HomeMy WebLinkAbout101106578 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Building
PermitCounter: (714) 647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: 1O1106578
Pin #: 42474
nt1fz'
Project Address: 1227 S Orange Ave
Assessor's Parcel: 014-01 3-08 Lot: 7
Unit.Bldg: Address Range:Suite Range:
Zoning: R1Block: G Tract: 266 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Swimming Pool/Spa
Swimming Pool
SFD
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
R-3
VB
cBc 2019
x-0602320276J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation:$s0,000.00
Description of Work: New 319 sq ft swimming pool
Planning Conditions:
a
owner:
Address.
pnJne'
Tenant
Freddy and Myra Olivera
1227 ORANGE AVE
Santa Ana, CA 927071321
(7141 326-6604
Contractor: Sunset Pools and Spas lnc.
Address. 20131 E Chapman Ave
Orange, CA 92869
Phone: (714l- 5384398
State Lic #: 473735
Lic Type: C-53
Bus. Lic #: 377906
Workers' Compensation I nsurance:
Carrier: Exempt
Policy #:
Expires:
Engineer. Matthew G Thompson
Address:1201 N Tustin Ave.
Anaheim, CA 92807
Phone:
License #:86051
Architect /
Designer:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By.
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning Insp. Req'd: No
Landscaping lnsp. Req'd: No
Orozco, lvan
Zuniga, Allissa
Date: 0510412021
Date:
Date: 0510412021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002 57607
07776002 53600
07776002 57770
08907007 24000
07776042 57672
07775002 57600
07776002 57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
I ssuance
Fee Totat
Paid to Date:
Balance Due:
$207 35
$1 88 21
$8.1 0
$3 e0
$2 00
$23.7e
$s9.30
$492 65
$0 00
$492.6s
Fire lnsp. Req'd:
Police lnsp. Req'd:
No
No Account#Total
Flood Zone Cert. Req'd: No
Every permitissued 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.
01 1 16002 51600
01 1 16002 51601
01 1 16002 51612
01 1 16002 53600
01 1 16002 s7770
08901 001 24000
$23.7e
$266 6s
$2 00
$188.21
$8.1 0
$3 90
lnspector MID#: 2021-165887
}.
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hoeby affm undc pcnalty of pcrjury thsl I m cxempt frpm thc Contmcto6' LiccN law for thc following tlen (Ss.7031.5
Buins and Profsion Code): Ary City or Comty which requirG a pqrnit to contrucl, altc. improvc, dauolish or rtpair my
structuc, prior to its isumcc, also rcquira thc applimt for such pennit to file a signcd statm@t rha he or sltc b licmcd pmwt
to the provisiore of thc Contrrctor's Liccnscd taw (Chaptq 9. Comcncing with Sction 7000 of Division 3 of thc Buins md
Prcfeions Codc) or that hc or she is cxmpt thscfrom ed thc basis for thc alle3ed cxmption. Any violatioo of Satbn 7031.5 by ily
applicmt for a pcrmit subjcts the applicant to a civil poalty ofnot morc thm fivc hundrcd dollus ($500).
_1. as owner ofthe property, or my cmployees with wages as their sole compouation. will do the work and the structure is not
intended or offered for sale (Sec.7044. Business and Professions Code: The Contraclor's Licensc law does not apply to an owner of
the property who builds or improves theron" and who does such u,ork himself or hersclf or through his or hcr own employees,
provided that such improvanents are not intended or ofl€red for sale. I(, howcrver. the building or improvement is sold within one year
of complaion, the Or,vner Builder will have the btudcn of proving that he or she did not build or improve the propo'ty for the purpose of
sale).
-_1,
as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7M4, Business
and Prof€ssion Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon.
and who contracts for such projecls with a Contracto(s) licensed pursuant to the Contraclor's License taw).
-l
am exempt under Section-, B. & P.C. for this reason.
I)o to'
\ryORI(ERS' COD1PEN SATIO N
DECLARATION
I hereby affirm under panalty of perjury one of the following declarations:
_l have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation, as provided for by Section 3700 of the
l-abor Code, for the performance of thc work for which the perrnit is issued.
_l have and will maintain workers' compensation insurance. as required by Section 3700 of the Labor Code, for the performancc of
the work for which this pcnnit is issuod. My workers' compensalion insurancc carier and policy numbcr are:
Policy
_l certi& that in the perforrnance of the for which this permit is issued. I shall not onploy any person in any manner
should bc.come subject to.lh"so as to become subject to the workers'compensation laws of California, and agree that if I
workers' compensation provisiorrs of Section 3700 of the Labor Code. I shall. forthrvith cornply wilh thosc provisions.
WARNING: Failure to secure workers' compensation coveragc is unlawful. and shall subject an ernployer to criminal panalties and
civil fines up to one hundred thousand dollars ($in addition to the cost of compensation, damages as provided for the
Section 3076 of the labor Code, intercst and attorney's
DE('I,ARAI'ION
I hereby affrrm under penalry of perjury that I am licensed under p,rovision of Chapta 9 (commancing with Section 7000) of Division 3
of the Business and Professions Codc, and my license is in full force and effect.
License ul r ] -7 35
CONSTRUCTION LENDING AGENCY
I hcby afiim undo pcf,alty of psjury that th@ is a @nstruction landing agocy for thc pqfomcc of thc wrk for which this pqmit b
issued (Se. 3097. Civ. C.).
Lender's Name:
Lcndcr's Address:
APPLICANT DECLARATION
I herdryaflinn under penalty of perjury one of the following declarations:
Demolition Permits-Asbestos Notification Federal Regulations (Title 40, Pafl6)
_Required lrtter of Notification
_l certi& that the federalregulations regarding asbestos removalare not applicable to this project.
-l
certiff that I have read this application with all City and County
and County to emt€r upon theordinances and State laws relating to
above mentioned property for
Applicant or Agent
Pcrnritee name (nrint):
.-U -Zt
Set Backs /,It ---
Forms/Steel/Holdowns
Erection Pads I
UFER Ground
SLAB Floor
S u bfloor/Ve nU I n s u latio n
Roof Sheathing
Shear Wall
Framing
lnsulation/Energy
Dnnryall
Ext./lnt. Lath
Brown Coat
Masonry /,f/rr
Pool Fence I ?/t7hl
T-Bar y -r
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
^l J It t ,
F!NAL 'llH11 I uriltru U,W
Certificate of Occupancy
Notes, Remarks, Etc.
Exoires:
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