HomeMy WebLinkAbout30119004 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana' CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (7'14) 667-2738
Plumbing Permit#: 30{{9OO4
lnspector's Section: (71 4) 647-5853
Project Address: 1345 N Gabrillo Park Dr
Assessor'sParcel: 400-141-06 Lot: 1
Suite: 1 5
Block: NA
Bldg: B
Tracl: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor
Address:
Tenant Name:
Tr
1345 N Cabrillo Park Dr l5
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Alteration
Ahangian, Kathy
Fe6 Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Notes: pd on M48095.
Qtv
1.00
'1.00
1.00
1.00
1.00
1.00
PAID
FEB 2 4 2006
City Ana
Amount
8.15
8.15
8.15
8.15
-65,10
32.50
Fee
$8.1 5
$8.1 5
$8.15
$8.15
$-65.10
$32.s0
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
Phone
Building Use:
Job Type:Constr Type
R-1
v-N
cPc 2001
Date:
Date:
Date:0212412006
l\4isc. Receipt
lvlisc. Receipt
l\4isc. Receipt
Building Permit #
This pemit shall expire by limitation and become null and void if the wofu authoized by this pemit
is not commenced within 180 days from the date of this pamit, or if the wo* authodzed by this
permit 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:
Account#: 011-01-5912 lnspector MID#: 2006-67713
Phone:
$0.00
$0.00
$0.00
Nature of Work: Kitchen Remodel & drywall Code:
Planning Conditions: No Exterior Work.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
PLUMBING.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS O*nq-Buildq Dc!l&r!@
I h6a!y .trm 6&r pcrdty ofpdjury th.t I @ .x@pr fm thc Cdrtldr' Li@d. Law fc thc fouowirs .@@ Ga.7ot t.l !$ina
&d PDf.rsioo Cod4, Any Cig d C@ry which rcquir.i . p@ir to .dttuci, alrd, ihprovc, .l@olish o E lir dy ir.ucrr!, pnor lo i$i!sEc., rlro rcquiB th. appliMt ror luch pqmit ro ,il. a siF.d srrarcnr rhlr hc 6 rh. is lictuGd puru4r t! t. p@vilimi ofrh.
Co.uerd! Lic6.d L.w (Cn.fla 9, Clmddns with S4d6 TOoo of Diri3i6 I of $. Buin.c! ad lrofsi@ Codc) d tn{ t. or
shc ir adt rh@aoD ud |n. b..i! fd $c sltcs.d qsrlPri@ .Any viohrio of seri6 703 I J by 6y lrpti@r fd . pcr,nir ,ubj..l, ln.
opplidl to . civil FElty of not ')m thd iiw hs.Lld &ll3 (1500).
_I, a Mq of ti. ForE ry, d rry dploye wnh w.€6 s $ci. iol. cdpa3lrion, witt do 6. vork sd Uc sEuctuc ir not inrcnd.d
or otrBcd fd sal. ( 54.?0,44. Bwins dd Prcf6si6! Cod.i Th. Cdr&ror,! Lic6s. Lrw do€ sor lppty 10 e oM6 ot thc prcp.rty
who buil& c ihlfovB thdM, &d who do6 Du.h wort him.lf d hd.lt a lhrcu8h hii q td oM .nploy€. Fovid.d rhar such
inFov.lMts @ nol inmd.d d ofi6.d fG 'rlc Ii ho*ea, rh. buildins or inprcvoot is told wnhin on. ya; of cmptdion, rh.
OMd-Build.r wiu hsvc th. blrdd of proving thd h. or sh. not build or inprovc for tt. purpos. of sal.)
_1, a Mdoarhc p.oIE , e dcluiv.ly @E.tia8 with liffi.d 6tr&toE b.oNrud rlE prcjcd ( Se 704a, BsiiB dd
kofestio Co<L: Tt. C@addt Licd$c L.v dc nor apply ro e omcr or prcp.ny who buil& d inprovB tt.l@ , ed eho
corr!.l, for such proj..E enh 3 cdlErdq(o licdlcd plj!5@r ro th. cqElaor,s Li@F Llw )
_l m dopt uda s..rion
-8.
& P.C. rd lnir 16@
WORI(ERS COMPENSAIION Df,CLANATION
I hftby affim ud.r podry ofpajlr, on. of tn. followinB d.cle.ti@:
_! h.v. od sillhairtlin &Cdifi6r. of C@alro S.lf-lnsu. fd wnt6 cmpasarid, s FDvid.d fr by Scrioi t iOO ofrh.
rlbm Cod., f{lh. pdfdl@e of $. p6t fd which rhc Frnil h isud
_l ha!. &d will mirlaiD wqkc6' conptuation iNurs@. s rcquird by S@rion ITOO oflhc Llbor Cod., for lhc pcrfom&@ of6c
work fc which thi! Fmit is isucd My vork6' compasalio insutucc 6iq ed poticy numb.. dc
Cnid
(Tr'is lation n*d nor b. .npl.r.d il $. pqmn h for oDc h@d..n dolte (t I ool d lcss)
,Zu*^^^
F-.-6i."ro,tE pdfm&c. ol th. wot fd whic[ lhi! psnn
th. eo*6 ' cm!@!!a@ lss of Cdifdi.. ad
comp.ns.d@ proeisi@s of kbor Co.L, I sh.ll, fonhPith
WARNING: Fdl@ |o sE wort6 .ohpoEcio @vdigc ro dimio.l paallid 6d civil
finq up 10 o. hu(fld lholed &,lla (l I oo.Ooo),ii ,.Uitio.
0!. Llbc Codc. inraBt ed lnmcyb f.€.
. d.haAa a prcvidc! fd lhc Setion 3076 of
I h6.by a6im uDd6 p.n.lty
the Bqin* Md lrof*itu
ofFjuy $atI6 ricord uidrprceision
Cod., d my lic6s. t in tull fm. dd.6cct
I t@!y dEm sda padty of D.o{ry 60 Od! i, . .et'ud@
isud(Soc 3097, Civ. c.).
ofthr wuk io. which $i5 Fmit i!
AI'PLICAN?S DACLAII"{TION
Dqnolido rmjt3-Alb61oc Nolinoti@ Fcdaal R.gu.rioo! (Tid. aO, lst 6)
_ R.quir.! LlBo ofNodficatioi
?
-tyy!tul]l'.
t.ed rcEuleou rlsurlin8
L l cmify n\at I h.v. @d fir! mrhcltior .nd
ordineG dd Sht LlB Elllins ro blildin8 CiV dd Coo.ty io ot r upon
.!ovc hdri6.d prcDcny ld inrp..ri6
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Buildin Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Jvlain Draini Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
BguSL Plumbing EIF IFED
Final Gas Test
Meter Release rEo I I 4UIJ
EAMC 843,7
FINAL
Notes, Remarks, Etc.
DATE
D{. Oue
Water Service
?90. ssa *