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#FEts
City 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#: 2013.2A12
lnspector.s Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 3
Block: NA
Bldg: C
Tract: 10823
Address Range:
Historic; No
Suite Range:
Zoning: R4Lot: 1
Owner:
Address
Tr
'1345 N Cabrillo Park Dr 3
Santa Ana, CA 927013106
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
Min Fee Adj
lssuance
Amount
0.84
0.84
0.84
3.20
32.50
Qtv
8.00
7.00
5.00
1 .00
1.00
1 .00
Fee
$6.72
$5. B8
$4.20
$-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, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
PAID
rlAR 0 7 2006
$
City of Santa Ana
Building Use; Multi"Family (5 or m61s un Occupancy:
Job Type: Alteration Constr TYPe
Nature of Work: Kitchen Remodel g 6ryrry311 Code:
R-1
V-N
cEc 2001
Notes: pd on M.48095
Planning Conditions: No Exterior Work.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy
Date
Date
Date 03/07/2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #Fee Tolal:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
This pemit shall expire by limitation and become null and void if the wofu authoized by this pemit
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 wofu can be recommenced, a new permit shall be first obtained to do so.
Account #: 011-01-5913 lnspector MID#: 2006-67870
Assessor's Parcel: 400-l4l -06
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
Under Slab / Floor
Bonding / Groundin / UFER
Transformers
Torqurn
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Sofflt Rou h
(T-Bar Rough)Ceilin
Meter Release
h
Service Meter
FINAL
OMa'Bdld.r Dc.ldllion
I h!6b, affim uids patlr, ofFjury $!l I m.xdp{ aom Ih. CdtracloE Licas. hw fd rh. followinS @or G*.70,L5BBin6
d Prctsion Cod!) Aiy City o Coury which EquiG . pcmn to consEu4 alt r, iBprov., d.,Elish or r.p.ir uy slrldur, p.im ro il!
i$!ec!, also rcqnt6 tt. rppliur for rud pmn lo fil. a siSncd sl dcnr thlr h. or rh. h liccnscd p$qt to dE Fovisioni of th.
Cdrador's Licascd &w (Ch.pr6 9, Comm.,dn8 with Sation 7000 of Divirion 3 of $. BBinB &d Prct4sionr Co&) or drl hc tr
sh. is d@pl thd.frm sd rh! b$ii a6 tl'c .llcg.d cxcmflion Any ,iolarid of Scclion 703 I 5 by &y applicDt fo . pdnn rqbj.cb $c
rppli@r to.cieilFnalry ofnor mo.c thu fivc hun&cd dolla (1500).
_1, 6 ow.cr of lhc prcpary, or ny mployss with w.Ers E ihcir rol. conp.nrarion, *ill do 6. work ed lnc slrucluc is nor inrcndcd
d ofrEcd ror salc ( S.c 7Or.{. B6in6 dd P.of6sions Codc Tn. Cont@tor's Liccn!. L.q do6 not apply ro .r o*n.r of rhc propldy
who builds or
'nFov6lhcrco,
ed who dG 5uch work hiGclf or h6.lf or through his or hfi oM mploy!6, providcd $.t iuch
improv.m.n6 a. nor intcnd.d or off@d for s8l. Il ho*cv.r, rhc buildinB or improv.m.nr is sold *ilhin oncyclrofconpl.rotr. $c
Owor-Build.r will havc riic burdcn ol provin8 lhd h. or sh. not bnild or improv. for inc purp6. ol s.lc)
_1, a own.r ofthc prcF ry, a archrivcly @nn.ding *ith lic.nr.d @nEacto6lo conslruct rfir prcj.d ( Se. 70ar, B6in6r udProf*io Cod. Ttc ConEelry'r Liens. li* dc not .pply to e os6 ot Pf@aty wno buil& q imp.ov6 rh@o. . sd wto
cooretl for iuch prcjeG with a ConF&ro(s) licas.d puBuor ro rhc Coir.cior's Liccisc Lsv )
_l m qmpt und6 S.dion _,8 & P C. for this r.sor.
WORKERS CON'PENSATION DECLARATION
I h.r.by affim undd pa.lty of p.rjury on. of rhc loll@in8 d.cldstions:
_l havc ed will mdinlain . C.njficar. of Cohrcnl to Sclf,ltuurc for *ort6' €ompasarion, s pmvirtd lo, by Sdrion 37oo oflhc
L,bor Cod., for ihc pdforfuc of l.l. wmk aor vhich $. p.mn is is5lcd
_l hzvc o will mainlain wtrk6' @npdsalion iBuro€, 3 Equirc.l by S.ctio. 3700 of l]rc Labor Cod.. for $. p.riomdc. oi thr
wort for which $i5 p6nt is iis!.d My wqt6' cmp. .rid iusuru.. cdia ed ,olicy nuhbcr dc
PolicyNumb.i ExpiG:
(Tht rccrion nccd nol b.@mplctd if th. p.mn is for Oic iuidrcd doll6 {t 100 ) or ls,
a*,^,,.^
#"*,,i:*,,"
rh. pafomee of $. wdt fd which
WARNNG Failurcto sccuB wtrkm' emp.n$rion & mployd ro ciniial pcnahiG -d.ivilfi.6 xp io onc hundi.d rhoudd dolla (t l00,O0O),in addirion io
rhc l-3bor Codc, inrd6t ad ltlom.y ! f6
damasB d provid..l for fic Scctio 1076 of
LIC[NSED CONTRACTORS DECLAIIATION
I h.rcby affim ud.r pady of p!:t ury rhrt I m licoscd und{ provision of ChapE I
drc Businss ad Prof6sio5 Codc, Mdmy lic.nrc is in iull fore und.afccr
I hcrcby af6m u.d.r p.n.lty oapajury thar rh@ is a const uclion l.ndjn8 .8.ncy for fic oflhc w.rk ior which lhk p.mn ii
isu.d (S.c 109?, Civ. C)
APPLiCANT'S Df, CLARiTION
Dcnolition PcmilsAsbar6 Nodncadoi fcdcsl Reguhrior (Tnl. 40, Pln6)
_ R.quircd Lri.. olNodfidid
,bovc n.nlion.d prop.ny fd inrFcrion pu.p66.
-6
s City ud Counry !o 6t6
Sub-Panels
t XPIRET I
r .g-t (U J
SAMC -43.2S0 5l 6 667
Notes, Remarks, Etc.
oath. Labor Codc. I sh.ll. fonb*rth
I
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