HomeMy WebLinkAbout20132686 - Permit (2)Cify of Santa Ana 20 civic center Plaza (M-19), Santa Ana, c492702
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738
Electrical Permit #: 20132686
lnspectoas Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 3
Block: NA
Bldg: R
Tract: '10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor's Parcel: 400-l4l -06 Lot: 1
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Tr
1345 N Cabrillo Park Dr 3
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Fee Type
Receptacle
Switch
Light Fixture
lssuance
Notes
Qty
10.00
8.00
6.00
1.00
Fee
$8.40
$6.72
$5.04
$32.50
State Lic #: 684052
LicType; B, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2005
Building Use
Job Type:Alteration Cons
Nature of Work: Kitchen Remodel & drywall Code
Planning Conditions: No exterior work.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
FA')
'l ?0
b1 got3
06FEB 2
s -)
dnia A(lapancy:
tr Type
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:Ahangian Kathy o212112006
Building Permit #
This permit shall expire by limitation and become null and void if the wo* authorized by this pemit
is not commenced within 180 days trom the date of this pemit, or if the wotu authorized by this
pemit is suspended or abandoned at any time after the wotk is commenced for a pedod 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
$52.66
$0.00
$52.66
Account #: 01 1-01-5913 lnspector lVllD#: 2006-676'14
Amount
0.84
0.84
0.84
32.50
Phone:
Date;
Date:
Date:
R-'l
cBc 2001
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Own.FBuildcr Ddl@tio
I ndby afim undq Fi.liy of pai!ry th{ I m dmpt fom rh. Conhcrm Liccnic Law aor rhc followin8 rc6on G* 7031.s Bsi.c$
aid P,oi.$ioi Cod?)i Any City or County qhich EquiB I p.mn ro conslrucl, ahd. improvc, dmolilh or raair ey slrucluE. prid !o i6
hsuac.,ahor.qutarh!.pplicanrlorsuchpffilrofil.a,igncdrr.i.n.ntrh.(h.orrh.isli..ns.dpursudttoth.Foviiionsollnc
Co.reror'5 Lic.,Ed kv (CfiaFd 9, Cmn.ncin8 with Scclion 70@ ofDvhion I ofrhc Busin6s dd Prof6sids Cod4 or O.r hc d
shc ir q.mpr thB.arom Md th. b6is ftr th. all.8.d .x.mprion .Any violaiion of S.cdon 703 I J by ay applimt for . p.mn $bj.cB thc
applicdt lo acivil poalty ornormorc thM fivc hudr.d doll6 (5500)
_1, s oqs of thc popaty. d oy mployG *iln vagB a $.ir solc cohp.$ado., will do lhc work Md lhc s!.!clac ii not int nd.d
or ollc..d tc sdlc ( Scc 7044. AGins ed Prof6ioru Cod. Thc Cont&tdt Licm. k* doq nd.!ply lo.! oms ol rhc propcny
who buil6 or imFovs lhficon, od who dc auch *ork hiN.lf or h6.lforrhrcugh his or h.r oen 6ployc6, prcvid.d tn4 5!ch
inprcv.menk @ nor int nd.d or off.Ed fm 5.1! Il hN.v.r, lh. buildine tr imprcvcnot is 5old wilhin on! yls of.omplcxon, lhc
O*on-Builda will hav! dE burd.n of prcving lhar h. o, rh. not blild or imprcv. tor rnc puQ6. oa s.l.).
_1. 6 owis oi 0'. prcp.fiy, m aclsiv.ly connm
"B
with lics&d cmhtoG ro conshct thc prcj.d ( S.c 7044. B6in6! ud
Prcf4ioi Cod.: Ttc Co.hcton Licds. Law d6 ior lpply to d osn6 of prcpcry *ho build! 6 ioprovB rhtun , od who
co.tmt for slch pbl.cB wth c Conr&b(, limsd pua@r io th. CoDr.ltot Li.as. Liw )
D.t.r Ow..rl
IABKEI.ICAI4IIXIAIIOX.DECLAIA.IIOT
I h..cb, affm udq pcnalty of p.dlry oic olthc lollowiig d*lefioffl
I havc ad willnain.aii B C.ni,lotc of Consdt to S.lf'l.sur. for workcEi compchrarion,6 prlvid.d for b, S@d61700 ofrh.
Labor Codc, for tlc p.rfdr@e of $c *ori fd which lnc p€mi1 is i$ud
_l ha!. ed vill mainr.in wtrlcB onp.hsalion insuracc, a r.q utcd by Scction l70Ooflhc Labor Cod€, fsrhc pcrfomqcc oflhc
qork for which rhis p.flit is isucd My work6 €mp.nsalion insurane cuid ud policy numb€r arc
Poli.y Nuob.r:lExpi
#d;;
nor bc corpl.t.d if U. pmn ir aor Oo. hu.drcd dolls {ll0ol or 16,
rhc p.rfomecc of lhc work fd which
urc work6' compcnsqtion co
hundrcd $oBed dolls (!100.000).in a<ldi
inlcr6t dd atom.y\ f.6
I hcEby affm und.rrcnalry of pcrj ury lhat I d li@ns.d und.rprovisior ofChapr.r 9
rh. Butrnc$ d Prof6sions Cod.. an liccnsc is in iulliorc. and cli.cr
und.r p.nahy of pcrjury th3t thd. t a
hsu.d (S.c. 3097, Civ C.)
ATIIICANIIDICI.AAAIION
D.mohio. Pcmi$-Asb6rc Notificado. F.dqal R.gal.tiois (Tidc a0. P..r 6)
_ R.quircd Lcnd of Notificatoo
a3rc. ro conply wnh lll Cit, dd County
.bov. m.ntiohcd propcny lo inlFction
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / 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
EXPI RFN
Rough
Service Meter FEB O I 2019
FINAL
Notes, Remarks, Etc.- - --,wi ssq: lrqa
_l m .xmpl undd Sedon _,8 & P.C. asthisl6m.
L.nd.rs Addras
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