HomeMy WebLinkAbout30119141 - PermitCity of Santa Ana 20 civic Center Plaza (M-19), Santia Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing permit#:3,|0119141
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 13
Blocki NA
Bldg: E
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141.06 Lot: I
Owner:
Address
Tr
1345 N Cabrillo Park Dr 13
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Amount
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
Fee
$8.15
$8.15
$8.15
$8.15
$-65,10
$32.50
Phone
Tenant Name:
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 3l5li4
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1823737
Expires: 06/0112006
t
Building Use: Multi-Family (5 or meTg gn Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & drywall Code:
R-.1
v-N
cEc 2001
l1AR 1 4 2006
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 03t14t2006
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 wotu authorized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wot* 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 permit shall be tirst obtained to do so.
Account #: 011-01-5912 lnspector
Contractor:
Address:
Phone:
MID#: 2006-68229
DATE ID/SIG.GOMMENTS OMs'Build.r D@l@Uon
I hcrclr/ !ffim u.d.r p6alt ofFrjury lhar I6 cxdpt fm lhc C6t&!o6 Licd. Li* lor rhc fouowin8 r@on (s 7011., Baind
ed Prel6ion Cod.): Any Cily d Couty whrd ..a!id . p@it lo @.8!c( dtd, inPlovc, dmoliln or rcpEir uy slruclurc pritr lo iu
iss@cc, also Equic 0!. applicul fo !!.h pmn ro fi|. a iitn.d !tai@@r $ar h. or 5h. h li@Bqd ruwr lo $. prcviritu of th.
C@F&rd's Li@?d L.w (Ch+ri 9, C.macinS virn S.<rjo. 7000 of Dvision I of thc Buind ed Pol6ioE Cod.) d rh6r hc d
rh. b dcmpt thq?too &d rh. bsi! fa t. .lt.s!d q@pdon Any violarion of scction 703 1.5 by d, appli@r f6 a p.mn lubjd! th.
appli@r to 6 civil p.mlry ol no( norc the fivc h6rlr.d &lls (1500)
_1, a ownc! of thc prop.ny, or hy nploy.6 wi6 wag.t a thct solc comp.ntation, will do dE wort ed th. structdc tr nol inr.nd.d
or ottcrld fq s6l. ( S.c ,0.s. Duins d ProfBions Cod. Tn. Contud'3 Lim. Lsw dG nor lpply b 6 oM.r of rh. prcp.riy
*ho buil& orimprovB thtun, d qho dG such wsl niftclf or hcEclf s rhroush his tr hd own .mploy6, provi&d rha ru.h
improy.hars e. nolinr.nd.d or ofldcd forsol..ll hovw6, thc buildin8 or improvcmcrr t iold wnhin on.,.a ofcohplcrion, rh.
Ownn-Buildd f,ill hav. th. burdm of provin8 that h. or sh. nol build or improvc for the purposc ofelcl
_1, a oM.rof thc prcpcny, e aclurivcly @nElcrin8 widr liorcd @n|r'.ro to coBrrud ln. prcj.d ( Se 7044, Bsin6! d
Prcfdsioi Cod! Ttq C.nn-..lol! Li.@q L.w dc not .pply !o oMa of prcpdty who buildt d imFov6 th@on , d who
cothcrs ror such prcj€G wirh d cmmdo(, lico'.d psudr to rh. conE dort Licctuc Las )
_l m dlmpt ud.r sEdo B &PC for $is 160
WORI(ERS COMPENSAI'ION DECLARATION
I hRhy .fiim undd pdalty oi pdjury onc of rh. follovin3 d(,ua!ions:
-l
hsv. d will maint in r C.ni6.d. ot Co.rd ro Sclf.l$w fo work6' cmporadon, s Fovidld f6 by s.crion l7o0 of tlE
t$q Cod!, fc thc Ffro.. orth. wck for which Oc pqnir n iiru.d
_I hav. dd willmjntain *st6 cmparadd icume. a rcqui,.d by Setio. !700 of thc Lab6 Cod., for $. p.rfollme of lh.
vo* fd which lnis paf,n i! i$ucd. My vort6 @mparad@ icura@ @nr dd Dolicy numbcr d..
Poli.v Numbd: Ernir6
(Thjs s.ction nad nor bc compl.r.d if lhc p.mil is for On. hur&cd dollm l$1001 6ls)
A^*^*-**i*,,"lh. wdk for wni.h n\h p.mir ii i$uc4 I sh.ll
o l.w, olC.liloi!, ed asr@ 6.t ifl
l of thc L€btr codc, I shall, lo'1hwiln
wo*6 comp.tuatid @vdlsc
dollc {S l00,O0O),in addnion to damagB 6 providcd for tn. S.clio 1076 of
rhc Labor Cod., inrc.61 ud $tmcy! fc6
UEENE!_C.SUA!Cf93!_p!C!A
I hd.!y.fiiB undcrpdalty ofpdjlry rh l e licdlcd !nd',
tlc Duind &d Prcf4.i 1i65. ir in full f6c. dd .fccl
of th. wolk for which fii! p.mn ii
AtlLtcANE!.0&CtA84!!O!
Dcrolitio Pcrtiirr-&bsr.. Nodncdio r.dorl &.8!l.tiN (TidG 40, !.n 6)
_ R.quird L.tlr ofNo.ifi..tjd
absl6 rcmov.l @.ot.ppliebh to di! Fojet
abovc morioi.d prcp.ry for iNp6lio
,
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
P-trap/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 EX}'It(trL'
Final Gas Test I rno
Meter Release r EL)
SAMC B'43,290, 556, 6 7
FINAL
Notes, Remarks, Etc.
PLUMBING.INSPECTOR RECORD
APPROVALS
UNDER GROUND
l097,Civ
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