HomeMy WebLinkAbout30119285 - PermitPlumbing permit#: 3O1{9285
lnspector's Section: (714) 647-5853
Lot: I
Suite: 1 5
Block: NA
Bldg: D
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor
Address:
Phone
Tenant Name:
T.
1345 N Cabrillo Park Dr 15
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Notes: pd on M-48095.
PAID
IlAY
,)
'J 2006
CitY Santa Ana
Amount
8.15
8.15
8.15
8.15
-65.10
32.50
Fee
$8.15
$8.15
$8.15
$8.15
$-65.10
$32.50
Qty
1.00
'1.00
1.00
L00
1 .00
'1.00
Phone
$
Building Use: Multi-Family (5 or m67g un Occupancy:
Job Type: Alteration Constr TYPe
Nature ofwork: Kitchen Remodel & drywall Code:
Planning Conditions: No Exterior Work.
R-l
V.N
cPc 1998
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Date
Date
Date
Misc. Receipt
Misc. Receipt
Misc. ReceiptAhangian, Kathy 03/31/2006
Building Permit #
This pemit 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 if the wotu authoized by this
pemit is suspended or abandoned at any time after the wotk is commenced for a period of 180 days.
Beforc such wotk can be recommenced, a new pemit shall be ftrst obtained to do so.
Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
Account#: 011-01-5912 lnspector MID#: 2006-68796
City of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Project Address: 1345 N Cabrillo Park Dr
Assessor'sParcel: 400-141-06
Young Kim lnc.
168'14 Marilla st
Northridge, CA 91343
(818) 892-6280
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: ,t823737
Expires: 06/01/2006
PLUMBING.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNOER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pi ptng
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
P-trap/Drain Line
Main Drain/Pool Pip tng
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanita Sewer/Cap
Rough Plumbin g EXt )IRED
Final Gas Test
Meter Release FTU I ZUIg
SAMC 8.4J
FINAL
Notes, Remarks, Etc.
OmB-Build. Del!.ti@
I tcby .mm a.Lr pcn.lry ofpdilr, t.r I @ .xdpt foin $. Cot &tor' Licar. trw fd th. followirg rq.6 (s ,0! 1.5 B6ins
ltd Prcfaiod C.d.): An, City 6 C@nt, which ..4!i6 r pqlitr ro cdlrrlcl dt6, inli.vq dsiolist q rcDsir ey lruc1uc. pnd 10 iB
iau$@,.1$ EquiB dc qdian la tu [ tpfin ro fl.. rigtd s6r.lMr thlt t. q thc is lidscd puBudr b ln. proviridr of th.
Colanor's U.d.d bq (Ch+r6 9, Co@ocin8 wilt S..rion 70oo of Dvirion ! of rh. Burincss ad PrcfqiN Cod.) or fiat h. d
shc h cxhF 6.'!frdI .nd thc h.it f6 thc dl.i.d dhRico An, viol.tion of Slctiod 7031 5 !y Dy .ppli6r f6 r Fnn lubje6 $c
appli@r io 6 civil Fnahy of nd mort thlr fivc hudrld doll6 (1500)
_1. a owno of $. Fo!.ny, d ny dtrployc wni w.e6 s rh.t solc @p.nsdon, *ill do lh! vort od lllc strucle is nol inm&d
o. olt r.d ld !.1. ( se.?o.r, Bsine 6d Prcfstid C.d. Th. conMt Li6rc tr* d6 nor spply ro e om6 oa$. proFny
who build! ( imp.ov6 thaw, ad who d6 Buch wo.t hid.lf d h@lf 6 lhrc!8h hL 6 hd oh cmploy6, Fovidd $ar 5u.h
improv@ol! e rct i.End.d o o'Iacd for sal. Ii hovdd, th. building 6 inDrovdot ir iold widin onc y@of 6mpl.lim, rhc
Om6-Buil<td will h.v. th. buda of provirs $d hc d rh. nor build d imFlvc ror $. pu.p6c of $lc)
_I, a osd of ll1. ptDFny,6.,Glsiwly @ib.cin8 wirh licdscd cdrndd to 63Eud d. pmjccr ( Se 7044. Bsinas adlroldie Cldc IX. CoEeror! Lic.M t do6 not.pply be ownaof prDpqty *hobuild! d imFov6 rh.eo, &d whoolr&ri fd iuch prcj€E pirh . c6r&r6(.) lic.nr.d put!&r ro $c cdrndor,r Lic.E kv )
_l m cxmpl e&r Setid .B tt P C. for thk r.lron
WORKERS COMPENSANON DECLARATTOI\
I hccby lffim udq p.nrlty of Fjury 6. ofrh. followin8 d.cl@rions:
_l h.v. ed *ill m.iitain . CcrificlL of Cor r ro Sclf-ldw lor qdt n'cdF edio,, s provid.d a6 by S..rio, 37oo of fi.
L3bd Cod., f6 tic pdfdfu@ of th! wr fG whid &. Fmn ir is.d
_l hav. dd wiu mint i. rut6' ffiFtu ,li6 inlilme, B rcquiEd !y S..ti@ 3700 of thc t bo Co<lc, for rh. D.rforns.. of $.,o* td whid $ii p@i( it i$u.<L My p6t6' Mp.G.don iisuE@ .Eia ed Flicy nunbq e
('t1!h grioi ic.d
J^o^,^
.or h. @mpld.d if th. p@n h rorOi.hudr.ddoll6 {1100} 6ls)
rhc p6fome@ of rh. wc* for whi.h rhis ,.mn E tsucd, I shall
bcffi. subjet ro th. *0116 ' compollrio l.B of C.lifmi.. dd agrc. lnar ial
700 of rh. L$G Codq I 3hrll, ldlrih/-o
WARNING F.jhE lo scuE sorl6' @mpcnsario @v@e. i! unl.efd dployn !o qiminal p.nalti6 ed civil
finB !p lo on. hudi.d thMd &lls (tl u1,000),in .<tdirio to thc .061 of conposadm. d,m'36 a provid.d fq lll. SEiio to76 ot
th. llhd Codc, inr6r Dd tnmq.! f€
I h@by !trim ut!.r pdrlry of pcjuy 0rar I m tioroa uar prcvlsimf Ctrapra c 1
lh. Buir6 ud P,of6ri@s Cod., ed Ey licos. h in fdl f@e sd ctlccr
tl-o
I h.rcby 8fiim undd pdalt, of Fju.y dd 0!@ t a @iJrrlaio lmding aaa.y fn $. p.rfommc. of rh. wrk for which rhis p.mn i5
issu.d {sd 3097. Civ C.)
APPIJCANT'S DECLAIIATION
Dcnolirio. PmiE,Albeld Notificdio 8.d.Bl R.8!hd@! (Tnt. !0. Pln 6)
_ R.quircd L,nd of Notifidio
Cny 6d Couty ro drd uDon 0E
rbovc Mti6.d Fop.riy Ir iNp€lid
Q -(1-o/
r
POOUSPA
Back Flow Device
D.L: Ownd:
Poliry Nmb.r-Erpn6 _
t
=
=
=
=