HomeMy WebLinkAbout30119046 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 9?702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing Permit#: 3Oll9046
lnspector's Section: (71 4) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 9
Block: NA
Bldg: S
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: I
Owner:
Address
Tr
1345 N Cabrillo Park Dr I
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Amount
8.1 5
8.1 5
8.15
8.15
-65.10
32.50
Qty
1.00
1.00
1.00
1.00
1.00
1 .00
Fee
98.15
$8.15
s8.15
$8.15
$-65.10
$32.50
Phone
Tenant Name:
Contractor:
Address:
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280Phone
State Lic #: 684052
Lic Type: B, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1A23737
Expires: 06/01/2006
PAID
HAR 01 2006
Buirdins useG..)oiSJAffiEEhA- occupancv:
Job Type: Alteration Constr TYPe
Nature ofwork: Kitchen Remodel & drywall Code:
R-'l
cPc 2001
Ci of Santa Ana
Notes: Pd on M.48095.
Planning Conditions: No exterior work.
Planning Approval By:
Plan Checked By:
Permit Issued By:
Subject to Field:
Ahangian, Kathy
Date
Date
Date 03/01/2006
Misc. Receipt:
lvlisc. Receipl:
NIisc. Receipt:
Building Permil #:_Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
This pemit shall expire by limitation and become null and void if the wofu authoized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wotu authoized by this
pemit is suspended or abandoned at any time after the wot* is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new pemit shall be lirst obtained to do so.
Account#: 01'1-01-5912 lnspector MID#: 2006-67851
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
Main Drain/Pool Pi ptng
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Servrce
Water Service
Lawn S rinkler
Sanita Sewer/Ca
Back Flow Device
Final Gas Test
Meter Release
FINAL
Notes, Remarks, Etc
Om.FBuild.. D@|...rion
I td.by .fiim u.la pa.lry of pajuy th.r I o ddF fm rh. CoE&td!, Li6& L,w fm rhc toltoyins B@ (s.?ol l. t Buins
ed Prcrdio CorL): Aiy City c C.ruty which Eqlir! r Fnir lo @ntEu.r,.tr6, anF!v., dmolish or Eprir oy sn!cru., pnor ro iBi$we,.16 EquiB th..pdi@r for !!ch Fmit lo lil.. sitn.d.rar6Er |nr t. d dlc i.li.sls.d pGuMr !o dc prcviiion, oftcCobl.ld! Lic6s.d rrw (Cnrp6 9, Cmtudn8 wirh Setion TOOO of Diyiiior 3 of th. Buii6 and prcf6io3 Codc) or rhat h! d
rhc b dnF thefr@ Dd th. b.rir fr $. .lks.d dmprio .Any viotlli@ of Sctid 703 t.5 by ey lppliur fn r p.dn iubjcd! lhclppligt io e civil p6.lty of nd !l@ iid fv. hun&Dd dolls (1500)
_1, a oMa of th. FoFry, dmy mployc., wio q.86 s 0!cir st..dnp.$.lj@, Fill do rh. work ed 0!c srruct@ ie nor im.nd.d
or o,f.rcd fd lrlc ( Sd.rora, Bqina dd Pbf*iN Cod.: Thc Conr*rs,r Lic@c t3* dG nor rppl, ro a om6 oi rt. prop.ny
who b!il& d inFoc $o@. Dd vto do€ su6h wdt ti@ctt d h6df a $Bsn hn a ha oM ddov6. Eovi.bd ${ ,uchihprcvhq6 e nor iildrtld q or6cd fd $1.. Ii h@a6, rh. buitdin! d ihpro;.tmr t srd s,!hh on: y; of cohptcrim, rh.
Osnd'Bu,lder sill h.vc lh. bu{kn of Fovir8 rha h. 6 rh. .or buitd 6 imFov. ror tnq purpG. of klc)
_1, q oq6 of rt. Fo?.ny, m dclqrv.t, hDdin8 wi$ tieBcd c6E&br ro cotrtucl thc pq.d ( SGc 7044, BEin6 ddProtBis Cod. Thc Cdrdoa! Li@s Lo, dod nor lpply to & om6 of FDFry *ho b{ildi ; i;provd lhtun , &d whomi,&$ lor iuch prD.i..l. ?i0r . Cdfurd(.) Ii@tld pudwr ro thc Couetd,i Liqi. Lrw.)
_I e cxmpt ud.r S6td _B & p.C fd $ir !!en.
WORI<ERS COMPENSATION DECL\RAATON
I hftby amm !id( Fndry ofFjury tu of6.lollowins &.te Nl
_l IavG ed will m.inr.in s Cdrifiqlc of C@6lt ro SdtlN!rc for wortE!. mp.ns.rion, s provid.d fq by Seion 3?OO ofrhckbo Co&, for rn. p.rfd1@a of tn. worl fd which rhc p6nn is isu.d
_l n.t. dd ,iU h.inuin wdt6' 6p6uti6 i.rumc.. s r.quiEd by S.cli@ ITOO of lh. L.6o Codc. fd th. pcdomoc. of lh.
wotk ad whi.h $i! pdnn t isu.d. My rdl6. empslglid irsutuc 6i6 ed lDticy nuftb.r rrc
Policy Nlnhd _ErptrB
,Zt,^,^
.ot b. @mplactl illh. Fnit i! fq Orc hlntL.d dolls {t I Oo} d I
thc p6fomuG of6€ wGt aoi shich tht p.mt ls issu.4 t
rhc wort@ ' .mpctu.rid Lwr of Cdif6i!. ed.s@
3700 of l,!. Lbd Co&, I !h.ll.
WARNING: Failurc to BE wd(6, comp@slie
fin6 up to on. hun&cd rhoMd dollB (tl oO.OOO).ir
$. Labo! Cod.. int66,t &d arorEyk f.6.
or.r ro oiminll pcnllriddd civil
d.6.Aq a provid.d fd lh. Se.ion 1076 of
LICENSED CONIRACfORS DECI ANATION
I hcrcby affim und.r p.nilry oip.rjury thlr I m li@.d und.t provision of Ch./a 9
rh. acines ed Ploa6ions Cod., ed my li.fu. is in futl ad.c ed.li.cr
-o
I h@by tffim undd padry ofpajury lh.r $G.. ir . corEu.lim
iaud (Se. 1097, Ciy c').
6l rh. wo* for wiich lhir p.mn is
AIILICANT'S DECLAIIATION
Ddolit'o. PmrE-Alb6rr Nori,io on F.d6.l R.tutsi@ (Tnk 40. p.a 6)
_ Rcquir.d tlG or Norficrrr6
ro @mply with.ll Ciiy &d C.!my
a!ov. motim.! pDraiy ad inspclid ";i:ry^-
POOUSPA
P-trap/Drain Line
Rough Plumbing EXPIRI iD
Ul rr UIJ
SA \,lc &d3 ,on