HomeMy WebLinkAbout101102335 - PermitProject Address: 1122 W Curie Ave
Assessor's Parcel: 410-212-54 Lot: 104
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 7000 Historic: No
,t
I City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, C4.92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 #
Permit #: {01102335
Pin #: 93OO7
Building Use: Single Family Dwelling
Job Type: Swimming Pool/Spa
Nature of Work: Pool
Existing Bldg. & Use. SFD w/ att garage
Proposed Use:
Description of Work: New 30 x 15 pool
Pf-?rL7D6-t--
Planning Conditions:
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2016
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Patio.
T.l.Area:
Yards Req'd
Garage Area Valuation: $20,000.00v Bqtch+:5J261 L2/3/2tlt? tl): onr()rcl,t:15Totat 0f(ice: CTYH Trnns*:11? ? of 4Accbt: ftr::['* I ll]l lll?;i:l5
Rr. L,tf : LlzS?8ttS4 L?/3/ ?ttl9 4: 1S F.,fl'[runs(tr..b ion 'f obgl t I r 12? ,1+
(:r'(,EtmnrJr Constt'uct isn Inc
Owner:
Address:
Dorris Grigley
1122 W Curie Ave
Santa Ana, CA 927073837
(7141 957-2871
Contractor: Crestmark Construction lnc
Address: 6746 Valjean Ave Ste 250
Van Nuys, CA 91405
Phone: (818) 946-1 254
State Lic #. 1046910
Lic Type: B
Bus. Lic #: 374520
Workers' Compensation lnsurance:
CaTTieT: ACCREDITED SURETY AND CASU
Policy #: 1ATCAl6001 233
Expires: 0311112020
Pool Engffiedng{nc
C hristoph?l {6 Fi6eOenheqh r r r.r r.r
1201 N Ttialiar*rlerlUqp tjri,lul;,: lirrli
Anaheint' riJd 6[807
#};'$lffi,iiil;
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone:
License #:
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Il icrof i ln
01 .i. l6Lttt2--
STIIF
LtS,i ul ttltl _
ICL Checl:
516tttt[r00--
Re,lol,rins
516l2tttr0--
llg
53600(r[ril-
& Oocurenbs
57'7 70tt[ttt-
24 r_rtrr_r[rtr0-
rl t rl186
$340 ,7rt
t22.?7
tl . l:lll
1256.:,0
$31 .28
t2 , /rll
tlr 122.:"i+
t Phone:
Tenant!rE'llsrrrb
bW@
ltrl ,i45'qvrl
Planning Approval By.
Plan Checked By:
Permit lssued By:
NPDES Insp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Orozco, lvan
Ahangian, Kathy^
Zunisa, Allissa tip
Date: 1112512019
Date: 1210312019
Date: 1210312019
Subject to Field:
Account#Total
07776002
07776002
07776002
08907007
07776002
07776002
07776002
s7607
53600
57770
24000
57672
57600
57607
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
$283 50
$256.50
$31.28
$2.60
$1.00
$22.e5
$57.20
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs rssuance,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 days after
the time the work is commenced.
lnspector MID#: 201 9-155936
01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
08901001 24000
$22.e5
$340.70
$1.00
$256.50
$31.28
$2.60
Fee Totat
Paid to Date:
Balance Due:
$655.03
$0.00
$655.03
BUILDING. INSPECTOR RECORD (}F
COMMENTSSITE.WORK DATE ID/SIG OWNERBUILDERDELCARATION ,
I haeby affrm undc pmalty of perjury that I m erempt frcm thc Contraclom' Lic6s lrw for rhc following rcmn (SG,7031.5
Buins mC Prcfesion Code): Any City or County which rcquire a po'mit to condrucl, alto. improvc, &molish or rcpair ay
structuc, prior to its i$uecc, also require the applicmt for such permit to filc a signcd slarmmt thd hc or drc b licosed pmuilt
to thc provisions of thc Contrsctor's Liccns€d [:w (Chaptc 9, Commcncing with Setiotr 7000 of Division 3 of the Buincs ud
Profcsions Code) or that hc or shc is cxmpt thacfrom ed the basis for thc allcXcd cxmption. Any violation of S61ion 7031.5 by any
applicantforapmitsubjctsthe applicanttoacivilpcnaltyofnolmorcthafivchundrcddollus($500).
_1. as owner of the property. or my employees with wages as their sole compensalion. willdo the work and thc structure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contractor's License Larv does not apply to an owner of
the property rvho builds or improves thereon. and who does such work hirnself or herself or through his or her own employees.
provided rhat such improvernents are not intended or ofFered for sale. l[, however. the building or improvement is sold within one year
of cornplction, the Orvner Builder will have the burden of proving that he or shc did not build or improve the propo'ty for the purpose of
sale).
_1. as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7U4, Business
arld Prof€ssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and rvho contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
am exempt under Section--. B. & P.C. for this reason.
_ Owner:
WORKERS' COMPENSATION
DECLARATION
I hereby affirrn under penalty of pcrjury one of the following declarations:
_l have and will maintain a Certlfrcate of Consent to Self-lnsure for workers' compensation, as providcd for by Section 3700 of thc
Labor Code, for the performance of the work for rvhich the po'rnit is issued.
_l have and Scction 3700 of the Labor Code. for the pcrformance of
rcarier and policy numh are:
,\
the work for
Policy \Zr)
_l certify that in the performance of the work for which this permit is issued. I shall not onploy any person in arry manner
so as to becorne subject to the rvorkers' compensation laws of California. and agrec that if I should become subject to the
rvorkers' compensation provisions of Section 3700 of the Labor Code. I shall. forthwith comply rvith those provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subjcct an onployer to oiminal pena!.les and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for the
Section -3076 of the Labor Code. interest and fees.
Cr.fDale:tuntlT-l
I hereby affrm under penalty of perjury that I arn licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code. and my license is in full force and effect.
\
License
Date:
Nurntrr:
t-r tql tr "l \
\v l ,I W
I hercby aflirm undq pcf,alty of pcrjury that thae is I construction lcndhg ogmcy for thc p6fomucc of thc work for which this psmit is
issucd (Se. 3097. Civ. C.).
Lender's Nante:
I-cnder's Address:
APPLICANT DECLAITATTON
I hertbyaffinnunder penalty of perjury one of the following dcclarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Required
Letter of Notification
,fiS
that the federal regulations regarding asbcstos rernoval are not applicable to this project.
O-tc€rtiry that I have read this application and state that the above information is correct. I agree to comply with all City and County
theordinances and State laws relating to building and hereby authoriz.e representativcs of this City and County to enter upon
above rnentioned propefly for
Applicnnt or Agent
Perlnilec nArnc rL
ontel \L
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/VenUI nsu lation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I
FINAL L+\M 7a)?&rMst *6
Certificate of Occupancy 't It
Notes,. Remarks, Etc.
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