HomeMy WebLinkAbout20132739 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738
ProjectAddress:1345 N Cabrillo Park Dr
Assessor'sParcel: 400-141-06 Lot: 1
Suite: 14
Block: NA
Bldg: B
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Tr
1345 N Cabrillo Park D l4
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Fee Type
Receptacle
Switch
Lighl Fixture
Trust Applied
Min Fee Adj
lssuance
PAID
FEB 2 4 2006
$-@-
CitY of Eanta An'
Amount
0.84
0.84
0.84
-52.50
3.20
32.50
Fee
$6.72
$5.88
$4.20
$-52.50
$3.20
$32.s0
$0.00
$0.00
$0.00
Qty
8.00
7.00
5.00
1 .00
1 .00
1.00
Phone
State Lic #: 684052
Lic Type: B, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject lo Field:
Alteration
Nature of Work: Kitchen Remodel g 6ryv7211 Code
Planning Conditions: No Exterior Work.
pancy
Constr Type
R-l
v-N
cEc 2001
Date
Date
Date
lvlisc. Receipt:
[,4isc. Receipt:
[/isc. Receipt:Ahangian, Kathy 02t2412005
Building Permit #:_
This permit shall expire by limitation and become null and void if the wotu authorized by this pemit
is not commenced within 180 days from the date of this permit, or if the wofu authoized by this
permit is suspended or abandoned at any time after the wotk is commenced for a peiod of 180 days
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
Fee Total:
Paid to Date:
Balance Due
Account#: 0'11-01-5913 lnspector
Electrical Permit#: 2O1327t9
lnspectois Section: (714) 647-5853
Building Use:
Job Type:Notes: pd on M-48095.
MID#: 2006-67712
ELECTRIGAL.INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
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
Roof Top Equjpment
Facto Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Service Meter EBO
FINAL
Notes, Remarks, Etc
Ownd"Build.r D.cletion
I hcrcby dflim undq p.nalry ofFrjury rfiar I d cxmF fom |hc ConractoB Lico!. L.{ for ll. fottowinS EsnGeTOtr, Bsinat
aod Prof.sio. Codc) Aiy City d County vhich rcquiB r pmit to consrtucr,.hd, ihprcv., d@olirh or r.pair uy flrlcrurc. Fid ro irr
isuecc, ako aquirB $c applhanr lo such p.mn ro fiI. a sign.d sdd.nr ihat lc or sh. is ticms.d p6udl lo $. Fovisio of th!
Conl&br'5 Licos.d llw (Ch.F?. 9, C6m..cios wilh Scction 7OO0 of Divisio. I of $c Auin6s ed ProfBiotu Cod.) o. riar h. o
rh. i!.x6F lh.r.fr@ adlh. b6is fo0E allcg.d .r.npl ion AnyviolllionolScclionr03l.Sby y applior fora p.mit Nbjccls th.
aprli@t to acivilFnalty ofnor horc the fivc hun&.d doll4 (t500)
_1, d opid of th. prcp.rty, or hy cnployB qth *,96 a rhcir 3ol. comp.nsrio., will do dc vork ad lh. suuclw. it nor inr.ndcd
or o,Lrcd fd s.l. ( SE.?044, Busind ud Prof6sion6 Codc, Thc Contnctols Lic.ns. k* doa not.pply ro d ownB ot6. propc6,
who buil& or improv.s th.r.on, ed who d6 3!ch work h'mclf or hdrlf or OrouSh his o, hcr wn.mploy.B, provi&d rh.t iuch
improv.mcnb @ nor inlcnd.d or of,ir.d ao sal.. Il hov.v.i, ihc building or ihprovcmor is sold wi6in on. y.aofconpt.ron. fic
O*ncrBuildcr *ill havc lnc burdcn ofprovins th.t h. o sh. nor build or inprov. for th. purp6. ofsat.)
_I, a o*nq ofrt. prop.nr, d cxclUiy.ly @ntutin8 with liccns.d comr,ctod lo coshd thc Foj.cl ( S@ 7044, Bsin6 ud
Profssion Codc Thc Cont'icrd! Ucc.* L.w dc nor cpply to d omci ofproprdy who build, d rmFovB $qcd . &d who
conrtuE ao' ilch pojal5 *ith a Coir&to(, lieoscd puElsr to th. Co,r&lors Lic.hs. l-3w )
I M ermE ui&. S@rion .8. & P C. fd rhi! e8o
WORKERS COMPENSATION DECLARATION
I hcrcby ailim und.. penalty of pcrlury on. oalh. followii8 d.clestions
_l havc dd will mainrain . Ccnitcat! of Consor to S.lfinsur. ior work.E' cohpcns6lid, 6 providcd tor by S.dion l?OO ofrhr
Labor Codc. for thc pdf.,1Me or th. work ror which dc pmt ir isrucd
_l hav. ud vill m.imain w(k6' cmFtullion iuumc., a r.quircd by Scction 3700 of rh! Llbor Cod.. fd $. Frftuc. of 0E
wo.k ftr whid thii Fmit it is!.<I My ed*d' mp.n!.lid iEu.D@ 6ia sd poliry nmb.r @:
Zn *^*.r.if,.-. * --*.
b. compl.id ifrh. p@n ii ior On. hund,cd doll6 {1100) or 16)
pdt(mac. oa lh. work aorwhich lhis
wo*6 ' cohposaion laws of Califom
comp.nr.rion provisio.s olS.clion llo0ofth. Lobor Codq Ishslli fonnvnh
WARNING fdhrc to sccrE wdk6' @hp.nurion covaagc is unl ploycr ro 6ihin.l pci.lri* ed civil
fina up to on. hlndrcd thoudd dollM (lloo,ooo),itr ddido ro lhc 6r of
$c Labo. Codc, inr6d ed r'M.y r f.6.
aB6 6 prcvidcd for $. S.cio. 1016 oa
I hcrcby amm und.r porlty of p.rr 0ry th l e li...scd u.dd !rcvisio, of Chapt r 9 (D$. Businc$ ed Prof6ionsCod., ddmy lic.nscisih aullforc. and cffccr
-o
I h6cby .mm un&r p...\y oa pqjury rlrt ihdc ir c conrhcrio, hndins .B€icy
i$u.d (S.c 1097, Ck c)
p.rfmanc. of Ihc wdk fd which rhis pcmn t
to comply wni 3ll City and Counry
ab.v. n.nrioh.d prcp.ny fq insFction
ollhis City Md Cou.ty ro ot r upon thc
Air Conditioners
FYDIrlI iD
Rough
l0R
Darc Osnr: _
APPLICANT'S DECLARATION
Dcmoliion P.mrl}Asb*rs Norificario f.dcral Rcsulalions (Tirl.40, P.n 6)
_ Rcqutcd L.tdof Notifidion
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