HomeMy WebLinkAbout30119012 - Permit (2)- /$tlh\
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Plumbing permit#: 3Ol{90{2
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr
Assessods Parcel: 400-14l -06 Lot: 1
Suite: 1
Block: NA
Bldg: R
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner;
Address
Phone:
Tenant Name:
Tr
1345 N Cabrillo Park Dr I
Santa Ana, CA 927013105
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Fee Type
Waler Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Notes: pd on M48095.
PAID
l'lAR 01 2006
Amount
8.15
8.15
8.15
8.15
-73.25
32.50
Fee
$16.30
$8.15
$8.1s
$8.15
$-73.25
932.50
$0.00
$0.00
$0.00
Qty
2.OO
1 .00
1.00
L00
1.00
1 .00
Phone
State Lic #: 684052
LicType: B, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensation lnsuranc€:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2005
ci tyofs Ana
erituing u.m occupancv:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel g 6ry1s311 Code:
R-1
v-N
cEc 200r
Planning Conditions: No Exterior Work.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subiect to Field:
Date
Date
Date
Misc. Receipt
Misc. Receipt
Misc. ReceiptAhangian, Kathy 03/01/2006
Building Permit #
This pemit shallexpire by limitation and become null and void if the wotu authotized hy this petmit
is not commenced within 180 days from the date of this permit, or if the wo* authoized by this
permit is suspended or abandoned at any time afler the wo* is commencod for a peiod of 180 days
Before such wo* can be recommenced, a new permit shall be first obtained to do so.
Fee Total:
Paid to Date:
Balance Due:
Account #: 011-01-5912 lnspector MID#: 2001-40069
City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Conlractor:
Address:
APPROVALS DATE tD/srG.COMMENTS Om6-B{il.!d Delarlim
I h6.by.ffim ud.r p.nrlry of pdjury lhdI66x@pt fm d. C6t &16'Li6k trw for tt. followin8 r$m Gcc,o3l.5 Bsines
ed Prcr*id C.d.):
^ny
Ciry c C@ry *hich rcquiB ! p<rnt to cdlltucl .lld, iEprov., d@olish o rcp.ir ey ritucn!!, pnd to iri
i$@@, dro EquiB thc appli@t frilch F t to fil.. dsnrd r..r.!qr lnllh. d lhc i.lic4cd puRuor ro th. p.ovi3i@5 ol$.
C@l'!ddt Li.tu.d r4w (Ch+tr 9, CooDacing eirh Sdior 7000 of Uvbion 3 of lh. Bsin6 and P@f6io3 Cod!) d fiar h! or
3h. is qdnF fi.rcfr@ Dd rt. baii fd ihc dl.8cd d6Fi6 .^ry violdion of S.crjon 7011 5 by d, applimr fd 0 Fmn subjc.ls thc
.ppli6r to a civil p6.19 of tut noE 0!e live hu&d doue (1500).
_1,6 ow.s of thc pr!p6ry, d hy dployc6 wirh w!86 E U.t sol. @mpaBali{, {ill do thc worl ud rhc rt lcrffi is .or incndld
d offq.d ftr 5.1. ( sa.70a4, Buinq$ ud Prcf6r@ Cod.r I1l! ConrEtd't Lic@! tlr dc no! apply b 6 oMs of lhc prop.rry
who buildi or inlry6 $..w, ad who .tG iucn qo.t hi@lf a hdr.lf ( rhoah hi! d hr N. .mplorc6. Fovi&d rhar Nch
ihprovmrn6 @ nor inrdd.d or offncd fd s.l. If, hrye6, th. buildi.s d impovmdr is sold sithin on. y.d of @mpldio., rhc
o*id-Buil.l6 will h.v. Oc h!d.i ol prclin8 $ar h. d lhc nor build 6 ihFov. fd rh. pup6c of 3ald
_1, a M6 of $. proFity. e cxcluiv.ly @tr.tin8 wth licorld @n-lds ro .mrc rh. prcj.d ( 34. 7044, 86in6l ed
Prof6ion C.d.: Th. C@E!dq'3 U.4G lrr .106 mr .p?ly ro M oMq of Fop6q Dho blild. q imFovq rhctw . sd whoqrE t3 fM sch proj4l! qi$ ! coirrctd(t) li6Ed p6ost ro rh. conn dort Li@& L.w.).
_l u qmpt u.lcr Sedo .B. & P.C td $i! r.ard
WORI(iXS COMPENSATION DECLIRATION
I hocby afiim udd pcnalty of pfjury @. of tt. follopir8 d.cl@rio{E
_l hav. ed will minuin r Carific{& of CG6l !o S.lf-lNe fd *dl.'!' c!np6'!.tion, B providcd fd by Sc.ljon t?oo oirfi.
L!b6 Cod., f6 lhc Ff.in rcc of rh. q6l fd *hich th. rffn k i$ucd.
_l nav. xd will n.irllir w6t6' cdFrrci@ iNlme, s rcquird by Sali6 37oo Dftn. kbo cod., for ln. pcrtomdcc ofrhc
wort fc wtid Ob pqmir ir brucd. My wntd cmFE io isl@e Mid od policy numbo u.
Policy Nmb.i Expir6l
(Ttit t.cri@ ncd not b. .dplacd if $. Fmn i! tc Onc h6.b.d dollr! {3 | oo} d 16r)
ud" ^n^^.*^.r o.$. sdr ror
)4.s. iubjqr b rl. vdrd mp@.r,@ l.B
,hich lhis pqrr i! isu.d, t rnri
conp.ns.rion Fovirim! ofSaio l70O of$c Labe Cod.,l sh.ll,
?- €-,>L
WARNING: F.i,@ ro @ur wdt6' !diFn5.i6
fii6 up to @. hu<tld 0bued &llc (ti00,000).in
th. t lor Codc intc.d Md snm!y'! f..'.
th.ll ruud $ mdoyd ro dimin.l Fn.lrj6 ud civil
.mpcE.rio., drn.B6 s provid.d fd dc Selion 30?6 of
IICENSED COITTRACIOTS DECI,AXATION
I h@by 6fiim und.r pa'dry of Frju.y rhc I D lim.d u.t r Plo"iii@ of Chrpld 9 (edmcid
tnc BBinB ed Prcfsionr Cod.. ed h, licas. is i, full amc dd.fL.r
-o
!flim undd pa.lry of pajury $d th@ ir . @.nucrioi l..ding aaa.y f6 of thc wdk for shich thir Fmit it
issucd (Sc. 1097, Civ C)
AIIIIJCANTIS DgCLA&{TIOII
Doolidoi PlmiB-A5hdt6 Nodlicdion Fcdaal R.8ut.tdr (T c ao. rrn 6)
_ RlquiEd t"ctcr of Nodficrlid
to comply with rll City sd Couir,
dov. n6ri6.d phFrry ad iniperio
&d Couniy to al.r upd th.
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
Rough Water Heater
P{rap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Ca
Back Flow Device
FT
Rough Plumbing Er\r r.\L
Final Gas Test rrDnl 013
Meter Release
FINAL
SP ,MC 843, 2S0,t!o, co/
Notes, Remarks, Etc.
PLUMBING.INSPECTOR RECORD
POOUSPA
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