HomeMy WebLinkAbout20170321 - PermitPermit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Project Address: 1122 W Curie Ave
Assessor's Parcel 410-212-54 Lot: 104
Unit:
Block: NA
Bldg:
Tract: 7000
Address Range:
Historic: No
Suite Range:
Zoning: Rl
^a
City of Santa Ana 20CivicCenterPlaza(M-19), Santa Ana,CAg2702 Electrical Permit #: 20170321
Pin #: 19973
Owner:
Address:
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Dorris Grigley
1122 W Curie Ave
Santa Ana, CA 927073837
(7141 957 -2871
Crestmark Construction lnc
6746 Valjean Ave Ste 250
Van Nuys, CA 91405
(818) 946-1 254
01 1 16002 51603
01 1 16002 s160C
01 1 16002 5160;'
01 1 16002 5777C
Fee Type
Swim Pools
General Plan Update
I ssuance
Microfilm Records
Amount
125.84
22.95
57.20
3.91
Qty
1.00
1.00
1 .00
0.00
Fee
$125.84
$22.9s
$s7.20
$0.00
t22. ?5
$ 183. tJ{
tl r 122.54
Botch+:53261 l2/3/?Lll9 ID: orrtCIroler;15
Off i ce: CTYH Trons*: I 12 4 of 4Accti: Ref*: 2l:ll7rl32t
Rcp bi: (r2829tr86 l2/3/2cr19 4: 18 F'H
Tronsoction Total $1r122,1+
Crestmnrk (:onstruct ion In,::
State Lic #: 1046910
Lic Type: B
Bus. Lic #: 374520
Workers' Compensation I nsurance:Carrier: ACCREDITED SURETY AND CASUALTY COMPANY INC
Policy #: 1ATCA16001 233
Expires: 0311112020
Genersl Plon Update Fee
01 I 16(102- 516tr0(r00-
Electr icsl
01 1 16002- 516(t30tt[t-
ICL Check 010lg6
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Swimming Pool/Spa
Pool
Occupancy:
Constr Type:
Code:
Date:
R.3, U
VB
cEc 2016
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Zuniga, Allissa
Subject to Field:
Buirdins Permit #: 1 01102335
H:'12t03t2019
Account#
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical for new pool
Fee Total
Paid to Date:
Balance Due:
01 1 16002 51600
01 1 16002 51603
$22.es
$183 04
$20s.99
$0.00
$205.99
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe site by such permit rs suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MtD#'. 201 9-156263
ELECTRICAL.I NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hreby affrm unda penalty of pcrjury that I m cxcmpt from the (t ntracloE' Licemc law for th€ following tl&n (56.703I.5
Busines md hofcsion Codc): Any City or County which require a po-mh lo construct. altq. improvc, dctnolish or rcpair ay
structuc. prior to its issuocc. also requirc thc applicilt for such pemit to file a signcd ststmot that h€ or she is licmsd pmuilt
to the prcvisions of thc Contrsctor's Licenscd kw (Chapto 9. Commmcing rvith Sction 7000 of Division 3 of thc Busitrs md
Prof6sionsCode)orthatheorshcisexemptth6efromildthcbasisfortheallegedcxmptiotr. AnyviolationofSstiotrT03l.5byuy
applicantforapcmitsubjGtsthc applicaniioacivilpenallyofnotmorethilfivehun&cddolltrs($500).
_1. as owner of the property. or my employecs with rvages as their rcle compensation. will do the work and the structure is not
intended or offered for sale (Soc.7M4. Business and hofessions Code: l'he Contractor's l,icense Law does not apply to an owner of
the property who builds or imptoves thereon. and who does such work himself or herself or through his or her own employees.
provided that such irnprovanents are not intended or off€red for sale. lf. horve!/er. the building or improvement is sold rvithin one ),Ear
of conrpletion. the Orvner Builder will have the burden of proving thd he or she did not build or impnove the propoty for the purpose of
sale).
_1. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business
and Proftssion Code: The Contractor's License Larv does not apply to an owner of property who builds or improves thereon.
and n'ho contracts for such projects with a Contracto(s) licensed pursuant to the Contractor's License l-aw).
_ __ I arn exenrpt under Section_B. & P.C. for this reason.
I)ale:Orr rtcr:
DECLARAI'ION
I hcrcby alTirm undcr penalty of pojury one of the follorving derlarations:
-,_l have and rvill rnaintain a Certificate of Consent to Self-lnsure for rvorkers' compensation. as provided for by Section 3700 of the
Labor Code. for the performance of the rvork for rvhich thc permit is issuerJ.
_ _l have and rvill rnaintain workers' compensation insurance. as required hy Section 3700 of the Labor Code, for the perfonnance of
the work for which this pennit is issued. My rvorkers' compensation insurance c.urier and plicy number are:
r/l+(+
I'olicy
-Expir€s:
)l'rll 7D
_l ccrri$r that in the perfonnance of the n'ork for u'hich this permit is issued. I shall not onploy any person in any manner
so as to becomc subjcrt to the workers'compensation larvs of ('alifornia. and agree that if I should bccome subject to thc
workers' compensation provisions of Section -j700 of the Labor Code. I shall. forthwith comply with those provisions..
WARNING: Failure to secure rvorkers'
civil fines up to one hundred thousand
Section -3076 of the Labor Code. interest
conrpensation and
dollars ($l the
and ("I e
I hereby allirm under penalty of perjury that I zun licensed under provision of Chapter 9 (cornrnancing with Section 7000) of Division -l
of the Business and Professions Code. and rny license is in full force and effc<t.
)
\b7 loLiccnseNumbcr:
,L rq
t
CONSTRUCTION LENDTNC AGENCY
I hwby affrm undo perulty of pqjury that th6c is a construction lqding agocy for thc pofomilcc of the work for which this p6mit is
issued (Sc. 3097. Civ. C.).
Lender's Name:
Lenclcr's Addless:
APPLICANT DECLARATION
I herdry affinn under penalty of perjury one of the follorving declarations:
Dernolition Permits-Asbestos Notihcation Federal Regulations (Title 40. Part6)
-Required
Lettcr of Notification
_l certify that the federal regulations regarding asbestos removalare nol applicable to this project.
that with all City and County
and County to ent€r u;xln the
above mentioned propeity for
Applicant or Agcnl
Pernrilec nRme qttf (*_. 'ur[<fl*-
Site-Work
Underground 2 l9 4 U[, buohq 0 ?oan-&u/.
Pole Bases
Light Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm I Dampers
Communications Cable
Building rl lra,/
Under .Slab / Floor fr
Bonding l)Groundins / UFER lultY tq "l - Wr^rotffu ha, t>ffiers r'f l-l
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Rouqh
Ceilings (T-Bar Rough)
l\4eter Release
Rough
Service Meter t t
FINAL l-\\'l'5','lr0 DM V ,xYl
Notes, Remarks, Etc.I I
-c
C)^'. nQ fl? 1n'ttr
.t
rY
I
and State l,arvs relating to building
Drte: \ 1'/
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