HomeMy WebLinkAbout30119056 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing Permit#: 30{19056
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr
Lot: 1
Suite: 1
Block: NA
Bldg: C
Tract: 10823
Suite Range:
Zoning: R4
Contractor:
Address:
Phone
Tenant Name:
Tr
1345 N Cabrillo Park Dr I
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Notes: pd on M48095.
Qty
1 .00
1.00
1.00
1.00
1.00
1.00
PAID
ilAR 0 7 2006
City anta Ana
Amount
8.15
8.1 5
8.15
8.15
-65.10
32.50
Fee
$8.15
$8.1s
$8.15
$8.15
$-65.10
$32.50
Phone:
state Lic #: 684052
Lic Type: B, B, C-33, C-33
Bus. Lic #: 3l5l 14
Workers' Compensalion lnsurance:Carrier: State Fund
Policy #: 1923737
Expires: 06/01/2006
$
Building Use: Multi-Family (5 or meTs gn Occupancy:
Job Type: Alteration Constr TYPe
Nature ofwork: Kitchen Remodel g 6ryryv311 Code:
Planning Conditions: No Exterior Work
R-'t
cPc 2001
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:Ahangian, Kathy 03/07/2006
Building 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 from the date of this pemit, or if the wofu authoized by this
pemit is suspended or abandoned at any time after the wotu is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
Account#: 0l 1-01-5912 lnspector MID#: 200140057
Address Range:
Historic: NoAssesso/s Parcel: 400-14l -06
Owner:
Address:
PLUMBING.INSPECTOR RECORD
Oma-Boild.r Dccl.rai@
I hacby afllm udd p.n.lty ol pdjury th.l I m *npr lorn $. Col'!.t6' Li@r. lrw ro. &c aollowirB rc&d (rcc.?O3l .5 BBinBs
ed ?rcfBin Cod.): .{ny City d C@ry whi.i rc{riE . pdmir |o c@cr.!, ,lr6t ih!rcvc, dcmtiBh or rcplir y .ru.r@, prio b iEis6c., al$ EqriE dlc a?pli6! foriu.ll PGEi lo filG. iig.d srll@6r thc hc or thc k lhtu6d pr@r io dE prcviriotu orrh.
Col'r.rdt Li@!.d rrw {Ch.Br ,, Cdtt,Mcitg *irh S&ri6 tuo of Divi.io r of dl. BNi.* {d p.of*idr co<r.) d r\{ hG @
sn. k dopr thd.froh &d th! bsit f( !h. .ll.8.d .rhpiioo .Ary violdio of Scdon 7031.5 ty ey .pplitur fr I pcrn;n ilbjeE $c
e?li6t !o a cieil Fdty ofr.. nor. 6.n fiv! hundcd doll6 (l5oo).
_1, a om.r of thc FoF ry, amy dploye6 eirt w.g6 a $cn sot. ceFE tior, will & rh. wsk ud iE stNcle i! not inhdat
o olIcE l {d t.l! ( Se.?0]r4. Baitr* e.l Prof*i@ Cod.: Th. CmE&tcir Li@c bw do6 nor .pply to u omd of th. prcpan,
who buil& 6 imProe6 rhdon, &d sho ilod $ch rnjt l @df a nd.tf d 6turn tir 6l'doh dploy6, Elvid.d Utc auch
ihprcv@aE c.ot inra<!.d d off6.d f6lalc lf, h@.G, thc buildirs 6 im,troic1mr k rctd vnhi. oi; y;of 6Dl.ri@, fi.
OMa'Bullda will hN. tt. bu&r ofprcviis rhrr hc d rh. nor build d ihDrov. for rhc DurDd. of sal.)
_I, 6 omd of ln. Pllpsv, @ dclcivcly 6nF.crjtr8 wirh ttos.d Mr&rN io @nrEEl dc pbjan ( Sa. ,04.. B6ins ddtrcfdia Cod.: ft. Coni_&lor,t Li6s. lr* do6 not .pply b s om6 of FlFty *ho boild! 6 imFov6 tnc@n , &d lho
@nrrEs td iuch Foj..ti wirh r Cor..lo(o li6r.d puqr lo 0r. Coor&ort Lic6r. t w )
_l e .xmpt edr sdro
-8.
& p C for lhir r.$6
WORKERS COMPENSATION DECLARANON
I h@by ofim @&l padty of p.rjury onc or rh. rou@ins del@io$:
_l fav€ qd will mirrli. r C!nifi.{. of CNot io S.lf-IBw for wdtr6' @mFN.don. s Fovidcd for by S.cdon 3TOO otrh.
kbd Co<L, fd dE pqfdr@a of d. wo* for which th. p6nn E i$u.d
_l har. sd pillmindr wdtd @Fr.raon ituUm@, s r.qun d by S.ati@ t?OO of th. L.bor Cod.. tor fi. Frfo''Mc. of rh.wdk rtr shid ll'is pemn h i$u.d. My wo*a' @npo$.rj@ irs!6@ tria ed loticy nuhb.' dr
Cmo
#;,;d;ffi;for Onc hudrcd doll6 ltl0o) q lds)
whicn rhis pcmn i5 isru..I I sh.ll nor
of Cllifmi., Md agra $al if I
1700 of rhc l,!q Cod., I 3hsll, tslhwirt
-o
WARNING, lailurc lo souE wo.t6, conTcns.rid
liid !p ro oi! hqdld rhtu&d d.n6 G I oo.ooo),ii addnio b ln.
lll. Llbd Cod., i.G.Bt sd !tlm.y! f6.a ptovid.d fo. dE S@d6 10?6 of
t h@by .ffift u&r pallty ofp€jury rha hli uda Fovijo of Ch+td 9
thc BBi.@ sd Prcf*ioc Cod!, od ny lictu. is i. full ad.. dd.fccl
I h6.by .flim ud6 por.lty of pajury Ihlr rl* ir r orllaim I
it!!.d (S.c. !(D?, Cir. C.).
AIPIJCANT'S DECL"AN TION
Ddnolidon !miB,A$6ta€ Nolifi.di@ F.daal R.rut.!i@ (Tid.40, plrt 6)
_ Rcqutcd lrndofNo ficario
ro conpl, sirh dl Ciiy od Colnry
of rht Cny Dd County to ar.r uron rh.
DATE COMMENTS
UNOER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Buildin Sewer
Area/Storm Drain
lnterce tor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
h Water Heater
POOUSPA
Main Drain/Pool Pipi
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/C ap
Back Flow Device
Rough Plumbin
Final Gas Test
Meter Release
SAMC 843,, s56, 6
FINAL
Notes, Remarks, Etc
-o
2
APPROVALS
Tub/Shower Test
P{raplDrain Line
EXt,](E.IJ
rtrD
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t-
ID/SIG.
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