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Home My WebLink About101103234 - Permit (2)ildingcity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Bu Permit Counter: (714)647-5800 lnspection Requests: (714)667-2738 lnspector Section. (714)647-5853 Proiect Addressi 2120 N Rosewood Ave Unit Bldg: Address Range Permit #:1fl11o3234 Pin #: 43597 Surte Range: Zoning: RlAssessor's Parcel, 001-161-20 Lot. 12 Block NA lracl.2171 Historic: No Building Use. Job Type: Nature of Work. Exrstrng Bldg & Use Proposed Use Single Family Dwelling Alteration Windows Sfd w/att garage Occupancy: Constr Type: Code: Flood Zone: # of Stories R-3, U VB cBc 2019 x-0602320144J 2 1st FL Area: 2nd FL Area: Other Areas. Garage Area Total: Patio: T.l.Area. Yards Req'd: Valuation: Description of Work: Change-out (7) windows & (2) exterior doors in existing openings. Planning Conditions $8,600.00 Botch*:5{512 - 2/24/2t)2t-t ID: nmorcilegl.l, 0f f ice: CTYH Trans*: I I c,{' LAcct*: Ref*: ll:r111-t:i?J/, Rcpt,+:02900214 - 2/24/2tt2(r 8:3? Arl Tronenrt ion Intnl t?55-:it1 Owner Address: Phone Tenant Martha&RebecaANelson 2120 N Rosewood Ave Santa Ana, CA 927061916 (7141319-4467 Contractor. Renewal by Andersen Oranl Address: 22982 Alcalde Drive, Unit 10 Laguna Hills, CA 92653 Phone: (7141 259-5120 State Lic # 990416 Lic Type: B, O-24, C-17, D-21 Bus Lic #: 349936 Workers' Compensatron lnsurance: Carrier, Old Republic Policy #: MWC31415819 Expires: 1OlO1l2O2O Engineer: Address: Phone: License #: Architect / Desiqner: Address: Phone: License #: Retreufll by Andersen Ornnse (:o Building trl I 16trtr2- 516tr100[- Generol Plon Update Fee rrl 1 16002- 5160u(r0t:t-Blds Stds Revolving r:rl I 16002- 516l?(r00-llicrofiln & Docurents r"rl I 16002* 5777t"rtr.rrr- V iso C(:+ : rrr*r***r*rr5935 't.l1J . / n i2.2.91 tl .l-lll t7 .i32 $?:5.5r1 Auth*: tt16-';37 Planning Approval By: Plan Checked By: Perrnit lssued By: I NPDES lnsp Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Guevara, Jerry Amsden, Julie Date. 02l2Ol2O2O Date: Dale'. 0212412O20 Subject to Field: Misc. Receipt: Misc. Receipt. Misc. Receipt: 07776002 07716002 07776002 0777'6002 07776002 Permit Fee Ivlicrofilm Records Bldg. Stds. Revolving General Plan Update lssuance 57607 5777 0 57672 57600 57507 $166.53 $7.82 $1.00 $22.95 $57.20 Fire lnsp. Req'd: Police lnsp. Req'd: No No Account#TotalNo NoLandscaping lnsp Req'd Flood Zone Cert. Req'd: No 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 the site by such permit ls suspended or abandoned for a period of360 days after the time the work is commenced 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01116002 57770 $22.9s 9223 73 $1.00 $7 82 Fee Total. Paid to Date Balance Due: $255 50 $0 00 $2s5.50 lnspector MID#: 2020-157946 BUILDING. INSPECTOR RECORD Rev.08-07-2015 SITE-WORK DATE ID/SIG.COMMENTS oWNER BUlt,l)ER l)lll-CARA'IION Iherebyaffirn)unde(penaltyofperjurythalIamcxemptfronrtheContractos Licensclrwforthefollowingrca$n(Scc.7031.5 llusincss and Prolcssion Code)r Any City or Counly which rcquircs a lErmit lo con\truct. altcr. irnprovc, dcmlish or rcpair any stnrcturc. prior () its issuance. alro requires lhe applicanl tbr such pâ‚¬rmit lo tile u signed slalement lhat he or she i{ licensed pursuant to lhc pmvisions ol-lhe Contracor's l,iccnsed liw (Chapler 9. Cohhcncing with Section 7(XX) ol'Division I oI lhe Busincss and ProlessionsCode)orthatheo,\lEiserempttheretromandllEhrsisfbrtlEallegedexemption. AnyviolarionofSecrionT03l.Sbyany npplicant for a pcnnit subjecls thc applicant to r civil pennlty of nol mre thnn llve hundred dollars ($5U)). _1, N owncr ol lhc pro[rcrly, or my crnployecs wilh wagcs as thcir solc cornpcnsalion, willdo lhc work and lhc \truclurc is not ir{eriled oroftercdforsale(Sa.?(N,{.BusircssandPmfessiorsCoderTheConlrxck)r'sLicenseliwdoesnotapplyloanownerof thepmpcny wlx)buildsorimprovcslher@[urlwhod(EssuchworkhimselforlErselforlhroushhisorlrerowilemployees. pr()\idcdlhalsuch irnpmvcrrcntrtrcretinlerdcdorr)ll'crcdlorsrlc. Il.hoscvcr.lh.buildingorirn0rovcmntissUwilhinoncycar ofconpleli(n\ lhc Owner Builder will have the buRlen of pmvinS that lE or she did not huild r)r impmve the pr)Fny for tlre pu4xrse o[ snlc). _1, a$ owner of lhc propcny, am axclusivcly contraclinS with Iiccn*d conlrack)rs Io conslrucl thc prcject (Sec. 7014, Business arxl holissir Crxle: The Conlrachr's License Law does nol apply to an owner of propeny who builds or inrproves lhereon. and who contracts for such p(rjccts wilh r Contracto(s) licen*d pursuanl xi thc Contraclor's Liccnse kw). -lilmexemptuilderSection-,B,&P,c,1ilthisrcas(,D, WORKtr]lLS' CoMPENSA'IION I hcrcby allirm under pcnaly ofperjury one ot,t" tnft*ingffi / -l have arxl will nBinlain a Ccn illcatc of Corscnt to Selllnsurc for workers' compeDsation, as pmvidcd for by Scction 3?00 of rh. - -lrhor Codc, for thc Jrrlormmc of thc uork l'i)r whrch rtE frcrmir N i\\uedOL t'-llrrveanrlwillmaintainworkes (ompensslioninsurance,as râ‚¬quiredbySection3?00oftheLaborCode,forthcperfornurccof . rtr work tbr which lhis permir is issued. My workcN' compcnsation insurun;c clricr und F)licy numbcr tre:'/.*-, OLD psNgr-lo i r.,.r *,,,*.. -l ccriti that in thc perfbrnrancc of the work t)r which this prnril is issucd, I shall not enrpkry any pcrson in uny manner $ as to bccorE suhjccl to the workcrs' conrpcnsation laws of Calilbnria. and agrcc lhal if I slnuld [rccorm suhjcct lo thc worlcrs conrpcnsatioD provi\ions ofSaction 37G0ofrhe Labor (ixle, I shall, fonhwith ronlply with rlrcs prcvisions. WARNING: Irailurc rr sccurc workers'compcnsution covcngc is unlswful. md shnll subjcq im cmploycr k, oiminrl Fnaltics md civil llnes up to one hundred lhousand dollxrs ($l(X).UXD. in trddilion lo lhe cost ofconrpensation, damngcs as provided for the SectirD -1076 Codc, irileresl an(l rtt)rney s tles.J (+e.r..t LI( ENSl,ll) ( ()N'tR,\(1()R I)ti( t./\R,\'t'()N I hcreby all'iiln undcr pcnahy ol pcr.jury that I am liccnscd undcr provision ol'Chaplcr I (cornmcncing wilh Section 7000) ol Division 3 ol thc Busincsr and Profcssirrns Code. and nrv liccnsc is in tull li)rcc ud cllicl. //Liccnsc Nurnhcr:49o'tr t- z! CONSTRT'CTION I,I.]NDINC AGI.]NCY I herehy atlirm under lxnalty of pcriury that lherc is a constnrctirrr lerdilg ageney Lr the pcrfrrrnrance of the work fi)r which lhis pcrnrit is issucrl (Scc. lt)9?. Civ. C.). LcD,l.'r's Nunrc. kn,lcr's Addrcsr: APPLICANT DNCLARATION I lrreby aflm undcr penalty of perjury one of the followirB dslaralions; Dcnrulition Permit$-Asbestos Ndification Fedcral ReSulalions (Title {0, Pa(6) _Required trttcr of Notification _l cenity rhar rhe lederal rshcslos renx)vrl are not at)t)licrhle ro this pr)icct. -l .enify thdl I lxrvc read this that lhe rbovc infomution is corect. I agre to comply wilh all City oftlinances and State Laws reL[irlg nnd hercby authorize rcpresernativcs ofthis Crty aM Co[ilty lo uprn tlrc atxrtc nrcntioncrl propcty tbr Applicont or Agcnt \ I'rmrilee nahc (prinl):@orY ion ?lotw ty ,7D Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVl nsu lation Roof Sheathinq Shear Wall Framinq lnsulation/Enerqy Drvwall Ext./lnt. Lath Brown Coat lt/asonry Pool Fence 1 T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif .t I I --\ FINAL 7//7/n N'M 2r/ Certificate of Occu Notes, Remarks, Etc.