HomeMy WebLinkAbout20132793 - 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 #: 2911279,3
lnspector's Section: (714) 647-5853
Project Address: 1345 N Cabrillo Park Dr Suite: 11
Block NA
Bldg: S
Tract: 10823
Address Range:
Historic: No
Suite Range:
Zoning: R4Assessor'sParcel: 400-141-06 Lot: I
Owner:
Address
Tr
1345 N Cabrillo Park Dr 1'l
Santa Ana, CA 927013106
Fee Type
Receptacle
Switch
Light Fixture
Trust Applied
Min Fee Adj
lssuance
Amount
0.84
0.84
0.84
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.s0
Phone
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 #: 315114
Workers' Compensation lnsurance:Carrier: State Fund
Policy #: jBZ3737
Expires: 06/01/2006
PAID
HAR 01 2006
Ft-Occupancy:
Constr Type
R-1
V-N
cEc 2001
Building Use
Job Type:Alteration
Nature of Work: Kitchen Remodel g 6ry'v311 Code
Planning Conditions: No exterior work.
Notes: Pd on M48095.
Ahangian, Kathy
Date
Date
Date 03/01/2006
Misc. Receipt
l\4isc. Receipt
lVisc. Receipt
Building Permit #:_
This permit 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 permit, or if the work authorized 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.
Fee Total:
Paid to Date:
Balance Due
$0.00
$0.00
$0.00
Account #: 0'l 1-01-5913 lnspector MID#: 2006-67852
Tenant Name:
Contractor:
Address:
of Santa Anh
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
ELECTRICAL-INSPECTOR RECORD
ID/SIG.COMMENTS OMa'Bdlda D.clmlion
I hceby affim u.d., pa.lry of pdjury $ I m.x@pi rom th. ContEctoE Licas. L.w for th. followin8 rc4on Ga.703l 5 Auin6
d Prcfqsim Co&) Any City 6 Co6ty which Equiro a p.mit to @nn!ucr, oltd, inprcv., dmolkh or rcplr o, st ucrw, ,.iq ro ir!
isu&c.. ilso r.quiG $. appli@r for 3ud pmir lo filc a sign.d srard..l ih.r h. or sh. is lic..3cd pu6uu1 ro &! proyisims of fi.
Conra.tor's Licalcd t w {Ch.pt?r 9, C.mmacinS vi$ Sedon 7000 ofDivision 3 ofth. Bain65 Dd Profsions Codc) or th8r hc r
sh. is .xmpt thd.fM ed th. b6ii fo $c allcg.d d.mption Any yiolrion of S*ion 7Ol I 5 b, ey .ppli6t for a Pcmir lubj.cr rh.
applicsl lo ! .ivil pmalty of noi hN lhd fiv. hundr.d dollB (1J00).
_I. s owr.r of rhc Fop.rry, o. my mploy.6 wiin w586 c th.t sol. comrcnBlion. will do lhc vork 6d thc strucrurc it nor intod.d
or ofiald 16 snl! ( S* ?044, Bqrin* &d Prcfeio! Cid.: Tlr Cont&loft Lien!. La* do6 nd .pply b a om6 oa rt. proFny
who build! or inprced $.@n, ud who d6 ruch eo.k hi@lf or h6clf o. $rcu8h hii or h4 own @ploy*, prcvidd th.t ruch
ihprovmors e not inlad.d tr o,I6cd fd .alc. li hw?v.r, thc buildins d i Plovmdt is sold wi$in onc yw oaond.rt@, rhc
Osn.FBuildq will h.v. ttu burda of provinS rh{ h. or th. .ot blild m iopmv. fo n\. pqeqe ofi.l.).
_1, s o*ndoflbc ProFfiy, M.xclusiv.ly @,trelirs vnh lic.ns.d corEactoru lo cq*ruct lnc prcj.d ( S.c. 704,r, Bqin6r 6d
Prci6sion Codcr TIE Contebar Li@... Law do.s nol .!ply 10 u owncr ol p&pcrty {ho builds or improvd th@on , ud vho
coirads lo, such prcj.cB wi$ 6 corBro(, licci&d pu6u&r ro lhc conr&rdt Liene Lav )
_l u q.mtt undo S@ti6
-B
& P.c f( this dor.
WORKERS COMPENSATION DECLARATION
I hcrcby affim und.r pa,l9 ofpcqury ooc ofrhc lollowiig dccldlrions:
_l hav. &d willmainbin a C.niiiBl of C@ian to Sclllmm for wd*6'@m!..$roi, a provid.d for by S@lior l?00 ofrhc
L.!or Codc, lor dE Frftuc. of th. wdt fd vhich th. Fmi i5 isu.d
_I h.v. md will mliruin *ol@' coepciradoi iNum@, a rcquirld by S@tion 1700 ollh. t$o. Codc,ldfic p.rfoBM.c of rhc
work lor which $h pmn tu issucd My eork6' @ftp.ns.don inluree cricr dd policy numblr dc
Policy Nunbq Erpid:.'Z;:J,:"::
F*. *fu.o. u.
b. complcrcd if th. p.mir is lq On. hundrcd .lol16 {l I oO } or 16,
p€rfomac. of th. work le which thir hmneo*6 ' cmp.Eaioi las olCalifmi\ dd
G- ol-rn. L.bor Cod., I thall, fonh*ith
WARNDiG: Failurc lo sccur. wor&eB comp.nsation cov.rasc h
fin6 up lo onc hundrcd rhoddddolls (J100,000),ii addirion
rhc L.br cod.. inlcGl dd aftomcyt f.B.
a providcd for lh. Sccrion 10?6 oa
I hdcby allm undcr p€.alty of pqjury thd I m licascd ud.r provi3i@ .f Chapb 9
$c BusiflBs ud Piol6sions Codc, sd my lic6s. is in axll aorc rd.fIa(
-o
I h.tby 3rlim unds padq of pqjury lh{ fie h .
issucd (sd.1097, Civ. c.).
of thc s*t tor which rhis p.mn i
APPLICAXr'S DECL{RATION
Dcholtion Pmir-Asb616 Nodfic.dor F.dqel R.sul i@r (TtL aq l.n 6)
_ R.quircd Ldlc, olNodfic.rid
lhc t dcrql Egularions rcgddin8 6b6rc
I h.!c Gad lhis applicadd ud st .ro comply vilh lll Ciry ud CMtyodiihca d Star. L.w5 rclr{is lo buildins is City &d Counry ro orcr upor rh.
3- oo -o/
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
Torqurng
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Rough)
Ceilings (Hard & Soffit Rough
Ceilings (T-Bar Rough)
Meter Release
FYE)IIi,EA
Rough
Service Meter FEB O I 20t9
FINAL
Notes, Remarks, Etc
____Er,,o;zvu;I5r, 667
APPROVALS DATE
Darq Ownc
abovc mcniioi.d prcFny fd i.rpetioi