HomeMy WebLinkAbout101104766 - PermitProiect Address: 701 N Mantle Lna
Assessor's Parcel: 400-1 92-12 Lot: 17
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 3708 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {01104766
Pin #: 53388
Building Use Single Family Dwelling
Job Type: Miscellaneous
Nature of Work: Pool demo
Existing Bldg. & Use: Sfd
Proposed Use:
Occupancy.
Constr Type:
Code:
Flood Zone'.
# of Stories:
U
VB
cBc 2019
x-06023201 64J
1st FL Area:
Znd FL Area:
Other Areas:
Garage Area.
Total
Patio:
T. !.Area:
Yards Req'd:
Valuation: $S,000.00
0
Description of Work: Demo pool & backfull. Handout given.
Planning Conditions: Demo pool & associated mechanical equipment, backfill & landscape.
,
Owner:
Address:
Phone:
Tenant:
Miguel Guerrero
701 N Mantle Ln
Santa Ana, CA 92701
(7141 721-9401
Contractor: Kennah Construction lnc
Address: 6251 Vatcher Drive
Huntington Beach, CA 9264
Phone: (7141488-5615
State Lic #: 613188
Lic Type. B, A
Bus. Lic #. 337303
Workers' Compensation I nsurance.
Carrier: California lnsurance Co
Policy #. 46055471
Expires: 0710112021
Engineer:
Address.
Phone:
License #:
Architect /
Desiqner.
Address:
Phone.
License #:
t
Soto, Ricardo
Amsden, Julie
Landscaping lnsp. Req'd:
Every permit rssued shall become invalid unless the work on the site authorized by
such permit is commenced within360 days afterifs issuance,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#: 2020-1 61625
Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES Insp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
?
Date: 0912812020
Date:
Date: 0912812020
Subject to Field.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07176002
07776002
07775002
07776002
07776002
57507
s3600
57770
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date.
Balance Due:
$172 64
$t t9 67
$4 0s
$1 00
$23 79
$se.30
$380 45
$0 00
$380.45
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#TotalNo
No 01 1 16002 51600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
$23 79
$231 94
$1.00
$1 19.67
$4.0s
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG-COMMENTS OWNER BUILDER DELCARATION
I hcrcby aflirm undcr Jrcnally oi JErjury :har I .m cxcmpt from thc Conlractors' Liccnsc liw for thc following rcasn (Sft.7031.5
Busiocss aul Prolbssion Cfile): Any City or County which rcquircs a tsmil k) crtnstruct. alts. improvc. demrlish or rcpair any
structuc. prirr li) ils issuancc, also rcquircs lhc applicant for such [Ermil lo Iilc a signcd slatcmnl that hc or slE is licensd pursuail
to the pruvisions of thc G)ntrrctor's Liccnscd trw (Chaptcr 9, Commcncing with SR-tion 70fi) of Division -l of thc Busircss and
Prlfcssions Codc) or thdt hc (r shc is ercmpt thcrcfrom and thc basis for thc alleScd crcmption. Any violation of Scction 703 1.5 by any
applicant for a lEmit subjccts thc apJtlicant to a civil pemlly of nol morc than livc hundrcd dollars (Ssm).
_1, as owncr of thc propcrty. or my cmployccs with wagcs as lhcir solc compcnsation, will do thc work atkl the slrurturc is not
tntcndcd or olTcrcd tirr salc (Sc,c.7044, Business and Prol'cssions Codc: 'fhc Contractor's Licensc Law docs not apply to an ttwncr of
thc pnrpcrty who huilds or impnrvcs thcrcon. and who tltrcs such work himsclf rtr hcrself rlr through his tlr hcr tlwn cmployces,
providcd that such improvcnrcnts arc not intcndcd rlr olfcrcd lor sale. If, howcvcr, thc buikJing or improvcrnctrt is sold within onc year
ol'conqrhtion, thc Owncr Buiklcr will havc thc burdcn ol'proving that he or slrc rlid not bui[ or improve the propcrty for thc pulTnse ol'
salc).
_1, asowncrol'thc pnrpcrly, amcxclusivelyconlracting with liccnscd contractorstocottstruct lhc pntject (Scc. 7044, Business
arxl Pnllbssion Codc: The Contractor's l-iccnse Law dtrcs mrl apply tr> an owrtcr of propcrty who huilds or intprtlvcs thcrcon,
and who conlracts frrr such pnrjccts with a Contractor(s) liccnscd pursuant to thc Contractor's Liccttsc Law).
-IamcxemptundcrScction-,B.&P,C.Ibrthisrcason'Owner:
wonrrns' colvtpgNsA
DECL/IBAIION
I hcrcby affrm undcr pcmlty of ptjury orc of lhc following delsrations:
/ _lhavcaBlwill mintaineCcnifrcatcofconsnttoSclf-lnsurelbrvorks'comlEnsation,as lf,ovidcdforbySstion.lT00ofthc
lirr thc prcrlilrmancc ol'thc work tilr which thc Jrcrmit Ls issucd.
Wir will maintain workcrs' c()mpcnsation insurattcc. as rcquircd hy Scctiolt -17fi) of thc Labor Codc, firr thc pcrfirrmancc of
and prlicy number arc:pernrit is issucd. t^\4y workers' compcnsation insurance
_l ccrtity that in thc pcrftlrmancc ol'thc work lirr which this Jrcrmit is issued, I shall not employ any frcrson in any matrner
so as to bccomc subjcct to thc workcrs' compcnsation laws of Calililrnia, and agrcc that if I shrtuld hccttnrc subjcct to thc
workcrs' comJrcnsation provisions of Scction -]700 of thc Lahlr CrxJc, I shall, tilrthwith comply with thosc provisitltts.a
WARNING: I'ailurc to s)curc workcrs' comJrcnsation coveragc
civil lincs up lo onc hundrcd thousand tlollars (S100,fiX)), in
is unlawful, arrrl shall subpct an cnrpkrycr to criminal pcnaltics and
addition to thc cost of contJrcnsation, rlamagcs as providcd tirr thc
intcrcst and attorncy's lbcs.
DECLARATION
I hcrcby al'trm undcr penalty of pcrjury that I am liccns,ctl undcr provision of Chaptcr 9 (commencing with Scction 7m0) of Division 3
of thc Busincss and Prol'cssions Cotlc, arxl my licensc is in tull firrcc and cltcct.
4
C
I hcrcby afllrm undcr pcnalty of prjury that tlterc is a construction
issucd (Sec. .1097, Civ. C.).
l,cndcr's Namc:
agcncy pcrfirrmancc ol'lhe work lirr which this Jrgmit is
[.cndcr's Address:I
APPLICANT DECLARATION
I hcrcby atl-rnr undcr grcnalty of pcrjury onc of thc lbllowing rleclarations:
Dcmolition Pcrmits-Asbcstos Notilication Fedcral Rcgulations (Titlc 40, Paa6)
-Rctluircd
[rttcr of Notilication
w":;':: ;,,::
fctlcralrcgulatiolrs rcgarding asbcstos rcmoval arc n()t applicablc to this pntjcct.
rcad this application and state that thc ahrvc intbrmation is corrcct. I agree to comply with all City and Counly
ordinanccs and State laws rclating to buikling entcr uJxln thc
tirr insJrcction purF)scs.
rcprcscntativcs ()f this city
7p
Set Backs
Forms/Stee!/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVI nsu latio n
Roof Sheathinq
Shear Wall
Framinq
lnsulation/Enerqy
Drvwall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence ,(
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
I I a
FINAL ll lcd 1p DAryV'
Certificate of Occupancy I
Notes, Remarks, Etc.
,
lf !I ..-
Porr nP.-n7 -2O I q
I