HomeMy WebLinkAbout20132814 - 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 #: 2O132a14
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr
Assessor'sParcel: 400-141-06 Lot: 'l
Suite: 5
Block: NA
Bldg: C
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4
Owner:
Address
Contractor:
Address:
Phone
Tenant Name:
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
PAID
NAR 0 7 2006
d
Tr
1345 N Cabrillo Park Dr 5
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Northridge, CA 91343
(818) 892-6280
Fee
$6.72
$5.88
$4.20
$-52.50
$3.20
$32.50
Phone
State Lic #: 684052
Lic Type: B, C-33
Bus. Lic #: 315114
Workers' Compensation lnsuranceCarrier: State Fund
Policy #: 1823737
Expires: 06/01/2006
$
Building Use:
Job Type;
Nature of Work
Planning Conditions: No Exterior work.
Multi-Family (5 or merc un Occupancy:
Alteration Constr TYPe
Kitchen Remodel & drywall Code:
Date:
Date;
Date:
R-l
V-N
cEc 2001
Ahangian, Kathy 03/07/2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
Notes; pd on M48095.
Account #: 011-01-5913 lnspector MID#: 2006-67871
Planning Approval By:
Plan Checked By:
Permit lssued By;
Subject to Field:
Building Permil #:_
This pemit 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 pemiL or if the wofu authoized by this
permit is suspended or abandoned at any time after the wotk is commenced for a peiod of 180 days.
Before such work can be recommenced, a new pemit shall be lirst obtained to do so.
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE IDiSIG.COMMENTS Ownd-Auildd D@luldo
I hd.by affim und., Fnllry of pqjury rhlt I e qchpt fm 6r ConFa.roa' Li@s. Lrw fd rhc aollowins l!&D G@.7031 .5 Buin6
nd Proldion Cod!): Any City or County which EqliB . p.mil ro .o Eucr, dt.r, improv., ddoli5h * rcp.n {y itruct@. Fid ro iLt
issudci. lho Equt6 $c applicol lorsuch pmnlofilc r si8n.d ullmar $.1hc d 6hc i licqnscd puBuet [o th. provitions 01lll.
Conl@ror's Liccn*d Llv (Ch.Fd 9, Commqd.B wirh Srcrion 7000 of Dilirion I oa th. B6ii6s dd Prof4ids Cod.) or th.r h. d
!h. is .rcnpl thacflm &d th. bais fo rh. .ll.8cd cxcnprioi An, violado.ofSedonTO3l.5 bydrlpplitur lor r Fmir $bj.c!r rht
.pplicanttoacivilp.n.ltyofnoraorcrh 6v.hund.cddolla(1500)
_I, d ond or rh? t op.riy, tr n, cmploy.6 *ith *a86 a thcn sob conp65.tion, will do th. *ork &d thc srrucrrc is no( inlsd.d
or oficrcd fB sd. ( S.c 70a4, Buhs od Prcfsios Codc Thc Con@lors Lic.ns. La* d@ nor apply lo an om6 ol lh. por.ny
who buil.ls or improvB lhq@n, dd who d@ such wdk hic.lf m h6da or droqSh his or hq own @ploy6. Fovid.d tlal such
improv.m.n6 & not inrad.d or oirq.! fq sal. lf, hovc?cr, rhc buildiis d inproyhdr i. sold snhin onc ,ca of conpl?lo, rhc
Oqno.Buildq *ill h.v. th. burdo of poving (hat hc or ih. hol build d ihprovc for c purpos. otsalc)
_1, a oqa of d. Fo?.rty, m sclsiv.ly @ntutina pnh licar.d .onEacroB ro cosnlcl th. pej.c! ( Sa 70!r, Buine ad
Proa6sion Code T1! Contdctor'! Liens. Llw do4 not .pply to d ownd of propoty who buildi or improvd 6a@. , dd who
coifacB fo' such prcj@Lt vit . cotr&io(s) liens.d puBuet to rhc conr@t '.s Lien$ Law )
_l u .xcopt un&i Satio
WORI(ERS COMPENSATION DECLARATiON
I hcEby affim udcr parlty oi Frju.y onr of lh. follNin8 d?cl6tioE:
_l havc sd willmai.rain ! Ccnificlr. ofcons..r ro S.lf-l.s!E for w6l(s' compos.tim, 6 prcvid.d lo by Setion 3700 offic
t2bor Cod., lor 6c FrfollMa of dr *ork lo' which th. p.mn i3 h$c4
_l hrvc 6dwillhaintlin w6t6 ompd.tion iNuBc.i d rcquircd by S.ctio. 1700 ol tnc Labor Codc, for th. Frfme@ ol thd
wdt for *fiich this pmit is issu.rl My wo*6 @mp..s.tio insu6.c @i6 &d policy numb.r @:
"x:':,:
E' -L*,r",r'.
b. @mgldcd il thc pmir is for O.. hqn&cd dollq {ll0o) or l6d
psfomDa of d. wtrk fo qh,ch rhR pmi
wdkor'@npcnsti@ laB of c!l,fm'\ u
oathc kld Cod., I shill, ronhvirh/-o
WARNING Failurclo !.curc,orlc6 comp.nsation
finB up ro 6. hund.cd oDsad dollm (3100,000),in addnion ro tic
thc L:bor Co<!c, int6r {d oDcy! fc6,
iomp.ns.rioi, d,ma86 s provrdcd rorrhcS.l{;on 1076of
LICENSED CONTRACTORS DECLARATION
I hd.by afim undd Fiahy of pajury thar I d licar.d u.Lr provision of Cnr/s 9 (
lhc Aulin6s ed Protdsiod Codc, ed my lic.ns. is in full aoE. dd cff.cl
I h6cby altim un&r p.nalty of pdjury th.r rh@ is t @nrtocion
issu.n (s*. 309?, Civ. C.).
for thc p.rtdmanc. ofrh. wot fd which this p.mit is
APPLICANI'S DECLARATION
D.molirio. P.mi6-Astsr6 Nodfic.doi Fcdsal R.8ulations (Tirl. .to, P.n 6)
_ R.quir.d L.lr.r of Norifidion
/r cc,ttty t ar
$c f.d.ral rc8ulurioN r.8rdine cb6r6
I hav. @d lhit lpplica{on sd sEt.
odinec6 ed Sla!. trws Elarins lo buildin3 lhir Cit, bd Couiry roari
ibovc h.nrion.d php.ny fo, iN!.cti6
--o
7- 8-
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
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release EIiF IKhIJ
Rough rtro -| 4UtJ
Service Meter saMc 8-{3,556 7
FINAL
Notes, Remarks, Etc
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