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HomeMy WebLinkAbout30118990 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA92702 Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Project Address: 1345 N Cabrillo Park Dr Assessods Parcel: 400-14l -06 Lot: 1 Suite: 1 Block: NA Bldg: B Tracl: 'l 0823 Address Range: Historic: No Suite Range: Zoning: R4 Owner: Address Contractor Address: Phone Tenant Name: Tr 1345 N Cabrillo Park Dr 1 Santa Ana, CA 927013106 Young Kam lnc. 16814 Marilla st Northridge, CA 91343 (818) 892-6280 Fee Type Water Closet Sink Dishwasher Garbage Disp Trust Applied Issuance Notes: pd on M.48095 PAID FEB 23 2006 City Santa Ana Qty 1.00 1.00 1.00 1.00 1.00 1.00 Fee $8.15 $8.15 $8.15 $8.15 $-65.10 $32.50 $0.00 $0.00 $0.00 Phone State Lic #: 684052 Lic Type: B, B, C-33, C-33 Bus. Lic #: 315114 Workers' Compensation lnsurance:Carrier: State Fund Policy #: 1823737 Expires: 06101/2006 Building Use Job Typei Nature ofwork: KitchEn Remodel & dryrvall Code Plannlng Conditions: No Exterior Work. ;;;;;;;.;".,,,,KJT Atteration' @pCI \""rr"n"r' Constr Type Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Date Date Date l\4isc. Receipt: Misc. Receipt: Misc. Receipt:Ahangian, Kalhy 02t2412006 Building Permit # This pemit shall expire by limitation and become null and void if the wofu authorized by this pemit is not commenced within 180 days from the date of this pemit, or if the wotu authoized by this pemit is suspended or abandoned at any time after the wotk is commenced for a pedod of 180 days Before such wo* can be recommenced, a new pemit shall be first obtained to do so. Account #: 011-01-5912 lnspector MID#: 2001-40056 Plumbing Permit#: 3Oll8990 lnspectof s Section: (71 4) 647-5853 Fee Total: Paid to Date: Balance Due: Amount 8.15 8.15 8.15 8.15 -65.10 32.50 R-l v-N cPc 2001 PLUMBING-INSPECTOR RECORD APPROVALS DATE COMMENTS owh.Fauild.r Dcciot ion I hc, cby rrfi m und.' p.nah, oi l)crjurl !h I anr crcmE fm $c Co.r,croE Li..ns. Lrw au rhc tolloq irs r $n'n lic 70.1 I 5 Bnritr.$ ind Pr oL$ioi Cod.) Any Cny d Couty wnici rcqtriEs t p.mir ro connrucr, ilrcr. inDnv.. dcmolth or '.Ntr nny sh.ntr.. r],i.' r t lA issuin;.,ahorcqutifi.applicinlfots!.hp.mnlofil.rsgn.dnarcmc.lfirhcordici5|c.nscdpursrrmrorh.prov6ronsofthc Co.r'rdoi.Lrc.ns.dL!*(Ch!pt?rI,Cofrm.rcrtrswtrhS.cton7000ofDirtionr.f!h.Busines,ndProrcs5ionsCodc)or,!rh.or shcis.r.,nfldr.r.nomindth.bstlorrh.oll.e.d.rchtrionAnyvrol!rio.olS.crionT0ll5brany{prJlicairrornp.mnrrubj.ccrl( lpphcanr ro aciyillcnahyoa d mor. rnan fiv. hundrld dollaE (itoo) l.a\ d*$.! oi r[. Fop.ny, ormt.mrloyc.r wilh vaa.s 6 rh.n.ol. conrD.nsnrotr. w'll do rc sorl atrd rh. nrucru'! 6 ior n ctrd.L] o' ofr.ra fdsrl.( Se 7044. Buin.s sd ProL$ioN Cod. TlrCohtrcroas L'..ose Lrw des lor aflrly b ow.' ofrhcFropcny *hobuilG or imp'or.sthcmn, dwhod6such*o,kh'tuqlf o, h.6.llorrhrcu3h I'iso |., owncmployc.s,Pov'dldrhars!cr, impovcnl.nG rr.notinr.id.doroff.rcd for sl. li howevcr. rh. LruildnrB or inrpro\enr.nr r s. d wlil,ir on. v.rroicompl.non. rhc Or.crBuild.r*illhovc$cburd.tr ofpDvinS O h.o,sn.no! huiid o. imAovc for rnc pu,lDs..is.l.l _1. d own.roith. pro!.ny. id.rcl6r!cl, cotrnoctin8strhlic.ns.d conrackrs rofunstucl lhr prolccl i S.c ro,l4. BGiE$ and fiof.ssior Codc Th. Conractoa. Lic.nsc Li* dq not apply ro rn ovncr .f pnrFny sho btrrlds or impov.! rh.reoD. ind aho conrd3 aor ruch poJ.cGvnh aCmradorG) liccfls.d Plnuint tolh.Conrr.clor! I-ic.nr. Lr* ) _len cxcDpr undc! S.cnon__,4 &rC rorlhi5,.$on WORKERS COMPENSATION DECI,ARATION I h.r.by rinm und.'p.nolr, orpcrury or. ofrh. followi.g d.cla, ions _lhlv.andw'lln.lnkrnaCcnificarc6tConscnrroSclf.ln\r'!i.rw.rlor'c.nDc.s ro.alnov'dcdro,bySccl'.nr7o0ol11{ Labor Cod..lorrh. pc ntucc of rh. worl lor wh, ch nr. p.m rs irsu.d \ or k ror whi(h rhis pqmir is skd My vor t$ conrtEns$oi n$ut i .. .rt is dpolicy,umb..!r. (Tht !.crion nc.d not !c co,npi<r.d ilrhc lEmir is fo, Orc hu.drcd dollaE ill00l or les) ,/l (n''J tl"d'n r\. po,o"'.J,.(. or rrE r Jrl i' \htr1 rtrr penrr \ *iucJ, l r'il .rt t(cdmr rubjccr ro rh. troA(u \on,p.nsr'on laei oi('rl'rNnir. MJ Js.. tl-r rl I$onl compcnilrion proviiions olsc.rion 3700oflh. Labo'codc,I shdl, forl[qth .on WARNING F.ilurcro s.c u r. wo' kcN ' co np..sarion covcraB. i5 un fin6 up ro onc lurdrcd $ous.nd dollq (ll0o.0o0).in rddnionrorh. ihc Labor Cod.. inro.st lnd anom.y s fc.s .r b crininal p.niln.,.rd.ivll .96 6 providd ao!rhcSccrn)n r07(, ol LtctiNsfD c()Nt R{(.,l1)l{s DEcl-.\ll.\ rl()N I hdcby.film undcr poalry olpciory 'har lam lrc.n*d undci prolision of Ch.pr.r e (com -bl I h.r.by rmm undcr pdrlry olpcrjury thrr rlu. h i.oislldion ccofrl,.*.,h 1i,r qh'!h llns pcnn r tndls4 lOrT,Civ C) ,\rPLt( AN',r's Dlj('t-AR\l tON D.'nol'roi Pc'rns ^sb.!rosN.(ficinon r.darl R.gulid'nsl'rnka(r. Pd6) _ R.qutr.d l.n.rof Norific.tion H:,rh. lcdernl rcgul.iionr rcBnrdi.B ah.sros rcn$vala'. ior rDr,liciblc !.lhr lhrvcEldrhr rppL'clto rnderatc d' rh. J ,,r,n,l! \L r lr r:.'nta iI, ordnrmc.innd SI0!. Ln*s rclannB robuildinscon rucl Cilt andCounly ro cnro upotr rh. abo* o.mion.d popcny fu n$pccrio DlrpGq rr,u-n *.r."r191i- P.mnk. n:m. rrinrr )'a:< >4-r+-61 UNDER GROUND Waste & Vent Water-Underfloor Gas-Underfloor Building Sewer Area/Storm Drain lnterceptor/ Clarif ier Waste & Vent Water Piping Gas Pipeing Roof Drain Tub/Shower Test Rough Water Heater POOUSPA P-trap/Drain Line Main Draini Pool Piping Fill Line/Back Flow Pool Heater/Gas Line Misc Water Service Lawn Sprinkler Sanitary Sewer/Cap EXF!EI :ri Rough Plumbing Final Gas Test Frn; I !0t9 Meter Release st.A FINAL oJo,6u7 Notes, Remarks, Etc ID/SIG. Citricr_ o"d-.- - )-> ca-oL rlE BusnBs and Fof6siotu cod.. ddnrr licenr 6 rn full lncc rnd cllal Lic.ns.Cl6r __- Lrc.ns. Nunrber - c/,///7 TOP OUT Gas Service Back Flow Device