HomeMy WebLinkAbout101107305 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
PermitCounter: (714)647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714)647-5853
Permit #: {O11O73O5
Pin #: 542OT
a
Project Address: 2109 N Towner St
Assessor's Parcel: 001 -182-14 Lot. 32
Unit:Bldg: Address Range.Suite Range:
Zoning: RlBlock: NA Tract: 2194 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use.
Single Family Dwelling
Swimming Pool/Spa
Swimming Pool
Sfd w/att garage
Occupancy:
Constr Type:
Code:
Flood Zone'.
# of Stories:
N/A
N/A
cBc 2019
x-0602320144J
1st FL Area
2nd FL Area
Other Areas:
Garage Area.
Total
Patio:
T.l.Area:
Yards Req'd
Valuation:$30,000.00
0
Description of Work: New, in-ground swimming pool (2a0sf)
Planning Conditions:
Owner:
Address.
Phone:
Tenant
Karla Salinas
2109 N Towner St
Santa Ana, CA 92704
(949) 444-7009
Contractor: Premier Pools Orange Coun
Address. 26052 Merit Circle #106
Laguna Hills, CA 92653
Phone: (949) 215-4144
State Lic #: 798298
Lic Type: C-53
Bus. Lic #. 366736
Workers' Compensation I nsurance:
Carrier. State Compensation lnsurance Fut
Policy #: 9158204
Expires: 0510312022
Lenehan Engineering
Kyle A Lenehan
1024 lron Point, Ste 100-1486
Folsom, CA 95630
(916) 287-1445
82227
Engineer.
Address:
Phone:
License #:
Architect /
Desiqner:
Address.
Phone:
License #:
Planning Approval By: Gomez, Pedro
Plan Checked By: [\p Le, Tung
Permit lssued By: \U\ Hernan dez, Kathy
NPDES lnsp. Req'd: ' No
Date: 0712112021
Date. OT 12212021
Date. 0712212021
Subject to Field:
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Tota!
07776002
07776002
07776002
08907007
07776002
07776002
07776002
57607
53600
57770
24000
57672
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
SMIP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Totat
Paid to Date:
Balance Due:
$1 56 00
$1+1 .60
$4.05
$3 e0
$2 00
$23.79
$5e 30
$390 64
$0 00
$390.64
PWA lnsp. Req'd: No
Planning lnsp. Req'd. No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#
Landscaping lnsp. Req'd: No 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 afterits 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
01116002 51612
01 1 16002 53600
01 1 16002 57770
08901001 24000
$23 7e
$21 5.30
$2 00
$141 .60
$4.0s
$3.e0
lnspector MID#: 2021-167534
u
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a
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.GOMMENTS OWNER BUILDER DELCARATION
I hcrcby allirm undo pmalty of pojury thst I m excmpt from the ContractoF' Licere law for thc following r6qn (Ss.7031.5
Businos md Prof*ion Code): Any City or County which requirs a po'mit to con3ruct, alt6, improvq danolish or repair u!
structrc, prior to its issuilcc, slso rcquirG thc applicot for such pemit to file a signed statmot that hc or shc b licmcd pGuel
to thc prcvisioN of the Contractor's Licenscd taw (Chapt6 9. Commcing with Sction 7000 of Division 3 of thc Busincslud
Prcfcsions Codc) or that he or shc is cxempt thEefiom md thc b6is for the alleged exmpion. Any violation of S6tiotr 7011.5 by ily
applicantforapermitsubjetsthc applicettoacivilp€naltyofnotmorcthdfivehundreddollus($500).
_1. as owner of the propefly, or my cmployecs with wages as their sole compexsation. willdo the work and the strwturc is not
intcnded or offered for sale (Sec.7044. Business and hofessions Code: The Contractor's License larv does not apply to an owncr of
the proSro'ty rvho builds or improves thereon. and who does such work himself or herself or through his or her own employees.
provided that such improvonents are not intendcd or offered for sale. If. howet/er. the building or improvement is sold within one ),ear
of cornplaion. the Orrner Buitder will have the hrden of proving thd he or she did not build or improve the property for the purpose of
sale).
_1. as owner of the property. am cxclusively contracting with licensed contractors to construct thc project (Sec. 7044. Business
and hofession Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a Contractor{s) licensed pursuant to the Contractor's Licerse law).
-l
am exempt under Section-, B. & P.C. for this reason.
Date:
WORKERS' COMPENSATION
DECLARATTON
I hereby a(Tirm under penalty of perjury one of the follorving declarations:
_l have and will maintain a Certifrcate of Conscnt to Self-lnsure for workers' compersation, as provided for by Section 3700 of thc
labor Code. for the performance of the work for which the permit is issued.
_l have and rvill maintain workers' cornpensation insurance. as required by Section 3700 of the Labor Code. for the perfonnance of
the work for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Policy
_l cenify that in the performance of the work for which this permit is issued. I shall not
so as to becorne subject to the workers' compensation laws of California, and agree that if I
employ any person in any manner -
should-become subject to the I
Labor Code, I shall. forthrvilh with those provisions.
and shall an and
civil fines up to one hundred thousand dollars ($100.000),the cost ttre
Section
f)o lo.
3076 of $e LabogCode,
7 lLLlur
interest and attorney's fees.
I hcreby affirrn under penalty of perjury that I am licensed under provision of Chapter 9 (comrnencing with Section 7000) of Division 3
of the Business and Professions Code, and my license is in full force and effect.
License 3 71 7)
L
I hmby affm undc pcnalty of pcrjury that thsc b a @n*ructiotr knding agrey for the pcfomcc of thc work for which this pqnh b
isucd (Sc. 3097, Civ. C.).
Lender's Name:
Lcnder's Address:
APPLICANT DECLARATION
I hereb}, aflinn undcr pcnalty of perjury one of the following declarations:
Dernolition Permits-Asbestos Notification Federal Regulations (Title 40, Part6)
-Rcquired
Letter of Notification
_l ccrtiS that the federal regulations regarding asbestos removal are not applicable to this project.
_l ccrtify that I have read this information is correct. I agree to cornply with all City and County
ordinanccs and State laws relating authorize represertatives of this City and County to
above mentioned property for
Applicant or Agent
Permilee nnme (print):
to
Z
enter upon the
Set Backs
Forms/Steel/Holdowns ?-q- ct rGl.rcr, qfr Pk &u-rr F? oL-
Erection Pads
UFER Ground
SLAB Floor
Su bfloor/Ve nU! n s u latio n
Roof Sheathinq
Shear Wall
Framing
!nsu lation/Energy
Drywall
Ext./!nt. Lath
Brown Coat
Masonrv
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif rA
0V V pi.r?l.th_a -Ze-A *,ffLitlL/ l /
FINAL l6-t t 4-t (
-?rlzGertificate of Occupancy
Notes, Remarks, Etc.
('rrrr icl'
to
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