HomeMy WebLinkAbout101107981 - PermitProiect Address: 2302 N Cottonwood Sta
Assessor's Parcel: 396-243-13 Lot: 12
Unit:Bldg: Address Range:Suite Range:
Zoning: RlBlock: NA Tract: 8370 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 lnspectorSection: (714)647-5853
Permit #: {O11O798{
Pin #: 66317
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use:
Single Family Dwelling
Alteration
Demo Pool
SFD w/att Garage
R.3, U
VB
cBc 2019
x-0602320163J
1st FL Area:
Znd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area:
Yards Req'd:
Valuation: $'t 0,000.00
Occupancy:
Constr Type
Code:
Flood Zone'.
# of Stories:
Description of Work: Demolition and infill of existing swimming pool. Handout given
Owner:
Address:
Phone:
Tenant:
Conditions:
Crawford L Toahty
2302 COTTONWOOD ST
Santa Ana, CA 927056919
(7141 308402e
Contractor: Kennah Construction lnc
Address: 6251 Vatcher Drive
Huntington Beach, CA 9264
Phone: (7141488-5615
State Lic #: 613188
Lic Type: B, A
Bus. Lic #: 337303
Workers' Compensation I nsurance.
Carrier: California lnsurance Co
Policy #: 46055471
Expires: 0710112022
Engineer
Address:
Phone:
License #.
Architect /
Designer:
Address.
Phone:
License #:
t
t
Planning Approva! By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA Insp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Orozco, lvan Date: 09/1 612021
Date:
Date: 09/1 612021
Subject to Field.
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
07776002
07776002
077760 02
07776002
077760 02
57601 Permit Fee
57770 Microfilm Records
s7672 Bldg. Stds. Revolving
57600 General Plan Update
57607 lssuance
Fee Total:
Paid to Date:
Balance Due:
$172.64
$4 0s
$1 00
$23.7e
$se 30
$260 78
$0 00
$260.78
Chavez Dave -€2c,
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 s1600
01 1 16002 51601
01116002 51612
01 1 16002 57770
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterifs issua nce,or if the work authorized
on the site by such permitis suspended or abandoned for a period of 360 daysafter
the time the work is commenced.
lnspector MID#: 2021-168843
$23 79
$231 .94
$1 00
$4 05
L
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hrcby atfum under panalty of pc{ury that I m cxmpt ftom the Cortracloa' Licre t:w for thc following rusn (Sc.70tt.5
BNin6s dd Profeion Codc): Any City or County which rcquirc a pornit to coNtruct, altc. imprcve dcrrclish or repeir my
strucluq prior to its isuucc, also rcquirc thc ryplicat for such pcnnit to filc I signcd statmat thar hc or dE b licascd pmwt
to thc prcvisioN of thc Contretor's Liccnscd trw (Chapts 9, Commcing with Setiotr 7000 of Division 3 of thc Buine ud
Prcfeiom Co&) or thal hc or shc is qmpt thscfrom ud thc basis for thc allegcd uoplion. Any violation of Scrbn 7031.5 by uy
applicmtforaponitsubjctsthc appticettoacivilp€mltyofnotmorethafivchundrcddollrs(S500).
_1. rN owner of the property, or my employecs with wages as their sole compensalion. will do the work and the stnrcture is not
intended or offered for salc (Sec.7044. Business and hofessions Code: The Contractor's Licersc l-aw does not apply to an owner of
the property who builds or improves thereon. and who docs such work hirnself or hcrsclf or through his or her own employccs,
provided that such improvoncnts arc not interrdcd or offcred for salc. If. however. thc building or improvemcnt is sold within one year
of completion, the Oryner Builder will have the burden of proving thd he or she did not build or improve the propoty for the purpose of
sale).
-1,
as owner of the propcrty, arn exclusively contracting with licenscd contractors to construct the pr,oject (Sc. 7044, Brsiness
and kofcssbn Code: The Contractor's License Law does not apply to an own€r of property who builds or improvcs thcrcon,
and who contracts for such projects with a Contractor(s) licensed pursuant to the Contrac{or's Liccnsc l-aw).
-l
am exempt under Section-, B. & P.C. for this rcason.
Drte: Owner:
WORKERS' COMPETISATION
DECI.ARATION
I hcreby affrrm undcr penalty of pojury one of the following declarations:
_l have and will maintain a Ccrtificate of Consent to Self-lnsure for work€rs' compcnsatioq as provided for by Section 3700 of the
I-abor Codc for thc performance of the work for which the pcrrnit b issued.
-l
have and will maintain workcrs' compensation insurance, as rcquired by Section 3700 of the labor Code, for the pcrformance of
the work for which this permit is issucd" My workcrs' comp€nsation insurancc carrier ard policy numbcr are:
e L tr,\axu4
Policy s L 053 4t -Gl-(.-,
_l certiff that in the perforrnance of the work for which this permit is issued, I shall not
so as to become subject to thc workers' compensation laws of California. and agree that if I
any person in any manner
subject to the
workers' compensation provisions of Seoion 3700 of the l-abor Code, I shall. forthwith thosc provisions.
onployer to criminal paulties andWARNING: Failure to secure workers' compe €tion coverage is unlawful. and shall r
civil fines up to one hundred thousand dollars ($100,000), in addition to thc cost of damages as provided for the
Section 3076 Labor Code, interestl-and attorney's fees.I
,D2
DE,('I,ARA'I'ION
I hereby affrm under peilalty of pcrjury that I am licensed under provision of Chapter 9 (commencing with Secrion 7000) of Qir;s;5n 3
of thc Business and Professions Code, and my liccnse is in full force and effect.
e b c 6 ) e.8
License
t,
I hmby dfm undo pqnlty of pqjury that th@ is I @rstruclior bndiry agocy for thc pafomecc of thc rcrk for which this pomt b
issucd (Se. 3097. Civ. C.).
Lender's Name:
I-ender's Address:
APPLICANT DECLARATTON
I hereb,y affinn under pcnalty of perjury one of the following declarations:
Demolition Pcrmits-Asbcstos Notification Federal Regulations (Title 40, Part6)
-Required
Letter of Notification
_l certi& that the fbderal regulations regarding asbestos removalare not applicable to this project.
is correct. I agree to cornply with all City and County
representatives of this City and County to enter upon the
above mentioned property for inspection
Applicant or Agent
Pernritee name
-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
S u bfloo r/Ve nUl ns u latio n
Roof Sheathins
Shear Wall
Framinq
lnsulation/Energy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif lt ,^trC1 bL 5H€Lc WAo 7/p/?-,Lo O\)
.<
FINAL l6hoht fl,t-rBlt)
Certificate of Occupancy t \-
Notes, Remarks, Etc.
Contrnctor,'L
I have read this application and statc that the abovc
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