HomeMy WebLinkAbout20132888 - PermitCify of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA92702
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738
Electrical Permit #: 20132888
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr suite: 15 Bldg: C
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-05 Lot:'l Block: NA
Owner:
Address
Tr
1345 N Cabrillo Park Dr 15
Santa Ana, CA 927013106
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
Min Fee Adl
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
$4.20
$-52.50
$3.20
$32.50
Phone
Tenant Name:
Contractor
Address:
Young Kim lnc.
15814 Marilla st
Northridge, CA 91343
(818) 892-6280Phone
Stale 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:
Multi-Family (5 or mslg un Occupancy:
Alteration Constr TYPe
Kitchen Remodel & 6ry1ry611 Code:Notes: pd on M48095
Planning Conditions; No Exterior Work.
Ahangian, Kathy 03to7 t2006
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Building Permit #:_Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
This pemit shall expire by limitation and become null and void if the wotu authoized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wo* authoized by this
pemit is suspended or abandoned at any time after the work is commenced for a peiod of 180 days
Before such wofu can be recommenced, a new petmit shall be first obtained to do so.
Account #: 0'1 1-01-5913 lnspector MID#: 2006-68076
PAID
tAR 0 7 2006$-frAn;M;--
R-l
V-N
cEc 2001
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Date:
Date;
Date:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE rD/srG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under SIab / 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
Lr\r I ,\E (f I
Rough raD -Service Meter (uta,
FINAL SAMC 8-43, Zl 5C6
Notes, Remarks, Etc.
OMd-Buildo DcclrAtion
I hcrdy lmm ur&r p.ndlry of pdjury lhal I d.x.hpt lom lhc Cort&tod Licasc Lau for $. followins Eso, (s.c 7011.5 Burin.$
ed kofesioh Co&): Aiy Ciry or CDu.ty whicn Equncs . p.mit b coBrtrd. ,lla, inprolc, dcf,olislt d rcpat by srrucrurc. Fior to ia
issuuc.,.ho EquiB fi. appliBi for ruch Fmt lo iilc.signcd sGLmat thar h. or sh. iB lic6*d puau&l to dc provilios of rh.
Cohtractor'i LicGns.d La* {Cha$.r 9, Cnhcncing wilh Scclior 7000 of Divisio. 3 of fic B6ir6r ed Proa6si65 Codc) or thrl h. d
shc is .x.mpt lhcrcfM 4d ttu b6is aq lh. rll.Bd d.mplioD A.y violalio of S.clion 703 I 5 by ey +plicMt lo, a pcml subjeb !h.
appli.sl lo !civil pd.lty ofnol norc thu fiv. hlidr.d dollE (1500).
_1,6 own.r of fi. Fop.rry, or my .mployG wirh wag6 a thcir lolc conpc.&tion, will do 6. wort dd lhc srucrlr. s not ini.ndcd
or ofrr.d ad srl. ( Sd ?04,1, Bu,in6 ed P.ofsions Cod.: Tn. CotE ror's Lic4. L.w dG not .pply io d .yncr of rh. prop.ny
wno builds or improvc lhq.on, dd wno do6 such work h'aclf o, haclf or through hn d h.r o*. cmploy..!, prcvia.d rh.t lu€h
ihproe.oor. &c.ot inradcd d oifacd for lalc Ii hNcvcr, th. buildirs or improvd.ol ir $ld wilhin onc y.s ot complcrron, tir.
OwncrBuildc. will h8v. th. burdcn ol provinS lhal h. d sh. not buil.l or ihprcv. for $c pu'!6. oa salc)
_1, a ownaof $c propcfiyi cxcluivcly cont'&lins with lic..scd conhctod ro conrtruct th. proj.d ( S.c 704a,Bsin6sdd
Prof6rion Cod.: Thc Cont &iof3 Liccnsc k* dB nor apply to e Md oipropaty whobuil.& d imp.ov6 theco,. &d who
contracts ro' such prcj.crs wilh a coDrdo(, lic.is.d pdsu&r ro th. conracrors Licdsc kw )
_l d cxcml undcr S@lio.
WORK!RS COMPENSATION DOCLARATION
I h.r.by afim und.r p..alry of p.rjury on. olrhc lollowins ddeltio.s:
_l h.v. udwill m.intlin r CqniticaE of Co.sqt to Sclllnsurc for eo*6' @np.n!rion, s provid.d for by S.clion 37OO ofth.
Llbor Codc. tq thc p..fme@ of $. wo fdwhirh th. p.dit is issu.d
_l havc ed will hainEin sorkcR' cmFnstim iBum@,a rcquircd b, S@tion l70O olthc Labor Co&, fe !h. Frfmu€ of rh.
work for which lhh pmn is ksu.d. My wortq cmtF@tion iNu6* 6id hd policy iuntq arc:
PolicyNumb.r Expt6*a:::.:"
F." -i,:*,. rt "
b! @mpl.tcd il0'c pfftn k for onc hun&.ddollm 1ll0o)
pafomucc ol $c vork for which
wo*6 ' compln$rion l.w ol Cal
offic Labo! Cod.. I shall
WARNING Faihrc to sauE work?u' comp.n$ on
fin6 up lo onc hundEd .houeud doll8 (l I00,0o0).in
rhc Libor Codc, in&rel&d.Iomcy! f.€.
@, drm.e6 a p.orid.! lor thc S.diM 10?6 of
I hcrcby amm undc! p.n.lty ofpsjury thal I o li.oscd ud.r Fovkion ofchaptd 9 (
thcBusin& ud Prof6sions Cod., dd my licosci! in full loc dd cffdt.
,. C)
I hcr.by .ifim undcr ptnalry oi pajury rh.t rhd.inc. olrhc *qt ftr*hich lhis p.mit k
i$ucd {S.c 3017, Civ. C)
Dmolition Pmils-Asb6t6 Not,fi carioi F.dc'il Rcgrhtion! Clitl._ Rcqut d Lcnc, olNoific6don
ly
-d,,.
6ammcemas
,bo!. m.nrion.d proEny tor insD.crion
6)
City dd County ro cnr.r upoh $.
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