HomeMy WebLinkAbout30119041 - Permit (2)Project Address: 1345 N Cabrillo Park Dr
Assessor'sParcel: 400-'141.06 Lot: I
Suite: 6
Block: NA
Bldg: S
Tract: 10823
Suite Range:
Zoning: R4
- /$rk\
$4{qP'*q City of Santa Ana 20 civic Center Plaza (M-19)' Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing Permit#: 30{t904{
lnspector's Section: (714) 647-5853
Owner:
Address
Contractor
Address:
Tenant Name:
Tr
'1345 N Cabrillo Park Dr 6
Santa Ana, CA 9270'13106
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
NAR 01 2006
City Ana
Amount
8.15
8.15
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' Compensation lnsurance:Carrier: State Fund
Policy #: ,t823737
Expires: 06/01/2006
Building U
Job Type:Alteration
Nature of Work: Kitchen Remodel & 6ryv,'311 Code
Planning Conditions: No Exterior Work.
t-N
Ahangian, Kathy
Occupancyi
Constr Type
R-,1
v-N
cPc 2001
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Date
Date
Date 03/01/2006
Building Permit #:_Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
Account #: 011-01-5912 lnspector MID#: 2006-67833
Address Range:
Historic: No
Phone:
This permit shall expire by limitation and become null and void if the wo* authoized by this pemit
is not commenced within 180 days from the date of this pemiL or if the wotu authoized by this
pemit is suspended or abandoned at any time afterthe wotk is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new pemit shallbe first obtained to do so.
l\4isc. Receipt:
Misc. Receipt:
Misc. Receipt:
PLUMBING{NSPECTOR RECORD
APPROVALS DATE to/stG.COMMENTS o*ra-Build6 D..l.nri@
I hcrcby rffim urd.r p6il9 of Frju/ lh.t I I exall$ fdm $c Coilr!.loB' Lica!. L.w for dt. follo*iii r..s bc.?O | 5 Autitst
ed Pofdrioi Cod.): Any Ciry or Co6ty *hich rcauir.r . p.nir io co.rt!.r ilcr. irnprot. d.frolish or rcPlir uy tttlcnft, Pnor o iB
ir!@*, lLo Eqund lh..pplicMl f6 flch p.mn !o fil!. riFcd fimni $.r h. d th. i licot.d p@uxl !o th. Proviiio of$.
Cont .lE! Licd!.d ki (ChrPr6 9, C.modn8 eilh S..to ?OOo of Dvki6 I of dE B$ind -d lrcfdliot C6d.) or rni hc or
rh. ir adA thdfton ed $. b.rh lc th. .tl.r.d d pli6 .Any viol.li6 ol Sedo. 703I J by xy .PPli6t fc. Fhil !!bjca! dE
.pplicst b . civil Fndry of no. tle lhD fiE hu.&.d dolttt (ltoo).
_l, s oqi oa $. FoFry, or ny 6ploy6 pith *!ss s $.t sl. @mr!.!niotr, will & th. *ort ed th. trtuctr it rct i.rad.d
or o6a!d r* !al. ( se 7oaa. Bsin6! &d Prca6id co<L: Th. coteff! Li@. bq do.. not .pd, ro e omd of $. prcFny
who buil& n imF.vB lto@, url who &d rEh e!* hitrt .lf cr har.lf d rlrdlh hit d ia M @ployq.) Fovid.{ rlrrr et
inprcvddu e tol intadcd d oficEd ln r.lc. li howcvli, 6. buildinS d imprclmot it tol.l wiinin dc y6 or cdplcd6, Uc
Owi.rBoil<k will n.v. tt. burd.n ol provin8 t.l h. or rh. nol build o impN. for dE pu.pot. of iik)
_1, s M.r of !h. pr.r.ny,6 *clBilcly c6E&tin8 eilnli@.d @rer6 o @tud lhc projer ( S.c 704t, Bqi.4 6d
Prolcrcion Cod.r Tt. cont .1dt Lic.N l, d6 nol .!ply ro E oMa of gropcny who builds d imFovs 6co . &d who
co.ntu lor luch prcj..B with a cdF&ro(, lic@d Puruer io fi. coht&rors Li.aE L!w.).
_l 6 .xhpr 6dd sc.ri6 .B. & P.C. ru rhir @6
WORKERS COMPENSATION DECLAIATION
I h@b, rflim udr pcralty or pdjury on. or lh. folloqint .lccla.nonll
_l h.v! sdwiU m.inhin rCarifid. of C6rar toSdtlBurc fq w id'cohP.ntd6, a [@vid.d fo by Saii@ 1700 01lh.
L.bd C!d!, ln $. p.rfmD@ of rh. wdt fd which lh. pmi ir isucd
-l h!v. ud willmlntu *6tcr'' .ohpcn$ri6 i um4,! rcquiEd by S..tion 3700 ofdc L$d Codq, ror$. r.rfono@ ofln!
vork ltr which $is pmir ir i!ru.d. My voi(6i' cmFnsadon inlt e csic -d policy hunbfi 4.
Ohn &clion rdd nor b. cmpld.d if th. pmn i! ror On. hundrcd doll4 {$,00 } 6 lB,
,"d,6.,"-i ${ in rh. psfol!'ltnc. of th. wot fo. which lht p6nil ir i!!u.d, I lhtll
l.* of cdilmir &d.Erc 0t{ if I
rn. Llbc cod., I rhdl, f*rhwirh
WAAMNG: !6iluF b rew qo*6r c.tnp63rri6 mployaro dmin.l FnahiB..d civil
fir6 up to @c hud'cd douad &llc! (tloo,ooo),in e.tdiiid to rh.
rhc L!!d Cod.. inld6t &d ro crt fet.
B proridcd fd rh. S..ri6 1076 of
IJCINIDD.CqNIBACIIIBIJECIdBAIIAN
I t@!y rnifr ud.r p6.lty of prj6y rhd I m lic.ucd udd p6!iti6 of ch4iq e (
tllc Bwir6 !d PrcrdiN Cod.. &d lny liclM ir h Nl fo.c. rrd .fe!
I h@by dlim u.d.' pdslty oaFjury lh.l th@ h . c@ruc{on
i$!.d(Se 309?, Civ. C.)
. F fomM@ ol rh. {ort lor vhich thir plrhir ir
AIILICASIS.DICIASAIION
Dsnoli!'o P6hiE-&b6t6 Notificlio rcd6.l Rcaulniou G .40. hn O
_ R.qotld L.n6 otNoli6cnioi
rcmovll e iol.rPliqblc to rhi3
ro @mply wirt .ll ciry rd cou.ry
of rhi! Ciry ed CMy to 6rt
!bov. marim.d prcpcny for inrFclid
UNOER GROUND
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
POOUSPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing EXPIRI :D
Meter Release FEUUI tul9
SI MC 8-43 20n
FINAL
Notes, Remarks, Etc,
Waste & Vent
Water Service
Final Gas Test
I
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