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Home My WebLink About101105266 - PermitProiect Address: 2101 E Catalina Ave-a- - Assessor's Parcel: 396-1 02-07 Lot: 7 Unit:Bldg: Address Range:Suite Range: Zoning: RlBlock: NA Tract: 6501 Historic: No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: {01105266 Pin #: {5936 Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwelling Alteration C/O Slider SFD w/att garage Occupancy. Constr Type: Code Flood Zone'. # of Stories. R.3, U VB cBc 2019 x-06023201 64J 1st FL Area 2nd FL Area Other Areas: Garage Area. Total Patio. T.l.Area. Yards Req'd Valuation: $9,800.00 Description of Work Change out (e) sliding glass door-same size, same style . Planning Conditions: Owner: ' Address: Phone. Tenant Delisa Mosback 2101 E Catalina Santa Ana, CA 927057805 (7141 788-8440 Contractor. American Vision Windows lt Address: 2125 N Madera Road # A Simi Vall"y, CA 93065 Phone: (805) 582-1833 State Lic #: 778326 Lic Type: B Bus. Lic #: 310020 Workers' Compensation I nsurance. Carrier: CLEAR SPRING PROPERTY AND C Policy #: 000001 159 Expires. 0110112021 Engineer: Address: Phone: License #: Architect / Designer: Address: Phone: License #: Planning Approval By: Plan Checked By: Permit lssued By: NPDES Insp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'd. No Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 01 1 16002 57770 Arias, Fernanda Hernan dez, Kathy Date: 1112012020 Date: Date: 1112012020 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 07776002 07776002 07776002 07776002 Permit Fee Microfilm Records BIdg. Stds. Revolving Genera! Plan Update lssuance 57607 57770 57612 57600 57607 $172.64 $4.05 $1 .00 $23.79 $5e.30 Account#Total Every permit rssued shall become invalid unless the work on the site authorized by such permit is commenced within360 days afterifs 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. lnspector MID#: 2020-162880 $23.79 $231 .94 $1 00 $4.0s Fee Total Paid to Date: Balance Due: $260 78 $0.00 $260.78 BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hcreby lfftrm undcr pcnalty of pcrjury that I m cxempt ftom thc Contraclors' Liccns kw for the following rco$n (Scc.7031.5 Busincss srd Prcfcssion Codc): Any City or County which rcquircs I Fmit lo constmt, alts, improve, dcmlish or ElEir uy slructurc, prio to its issuucc. also rcquircs thc applicant for such ,rcrmit to fih a signcd stalcmnl that hc or shc is liccnsd pursuot to thc prcvisions of the Contractor's Licrtrsd tiw (Chrytcr 9. Comncing with Setion 7fi)0 of Division 3 of lhc Busircss od Profcs$ions Crdc) or that hc or she is excmpt thscfrom ard thc basis for thc allcged cxcmption. Atry violation of Setbn 703 I .5 by my upplicunt for a Frmit subj$ts thc applicant to . civil pcmlty of not mrc thil fivc hundrcd dollus ($500). _1. as owrrcr ol'lhe propcrty. or my enrpk)yccs with wagcs as thcir rclc comJrcnsation. willdo the work and the structurc is not intcrrdcd or oflcred for sale (Scc.7(X4. Business and Profcssions Codc: Thc Contractor's Licensc law docs not apply to an owncr of thc pnrJrcrty who builds or inlproves thcrcon. and who docs such work hirnsclf or hersclf or through his or hcr own employecs. providcd that such irnprovcmcnts arc not intendcd oroffcrcd for salc. lf, howclrr. thc building or irrqrnrvennnt is sokl within one year of complction. tlrc Owner Buildcr will have thc trurdcn of proving that hc or shc did not buikl or irnprovc the propcrty for thc puryxrsc of salc). _1, asowncrof thc property, amcxclusivclycontracting with liccnsed contraclorslo construct thc project (Sec. 7014, Busirrcss and Profcssion Codc: Thc Contractor's Liccnse Law does n<ll apply to an owncr of propcrty who builds or improves lherctrn. and who contracts for such pojccts with a Contractor(s) licensed pursuant to thc Contractor's License Law). -lamexemptundcrSc.ction-.B'&P.C.tbrthLsreason.I)tte:Ormer: -wonrgRs'c() DECLARATION I hcrcby affirm undcr pcnalty of pcrjury onc of thc following dcrclurations: _l have and will maintain a Ccrtificate of Consent to Sclf-lnsurc for workcrs' compcnsation. as povided for by Scction 3700 of the Labor Codc, for the pedornunce of thc work for which the permit ls issucd. _l have and will maintain workcrs' compcnsation insurarrce. as rcquircd by Section 3700 of thc Labor Code. for the pcrformarrce of thc work for which this permit is issucd. My workers' compcnsation insurance carrier and p,olicy numbcr are: Policv Numbcr: Expircs: _l certify thal in the pcrfornurrce of thc work for which this Jrernrit is issucd, I shall not cmploy any person in any rnanncr ' so as to bccome subjcct to thc workcrs' compensation laws of California. and agrcc that if I should bcconrc subjcct to thc workcrs' compcnsation provisions of Section 3700 of thc [:bor Ccxle. I shall. forthwith comply with thosc provisions. WARNING: Failurc to sccurc workers' compcnsation covcrage is unlawful. and shall subjcct an employer to criminal penalties and civil fincs up one hundrcd thousand dollars ($100.000), in lhc cost Scction thc Codc, interest and attorncy's fees. \ I lrcrcby afl'irrn undcr pcnalty of pcrjury that I arn liccnscd 9 (comrncncing with Section 7000) of Division 3 of thc Busincss and Prot'cssions Codc, arxl rny liccnsc is in t'ull forcc and cf'fcct. Liccnsc B ZC c W I hcrcby affm undcr Fmlty of Frjury thar thcrc is a snstruction lcnding agcrcy for lhc pcrforme of thc work for which this pcmil is issucd (Sec. 3097, Civ. C.). lrndcr's Nam: lrndcr's Address: APPLICANT DECI ARATION I trcrcby affrnn undcr pcnalty of Jrcrjury onc of the folklwing declarations: Denrolition Pcrmits-Asbcstos Notification Fcdcral Rcgulations (Titlc 40. Part6) -Rcqu ired lrttcr of Notification _l ccrtify that thc fcdcral rcgulations rcgarding ashcstos rcnnvalarc not applicablc to this projc'ct. -l ccrtify that I have rcad this application and statc that all City and Counly ordinanccs and Statc [:ws rclating to abovc nrcntioncd property for inspection ,\pplicant or Agent Iternritt'e nttnle zCL tcZ- lo cnter uprn lhc Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Su bf loor/VenVl nsu latio n Roof Sheathing Shear Wall .1, Framing /2-L/'A re2 rl lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat lvtof.-v lLc Z4 Jtlasonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enoineer Fina! Report Flood Zone Certif .t FINAL /uftrdo LO,,N*AE ryV Certificate of Occupancy J Notes, Remarks, Etc Rev. 08-07-201 5