HomeMy WebLinkAbout101106349 - PermitProiect Address: 1206 N Evonda St-a-
Assessor's Parcel: 100-223-09 Lot: 60
Unit:Bldg: Address Range:Suite Range:
Zoning: R1Block: NA Tract: 6588 Historic: No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {01106349
Pin #: E4484
Building Use
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use.
Single Family Dwelling
Swimming Pool/Spa
Swimming Pool & Spa
Sfd w/att garage
R.3, U
VB
cBc 2019
A-0602320143J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area.
Yards Req'd:
Valuation: $+8,000.00
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
Description of Work: Add a swimming pool and spa E[tLl-
ttl f i
I r'tt i] 1;(1Planning Conditions:
Owner:
Address:
Phone:
Tenant:
)
JoseA&CeliaCardoza
1206 Evonda Street
Santa Ana, CA 927031134
(7141 623-3941
Contractor: Quickshot Pool Constructio
Address: 16787 Beach Blvd Ste #
Huntington Beach, CA 9264
Phone: (657) 301 -2602
State Lic #: 820869
Lic Type. C-53
Bus. Lic #: 375620
Workers' Compensation I nsurance:
Carrier: Wesco lnsurance Company
Policy #: WWC3512310
Expires: 0113112022
Engineer:
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Pool Engineering lnc
Todd L. Lacher
1201 N Tustin Av
Anaheirr, CA 92807
(7141 630-6100
67656
Planning Approva! By:
Plan Checked By:
Permit lssued By.
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Selena
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Kelaher,
Le, Tung
Verduzco,viorer{-'l
Date: 0410612021
Date: 0410612021
Date. 0410612021
Subject to Fielc!:
Misc. Receipt:
Misc. Receipt.
Misc. Receipt.
07776002
07776002
0 77760 0 2
08907007
07776002
07776002
0771.6002
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total.
Paid to Date:
Balance Due:
57607
53600
57770
24000
57672
s7600
57607
$260.00
$236.00
$12 15
$6 24
$2 00
$23.7e
$5e.30Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterits 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#: 2021-165338
01 1 1 6002 51 600
01 1 16002 51601
01116002 51612
01 1 16002 53600
01 1 16002 57770
08901 001 24000
$23.79
$31e.30
$2 00
$236.00
$1 2.1 5
$6.24
$s99.48
$0.00
$599.48
-{BU!LDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hcrchy allirm under Fnalty of Frjury lhal I am crcnrpl ltrm lhc Grnlrackrtr' Liccnsc Law tirr lhc tirll(rwing rcav,n (Scc.7o-l 1.5 r
Busrrcss anl Protcssion Cole): Any City or County which rcquircs a Jrrmit k) construct. allcr. imp()vc. dcmolish or rcpair any
slruclurc, prirr tr its issuancc, also rcquircs lhc applicanl for such Frmit to filc a signcd stalcretrt lhat hc or drc is licenrd pursuant
to thc [mvisions of tlrc Contrack)r's Liccnscrl hw (Chaplcr 9. Commncing with Sslion 7000 of frivisi(]n .l of thc Busincss and
Prcfcs$ions Codc) (rr thnt hc or shc is cxcmpt thqetiom and thc basis for thc allcgcd crcmption. Atry vi(rlation of Setbn 703 1.5 by any
applicatrtforrpcrmitsuhjcctsthc apnlicanlloacivilpcnaltyofnotB)rcthanlivchundrcddolhs($5m),
_1. as owncr trl'thc propcrty, or my cmployces wilh wagcs as thcir solc compcnsation. will do thc work arill thc slructurc is not
irrtcndctl oroll'crcdlilrsalc(Scc.T044,BusincssandProt'cssionsCtxlc:'l'hcContraclor'sl-iccnscLawdrrcsnotapplyloanowncrof
thc propcrly wlx: huilds ()r impr)vcs thcrcon, and wlx) d<rcs such work himsclf or hcrsclf or thr)ugh his or hcr own cmployccs,
providcd lhat such intpnlvcmcnts arc not intcndcd orollbrcd filr sah. It, hlwcver. thc buikling or improvcnrcnt is sokl within otrc ycar
ol'contpletion, the Owncr Builtlcr will have thc hurdcn ol'pnrving that hc or shc did not buikl or improvc thc propcrty lbr thc purJxrsc ol'
salc).
_1, as owncr of the pn)pcrty, am exclusively contracting with licensed contractors to construct lhc projcct (Scc. 104/', Busincss
and Ftotbssion Code: The Contractor's License Law docs not apply to an owner of pnlpcrty who builds or improvcs thcreon,
and who contracls lirr such projccts with a Contractor(s) liccnscd pursuant to thc Contractor's Liccnsc taw).
-IamcxcmptundcrScction-,B'&P.C.lbrthisrcasrtn.
Date:
WORKERS' COIT I PENSATION
DECLARATION
I hcrcby atTirm undcr Jrcnalty of Jrcr.jury one of thc lblkrwing dcclarations:
-l
havc arrd will maintain a Ccrtilicatc of Conscnt to Scll'-lnsurc tirr workers' conrpcnsation, as providcd for by Scction 3700 of thc
Latxlr CrxJc. lirr thc Jrcrftrrmancc of thc wrlrk tirr which thc pcrmit is issuctl.
!&,0u" and will maintain workers' comJrcnsation insurance, as rcquiretl by Scction .17(X) of thc Labor Codc, lirr rhe Jrcrlbrmancc of
thc work lilr which this pcrmit is issucrl. My workcrs' compcnsation insurancc carricr and Jxllicy number arc:
Policy c /o
X I ccrtify thar in thc Jrcrlirrmancc of thc work lirr which this Jrcrrnit is issuctl, I shall not cmpkry any pcrs()n in any manncr
so)st,l bcconrc subjcct to thc workcrs' c<lmpcnsation laws of Califilrnia, and agrcc that if I should bccomc suhjcct to thc
wrlrkcrs' compcnsalion provisions of Scction 37ffi of thc Lahlr Crxlc, I shall. firrthwith eomply with those provisions.
WARNING: Failure to sccure wurkcrs' compcnsation coveragc
civil lincs up to onc hundrcd thousand dollars ($100,0ffi), in
is unlawlul.an cntployer to crinrinal pcnaltics and
ol'tlamagcs as providcd tirr tl[
Scction J076 Crxlc, intcrcst anrl attorncy's l'ccs.
DECLARATION
I hcrchy allrm undcr pcnalty of pcrjury that I am liccnscrl undcr pnrvision of Chaptcr 9 (conrmcncing with Scction 7U)()) of Division J
ot' thc Busincss and Prot'cssions Code, arxl my liccnsc is in lull tirrcc uxl cttcct.
e ?-Liccnsc Nunrbcr:
W
I hcrcby afi1rm under IEMlty of Frjury that thcrc is d constructk n bnding agcncy for Ihc pttbmncc of thc mrk litr which this fsmit is
issucd (Scc. 3097, Civ. C.).
lrrxlcr's Narc:
knder's Addrcss:
APPLICANT DECLARATION
I hcrcby allrm undcr pnalty of pcrjury onc ol'the lirlkrwing dcclarations:
Dcmolition Permits-Asbestos Notification Fcdcral Rcgulations (Titlc 40, Part6)
_Rct;uircd [-ctter of Notification
_l ccrtrly thal thc l'cdcral rcgulations rcgarding asbcslos rcnroval arc nol applicablc to this projccl.
_l ccrtily that I havc rcad this application and inlbrmation is corrcct. I agrcc to comply with all City and County
ordinanccs arrd .Statc [-aws rclating to buikling
atxrvc mcntioncd pnlpcrty lilr
Applicant or Agent
Pernriter. nanlc
hcrcby autlxrrizc rcprescntativcs of
:,',","'^:;"'7"*
Set Backs
Forms/@F{oldowns fll 5 -/?-L1 tuc g 7r/
Erection Pads ,
UFER Ground
SLAB Floor F/dc,'ei4 7CB*U Zo-zt I
S u bf loor/VenVl ns u latio n
Roof Sheathing
Shear Wall
Framing
lnsu lation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
lVlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
Flood Zone Certif
^tr^.h t'tfihz 6- lz,zl kc%-t )
7 r
FINAL lo-5< t AY4 {r-
Certificate of Occupancy
Notes, Remarks, Etc
NR )fi1
/^/- s,a^e fi<Vao
/-7t-Zz