HomeMy WebLinkAbout30119110 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, c492702
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738
Plumbing Permit#: 30{19{lO
lnspector's Section: (714) 647-5853
Suite: 1 6
Blockr NA
Bldg: C
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-'141-06 Lot: 'l
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1345 N Cabrillo Park Dr 16
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Amount
8.'15
8.15
8.'t 5
8.15
-65.10
32.50
Qty
1.00
1 .00
r.00
1.00
1.00
1 .00
Fee
s8.1s
$8.15
$8.15
$8.15
$-65.10
$32.50
Phone
Tenant Name:
Contractor:
Address:
Phone
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 3151'11
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
PAID
rlAR 0 7 2006
$
Ciiy
Building Use: Multi-Family (5 or merg gn Occupancy:
Job Type: Alteration Constr TYPe
Nature ofwork: Kitchen Remodel & 647ws11 Code:Notes: pd on M48095.
Planning Conditions: No Exterior Work.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy
Date
Date
Date 03/07/2006
Building Permit #:_
This pemit shall expire by limitation and become null and void if the wotu authotized by this permit
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 wotk is commenced for a peiod of 180 days
Before such wod< 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#: 011-01-59'12 lnspector MID#: 2006-68077
Project Address: 1345 N Cabrillo Park Dr
Owner:
Address:
Young Kim lnc.
16814 Marilla st
Northridge, CA 9'1343
(818) 892-6280
R-t
V.N
cPc 2001
Misc. Receipt:
[,4isc. Receipt:
[,4isc. Receipt:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/srG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ ClariJier
TOP OUT
Waste & Vent
Water Pipin
Gas Pipein
Roof Drain
Tub/Shower Test
h Water HeaterR
POOUSPA
Drain LineP-
Main Drain/Pool Pipi
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rou h Plumbing
Final Gas Test I
Meter Release
FINAL SAMC
Notes, Remarks, Etc
Ownr.Build.. D.cLr.rion
I h6.b, rmm rd.r pa.lty of Fjry thr I h d@pr fm th. c6r&rqr' Li@. t * fd ln. folowin8 @o {3a 703I j Buin6s
ed Pbi..rion Cod.): Aiy Ciry or Couiry wthh Eq!h6 . pmn to .oEnucq sltn, imp6r!. d.notish or rcp.i dy Bradw, pno, !o iljis@*, .ls rcqutE rhc spplior fd ruclt Fmir ro 6lc ! si8r.d n.!.tM! lhlr hc or ri. it licas.d p6uet b ln. pDvitioi of $.
Cont&rors Lic.6.d hw {Chr9i!. 9, ComocinS wirh Sedon ?ooo of Divilid ! of 6. BBh6 .id prof6liw Cod.) or Ud hc or
ihc ir qdpr 0!ftfts and thc bait f6 t. dlc8.d qrnpti@ .Aiy violdin of Sedoi 703 r , by ey appliclrr f- . p.mn iubjd! $.
lpplidr ro . civil pa.lry of.d mgt tu fiv. hudrd dollM (t5oo).
_1,s oMqof ll'c p.o?Grly, ormy ploy@ eith w.g6.! $.ir rolc cobFnsadon, willdorhc wolk ed $. s1ructur. i5 ior inrcidcit
or oficEd fd r.l. ( Sc ?0.r, Bsind sd PDfsid C.d.r Tha Cein.rd'. Li.d. L.s d6 sol .p9ty lo & om- ot th. prop.ny
who buil.b 6 imFoe6 lh.r.on. ud *ho &6 such wqt I'iroqlf 6 h@lf 6 fircuSn hir d hr os hptoys, Fovid.d rtd suchimpr@66r, E nor i.ra<Ld o ofid.d 16 sd! rt, trovoa. fic buitdins d imFo!ftar ii sotd wirhii o; yo;otchd.ri@, thc
owtrd-Builda *ill h.vc thc bud6 ot prcvin8 ll!.t h. or lhc iot blild or ihFlv. for $. plrposc of 3ak)
_1. a Md of rh. propory, m dcluiv.ly @llelt wnh liccns.d @t *to6 io cqltrucl rhr pojccr ( S.c. ?Oaa, Bsio6s aodPrctsion Cod. D'. Cor&@?t Lrca. Lts .los nd oprly !o x oMa ofFopdty who buil.b q improvGlh@on . sd aho
m!r&r. fd 3uch Fojelr wnn . c6rdo(r) lic6r.d p{Mr to rr. coiurdort Li@N. rrw ).
WOIKERS COMIENSATION DECI-ARATION
I hftby .flim !.d.r pa.lry ofFrjlr, on. ofdE foll@in8 d.clsrioB:
_l hav. Md will h.inkin ! Cmincr. of Cdst ro Sclf-lrsu. for *orlcr. cfrp.ni.tio., 6 providcd td by Sario 37OO ofth.
Lthtr Cod., ftr lh. pdfmdc. of th. dt fd wbich di. Fmn is isu.d
_l t.v? dd will roinEin d(6' @rn}.rosdd in @c., c r.qu'rcd by Sdrcn l?oo of $. Labo (!dc, for fic !.rfoll@e of fi.
work fd wh,ch tha Fhn ii '$u.d My *ort6' cmp..euon r^!ur&e cs6 $d poti.] numb.' r.
Cs6
Policy Nsba Bxptlr:
4,.^,,",,.#...*ir*,.'r,.
b. compla.d il th. ptun is fo, On. lundrcd dollsE {Slool 6
p<fmee of i.h. wdk foryhich i\is p.mit is i$ucd. IwdL6 ' mFBrrid lsr of Cdif6i., sd trrE
@opcnsltiotr prcvisio.r ol S*ton 3700 of $. kb6 Codc, I sh.tl,
WARNING: FailuE lo seur work@ comFns{rion ro criniMl Fo6hi6 udcililfin.! up ro @G h6rh.d thouud &U6 {lloo,ooo).in addi
th. l-3bd Cod., intcEt 6d nEyt 16,
dd.86 s proid.d lf tn. Serion 1076 of
I h@by .f6m 6d.r pa.lty
lh. Bsire dd PmfaiN
ol p€jury thrr I D li@.d un&r provisio of Cl'.prd 9 {
Cod.. sd my li@i. is in full a@. Md.Sccr
.f6m undd pa.lty or pcjury rh.r lhd! ir . cdEEuctid $. pdfofuc. oa t. wolt fq *hich rti! p.mir is
is!u.d(S.c 1097.Civ C.)
APPLIC \TIS DECI.AR rION
D.Eohio. Pmill-Arb6re Norincldd F.d6d R.rulcims (Tirl. 40. p.i 6)
_ RcquiEd t na ofNodfiolior
-ty{u^n
rn -trior Esldins
-/I qrit ur{ t h.v! E d thir .Dghcsidl sd l cmpl, *ith dl Cny ed County
ordan&c6 ed Scr! L.s,.l.rint lorlown id.d Flrcny ftr iIlperio of 0i! Ciiy od Courty to nar upoi $.
IED
rEE =| 4rll,
_l h cxnpr s.d.r S@tid .8. & LC. fd 6ii !!&n.
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