HomeMy WebLinkAbout20132704 - 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 #: 20132704
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr suite: 2 Bldg: A
Tract: '10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: 1 Block: NA
Tr
'1345 N Cabrillo Park Dr 2
Santa Ana, CA 927013106
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
Fee
$6.72
$5.88
$4.20
$-52.50
$3.20
$32.50
Phone
Tenant Name:
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 #: 3'15114
Workers' Compensation lnsurancelCarrier: State Fund
Policy #: 1823737
Expires: 06/0'l/2006
FEB 2 4 2006
Building Use:
Job Type:
Nature of Work
R-1
V-N
cEc 2001
fl
Notes: pd on M-48095.
Planning Conditions: No Exterior Work.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy 02t24t2006
lVisc. Receipt
l\4isc. Receipt
lvlisc. Receipt
Building Permit #:_Fee Total:
Paid to Date:
Balance Due
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 permit, or if the wofu authoized by this
pemit is suspended or abandoned at any time after the wotk is commenced for a peiod of 180 days
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
Account#: 011-01-5913 lnspector MID#: 16561
Owner:
Address:
Contractor:
Address:
fitultEF'Emitv-+5-oflfiure-un Occupancy:
Alteration
' 'CtYruIo
conslr Type:
Kitchen Remodel g 6ry1v611 Code:
Date:
Date:
Date:
$0.00
$0.00
$0.00
ELECTRICAL{NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS Ownd-Buildlr D.cl@lio
I h.Eby allim und.r pallry ofpqjurr rhal I m.rmpt fom ilc Co.lrrcros Li€nsc Lw aor rhc aollowinS rcao. G€.7031.5 Bu!i.s5
rnd Pmfdio Cod4 Any City or C@my which r.quir6 6 ,cmil ro costru.t. ak.r, impov., d.molish or r.plir uy str!.trE. lfid ro iB
ksuuc., ilso r.quir6 thc lppli@r id slch Fmi to fi1. . sign.d rtllft rhat h. d rh. t licds€d puRuet lo thc provisio$ ol$.
C@ll.adois Lt.N.d L5w (chapts 9, conm.ncins with scclion 7000 ofDivision I olfic Busio$ dd PrcfGsions Codc) or thlt h. d
shc is .xcmpl rhdclrm dd th. bsi! fo rh. .ll.8cd .r.nprio. A.yviolalio. of S.cion 70lr.5byey applidl lor. pcmil subj@u thc
.!pli6t ro.civilpnahy ofnot moE th fivc hun&cd dou6 (t500)
I.a o$cr oafic propcrry, or hy.mployas wilh wagcs d lhcirsolc cohpc aion, *ill do thc work dd rh. snacruc h nol inkndcd
or oiIftd ad s.1. ( S.c ?0.4, Busirs ed ProiNions Cod. Tnc CotBctor's Li@. L:w docs nor apply lo ,n o*n.r of rh. prcpcny
who builds or improvd lh@on. ad vho do.s slch vork hr@clro, h6.lf or through his or h.. ovn.mploycd, providrd thar such
ioprovco.nrs r. not ihldd.d or.fldcd for sal. If, how.vd,lh. buildin8 or improvcmcnl is lold wittii onc ycarofconpl.non, rhc
O*n.rBuildawillh.v.th.bud.nolprovinslhdh.orshcnorbuildorimprov.forttcpurpos.ofsalc)
_1, a ow.cr of tG proFriy, ffi .,.lBiv.ly contudng *nh lic.ns.d co"lmcron to co.slrud rh. projEt ( S4. ?044, B6in6s ed
Plof*ion Codcr Th! Cmr&rci r Li@ns. kw dG ror .!ply ro e ownr of propqry who builds or iEprcv., !hu.o , Dd who
com.B for such pmj4t' with a coir'&ro(, li@$.! pu@dr ro rh. confactor' Lien!. L5w )
_l m cxcmpt undd S.ction _,8 & P C. fo rhir G6o.
WOR(ERS COMPENSATION DiCLARATION
I h.reby aafift undcr p.nalty of Frjury on. of lh. followinS delutioE
I h.vc ed willmaint.ji. C.nifi€arc ofCons..t ro S.lanslr. foreork.ls mplnsalion,6 pEvidcd for by S.clion 3700 of$c
L.bor Codc, for th. p.rf@dcc ofth. woIk lorvhich thc Fmil is iisucd
_l havc dd rill mainhi. wdtc6' compcnsarion insurdcc, a rcqutcd by S.crion 37O0oath. Labor Codc, for th. pcrfmec. olfi.
work forwhich rhh pmir t issucd My vorlcE' comp.osalion insurancc cdnd dd policy rumb.r a'!
PolicyNuhba: EIPi6
lThis s.crion n..d norb.compl.t.d if $.p.mn k for On. hlndr.d dolle 1ll0o) orl
24'r, nn -.r. o-" *,.or$.ro,k lor wh\h ths Fm tEsu.d,I
b{ffi? rubj.d to $. wo .E comp.n$tio l.ws olcallmrL Md asr rhar
compcns.tion provhions olS.crion 1700of rhe Lrbor Co<t, I rhall,
) -'2-s-
WARNING Failurc io saur. workrE comp.nsalion covcrag..cl.n.mploy.r ro qnminal plnaldcs ed crril
lin6 up to o.c hundr.d iiosed dolls (l 100,000).in .ddiim lo
thc Labor Codc, int.Er ud alromcyt fG.
damaE6 6 provid.d for th. S.clion 3076 of
I h.r.by ltlm und.rp..ally ofp.!uryrhar I m lic.ns.d ond.r provision oiChaBd 9
$. Buiin6s &d Proicio.i Codc, ud my lic.nr is ii rullforc. aod.ffcc!
I hd.by afiim und<r p.n.lty of pslur, tur rh6c ii . .oi5rtu.d6
isucd (Scc.1097, Civ. C).
APPLICA]YTIS DECLAR,ATION
Ddolirioo Pmil5-Asb6r6 Noificarion F.dcr.l R.8uhi6t (Tidc a0, P.n 6)
_ R.quiEd L.n.r oaNotifddon
_lc.ni9Ad ttc rcdsrl,qul os Esed,ns
!41ry,hd I hr'.Gad'nr rpDli.rion hd to cmply wnh Ciry -d Couniy
ordiiecG dd Sl'l. Las! rclalis to buil of !hi5 Ciiy dd Counry lo .nrd lpon rht
abo!. mcntion.d !rop.d, fd in+.crion
o6
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 & Sofflt Rough
Ceilings (T-Bar Rough)
Meter Release
EJ(FfEr ri
Rough
Service Meter Fe.E = I i '0t9
FINAL (fl 0"4s. zqn ,
Notes, Remarks, Etc.
knd.l! Addr6s: _
tl
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