HomeMy WebLinkAbout20132957 - 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 #: 2O1t2957
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 1 6
Block; NA
Bldg: E
Tract: 10823
Address Range:
Historic: No
Suile Range:
zoning: R4Assessor'sParcel: 400-141-06 Lot: 1
Tr
1345 N Cabrillo Park Dr 16
Santa Ana, CA 927013106
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
Min Fee Adj
lssuance
Amount
0.84
0.84
0.84
-52.50
3.20
32.50
Qty
8.00
7.00
5.00
1.00
1.00
1.00
Fee
$6.72
$5.88
$4.2O
$-52.50
$3.20
$32.50
Phone
Tenant Name:
Contractor:
Address:
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280Phone
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
I1AR 1 IJUO
Building Use:
Job Type:
Nature of Work
Multi-Family (5 or more un Occupancy:
Alteration Constr TYPe
Kitchen Remodel & drywall Code:
. R-'l
cEc 2001
Noles: pd on M.48095.
Planning Conditions: No Exterior Work.
Ahangian, Kathy
Date
Date
Date 03t1412006
N4isc. Receipt
l\,lisc. Receipt
lvlisc. Receipt
Building Permit #$0.00
$0.00
$0.00
This permit shall expire by limitation and become null and void if the wo* authoized by this permit
is not commenced within 180 days from the date of this pemit, or if the wotu authoized by this
permit is suspended or abandoned at any time after the wotk is commenced for a peiod of 180 days
Before such wotk can be recommenced, a new pemit shall be tirst obtained to do so.
Account #: 01 1-0'l -5913 lnspector MID#: 2006-68281
Owner:
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Fee Total:
Paid to Date:
Balance Due:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE tD/stG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Bonding / Groundi / UFER
Transformers
Torqui
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Ro u9h
Ceili s (T-Bar Rough)
Rou h
Service Meter
FINAL
Notes, Remarks, Etc.
OMa-Buildd Dccladoi
I hcrcby amm und.r p.ndty oapsju.y dar I m *@!'1lm lllc ConEacloE Liccnsc Lau for rh. followingBor (!c701t.5Bsincst
ed Prol6ioi Codd Any Cig or County vhich rcquiB r Fmn ro conntud, ah.r. impolc. dcholtn or rQ.t sy shcturc. rid ro iB
issudcc, ako EqunB rhc applicdt fd such pmn !o filc ! sign.d n.to.nt rh.t h. or shc i3li.cns.d pu6u&r to th. provilioi of th.
Controcior's Li.dr..l La* (Chapra 9, Coan.nci.g wnh S.ction 7000 of Division 3 ol fi. Buiindr Md ProfBsioB Cod.) or that hc d
sh. is.r.mF rh.r.from M<lllic bBh fdlh. allcSc! cxmpiion.Any violati@ ofS.dio.7011.5 by &y eplic t lor . pcdk subje$ rh.
applicsr to a.ivil pd.lty ofnor Mc d& fivc hun&.d dollss (tJ00).
_1, a ownd of lh. Fop.rty, d ny mploy.6 *i$ wagB a thct sol. compss.rion, will do lh. eo* &d d. smd@ is nor inmdcd
or oda.d rd srl. ( S* 70,14, Buins ud Prcfeion. Co{r.: ft. ConE@tor,i Lic.tu. Lnu doq nd .9p,y ro e ownd oi lhc prop.ny
who builds or ioprovd $.@n, dd eho dH ruch wdk hiN.lf or hdclfordrcuBh ht o, hcr Nn cmployas. prov'ddd ln.trlch
ihproycmqll rc not intdd.d or ofi.r..l iq !a1.. ll ho*.rcr. lhc building d imprcvm.nt ir sold wifiih onc ylu ot @hpt.ri@. $.
Ovr.FBuild.rwill h!v. th. burd.r of provi.E thal hc drhc nol build tr impmv. aq $. purpGc oi!al.).
_1, a o*nd of $. prolEny, d dclBivcty conE&tins vnn lictucd conn cro6 to consnacl th. p@j.ct ( S@. 7044, Buind ud
Prof6rion Codcr lhc Conr&toi! Li@ns. Le do.s nor .pply to d ow.!r of propcny who buildr or improvs lho@ . tud who
cor'acrs ao' such pojds enn a Coirr-&lo(, likos.d puEumr ro 6. Cont@roas Li6s. Lls )
_l m .,.mpt nnda S.crion _,B. & P.C fo $is r.son
WORKXRS COMPENSATIOII Df, CLARATION
I hd.by amo unda pco.lry of psjury onc of fi. followii8 d.cl@io,5
_l hav. ad will maint.in a Ccnificst ofCorsqr to S.lf,lnsurc for woit6' @mpcnsalio, s pmvid.d for by S.ctio 3?oo ofrtc
Labor Codq for lh! p!.fmdcc of $c wor| for which tn. p.mn k i$u.d
_l havc ddvill mrintlh utrt@ .mP..i.don iMufue, s rcquird ty Seri@ lToo oflhc Lsbor Cod., td tn. pdfmuc. of$.
work fd which lhi! p@il ii i!su.d. My work6' @hp.nFtion iEuma Fi6 Md policl numbq el
b. @mpl.Ed if ih. ,etuit h ror onc htndr.d ddl8 1t I 00) o, lB,
wo.k for which rhir p.mn is i$u.d,I shall
16Bof Califomir, ud.grc. rhat il
(h. Labor Cod., I shall, fonnqth
CF work6'.omp.nsation covcras.
doll6 (1100,00o),in addlon lo d2das6 s providrd for lhc Setion 10?6 ol
rh. hbor Codc, inl.r6t dd auom.yt f.6
LlCENsrD cONTRACTORS DECLARATIOT_
I hcrcby alfim undd p.n.lty ofFrl!ry lnat I m lic.nrd undrprcvisi@ ofCh.fla 9 (chm na with S.dion 7000) ol
!h. Businss ad Prof6sios Cod., md m, liccns. h in rull forc. Md.ir.cr
orpciury $d rh@ is a consrlca oflic wsk lor *hich lhis p.mit it
309?, Civ C)
APPLICANT'S DECI-ARAAION
Dmolilid P.mir5-Asb.$6 Notificalioi Fcdd.l R.8!l!lioi5 G c 40. Pan 6)
_ R.qdrd L.nd of Notific.rlo
rocomply vitt all Ciry ed County
abov. m.ntion.d prcp.n, for inrpetim
2
Under Slab / Floor
Meter Release
tsxPl RED
Fh.U -I IUE
SAI\rc A-43 i
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