HomeMy WebLinkAbout20132737 - 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 #: 20132737
lnspector's Section: (714) 647-5853
Project Address: '1345 N Cabrillo Park Dr
Assessor'sParcel: 400-141-06 Lot: 'l
Suite: 1 2
Block: NA
Bldg; B
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
FEB 3 2006
of S., r,-.
".
Phone
State Lic #: 684052
Lic Type; B, B, C-33, C-33
Bus. Lic #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: 1823737
Expires: 06/0'l/2006
Building Use
Job Type:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Tr
1345 N Cabrillo PatkOr 12
Santa Ana, CA 927013106
Young Kim lnc.
16814 Marilla st
Nodhridge, CA 91343
(818) 892-6280
Ahangian, Kathy
Fee
$6.72
$5.88
$4.20
$-52.50
$3.20
$32.50
Alteration
Nature of Work: Kitchen Remodel g 6ryv311 Code
Planning Conditions: No Exterior Work.
pancy
Constr Type
R-t
V.N
cEc 200't
Notes: pd on M.48095.
Date
Date
Date ozt24t2006
Misc. Receipt
Misc. Receipt
Misc. Receipt
Buildino Permit #:Fee Total:
Paid to Date:
Balance Due:
$0.00
$0.00
$0.00
This permit shall expire by limitation and become null and void if the wotu authorized by this pemit
is not commenced within 180 days from the date of this pemil or if the wofu authoized by this
permit is suspended or abandoned at any time after the wot* is commenced for a period of 180 days
Before such work can be recommenced, a new pemit shall be frrst obtained to do so.
Account #: 01 1-01-5913 lnspector MID#: 2006-67710
ELECTRIGAL-INSPECTOR RECORD
APPROVALS ID/SIG.COMMENTS
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Si ns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquing
Sub-Panels
Alr Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilin s (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL
Notes, Remarks, Etc.
OMcrBuildcr Dccld.rioh
I h.Eb, aflim undo Fn.lty ofpajury (hal l o cxdpl fom lhc ContBctofi Li..n!. Ll* for tn. followinS r.aon {scc ?OI 5 Bsinqt
aid Prcf.$ioi Codr): Any Ciiy or Counry which rcquir* a pcmir lo consrruct, alr.r, improvc. d.holish or !.p.n My rructurr. Fior ro ils
iss@cc, ako rcqutG rh. arplicaDt ttr such Fmn to fiI. a si8n.d starm.nl rhat h. or 5h. h licascd puBuar lod. prcvisio3 of thc
Cot arci! Liccied L.w (Chart , e, Comm.ncins wirh s.ction 7000 oa Divirio 3 of $. Buins Md PofeioN Cod.) or $ hco
lhc is.xcmpt thcrcftm &d fi. bsis f6lhc rll c8.d .x<mpr ion Any violirion ofScclion 70ll 5 by dy appticdr ftra pcmi subjdt fic
applicel ro a civilpd.lty ofrcI morc thd fivc lundr.d doll& (t500).
_1, 6 ownd of th. FDp.rty, or my mployc *nh *ag6 6lhcirsolc @mp.ns.rion, willdo $. work ad thc rrtucr(c is rot incnd.d
or ofl@d for salc ( Scc 7044, Buin6 dd ProfBsions Cod.: Th. Contr.crort Licd!. kq do6 not apply to u own.r of rhc pr@.ny
who buil& or improvB ih6@n, ad who dG slch work himcll or h6dt or throuSh his d h9 @n .mptoy.6, Fovidcd thar slch
improvm.nE u. not inlddcd or offa.d fq r.l. Il hNcv.r, rh. buildin8or improvmor is sold *irhin on.ydof compt.l,oD, th.
OwncFBuildd will hav. thc burdcn olproving lhar h. oi sh. nol build o! imprcv. for th. purp6. ofs.lc).
_1, a own(oftc prop.ny, d cxclusivcly conrEring wnh li..ns.d @.Eacro.! ro connru.l $. p'ojal ( S.c ?044, BBin6s sd
Prof6sion Code Thc Confactor's Lic.tuc Law dGs nol apply lo e oMa of prop69 who builds tr improva rhdcd , dd *ho
.ont.cB for !u.h proj.cE with a Coir&b(, li@nsd pusu r ro rh. Conrador's Liccns. Law )
_l d adpt un.Li scclion _,B &PC fdfiisr.Mn
WORJ(ERS COMPENSATION DECLARATION
I h.r.by affim und.r p..alty of p.rl!ry on. of rhc follovi.s d.cledio.t
_l havc Mdqill maintrin i C.ni6cak ol Co.scnt b S.lfinsur. for wolk.E conpnssrion,6 providcd tor by S.c on l?OOofrh.
Labor Codc, fo, thc pcrfmdcc of th. work for *hi.h rhc p.mn is i$u.d
_l havc ad pill mrinrain wtrt.R compas ioninsurecc,s r.quir.d by Sccrion l?00 ofrh. LaborCodc. for rha p.rfomuc. ofrh.
work for shich lnis pmit is isru.d My eo*d'cohFnsltio insur c. csid ud policy numbcr arc
(ThG s.ction D..d nor b..ompl.t.d ifrhc pcmn is lor On. h
-ft^,*,6-..*. *6r
rhd in rhe plrfom cc of rhc work fm which
EI toth. work.B comp.nsation la*s olcal
conp.nsarion prorhioB of Sccrid l?00of th. L,borCod., I shall, fonh*nh
o^"l-2 44-o L
WARNING FailuEio seuE worL6 @mp.nsdion covcra8. t
fin.s up ro on. hundr.d rhousDd dollst (1100,000).rn rd.ltrron ro
rhc bbor Codc, intcr6! od doh.yk i.6.
I hcrcby aftlm undd p.nalry of prjury rhal I o lic.rs.d undr provisioi of Chaptd 9 (
thc Busin6s &d Prof6i6! Codc. ed mt licnsc t in full forc..nd.ft@t
Licctrs. Cl6s _ Lic.nsc NLmbcr
"^,,p1 )--2.tt - ol\
I hr.by afiim u.d6 p.ialt, ofFrlury rhat thq. ir s @ottnctio,
ilsu.d (S.c r09?, Civ C.).
APPLICANT'S DECLARATION
D.mohio. Pmit-Asb*ro6 Nolificalior F.d.rcl R.gul.rions (TnI.40, Pdr 6)
_ R.qon.d Lct rofNoti6dion
ro comply wnt aU City ud County
abo!. m.ntion.d propcny ior inspc.tion purros6.
ofthirCiry dd Counry ro c.rs upoi rh.
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DATE
t,{ffiAED
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