HomeMy WebLinkAbout30119170 - 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 #: 3Oll9{70
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 4
Block: NA
Bldg: F
Tract: 10823
Address Range:
Historic: NoAssessofsParcel: 400-141-06 Lot: 1
Owner:
Address
1r
1345 N Cabrillo Park Dr 4
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
Trust Applied
lssuance
Amount
8.1 5
8.1 5
8,1 5
Lt5
-73.25
32.50
Fee
$16,30
$8,15
$8,15
$8.15
$-73.25
$32.50
Phone
Tenant Name:
Contractor:
Address:
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280Phone
:ti I 5
MAR 11 2006
Building Use: Multi-Family (5 or m66 un Occupancy:
Job Type: Altoration Constr TYPe
Nature of Work: Kitchen Remodel & dryurall code:
R-t
v-N
cPc 2001 Notesr pd on M-48095.
Planning Conditions: No Exterior Work.
Planning Approval By
Plan Checked By:
Permit Issued By:
Subject to Field:
Ahangian, Kathy
Date
Date
Date 03t'14t2006
l\,lisc. Receipt
Misc. Receipt
Misc. Receipt
Building Permit #$0.00
$0.00
$0.00
This pemit shall expire by limitation and become null and void if the wotu authotized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wo* authorized by this
petmit 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.
Account #: 01 'l -01-5912 lnspector MID#: 2006-68301
Suite Range:
Zoning: R4
Fee Total:
Paid to Date:
Balance Due:
Qty
2.00
1.00
1.00
1.00
1.00
1.00
State Lic #: 6E4052
LicType: B, C-33
Bus. Lic #: 315'114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
$
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PLUMBING.INSPECTOR RECORD
APPROVALS DATE COMMENTS Oena-Buil&r D..lr.ri6
I hd.by lilim unda p.ialty ofpdjury $ar I madFfmth.co rrdqr'U@sc llw rd th. rolloeine @6 (.6.701L5 Businds
ed Prcf*io Co&): .{ry Chy 6 co! y whicl Equi6. ps,nir !o cdnwl'.lrcr, imprcv!, dmolhh d r.p.ir sy tnwrurc, p.io ro ill
isuee, altu Equic lr!. .rplio! fd such Fftn !o filc . ri9.d st.ld6r thlr h. d rh. ir li6s.d pu6uDt lo dc provi3im 01lh.
Conl'elst Li@r.d Llw (Chlprq 9, Comnacina sidt S41i6 7000 of Dvi.ion , of lh. Buin6s dd Prcf6iois Cod.) 6 $et hc 6
shc h dhpt thacfrdn lnd lh. b$is fa lh! .ll.8cd q6pti6 .Aiy eiol.(o of Scdoi ?031.5 by ey .pplic.i f6 . p6mn lubjanr lhc
applisr to . civil pqdty ohot mc ihd filc huidr.d dolla (3500).
_1, a ownq of thc FoFny, ( m, dplora *irh v.s6 a r[.t solc Mp.tu.rie. will do ltc work sd th. rlllclE ir nor inc.&!
m otr@d fc !d. ( Sa.?044. Buird sd Prcfdid CqL Tn. Conr..rd'. Li.dc Lrw do€ not apply !oe oM!, of $c ptopdr,
who buil& d im!.ov6 thaw, e.l *to &a &ch sdi hidelf d h@lf r llrqdr hn 6 hd (M .dploy6, Fond.d &.1 r"chihprov ols e nor in6dcd or olldcd f6 rde If, howda, tE b{ildi.g o imprcvm61 i!.old wi$ir on. yd ofcompl.dor, $.
OMd-Blil.b *ill h6v. th. hfit i of FDvirS thll hc o sh. iot blild d imFov. f6 lh. purpc. of slc)
_1, a ond of lh. proFity. n.xclBiv.ly @s..dry *nh licqlcd 6r&rd! ro.oE ud tn. prcl.d ( Sa 70a4. Bcine &d
Prcf6ion Co.t : Tn. CdE&rdt Lica. L.s dc iol !ppl, ro e offi of For..ry who buil& d improvB $.!@ , dd who
qmt &r fd flci projau riln ! c@r!.1d(5) li@rcd p!B@t to lhc conlr .rdt Lic@r. L.w.).
_l n d6pr ud.r Scrio
-8.
& P.C ad {ii Bo
WORI<ERS COMPENSATION DECLAf,ArION
I hr.by d6m ud.. p.adty of pajury nc of $c followinS dalsri@s
_l havc ed aill roinllii. Crrifi.& of Cor6l ro Sdf-lBE fd dl6' .6pa!sd6, !! Fovid.d rr by S@rio ,?oo of $.
klor Cod., fd dE p.rfmc. of lh. wolt for wtich thc FDn h is.d
_l hav. dd will m.inbin *q*6' @mpss.li@ isu@e. E rcqlirld !y Sani61700 ofd. Labo Codc, for th. p.domec. ofd.*dt fo. rhich Ihit Frn tu i$u.d My wo.t@' cmp.n$lio i.s!d@ 6id dd policl nuhb.r &.
Policy Nurt ._Erpisl
(Tiit sedd nc.d nor b. conpla.d if th. Frn is fft On. iui.t d dolla l3l00l d lB)
-sZ*^.,^tn. p6f@acc of rrlc ao* fd which rhn p.mt ii ir!!c4l sh.ll nol mploy dy p6on in
6. wdt@ ' MpaE.tid hws of Califmia ed aeE $a if I
of thc L.ba Cod., I 3h.ll, fdlnsilh3
!o @u. wo*6' ..nFsnio @v6rg. ii
fine up ro on. hudrd thNMd doll6 (l I00,000).in .ddilioi to lh., dmagB d providcd for ln. S.crion 3076 ol
tic Llbor Cod., inrcrBl &d fimlrt 16
LICENSEI' CONaiACTORS Df CLAXATION
I h6.by rmm utla F..lty ofpdjlry th.l I e !i@s!d und.r Fovilio of C'll.fla 9 (cmhdcins {ilh SEtio. ?ooo) of Dvision I of
l]1. Buin6 Md P,ol$iG Cod.. ed hy Ii@. h in full fo@ ed cficl
po.l9 of Frjury lhat $fr ir . cdtlcti@ fd thc p.rfomdc. of rh. sort fo. {hi.h ll.lis p.mil is
i$u.! (Se. 3097, civ C )
alttlc^.laT's DEcLAx TIoN
Danol d Pc.hiE-tubdld Norifi.{ion FldE i Rcsul.ri@ (Tid. ao. }!n 6)
_ R.quir.d Lrtt r ofNotifi.ria
ir cner. I lgB ro @mply wi0! rll Cit, ed Cahry
stovc lMdd.d prcpcrly 16 a pc.Ii6
rcpr6cnrariva oftht cily dd
UNDER GROUND
Waste & Vent
Water-Underfloor
Building Sewer
Interceptor/ Clarifier
TOP OUT
Waste & Vent
Water Pi ptng
Gas Pipeing
Tub/Shower Test
Rough Water Heater
POOUSPA
Ptrap/Drain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
trv PIRFD
Rough Plumbing
Final Gas Test FFF I I 20lc
Meter Release
SAMU O"
FINAL
Notes, Remarks, Etc.
ID/SIG.
Gas-Underfloor
Area/Storm Drain
Roof Drain
Pool Heater/Gas Line
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