HomeMy WebLinkAbout30118944 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738
Permit #: 3O{ 18944
lnspector's Section: (7 1 4) 647 -5853
PlumbiS
Project Address: 1345 N Gabrillo Park Dr Suite: 7
Block: NA
Bldg:A
Tract:10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: 1
Owner:
Address:
Phone
Tenant Name:
Contractor:
Address:
Phone:
Tr
1345 N Gabrillo Park Dr 7
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Building Use:
Job Type:
Nature of Work
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
fueth' ftPrr6frr"1f
Alteratlon
Occupancy:
Constr Type:
Notes:
Fee Total:
Paid to Date:
Balance Due:
Amount
8.15
8.15
8.15
8.15
32.50
Fee
$8.15
$8.1 s
$8.1 5
$8.1 5
$32.50
$65.1 0
$0.00
$65.10
Qty
1.00
1.00
1.00
1.00
1.00
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #; 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
R-1
V-N
cPc 2001Kitchen Remodel & drywall Code:
Ahangian, Kathy
Date
Date
Date 02t16t2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit
This permit shall expire by limitation and become null and void if the wotu authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wotu authoized by this
permit is suspended or abandoned at any time after the work is commenced for a peiod of 1 80 days.
Before such work can be recommenced, a new permit shall be first obtained fo do so.
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Accou nt #: 01 1 -01 -59 1 2 lnspector MID#: 19285
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Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
lssuance
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/srG.COMMENTS Owns-Builda Delmtion
I hocby aftim undqpcndty of pcrjury thatl m cxmpt fm thc CmttEtm'Limc Lsw fo thc follwing ram (tc.7031.5 Bu3in$
md PrcfNion Codc): Any Ciry or Cruty which rcquiG s pcmit to conrnuc! slttr, imprcvo, dmolilh fi Eprir uy lEucturg pri6 !o iE
isruucc, also rcquire thc applicut for such pcmit to filc a ri3ncd rtrtdnmt thst hc or lhc h lica:cd pmmt to thc provisior of thc
Cmtrctc'3 Licdod Lse (Ch+tr 9, CmadnS with Sc€tion 7000 of Dvirio 3 of thc Buinqs ud Profqiw Codc) w thrt hc r
ih€ ir cxmpt rhqcfrom sd thc bsis fn thc sllcgcd oxmption .Any violation of Section 7031.5 by my applicmt fff s prmit $bjcct rhc
spplimt to a civil pcoalty of not morc thu fivc hudrcd dollu (3500).
_I, a own6 of thc propcrty, or my mployca with w8gcs as thcir rolc rcmpcnsation, will do thc wck md thc ttructrc it not intmd€d
or ofratd fc ralc ( 5@.7044, Buinqs ud Prcfsiw Co&: Thc Cotrtrettr't Lic@c Lrw des not spply to u oma of thc prcperty
who buildr fi imfoye thm, ud who de ruch wqk hiruclf c h6clf 6 tlrouSh hi! q h6 M 6ployc6, providcd thst sch
improvmet! d. nor itrtaded or offrrrd for rolc. If, hwrc, thc building or improvmmt is lold wilhin onc ycu of complction. thc
Owncr-Builda will havc thc budo ofproving that hc or shc not build or impovc for thc purpoc ofsalc).
_I, s owncr of rhc propqty, m cxcluivcly contrrcting with licm$d mrrctm to conrtruct thc prcjcct ( Scc. ?044, Buin6! ed
Profcsion Code: Thc Contrcts's Limsc ln d6 not 8p?ly to e oma of prcpcny who builds c imprcvc thcrcon , ud who
conret for such projccts with s Conf&to(t) licatcd pNuut to thc Conrutor's Lic63c L!w.).
_I m cxmptuda Seti6
-B,
& P C. forthir ruon.
Dqtc: Owna:
t hmby sffimundq*rO or*i-*ffi
_I havc md will mint8in 8 C€nific{tc of Corumt to Salf-Intw for wokm' companrtion, u povidcd fu by Scction !700 of thc
Labc Codc, for thc pcrfme of thc work fc which thc pcmit ir irucd
_l havc md will mrintain wsk6' cmpc$rrion luursc, u rcquircd by Setim 3700 of thc Lrbq Codo, for thc pcrfoma@ of thc
work for which this pqmit ir imcd My worta' mrnpanrslim iEutdtca ffii6 sd Policy numbc ac:
Policy Nmbcr: ExPircsr
(Thk sctipn nccd not bc ompletcd if thc pamit is for Onc hudrcd dollm {3100} a lcss)
J*tty ,lrn in Uc pa'fommrc of thc wfik for which thir pqrnlt
l6emc nbjct o the worto ' conpqurtio hm of Cdifmir, ud
it isrucd, I shsll not mploy my pmon in mana 30 a lo
rgG thd if I 3h@ld
compmsation provirions ofthc Labc Codc, I rhall, fsthwith
WARNING:to wtrk6' cmpcnsation rubjcct u mploys to riminal pcnahia and civil
fin6 up !o thowed doum (S100,000),in sddition to thc cst damrgo u prcvided fr thc Strtion 3076 of
$c Lsbq Codc, intfictt ud rttmcy's fd
LICENSED COI{TRACTORS DECLARATION
I hrcby afrlm udcr poalty ofperjury thrt I m licmrcd unda provilion ofChrptq 9 (commcncing with Scction 7000) ofDivltion 3 of
thc Bwinc ud Profesions Codc, ud my licmsc is in frrl fqe md cffet.
Liccilsc Licmsc Numbcr
I hacby undcr pcnalty ofpcjury that thcc is a construction agmcy ofthe work for which thir pcrmit ir
isucd (Scc. 3097, Civ. C.).
Ldd6'! Nme:
lndq's Addrss:
A}PLICANT'S DECLARATION
Dcmolition Pmits-Atb6t6 Notilicdion Fcdml Rc8uladmt (Titlc 40, Pst 6)
_ Rcquircd Lctta ofNotificalion
rcmovsl e rot applicablc to thi! projcct.
thc rbovc I agrcc to comply with sll Cit, ud County
sbovc mcntioned propcrty for inlpcction
Applimt or ag6t
Pcmincc nmc
ud of thit City Md cnlcf thc
UNDER GROUND
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 Seruice
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release 5Ar IF(trU \ l^,
FINAL ll trl .a
,I W'
(Notes, Remarks, Etc.
Fa€.29o,sso,ooz
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