HomeMy WebLinkAbout30119270 - PermitCity 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#: 3l,,119.270
lnspector's Section: (714) 647-5853
Project Address:1345 N C a brill o Park Dr
Lot: 1
Suite: 1
Block: NA
Bldg: D
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Contractor
Address:
Phone
Tenant Name:
Tr
1345 N Cabrillo Park Dr 1
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(8r8) 892-6280
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Notes: pd on M48095.
PAiD
tAR 31 2006
City anta Ana
Amount
8.1 5
8.15
8.15
8.'15
-65.10
32.50
Fee
$8.15
$8.15
$8.15
$8.15
$-65.10
$s2.50
Qty
1.00
1.00
1.00
1 .00
1.00
'1.00
Phone
Building Use: Multi-Family (5 or mqp gn Occupancy:
Job Type: Alteration Constr Type:
Nature of Work: Kitchen Remodel & drywall Code:
Planning Conditions: No Exterior Work.
R-t
V.N
cPc 2001
5
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy 03/31/2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #:_$0.00
$0.00
$0.00
Account#: 01 1-01-5912 lnspector MID#: 16564
Fee Total:
Paid lo Date:
Balance Due:
Assessor's Parcel: 400-14l -06
Owner:
Address:
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Canier: State Fund
Policy #: ,t923737
Expires: 06/0112006
Date:
Date:
Date:
This pemit shall expire by limitation and become null and void if the wofu authoized by this pemit
is not commenced within 180 days frcm the date of this pemit, or if the wotu authorized by this
permit is suspended or abandoned at any time after the wotk is commenced for a peiod of 180 days.
Before such wofu can be recommenced, a new pemit shall be first obtained to do so.
PLUMBING-INSPECTOR RECORD
APPROVALS DATE tD/srG.COMMENTS O*na,Buit.!, D.ch-.ri@
I hdry rfiB wdr p.ndty of Fjury our I m aapr fdm O. Cofirdon, Lic.@ rr* fd Oc tolwi.E ralo (r.c.?o] L5 Bui.Bs
&d Prcldid Co&): Any City 6 CMry *hirl' r.qujG . pnt ro ce.lncr rtr.r. inForc, d.6otish or rcp.ir uy 3t !.r!rc, prio. ro ir5isuec.,.l$.cquiE lh..gplicr f6 nEt p6mir ro 61. r sisrcd sr.roml rllr hc * sI. ii licaEld p!6uet to rrr. pmvi5ioi of dr.
Col'a.td's U6*d l,l' (Ctrptr 9. Corfficins wirt Sado ,ooo or Dinnor 3 of th. BEi.6s sd prca*i@ Cod.) o $ar h. d
th. ir qop{ tha.tft6d6.b.ri f6 th. dlc8.d qta'pria .Ary viol.rio ofs.crid ?o3r.5 Uy &y 6pptic! ror. Fniit 3ubjeB $.lprlian io . civil F$lry of not nc lha fie. hutr.lrld &tls (l5oo).
_!, a (Md of drc Fopcny, 6 nt cnploycB wirr w.i6 s rh.t ,.t6 .orpq8ui@, will do $c work dd rh. sttucr@ is rot inrcnd.d
or ofcrd fd .d. ( Se.rortr BuinB &d Prcferi@ Co&; Tt. Cer&ror.u Li@. tiv do6 rct .ppty ro 0 omd ot 0t. prop.ny
.who buil& d inFov6 O.rton! rnd *ho do6 $ch *o* hinsllf d tdclf o. rhluth hir o. hd oq dptoyc., !@vid.d lh.l 5!rhimprcv@aa e nor inr.nd..l o. oiTdcd fd s.l. Ir, howcva, tt. blildiiS or inFdclMr is sotd w,din on; y; of cmptctioi. th.
Om.f-Build6 will h!v. 6. bdd., or Fovin! 6.r h. or rhc ror boild d imFov. fo. lh. pu.pcc of ial.)
_I, a o-M 6f rh. Forary, m d.luiv.ly cotr*rirA * r licsu.d @E*ldr io colrud rhc pojcc( ( Se. ?04.. Bsi.@ odProl6i@ Co<ll: Th. C$E-roi't Li.dl,. rrv dG no. .t9t lo & o*n6 ofFlpaty ,ho buatdr ; i;prd6 $cfu . 6d wno6t&r. fd ech Foj6u ri$ ! c@!..dd(o lic6!.d lrlruer ro lh. corItadt u@* t *.)
_l 6 qaF ud.r S6rid .B. & p.C. ror 6ir ,!.s.
WOru<TTS COMPENSATION DECLARATION
I hdcby afiim und.r Fnalty of p..j!ry 6. ol tfi. follwins d.cls.tioB:
_l h.vc dd vill minbin I Ccnillc{c of C!B6r to S.lf-tsut f6 wort.6t cmp.rlario., d provr,lc,l ac b, S@rion 37OOofrh.
Labq Cod., fq fic Frftuc. of th. wot fd vhich th. pqmn is i$ucd
_l halc dd will roinr.in wdt6' @mpqE.rid iN0m@, s rcquiEd by Satim tToo of th. Labs Codc. for rh. Frfolrruc. otihc
wott for which lhis p@il it issucd My wdt6 conptualid iNurr,@ si6 dd poticf rumb.r yc
Polic, Numbcr_Expi6 _
(Thiss.crion nad not b. @mpldd iirh.p6nit h for On. hundrcd doltaE { Oo) ort6,
2{^t, ^u ^ ^. ***c. or lhc uort ror which rhu p.mi E Esu.d, r shab.co!subjd!orh.wo*6 .@po!!rion l.usorcalifmia,ddssert.rir|
cohpcn8lion provirios of Scdm !700 ot lllc Labd Cod!, I sh.]l, fdrhwith
WARNING: F.ilur.lo ecurc {0116 @oFrsirio ov.r.8. ii
lin6 up b o. hu.drcd $ou!..d rloll6 (l I OO,OOo),ii lddirio to th. coer of coEpcn$rio. deag6 a provldcd ld th. Srcrio
dE Labor Cod., htcr Md !non.y's 46.
LICf NSED CONTRA('TORS DECI,ARATION
I hcr.by amm un&r!@alq ofpdj!ry $ l M lic6!..1 unda Foviiioi of Ch+td 9 (ona w{h sehon /u,)0) or
rh. Buin6 sd ProfBsions Cod., sd ny li6s. is in full f(e d .ff*r
Liqlc Cle - Li@s NumD6
D",\ 4-t/'ob
I h.Eby a,fitu u.Lr F..lry
i$u.d (S@. 1097, Civ. C.)
of p.rjury irr.l dft t . @mdim lddine .S6cy ls th. pdfo,]fucc of rh. wn! toi *hich rhis pcmn is
AIPLICATIT'S Df CI-ARATION
I Dodnro P.m|l5.tubdld Ndjfi@lion F.d.rat Rcaut.rionr (T tc.O, pd 6j
_ R.quircd Lfid ofNon6c.ri6
cmPly rirh.ll ciry dd counry
xd C@oty to at r oF, $..tow tMtio.d p'.Fty fd iNDanid DuDc6
o
4-
UNDER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pi ptng
Gas Pipeing
Tub/Shower Test
Rough Water Heater
POOUSPA
P-trap/Drain Line
Main Drain/Pool Pipi ng
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Sanitary Sewer/Ca
Back Flow Device
Rough Plumbing EvrlrF I EFT
Final Gas Test
Meter Release Eet ,ntq
FINAL iAMC 6.43, 2€c. 050, 667
Notes, Remarks, Etc.
Roof Drain
Water Service
Lawn Sprinkler
D.tq own,.
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