HomeMy WebLinkAbout20133918 - PermitCity of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, CA 92702
Permit Counter: (714) 647 -5800 lnspection Requests: (714) 667 -2738
Electrical Permit #: 20{33918
lnspector's Section: (714) 647-5853
Assesso/sParcel: 400-141-06 Lot: 1
Suite: 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 3
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(8r 8) 892-6280
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
NIin Fee Adj
lssuance
Notes: pd on M-48095.
PAID
t1AY 15 200
Amount
0.84
0.84
0.84
-52.50
3.20
32.50
Qtv
8.00
7.00
5.00
1.00
1.00
1.00
Fee
$6.72
$5.88
$4.2O
$-s2.50
$3.20
$32.50
$0.00
$0.00
$0.00
Phone
6
Building Use: Multi-Family (5 or meTs un Occupancy:
Job Type: Alteration constr TYPe
Nature ofwork: Kitchen Remodel g 6ryrp611 Code:
Planning Conditions: No Exterior Work
R-1
v-N
cEc 2001
City of ta Ana
Date:
Date:
Date:
Misc. Receipt
Misc. Receipt
Misc. ReceiptAhangian, Kathy 05/'t 5/2006
Building Permit #
This permit 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 wotk authoized by this
pemit 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.
Fee Total:
Paid to Date:
Balance Due
Account #: 011-01-5913 lnspector MID#: 2006-69799
Project Address: 1345 N Cabrillo Park Dr
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315'114
Workers' Compensation lnsurance:Carrier; State Fund
Policy #: 1823737
Expires: 06/01/2006
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Owf,6-Buildd D.cleltio
I hqcby affim und.r paalty of pcrjury lhar I m .xmpt fom thc Conlrdm' Li6i. Ilw fc th. followin8 Bon (s6.701 I 5 BusinG
dd Prcf*io Codc) Any City or Couty which EquiG . pcmn lo €dstruc! alrd, imprcvc, dmolirh or rcpat y rrldur., riq ro iG
irsrmc.. abo Equtq th. applicd for such Fmir lo filc a sisn.d strlmot thd hc d sh. is li6r.d puEudl lo thc prorisions of rhr
Con6&ttr\ Licdscd Llw (Ch.pld 9, Commmin8 *itn Sdrion 7000 of Divirion 3 of ln. Busin6s &d Profdios Codc) u rh{ hc 6
sh. is .xdfl th.i.ftoh dd dt. baas fo tic allcg.d d.nplio Any ,iolatd of Sccr,o. ?03 I 5 by ay arrlicul for a Fmn iubJell $c
agpli@r lo a civil pcnal9 ol not moE th& nw hun&.d doll6 (S500).
_1, N ownd of $. propdty, tr ny nploys wnn *.96 B dicir solc conpc.iatio., *ill do $. work d thc itru€tE is .d inbdcd
or offftd rd salc ( S.c ?04a, Bcin6s ud Prcfdsids C6d.: Tti. C6ntuld'i Licalc Lav doB not lpply to 6 omd oa !n. !rcF ry
eho buil.,s ot idprove th@6. ed who d6 5uch wdt hims.ll or hB.lf or through his or hn @n @ploye, provid.d $arcuch
implov€mcnll e nol inladcd or ofldcd fd sslc ll hovdcr, d. buildingor imprcvd.nr is rcld vi6i. on. yc, of @mpl.tio, rh.
Ownd-Buildd will hav. rhc bord@ oa prcvine .[at hc 6 rhc nor boild or improlc for th. puQ6c of salc)
_1. a oMr of $c pror.rty, d cxclGiv.ly conhcring wnn licas.d co,turG !o c@tducr d. Foj.ct ( Scc. 7044, BEin< sd
Prcadion Codc 1]ic Con!_&td's Licmc Law tlo6 nor apply ro s oMd ofpropary who builds 6 ioFov6 rha@ , ed vho
enEea rc such piojd5 wnn a co.rado(, lic4cd pu6@r ro th. c@E&!or's Lic4c l.lw )
_l m cxmpt undcr S€tio _,8 & P C fd dis rc&n
Policy Numbd Expt6
(This setion n..d not h. .epla.d ia ln. ponil is for Ooc hund..d dollds {t l0O} or 16l)
I aniry lbar in thc Fromue oa thc wort fc whi.h dis pdmn ir i$u.d. I shrll nor oplo, dy p.@tr in ey lMn.r so 6 ro
b.cm. subj.a b $. wo'k6 @mp.isaron l.s ofcalifohia, Md ag@ $ if I should b..omc sbj.d lo tnc *61.6'
@mpdsalion provisions of Sccrion 3?00 of th. L.b.r Cod., I rhall, aonnwidr conp,y eirh $6c Fovisids
Da*-6ar.22,/ Awft*,,
-*---:-
WAf,NING failE to sccur. *orlc6' conprnsr,lio covdas. is nnllwful, dd shatl tubjdt m dp,oy.r to oiminal p.nald6 md civil
fin6 !p lo o.. hundrcd tioBdd dollB (r l0O,00O),in addirim io lhc cdt of.mposario, d@se6 6 providcd for rhc Sedo. 1076 ol
$. kbor Cod., int.rd ed atron"r'3 fc
LTCENSED CONTRA'TORIi NECLARATION
I h@by amm undE paalty ofpajury $ar I d lidscd u aprcvi5iM of Cn+ts 9 (@mocin8 *irh Scdion 7000) of Diviiion I ol
lh. Buli.es dd P.of6sids Codc, ed r'y licosc is in full for& ed .flct.
Li6rc CIN _ Li@s. Numbcr
CAXJiIBUCIIQIIIIDAC.ACDNCIIhacby.mmuddp.naltyoapajurydattfti!ac6srructi6lhdinBt8@cyfeth.pdf@.cofrh.wdtlorwhichlnispehirh
isu.d (Sd 109?, Civ C)
AIIUCAXISDECIJAAIION
Dcfrolition Pmhs-Asb6l6 Notifidion F.d.ral R.gdado6 (Iitlc 4q Pan 6)_ R.qut.d L.td of Notific.rio
_l enify lhat thc fedcEl EEulalioni rSardi.g Bb6tcs movd ar€ not appliebl. to rhis prcjer
_ I .aiay ihd I havc rcad dt .pplicaloo ed sE!. $.r thc abov. infomarion ir @rcc! I agrc. to cmply wnh all Ciry ed County
ordin c6edSkt LaM alatiig lo buildiig constru€tion, d h6.by iu$oiz r?pBat riv6 oi $is City dd County to 6rcr up.n rtc
abovc m.nijon.d prop.ny fd insF.iion purp66
6
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
trYPIP FN
Rough
Service Meter FFBOI 2019
FINAL
Notes, Remarks, Etc liArvI\J o-fJr zsv'-gs,-l,._
Air Conditioners
Da,r.: Own.rl
WORI<ERS COMPENSATTON DECLARATION
I hd.by rflim udB pdrlry ofpajury or. of$. followiig dcclo.rlioN:
_l hav. ed will hainrair a C.nificd. oac@sor !o S.lf lnlm forsdka'cmpo$ari6, a povid.d for by Sdtim 3?00 ofrh.
Labor Codc, for thc pdfdrM* of dr wort for *hich th. p.mir is isucd
_l h.v. dd rill maintaif, wdkm ampd.ri@ iGu@e. a rcquiEd by Scctid 3700 of th. L$or Cod., fq rh. Ffoll@@ of rh.vo* ltr which lhis p6mil i5 issud My work6' .@pdsari@ insumcc ffin ed policy numb.r a..
f -----T------