HomeMy WebLinkAbout30119190 - Permit/.lTtL\' g,iiitilPa+City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738
Plumbing Permit#: 3Olt9{90
lnspectois Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 4
Block: NA
Bldg: G
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor's Parcel: 400-14l -06 Lot: I
Owner:
Address
Tr
1345 N Cabrillo Park Dr 4
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Amount
8.15
8.15
8. t5
8.15
-65.10
32.50
Qtv
1 .00
1.00
L00
1.00
1.00
1.00
Fee
$8.15
$8.15
$8.15
$8.15
s-65.10
$32.50
Phone
Tenant Name:
Contractor:
Address:
Young Kim lnc.
16814 Marilla st
Northridge, CA 9'1343
(8r8) 892-6280Phone:
Stale Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 3'15114
Workers' Compensation lnsuranceCarrier: Stats Fund
Policy #: 18237X7
Expires: 06/0112006
PAID
r,tAR 21 2006
City of anta Ana
Building Use: Multi-Family (5 or m66 un Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & drywall code:
R-1
v-N
cEc 2001
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:03t2112006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
This permit sha expire by limitation and become null and void if the wo* authorized by this pemit
is not commenced within 180 days trom the date of this pemit, or if the wotu authorized by this
pemit is suspended or abandoned at any time after the wot* is commenced for a peiod of 180 days
Before such wofu can be recommenced, a new pemit sha be first obtained to do so.
Account #: 01 1-01-5912 lnspector MID#: 2006-68360
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OwiF.Buildd Delaido
I hftby .Ritn 6&r p.mlry of pdjury tll I m cr.hpr fm $. Cotr .tosr Li@. L!* fd thc lollowing r*6 G.. 7Ot I .5 B6inBs
ud Prcfoi@ Cod.), Any ciry orc@nty which r.quiB. pcmir lo ffinlc! ilr6, inprov., doolirh d.Gp.i dy snucrur., pdq ro iB
i$u@, 6l$ tuquirB tn. .pplier fd such p6nar to fil. ! signd stllandr 6Er h. tr 5h. ii li@.sd ptBuer lo $. FovirioE ot $.
Co r&br! Li.ft.d l3 (Cn!flo q Cmcing vnh sc<rion ?0oo or Dvirion ! of d. B$ii6s dd Pbfdior CodO d lhr! h. d
sl. b d6pr dqltiom ud $. bdi! fd dE all.t.d dsnprim Any viol.rio of S6dd 7o3l 5 by d, lDplic5lr rd . p.mit subjeB $c
.ppli*r ro r civil por.lty of nd tle thtn fiv. tu&!d &llM (lJoo)
_1. 4 osd 016. propaq. q hy dployG wiln sis6 s rhci. !o,c codr6s.rim, vill do t. wolr sd $. rsucru. is nor inr..d!d
or offed ftr t.l. ( Sa.704.. Buir6 3d rbf6i@ Codli Tlc Conh*ro.t Li@s t{w dB ror rppty to & oM6 oa $. propdr,
who buil& d inprovd thcnor. Bd who do6 !o.h wo* hiturlr or h6df d th@sn his d ha o*n .hploy.6, D.ovid.d rh,l such
improvodE @ nol inrddd or o$qd fd r.lc. If, h@d6. nhc building or ioprcv@ar ir sold wthin oc y6 of cohptaior, rh.
oM6.Buil.Lr will hav. th. b!r&n of proin8 ts! h. c rhc .ot build o. iBprcv. tor lh. pup*. oi s.l.)
_1, a Md oalh. prcFrty, o.rclBiv.ly en&tinS wnn licmscd conr&ls ro coslrud iht pDj.( ( 56 ?044, Busi.*s Md
P.ofsi6 Cod.: Tn. Cdmdort Li.fu lr* <106 nor .F'ply io o om6 olpmpcny vho buil.k tr imFov6 $.r@ , dd who
col@6 ld luct prcjeE *irh ! c6t ero(r) li@6d pullul ro fic C@r&|oi6 Liss. L!* )
_l B dcmpt udd Scctio .B & P C aor $i5 r@o
IIOf,T(ER5 COMPENSATION DECLAR TION
I hdcby aflitr utuLi p.ndlry of pqllry o.c of rh. foll.wi.8 d@lmioii
*l harc ed wau nrinllin. Cmificll. of C6r6 ro Sdllsurc fo. wdtd @mpcnsari6, a! Fovidc.t rtr by S.cdo. tToo or rhc
rrbd Codc, fd dt. pdfcFrlc! 01lh. sdt f6 whi6 lh. p6nir i! isuctl.
I havc &d will mdnEin w6t6r cdF sdrion iNaM4, s Equircd by lqtid l70o of rhc Lrbor codq lor $c pcr{omsc. of rhc
wo.k for qhich dir pmit i5 i$u.d My vorkdi' c@p.s.lion insu.ecc @ia Dd Dolicy numb.r ffi
b. cmplc|d ii tt. Fmn is fd otE hu&.d dolls (lr0o) trls)
,dfomanc. of th. wtrt for which lhtu p.mir ii isiu.4 t shalll.s of Cllifmi& Md aerc our il
Labq Code, I shnll, lBthwilh
wsk@' comFnsado @vhgr it dployqrociDioal pcnald6 and civil
doll6 (1100,000),in .ddni6 rc rhc c@r of cmp.nldion,.lh.86 s providcd fd thc Sccrion 1076 of
ihc hbor Codc, inrcEsr ad anom.yt ffts
LICENSED CONTRACTORS DECI,ARATION
I hcr.by affim undd pcnalry of p6lury rh{ I m lioscd unda p.ovision ofCh. d9(
thc BBin6 ed PEfdiN Cod.. erl my
Fjury $d tll@ b . @,rtlctim l.nding .Bac, fd th. Frfomsc. of 0E eo.k for vhich rhis p.mil is
issucd (s( 1097, Civ C)
ATELTCAiVTS DECLTRATION
Dmoliion Po iri-Albsros Nodfic{ion F.ddd t!8ut.rioB (Tirt. ro. p$i 6)
_ R.q!i&d t n6 of Ncriic.lio.
{E ro @ply wirh all ciry ad counly
3bovc noddltl pmFry ln anlr.llim
UNDER GROUNO
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pi erng
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 S rinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing i:*''r=n
Final Gas Test
Meter Release FEB -I 20t9
FINAL ,u, 906, u67
Notes, Remarks, Etc.
Polic., Numb.r_ErprB: _