HomeMy WebLinkAbout20174303 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrica!
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #: 2o^174303
Pin #: 9E239
./-.,
Proiect Address: 2302 N Cottonwood Sta
Assessor's Parcel. 396-243-13 Lot: 12
Unit:
Block: NA
Bldg:
Tract. 8370
Address Range:
Historic. No
Suite Range:
Zoning: Rl
Owner.
Address.
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Crawford L Toahty
2302 COTTONWOOD ST
Santa Ana, CA 927056919
(7141 308402s
Kennah Construction lnc
6251 Vatcher Drive
Huntington Beach, CA 9264
(7141488-5615
01 1 16002 51603
01 1 16002 51600
01 1 16002 51603
01 1 16002 57770
Fee Type Amount
Demolition (includes ren 52.21
General Plan Update 23.19
lssuance 59.30
Microfilm Records 4.0S
Qty
100
100
100
100
Fee
$52.21
$23.79
$59.30
$4.0s
State Lic #: 613188
Lic Type: B, A
Bus. Lic #: 337303
Workers' Compensation lnsurance:Carrier: California lnsurance Co
Policy #: 4G05S471
Expires: 0710112022
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74303
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uenero I F
i1 1. 16ut:t2-
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.rt 1 1 6Lt[r2-
11 lcnof'tirrt
Jl I 1600?-
r23
$111
l+
a
Building Use:
Job Type:
Nature of Work:
Single Family Dwelling
Alteration
Demo Pool
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cEc 2019 Notes:Demolition and infill of existing swimming pool.
Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field >C'
Buirdins Permit #: 1 01107981
09/1 6t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every permit issued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on fhe sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
01 1 16002 516C0
01 1 16002 51603
01 1 16002 57770
$23.79
$1 1 1.51
$4.05
Fee Total:
Paid to Date:
Balance Due:
$1 39 3s
$0 00
$139.35
Ltotch;:6Ll /
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A--rlrl.ll l- Lr r
f'nn SflrIt
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lnspector MID#: 2021-1 68843
ELECTRICAL.! NSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
I hqeby aflim undo panalty of pcrjury thst I m qcmpt ftom thc ContretoB' Licw law for thc following ren (Se.7031.5
Buincs ard Profcssion Codc): Any City or County which rcquira a pcrnit to coNtruct, altq, imprcvq damlish or rtpoir uy
structuc, prior to its issumcc. also rcquirc thc applicot for such permil to file I signcd ststmot that hc or dE b licoscd pmuanr
to thc provisio$ of the Contractor's Liccnscd taw (Chsptq 9, Commmcing wilh Sslion 7000 of Division 3 of thc Buin6 ed
PrcfsionsCode)orthatheorshcisexcmptthscfrommdthcbsisforthe allcgcdamption. Anyviolationofs€lion703l.5bymy
applicut for a pmnit subjets the applicant to a civil penalty of not morc thil tivc hundrcd dollm ($500).
_1, its owner of the propcrty, or my employecs with wages as their sole compcnsation. willdo the work and thc structure is not
intended or offered for sale (Sec.7044, Business and hofessions Code: The Contractor's License l-aw does not apply to an owner of
the property who builds or improves theron. and who docs such wo* himself or hersclf or through his or her own employecs.
provided that such funprovanents are not intended or ofltrod for sale. If, however. the building or improverncnt is sold within one )rcar
of complaion, the Or,nner Builder will have the hrden of proving tha he or she did not build or impnove the pnopoty 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 Profcssion Code: The Contractor's License Law does not apply to an owner of propdy who builds or improves thereon,
and who contracts for such projects with a Contractor(s) licensed pursuant to the Contractor's License Law).
_l am exempt under B. & P.C. for this reason.
Owner:
WORKERS'COMPENSATIM
DECLARATION
I h6eby amm undc penalty of po;jury onc of thc followiog delamioro:
-I
have md will mintain a Cenificatc of CoMt to Sclflmurc for work6' composalion. re providcd for by Sction 3700 of thc
labor Codc for thc pqfolrmce of thc wrt for which thc pqrnit b isucd.
!(l heve md will maintain work6' compcreation imunncq u rcquircd by Sation 3700 of thc Labor Codc, for thc pafomce of
thc rcrt for which this pcrmit is isrcd My work6' sfiipasation ireumc miq and policy numbc rc:
t o tr \a-a ar-\i r-lPolicy
_l certify that in the performance of the work for rvhich this perrnit is issued. I shall not employ any pcrson in any manner
so as to become subject to the workers'compcnsation laws of California, and agree that if I should become subjcct to the
workers' compensation provisions of Section 3700 of the Labor Code. I shall. forrhwith comply with those provisions..
WARNING: F'ailure to secure workers' compensation coverage is unlawful. and shall to and
civil fines up to one hundred thousand dollars ($100,000),
Section 3076 of the Labor Code, intercst and attorney's fees.
in addition cost of the
la Z\
I hereby affrrnr under penalty of perjury that I arn licensed under provision 9 (comnrencing with Section 7000) of Divtion 3
of the Business and Professions Code. and my license is in full force and effect.
a A4s a \gELicenseNunrbc-r:
P
W
I heeby aflirm undo pemlty of perjury that thm is a comtruction l€nding agocy for thc pqfonmcc of thc work for which this pqmit is
issued (Se. 3097, Civ. C.).
Lcnder's Namc:
Lender's Addrcss:
APPLICANT DECLAITATTON
I hereby affirm under penalty of perjury onc of thc following declarations:
Demolition Permits-Asbcstos Notification Federal Regulations (Title 40, Part6)
_Requircd Lcttcr of Notification
with all City and County
and County to slter upon the
above mentioned property for inspection
Applicant or Agent \
Permitee nrme
not applicable to this project.
.D
Site-Work
Underground
Pole Bases
Lisht Standards
Spas, Pool, Fountains
Signs (monument)
Life Safety /Low Voltaqe
Fire AIarm I Dampers
Communications Cable
Building
Under Slab / Floor
Bonding I Groundins / UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factory Wired Unit
Walls (Conduit)
Walls (Roush)
Ceilings (Hard & Soffit Roush
Ceilinqs (T-Bar Rouqh)
Meter Release
Rouqh
Service Meter n
FINAL b-n'L pL{7)
Notes, Remarks, Etc.
-it
Dr.rr nO nn1 tr
above
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