HomeMy WebLinkAbout30119009 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, cA927o2
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738
Plumbing Permit#: 3OllgOOg
lnspector's Section: (71 4) 647-5853
Project Address: 1345 N Cabrillo Park Dr
Assessor'sParcelr 400-141-06 Lot: 1
Suite: 16
Block: NA
Bldg: B
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Notes: pd on M
Amount
8.15
8.15
8.'t 5
8.15
-65.10
32.50
Tr
1345 N Cabrillo Park Dr 16
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Qty
L00
1 .00
1 .00
1 .00
1.00
1.00
PAID
FEB 4 2006
City of Santa Ana
Fee
$8.1s
$8.15
$8.15
$8.15
$-65.10
$32.50
$0.00
$0.00
$0.00
Phone
State Lic #: 684052
Lic Type: B, B, C-33, C-33
Bus. Lic #: 3l5l 14
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1A23737
Expires: 06/01/2006
ill'#J*' M
Nature of Work: Kitchen Remodel & drywall code:
Planning Conditions: No Exterior Work.
Date:
Date:
Date:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:Ahangian, Kathy 02t24t2006
Building Permit #;_
This permit shall expiro by limitation and become null and void it the wod< authotized by this permit
is not commenced within 180 days from the date of this pemit, or if the wotu authoized by this
pemit is suspended or abandoned at any time after the wotu is commenced for a peiod of 180 days
Before such wot* can be recommenced, a new pemit shall be first obtained to do so.
Account#: 01 1-01-5912 lnspector
Fee Total:
Paid to Date:
Balance Due
MID#: 2006-67750
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
R-l
v-N
cPc 2001
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS Omd-Buildd Del&atid
I hcrby afimuddpc,rlg oflaju.y$ l m cxmpr am lh. Conft.los Li.ds.liw fo rhc follovins Bd (sq. rol I 5 DBina
Md Prcf*ior Cod.) A.y City or Coury *hhh Equir6 . F6il ro @nrr!cr. lltcr, itup,or., ddotish or Ep.ir ey suvcturc prior to il,
i$@@,.bo r.quiB th..ppli61 fd,uch F6it to filc. siSn.d ll.rmdr lhd h. or stu i! liqr.d puBur lo lnc prcvision! oath.
Cos&1ot Li6cd kw (Ch.plr 9, Comocins silh Setion 70OO of Dividon 3 of !h. Bui.s &d Prcfsion! C6r) @ dr.r h. or
3hc k ddpl rhfrftoh ud th. blir f6 rh. .ll.g.d .xmpti6 .Ary yiol.tio" of S.ction ?03 I 5 by My applicel fr . pomn rubjer lhc
applidr ro ! civil p.n.lry ot nor o6c thu lie hu&.d dolle (lJoo)
_l6 oM6 of 6. pr.p<ty. or n, @do'6 eirh q.gs d rhcir &1. cdrpcllaim, will & th. wqt ed th. sEetur ir not inrdd.d
u otrq.d fd !.1. ( s...70aa. Bwiid ad P.ofdioN cort : Ih. C@r-&tqt Lic.@ t w do6 Dor lrpty ro s Md of rhc prop.rry
wno bril& d inliDB thcrloo, od who do6 ru.h wdL titudf d h6df n thr@8h hi! d hn oq dploy€, Fond.d $c !rch
improvmdls e nor inltnat d o oflqld fs islc, If, h*cvd, tn. buildin8 q improv.mdt ir !ol<t within o. y6 of cmpldion, $.
Own6.Builda will hwc th. burd6 of plovins $d h. d 3hc .ot b{ild d imFovc td $. ru.p@! of i.l.).
_1, a oMd of d& For.ry, e aclcivcly c..t&rir8 with li.rucd @r&106 to conrEuct rh. prcjccr ( S.c, 7044. Bsind sd
Prof6si6 Cod.: Tnc C@nrd6t Li6sc trw d.€ not .!ply lo & oMc ofFopdty who buil& 6 iop.ov6 thtu , srd vho6Eeri fd ruch projdt' eilll . C6E&ro(r) lictucd p@u&i ro thc Conri.lnt Li.cn& Lse.)
_I o qnF d&r Setior
WORKENS COM}ENSATION DECLANAT'ION
I h@by afiim udc. pa.lry ol pdjury onq of0t. follopir8 &.hrariod:
_lh.'!edwill@i lin . Carincll..f c.or@t to S.lt-lrEW fd w6kd, @np.n!.i6, d Fovi&d 16 by Sccliin 3?oo ofrhc
L.bor cod!, ror $c psfmecc of lnc {dl fd which rhc p@ir i! isE<,-
_l h.v. ud vill minl.h *dt6' c@par.d6 iBume, B rcquir€d by s€crjm l?00 oflhc Labo Cod., for thc prrmo.. ofrh.wdt fa qhich lhk pmn is i$ucd My qdtB' @mp.narie irolec! @iE dd polic, nomb.r &.1
,{*o*,^^,
bc @mpldrd if rh. p@it is fd Onc hundr.d.lolld {ttOol dl
p6folr@.c of th. wd lor whid lhis pdnit is isu.d, Iqdt6 ' .mpoacim l.s of C.lif@ia ad aec th,
compa.arion prcvi.iom ofScctioo l70o olrh. Lsbd Cod., I lhrll,
WAINING F&l(@ sc.WMrt6 @ftrFNdrd @va!S. r d nployd ro dimiml pcnalrid and .ivil
nn6 up ro dc hundr.d dDc d &lle {ll0o,00o),i. addirj@
tlc L$o. Codc, irrc'clr sd lnoD?yt 16.
, dam!96 a prcvid.d fB rc S@rion 3076 ol
I LICENSED (OIIMCIqSiDEEIAEAIIO!
r hd.by anm unda pa,rry or p<qu'y ri uiiEiii;ii una- p'oron ofcr,acnl;ftn.,
th. Buios od Prcf6li@ Cod., od my lic6!. is in tull f@! ed .Sc.l
I hfcby afim und.r pd.lty oipqjury $d tnd. is r consFu.lion todiie aemcy fm rh.
issu.d (Scc 1097. Civ C)
of dc wqk i,which lllis pmit ir
A}PLICAIIT'S DECLANAT!ON
Dmohior PmiE-A3b€rd Nolifio(o f.d.ral R.gulriod Gnl. 40, Prn 6)
_ R.q!ir.d Llti oa Norifr.ado.
ro comply with dl Ciry sd Co6ry
of thi City ed Counry to 616 uDon tt.
aboyc Mrion.d prcpdry fd irsD..tid 224-
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pi perng
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Lawn Sprinkler
Sanita Sewer/Cap
Rough Plumbing EXPI tED
Final Gas Test
FE,E U I IUIU
SAMC 8-43. 2!
FINAL
Water Service
Back Flow Device
Meter Release
Notes, Remarks, Etc.
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