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HomeMy WebLinkAbout30119017 - PermitCity of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, c492702 Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Plumbing permit#: 30{l90{7 lnspector's Section: (714) 647-5853 Suite: 8 Block: NA Bldg: R Tract: 10823 Address Range: Historic: No Suite Range: Zoning: R4Assessor'sParcel: 400-141-06 Lot: I Tr 1345 N Cabrillo Park Dr 8 Santa Ana, CA 927013105 Fee Type Water Closet Sink Dishwasher Garbage Disp Trust Applied lssuance Amount 8.15 8.15 8.15 8.1 5 -73.25 32.50 Qtv 2.00 '1 .00 1.00 1.00 1 .00 1.00 Fee $16.30 $8.15 $8.1s $8.15 $-73.25 $32.50 Phone Tenant Name: Contractor Address: Young Kim lnc. 168'14 Marilla st Northridge, CA 91343 (818) 892-6280Phone State Lic #: 684052 LicType: B, B, C-33, C-33 Bus. Lic #: 3l5l14 Workers' Compensation lnsurance:Canier: State Fund Policy #: 1823737 Expires: 06/01/2006 PAID t''tAR 01 2006 ftfFRTIV\Ei.l R-1 v-N cEc 2001 Building Us Job Type: pancy Alteration Constr Type: Kitchen Remodel g 6ry1s311 Code:Notes Ciry pd on M.48095. Santa Ana Nature of Work Planning Conditions: No Exterior Work. Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Ahangian, Kathy 03/01/2006 Misc. Receipt Misc. Receipt Misc. Receipt Building Permil #:_ This permit sha expire by limitation and become null and void if the wo* authoized by this pemit is not commenced within 180 da$ from the date of this pemit, or if the wotu authoized by this pemil is suspended or abandoned at any time after the wot* is commenced for a peiod of 180 days. Before such wotk can be recommenced, a new pemit shall be lirst obtained to do so. Fee Total: Paid to Date: Balance Due $0.00 $0.00 $0.00 Account #: 011-01-5912 lnspector MID#: 2006-67790 Project Address: 1345 N Cabrillo Park Dr Owner: Address: Date: Date: Date: APPROVALS DATE ID/SIG.COMMENTS Ownd-B!ildcr Deladi@ I h@b, aflifr udq po.lry of Fjo.y lhar I & ddpt fm ln. C E!.16'Li6* tlw aor rh. following r6on Ge 7Oi t.5 B6in6t ad Prof6sion C!dc): Aiy City Colnry whicl r.quid ! FEir ro qdEr.uct, .lcr. improv., d.holnh or r.p.t ey sruclu'., pnor ro 'Ekrusc., also ,cquiB lt. +plior fq $.t Fmit ro lilc s sigrd rr.t@6r thc hc tr 5h. ii li@scd puBuol ro ln. provisio.r of $. ConE&ro* Li@!.d lls (Ch.fln 9, C.nMdnS wirh Se(on 70@ of Dilti@ I of th. Bcin6s and pr6f.$i@3 Codc) d thlr hc or shc h q.mpl lh!rciion &d li. bsi! fa 6. rltcBcd .xdpti@ .An, viotiri@ of Serio. 7Ol I 5 by uy .Dplic.nr f6 r ,Gmit subjels $. appliMt to a .ivil p6dry ol nor m@ $a fiv. hundr.d doll6 (t50o) _1, s oma of 0'c Fo?cny. r ny dployqt! pirh s!86 s rhct sol. c6fdt!1iotr. vill do $c work ud th. slrvcrur. b nor int nd.d or o,Ied fo rdc ( Se.roa4, BBin4 ud PrctdiN Co&: rhc Conr&(d's Lica& tlw dc nor appty b e oMF ol $. Fopdry who buildr d imFovd $a@, ed ,ho dd .uch wo* hiruclf or hdrclf ( ihugn hir d ha om hploy6, Fovid.r! 0 !u.himprovndri E nor intod.d d ofcr.d fd ..1r. Il h@aa. rh. blildinS s iEprov@i ir lotd wirhh d; y; or .@ptaioo, rr. Owna'Build,6 *ill hlvc $. bunla of Foviit 6at h. d rh. nor build 6 iDFovc fa lhc Ftrpo3c or 3.1.) _I, q ouaof rh. prcFty. M qclsiv.l, ont !.rins wilh liccnr.d 6r&ldr ro c6rEu.i rhc prcj.d ( Se ?Oaa, BBins MdPrcfBlio Cod. Thc Contr..!d'r Licae lrw dod mr .ppl, ro u own6 ofFopnty who builds c inprovB $.tM , s.t who conr&E fd '!ch prcj*r! pnh r contrsd(3) li@.d poMr ro rh. c.nE*lqr u@s L!*.) _l e .xmF od.r Se{6 .8. & p C. t lhi. l! ron DLi Omc WORKEII,I| COMPENSATION DECLATIATION I hftby .mm @dc pa.lry of pdjury 6q otrh. foll@ins d.cladio.r: _l havc ed will h.inl!fi ! Cdjlic.r. o{ C.|er ro S*lf-lnruE for edta' cmpd!6rid, s Fovid.d fo b, Sdion l?Oo ofrh. kbor C.dc, fo. thc p.rrm{cc of lh. wdt for whid 0F p6n i! i$u.d. _l h.v. Md willn.intaii rct6 .@pdEilio iNMc., s r4uiEd by S*rion 3?oo of lh. Labor c.d., for $c p.rfom&c. of rhc vort fo, which $is pmir is isruld My wdtd' @mFneri6 inroEcc Mia &d policy numbcr ar. A^*,,,^,^. 4-cM. ija' ro 'h. h. @mplald ifdEF t n fq Or. hundrd dolla (SI00) dle) Ffmee of lhr wqt forwhichthi p.mn is issu.d,lwdl6 ' .@ras.lio l.s of C.lifhiq Md !A.e of S..1in 3700 ofdr L.Dcoc- Failur ro i@uE *dt6' c@Fr5cio @vd.gc !!bj..l e dployq ro diminal ,.n!ld6 Md civil finB up to e. hu.trod $@od dollB (t I oo,ooo),i. sldilion ro lhc 6r !h. L.bo Cod., intd6r Ed.nmcy'3 fc.3. conp.n$tion, damag6 a providcd ld tnc ScqiM 1076 of LICDNSED CONTR^CTOTtS DECLAR,{TION I I h@by rfrm ed.r pd.lty oapdjury rh3r I d li6*n undr ploviiio of Chsptr 9 { th. BEine ed Prcrdii@t Cod.. ed 'rry lic6r. i5 i. full f6e ed.rcl. -o I h@by .fiim u<t r p.nilty of pajury rha rlot ir r .druaim t i!.ucd (S.c ,0c7, Civ. C.). .8@cy fd $. pcrfmecc oi 'h. wo fo wh,ch rhis p.mn k A'ILICANT'S DECT.AF IION Doolirion PmiE-A,b.it@ Nodficlrid F.d@t R.S{l.rdr (Tnt 40, psr 6) _ R.quir.<l Llaa ofNorilicrdon Ub City &d C@nly lo 6rd up6 $! abovc mdtiocd ,rcp6r, fd irrFcti@ ab.ioi m!v.l d. nor rppliollc to rhi! gi4 UNDER GROUND Waste & Vent Water-Underfloor 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 P{raplDrain Line Main Drain/Pool Pi ping Fill Line/Back Flow Pool Heater/Gas Line Misc Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Rou gh Plumbing Final Gas Test E'\T II Meter Release EEONI ' ltf0 FINAL IAMC 0-4at. 2(0, 556, 667 Notes, Remarks, Etc PLUMBING.INSPECTOR RECORD Back Flow Device