",i"io or Ct'rpra 1
lim3cis in lull foc. d.f6t.
p.rfmMcc of th. *qi for which Uii Fmn ir
309?,c)
AIILICANT'S DECL IIAIION
Dnolirion Pmit!-Albaios Notifc.doi F.darl R.tul.rim (Tidc {0, Pri 6)
_ R.quir! Lttr.r of Notific.do
-Ao^^lnc f.d.rd Ea!l.ri@ rc8rding
I hdv. E5d lnii .pplacirio I .8r.. lo @Dply ei$ all Cny od C@
ordino@ ud 56r. Llw! rc]. n8 iobui
abovc 6dno.d ,rcFq l@ isrerid
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Jr/ain Drain/Pool Piping
Fill Line/Back Flow
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanita Sewer/Cap
Back Flow Device
EXPIF ED
lgugtr Plumbing
FEB-I ZUN
Meter Release
FINAL
Waste & Vent
Water-Underfloor
Pool Heater/Gas Line
Final Gas Test
Notes, Remarks, Etc.
_I n qmpl u.lcr Setid
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