HomeMy WebLinkAbout20132707 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19)' Santa Ana, C492702
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738
Electrical Permit #: 2O,lt27OT
lnspector's Section: (714) 647-5853
Suite: 4
Block: NA
Bldg: A
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: 'l
Tr
1345 N Cabrillo Park Dr 4
Santa Ana, CA 927013106
Fee Type
Receptacle
Switch
Light Finure
Trust Applied
NIin 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:
Contractor:
Address:
Young Kim lnc.
16814 Marilla st
Northridge, CA 9'1343
(818) 892-6280Phone
State Lic #: 684052
Lic Type: B, B, C-33, C-33
Bus. Lic #: 315'l'14
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1A23737
Expires: 06/01/2006
Building Use ftpttn'u!Occupancy:
Constr Type
R-1
cEc 2001
Job Type Alteration Notes: pd on M48095 FEB 2 4 2006
/
Ahangian, Kathy
Date
Date
Date 02t24t2006
Misc. Receipt
Misc. Receipt
Misc. Receipt
Building Permit #Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
This pemit shall expire by limitation and become null and void if the wo* authorized by this pemit
is not commenced within 180 days from the date of this pemit, or if the wofu authoized by this
pemit is suspended or abandoned at any time after the wot* is commenced for a peiod of 180 days.
Before such wotk can be recommenced, a new pemit shall be first obtained to do so.
Account#: 01'1-01-5913 lnspector MID#: 2006-67669
Project Address: 1345 N Cabrillo Park Dr
Owner:
Address:
Nature ofwork: Kitchen Remodel & drywall Code:
Planning Conditions: No Exterior Work.
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
ELECTRICAL.INSPECTOR RECORD
APPROVALS DATE to/srG.COMMENTS OM.FBuildct D.clration
I h.Eby .fim und.r pa5lty olp..jury lhal I m.x6pt fom lhc Co.lEclod Liccnsc Lav for6c followi.grceor G6 7031.5 Buinss
ed Profosion Codc) Any City or County which rcquirs a p.mn lo consirucl,5hc!, imprcv., dcmolirh ortpair&y srructuE, prior lo ia
issuec., dso r.q!n6 rhc appli.a fd such p.mit to filc arigncd srat€nor rhA| h. or rh. ir licdscd puBudt ro thc prorisionr oiric
conrador's Lioed Llw (Chaflr e, Cohmcndng wi$ scctior T0o0 ofDiltion 3 of$. Bu5i.*s dd P.ofBsiois Cod.) or th.t h. d
sh. ii cxcmpt thcr.froh ud lh. bdis for thc altscd cr.mplion Anyviolaion ofS.cion 70ll 5 byay appliml for. p.mn ilbjccE lhc
applicertoacilil pcnalryof iormd.d,lvchuidrcddollds (1500)
_1, 6 own.r oflhc Fop.r9, ormy.mployd rirh wag6 6lhcirrol. comp.nsarion, *illdo rh. work &d rhc srructu. is nor int..d.d
or oflcEd ld salc ( S.. 7044, B6in6 dd Proi6rions Cod.: Th. CorE.ror's Licasc L.w docs nor .pply ro s oa..r ol rhc prop.ny
whobuild! or imprcvcs th.r.o, ed who docs such work hiNclf or h6.lf or rhrouSh hn or h.r dn cmployccs, Fovidcd that such
imprcvcncnts uc not inkndcd or ofcrcd for $lc Ii hoqcvcr, th. buildiig or ihprovdcnl is sold wirhin onc y4 of compl.lon, lb.
OwD.FBuild.rwillh8vcth.burdnolprovin3lhalh.orsh.nolbuildorimprovcforlhcpu'poscolsalc)
_1, d o*ncr ol lh. prop.ny. o .rcluivcly conFrcting wirh liccns.d contracro4 to cotrrtruct rhc prcj.cl l Scc 70..a, B6in4s 6d
Profasion Codc: Thc Co.lr'&!or! Licnsc La* dG rcl apply lo u o*nr ol propdiy whobuil.Ir d imprcvB thas. od who
connacb for slch proj.cari$ a CodBd6(r) licoscd puRu r
'o
thc Conr.ac rof s Liccns. Law )
_l m cx.mpl undr S4lion _,8 & P.C. fs lht rcson
tlaarE[tlor4sEtsau9N-DEcunarQ!
I h.r.by aftid und.r pcn.hy of p.rlnry oo. olthc lolloqig dcddaiors:
_l havc od will m.inoin i C.nifiatc of Conscnt to Sclfi.sur. for wo*c6' comp.bsaion, 6 povld.d fo by Scclion l?00 oflh.
L:bd Codc, lor thc p..fme@ of lhc *ork for which thc pmil is isN.d
_l hav. &d will maintain wort.Rr comp.ns.tion ituurMc.,6 rcquir.d by Sation 3700 ofrh. Llbor Cod., aor ih. p.rfomac. ofrh.
work ftrwhich this pmil iE is!d. My workm 6mF rarion inslEnc. cMid edpolicy numb.r sr
Policy Nunbcr: Expircs
rlYtoro@d nor b. complclc! rflhc p.mn is ftr On. hundrcd dou6 lllo0) or 16,
rh. pdfoms.. ofth. wo ( fs which
baec subjcd lo 6c *orrc6 ' cofrpcnsatioi l6s ofcal
@mposation provision! oiScclion l70O ofth. Labor Codc,l shall, fonh*nh
-2_</- o L
WARNING Failur.lo sccurcworkcu' compcnsation cov.r,8.
fir6 up lo on. hundr.d $osad dollss (t 100,000),in .ddnim io rhi
rh. bbor Cod., inrdBt ad ..!ohcy! fc
d.ma86 a povid.d for rhc S.crion 1076 of
ueElsEDloNIB .SrOESDEetA.EtUq
I h.r.by aflim ona.r pcnalry of perjury d'.r I m liccnscd und6 provisioi of Ch.plo 9 Gom
thcBusin.$ed P.of6iois Cod., dd my lic.N h in full forc. ed.ffer
'/-oL
I h.r.by a0im u.d.r p.n.lry of Fdury rh.r $dc is . cdntudio lddii8
issu.d (s.c. 1097, Civ c.).
oath. woik fo*hich this p.mir is
APPL!CANT'S DECLARATION
D.molition Pcmit-Asbdl6 Notificdioi f .dcBl Rcgulariois (Titl. 40. Pan6)
_ R.qoir.d Lcn.r of Norillqtin
I c.niivrlat th. Ld.hl r.eul--z,/hi'fv lhai I havc Ead !fiis
dtdindcG dd 56. tlu! nla
adonr .r8ddins 6b6los rcmolal arc
appliq'ion and s6.c Ihat th.coftply witn all Cir, ud Coutrry
City ed County to qrf upon rhc
2- 2.t -o
Site-Work
Underground
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
Alr Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release trxF lRED
I anrn
Rough r.- L)
Service Meter SAMC 6.43,290,556,6r:
FINAL
Notes, Remarks, Etc.
Pole Bases
a6ov. mdrion.d prcFny fd inrp..iid pu.p6B
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