HomeMy WebLinkAbout20173439 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 2o^173439
Pin #: 57722
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
Owner:
Address.
Phone:
Doris Grigley
1122 W Curie Ave
Santa Ana, CA 927073837
(7141 es7-2871
01 1 16002 s1603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type
Subpanel
General Plan Update
lssuance
Microfilm Records
Amount
57.40
23.79
59.30
405
Qty
1 .00
1.00
1.00
1.00
Fee
$s7.40
$23.7s
$se.30
$4.05Tenant Name:
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier.
Policy #:
Expires:
Building Use:
Job Type:
Nature of Work:
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Single Family Dwelling
Alteration
Subpanel
Occupancy.
Constr Type
Code:
Date:
Date:
Date:
R.3, U
VB
cEc 2019
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Replace subpanel
Fee Total:
Paid to Date:
Balance Due:
Amsden, Julie
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 the site by such permit ls suspended
or abandoned for a period of 360 days after the time the work is
commenced.
06t02t2021
Account#
01 1 16002 51600
01 1 16002 51603
01116002 57770
$23.7e
$1 16.70
$4.05
$144 54
$0 00
$1u.54
Inspector MID#: 2021-1 66498
ELECTRICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards x
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltaqe
Fire Alarm / Dampers
Communications Cable
\
Buildinq
Under Slab / Floor l- ^.1 \.J
Bondino / Groundinq / UFER 7.-ll*[a 'f7[$
Transformers ,l Y
Torqueing
Sub-Panels
Air Conditioners
Roof Top Equipment /
Factory Wired Unit
Walls (Conduit)
Walls (Rouqh)
Ceilinqs (Hard & Soffit Rouoh \
Ceilinqs (T-Bar Rouqh)
[Vleter Release
Rough
Service lVeter n ^.- l^I / A;il
FINAL tlrl I ll lz 'r/Wrlq
,lNotes, tRemarks, Etc.., t -tl t/t f,/
T Tlr
/
owNltR BtJlt.D],,R
I hereby affirm under penalty of perjury that I am exempt from the Contractors' License Law for the folklwing reason (Sec.7031.5
Business and Profession Code): Any City or County which requires a permit to construct. alter, improve, dennlish or repair any
structure, prirlr to its issuance, also requires the applicant for such permit to file a signed statenEnt that he or she is licensed pursuant
to the provisions of the Contractor's Licensed Law (Chapter 9, Commencing with Section 7000 of Division 3 of the Business and
Professions Crxle) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031..5 by any
applicant for a permit subjects the applicant to a civil penalty of not nrore than five hundred dollars ($5001.
owner of the proJrerty, or my empkryees with wages as their sole compensation, will do the work and the stnnure is not
or offeretl for sale (Sec.7044. Business and Professions Ccxle: The Contractor's License Law does not apply to an owner of
the propcrty whr huilrts or impnlves thereon, antl who dtrcs such work himself or herself or through his or her own employees,
provided that such improvements are rxlt interxled or offeretl for sale. If, however, the building or inprovenpnt is sokl within one )€ar
of completion. the Owner Buikler will have the hrden of proving thd tre or she did not buikl or improve thc property for the purgrse of
sale).
_1. as owner of the property. am exclusively contracting with licensed contractors to construct the prcject (Sec. 7014. Business
antl Pnrfessirn Cotle: The Contractor's License Law does not apply to an owner of progrcrty who builds or improves thereon,
and who contracts for such pmjects with a Contracto(s) licensed pursuant to the Contractor's License Law).
-l
am exempt under B. & P.C.
I )1..('1.,\ l{,\'l'l( )N
I hereby affirm under penalty of perjury one of the following tleclarations:
_l have arxl willmaintain a Certifrcate of Consent to Self-lnsure firr workers'comfrcnsation. as provided for bySection 3700 of the
Latxlr Crxle. firr the perftrrmance of the work for which the prmit is issued.
_l have and will maintain workers' comJrcnsation insurance, as required by Section 3700 of the Labor Code, for the performance of
the work firr which this permit is issued. My workers' compensation insurance carrier and grlicy number are:
Carrier:
Policy Number: Expires:
certify th:rt tn the performance of the work ftrr which this permit ls issued,shall not empkry any person in
should become subject
any rnilnner
s()ils to become suh.iect Itl the workers'cornpensation laws of Califrrrnia,and agree that if to thc
workers' compensation pnrvisions of Section 3700 of the [:bor Code, I shall, forthwith comply with those pnrvisions..
WARNTNG: Failure to secure workers'compensation coverage is unlawful, and shall subject an employer to criminal yrnalties and
civil fines up to one hundred thousand dolleus ($100,U}()), in addition to the cost of compensation, damages as providetl for the
Scction 307(r of the Latxrr Code, interest and
I ):rtr:6lz lc t-t l-'
DF,CI,ARA'I'ION
I herchy affirm under penalty of perjury that I am licensed under provision of Chapter 9 (comrnencing with Section 7Un) of Division 3
of the Business and Professions Code, and my license is in full force antl effect.
License Number:
CONS'TRUCTTON LENDING AGENCY
I hercby aftirm under penalty of perjury that there is a construction lending agency for the perftrrmance of the work for which this permit is
issued (Sec. 3O97, Civ. C.).
[.ender's Name: \
l-ender's Address:
APPLICAN'T DECLARA'I'ION
I hereby alfrrm untler Jrenalty of prjury one of the following declarations:
Dennlitkrn Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Requiretl
Letter of Notifrcation
_l certify that the federalregulations rcganling asbestos rernovalare not applicable to this project.
ify that I have read this application and state that the atnve information is correct. I agree to comply with all City and County
ordinances and .State Laws rclating to buikling construction, and hereby autlxrriz.e representatives of this City and County to enter upn the
mentioned property for inspectit)n puryx)ses.
or Agrnl
I'ernritee nome
Rev. 08-07-201 5
)tl
,
4_
/
I
Contrector: