HomeMy WebLinkAbout30143646 - Permitcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 3O{43646
Pin #: 27451
Project Address: 2302 N Cottonwood St
Assessor's Parcel: 396-243-13 Lot: 12
Unit:
Block: NA
Bldg:
Tract: 8370
Address Range:
Historic: No
Suite Range:
Zoning: R1
Owner:
Address:
Phone:
Tenant Name:
Contractor
Address:
Phone:
Crawford L Toahty
2302 COTTONWOOD ST
Santa Ana, CA 927056919
(7141 308402e
Kennah Construction lnc
6251 Vatcher Drive
Huntington Beach, CA 9264
(7141488-5615
01 1 16002 51602
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
Fee Type
Cap Fixtures
General Plan Update
!ssuance
Microfilm Records
Amount
7.48
23.79
s9.30
4.05
Qty
1 .00
1.00
1.00
1 .00
Fee
$7.48
$23.79
$5e.30
$4.0s
State Lic #: 613188
Lic Type: B, A
Bus. Lic #: 337303
Workers' Compensation I nsurance:Carrier: California lnsurance Co
Policy #: 46055471
Expires: 0710112A22
Building Use:
Job Type:
' Nature of Work:
Single Family Dwelling
Alteration
Demo Pool
yot
Occupancy:
Constr Type:
Code:
Date:
Date:
Date:
R-3, U
VB
cPc 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:
Buirdins Permit #: I 01107981
09/1 6t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt.
Total
01 1 16002 51600
01 1 16002 51602
01 1 16002 57770
$23
$66
$+
79
78
05
Fee Total:
Paid to Date:
Balance Due:
$94.62
$0.00
$94.62
Every permitissued 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 the sife by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
16/ t
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{t I I
lnspector MID#: 2021-1 68843
a
/
PLUMBI NG.INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER I'ET,CARATION
I h6cty affm und6 psulty of pcrjury thd I m ampt froE thc ContrrctoB' Licre trw for thc following rwn (Soc,70tl.5.
Buinas ud Prcf*ioo Codc): Any City or Couty which roquirc a pcrnit to sostruct, alt6, improvc, daolish or npair uy
structurc pdor to its isuuce also roquiro thc applirut for such p6mft ro filc a stDcd $ar@t thrt hc or Sc b limcd pman
to rhc pmvbioB of thc Coilretor'3 Lka:cd kw (Chaprs 9, Comming with Sclioo 7000 of Divirior 3 of thc Buim ud
Prcf*iouCodc)orthath.fishcbsmptthacfiomedthcb8bforthcdlcgcdaerprbu. AnyviolariorofsctiooT03l.5Wuy
applicant for a psmit subjcts thc applicut to a civil pcnalty of mt mrc thu fiv€ hundrd dollaE (3500).
-t,
s ow ofthc prcparn or my mplole with wage ro thcir $lc ompdstiolr will & thc wqt ad thc stsrdE is mt
irlodcd u offqrd for sb (Se.7044, BuiB ud Pr,oftssiou Codq Thc Cordrador's Li@ hw do6 mt apply lo u ow of
th€ Fopqry who hdi& or iryos tlsoq ad wto dm sh wtt hirelf or h@lf or thrcugh his or lr om mplo]6,
providrd tlEt sch imFowrds e mt iDtad.d or oftrod br eh. l[ how. thc hriEirU or itrprowHl fu $E wilhin onc ]a
of @rrylrb4 thc Om6 Builds will harc thc hrda of pmvilg ttd hc or $c did mt buiE or inpnorc the popaty br thc pupos of
sb).
-1.
a om6 of thc lmpcty, m aclwircly cootracting with licascd cotrEEloB to oEitruct thc trojd (Sc. 7(x4, BtuiB
ard Pmftsin Co&: Thc Coflrelor's Licmc [:w doc not eply to u ow[q of Fopcty who buil& or imprcu thmo.
od who sotset ftr such projc13 with 8 Contnclo(s) linscd psuan to rlE Codrsrlor's Lhqe try).
-l
m cxmDt und6 Sction- B. & P.C. for thb @r
0wner:
WORIGRS' COM'ENSANON
DECLARATION
I hereby affrrm under pcnalty of perjury one of the following declarations:
_l have and will maintain a Certilicatc of Consent to Sclf-lnsure for workers' compensation. as providd for by Section 3700 of the
Labor Code, for the po'formance of thc work for which the perrnit is issued.
_l have and will maintain workers' compensation insurance, as required by Section 3700 of thc labor Code. for the performance of
the work for which this pcrmit is issued My workers' compcnsation insurance carrier and policy number are:
a W.IVI {^;, b,-l l, ltzPolicy-6. C55 (-e -
_l ccrti& that in thc pcrformance of the work for which this permit is issued. I shall not employ any person in any manner
so as to become subject to the workcrs'compensation laws of California, and agree that if I should become subject to the
workers' comperuation provisions of Scction 3700 of the tabor Code I shall.with those provisions..
WARNING: Failure to secure workers' compensation coverage is unlawful, and an and
civil fines up to one hundred thousand dollars ($100.000), in addition to thc of the
attorney's fees.
DECTI\RATTON .
I hereby affirm under paralty of pcrjury that I am liccnsod under provision of Chapter 9 (commcncing with Scction 7000) of Division 3
of the Business and hofcssions Code, and my licensc is in full force and effect. ,
t
License ,L
W
I hcfi aflm unda Fnlty of psjury thd th@ b I oonrudbn knding rgmy for thc pqforc of thc w* br uhi& thb pann i:
isucd (Sc. 3097, Civ. C.).
l-ender's Name:
Lcnder's Address:
APPLICANT DEC LATTATION
I hercby affirm under penalty of perjury one of the following declarations:
Dcmolition Permits-Asbcstos Notification Federal Regulations (Title 40. Part6)
-Required
Letter of Notification
\ I certifo that the
fl"*rfthat I have
federal regulations rcgarding asbestos reinoval are not applicable to this project.
read this application and state that the above
ordinanccs and Statc Laws relating to building construction, and the
above mentioned property for inspection
Applicant or Agent
Perrnitee nRme
*
is correct. I
1qt
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
ArealStorm Drain
I nterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Pipinq
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
Main Drain/Pool Piping
Fill Line/Back FIow
Pool Heater/Gas Line
Miscellaneous
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewerlcap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release .-\
FINAL lb4>a YDICl
Notes, Remarks, Etc.
.-E.>
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