HomeMy WebLinkAbout20133929 - 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
Electrical Permit #: 2O13t921;
lnspectof s Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr
AssessoasParcel: 400-141-06 Lot: 'l
Suite: 1 3
Block: NA
Bldg: P
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
Tr
'1345 N Cabrillo Park Dr 13
Santa Ana, CA 927013'106
Young Kim lnc.
16814 Marilla st
Northridge, CA 9'1343
(818) 892-6280
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
Min Fee Adj
lssuance
Notes: pd on M-48095.
Qty
8.00
7.00
5.00
1.00
1.00
1.00
PAID
llAY 15 00ti
City of anta 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
$0.00
$0.00
$0.00
Phone
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1823137
Expires: 06/01/2006
s
Building Use: Multi-Family (5 or more un Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel & drywall Code:
Planning Conditions: No Exterior Work,
R-1
cEc 2001
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject lo Field:
Date
Date
Date
Misc. Receipt
Misc. Receipt
Misc. ReceiptAhangian, Kathy 05/15/2006
Building Permit #:_
This pemit shall expirc by limitation and become null and void if the wo* authoized by thb pemit
is not commenced within 180 days from the date of this pemit, or if the wofu authoized by this
permit is suspended or abandoned at any time after the wotk is commenced for a period of 180 days
Before such wor* can be recommenced, a new pemit shallbe first obtained to do so.
Fee Total:
Paid to Date:
Balance Due
Account#: 01 1-01-5913 lnspector MID#: 2006-69810
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'$|Jl,^{,?
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ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS O*nd-Buildcr Del@liq
I h@by ,ffim und.r p.ialiy ofp.rjury that I m .xdpl aom th. C.nreloE' Lienk Law fs tnc followins l6on (scc.703 L 5 Busin.$
dd Pofeion Cod4 Any Cny d CNnty which Equir6 r p.mn lo cMstrucl, shd, imFov., dddtf or rcpat y sEulur., Fio (o it!
i$!mc., dso r.qnt6 th. lppli@r fd such p€6it ro 61. a sign.d sLrdol that hc I shc i3 li@n.cd pu^@l lo {r Fovisim of rh.
Cqractor's Licdcd kw (Ch.Dl6 9, Conhacins vidi S6tion 7000 of Divirion 3 oa $c B6ind Md Prof6iotu Co&) oi thlt h€ tr
sirc is .xmF thd.ilom sd lh. b6G ftr rh. all.B.d a.nptim Any viola,tion of S.clion ?Ol I 5 by dy applicdl for 3 p.mn iubjec $.
6ppli@1 to a civil pch.lty of nol moc tha fiv. hu.&.d dolla {1500)
L s ov.d 6r lh. p.op.ny, d n, mpl.ye! wirh w4* a 1hcn solc comp.n.arion, *ill do rh. w.rl d th. shct4 i3 not inladcd
or ofi.rcd ftr s.l. ( S.c 70aa, Bsin6 6d Profcsions Cod. Th. Co.retor'3 Li6s. kw do6 not .!ply ro & oprr ol . prop.dy
who builds or improvB ihmn, ed vho do.s such work hims.lf or h6clf d ,,roush his or hcr @n cmdoy6t providcd that such
inprovdcrls dc not inrod.d or ofir.d for srl. I( howcvr.lh. brildi,gor imp.ovmcni is sold within oc y6 of compld,on, $c
OwDd-Buildcr will havc rh. buda of provins thal hc d sh. not build or inp'ov. lor th. purrosc of 3dc)
_1.6 o*nd oath. popcrir, mqclusit.l, conb&ting *iih licdsdco r&rou to cmhd th.Foldt(sa ,044. Bsin6s ud
ProfBsion Cod.: Thc Co.lr.crd's Li.cns. t w doB nor.ppl, to e omd oaprop&ty who builds or improv6 fia.on. ed who
conrels for slch prcj.ck vnh a contBclo(, li&n$d punudr 10 lhc cmrocrors Liccnsc Lav.)
_l d .,cmpl undd S.crion
-B
& P C fd lhis r.6on
WORKERS COMPENSAT'ION DECLARAIION
I hd.by amm u crp.na,ty ofprjuryooc ollhc lollowintd.cleatiotu,
I n.v. dd will mai.iai. rC..lifisE of Cmlalto S.lfinloE forwo*6'.mp. dis,d Forid.d for by S.cdo.l70o of$c
Labo, Codc, for lnc pafcr@e ol lhc vdt for *hich lllc Fmir ii i$u.d
_t hrvc ddwill tuinr.in wdk6 @mpaBa o. ituu6@, a rcquiad by S.clioo 37m of rr. t$o. Cod.. lo, $. p6fomec. of d.
work try ehich inis pdnir is ilsucd My wdt6' dFrsanon iBumc. 6id od policy ounbd dc
Policy Nuhbcr Erpn s
{Tnis s.crion ncd not b. cwplclcd if $c p.mit ii for O!. hun.lr.d dollas {l l0O} or lc$)
_l cdiS thl ii th. p.rfomee of fic vork ftr which this !.mn t issu.d, I shall nd .nploy oy p.so in ey ntrna so a to
b.clm iubjd lo $c wot6 @op.Eadon laE of c.lifmi,, ud asE. th iflshouldbeon. bj.cr ro rh. wdlc6'
comp.nsarim povisi@ of S.di6 3700 of lh. tilor Cod., I sh.ll, lonhwnh cmply witn fi@ provisions
4-.2/o /
WARIIING: Failu.c ro 3@!r. wdk6 @mpd&rid @voagc i! unhsful. ed sh.ll sobj.d & mploycr lo qimanai paEltica ed civil
fin6 up ro @. hua&cd 0DBed dolld (ll00,000).ii sddjdoi lo th. c6l of @mpcnsarioo. d.mas6 6 proi&d fo thc sccrid 30?6 or
rh. tnbor Cod., int Bt md anm.yt f6
IICIISED.CONIXAEIOBIDECLABAIION
I h@hy amm und.r paalry ofp.rl ury th{ I m licmscd uhdq provisio of Chrpls 9 Gmmoci.S with S.ction 7000) ol Divkion 3 of
thc B6in6r dd Prcf6io.r codc, &d nr licd& ,i ii ruu fo@ dd.fa.cr
EONIIBIJCIIOXIIIDECIGENCT
I hdb, .mm uda Fnalt, ot pajury dar Oft n 3 cofulru.rion ladi.g .gc.cy lor lhc p.rfmdc. of thi vdk fs whicb tis pmn is
h$cd (se 1097, civ. c.).
AIIIICAII]iDEEIABAIION
Ddolido. PmiE-Asb6r6 Nodfi@iio. F.dc.al R.Sulatids (Tidc 40, Pan 6)
_ RcquiEd Lcnd ofNotfic.rion
I c.nify lhar lh. f.d6al r.sulariotu r.gddins sbsros rcmoval e nol applicablc lo this prcj6!
_ I canfy thar I hav. r.ad thi! .pplicdion dd iljl. dd fi. abot. infm.tion is ..r.ct I agE. (o comply *i!n lll City ad Cou.ry
ordin&c6 &d Srarc kws rchring lo building mcrrucrion, sd hdby aulhoriz Epr.gtrdv6 of rhis Cny dd Counry lo otq upoi thc
abovc motioncd prop.ny for in3p..lion purDos6
,?-zzt /a d
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Bu ilding
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)
fuleter Release
EXPIREI )
Rough
Service Meter FEI] U I
FINAL a R-4?
'q/^t
B i6 6n7
Notes, Remarks, Etc.
Communications Cable
t-,k'r Adtr*' _