HomeMy WebLinkAbout30120002 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, C492702
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738
Plumbing Permit#: 30{2OOO2
lnspectof s Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr
Assesso/sParcel: 400-141-06 Lot: 1
Suite: 16
Block: NA
Bldg; Q
Tract: 10823
Address Range:
Historicr No
Suite Range:
Zoning: R4
Phone
Ownerl
Address
Contraclor:
Address:
Phone
Amount
8.'15
8.15
8.15
8.15
-65.10
32.50
ary
1.00
1.00
1.00
1.00
1.00
1.00
nt,a ana
Fee
98.1s
$8.15
$8.15
$8.15
$-65.10
$32.50Young 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.48654.
PA,D
tlAY 17 2006
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1523737
Expires: 06/01/2006
clty ol
Building Use: Multi-Family (5 or mqlg un Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & drywall code:
Planning Conditions: No Exterior Work.
R-t
V.N
cPc 2001
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Misc. Receipl
Niisc. Receipt
lvlisc. ReceiptAhangian, Kathy 05/'t6/2006
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 pemit, or if the wotu authorized by this
pemit is suspended or abandoned at any time after the wo* is commenced for a peiod of 180 days
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
$0.00
$0.00
$0.00
Account #: 01 1-01-5912 lnspector
Tenant Name:
Tr
1345 N Cabrillo Park Dr 16
Santa Ana, CA 927013106
Date:
Date:
Date:
Fee Total:
Paid to Date;
Balance Due:
MID#: 2006-69858
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/srG.Omd-Blilda DelE i6
I hatD,.6im@.t pe!.lry of Fj!r, tlt.r I @ adF fm llc C6t do.t' Li@E l''..w fGll'. foll@ina lt&I (8.?o! L5 B6in&
Dd Prcfdio Cod.): Any Ot,6 CoiDi, *hicl Equir6. pahir io c.i!trc!.116, inFov.. (kndith d E?.nay rtut !, Fi6!o iE
i$6@, nro r.quid tlc r9pli.&r fd run Fmit to 61. . ,ignod ntla6t thlt [. d rhc i. li6r.d Fl:ler lo ilt Fovtla! of 6.
Cor..ld! U@*d L.s (Ch.Pl- 9, C@drs witL Scdio 7m of Divi.i6 3 oI d'. Butitr . !d ftd6rd Cod.) a ttd h. a
fi. h qmF lh@ts! od lt. b.rt fq th. .ll!8d qopd@ .Ary viol.ri@ oa Setjo ?ol I 5 by sy +clic{ll fq . p6rn iubjalt lnc
lpplic5rr to . civil FBlty ot n r nc dE nE h6drd dolld (S500).
_1, a omd of Ihc FDFry, d nr.nl,loy6 with *.86 a 6.ir slc coopos.li6, sill & lh! vdl ed thc taucnrE k noi inlcrL.l
d ofi@d fd ..lc ( S4.704a, lui,B ud Prcfgi@ C.&: Tnc Cof!.lor! Lic.e t w rloa .<r Fply lo D os6 of lh. prlpdry
qho boil& d imFDB lha6, r*!,no &d sh qort lirE lf6h@lf d $rcu8rr hi! nh6om @plcr6, FEyitLd tht rel'
imFDlmr, e not inr6d.d r oiTcld f6 slc. Ir, tMv6, t !. hildin8 d ihDolllEr h sld ei6i. dc yd of @npl.tio\ th.
Omq-Buil.Li will hrvc rh. h!d6 of Foliry rhr h. d 3bc tur h{ild d inProv. fd $. Ptryc of!alc).
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Prcf6i@ Cod.r fi! CsF-i6 r Litu I:r dc nor +9ly io u om6 of ptulaty *ho build! d inFoG ihG6 , hd who
@r&t! f6 r{.h roj..rs wi6.Cd rald(3)li@!.d p''!!@r to lt. CoE&16''Lic4. L.s.).
_lDqdtru!d!rS.ci6-B.ltP,C. fdlhi!las.
WORKERS COMPI]NSATION DECLARATION
I hftby .liim mdd F..lry of p.dury o. of lh. followin8 d.rledi63:
I twc od eiu roinkjn ! Cdtiljc.r. of C@@r ro Sllf-lns@ for mrko cmFB{im. e Fovidd fd by S6ri@ l7m of6.
r.Df Coda fc th. Ffme of th. wdt fq whict lh. Fmi ir isu.d
_lhw.&deilln aralsdld cmpari.lio iNlmcc, e r.qurql by S!.!o r?0o of dE tlbd Codc fa 6. pdforit.e of th.
**l fd which lhh Fnit ir i.su.d My *616' cepdBiid iaume 6i6 ed poli.y ,mb6 &l
Policy N6be expicr
(Thir siio nc.d no( bc omplclld if O. Frn i! fd On. tudld &llu {ll0o) o. l*)
_l cdify th.r in lh. Ft@ae ol.h. *ol f6 vhich rhb Fmn b isuc4 I 5hdl .or orloy ey pds6 in my runs s a to
ha@. rubrd ro $G wtr[6 cmFu.ri@ lam of Cdifmiq Bd oAr lt.r if I should bdft $bje1lo thc *at6'
@mFft.Iid pFvili@ oa Sed@ 3700 of tlE L.hd Cod., I th.ll, fqrhwilh @!ly with lhs. Fovisids..
WAnNING Fdlw !o .e rrrd' .dnF6li6 cor6zg. ir uletul, &d rh.ll tubjd e drtPlora b diniid Fdt€ Dd civil
fin6 lP ro m h@drd rh@d &lla (3l0o,0oo),in 8ldiri6 ro dt. cdr of c6pa3d6, d&$6 a F@idd fd fi. s.dio 30?6 o(
6. Lrbor Cod., itrtsBr &d .ltd,crt f€.
ucIlt D-co!flaacrots-oDcldaAxloN
I h@b, .fim ud( Fmlry of pdjury dta I m li@d unda prcvilia of Cltaplq e (.om6dr8 silh S+li@ 70m) of Divkid 3 of
rh. BBir6 &d Pbf6i@ Cod., sd my licfuc ir in tull f{E ed .IIcr.
,e-,2-2,/a/
OONSTIUC TON LENI'MG AGf NCY
I na*, dim u!r'a lady of Fjtry lir 6@ i. ..(.miirdicr lardiot .3aEy fd rL Ffare. of dE r6t fa ahicn id. Frnit t
iurd (Se. 30Yr. (}v. C.).
AEUCANIS.OISdAAUqN
Damliri@ Poftjs-Alh618 Notificrid F..Ld, R.Suldd Girl. 40, Pdr 6)
_ R.qunld Ltrr ot No.ificltid
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c6dry thal lh. f.dEd Ggddrois r.SlrdrnS lb€ld t!@v.l N sol +tlicdlc to lli! Foj.d.
_ I cddry thar I harc rad $i3 .rplicde od !m. Od $. $or. i.f6nni6 b coG1 I .sG !o .@ply wnh dl City &d ctuty
odi@6 ad Sl& t,M tdairy lo bsildirS @i.ud@, 6d holby urhci& EFFaLliv!. of lhis Cit, Dd CMt, ro 6rd upoi th.
.borc tEddcd Flpaty fa aEpcria pl F.B.
r,wriqrqasarsle.: :4 /1*:p.,.' 9-4 /tZ-zz,z -/27-<.;
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
TubiShower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/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 EXPI ?ED
Final Gas Test
Meter Release FFB O I ?019
FINAL
Notes, Remarks, Etc.
Word\wps1\Forms\Pemil lnsoection Forms
UNDER GROUND
COMMENTS
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