HomeMy WebLinkAbout20132797 - 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
Project Address: 1345 N Gabrillo Park Dr Suite: 1 5
Block: NA
Bldg: S
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor's Parcel: 400-l4l -06 Lot: 1
Tr
1345 N Cabrillo Park Dr 15
Santa Ana, CA 927013106
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
N4in Fee Adj
lssuance
Amount
0.84
0.84
0.84
3.20
32.50
Qty
8.00
7.00
5.00
1.00
1.00
1.00
Fee
$6.72
$5.88
$4.20
$-52.50
$3.20
$32.50
Phone
Tenant Name:
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280Phone
Slate 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
PAID
tlAR 01 2006
of Santa Ana
tllr Occupancy:
Constr Type
R-'t
cEc 2001
Building Us
Job Type:Alteration Notes: Pd on M-48095.
Nature of Work: Kitchen Remodel & drywa|| Code
Planning Conditions: No exterior work.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy
Date
Date
Date 03/01/2005
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #:_Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
This pemit shall expire by limitation and become null and void if the wotu authoized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wofu authodzed by this
permit is suspended or abandoned at any time after the wotu is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
Account #: 01 1-01-5913 lnspector MID#: 2006-67856
Electrical Permit #: 2o132751
lnspector's Section: (7'14) 647-5853
Owner:
Address:
Contractor:
Address:
ELEGTRICAL.INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS Ownr-Build- Daletio.
I hcrcby .mm undd p.r!lt, of pajury ihr I e .rmpr tm ['c C@t ctoR Licos. (lw fd tn. followin8 Ga@ (!*.1031 .5 Bui.st
Md Proi6ion Cod.): An, City or C.uty which Equn6 a pdmit lo onslrld, .ltd, imFDvc, drmoli5h o. rclst y th.rG, Fior to iE
isruec., aho r.qune lh. appli@t for such pcmi b fil. a si8n.d slaldml lhr,l hc or lhc i! licn3cd puuuut io L\. prDviri@s ol lhc
Coirerois Licaed L.w (Cn.pt!r 9, C@madnS wit S.cdon 7000 ol Division I of.h. Buiner ud Pbfdiois Codc) or thll h. m
rh. is cx.mfl $.efroh ud lnc bai! fd $. all.gcd aoprio An, viol.do. ol Sdtion 703 I 5 by dy aprlic&r lor i Fnir subj.cE rh!
applicdt ro i civilpaalty ofnor m@|lta nvc hlidrcd dolla {1500)
_1, s oma of thc ptupqty, d my dploycG *iln uas6 6 lhcn solc compcnsdion, vill do ih. wsk d th. slru.rur i! not intmdcd
or ofid.d fe 3.1. ( Scc.70a4, Bui.6r od Pof6sids Cod., Tlq Cohr@ror's Li.ar. La* d@s not .pply lo e sncr of 6c prop.ny
who buildr or imprcve thqr.on, sd who do.s such wok himlclfor h6.lf or $rcu8h his or h.ro*n mploy..!, providcd tlar ruch
imprcv.m..E e nor inknd.d or offs.d fo salc If, h@.vs, rhc buildiig or inprovdcit k soE *nhin onc yd ol cohpl.!@, thc
Owrr-Buil'lq w,ll hav. lh. burd.n ol proving thd h. tr sh. not build or inprcv. fc rh. purpos. of sal.)
_1, 6 ow.cr ol th. prop.ny. o .xclusiEly conEicting vith lic.ns.d cotrracrm lo const uct rhc prcjccl ( 56 7044, a6in* 6d
Pbfeion Cod.: Th. Co.r&rtr 3 Li6s. L.w 1106 Dor apply ro d oqq of prcpqry who build! d inpove rla.6 , ed vno
conrBc$ for such prcj.ds *iih . contreto(') lic.ns.d puBumr ro rhc co.k.crofi Liccis tiw )
_l m cxdpt urdd Scclio._,8.&PC fd this rcaon
WORKERS COMPENSATION DECLARATION
I hcrcby atiim und.rpcnalty oi pajury onc ofth. aollowinB del,ations:
_l h3v. dd pill m.intdn r C.ni6.ar. of Cms.nt to S.lflns@ for vdk6 cmF r.tion, s provid.d fd by Sedor lTOo ol ln.
Lrboi Codc, for thc pdforr@e ol fi. wo* for which thc pcmil is i$u.d
_l havc od will mainraii sdtcR compcnsation insumcc, a rcquird by Scction 3700 oafic l-3bor Cod.,lu th. pqlomec. ofth.
work for *hich this pdmn h issucd My *orlcE' @mp.Etion inruank csi.r a'l policy numb.r @
PolicyNumb.r: ExriB
dil;#ffiffi;fo, Oic hlndr.d dotlm Itl00) orle)
orovtrio ol S.crid J70O-8- r> I olth. Ldor Cod., I rhall, fonhuitt7
*n(ffi failur. ro !du,c *ort6' @mp.ns.don cov.rag. il
6n6 up to on. nun<,rcd thoulad doUE (lloo.om),ir 3ddidon b
rhc Labor Cod., int 16r &d sltoh.yt f6.
s provi&d for 0r? S.cli@ 10?6 ol
I hfcby affim undd p.tulty ol p.qury thlt I m licat?d undd prcviiion of Ch.pr.r 9
$. Budnased Prof6sions Codq ud my licoic is i. aullaorc dd eff.cr
I h@by.fiim uodapollty ollnjury $!t ac i! r @istrucrioD
i$ucd (Sm.109?, Civ. C.).
olrhc work for whrch tht pcmtr is
APILICANrTS DECI,ARATTON
Ddolirion ?mils-A5b6tG NotifietioD r.d@l R.sollrids (Tirt. 40, Pdl 6)
_ Rcqutcd LGna ofNo fic.d@
I a8rc rocmplyvnh lllCiryMd Cou.ty
vd oflhis City .nd County to
abov. ncndoncd p6p.ny for i p.clion o '0
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
Exp IFlFN
Rough
Service Meter FEB O I 20t9
FINAL
Notes, Remarks, Etc - -.-vo; rJo, 6i6-r
DATE
Sub-Panels
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