HomeMy WebLinkAbout30119189 - Permit (2)d$fa\' t?,41^x?
P==<ts
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#: 3Ol{9189
lnspector's Section: (714) 647-5853
Project Address: 1345 N Gabrillo Park Dr Suite: 3
Block: NA
Bldg: G
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: I
Owner:
Address
Tr
'1345 N Cabrillo Park Dr 3
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Amount
8.1 5
8.15
8.15
8.1 5
-65.10
32.50
Qty
1.00
1.00
1.00
1.00
1.00
1.00
Fee
$8.15
s8.15
$8.15
$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, C-33
Bus. Lic #: 3'15114
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
PAID
I'IAR 2 1 2006
City of ta Ana
Building Use: Multi-Family (5 or m6rc un Occupancy:
Job Type: Alteration Constr TYPe:
Nature of Work: Kitchen Remodel 6 6ryqq11 Code:
R-1
v-N
cPc 1998
Notes: pd on M-48095.
Planning Conditions: No Exterior Work.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy
Date:
Date:
Date:0312112006
Misc. Receipt
Misc. Receipt
lvlisc. Receipt
Building Permit #:_$0.00
$0.00
$0.00
This permit shall expire by limitation and become null and void if the wotu authoized by this pemit
is not commenced within 180 days from the date of this pemit, or it the wotu authoized by this
pemit is suspended or abandoned at any time after the wotu is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new permit shall be tirst obtained to do so.
Account #: 011-01-5912 lnspector MID#: 2006-68359
Fee Total:
Paid to Date:
Balance Due:
PLUMBING.INSPECTOR RECORD
APPROVALS DATE lD/stG.COMMENTS OMd.Build!, D*taari6
I ha.by !flim udr p6.lty of F.ju., tll.1 I m qmF foT lhc cor..ift' U@ni. Lrw f9r thc followinE 6@ G4 703 L5 BNir.*
d P.ofgioi Cod.): ny City 6 Cdty whicn rcquiE . p€mi( to cNEuc! ,lrd. imProec, &molhh n rcp.ir &y louc-turc, prio, ro rrs
issuec., allo rc{uis tic sppli@t forsu.h Fmitlo iile.5i8n?d ll{cn thlr h. or.hc ii li6!.d pMuut ro lhc Provitio.s or th.
Coiu&ld! Li.tucd tjv (CtBpt r 9, Cmha&in8 wnh sation 7000 of Daiii@ I ol th. aBins ..d PrcfdiN Cod.) d lhat nc or
sh. t d6pt th!,.tm ud lh. bGtis fd lhc .ll.s.d acn9ti@ Ary violuion of Setim ,01I t by My .ppli*r fd t Fmil subj.cls th!
appli{r ro ! civil F.lt, of trd no.t fim liw lutuL.d &lld (1500).
_1, a owi.. ol6c Fqrrry, or m, .mtloy6 wirh w.86 s rh.n sol. cmpc.s'rio., will 6 $. {orl ud $. sl.lcluE h nol i.r.nd.d
d oftd.d ld dc ( s.c ?o4d Bqin6 &d Pmf€idr Cod.: Th. Corsdd's Li6$ Llw dG not appl, to d oMc. of lhc propcny
who b!il& dimFova $.@n, sd snodc sch w thicdasn6df a lndgh hi! qh-own oploy6. Fovi&d t!.1iuch
imprcvddB e ior iit nd.d d otl@d fq 8.1.. li h Gvd, thc buildin! d ihprcvm.il i5 iold within on. yd of cooplcdon. tn.
Oud,Build* eill hlvc t. burd.n of pIbvirs lhat t. d sh. nd build or improv. fo. thc purpos. ol sal.).
_1, 6 owncr oa rhc p.op.ny, n .rcluiv.ly @rn.rin8 vit' licms.d @nE&h b @nrlrud
'h.
pmjccr ( 56 ?0a4. B6in.s and
Prof6rion Cod.: Th. Cdtrlctor'i Lic4c tl* do6 nor lpply ro d o*nd of Fopqty who buit& tr ihProvca thd@n , dd who
cor&rr aG lrch prcjd! wnh . cordo(t li6&d pu6ue( ro $c cdradoas Li@s. l,lw )
_l m 66pt D&r Scti6 .B. & P C. f6 thir c$oi
WORKERS COM}ENSATION DECLARATIOI{
I hd.by a,nm u.Lr p.nshy of pdjury onc of rh. tollo*ing d.clerios
,l n.vc sd vill minllin . Clnific!. of Conlorr to Sclilolurc ld w6ld' cmpasalion, s provid.d fq by s*lion 1700 of rh.
L€lq Co&, ior th. FtuE nc. of6c wdl for *hich th. pchit ! i!s.d
_I havc ud ,ill @in.!i. eai@' mF edo iBume. s r.4uiEd by S.clioh 3?00 of l1l. t bor cod.. aot th. p.!{omM.. of rh.
wo* fr which drii Fhir i! isu.d My worta:' @hpa3!dd iNuMcc sin ed Flicy nunb.r sc
Poliry Nqnb.r 8!pit€
(Thi! s6rio't n6d nor b. complacd il thc p@nn is fq Onc hu&cd dolla Il I o0l 6 ls)
for which dlir Fnir i3 i$ucd, I ihdll.s of cdifdia ed a€rc ri.r if I
L$c Codc, I shrll, ionnwid
wodr6' cmp@$Iid 6va!8. is & ddoyd lo 6inin.l p...lli6 ddcivil
.bll6 (l l0o,0o0),in .ddni@ ro th.@ or rbm.a6 6 provid.d fa ttc S.cdo. 1076 of
I h6cby amm udd p.nalty ofpdjury rhol
l]1c Buin6t ed Pofdid Co<L, 6d my
u crprovisi@ orcn.pn 9
I hftby.mn undd p.i6hy ofpdjury rhlr 6d i! r cotualction lddiig atdcy fd lhc p.rfm ccoa$cwoll< fd {hich rhis p.mn is
hsucd (Se 3097, civ. C )
APPLICANT'S DECLAR IION
Ddoltion lmils-Ash61o5 Nodfielio F.dqral &.rularios (Ttl.40, Pln 6)
_ Rcqutcd t tl.' ofNotilic.rioi
I cdit Od{r. f.d6.l rcsulaio.s rq&dma sb6rs
-d ^nrn'*,- ^o+pl'c!r,6
ed d.dd cmply with dl ciry and county
ordinoG Dd slsl. L!w! r.l.lirg !o buildjna
abovc md6o.d prcp.ny f6 inspc.rio pu.p66.s\
)
i
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
POOUSPA
Ptrap/Drain 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
Rough Plumbing TD
Final Gas Test
Meter Release FEB-I zuts
FINAL
Notes, Remarks, Etc.
fic Lab.r Cod., intcrql ed atroh.y's t6
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