HomeMy WebLinkAbout30119140 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, cA92702
Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738
Plumbing Permit#: 3Oll9{40
lnspector's Section: (71 4) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 11
Block: NA
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: 1
Owner:
Address
Amount
8.15
8.15
8.15
8.'15
-65.10
32.50
Qty
L00
1 .00
1 .00
1 .00
1 .00
1 .00
Fee
$8.15
$8.15
$8.15
$8.15
$-65.10
932.50
Phone
Tenant Name:
Contractor:
Address:
Young Kim lnc.
'16814 Marilla st
Northridge, CA 91343
(8r8) 892-5280Phone
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1823731
Expires: 06/01/2006
IIAR 20061
aR-l
v-N
cPc t998 Notes: pd on M48095
Planning Conditions: No Exterior Work.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy 03114t2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #:_Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
This permit shall expire by limitation and become null and void if the wo* authorized 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 wotk is commenced for a peiod of 180 days
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
Account #: 011-01-5912 lnspector MID#: 2006-68228
Bldg: E
Tracti 10823
Tr
1345 N Cabrillo Park Dr 11
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Building Use: Multi-Family (5 or mq6 un Occupancy:
Job Type: Altel?tlon Constr TYPe:
Nature of Work: Kitchen Remodel & drywall Code:
Date:
Date:
Date:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG,COMMENTS OM6.Buililt Dccb.tid
I h@by .fiim ud.r Dcn.lty of pdju.y $d I m q.mfl fm th. Cont'..ioB' Licaac L.w fd lhc follwin8 t6@ (!e 701 L5 Bcira
Dd Prcf!$iof, Cod!) Arry City d C.unry which 'tquic i Fhit to cdcucq !lta, im9rce., d@lith q rcrrir sy rnudu.., Fiq io itt
isu@,.lro EqliB rh. pplic! for ruch Fnn 10 fib s ritncd ndchat $.1hc 6 3h. b licc.d psusr to dt! prcvi5i@r of $.
Cstn.1dt Licd.d lr (Ct'.Pla 9, CMcins wiln Sldid 7o0o of Diviti@ 3 of th. Bain4 dd Prcfcsitu Cod.) d O.l hc d
shc t qdpl $@lim ed $. batir fa tI..llaed q.epli6.Any viobrioi of seti6 7031 t by ay applior fo. pamn tubjcd otc
.ppli@r ro ! civil pcnalry of ro. noe th6 frc hudrld dolla (1100).
I, s oud oa th. p.oFrry, d my frploy6 *ith wrg6 a lncir 3ol. compdatior. eill do tl. work 6d O. smdu. t ior inrod.il
o. o0@d 16 r.l. ( S* 7oaa, Buiodr ed Prcf<ionr Co&: Th. C@r.&!or! Liffir. L.w dG nor .pply b u om.r of rhc ArcFny
who blil.L d imFoG $q6, ad who 1106 ruch w6t hituGlf d h@lf 6 $rcustr hi, 6 hn oM @ployc, Fovittd lh luqh
inprcvtut! ar€ iot i 6rLd d oficr.d fd s.1.. If, howdr, 6c buildirs d imprcv.mor is sold eiuin @. yd ol cmplci6, $c
owrd-Boil.lo *ill hav. $. burd.n of p.ovins lh8t h. or sh. not blild or improv. for $. pua@. ol sil.).
_1, a M6 of th. pro!.r9, m acluiv.ly .dmctinS qidi li@.d contr&loB ro coiEEt $c prcje! ( S.c 7044, Bsin6s &d
Prcf$id Co&: Th. C@t!.lo'r Lica. Ln &q .ot .pply to a om- of prcrlr9 wio builds d imFove lh66n . &d who
Mft.r3 fd !!ch lfojeE ,iih a cdr&1o(r) lietu d p6@r ro rhc c6ne!oi3 Li6* L.* )
_l e d6n$uda S..d6-8,lL P.C fdrhi. r4d
WORKERS COM}ENSATION DECLARATION
I h.r.by afiim ud.r p.nahy of p.rjury on. oathc aollowing d.clrations
_I h6vc 6d willmjnoin 6 Ccnilicdc of Cmat !o SclllniuG lor wdl6 .@Fnrdion, a providld fr by Sqli6 r70o ofth.
t bo Cod., ldtn. FforM@ of lh. wo* fd which th. Fmit ir i$urd.
_l h.v. ed will tuinlain wqt6r .mpoErion itut@c.i a ..quiGd by Sdion l?00 of $. t bq Cod., for U. p.rfom6@ of $.
wod( fd wnich th pont h i$u.d My wd*d' cmp.n!6ri6 ii3uMc .dia ed poli.y .mbq a.
PolicyNumbs: ExpiE
fian *)y'i.cd
uE-.',i1..,r.
Dorb.mdd.dif lh.p@n i! ftrOn.hundr.ddollau lll0Ol or
rhc*o for which lhn p.mn ir i$u.4 I
hvs of Califomia md asr.c lhal
I h*.by amm !n<Lr pcnalry of pdjury |n6t I d lictucd lndd prcvi3i@ ol Claprd e
Z-
ofpdjury ih.l rh@ i! r contdction I of thc work for which $is p.mir i!
)
aErucANBtDEC!.AE4M!.Dndi(6 Pmns.Arb6td Norificlrio r.d6.l R.8!llli@ (Tld. .0. ?at 6)
_PLquir.d t n6 ofNod6crd6
absrG Enoval Bo noi rppli.abl. ro tit
.hovc Mri6.d p6p6ty fd
UNDER GROUND
Waste & Vent
Water-U nderfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P{raplDrain 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
EYf,tII tFlt
Rough Plumbing
Final Gas Test FED -I 20t9
Meter Release
,u, oto, oo/
FINAL
Notes, Remarks, Etc.
Waste & Vent
li6r. is in full aN. dd.flccl
tt
T-