HomeMy WebLinkAbout20132781 - 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 #: 2(,1327A1
lnspeclor's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 2
Block: NA
Bldg: S
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-14r-06 Lot: 1
Owner:
Address
Tr
1345 N Cabrillo Patk or 2
Santa Ana, cA 927013106
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
lvin Fee Adj
lssuance
Amount
0.84
0.84
0.84
-52.50
3.20
32.50
Qtv
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 91343
(8r 8) 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 #: 1823737
Expires: 06/01/2006
PAID
llAR 01 2006
Building U
Job Type:
Occupancy:
Constr Type
R-1
cEc 2001
ci Santa Ana
Alteration Notes: pd on M48095
Nature of Work: Kitchen Remodel & drywall Code
Planning conditions: No Exterlor Work.
Planning Approval By
PIan Checked By:
Permit lssued By:
Subject to Field:
Ahangian, Kathy 03/01/2006
Misc. Receipt
Misc. Receipt
Misc. Receipt
Buildinq 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 authoized by this pemit
is not commenced within 180 days from the date of this permit, or if the wotu authoized by this
permit is suspended or abandoned at any time after the wotu 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#: 2006-67828
Date:
Date:
Date:
ELECTRIGAL.INSPECTOR RECORD
APPROVALS DATE ID/SIG.
Site-Work
Underground
Pole Bases
Light Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Vo
Fire Alarm / Dampers
Communications Cable
Building
Under Slab / Floor
Bonding / Grounding / UFER
Transformers
Torquin
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilin (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
Rough
Service Meter
FINAL 8'43,290,
Notes, Remarks, Etc
Oma-Buildo Drcl@doi
I hEby rfiim und.r Fn.lty ol pdjury .nll I a *dpt fom ttc CdtrctoB Licosc Lav for rhc aollosing @o (ie.703 I 5 Auin*
od Prca6bh Cod.)r 4., City or C.rry *hicn rquir6 r pcmir to conlhq. shd, imprcvq dmolish or rQair uy i.uctu.., Fin ro irt
hsuecc, also Equtcs lh. .rplic.nt fo. lsch pmit to tilc a sign.d !tatm6! $al h. or sh. il licds.d pusust lo $. lrolisid5 of rhc
Contactor's Lica&d Lj, (Chaptd 9, Cmffici.8 witlt Sccrion 7m0 of Divirioo I of $c BBin* dd Prol6ion5 Codc) o, lhat h. d
sh. k .xcmpl il.!.fm ud lnc bNit fd lhc lllcacd dmpdo, .Any violalion of S@lion 703 I J by .ny .ppli{t fo . p.mn subjeB t.
applicdt to !civil p.n.lty ofnot m@ rn fivc hoi&.d.lolle (1500).
_1, 6 oMd of thc Fopcrry, or my mployG wnn va86 a rhct rclc cohpGarioi, will do lhc wdl &d lh. srudE is not iniad.d
o. oficr.d fd salc ( scc 70a3. Burn.sr &d PofBsios Cod. Ti. Contubr's Lictrc L.w do6 n6r +ply ro M own.r of rh. proFry
who builde tr imFovo thd.or, ud wno d@s srch *ork nitu€lfor ha.lf s throuSh his or h.r opn oployc6, provid.d rh.t snch
ifrprcv.onll d. nor intcnd.d or ofldcd fry sd. Iih .vq,lhc blildiig or imrrcvncnt is sold vilhin or. ycdofcomptcro,, thc
Oend-Buildcr will hav. ih. budcn oa provinS lhat hc n ihc not build or inprcvc for rfu purpsc of s.l.).
_1, s ownd of rh. prcF.ty, m .xchriv.ly .onmditrg with lianrcd cmrnctG lo cmstr!.t (h. p.ojcd ( S.c. 70a.. Bui.* Dd
Proresion Cod. ftc ConEscroa! Uc.rs. L.w do6 not apply lo d osrd oa propBty who buil& or imprcva rha.M , md who
@iracr ror such prcjea vith a conrre.o(, li@s.d puRler ro lhc connacbrs Licas. L.w )
_l d .xmpt undcr Scction _,8 & PC. forthisrcso..
\YORI(ERS COMEENSATION DECLARATION
I hctby tmm undd paalty ol poju'y oi. ol O. follo*in8 d(lelioN:
_l havc ed will mai.rain a C.nilld. ot Co.s toScl nsuE ftrwork6'(@pos.lim. s Dovirlcd ldby S.qtion 37OO ofth.
L{bor Codc. for lhc pdfdlfu@ of $c vorL fq *hi.h lnc p.mir is i*ucd.
_l hlvc ed will @int in w6l.R cmp.ilaid iNutu.c, { E4utcd by S@d@ 3700 of th. Labor Cod., ftr 6. Ftm&@ oa rtc
wo* for vl'ich thk pamn k i$!.d My wdt@' cdn @.tio iBsrue @ia &d policy numbd a:
'Y;:,::^
&-*.,,1..t,o
not b. @mplctd if thc pcmn ii ro Onc hu.drcd doll6 {t 100 ) or
d. p.rfm&@ of thc wtrk fs wh
lhc work.6 comp.nsation l.ws oa
compd$rion po!irioni o( ScclronJToo
,",, u3-R--o lo
of lhc L.bo Cod.. I rhdl,
i..
Failur.lo s@!E wo,k.6 @mpors.rion subjdda cmployd ro diminalF.ahi6 dd civil
fina up lo onc hundr.d thoEdd dolld (1100,000),in lddnioi to
lhc L.bor Codc. inrc!61sd inom.y s f.6.
@$ of compcnsation, dama8d s provid.d for$cSc.lron 30?6 ol
I hdcby amm urd.! pa.lry oapaju.y ltlat I m ltd5.d uids trcvisi@ of
thc Busin6s ed Prcfeior Cod., &d my li@ic is in full fo@ ed cfflcr.
{chm€ncint wnh S.ction
I h.r.by amm undop.n.lty of pcrjury th.r th6. is r co.sttuction lcndins lscn oflhc work for shich thii pcmi! ir
issued(s.c 3097, Ci! C)
APPT.ICANT'S DECLAIIATION
Dmolhion Pmia-,{ibs|6 Notificadoi F.&sl R.gul.lion, (TnL a0, Pan 6)
_ R.quiEd L.na of Notific.rion
_l cclrfy fiar ttu f.dd.l cgul.noni r.s&drng sbqrd
U1, *,'O ,nnrn*","*rn' lppt,d, sd rsr. rh.!comply wid lll Ciry ud Counry
ordin c6 ud St r. lavs ,claling ro building @nshcr
a6ov. mdlimd propc.ty fd inspedo pupoa.
ol rhk City $d C@nl, ro acr upon dc
COMMENTS
.D
:.U I'I
S/
f -T------
t!