HomeMy WebLinkAbout20133021 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana' c492702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667 -2738
Electrical Permit #: 2O1t3O21
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr
Assessor'sParcel: 400-141-06 Lot: 1
Suite: 1 3
Block: NA
Bldg: G
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor
Address:
Tenant Name:
Tr
1345 N Cabrillo Park Dr 13
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Fee Type
Receptacte
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
I'IAR 2 1 2006
City of anla 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, C-33
Bus. Lic #: 315'114
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1823737
Expires: 06/01/2006 $
Planning Conditions: No Exterior work.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subjecl to Fieldl
R-1
cEc 2001
Ahangian, Kathy 03t21t2006
Building Permit #:_
This pemit shall expire by limitation and become null and void if the wo* authoized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wotk authorized by this
pemit is suspended or abandoned at any time after the wotk is commenced for a period 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
$0.00
$0.00
$0.00
Account #: 01 1-01-5913 lnspector MID#: 2006-68385
Phone:
Building Use: Multi-Family (5 or m61g un Occupancy:
Job Type: Alteration Constr TYPe:
,Nature of Work: Kitchen Remodel & drywall Code:
Date:
Date:
Date:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Oqd-Buildd Dccletioi
I h4by affim und.. p.nalty of prjury that I d *cmpt fom thc C.nlt&rots' Licos. La* for rhc follovin8 160 (sa.703 1.5 Bulins
ud Profesion Codc) Ai, Cit, q Couir, vhich tqlirB . Fmir to con!!tuc! 6hcr. imp@c. dmolish or Epair &y structur.. prid ro ir
irs@c., also r.quirs thc .ppliqnt for such p.mn ro fiI. . iig..d rGt mat rh.( h? o sh. is liccns.d pusumt o d. provisions of th.
contractor's Lic.ns.d Ltw (Ch.ptcr e, Cmmcncins *ith scctioi 7000 of Divkio. I of $c Bsiies ed Prol6sions cod.) or rhar hc d
rh. is .xcmpl lhRfrm d th. b6is fm thc rll.g.d .x.mplior Any violalio of S.clion 703 I J by e, .ppli@l aor . p.mil !ubj6l! thc
app,i@r lo acivilpc..lty of not m@ the fiv. huid..d dolls (t500).
_1. 6 ownd ol lhc Fopaty, s my mployd wirh w.g6 s ihcir sk conpas.rion. will do lh. wod ud lh. lrucrEc is not inBdcd
or oltdd fm s.l. ( Sa ?044, Buin6 ud Prof6io.. Cod. Tn. Cotreror'! Licffi t2w do6 not.gply b s oMo of thl prcFny
vto buil& or inprcv6 lt.en, ud who d.B luct work timclf d h6clf or tfiroush his tr hcr M cmploycB, providld th.l sucl
imp'ov.mob B nor inldd.d o' offd.d rn r.l. l( howcva, t. buildins or imprcvmor t 3old wi$ii onc rdof cohrlai@, $.
o{.6-B!ilds will h.vc rh. burdm of prcvin8 lhar hc o, th. nor build or improvc for th. purposc oa !al.).
_1, s ovndof$. prop.rry, m qcluivcly cont.clin8 with lic.ns.d @nr*r6 to @.rrru.t rh. proj.d ( Sa.70aa, Bsinqs d
Prof65io Cod.: Th. cont&1ors Lt.Bc liw dG nor .pply ro e oena oi prop€ly who buil& d inprovB thad , ed who
conracE for such proj.cls wnn a Conreb(, limcd puB! r ro rhc Cont.crofr Li.nsc trw )
_l m.x.mfl uda Satim _,8 & P.C. ld this Ead
WORT(ERS COM}ENSATION DECLARATION
I hacby af6m undd pcDaliy oi p.rjury on. of lhc following d..l@lion!
_l fi.v. ad will m.iouin . Cqdfist! of C@ot to Sclf-lorurc for wo*6' comp65.tid. a povid.d for by S@ti6l?00 of rh!
Lald c.dc, fd thc pdfdlM@ of thc *dl for which thc pcDit is islu.d
*l h.v. md will minhir wdkcs cmpa$ldon ituur&@, a rcquircd by S.ction 3700 olrhc Labo. Codc, fd thc pcrf@-.. of r'.
wol for vhich thii p6mir ir iss!.d- My eo*6' @nFmarioi insuaa @i!r ed policy nu6b.r ac
PolicyNumba ExpiG
ifthc Fnn i! ror O.c hun&cd doll6 {t100} or 16,
f6 which rhis lmil is i$u.d, I
.ws of c!lil@i\ Dd asE dr.r.
cmploy e, pcEon in any
work.R comp.nsarion covcragc
d doll4 (1100.000),ii addnioi damas6 6 provid.d for lh. S.clrd
LICENSED CONTRACTORS Df, CLARATION
I hq.by a8im und( p.nahy of pdjury fial I u li.as.d u.d!. prcvisi@ ol ChlpiB 9 i
ficBusin.$ ud Profc$ions Codc, and lic.nr k ii full for@ and cffccr
ofpdjury thd lh@ is . @n5rrudion lodinS !3ocy
, Civ C.)
APPLICANT'S DECLARATION
D.frohion P@ir!.Arb6rd Nodll@nd F.d.nl Rlsutlridr (Tid. 4q Pd 6)
_ Rcquircd Ldr.r ofNodficado
'asrd ro comply wnh all Cny Md
abov. m.n1ion.d prop.dy ltr i.rpcciion
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Building
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)
Meter Release
E;',(i IiRED
Rough
Service Meter FEH I ZUIS
FINAL SAMC 8-43 200 55A F
Notes, Remarks, Etc.
L-d* s N*.
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