HomeMy WebLinkAbout20132663 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738
Electrical Permit #:20132663
(714) 647-5853
A
lnspector's Sbction:
Project Address: 1345 N Cabrillo Park Dr
Assessor'sParcel: 400-141-05 Lot: 1
Suite:7
Block: NA
Bldg:A
Tract:10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address:
Phone
Tenant Name
Contractor;
Address:
Phone
Tr
1345 N Cabrillo Park Dr7
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-5280
Building Use:
Job Type:
Nature of Work:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
^ wtlttairiu,,f
Alteration
I Occupancy:
Constr Type:
Date:
Date:
Date:
Fee Type
Receptacle
Switch
Light Fixture
Min Fee Adj
lssuance
Notes:
Fee Total:
Paid to Date:
Balance Due:
Amount
0.84
0.84
0.84
3.20
32.50
Qty
8.00
7.00
5.00
1.00
1.00
Fee
$6.72
$5.88
$4.20
$3.20
$32.50
$52.50
$0.00
$52.50
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823731
Expires: 06/01/2006
Kitchen Remodel g 6ryvvq11 Code
R-1
V-N
cEc 2001
Ahangian, Kathy 02t16t2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit
This permit shall expire by limitation and become null and void if the work authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wotu authorized by this
permit is suspended or abandoned at any time after the work is commenced for a peiod of 180 days.
Before such work can be recommenced, a new permit shall be first obtained to do so.
Account #: 01 1 -01 -591 3 lnspector MID#: 19285
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Planning Conditions:
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Ownq-Buildcr Dcclaation
I hcrcby affim undcr pcnalty of pcrjury that I m cxcmpt fom thc Contractom' Liccnsc Law for thc following rc6on (scc.703 1.5 BusinBs
and Profcssion Codc)i Any City or County which require a pcmit to construct, altcr. improvc, dcmolish or rcpair any structurc, prior to it!
issumcc,alsorcquirethcapplicantforsuchpemittofilcasigncdstatcmat thathcorshcisliccnscd puEuuttothcprovisionsofthc
Contractor's Liccnscd Law (Chaptcr 9, Commcncing with Section 7000 of Division 3 ofthc Busin6s ud Prof6sions Codc) or tlrat hc or
shc is cxcmpt tho€from ud thc b6is fo thc allcgcd cxcmption .Any violation of Scction 703 1.5 by uy appli@t for a pcmir subjccts thc
applicut to a civil pcnalty of not mor. thu fivc hun&cd dollas ($500).
_1, c owncr of thc propcny, or my cmployccs with wag6 6 thcir solc compcnsation, will do thc work ild thc structuc is not intcndcd
or offcrcd fo salc ( Scc.7044, Buinos ild Profqsions Codc: Thc Contmctor's Liccnsc Law doe not apply to o owncr of thc propcny
who builds or improvo thqrcon, ild who doe such work hiruclfor hmclfor through his or hcr own cmployccs, providcd tlrat such
improvcmcnts rc not intcndcd or offcrcd for salc. [[, howcvcr, the building or improvcmcnt is sold within onc ycar ofcomplctron, lhc
Owncr-Buildcr will havc thc burdcn ofprovinS that hc or shc not build or improvc for thc purposc ofsalc).
_1, o owncr of the propcrty, m crclusivcly contracting with liccnscd contractors to construct thc projcct ( Scc. 7044, Bsin6s ud
Profcssion Codc: Thc Contractor's Liccnsc Law docs not apply to a owncr ofpropcny who builds or improvcs thqcon , and who
contracts for such projccts with a Contracto(s) li@nscd pursuilt to thc Contractor's Liccnsc Law ).
_l m cxcmpt undcr Scction & P C. for this rccon
Datc:Owner:
WORKERS COMPENSATION DECLARATION
I hcrcby affim undcr penalty ofperjury onc ofthc following dcclaations:
_lhavcmdwillmaintainsCcrtifi@tcofConsdttoSclf-Insurcforworkm'compcnsation,c providcdforbySction3TOOofthc
Labor Codc, for thc pcrfommcc of thc work for which thc pcmit is issucd.
_l havc ild will maintain workc6' compasation isurucc, d rcquircd by Scction 3?00 of thc Labor Codc, for thc pcrfommcc of thc
work for which this pqmit is issucd. My wo*m' compctrsstion insurucc triq 8d policy numbcr ac:
c"il...
Policy
I (This secdm nccd
l.(****^
not be complcted if thc pmit is for Onc dolles ($100) or 16r)
thc pofomecc of thc work for which this ilmit
of CalifomiA" md
ii i$ucd, I shall not cmploy in any manner so s to
bccmc subjcct to thc workcro ' compcnsation lam agrcc that ift should thc
compcnsation l?00 ofthc Labor Codc, I shall, forthwith with
WARNING:to Sccurc workm'compcnsation
($100,000),in
il cmploycr Io triminal p€nalris ud civil
fincs up to onc hundrcd thousmd dollls addition (o damago ro providcd for thc Scction 3076 of
thc Labor Codc, intcrEt ud anomcy's fc6.
LICENSED CONTRACTORS DECLARATTON
I hcrcby affim undcr pcnalty of pcrjury that I m licensed undcr provision of Chapts 9 (@mmcncing with Scction 70Oo) of Division 3 of
thc Businss ild Profcsions Codc, md my licosc is in full forcc and cffcct.
Liccnsc Numbcr
Datcr
I hcrcby undcr pcnalty ofpqjury th8t tloc a agcncy for of thc work for which this p€mit is
issucd (Scc. 3097, Civ, C.).
Lcndcr's Nmc:
Lcndcr's Addr.ss:
APPLICANT'S DECLARATION
Dcmolition Pmits-Asbqtos Notification Fcdcral Rcgulations (Titlc 40, Pan 6)
_ Rcquircd Lcncr ofNotifi@tion
rcmoval arc not applicablc to this projcct.
corcct. I agrcc to comply with all and Counry
abovc mcntiohcd propcny for inspcction
Applicmt or
Pcmittcc nmc
thc above
of this City ud to thc
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
ltrleter Release
Rough
Service Meter FXPIRI :D\ tt
FINAL )ts
Notes, Remarks, Etc.JUN 0E Zutu \