HomeMy WebLinkAbout101107372 - PermitI City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: {011o^7372
Pin #: 75063
Proiect Address: 3302 S Woodland Pl-a- -
Assessor's Parcel: 410-193-07 Lot: POR 65
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 7058 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Alteration
Pool Demo
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories
R-3, U
VB
cBc 2019
x-0602320259J
1st FL Area
2nd FL Area
Other Areas:
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $+,000.00
r Description of Work Demo/infill swimming pool & remove associated equipment. Handout given.
t Planning Conditions:
Owner:
Address:
Phone:
Tenant
Danny O Tran
3302 S Woodland Pl
Santa Ana, CA 927073930
(912) 242-6719
Contractor: Protech Seal Construction lr
Address: 1932 S Janette Ln
Anaheim, CA 92802
Phone: (7141 293-8093
State Lic #: 1007054
Lic Type: B
Bus. Lic #: 378707
Workers' Compensation I nsurance:
Carrier: Norguard lns Co
Policy #: PRWC2O2134
Expires: 0112012022
Engineer:
Address.
Phone:
License #:
Archrtect /
Desiqner:
Address:
Phone:
License #:
frI ^^
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Machado, Miriam
Amsden, Julie
Date: 09/09/2021
Date:
Date: 09/09/2021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
07776002
07776002
077760 02
0 7776002
0 7776002
0 7776002
Permit Fee
Plan Check Fee
Microfilm Records
Bldg. Stds Revolving
General Plan Update
I ssuance
s760 7
s3600
57770
57672
57600
57607
Fee Totat
Paid to Date:
Balance Due:
$172.64
$1t9 67
$4 05
$1 00
$23 79
$se 30
$380 45
$0 00
$380.4s
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#TotalNo
NoLandscaping lnsp. Req'd 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 after its 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 57770
$23 79
$231 .94
$1 00
$1 19.67
$4 0s
lnspector MID#: 2021-167664
I
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEI,CARATION tI hqew affm undo pcnalty of pcfjury that I m cxmpt fiom thc ContrsctoB' Licffc taw for thc following t@n (Ss.7oil
BBins ild hofsion Codc): Any city or courty which requirB a pqrnit to coNtrucl. alts. inprcvq donolish or rcpoirEry
structue Fior to its isuocc. also rcquirc thc applicmt for such psmit to filc a signcd stalmdt thar hc or shc b licqE€d pmuant
to the provisiom of th€ Contmtor's Licoscd Law (Chapt6 9, Comcncing with Sctiotr 7000 of Divisioo 3 of thc Buins ud
Prcfcsioro Codc) or that hc or shc is amp thccfrom and thc bosis for the allcgcd aopion. Any violation of S€tbn 7011.5 by my
applicilt for a pcnnit subj(ts thc applicut to a civil paralty ofnot morc thil fivc hundrcd dollus (1500).
_1. I oM6 of thc popcrtn or my cmployc with wagc c thcir rclc compensation, will do thc wort and thc stnrlw is rct
intodcd or oftacd for sslc (Sc.7044, BBins md Profsioc Codc: Thc Contractor's LiccN lrw do6 not apply to u omq of
rhc prcpgry who huilds or imprcvB thoorl| and who doe sch rcrk hirelf or hcMlf or thrcugh his or ha om oployc.
provided that such imprcvmts rc mt intqded or olfqpd for sh. lf. howcE. thc buiEing or impovmt is sH within onc )€r
ofcompi*bn, the Own6 Buiklq will hav€ thc hldor ofproving thd hc or she did not bui6 or imprcvc the prcpcty 6r thc purposof
elc).
-[,
m oma ofthe Eopqty, m €xclBivcly contracting with licos€d contractoF to @Ntruct thc projcl (56. 7044, Buine
ud Proftsion Code: Th€ Contrrctor's Licere Law do6 not applyto eownq of prcpcrty who builds or imprcvca th6@n,
md who @ntBcts for such pmjets with I Contreto(s) licoscd purcwt to thc Contretor's Liccre Law).
_l am exempt under B. & P.C. for this reason.
rloto.
YOBEESSSAMEENIAIIONpEcldBAIIaN
I h@by affm unda poulty of pcjury onc of thc following dclantiom:
-l
havc urd will mintain a Cqtifrcatc of Cotlffit to Sdf-lNre for workc' ompcnsation, r providcd for by Selion 3700 of thc Itabor Codc, for thc psfomcc of thc rcrh for which thc pqmit b isucd.
Y6 fruu" and will maintain workers' compcnsation insurance, as required by Section 3700 of the L:bor Code. for thc perfonnance of
the work for which this pcrmit is issued. My workers' compensation insurance carricr and policy numhr are:I
Policy NL c,r- o C..ZL
_l certi& that in the perforrnance of the work for which this permit is issued, I shall not qnploy any person in any manner
so ns to become subject to the workers' compensation laws of California. and agrec that if I should bccome subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall. forthwith comply with thosc provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an anployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compcnsation, damages as provided for the
Section 3076 of the Labor Code. interest and attorney's fees.
o*u, 0Q-04-?t
DECI"ARATION
I hereby affrm under penalty of perjury that I am licensed under provision of Chapto 9 (commencing with Scction 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effcct.
License Nurnber:t'o 7 o sll
o*e: OQ- OQ - ? I PP oTe c'rt eEtL CcrvtTPt'crt'o/L)
W
I hseby affm undcr pqulty of perjury that thm is a comtruction hnding agocy for thc paforrmcc of thc mrl for which this pqmit is
issued (Sa. 3097, Civ. C.).
[f,ndq's Nmc:
Lender's Address:
AfITJCANIIECI.ABAIION
I ho*y affim undr poalty of pcrjury onc of thc followhg dalratiou:
D@olition Pmit$Asb6tos Notification Fcdsal RcgulatioN (Titlc 40, Part6)
-RcquLed
Lctts of Notification
-t
cdiry thal thc fcdcal rcXulatiore rcaarding sbetos moval e not applicablc to thb prcjel.
Et ,rti* tt. l hrvc ud this application and st8tc thal thc abovc informarion is cor€l. I agrc lo omply with 8ll Cily ud County
'ordimcc md State Laws rching to building consruction ad lEcby authorirc rcF€atrliv6 of this City od Couty to 6tc upotr thc
above mentioned property for inspection
Applicant or Agent o*e: 4-o ?- 2/
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloor/Ve nUl n su I atio n
Roof Sheathing
Shear Wall
Framinq
lnsulation/Energy
Drurvall
Ext./lnt. Lath
Brown Coat
Nlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Fina! Report
Enqineer Final Report
Flood Zone Certif.
Ir ,
FINAL a wA?\
Gertificate of Occupancy I
Notes, Remarks, Etc.n I
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