HomeMy WebLinkAbout101106897 - PermitProject Address: 2056 S Orange Ave
Assessor's Parcel: 403-1 62-14 Lot: POR 15
Unit:Bldg: Address Range:Suite Range:
Zoning: R2Block: E Tract. 284 Historic: No
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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA927O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 101106897
Pin #: 66469
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Building Use:
Job Type:
Nature of Work:
Existing Bldg & Use:
Proposed Use.
Single Family Dwelling
Miscellaneous
Windows
SFD
Occupancy:
Constr Type:
Code.
Flood Zone'.
# of Stories:
R-3, U
VB
cBc 2019
x-0602320276J
1st FL Area
2nd FL Area
Other Areas.
Garage Area:
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $9,000.00
Description of Work: Change out a tota! of (6) windows, like for like. Owner form on file.
Planning Conditions:
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: 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
Orozco, lvan
Zuniga,AISSry
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
07776002
07776002
07776002
57607
57770
57672
s7600
57607
Fee Totat
Paid to Date:
Balance Due:
$172 64
$4 0s
$1 00
$23 79
$5e 30
$260 78
$0 00
$260.78
Account#Total
Every permitissued shall become invalid unless the work on the site authorized by
such pbrmit 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#: 2021-166605
01 1 16002 51600
01116002 s1601
01 1 16002 51612
01116002 57770
$23 79
$231 .94
$1.00
$4 0s
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG COMMENTS OWNER BUILDER DALCARATION
I hercby offtrm undcr penalty of pcrjury thal I m cxctrrpt frcm thc ContodoB' Liccn* bw for thc followhu rcasn (t'.7031.5 .
Busincss and Profcssion Codc): Any City or County whhh rcquires a JErmit to consruct, ahs. imprcve, dcmlish cr rEpair my
structurc, lrior to its issuancc, alm rcquires thc applicant for such Frmit to file a signcd statcrcnt that hc or she is liccnsd puzuilt
to thc pmvisions of thc Contractor's Liccnsd kw (Chrylcr 9, Comrcncing wilh Section 7000 of Division 3 of lhc Busircss and
Prcfcssions Codc) or that hc or shc is excmpt thercfrom and lhc basis for lhe allcgcd cxcmplion. Any violation of Scctbn 703 1.5 by any
applicunt for a pcrmit subjcts the applicant to a civil pcmlty of not morc than fivc hundrcd dolles ($50O).
_1. as owncr of the propcrty. or my employees with wages as their solc comlrcnsation. will do thc work and tlrc stnrcturc ls not
intendcd or offercd for salc (Scrc.7o44. Business and hofessions Codc: The Contractor's Licensc [.aw docs not apply to an owncr of
the propcrty who builds or improvcs thcreon, and who does such work hinrsclf or hcrself or through his or hcr own employees.
providcd that such improvcnrcnts are not intcnded or offcrcd for salc. If, howcvcr. thc building or improvcnrtlt is sold within onc ycar
of complction, thc Owner Buildcr will have thc burdcn of proving that hc or shc did not build or improvc tlre propcrry for thc purynsc of
salc).
_1. as owncr of thc propcrty. atn cxclusivcly contracting with liccnsed conlractoni lo construct thc project (Scc. 7M4. Busincss
and Profcssion Codc: The Contractor's Licensc Law docs not apply lo an owner of progrcrty who builds or improvcs thcrcon.
and
-I
who contrilcts for such projects with a Contractor(s) liccnscd pursuant to thc Contractor's License Law).
& I'}.C. for this rcaton.
WORKI.' RS' CONI IDI'NSA'II( )N
DECLARATION
I hercby affirm undcr pcnalty of perjury onc of the following dcclarations:
_l havc and will rnaintain a Certificate of Consent to Self-lnsure for workers' conlpcnsation, as providcd for by Section 3700 of the
labor Codc. for the pcrformancc of thc work for which the pcrnrit is issucd.
_l havc and will maintain workcrs' cotnpensation insurancc, as rcquircd by Scction 3700 of thc Labor Codc, for thc pcrformancc of
thc work for which this pcrmit is issued. My workcrs' compensation insurance carricr and plicy number arc:
Policy
_l ccrtify that in thc performancc of thc work for which this pcrmit is issucd, I shall not cmploy any pcrson in any ntanner
so as to bcconrc subjcct to thc workers' compensation laws of California. and agrce thut if I should becomc subjcct to thc
workcrs' comlrcnsation provisions of Scction 3700 of thc [:bor Code. I shall. forthwith comply with thosc provisions.
WARNING: Failure to sccurc workcrs' compensation coveragc is unlawful. and shall subjcct an employcr to criminal pcnaltics and
civil fincs up to onc hundrcd thousand dollars in addition to thc cost of conrpcnsation, danutges us providcd lbr the
Section 3076 of thc intcrcst and
)
DF'CLARATION
I hcrcby affirm undcr pcnalty of pcrjury that I am liccnsc<l under provision of Chaptcr 9 (comnrcncing with Scction 7m0) of Division 3
of thc Busincss and Profcssions Codc, and my liccnsc is in full forcc and etfect.
Licensc Class: Liccnse Number:
Date:
W
I hercby atfirm undcr Fnalty of Frjury that thrc is a @nstructk n hnding ugency for thc pcrformne of thc work for which this lEmit is
issucd (Scc. 3097. Civ. C.).
Lrndcr's Addrcss:
APPI ICANT DECLARATION
I lrreby affrrm undcr pnalty of prjury one of thc following dcclarations:
Dcmolition Permits-Asbestos Notification Fcderal Rcgulations (Titlc 40, Part6)
-Rcquired
lrtter of Notification
_l\Cgify that thc fcdcral rcgulations regarding asbestos rcnnrvalare not applicablc to this projcct.
_l ccrlity that I havc rcad this npplication and stalc lhat thc atnvc irtfornration
i
all City and County
ordinanccs and Statc [-aws rclating to building construction. and hcrcby authorizc upn thc
above rncntioncd propcrty for
Applicant or Agent
I'crnritce nnnle
purF)ses.0
to
)
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/VenVl n su I atio n
Roof Sheathinq
Shear Wall
Framinq
lnsulatio nlEnergy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputv Final Report
Enqineer Final Report
Flood Zone Certif
lr A
FINAL tst [0.\'7,\bt4.if C {
Certificate of Occupancy I l
Notes, Remarks, Etc
Data
-Expires:
Contractor:-
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