HomeMy WebLinkAbout30119278 - 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
Assessor'sParcel: 400-141-06 Lot: 1
Suite: 9
Block: NA
BIdg: D
Tract; '10823
Suite Range:
Zoning: R4
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Tr
'1345 N cabrillo Park Dr I
Santa Ana, CA 927013106
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.
Qty
1.00
1 .00
1 .00
1.00
1.00
1.00
PAID
flAY 31 2006
City anta Ana
Amount
8.15
8.15
8.'t 5
8.'t 5
-65.10
32.50
Fee
$8.15
$8.15
$8.1 5
$8.15
$-65.10
$32.50
$0.00
$0.00
$0.00
Phone
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #; 315'114
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1B23T!T
Expires: 06/01/2006
$
Building Use: Multi-Family (5 or meTg un Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & 4ry1,v311 Gode:
Planning Conditions: No Exterior Work
R-1
V-N
cPc 200'l
Ahangian, Kathy 03/31/2006
Date
Date
Date
Building Permit #Fee Total:
Paid to Date:
Balance Due
Account #: 01 1-01-5912 lnspector MID#: 2006-68787
Plumbing permit#: 3O11S27A
lnspector's Section: (71 4) 647-5853
Project Address: 1345 N Cabrillo Park Dr Address Range:
Hisloric: No
PIanning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipl:
This pemit sha 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 pemit, or if the wo* 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.
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS OMd-Build.r D..l.rllid
I hncb, !fiim !nd!r p.n.lty of pdjury lhll I s cr@pt fm $. C6E&r6. Lic@. !N for rh. rorto*ins ll@n (18.703 t j Bdi.6s
ed P6faio. Cod.): Aiy City 6 Codt, *hich rcquiE r F nn to @!rr8r, .ttd, inFov., dootiih o r.p.,r ,y sulctw, pnor lo i!'
sr@cc, dio rcquiB rhc.ppli@t ld rucl! panit ro filc r sisn.d si.r@t {!.r h. d shc i.li6Ed pu6!s( !o rtE prcvilid! orrh.
Conlrtlry! Li@sld L.w (chlptd 9, Cl,Mocins wi6 Sccioi 7000 of Dvili@ 3 of thc BBinB and P'ot6lios Cod.) or thar t. or
sh. is d6d Oa.t$n -d rh. ban f6 dlc sll.scd qanption Any violsdo of Sc.rid ?03 I 5 by My appli@r fd ! p.tuir 5ubja6 lnclpplic t !o a civil padry of nd ,D@ th& fiv. hutulrcd dolls (J500).
_I, ae om6 of 0!G For6ty, d ny dnployd wi$ -.t6 G rh.i Eol. mpas.!i6, will do $. *ort ed thc rulcre is nor intc.d.d
or ollcod aq r!t. ( 3@.70:13, Bsin* &d Prcfdi@ C.d., Th. C.nErdtr r Lic.@ I, d6 nd .ppty b e Md of lh. p.oFny
who bdl& r ihFovB lhoq, ed who d..r .uch edt hi@lt d ndr.lf r lrEqSn hi. d ha @n mployG, Fovid.d $& such
imprcvmdu @ nol intadld * ofl6.d fd 3dc. I( hsdq, thc brildi.g c improFfrol h iold eirhin onc yd of comptaio.. rh.
OM6'Bujl&r will hrv. lhe bslda ot FDvin8 $.1 h. 6 3hG nor blild d in[.oe. fd 6. purpc. or s.]O
_I, B oMn of d'c F.paty.6 qclwiEly 6f..tina ri$ li.ai.d @r&rd b .NEucl lh. pmjet ( S@ ?Oaa, BBitr@ Md
Prolqion Co<L: T[c Cdrr&rort Lica@ L.s ds nor .!ply ro o oma ofrropcfiy eto buil& o imrev6 $tu , ed {ho
@E&it fq $ch Fqj*r! ,iri . csl.!co.{i) lic4rld ,!,!ur ro d. c.draor'! Li6s lrw )
_l m .rmpt 6d.r Scrio .B. i! P C. for rhir rc€s
D.rq o*n*
WORXEf, S COMPINSATION DECL{NATION
I hcby amm ud<r po.lry ofpajury on. oflh! foll@ins .t cti,{io,i:
I harc dd willmrinlain s Ccnilicab olcons roS.lf-tisur for vo*es'cmpa5ado., s provid.d rc by S@ion 37ooofrh.
t$o Codc, fd rh. pcrfma@ of rhc wqr rq which rhc pahn n isucd
_l halc ad *ill hai.r.iD *dtm' .dpcns.tio in,uMe, d r.quir.d by S.crion r?oo of rh. L.bol Codc, for rh. Frfomdc. ot !h.
work ftr which $ir p6ni i! isu.d. My worl6 compos.rion insuMcc 6ie &d policy nlmbd &
Cni6
Policy Nunbq:_Expir
(nu qdd rcd nd b. cmdcr.d it lh. Fnll is
11"^r, nr, t^^, *r^k orrh. wdt rs
bc.Mo lubjet b rh. wdr6 c@D6E ,tio IM,
16 Oi. hundr.d doll@ (Sl00l 616,
whid lh& p@n i3 ie!.4 I
of Cllildio, ad !sr* thd
onr of Sdion 1700 6f d,. l-,Id
0
wARNtr{G: failurc ro s.qE wdt6' c6pc,s.rion
fin6 up ro d. hundr.d tnoBud dollc (3 t m,ooo),in
ln. kbd Codc, int@l 6d rnm?y 5 i.6
d dployd to qimind p.nalri6adcivil
ddirjd b tn. 6r of ffiFr.rjo, dn.a6 6 provid.d fd lh. S@rid 1016 of
LICENSED CONTRACTORS DECLAII,ATION
I ho.b, lmm u&r Fr.lty ot Frjury th3l I h licas.d und,, p.ovision oa ChiFd 9 (
{h. BBin6s dd Prcf6ti@ Cod., &d Dy licas. it in full arcc dd.Irccr
/t-o
I hcEby amm u&r Dcnalty
i$ucd (Sa 1097, Cir. C.)
ofFjury $.t the ir . c.o.tu.ri6 lodin8 .gncy fq rh. pqfmec. of rh. wort fd shich thir p.mir is
A}PLICANT'S DECL X TIONDoditid Pmilr-Arb6to. Nc,rificltior Fcdol RcS .riw (T . ao. P.n 6)
_ R.quircd Lard of Notifi.rid
City sd Cou.ry to 6td upon $.
.bov. lMrio.d prcpqry fd iBp6rid' pwpo.6 Zl- t /-c>
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Pi ptng
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Ca
Back Flow Device
Rough Plumbing EXT ,IRED
Final Gas Test
Meter Release FF.B I ZUIg
SAMC A-1:r
FINAL
Notes, Remarks, Etc
Building Sewer
I Gas Pipeing
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