HomeMy WebLinkAbout30118629 - PermitCity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspecton Requests: (714) 667-2738
Plumbing Permit#: 3O118629
lnspector's Section: (714) 647-5853
Project Address: 1345 N Gabrillo Park Dr
Assesso/sParcel: 400-14'l-06 Lot: I
Suite: 9
Block: NA
Bldg: S
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
lssuance
Amount
8.1 5
8.1 5
8.1 5
8.1 5
32.50
Fee
$8.15
$16.30
$8.15
$8.15
$32.50
$73.25
$0.00
$73.25
Pacifica Cabrillo LLc
1345 N cabrillo Park Dr#r'15
Santa Ana, CA 927013106
(714) 479-0060
PDQ Construction
10846 Louise Ave
Granada Hills, CA 91344
(818) 366-40r5Phone
State Lic #: 70608E
LicType: B
Bus. Lic #: 3'14292
Workers' Compensation lnsuranceCarier; State Fund
Policy #: 1773370-2005
Expires: '1112112006
Building Use:
Job Type:
Nature of Work:
Alteration
Fixture Change Outs
Planning Conditions
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Serna, Janet
Constr Type
Code:
R-3
v-N
cPc 2001
u ncy:
(: itc of Sonto Anq
PD: I l/29/2tr[5l0:CI(ELLY LoC: CTYH - ofi1(:usT: IHU:30118629
0118 0007 00011915 l1l28l2005 1:20Pn
TRAHSACTI0T{ T0TAL3 $559.42
Bu i td ine 173.25
Notes: Direct change out of fixtures
Date:
Date:
11t28t2005 Misc. Receipt:
lvlisc. Receipt:
Misc. Receipt:te: 1112812005
Building Permit #:_
Account#: 01'l-01-5912 lnspector
Fee Total:
Paid to Date;
Balance Due:
Qty
1.00
2.OO
1.00
1.00
'1.00
Serna, Janet
This pemit shall expire by limitation and become null and void if the wotu authoized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wofu authoized by this
pemit is suspended or abandoned at any time after the wotk is commenced for a period of 180 days.
Before such wotl< can be recommenced, a new pemit shall be first obtained to do so.
MID#: 2005-66360
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/stG.OMa'Builda D.clcr:d@
I h@by .mm udq paslty ol pajur/ thd I d .x6pr lm rh. C@td.ffi' Liffi* Llw fo {t. followi.s rcqon Ge 7031.5 Bcin63
ad Profelion Cod.) Ary City d Count, which rcquir6 ! p6nir to cmrucr rlt ., inpmv., d<nolish d &P.ir ey tructut , prid ro iri
i!s!&.., slso rcquiB $. +plic,oi td such P.mn io fiI. a tisn.d tllEEd lhlr h. d 3h. i5 lictu.d tu@l ro rhc ptuYiriotr! of th.
Co.!_Erdt Lic6.!d ll* {Ct!tp.n 9, C@.ina wi$ S*rion 7OO0 of Dviiion 3 of rt. Bqindu sd PtolBios Cod.) d lh31 h. or
rlEi!cx.dprlh6rfr6&dth.bsirf6lt..ll.Ec.lcr@?tof,Aryvioletionofs.cti@?03I5byoytPplicdfdaPnnnsubiea.
lpplicdr to a .ivil pqBlry of not il@ ihe 6v€ huid.cd doll6 (1500)
_1, E ownd of tlr prop6ny, or ny mployG wi$ wag6 s lt.ir sol. 6tpcsario., will do d. wod ed t. s!rucn!. i5 nol inlodcd
m of.Ed fr s.l. ( Sa.?O/t4, BGii6 ad rrcfdi@! Cod. Tt. C@lr,.ror'r Li.s. Lry dG iol aprly ro u om, of t. popctty
wto buil& or idprovi3 Ihd@, ed wlo do6 ch ao* hiroclf d h@.la d lhdugh hi! d hr om mtlord, Fovid.d Ulr 5!.h
improv.lMt! e not inr6d.d d ofl.r.d fd 3slc. lf, howcvd, 0E buildiry or iftPrceddt i5 iold wilhi. 6q y@ or qmPlltio, tnc
OMr-Buil& rill h.rc Ih. bur.tco of provins th.t ltc d rn. .ol boild tr imPrcvc for thc Pu.!os. oa sal.).
_t. e ownd oftnc prcp.ny, M.rclGiv.ly @.tre!.8 *ith lictu.d @nF&6 lo @nstacl thc proj.ct ( S.c 7044, Bsind 4d
P6l6im Cod.: Th. Conl,!.rd'r Li@. Law d6 .or rpply to d oMa of prop.rt, who builds t improvs $t on . 6d wno
conria.lr tor such projds willl . C@rr&rd(r) li@.d puE@r lo $c Cotrdoas Lic.N. L.w. ).
_l d .xdpl odd S@li6
-B
& P C. for rhis r@@
WORI<ENS COMPENSAAIOIT DICI-ARArION
I h@by sf6m un.ld paalty of p6jr.y @. of lhc fouowinr dlcla,lrim:
_l hsyc dd will mi.l.in . Cqriii.{. of ctu6t lo S.lf-tn3e for wdlc6 conptustron,3 provid.d fd by stclid lr00 ofdE
kbor Cod., lG rrr. pcrfmMcc of thc *od. for ehi.h tltc pdhn b isu.d
7-t .* -a *itt oanralo wt*' comp.nr.r,o iEuruc., as Equtcd by sccdon 37oo or $. L.hq codc, for !h. p.rfomecc of rh.
po* ld which lni! pqmit it isu.d. My wort6 @mp.nrdion in!@@ crnr dd poli.y numbcr e:
Polhy Nwbo,-Expi.6:
Gni! r@tion n.d.cn b. @npld.d ifth. p6,nn i. f6 On hudr.d doll4 {ll0o} qlB,
_l cdriry lhar i.lhc rrfmD@ of thc wot ld vhcn tnis p.mn h isscd,I rh.llnol dplor dy pqson in &y mmn.t so a |o
bed. subj..r ro th. wo*6 @nFro{ior hE! or crlifmia, &d asrc th.r if I !t@ld &.om. subj.d to th. wo 6'
dFls6tioi Fovisid of S.clio 3700 01ln. Lrlc Co&. I *dl, fdln*ith @nply eio $6c poi!
e)-
WA,INING: FailG to !..E wdtd' cmFt.tj@ @vE g. i! unl.ptul, Md 3ndl 3ubjccr e fidoya lo oimir.l F..ld6 rd civil
fin6 !p rod. hudld 6ousddclld (ll oo.ooo),h .dditi6 ro {:. c6t of@mp. anon, d4rea6 6 Prcvidcd ld,'. s.cti6 30?6 ol
l,E Lrbr Cod.. hEr6t dd !!lom!y r 16
LICENSED CONTRA TOiS DECLARATION
I hrcby .fiift undd parlty of pdju.l t.! I e lica!.d ud6 proviron or Ch.$.r 9 (ffi6ciig vith s.ctid 7o0o) of Divisioi I ol
0E Buins &d PEr.riiod codc. ed my lictr. k ii tuU f6e dd Gft .t
//-2{-a E-
C9$I8!]CII9Ii!E!DUG]EENSI
I hdcby smm udd p.nalty ofpcrjury lllat rhd. is, @isr.uclion ladini a!6cy fs thc pcrfomdc. of lhc vort for which thk p.mit is
iisu.d (S{ 309?, Civ C)
APILICANT'S DECLARATION
Dmolnio PmiE-Asb6l& Noifiqri@ !.d.r.l R.suhrioN Clitlc .0. P.fl 6)
_ Roquird L.nd ofNotific.rm
_l cdliry rh& dc t ddl Etuhd@! Etddins Bb6ld ffivd E not ppli.itlc 10 thir Fojcd.
-Z1-.otry o.r r rr"* roa out .ppticrdd sd rlllc lh.r !E .hov. i'fffi.Ii6 i. .mct. I .s@ ro @mply ,nn .lt city ed cMt,
6din66 3d Srr! Ls. rcl.ri.s ro bqilditrs @dtucrior dd h€lby .llhdia EF6artiv6 of 6it City ad Couty ro 616 upon ih.
3bov. ndri@c! prop.ny f6
l<y'ar',4// a</a,12
UNDER GROUND
Water-Underfloor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipeing
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{raplDrain Line
Main Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing EXFIF ED
Final Gas Test
Meter Release f-EH fl |7n$
Notes, Remarks, Etc.
COMMENTS
Waste & Vent
FINAL
Lait 'r Addra
Ct-
tl