HomeMy WebLinkAbout101108085 - Permiti City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section: (714)647-5853
Permit #: {O11O8O85
Pin #: 69759
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Proiect Address: 5506 W Lehnhardt Avea
Assessor's Parcel: 108-59141 Lot: 8
Unit Bldg: Address Range:Suite Range:
Zoning. RlBlock NA Tract: 4560 Historic: No
Building Use:
Job Type
Nature of Work:
Existing Bldg & Use:
Proposed Use:
Single Family Dwelling
Miscellaneous
Demo Swimming Pool
SFD w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
N/A
N/A
cBc 2019
x-0602320252J
1st FL Area
2nd FL Area
Other Areas:
Garage Area.
Totat
Patio:
T l.Area:
Yards Req'd
Valuation:$5,000.00
Description of Work: Demo swimming pool and back fill/handout given
Planning Conditions:
Bub ch * : 60?t-ttt ? ,t 28/ 2rJ2 1
0f f i ce: (:TYH l'r crn s*: 5Accti: Ref*:
lterft+ I t'3417g4Lr ?ffr12!21
IU r I1CAZAI c,fl
1 1 0809
Pltr Ahl7; J;
Owner:
Address:
Phone:
Tenant
Marilyn Elwood
5506 W Lehnhardt
Santa Ana, CA 927041824
(562) 2304163
Contractor: King Neptune Pools
Address: 1409 Riviera Drive
Santa Ana, CA 92706
Phone: (7141 200-8115
State Lic #: 101 0744
Lic Type. C-53
Bus. Lic #: 363008
Workers' Compensation I nsurance:
Carrier: Compwest lnsurance Co
Policy #: WCV5504964
Expires: 0312412022
Engineer.
Address:
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
I ronsoff, I on I ouot
Kirrs Heptune Fools
$5IJJ,
Aubhf :,5,5.56
Gener'crI F'1nn Update Fee
Lrl I 160t:t?- 516u(t00rJ-
Burldins
u1 I I 6r_rtr2- 5 16ul rrltlt-
tllds Stds F:evolvins
ttl t 16r:'02- 5161 2r-rr-trr-
l'l i crsl i lm & Documents
tJ 1 1 1,5rJrJz- i,77 7r-ltrrltr-
Uiso
(:C+ : ****r r** *r*r5fr55
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd.
PWA lnsp. Req'd:
Plannrng lnsp. Req'd:
\4
Jacinto, Heidi
Hernan dez, Kathy
Date: 0912812021
Date:
Date: 0912812021
Subject to Field:
Misc. Receipt
Misc Receipt
Misc. Receipt
07776002
07776002
07776002
07776002
07776002
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
lssuance
57607
57770
57672
57600
57607
$172 64
$4 05
$1 00
$23 7e
$5e 30
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
Account#Total
Landscaping lnsp. Req'd:
Every permitissued shall become invalid unless the work on the site authorized by
such permit is commenced within 360 days afterufs issua nce,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
01116002 51612
01 1 16002 57770
$23 79
$231 94
$1 00
$4 0s Fee Totat
Paid to Date:
Balance Due:
$260 78
$0 00
$260.78
lnspector MID#'. 2021-168977
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DEIfARATION
I h6cby sffm uodq pcsslty of pqjury thst I m qmpt from thc contsac{oB' Licce Lrw for the followirg *S (So.;O:t.S
Buines ard Prcfcsion Codc): Ary City or County which rcquirc a pcrnit to @Etruct, dtq, improvc d&uolistr or rcpair my
structuc. prior to its isuocc also rcquirc thc applicmt for such pennit to filc I signod statmot that h€ or slE b licmcd pwaat
to thc Fovisiorc of thc Cotrtetor's Licmscd taw (Chapt6 9. Comacing wirh Serio! 70OO of Division 3 of thc Bwtrei ud
Prcftssioro Co&) or thrt hc or shc is cxcmpt thqcfiom ed thc basis for thc allcXcd aoprion. Atry violEtion of S€lbn 7031.5 by ay
applimt for a pcrmit subj€ls thc applicut to a civil pcrulty of rct morc tha fivc hundrcd dollm ($500).
_1, I om6 of thc propcrty. or my mplole with wage c thcir rclc ompcnutioq will do thc wod( and thc ltndrc b mt
inrqdcd or olIqcd for ulc (Se.7044, Bwins md Profcsioro Code Thc Contraclor's Lic@ Lrw do6 not agply to m oma of
thcpropsry whotuil&orinprostls@n,{dwhodBwhrc*himelforhwlforthrcughhirorheommplolcc.
prcvidcd that such improvqmts e rct intodcd or offircd for slc. lf, how, thc tuiHiig or imFovmt is $ld wilhin oDc ]qr
of mmpl*io4 thc Ouo Buil{s will harc thc hda of proving tha hc or shc dll mt tuiE or imForc &c prcpoty br thc pupos of
eb).
_1, as owner of the propertyr am exclusivcly contracting with licensed contractors to construct thc project (Sec. 7044, Business
and ltofession Code: The Contractor's License Law does not apply to an owner of propcrty who builds or improves thereon,
and who contracts for such projects wilh a Contractor(s) licensed pursuant to the Contractor's Licensc Law).
_l am exempt under B. & P.C. for this reason.
WORKETLS' COMPENSATION
DECLARATION
I hereby affrrm undcr penalty of perjury one of the following declarations:
_l have and will maintain a Ccrtificatc of Conscnt to Self-lnsure for workers' compeflsation. as provided for by Section 3700 of the
Labor Code, for the pcrformance of thc work for which the perrnit b issued.'x
the
have and will maintain workers' compensation insurance, as by Section 3700 of thc l-abor Code, for the performance of
rcarier and policy numkr are:for p,ermit is issuod. My workcrs'
Policy aA2?
-l
certi& that in the performance of thc work for which this permit is issued, I shall not employ any person in any manner
so urs to become subject to the workers' compensation laws of California. and agree that if I should become subject to the .
workers' compensation provisions of Section 3700 of the Labor Code, I shall, forthwith comply with those provisions.
WARNING: Failure to secure workers' compensation coverage is unlawful. and shall subject an qnployer to criminal penalties and
civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of cornpcnsation, damag,es as provided for the
Section 3076 of the L^abor Codc, intercst and attorney's fees.c,rr", O-2O'Zl
I hereby affrm under penalty of perjury that I am licensed under 9 (commencing with Section 7000) of Division 3
of thc Business and Professions Code, and my liccnsc is in full forcc and effect.
License
W
I heby alfm mda pcnalty of pqjury th8t th@ is I @Btruction knding agmy for thc pafommcc of thc work 6r which thb pqmit b
issucd (Sc. 3097, Civ. C.).
lrnd6's Nmc:
-
Lcrrder's Address:
APPLICANT DECLARATION
I hereby affirm undcr pcnalty of perjury one of the following declarations:
Demolition Permils-Asbestos Notification Fedcral Regulations (Title 40, Part6)
-Required
Later of Notification
that thc fbderal regulations removal are not applicable to this project.
the above with all City and County
and County to exter upon the
above meirtioned property for
Applicant or Agent
Perrnitee nRme
to and
ts
b-z I
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/VenUl ns u Iation
Roof Sheathinq
Shear Wall
Framing
Insulation/Energy
Drlnruall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif I{.ol De^, /E^,,a La^nh/a */l oc,.t/t,/ ,U,
FINAL /o/{zr tfufiv7.
Certificate of
Notes, Remarks, Etc.
Section
orr", Zr- 20- Z\
this application to
,