HomeMy WebLinkAbout101106896 - Permitt-
Project Address: 2054 S Orange Ave
Assessor's Parcel:403-162-1s Lot: POR 15
Unit:Bldg: Address Range:Suite Range:
Zoning: R2Block: E Tract 284 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 lnspector Section: (714)647-5853
Permit #: {01106896
Pin #: 55403
t^,-,
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area
Job Type: Miscellaneous Constr Type: V B 2nd FL Area
Natureof Work: Windows/Door Code: CBC 2019 OtherAreas:
Existing Bldg. & Use: SFD Flood Zone: X-0602320276J Garage Area:
Proposed Use: # of Stories: Total
Description of Work: Change out a total of (11) windows and (1) slider door, like for Iike. Owner form on fite.
Planning Conditions:
Patio:
T. LArea:
Yards Req'd
Valuation: $e,500.00
Owner:
Address:
Phone:
Tenant
Maria Melchor
815 Beverly Pl
Santa Ana, CA 92701
(7141 277-0758
Contractor:
Address:
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation I nsurance:
Carrier:
Policy #:
Expires:
Engineer:
Address:
Phone:
License #:
Architect /
Designer:
Address:
Phone.
License #:
Planning Approval By:
Plan Checked By.
Permit lssued By.
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning Insp. Req'd:
Landscaping lnsp. Req'd
Orozco, lvan
Zuniga,Allirrrv
Date: 06/08/2021
Date:
Date: 0610812021
Subject to Field:
Misc. Receipt.
Misc. Receipt:
Misc. Receipt:
Permit Fee
Microfilm Records
Bldg. Stds. Revolving
General Plan Update
I ssuance
07776002
07776002
0 77760 0 2
07776002
07776002
5760 7
57770
57672
57600
57607
$172 64
$4.05
$1.00
$23.79
$5e 30No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd. No
No
No Account#Total
Every permitissued 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#: 2021-166601
01 1 16002 s1600
01116002 51601
01116002 51612
01 1 16002 57770
$23 79
$231 94
$1 00
$4 05 Fee Total
Paid to Date:
Balance Due
$260 78
$0 00
$260.78
BUILDING. INSPECTOR RECORD
SITE-WORK DATE ID/SIG COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf Ioor/VenVl nsu I atio n
Roof Sheathinq
Shear Wall
Framing
lnsulatio nlEnerqy
Drywall
Ext./lnt. Lath
Brown Coat
N/asonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif
l^ r {7FINALov7lDfKTT
Certificate of Occupancv
Notes, Remarks, Etc.
OWNERBUILDERDELCARATION
*,1 ,*".]|[I hcreby affrm undcr pcnalty of perjury th.t I dn cxcmpt frcm the ConlracloE' Liccnsc hw for lhc following rca
Busincss ond Profcssion Codc): Any Cily or County which rcquircs o pmit lo construcl, ulls. improve, dcmlish or rq;tr uny
structurc, prior to its irsuancc, also rcquircs the applicant for such lErmil Io lile a signcd statcrrcnt that hc or shc is liccn$d putruant
lo thc previsions of lhc Contractor's Liccn*d [aw (Chaptcr 9. Comcncing with S6tion 7000 of Division 3 of lhc Busincss ond
PmfcssionsCodc)orthathcorsheiscxcmptthcrcfmmildthcbasisforlhcallcgcdcxcmption. AnyviolalionofSctionT03l.5byany
applicrnt lbr a Jrcrmit subjccts thc applicant lo a civil pcnalty of not mrc than fivc hudrcd dollars ($500).
_1. as owncr of thc propcrty. or my enrpl<lyecs with wagcs as lhcir solc comJrcnsatiort. will do thc work aml thc stnrcturc is not
intendcd or ofl'crcd for salc (Scc.7044. Busirrcss and Professions Code: The Contraclor's Liccnsc l-aw docs not apply lo an owncr of
thc proprty who builds or ilnprovcs thcrcrn, and who docs such work hinrsclf or hcrsclf or through his or hcr own enrployccs.
providcd that such improvenrcnts arc not intcndcd or oftbred for sah. If. howcvcr, thc buikling or improverrnt is sold within one ycar
of conrphtion, thc Owncr Buildcr will have thc burdcn of proving tturt hc or shc did not buih or improve the propcrty for tfrc purposc of
sale).
_1. as owner of thc proprty. um exclusivcly contracting with liccnscd contractors lo construct thc projcct (Scc. 7W, Business
and Protbssion Codc: The Contractor's Liccnse Law docs not apply to an owncr of property who builds or improves thcrcon.
and who contracts for such projects with a Contractor(s) liccnscd pursuant to thc Contractor's Licensc [aw).
_l arn cxcrnpt B. & P.C. for this ffi
nBCtlR,{TION
I hcreby affirm undcr penalty of pcrjury onc of thc tbllowing dcclarations:
_l havc and will maintain a Ccrtificatc of Conscnt to Self-lnsurc for workcrs' cornpcnsation. as provided for by Section 37fi) of the
Labor Codc. for thc lrcrlbrmancc of thc work for which thc prmit is issucd.
_l havc and will rnaintain workcrs' conrpcnsation insurancc. .ls rcquircd by Scction 3700 of thc Labor Code, tbr the pcrformancc <lf
the work lbr which this pcrrnit is issucd. My workcrs' comlrcnsation insurancc carricr and Jrclicy nunrber arc:
Policv Numbcr: Exoires:
_l ccnify that in thc pcrformancc of thc work for which this pcrmit is issucd, I shall not cmploy any pcrson in any nlanncr
so as to bcconrc subjcct to the workcrs' conrpensation laws of California. and agrce that if I should become subjcct to thc
workcrs' comlrcnsation provisions of Section 3700 of thc [:hrr Code. I shall. tbrthwith comply with thosc provisions.
WARNING: Failurc to sccurc workcrs' compcnsation covcragc is unlawful. and shall subjcct an employcr to criminal pcnaltics and
civil lincs up to onc hundrcd thousancl dollars ($in addition to tltc cost of corttpcnsation. datnages as provided for thc
Section 3076 Codc. intcrcst artd
AlztO*
I hercby affirrn undcr pnalty of pcrjury that I am liccnscd under provision of Chapter 9 (conmrcncing with Scction 7000) of Division 3
of thc Busincss and Profiessions Codc, and rny liccnsc is in full forcc and cflcct.
Liccnse Class: License Numbcr:
Dale:Conlractor:_
W
I hcrcby afl-rm undcr lEmhy of lErjury lhat thcrc is a construction lcnding ugcrcy for thc perforrucc of thc work for which this psmit is
issucd (Scc. 3097. Civ. C.).
lrndcr's Nanrc:
[,cndcr's Addrcss:
APPLICANT DECLARATION
I hcreby affmn undcr penalty of grerjury onc of the following dcclarations:
Dcnrolition Permits-Asbestos Notification Federal Regulations (Titlc 40. Part6)
-Required
lrttcr of Notification \
_l ccrtify that thc fcdcral rcgulations rcgarding asbcstos rcmoval arc nol applicablc to this pmict.
-l
ccltig that I havc rcad rhis application and statc that the abovc informarion is corrcct. I agrcc lo comply with ail City and Counry
ordinanccs and Statc rclating to building construction.
abovc mcntioncd
Applicant or Agent
Pernritee nanre
purrnses.f
hcrcby authorizc represcntativefgrf this City and County lo cnter u;nn thc
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