HomeMy WebLinkAbout102102842 - PermitPin #:3sr41!
Project Address: 4006 W Fliqht Ave
Lotr 34
Unit Suite Range:
Zonlng: R1Block. NA Tract: 4548 Historicr No
Building Use:
Job Typel
Nature of Work
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Alteration
Pool Demo
Sfd Watt garage
R-3, U
VB
cBc 2019
x-0602320256J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patlo:
T.l.Area:
Yards Req'd:
Valuation: $11,500.00
Description of Work: Pool demo - handout given
Planning Conditions ii.i
2112(J Jor c o
k,rf a i lflrl l
Engineer
Addressl
CP fi i UlSOfJro
r dn sd.:t ion Toto
ln5[l'uLr, r urr rI(
i;i4;202tr 1
Owner:
Address
Phone:
Tenant
Olga Sandoval
4006 W Flight Ave
Santa Ana, CA 927042106
(714) 3r 7-0058
Conlractor: KennahConstructionlnc
Address: 6251 Vatcher Drive
Huntington Beach, CA 9264
Phonei (714) 488-5615
State Lic #; 613188
Lic Type. B, A
Bus. Lic #: 337303
Workers' Compensation lnsurance:
Carrier: California lnsurance Co
Policy #; 4605547'101
Expires: O7lO1l2O2O
Architect /
Desiqnerl
Address:
on ijpdote
Si6nnnnn-
hevoivingii oi:tnn-i tocuren
Phone:
License #:
Planning Approval By
Plan Checked By:
Permit lssued By:
NPOES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Guevara, Jerry
sden, Julie
lvlisc. Receipt
lvlisc. Receipt
lvlisc. Receipt
o
Total
57607
57770
5 7501
5760 7
516 72
5760 0
5760 7
0 77160 0 2
0 77760 0 2
071760 0 2
0777600 2
o11160 0 2
011160 0 2
0717600 2
$166.53
$3.91
$100.57
$252.69
$1.00
$22.95
$57.20
Permit Fee
Nlicrofilm Records
lnvestigation
Penally
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
Fire lnsp. Req'dl
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
No
No Account#
lnspector MID#: 2020-157055
01 1 16002 51600
01 1 16002 51601
0'1 116002 516't2
01 1 16002 57770
$22.95
$576.99
$1.00
$3.91 $604.85
$0.00
$604.8s
city of santa Ana 20 civic center Plaza (M-19), santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 1021l)2842
Assessor's Parcel: 108-602-10
Bldgr Address Range;
Occupancy:
Constr Type:
Code:
Flood Zone:
# of Storiesl
NOTIGE OF Vlo
$.)? " ?:.1
tl " Illl
ij",,)t
$1 , 191 , l':;5
ll,1$1,:;l
Phone:
License #:
Dale: 0111312020
Date:
Dale: 0111412020
Subject to Field:
Fee Total:
Paid to Date.
Balance Due:
Landscaping lnsp. Req'd:
Every pemit issued shall become invalid unless the wo* on lhe sile autho zed by
such pemit is commenced vtithin 360 days afler its issuance,or if lhe work authorized
on the site by such pefinit is suspendec! ot abandoned for a peiod of360 days aner
the |me the work is cofimenced.
BUILDING. INSPECTOR BECORD
SITE-WORK DATE ID/SIG.COMMENTS OWNER BUII,T'ER DEI-CARATION
I lrcrchy rilirm u cr pcnllty ('I p€rjury rhm l in crclllpi lb,n rhc Co.r{rntrr l-ictr* l-aw r,tr rhc tullowtr8 rcas,r (Scc?o:ll.t
alsincs lnJ Pnna*ion Cc{c): Any Ciry or Coutrry whi(h rcqtircs a tcrn,ir t) c.nslrucr, allc!. imor'vc. J.molilh or r.Prtr ,ny
slfl.turc. prFr L irs issunc.. ako rcqut s rh. .mlr i ldr nrch tErmir r' ilc r \i3nil nakmnr th h. or shc n lt{n\cJ N4uur
b rhc tmvisions oi lh. Co.rractr's Liccn(d tiw (Chrrr.r 9, Connncfrin! wirh S&rion '7(Xx) ot Divrhn I ol rhc Bucincss and
Pn)icsn,ns Cone)orrhar h.orshc $.rcq)r th.rclRrMd lhcbNi ltr rMallcEcJ.rc lFton. Any viul.lionofSccrion 70rl 5 hy,ny
aptl'cMr rrtr dl).rnn subjcch lhc appli{anl lo a.ivil p.mlry oa frn m)ft rfidn livc hundrcridoll6 (S500),
I. as owncr.frhc proFny. or nrycnfloyes wrlh wrlcs Js rhci, vrlc.omprtr!tuon, *dl(]ll lhc wttrt u rh.(ermsnor
inrcdlel or uff.rud tnr srL ( Se ?04,1, Busincs lnd Prctesnrns CoJ.: Th. ai)nkn roa s Liccnse Law doc\ nor apoly o an owrcr.1
rhcpllFny who t'uil'ls or trnprcvG th.rdn. arxl wtx) J(B $rch etk himscll o, l[ncll or rhr -{h hs or hcr o*n cnrpn,yccs.
provdcdrh.r $ich mllDrcnrnh rc rtn dcRlcJ o.oli.R{ h,r{h.lt, k)w.kl tlI hu lnS o mPR,hn.nr is dd wirh orc )ef
ofdnylcrx)n, tE(Owncr Aurucr will hlvc rhc lNrdcn of nmrin-s rh, hc or sh. Jrl nor htrild or inll]n)w l]rc pn,Fny tttr rlr Puqx'c.f
I. {s owrFrofthc Dopcny. !m.xclusiklyronrr.rin8 wih lun\cJ (onr&us h)llndru.r rhc lmr.r (Sc..'7(x4. 8u$Ns
rnn Pn,is\rn Co'lc: Th. ContrNloas Liccnsc Law l,rs ool ipoly b rnown.r ottlfi)Pcny who hurl,ls o! imprcv.s rh.r.otr,
.tu1 whr r.nrrach lbr su.h Ilfl,tccr wirh a conkx.ldn I'ccn\cJ Pusuanr 6 rh. (irnrrrcntr's L(.h. tiq)
I dn c\cnr unlcr Sceri.
Dil.' O*n.r:
uaatra8s:l9rltElsar&!DE$ atrUo!
I h.rcby arlirm uidd p.nrlry of gc,jury om or lhc Intu*in8 Jelmrn,ns
'-I hrvc dJri will minrain . C.nilrarc of Cotrsnr lo Scu:ln\urc for work 6- conr!.ns{ b.. trs tnlvtlcJ lor br S.crbn J'700 .f lhc
trhlr CoJc, ,or rh. ttrlomc ol thc poi( for whtt rhc Fmi n i\ucd
{r U," on,l *itt.ninoin *"rlcE conl.nsdion insnnc., as rcquird hy Sccrn,n l7m oi
'h.
hbor G)dc, Ior rh. rnom4. oI
th. w{rk nx whNh lhi\ Fmit ii i*udi. My *orlrcB .oma..sarion inslanc. ttri.. aJrl Flicy ntrsb.r el
(..""Cnu,rgcrr-tr.rr l,r c-c)
I lz-o,"*,*, 56.GfS tt-'l t - ol - 1 6 ?I
-llrnifyrhd
inrh.lcrfonmN.f rhcwork li)rwhch rht pcrh,\ t{Ed. I drll nol
$ s N hcom suhjcd nr rh. wortrc^ d,n{.nsaion Ilqs otCnlihnn!. d ryrcc rhrr 'tl \
w.r*cr u,Fnnir rnr n('n\ .l S(hon ]7m ol r hc I ]lrtr (ndc. l \hrll. linn,wnlr
cnq,n,r.r ro cnm'nll |)cDlrs l
ion, .lahr8cs !s F,vilcd ll'r rtu
IVARNING: Farhrc ki ecurc workcn !-mFnsr(ion rov.rrlc is trnhwlnl. r n'!ll
crvil lscr ut l. onc lNndrcd llmusrnd Jollr\ (Sl{D.(x1o). m a'tJ'lknr o rhc co( ol
s.(rrr:t07601rh. Lrhtr (if,tc. urrcrc( rnd
i
PECIAEAIION
I hcrcby atftn und.r Fnalry oI perjury rhar I d li&n*r unLt r l,ovlbn or Chiplq 9 (@mnEdia8 wllh seto. 7uD) ol Divnion .l
of th. ausift$ Nnd Pofesions CGie, lnj ay liccn{ ir in {ull for. ,nd cffer
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ArILI.LANLIEELAIAIXTN
I trrcl'y {riim unncr pcnrlry orprijuryotrc ot lhc LlLwine dcclarrri'n\:
Dcmohnrn Permirs-Asknos Noriticdtin Fcdcral Rc8ulatnns Oirlc 40. Pan6)
Req!iEd Lxrl.r of Nor1n.{iun
4-,;;
ny rhrlrhc lcdcDl rcgtrhrn,n\ rcgrdn,g d\hc(* r.ntr
!har Ihrvcr.<hsnpplarrnnr.nilnrrcnur0Bih,vc ( i( cdrc.l. I rgre b mmlly w h rU C(y nnl Courly
huillms. n(ru.ri(r tL.,l xurhoru. rc[csnr{rivcs ol lhh C y dd Counrt to cntcr up,n rhc
rlx)vc nrtrri,rEJ pol)cny i, nst^-(hon tu
/t'emire narne Oant:\7
Set Backs
Forms/Steel/Holdowns
Erectron Pads
SLAB Floor
Subf loor/Vent/l nsulation
Roof Sheathino
Shear Wall
Framing
lns u lation/ Energ y
Drywall
Ext.i lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certil
FINAL // 16/JtD- r .UTL/ UY
Certificate df Occupancy
Notes, Remarks, Etc
/)J Adao
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UFER Ground
v I,.N)n in rny nmNr
Lt?t
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CONSTRUCTION LENDIN(; AGENCY
I hcEby a[irm un,icr Frolryofp.rjury rhdr rh.rc Ls a.on(ruclbn lc ins a3cncy br rh. ,.dnrMtc of lhc worl it *hi.h rhn ltmil is
issucd (se. Jo9?.civ. c )
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peno ?cerl
JAi! 14 2020
City of Santa Ana
APFROVET)
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PLANNE DATE
TRANSFERRED BY _- DATE-
tlalzqn*r-T--
PLANNING INSPECTIOI'I REQUIRED
ROUGH-- FINAJ.-NONE-
)FTAIN PI AUS FOR FUTURE REVISIOTIS
iJilEcr ro rrevs cFIEcKED AND coNolrloN!
IELOWT
IAME (71't)
--
Nnr- oNs (-oc j Oe rre c_r
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oof
1NTERIOR TI ONLY
NO EXTEItIOfi A].TERATIONSN.lODIFICATION'
ALL MATERIALSTO I\J,ITCH EXISTING
SCREENING REQUIRED
SUBI lT LANOSCAPE PIANS
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10641 HUMBOLT STREET
LOS ALAMITOS, CALIFORNIA 90720
PHONIi 562.799.9469 . FAX 562.799.9459
Field Observation Memo
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NorCal Representative
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Accepted by
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Project Number
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10641 HUMBOLT STREET
LOS ALAMITOS, CALIFORNIA 90720
PHONE 562.799.9469 . FAX 562.799.9459
Field Observation Memo
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