HomeMy WebLinkAbout20133959 - Permit (2)City of Santa Ana 20 civic Center Plaza (M-19)' Santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738
Electrical Permit #: 20{33959
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr
Assessor'sParcel: 400-'141-06 Lot: 1
Suite: 1 6
Block: NA
Bldg: Q
Tract: '10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor:
Address:
Phone:
Tenant Name:
Tr
1345 N Cabrillo Park Dr 16
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
[,lin Fee Adj
lssuance
Notes: pd on M48654.
Qtv
8.00
7.00
5.00
1.00
1.00
1.00
PAID
llAY 1 7 ?00s
City ol anta Ana
Amount
0.84
0.84
0.84
-52.50
3.20
32.50
Fee
$6.72
$5.88
$4.20
$-52.s0
$3.20
$32.50
Phone
Building Use: Multi-Family (5 or m67s un Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & drywall Code:
Planning Conditions: No Exterior Work
R-l
V.N
cEc 2001
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:Ahangian, Kathy 05/16/2006
Building Permit #:_
This pemit shall expire by limitation and become null and void if the wo* authoized by this permit
is not commenced within 180 days from the date of this pemit, or if the work authorized by this
petmit 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
$o.oo
$0.00
$0.00
Account #: 01 1-01-5913 lnspector lVlD#: 2006-69858
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensalion lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Date:
Date:
Date:
ELECTRICAL-INSPECTOR RECORD
DATE ID/SIG.COMMENTS Ownd-B!ild.r Ddlmiid
I hftby ama mde pdalty ol pcrjury rhal I m cxmpt fom rh. C@tr..roB Licasc kw for th. folloving Eson (sd 701 I t Businds
Md Proi6sioi Cod4: Any City or County vhich Equt.s a Fmit to conrtn.1, .ltd, imp@tc, dcmolilt or Epan ey s@crw. prid to iLi
hsuec., aho r.luiru ln. +plist fd such Fnil lo filc a sisncd stslcMt that h. or sh. is licas.d pu6@l to thc psvisio8 ot djc
CoiB&br's Licdsd Llv {Chaplcr 9, C(),m6ci.8 wirh Scdon 7000 ol Drision 3 of $. Buinss dd Profsrions Codc) or lh.r h. d
sh. G dmpl th.r.6om s.l th. bais for 0E .ll.!d.xcmption Any violarion of S.cliM 703I 5 by y applic&l lora p.mn subj@ls rhc
applicdt to . civil p.n.lty of.ot noic d0 fivc hun&.d dolld ($J00)
_I, a M6 ol rhc For.ny, or ny .nploy6 wilh va8e 4 rhct sol. @mp.nsaion, *ill do fic wo* ud lh. sirucrs. is not intod.d
s o,I*d fo solc ( S.c 7044, aBi,N ed Prorc$iqs Cod. Tn. Conhcrd s Licas. riy do6 rcr apply lo & wnd ol . pro?.riy
who builds or ihF.vs lh.Mn, ed who do.s such *dl hims.lf or h6da q lhresh hir tr hGr (m oploy6, providd rhd iuch
imprcvmots d. not intadcd or oflocd fd solc. It howd.r, rhc hrildin8 q imFovd@t is sld *i$in d. y.d of.onpl.rDn. lllc
Omn-Builda vill havc lh. burdh ol prcvirg rhd h. or 5hc .or build o improvc for th€ prrpGc of sal.).
L a ovn6 ofthc proFny, m.rcl6iv.ly @nEacti.s with licds.d.onhctors to.mritucr thc Fojcl ( S.c ?044, BBiDBs ud
Prcr6sion Codc Thc Contretols Lic.N. h* dc nol apply lo o our of propdy who buildr tr improv.s rtftor , md who
conbr'l ld ruch lnoJels with a Cqllelo(9 licas.d pu6u&r to rhc Conoacror's Liccn!. L.w )
_l m .x.npr D&r Seti6 _.B & P C fa riis l!.o
DdG: Owi.r:
WOfu(EAS COMPENSAT'ION DECLARATION
I h.r.by .inm undcr pa.lty of p.rjury on. of th. following deldti@
_l havc ed willmai.iain ! C.nifidc of Cmsal b S.li IniuE ao wd*6' cmpc.larjon. s Drcvid.d for by S.crion 37OO offi.
Labor Codc, fotn. p.rfm c. of rhc wo* fo which rh. pcmit is i$ucd
lhavcodvillmai .in wnt6 cmFns.lioi6l@cqa.€quiEdbyS6ti63?0ooa(hcLaboc.dc.forlhcp.rf@dccofrh.
wort for vnicl this Fnit is isu.d My vdt6' .mpqBarion isurs@ ceid d poli.y nombtr ec:
Policy Nunbs ErpirG
(This *clion nccd f,ol b. cmpl.kd if $. pdnn is for Onc hundr.d doll6 lt l0o) or ls)
_I cdify lnat in drc pdfmde of th. wort fa wnich rhk Fmir is i$u.4 I shall nd dploy dy D.6o io &y mend !o s ro
bc@c subjdt to $. wqk6 comFisation la* of Califmi\ &d.gR rhar ifI5hould beMc subjd b rh. *dl.R
@mposatio prcvisions oas.ctio 3700 oad. Labd Cod., I shall, lonhwitt cmply wirh rh6. Fovi!i@.
WAf,NING FailuE to seuE woLcu' cMFnslion 6vd.g. ir ul.,ful, ed shall subjftt d rnployd ro qiri.al p.nahi6 dd civit
finB up lo o. hundrld thocdd .lollm (t 100,000),in addiri@ ro rhc c61 of cohp.nsars, d.na!6 s provi<kd for Oc S€tion 1076 of
ln. L.bor Cod., inrcEs ed aliohcy'i fB
LICENSED CONTRACTORS DECLARATION
I hcEby afrim und.r p..ally oapGjury drr,l I n licms.d undd povision of Chapcr 9 (@dh.trcinB with S.ctior 7000) of Divilion 3 of
th. B[i.a! d PrcfBions Codc, ad Ey lic.nr. is in full f(@ dd cflccl
CONSTRUCTION LEI\'DING AGENCY
I h@by amm uod6 paalry of F iury rhal rh@ t a coist uclioi lcndiis agncy ftr ih. p.rforll.@ ot $c wdi( fn which this p.mn i,
i$!cd (S.c 3097, Civ. C )
APPLICANA'S DECI,/\RATION
Daolnio. P@i1r-Asb.n6 No{fi@lid F.d..l R.golari@3 (Tnb aq Pal 6)
RcquiEd Ldrd of Nolifi .dion
_l eniry 0'ar tlr Ldcral rcBuldios rcsrdi.s sbd6 Movd ft not lppticlbl. o $is prcjccr
_ I ccrtry $.t I hav. rcad rhis @plication ad shr. fiar rh. rbov. inlmadon h ffieL I agE ro c@dy *ith dt City sd Cdnty
ffdin&c6 dd Sralc Llws r.ldlin8 ro buildiig @NEvctid, md h@by lurhoie rcl{tslativ6 of lhir qry ud Courry to ar6 upon th.
abov. matiocd p,op.rq fd insFclio purpG6
../1)a,/z/
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)
Meter Release trYDItr EI\
Rough FFBOI 20!9
Service Meter
FINAL ,, soo, 667
Notes, Remarks, Etc.
APPROVALS
Licdr. Numb.r _
L.ndn r Ad.L*
I