HomeMy WebLinkAbout30119205 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), santa Ana, cA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing permit#: 30{19205
lnspectof s Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: 1
Owner:
Address
Tr
'| 345 N Cabrillo Park Dr 16
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:
Contractor:
Address:
Phone
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsuranceCanier: State Fund
Policy #: 1823737
Expires: 06/01/2006
PAID
NAR 1 2006
$
Building Use: Multi-Family (5 or m66 un Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & drywall Code:
R-t
v-N
cEc 200 t
City Santa Ana
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:03121t2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permil #:_Fee Total:
Paid to Date:
Balance Oue
$0.00
$0.00
$0.00
This pemit shall expire by limitation and become null and void if the wotu authoized by this petmit
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 wotu is commenced for a period of 180 days
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
Account #: 011-01-5912 MID#: 2006-68388
Suite: 1 6
Block: NA
Bldg: G
Tract: 10823
Young Kim lnc.
'16814 Marilla st
Northridge, CA 91343
(818) 892-6280
lnspector
PLUMBING{NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDER GROUND
Waste & Vent
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifler
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 trYD!rn
Final Gas Test
Meter Release FE -l ?0t9
FINAL /, oco, 06/
Notes, Remarks, Etc.
Omd.Buil&r D..ltrdd
I h4.by .flifr undlr p.ndy of prjury rh.l I @ ddPl fm $. Cdtr!.l@' Licd. L.r for lh. rollowins ,6on (t r.70l I 5 Bain6r
ed Pmldion Cod.): .Any Ciry d C@ty wtich rlqsiB . pmir lo .orEEucr. .lld. idprot, .itnolhh or r?air ey strude, pnd ro iB
isua@, .ls r.quire OG .ppli@l fd ,uch p.rnil 10 fiI. ! eiSrcd 3trlhmr 6ar hc or 3h. i5 licas.d puElDl lo th. Fovision6 .f rh.
cdna.lor'i Uc6!.d h, (ch.9l.r 9, Cottr,M.ins ei$ Sati6 ,000 of Daviiid 3 of ln. Bcin.* ed Prof*ioG cod.) d t\.t h.
sh. i! q6F thfr&on 6d lhc bair fa lh. .ll.scd d@rti6 .Ary violriq of SEri6 ?o3l 5 by &y .pplitut fd ! Fmt 3ubjal! $c
alplior ro r civil p6!.liy of nol mr. dle fis h6&.d &lla (ltoo)
_1, d owrd oa $. F.t ny, or hy mploy..{ wiln w.s6 a th.ir lolc @mp.sdio, will do $c wtrl od $. $ructuc is nol in'.nded
or o.I.i!d fd ialc ( Sd.?044. Bsin< ed lrcfditu Codc Tlc C@r.ddt Li6t. t q d6 nor Tply ro u om{ ofth. propcn,
who buil& u inprovB $o@n, udvhodG iu.h vo* hirorlf or h.$.lf n thrcus! hn d hdoh chploy.6, provid.d lh s,ch
imprcvmat! m no{ int6d.d d or6cd fo. s.l. l( hoecva, t}c buildD8 o. ioprcv.ddt k sold qirhii oi. ,@ ol conrldioi. rhc
OwM.Builda will t.v! $. burd." of provin8 rhlr h. ofth. not build or imptuv. for dE purpdc of stlc)
_I, a oma of lh. p,op.ny. m .xclqivcly @r.Eti.B wirh li@.r?d.Mlr&b6 ro.dtud lh. pDjcq ( s6 70..r, Bsin$ ud
Profdion Cod.: Thc Cort-.aor! Licae Llw d6 ior rppl, to s own.r of prcp.rty *ho blild! d ihlrovB thdcon , dd who
cmri&G fd sucn Fojc.u ,ith ! cdr&w(3) licdcd Frr@r ro lh. con ..o''. Li6s Llw )
_l m .xcmpt @.kr S6tion _,8.&PC as this raon
WOR(ERS COMPENSATION DECLART{TION
I he.by afim undd p.nrlty of pcrj!ry on. of rh. follNinS d.clmnons
_lh.Eedwillmi ii. c.nifid. of ce6r toS6lf'Ide td *0rt6'.mpc.sllioi, 6 Fovidcd ir by S..ti@ 3ro0ofth.
t{b- Cod., td dr. pqf@ac. of {rc wdt t6 whid ln. Fhit it ir.u.d.
-I
hav. sd will Binr.i. wdt6' @hposdio icume, a lcquiE! by S€ o r?00 of lh. Labo Codc, for tir. Frfombcc of lhc
*dt lor whid rhb p6mit ir i$!.d My wdtcE @mFnrdion insumc. csnq lnd policy nuBb.r .
Policy Nhbr ErpiB
1*,"*^,
nd b. emda.d ifrh. p€mn i! l& On. hundr.d don.E {$lO0} s lcs)
lhc pafomecc of dr wnk fo' which rhh pmn ir iss!.4 I shall vb.co. subj.d to thc uolkc6 on INr of Cdifhia. and !!rc
Labc Cod.. I shall. ionnvnh
dollm (tl0O,O00),in addi dhage a provi&d is th. Sarion l016 of
UCETSED-EqILIAJ]C]!$-qEEJ
I h.rcby amm 6da pa.lty of Fjry I m li@.d uid6 prcvLio. of Chetcr 9 (
$c BGii6i sd PofNioN codc,liccnsc t in aull f6cc &d.fccl
of thc wdk fd Phich rhir Fmit ir
109?, ci
AIILICANT'S DECI./IRATION
D.nohioi PcmiB-Asb6b! Nodliorid Fcd.il RcSul.ricd, (Tidc a0. P.n 6)
_ Rqquir.d La14 ofNoriii.tlid
6b6r6 emoval rc nor +dt$k ro tht Foj
ab.v. hdlion.d pmp..ty for inrp.crionB
I
I
Water-Underfloor
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