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10198904 - Permit
4 Project Address: 1911 W Secrest Way Assessor's Parcel: 408431-21 Lot: 5 Unit Bldg: Address Range:Suite Range: Zoning: RlBlock NA ftacl:4572 Historicr No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {0198904 Pin #: 47257 Single Family Dwelling Demolition Pool Demo SFD w/att Garage Occupancy: Constr Type: Code: Flood Zone: # of Stories: R-3, U VB cBc 2016 x-0602320259J 1st FL Area 2nd FL Area Other Areas. Garage Area: Total Patio: T.l.Area: Yards Req'd Valuation: $3,000.00 Description of Work: Pool demo and infill Planning Conditions:il Owner: Address Phone: Tenant Phong Luu 1911 W SECREST WAY Santa Ana, CA 927044754 (7',t41247-9300 Contractor: Coastal Estates & Developn Address: 10627 El Campo Ave Fountain Valley, CA 92708 Phone: 17141955-1221 State Lic #: 945191 Lic Type: B, C-27 Bus. Lic #: 341984 Workers' Compensation lnsurance: Carrier: State Compensation lnsurance Fur Policy #: 9088187 Expires: O2lO4l2O19 Engineer Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: F:ef+: It / 2f-tl Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Arabe, Jill Zuniga, Allis ,v Date:01/14/2019 Date: Date: 01/16/2019 Subject to Field: $160.25 $1.00 $22.08 $55.04 No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cerl. Req'd: No Every pemil issued shall becone invalid unless the wo* on the site authoized by such permit is commenced within 180 days aftet its issuance,or if lhe wotk authoized on lhe site by such pemil is suspended or abandoned for a peiod of180 days aflet the time the wo* is commenced. MID#: 2019-148763 Fee Totat Paid to Dale: Balance Due $238.37 $0 00 $238.37 01 1 16002 51600 01 1 16002 51601 01 116002 5'1612 $22.08 $215.29 $1.00 Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Misc. Receiptl Misc. Receipt: Misc. Receipt: 07776002 51601 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07176002 51600 General PIan Update 07176002 51601 lssuance lnspector BUILDING. INSPECTOR RECORD SITE.WORK ID/SIG.COMMENTS OWNER BUILDER D8L(NRATION I hcrchy rltrm ufticr pcnllty,n p.rjury rhrr I!mcrcmpr riom rhc (i'nrrartlF Liccn\c L.w tulhc l;lklwios ran,n (Stc7lr.rl5 Au'N\\ MJ Porl*i,'n C(xL): Any Ciry oi C,'unry whirh rcquE\ r Frmir n) c.nntucr. al(cr, ,mpnr, Jctul$h o, Epir ary slfl'crurc. prktr Ii rts ssuancc, llso nqur.s (hc rtnlrn nn \u.h ttnnf n] lilc i nSncd (dtcmtrl rhll heor she r lEcnd pontranr l') rh. ,lr)vrn)ni .l rtf,. Conra.(x i l-EnrcJ tlw (Chlpr.r 9. 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I havc ann will mlmra wnrkcrr .ompcnsdrnln insur.nce. is rc{ue{ hy Sell)n .1700 oi rhe lil[r O)Jc, in rh. p.dnm^-c or rhc lorl n)rwhrchlhh pemit is n\uc'i Myworkcrs u.mrrcn\anon msuraE-.c.ntl aBl E,liy nunber&: 3 -1"- (7 I ucdilyrh(r inrhc tl(rldrronc.ofrhc work I', whrhrhis p.rmn 6 r{u.J.l rhrll nor cmpl,yrnypcBon in anymnncr $ r\ t' hraom suhF-rr, rhe *('rlcn ronpcn\rr('n h\a ol Crlili)mia. rnJ4Er rhrr 'fl sh,uu lrcoft \uhj..r tu rlE work..' ronFn$! i,'n p('!'son\ ol S.cr u, .t7(Xl ol rhc uhtr C,xlc. I \h3ll n'nhwirh (n'ntly w,rh rh,{ FJv,nonr. WARNINGT Fr'lur t) {cnic *ukcs' comFnsrr(,r .ivrl lincs u! l. n. hutuircd lhnRMJ Lrollffs (Sl0o . '\ unhwlirl. lnd $!ll NhF_l rn enrploycr 1,,ominrlllcn trc\,nJ DlrrFrrrtr,. d.'nL!c! r\ nn,v'J.'i ntr rl'r DECLAf,ATION I hcEhy a8trm und.r,x.ahy or p.rjury rh.t I ah li.!n{d undr l)n)v(n)n drCh,prcr 9 (onmmihf with Satbn ?000) olDirntr.l of rh. Buiitu\s ail Pmfd$nths Cod., ,Jrl ny k.n\. is in tull nra aBl .llcrr /A /tal-:7 - 1 gIIIEIBIJSIAN-IEBDIIC.AAENCI I h.rhy allirm undc! IEoalryof p.rjury rhrr rhcrc n ! uon(rutri,n lcnline rgefry lir rhe perfolrrrlm. of rhc w)rk tur qhich rhN ltrmn r trsueil(Se llD?,Civ. C ) APPLICANT DECLARATION I trrchy alim under Fnahyolperjury onc oirhc nnb*in8 dcul.,!lions: O.frnntun Pc.mits-Ash.(.s Not i.alion Fclcrll Rc8uhtions rTnb40, Pd6) Rcqurcd t.lrcrot MnilMthh _I crd,lyrhrr rhc lc'lcrrl rugulJrnr\ rlr'ltrrg r\h.(o\ r.nx,yrlm or rptl'uhh n) rhA l,rt)jd nll]ly wIh ill Ciry rn,l (',,unrr_ Cny anJ Cotrdyt' cnr.r ut'n rlronlfl.!tr.\ itrJ Sr.(.I-r$\r.lI '! t)h.r.by rtrrlutrc rcprcscnlrhv.s of rhF rh'vr n{nr()n.tl nr)I.nt lnr ,\D li.: l orA!.nl Sirnrlurt.( Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Roof Sheathing Shear Wall Framin s lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif . FINAL /-7lt 7 ^7cz-Certilicate of Occupancy Notes Remarks. Etc. 47-t DATE Subf loor/VenVlnsu lation