HomeMy WebLinkAbout30118631 - PermitProject Address: 1345 N Cabrillo Park Dr
Lot: 'l
Suite: 10
Block: NA
Bldg: S
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
' /$ra\gJlt4tfl#E+City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Plumbing Permit#: 3OtlE63l
lnspectofs Section: (714) 647-5853
Owner:
Address
Contraclor:
Address:
Phone
Tenant Name:
Pacifica Cabrillo, LLc
1345 N Cabrillo Park Dr# Rl5
Santa Ana, CA 927013106
(714) 479-0060
PDQ Construction
'10846 Louise Ave
Granada Hills, CA 91344
(818) 366,4015
Fee Type
Water Closet
Sink
Dishwasher
Garbage Disp
lssuance
Amount
8.15
8.15
8.15
8.15
32.50
Qty
'1 .00
2.00
1.00
1 .00
1 .00
Fee
$8.15
$16.30
$8. 15
$8.15
$32.s0
Phone:
state Lic #: 706088
Lic Type: B
Bus, Lic #: 314292
Workers' Compensation lnsuranceCarrier: State Fund
Policy #; 1773370-2005
Expires: 1'112112006
(: ite of sa'lto Ano
pD:11/2Sl2005I0: CKELLY LoC: CTYH - 091rirqr: Illv:30118631oiiri ooor s00llB4l l1128/2005 l:1gPn-
iiiilsri:.ii-on ibiAl: - t55e-'t2
eriiid ins t73.28
Euilding Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
ffiAlteration S(rup constr rype:
Fixture Change Ou6 Code:Notes: Direct change out of fixtures
R-3
V.N
cPc 2001
Serna, Janet Date:
Date:
YC>')---+ae.
0
11t28t2005 Misc. Receipt:
Misc. Receipt:
Misc. Receipt:Serna, Janet 't1t28t2005
Building Permit #:_
This pemit shall expire by limitation and become null and void if the wofu authodzed by this permit
is not commenced within 180 days from the date of this petmit, or if the wo* authoized by this
permit is suspended or abandoned at any time after the wotk is commenced for a period of 180 days
Beforc such wotk can be recommenced, a new pemit shall be first obtained to do so.
Account#: 01'l-01-59'12 lnspector
Fee Total:
Paid to Date:
Balance Due
$73.25
$0.00
$73.25
MID#: 2005-66361
Assessor'sParcel: 400-141-06
PLUMBING.INSPECTOR RECORD
APPROVALS DATE tD/stG.Oma-Builda D..lard@
I h@by !fim @d.. pa.lry of prjqry th.l I d dnpt fm th. C6E cd Lic..r. hw fq$.lollwingBd (ic 701L5 Bqi.4
ud Prcferion cod.) Aiy City r CNty whi.h.!quir6 . p4nil to c@Euct 0116. imprcv.. dcnolish d E?u any sEu€ts., Fd lo il5
isucc, .l5o Equic d'. +pli6t fd 3ucl pdrin io filc s iitllc.l iur.m@t lilr h. d shc i! li.tucd p!R@l to th. lDviti@ of thc
Cotodor'i Lic.n4d Law (Ch.,tlr 9, c@cina {i$ setio ,000 of Divition 3 ol rh. Buin6c ad ProfBsio! Cod.) ot th.t h. d
sh. i! d6B ln@46 ed ln. bBi la th. .,l.scd .rhFi6 .Any violltid of S..ti@ 701 I 5 by ey lPPlior 16 a P.m( 3ubje& th.
.pplic r b . civil padty of noi h@ llla fivG hud..d dolle (lr0o)
_1. d oM6 of lll. Fop6ty, or hy dploy.6 eirh erg6 a th.h sol. c@Fro:1i6, wiu & th. wdl l,d dt lElctrt tu nol intdd.d
or otr rd fd 16l. ( Sa.704.. Buind ud Prcf6li6r Cod.r tlr Conm.Lrt Li.ai. hv d.e nol .pply lo e qnq of ih. Pmp.ny
vno buil<ts d ihFovd thc!6, ed who do6 tuch eort hielf 6 h6.lf 6 .trouSh nk a fia om .inployc6, Foviald thc tch
improv@al' e nor inrd&d d ofia.d f6 t.l. I( howdd, tlc buildiDs or imptuv.hdt ii sold within dc y@ of cmplaio, O!
oMd-Bqjldd *illh.v. th.bun!, ofprcvi.s$ hcoBh.nd buitd dihprovd forthcplrp6c of$lc)
_1. a om6 of rhc p.opaty, m .xcluiv.ly @E&iing wirh lic6r.d 6ita.i6 ro @ss!d thc prcjd ( S.c 7044, Buin6 ad
Prcf@id codq Th. Co.l'.dd'r Licle lrw d6 nor ,pply to { oud of Fo?.n, who b!il6 6 imFovd $.@n , dd sho
cot8.r. for $ch prcj4u wirh r c!iE&ro(, lic. .d Pa@t to lhc csi@tor'. Licd. Ltw.}
-l
d 4atpt ud.( S.cii@ .8. & P.C, fd lhis Bd
\{Oi.KETS COMTENSATION DECLANANON
I hd.ny a,lim un.td pd.lv of pdjury onc of thc lollowi.s del.'!!N
_l h!v. ed will nairhin . Cqdfio& of CoNat to S!lf-l$u. for wortcE' .6pcBador, a Fovid.! fr by Scdjon l?oo of{t.
Labor Cod., fd lhc pcrfme@ ott. w6t rd qni.h lhc pahn b ii$cd.
/.l h.v. Md wrllm.inbin sorr6 @mp6s&q rNufuei s Equn d by Scdon lrOO of th. Labq Codc, for dic p.rfomea of thc
*o.t aor which th pmi ii k .d. My wdi6' cmpcnr ion iBuaE cnio ed policy nunbc, ar.r
Policy Nmb6-Exp,t6:
( nlk r..tion Dc.d nor bc.olipldcd ifth. p6mll i! fd On hu.d.cd dolla, 13100) or le)
_l .qtit lhd i. thc prfmma of ln. wort lor which this Fmil is isu.4 I sh.ll nol 6ploy {y ,6on in 4y !m..r to q to
bde. iubi..t lo drc s6r6 ' c@p@!niq l.s of cdirmia Dd ,sre $or it I lltodd b.c@. !!bj!ct to th! wod(6'
.spc6lrion pr.visid of s.crin 3?00 ofrhc Lrld cod.. I rhdl, fcuwidt co":ply *idr rhG. Provisions
5
WARNING Faild to lccw q6k6' colrpcrsrid @v6.t. h uluful. ed utdl slblet u .dPloytt ro oiniid pa'.lri6 &.1 civil
fin6 W b o. hud'.d lll@$d &llc (l lo0,00o),i. lddnid to rhc c61 of @nF$.ri@, dM.ss 6 p.ovi&d fa ln. Send 1076 of
thc L.b6 cod., inEr.3r rnd dron.y', fc6.
IJCENSED CONTR CTORS DECLAf, ATION
I h@by sfrm Bda p.n.lt, of pcrjuy th.r I sn llco)5.d l)n.ta Fovind ol Ch.9td e (@citr8 widr S.cli@ 7000) oa Divtio 3 of
0!G B8indt ed Prcfdi@ Cod!, sd ry li@& i! i. tull fde ed .fdr
1/-2A-a.-
CONSTRUCTION LENDING AGENCY
I hd.by aflim udd Fn.hy of p.qlry tnat $e is . .oiiEudim lodins ri6cy ld lh. p.rfomMcc of thc work fd lhich this P.drl u
issu.d (Scc 1097, Civ C.)
Af PLICANT'S DECLAIATTON
D.molito lmirFalbqro5 Noti6.!1i6 FcdEsl Brtlltlitu (Tid. 40, P{t 6)
_ R.qdrcd knd of Notilicdio
_l cqtiry 0l.l !n. flddl Erxlrti@ G8l.djrs sb.ns @v.l !r! f,or r+plic$lc ro d'i3 Fojct.
- I cadry dE I hrE Eld rhi. 4plic.ti@ ud 'br. 6a rhc .bovc infmajo h corc.t I .8@ to @ply with .ll City ud County
odil.lB &d Sr{. t:q El.tila to bsildins cdEtuclim. sd t..!by !!$oria Epnro'rrrivc of d'ii City &d Cosry ro 6r., up(,r lhc
abov. malioncd prop.rty
.rpptior *Si[,/Lzx--<(g'ql
UNDER GROUNO
Waste & Vent
Water-U nderfloor
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
Ptrap/Drain Line
Main Drain/Pool Piping
Pool Heater/Gas Line
Misc
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
EATI \Er.,
Rough Plumbing EtrD A l ,nto
Final Gas Test
Meter Release SAMC {r-43, 2 90. 55€, 66'
FINAL
Notes, Remarks, Etc
COMMENTS
Fill Line/Back Flow
Back Flow Device
L.-
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