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HomeMy WebLinkAbout30118628 - PermitProject Address: 1345 N Cabrillo Park Dr Assessor'sParcel: 400-141-06 Suite; 8 Block: NA Bldg: S Tract: 10823 Address Range: Historic: No Suite Range: Zoning: R4 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, c492702 Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 Plumbing permit #: 3Ol {8028 lnspector's Section: (714) 647-5853 Owner: Address Contractor: Address: Fee Type Water Closet Sink Dishwasher Garbage Disp lssuance Amount 8. 15 8.1 5 8.1 5 8.1 5 32.50 Pacifica Cabrillo, LLc 1345 N Cabrillo Park Dr #r15 Santa Ana, CA 927013106 (714) 479-0060 PDO Construction 10846 Louise Ave Granada Hills, CA 913/t4 (818) 366,40'15 Qty 1.00 2.00 1.00 1.00 1.00 Fee $8.15 $16.30 $8.15 $8.1 s $32.50 Phone State Lic #: 706088 Lic Type: B Bus. Lic #: 314292 Workers' Compensation lnsurance:Carrier: State Fund Policy #: 1773370-2005 Expires: '1112'112006 Building Use: Job Type: Nature of Work Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Alteration Fixture Change Outs Code: ncy nstr Type R-3 v-N cPc 2001 (:ite of Sonto An(l PD r 1l /2Sl?0rl5I0:CXELLY LoC: CTYH - 0q1cusl: INV:30118628 011S 0005 t0011843 ll/28/'20U5 lr19Pn TRAI{5ACTI0N ToTAL: $559.12 Build ins t73.2.r Notes: Direct change out of fixtures Serna, Janet Date Date Serna, Janet f-----o.t" \) 11128t2005 11t28t2005 Misc. Receipt lvlisc. Receipt lvlisc. Receipt Building Permit # Account#: 011-01-5912 lnspector Fee Total: Paid to Date: Balance Due $73.25 $0.00 $73.25 MID#: 2005-66359 Lot: 1 Phone: Tenant Name: This permit shall expire by limitation and become null and void if the wofu authoized 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 wo* is commenced for a peiod of 180 days- Beforc such wotk can be recommenced, a new pemit shall be first obtained to do so. PLUMBING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Ou6'A!ild.. D@k rti6 I h@ty rflim undd p.ndty of pdjorr Ost I e.xnpl fm tc Cor&tors' Lic6& L!, fft 6. follain8 Edor ka.70l I 5 8si!* sd P.of*ior Co&): Ary City d CM!, *hicl rcquirB . p.mn lo contEucl. .lr.r. improv!, .tdmlbh d rcP8ir dy 31tu tu .. Prior ro iE is6cq.lF Equic d!..rplicar ftr,Eh Fnnro 6lc. ri8r.d lraat th.r h. o, rt! i5 li@i.d purut to thc Prcvilim oflh. CMfi.rd! Licaed L5* (Ch.pta 9, cm,nqrci.S with scctin ?0oo of Divirio 3 ol0! Buind &d Prcf@iw cod!) or th.I hc d lhc k a.mpl $dcftoo ud li. bsri, fa d'. .llc8cd .xdprio6 .A.y violldon of Setion 701I 5 by ay tlPlior fd t p.mn slbj.cE thc applicet to a civil p.ndly of nd trc tha fiv. hu&!d dollrt (t500). _1,6 omd of tlE Fop.rty, or hy dployG with wss6 a $.i. sol. mp.Nalion, will do dr. *ot* ed tl. tslclc is .or iitodcd q ofcEd fm ial. ( 56.7044, Bcina ed Prcfdion, Co&: Tn. Cdn dor\ Li@F taw doB nor .pply io & oMc oa th. prop.rty vno huil& or imFov6 rhd6n, ed *no d6 {cn wtrt him!.lf or hd.lf s rhd8h hh ( h.r ow. .mploy6, Fovid.d lllar &ch improvmd, e not intndcd o o,fucd tu s.l. If, h@!vc, 'n. b!ild,.B or inprcv@ot is sold wirhin on. yd oas,mpl.tion, $. OMd-Buildd vill havc dc burdo of rrcving {l.' h. tr sh€ not build or i provc for thc p!rp6. or 5.1.). _1, s omd oi th? prcpsty, M dclBiv.ly conE&rirg vilh lic6lcd connido6 ro c@struc. ln. pDjcl ( Se. 7044. B6inei d lbfdio Codc: Tt. ConE!.rd's Licauc tlw .106 nor rpply ro 4 omd of prcp.ny wl'o blildr o isp.ove th.l@ , Dd who c6ti&E lor such projcc!! enn a C@tr&b(, li@3.d prR@r ro thc Conrulo.s LieB. Law ) _t m qdpr mdd S.did IAB{EBICOMIENSAUA!.DNCLABAIq! I hd.by allim udlr p..atry of polury on. of lh. followinS d4l&.rioc: _l harc ed will m.inEi". Carificlr. ofcorsdl b SdfJniw for *ork6 compcnsati@, s ptovidd fs by S6tion 3700ofthr hbo. codc, rd fic pdfdl@c. of lhc wdk for ehich tn. pmn ir i$u.d 21hav. ud*rll mnhn w6lft @mFns.iron insur&c., s Equtqd by Scclion lTOo ot lhc Labo Codc. lor th. prfomocc oi th. *ort lor which $is pmn i! isru.d My wort6 comFNarion insurecc cdid dd policy nlobcr e. ==777. Policy Nmbd:_Erpir6: (nrir r@rio ned lol b. ceplct d if th. pmn i! ld On. h6&d dolld (l l0o) d lqd _l c.diry L\.t in d. pdaomd@ of thc wor* for whi.h .his Fmn is i$ucd. I shall nol mploy ay p6on in sy mdnd i. d lo b.@c aubj@! o ln. wtrL6 cmpds.rion l.w or calirnh, dd age $ar if I thould br..n lubjer ro rh. wo*.E @npd!.rion prcvisioB of S..tio. 1?00 oa rn. Lald Cod., I !hdr:.ll{!qd conpl, wigjblqc pr@bi6!\1..-. a.r.k W WARNING: Failu. ro t@rc vort@' cadFnlldd @v.rag. i3 unla*tul, ud sh.ll .ubj.d u @doyn ro dinin.l p.rrlrie ud civil nnd up io o.. hu.!r!.l rholed rbue ($ 100.000),ii ldditiM lo lhc co.1 of @hp63.tiM. drm!3B a Fovid.d ad .hc Sed@ 30'76 ol rt'. I-.bq C.d., inrt'6t dd orlmg's L6. ucllllLcqNrEac1aES-DEeuB IIo4 I h@by sflim unda p.rdty of pclury thd I e li@.d udd FDvirioi of Charr.r 9 (@maciie *ilh Seti6 ,000) ol Uviiio I of Ih. BGitrd 6d ProfBi@ co<t , ad ny li.dsc k i, tull fd@ sd .fl6r. Li@.!.clss: Liene Numb.r CONSTRUCfION Lf,NDING AGENCY I hcrcby.afie u.Lrpaalry ofpdjuryth.I thdc i! 3 6isEucnd l6di.g agacy fd rh.p.rfm c.ofln.wortforwni.h0 itEmiri! isu.d(s.c 1097,civ C) APPLICANT'S DECLAIATTON Dmolido rmiB-Atbdls Notili.{ion !.dcr.l &.sul.rioo! (Tid.40. P&r 6) _ R.q!ir.d L.tt6 of No6liclti6 _I €niry $ th. f!d.61 R€d.d@ Etadins abdlc movd & iot ry?liclblc to rhi! Fojct. -_ I.ariry d l h.E ud du eDlici'6 ud tl!& thd lnc $ov. infon ion i!.dr..l I lg@ 1o.mply witt all ci9 ed County ordinmc 6d $!lG l,u eldna to bsildili dr.Eucti@, .ftIhcnby &lndia rcprMr.riv6 of $i! Cny ud C@ y loala !16 tb. 28-o.;,Oe V..- 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{rap/Drain Line Main Drain/Pool Piping Fill Line/Back Flow Pool Heater/Gas Line Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbing ErD ItT,lrl Final Gas Test Meter Release FEB O I 20t9 FINAL :w, 556, 661 Ez-.,"C) Lrnd6! Ad.t6r. _ Misc Gas Service Notes, Remarks, Etc.