HomeMy WebLinkAbout30119002 - Permit (2)Cify of Sa
Permit Coun
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: (7 1 4) 667 -27 38
Plumbing Permit#: 3Oll9OO2
Inspector's Section: (7'14) 647-5853-5800
Assessor'sParcel: 400-14t-06 Lot: 1
Suite: 1 3
BIock: NA
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor:
Address:
Phone:
Tenant Name:
Tr
1345 N Cabrillo Park Dr 13
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 M.48095
PAID
FEB 24 2006
City of ta Ana
Amount
8.'l 5
8.1 5
8.15
8.15
-65.10
32.50
Fee
$8.15
$8.15
$8.15
$8.15
$-65.10
$32.50
Qty
1.00
1.00
'1.00
'1.00
1.00
'1.00
Phone:
state Lic #: 684052
Lic Type: B, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensalion lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
Building Use
Job Type:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Alteration
Nature of Work: Kitchen Remodel g 6ryv311 Code
Planning Conditions: No Exterior Work.
pancy
Constr Type
R-l
v-N
cPc 2001
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:Ahangian, Kathy 02t2412006
Building Permit #:_
This petmit shall expirc by limitation and become null and void if the work authoized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wotk authoized by this
pemit is suspended or abandoned at any time afrer the wotk is commonced for a peiod of 180 days
Betore such wotk can be recommenced, a new permit shall be lirst obtained to do so.
Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
Account#: 01 1-01-5912 lnspector MID#: 2006-67711
ProjectAddress:1345 N Cabrillo Park Dr Bldg: B
Tract: 10823
PLUMBING.INSPECTOR RECORD
I hrcby amm und.r pd.lty ol pdjury rhd I ' Li@N! Law for fi. followi.B rten (re. 7011., asir6r
ud Prclaid cod.), Any Ci9 or CMry vhich r.qui6 . tffiit ro @riu.q !trd, imprcvci .tchotth q r.rlir sy tEuclur., Fiq ro iliistuee, slro rquiE6 thc applicel ior luch pmjl ro filc 6 si8n.d sllr@at dEl h. o. 3hc is ticd!.d puuud io rhc Fovisio; of $.
C@terdt Lictucd tlw (Ct.pra 9, Com6cin8 wi.h Seri@ ?OOO of Divilim I of U. Bsin* od prcf6li@ Cod.) or rhlr h. d
sh. is cidpt $d.ftom ed $c bdn fa Ih. dlcsqd q.Dpd@ .Any eiolnio, orsacrion 70,1.5 !y sy appli@r to. pc;,t rubjccri $.oppliEt !o . qivil pa3lry of nor n@ $$ fiv. hudld .tolm (tJ00).
_1, a oqd of th. D.o?Gny, 6 ,ry npL,yc wi6 vagc G th.t !ol. c@F...ri@, will do tn. wo* &d lhc iEu.r& t not inhd.d
or off.rcd ro $1. ( S@ 704a, BEir6 Md Prcfsim Cod., Thc C..f!.lq.t U..e t * dod nor apply ro & ou* ofdE Fop.nyvho builds o. iDFov€ rba.on. ed sho da ,ucli wdt hiretf or h*tf d ODugh hk o h6 oM .lnployc6, Foli&d rhlr suciihprovdat! e iot i ad.d d oflacd fd,s1..I( towdd,6c blildins q inprovnor k lotd wi6i, o.a yd of cdphrio, $c
oenq-Bqilda qill hlvc rh. bunla of prceing th.r h! m rh. .or blild o inprovq ror lnc pulp6c of!.lc).
_1. a {m( of rhc prcpcrq, e .rdqBty @Erring with licos.d c@ro.ton ro onlhcr rh. p.ojd ( S4 7oaa, Euin.3r &dPbfdio Cod. Th. Cdr.dor'! LieNG Llr &B nor $ply ro & oqd olproFrry who buitdi 6 idprovE th.!M , Md who
@E..l! for cuch proj6lt wid 6 cdE .ro{, li@.d purlur to tt. Corr&ror,s Lictu. Lr*.)
_l e cxhpr uodlr Satim
WORKERS COMPENSATON DECLANT{TION
I hdby amfr und.r pdalty of Frju.y on. ot thc foltowins .L.t&nioN:
_l hae. dd will m.i.i.in . C.ninca& of Coroar to Sdfiot@ ld wort6, chpas.ri@, s frcvid.d fr by Sccrio.l?OO ofih.
Libd c.d!, ro $. Pdfdfu@ otrhc wort for *hi.h th. psmir ii i$u.d
_l ltav. ad willhainlain w6k.6'! cdpnBaiion insu@@,6 rcquirEd by SElion 1700 ottc Labd Codc, for U. pdfotrfu* of t.wo* fd whi.h $is pann i! i$u.d My *orld!' cmpos.lio insum@ ceic ud poli., nmb.r e
Cnid
Policy Nustq: Bl!,tls
Oni, sction rq.d Dot bc cmpl.rd il ih. ,mir ir for Onc hund'.d dolld (t I oo ) or I
;fli,o, *, ,
'n. oor*e or th. wdl rd shicr rhtr p.m E $u.d. rbLe. 3ubr6 ro ,r wortf, ' conpau.tlm ls of C.lif6i( ed rsE rh{
@Dp.srti@ prcvi3itu of Sdrio. ,?00 ofrh. lrbs Cod., t rhdl, fdhwirh
o
\'VAXNINC: Fail@ lo @@ eo*6' qmFrlari@
fii.! !p ro oh. hNd'ld lhMud dott@ (l too.ooo).i,
|n. Lrhor Codc, inlad &d l!@.y'r fB., dMag6 a prcvidd for rhc Scclio 30?6 of
und.r p.i.lty of p.rjury rhd I o licds.{t undd provilion of Chap6
$c Buh6 ed lrolBioir Co&. ud m, lic.E. h in tull f6c. ad cf*r
Lic@ Cler--- Lic@. NMbq>-z
I hc.cby 3ttim ud.r Fn.lry of Frjuy lnar thsc i! a coEEudioD ladi.g agdcy th. p.rfmoc. of tlE wort fd which rhi! ,.Bil it
issucd (S.c 1097, Civ. c)
AIPLICANTIS DBCLAR TION
Darclid@ PmiEAlb6t6 Nori6c5d6 r.dd.t R.tut.ri6. (Tirl. .0, ?sr 6)
_R.quircd t fld olNotificiion
.grcc lo comply wnn .ll Ciry &d County
alovc m6do.d propcrty for insr.did
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
h Water HeaterR
POOL/SPA
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Healer/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Ca
Back Flow Device
&ugh Plumbing EXFIT rcu
Final Gas Test
Meter Release IEU U I {lliJ
8-43 556
Notes, Remarks, Etc.
of lhir Ciiy Md Cooty to ata upon tn.FINAL
DaIc OmF