HomeMy WebLinkAbout30118992 - 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{18992
lnspector's Section: (714) 647-5853
Suite; 3
Block: NA
Bldg: B
Tract; 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: 1
Tr
1345 N Cabrillo Park Dr 3
Santa Ana, CA 927013106
Amount
8.15
8.'15
8.15
8.15
-65.10
32.50
Phone
Tenant Name:
Contractor:
Address:
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
State Lic #: 684052
Lic Type: B, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
PAID
FEB 23 2006
Occupancy:
Constr Type
R-1
V.N
cPc 2001
City Sanla Ana
Building Use
Job Type:Alteration Notes: pd on M-48095.
Nature of Work: Kitchen Remodel & drywall Code
Planning Conditions: No Exterior Work'
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy
Date
Date
Date 02t2412006
Misc. Receipt
Misc. Receipt
Misc. Receipt
Building Permit #$0.00
$0.00
$0.00
This pemit 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 wo* authorized by this
petmit is suspended or abandoned at any time after the wot* is commenced for a peiod of 180 days
Before such wo* can be recommenced, a new pemit shall be first obtained to do so.
Account #: 011-01-5912 lnspector
Project Address: 1345 N Cabrillo Park Dr
Owner:
Address:
Phone:
Fee Type
Waler Closet
Sink
Dishwasher
Garbage Oisp
Trust Applied
lssuance
Fee
$8.15
$8.15
$8.'t s
$8.15
$-65.10
$32.50
Qiy
1.00
'1.00
1.00
1.00
1.00
1.00
Fee Total:
Paid to Datel
Balance Due:
MID#: 2006-67701
PLU M BIt.IG.I N SPECTOR RECORD
DATE ID/SIG.COMMENTS Own.L0urldcrD.cl ariotr
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WORKERS COMPENSATION DECI.ANATION
I h.r.by lmm und., p.n.lty ofpcrj!ry on. oath.Iollowirs dccldrions
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Libor Cod.. forrh. pofomrMc.ollh. w.r[ iorwh,ch Ep.mtr is issu.d
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worl 16rwhrch (ht pom iss3ucd My workca .onpcni ion,trsuranc. (ui.ran! Fl,cy numb.r irc
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Policy Numb.r- Erpn.s
(Thts sc.!on ne.d trot bc conrdd.d illIe Itmr! B ro' OD. hundr.d dollus ]l loLri or lcs)
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WAR]\INC Failqr.ro r(uE wolt.B cohp.nsation cora!.
find up io onc hurdr.d tiouslnd dollar (ll0o,00o),in addnion I
rh. Lnbtrcod., i.r6.e Md or.yt lc6
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issu.d(S.c 1097, Civ C)
cc of $. *or I for sl*h rhn p.mn i!
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ordnanccs d Skk L.*s r.llrrn8 to burldrnscor
abolc nrcnrion.d pror.ny lor irjpccrio. porp6.s
Crr, ond Counly lU.nt ruponlh.t%*
UNDER GROUND
Waste & Vent
Water-U nderfloor
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
POOL/SPA
P-trap/Drain Line
Main Draini Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing F](EtEEt i
Final Gas Test
Meter Release FFI t=l20tc
FINAL {o, zYU, 956, 6 57
APPROVALS
^",. , ) '2-4'oL"_c=--
"kl 24'oC
&lMe a;
Notes, Remarks, Etc.