HomeMy WebLinkAbout20132784 - Permit (2)Electrical Permit #: 20it2784
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr
Assessor's Parcel: 400-14l -06 Lot; I
Suite: 5
Block: NA
Bldg: S
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Conlractor:
Address:
Phone
Tenant Name:
Tr
1345 N Cabrillo Park Dr 5
Santa Ana, CA 927013106
Young Kim lnc.
'16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Notes: pd on M48095.
Qtv
8.00
7.00
5.00
1.00
't .00
1.00
PAID
flAR 01 2006
City of antE Ana
Amount
0.84
0.84
0.84
-52.50
3.20
32.50
Fee
$6.72
$5.88
$4.20
$-52.50
$3.20
$32.50
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
L-
Building U Occupancy:R.1
V-N
cEc 2001
(-!
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & drywall Code:
Planning Conditions: No Exterior Work.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy 03/01/2006
Building Permit #
This pemit shall expire by limitation and become null and void if the wotu authoized by this permit
is not commenced within 180 days from the date of this permit, or if the wotu authoized by this
pemit 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 permit shall be first obtained to do so.
Date:
Date:
Date:
$0.00
$0.00
$0.00
Account #: 01 1-01-5913 lnspector MID#: 2006-67832
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA 92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
Min Fee Adj
lssuance
NIisc. Receipt:
lvlisc. Receipt:
lvlisc. Receipt:
Fee Total:
Paid to Date:
Balance Due:
APPROVALS DATE tD/srG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
EYPIer rrt
Rough
Service Meter FEBOI:t0t9
FINAL GA
' cer7, vJrcra667
ELECTRICALNNSPECTOR RECORD
Oma-Buildc Dal.ralion
I h.r.by lmm und.r p.ndry of ,.,jury thd I m cr.mpt fm lhc Co.tr.co6 Li@nsc Llw as (hc aollowi.g cBon {s.7o3l t Bsi.B
&d PrcfBsion Co&) Any City s Couty whict ,cqui6 a p.mir to onstrucli .1t .. improv., dholi$ d E u xy iftcrw. rid !o iE
iss@cc, .lso rcquiB th. applidl for suct pmt to lllc s sigr.d n.lchot $sl h. 6 sh. k limcd pur'u r to dr. proyiri@s of$.
Contra.lor,' Lha.d lre (Cn64d 9, Cmhodn8 wi0 S-ds 7000 of Divisid 3 of rhc Bsin6 6d Prcf*ionr Codc) d ${t nc d
shc is .xmpr $hfrn dd rh. bsii fd rh. all.Scd amptioi Any violario of S.ction 703 I 5 b, ey .pptior for s p.mn rulj€G 0E
app,iol lo a civil pln.lty of no. n@ thM fivc hundr.d doll8 (t500).
_I,6 ownc. ol rhc prcpdry, orhy mployc wi$ uag6 s ih.irsolc.ompa!6rion, *ill do lhc wort ed $. sulcruc is nor irrd.t d
tr off@d a6 sdc ( se.70:14. BusinB dd PrcfdioN co<L. rh. Conreld,r Licd. bw dc nd appty io u own.r of rhc atrop..ty
who builds or i6prcv6 th6.@, M'j who d@3 such work hiru.lfor h6dtd firoush hir or h.r @n cmptoycd, Drcvid.d |nal luch
implov.mfib e not inradcd or offd.d for srl. If, howdcr, thc buildinS or improrcmqr is sotd wnfiin on.yqof compt.ld, th!
Own.FAuildd willhav.lh. blrd.n oaprcvin8 thal h. or !h. nol build or imp.olc f6 rh. purpGc ol!alc).
_1, 6 ownd ol rhc prop.ny, m .rcluiiv.ly conracing wnh lic.nscd coEacrors to consrod rnc proJ€t ( Sa. 7044, Busin4s dd
Prcf6sion Codc Thc Conl,?lor'! Lic.n5. Law do6 not apply to e wnd of propdly who buildi or inprcvd lhacon , md *ho
conrrds for such p'ojcds wnh a conrero(, lica$d pu6u&r ro rhc coirradors Licms Law )
I m .xcmDr un&rS.crion B & P C. for this r.6on
WORKERS COMPE'ISATiON DECLARATION
I h.r.by aflim und.i r.nalg, ofpcrlury onc oflh. tollNin8d4lr.tions:
_l h.v. {d vill m.inlaii a C.nillol. of Consnl ro S.lt-lNlE fm wort6 omp.ns.rion. a grovidcd lor by Sed6 37OO of th.
L.bo, codc. for d. Frfmue or th. work ror wni.h lhc pcmir i3 i$u.d.
_! hav. od qill mrintdn wo!6' coopcnsation iNuacq & rcqutld by S.clio. 3700 of lh. Labor Cod., for rh. Dcrlm&cc oi th.
work aor which lhis p@ir is issucd M, wo*cB' mptr.rid i.!urD.. .ffiia &d lolicy nuhb.r ac
compmsatim provtions of 3700orlhc Lalor Codc, I shall, fonhpith
..C'
WARNING Failur.ro s.cu.c *orl$' comp.nsarion u .hploy.r to aimin.l rhalrd dd civil
finc up ro on. hundEd rhoGad doll6 (J l0O,00O),in .ddiion ro
thc Labor Cod., irt Bt -d dloh.yt fB
d.mag6 a providrd for UE S.ction 30?6 of
I hcEby amm und.r p.D.hy oi pc.jury th.t I m lieN.d unda prcvision of Chaprd 9 (
fic Busin6s &d Prof6sions Cod!, dd ny liccnrc h in full fore Md.ifar
I h.r.by aflim und.r ,.n.lry of pojury lh.t lh@ h a construcrio. lodinS agcncy for
i$u.d(S.c.3097,Civ C.).
p.raom.nc. of rh. pdk f6 whict thit pcmn is
APPLICANT'S Df, CI-ARATION
Ddolnion Pmirr-45b6!oi Noriric.rioi l.d@l Rcgula ols (Tirl. 40, Pln 6)
_ R.qui.n L.no ofNoi{iotion
y wnh.lI City ud Counry
abov. m.ntion.d propcny for inspcclion
--o
is City &d Cou y to cnlcr upoi rh.
Sub-Panels
Notes, Remarks, Etc.
p.mn is for Onc hgndrd
ceniiy rhd ir rh. pcrfomM.. ofrhc work for
ro rhc workcs ' comp€nration laws