HomeMy WebLinkAbout30118961 - PermitCity of Santa Ana 20 civic Center Plaza (M-19)' Santa Ana, CA927o2
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing Permit#: 3O,t1896{
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 1
Block: NA
Bldg: E
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: 1
Owner:
Address
Tr
1345 N Cabrillo Park Dr 1
Santa Ana, CA 927013106
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
lssuance
Amount
8.15
8.'15
8.15
8.15
32.50
Qty
1.00
1.00
'1.00
1.00
1.00
Fee
$8.15
$8.15
$8.1s
$8.15
$32.50
Phone
Tenant Name:
Contractor:
Address:
Young Kim Inc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280Phone
Building Use:
Job Type:
Nature of Work
Alteration c
ccupancy:
onstr Type
R-t
v-N
cPc 2001
Notes PAIDKitchen Remodel & drywall Code
Planning Conditions: No Exterior Work.FIB 2,l 1 2006
$_6-{oe,,r M {sPlanning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
City of Santa Ana
Ahangian, Kathy 02t2112006
Buildang Permit #$65.10
$0.00
$65.10
Account #: 01 1-01-59'12 lnspector MID#: 2001-40058
Fee Total:
Paid to Dale:
Balance Due:
state Lic #: 684052
Lic Type: B, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: ,1823737
Expires; 06/01/2006
This permit sha expire by limitation and become null and void if the wo* authoized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wotu authoized by this
pemit is suspended or abandoned at any time after the wo* is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
PLUMBING{NSPECTOR RECORO
APPROVALS ID/SIG.COMMENTS O$.FB!ild.t Dccli.lid
I h.rcby tflim udd DcnJty of ,6jury 6.l I rrn.x6R fm ihc Ccltr.ton' Licdt. Lra fd th. follo?ini orol! (G.101I 5 Euina
rnd Ptofa$ion CodG): /tny City d Costy *hich rlguir.t . Firh ro s3trkl. dla. ioFdq dhblhh d rcPu uy .tuer, Fior io irt
i$e*, .bo Equie $e epliot for su.h p6n to fiI. . riir.d tnran fl th.r hc o 3h. b lic!r!.d Pt!.ubt !o th! Prcvidot of $c
c6Erd6! Licdcd Ll' (Ch.!rd 9, CdMc.dna with sccrio ?0oo of DivLi@ 1 of ft Buina Md Profdiot Cod.) d tl'l hc t
sh. il d6pr rhdEom sd $. bsi! 16 thc .lhr.d ddplid .An, rioldo. ol Salion 701 I 5 by ay .rPlicet fd . Fmit trbj.qt th.
.pplic&r ro . civil p6.lry of no( m@ $u fiE hw&.d dollar (troo)
_1. s olM of $. rro!.n , nmy aploy€ wi{r w{|. r| rh.ir slc 6p.r!.ri6, wiu do tt. wqt &d th. ttl!.l'[. tu not int n&d
or oficd f6 rd. ( S*.?oaa, Budnqr ud Prcfdri@ C.d.r Tho Cdr.dd! Uc@. r3 dos not .p?ly to & om6 of ln. FoF ty
who buit& 6 inFolr.,E6r Edwho.hd tld sst hi6df orn t lf a {Eou8h hb d hd om dploy.., F.vid.d 6!r tuch
improvmott e nor int6)dcd d ofi@d f6 3.lq If, howffi, th! buildary or inProvhat t rcld wi6i. onc y@ or complction, $c
Ou6-Build6 will hrv. {r bord.r of prcvin8 th.l h. d rh. .ot build or i6rd. for d. puadc of 3.1.)
_1, r omd of in. FoFn,,6 d.lBivcl, @nrstina wi.h lic@.d @EEtoE lo dttrud rhc lroiet ( S.c. ,044, Bqi.at Dd
PbfBtior C.&: Th. C6r&1o.! Li..e L4 dq nor .pply ro E oMn of pqcfiy who btildt q ioFov6 ll.r.6 . 6d *ho
coiEdt ld ru.h prcjel' wirh r Corr&uG) licorcd puEust io rh. conrr&rof8 1i.4. L.w.).
_l m .x pt und.r Sccdoi
-8.
& ? C. ld $t r..r!.-
WORKERS COM'ENSAATON DECI,AIATTON
I h6by .ffim !nd.r p@.lly of FJury o. of th. foll*inB del4tioll
-l
h.vc ed eiu mriidi r C.flifiol. of Cffiat to Sctl'lllurc for rc*d' mPosdon, rs Fovid.d fd by S.dioi 1700 of $.
Lrbd C.dc, rd th. p.rfcrEe of {Ewort for *hich $. pmit h ittu.d
_I h.!. ed will minuin sort6' c6pdr.li6 ituufu@, B Gqlircd by S.clion ,?00 of lh. Lrbd Cod., for rh! Frfolfu@ of ln.
*olk fd which Oi! pmir t isu.d My wo*cn' .mp6!.ri6 iNumc. cardi .id lolicy iumbq c.
Policy N6b6: Erpka:
Cn r r*dn n6d not b. cooplar?d il dE Fmit k fs On. t!6.t!d dolhn ll!00) 614)
$. p6fm&@ of $. work rd *hi.h thk FBn it ktu.d, I
Irw! of cdifmi!, Md l8E dlr
37oo ofti. Llbd Cod.,I rhrll,
, dM.td E FoYid.d f6 rhc S.di@ !016 of
tn. kbd Cod., int ren dd .lrdcy! f.d.
LICINSID CONTRACIORS DECLARATION
I hdby rfiifr u.dq padty of pdjury lll.1 t m licd.d udd provitio. of CtlPk 9 (
d. BEin* ud Prof4id Cod.,li..u. n in tull aqo dd cfet
uidq po.lty of Fjury i'r.t thqc t r (hc psfmMe of ln. work ad which lnir p@i. it
, Civ C.)
AELICANIIDICLA84IIA!
Damlirim Pmi6-Albdro, Norifi.llion F.dad R.rlhid (TiU. .0, ?si O
_ Rlquir.d t tt6 ofNotificdiot
.bovc nodd.d prcpdry fd
UNOER GROUND
Waste & Vent
Water-Underfloor
Gas-Underfloor
Building Sewer
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
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 Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing E)TPI[lE D
Final Gas Test
Meter Release 3EB-I :uI5
^ AJ?
'AN
iAA n67
FINAL
Notes, Remarks, Etc
DATE
Area/Storm Drain
Tub/Shower Test
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