HomeMy WebLinkAbout10198832 - Permit (2)Project Address: 1809 N Louise St
Assessor's Parcel 399-08'l -13 Lol.2
Bldg: Address Range Suite Rangel
Zoning: RlBlock: NA Tract 1739 Hisloric. No
City of Santa Ana 20 Civic center Plaza (M-19), Santa Ana, cA 92702 Building
PermitCounter: (7'14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1Or98832
Pin #: 24{q3
Building Use: Single Family Dwelling Occupancy: R-3, U 'l st FL Area: 235 Patio: 157
Job Type: Addition Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Additionrpatio Cover Code: CBC 2016
Existing Bldg. & Use: sFo w/d6t garage Frood zone: x-0602320144J olher Areas: Yards Req'd:
Garage Area: Valuation: $25,000.00
Proposed Use: # of Stories: Totat: 235
Description of Work: Oemo shed attached to garage; athouse, remove attached patiocover& construct new235sf dining room addition with attachod
'l57sf patio cover at back of house. Remove interior wall and double.sidcd gas fireplace &
Planning Conditions: Addition to match existing material and color of SFD.
see-throu gh as fire lace.
Owner:
Address
Phone:
Tenant:
Andres Marlinez
1809 N LOUISE ST
Santa Ana, CA 927063438
(7141724-62',t2
Owner-Builder
Engineer
Address:
vP Home
Ben Phan
1 154'l Elizabeth Street
Garden Grove, CA 92840
17141.2514537
57550
Midway Arca
'16912 Gothard Street, Unit M
Huntington Beach, CA 92647
,17't4l251-2490
Phone:
Slate Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #i
Expires:
Architect /
Desiqnerl
Address:
Phone.
License #:
Phone:
License #:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd:
Fire lnsp. Req'd:
Police lnsp Req'd
No
No Account#
Flores, lvan Date: 01/07/2019 Misc. Receipt
Scott Fazekas & Assoc. Date: 04/09/2019 Misc Receipt
Amsden. Julie Date: 0G/18/2019 Misc. Receipl
Subject to Field:
12022
07776002
0 77 76002
07776002
08 9 0700 7
07776002
o 17760 0 2
0 77760 0 2
5760 7
53600
57770
24000
57612
57600
57607
Permit Fee
Plan Check Fee
Microfilm Records
SlVllP - Category 1
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
No Flood Zone Cert. Req'd: No 01116002 S1600
Every permit issued shall become invalid unless lhe work otl the site authoized by
such permit is commenced within360 days after its issuance,or if the wo* authoized
on the site by such pemlil is suspended or abandoned fot a period of360 days after
the time lhe wotk is cootmenced
lnspector MID#: 2019-148628
01 1 16002 51601
01 116002 51612
t1116002 57770
0890100't 24000
$22.O8
$505.04
$1.00
$37.60
$3.25
$961.22
$392.25
$s68.97
Unit:
Contractor:
Address.
Planning Approval By:
Fee Total:
Paid to Date:
Balance Due:
$450.00
$392.25
$37.60
$3.25
$1.00
$22.O8
$55.04Total
BUILDING- INSPECTOR RECORD
DATE ID/SIG.COMMENTS O$NI'R BUIT,DI'R DET,('ARA NON
I hcr.lry aflirh unds pEairy orrerjun rhar I m crcnrpr lmm !t. ConradoE Licd* lar a.r rh. folld\in8 reie. (Se 70115
LhsirLss and Proa6bn (ode): Anr- (nt or (ounr! rvnich rrlunB. Fnnil ro.onsirucr. alle. inrprcve denolish or rqtir nily
{o(xtrc. pdortu ns issu. ce. fto rcqtrirs rlE.pplic.nr lor srh pmn to lilc a sisned slalon{l rhal heorsh. is li..nscd l,un anr
ro ihc Fo\isio$ oarlE conrri.rois Li.cn*d I-a\'(( h.prd r). ( (nnnrri.in* \dh Sdion 7000 olDnisioo ! ofrhe Bunnsi and
ProrcssionsCodc)orihalheorshcisc\enrplrhs.aronrnndrlEtashaorlhcnllqedclmrxion.AnyviolalionorSdmnT0rl5hlan!
amlicanr ror a !.flni suhj(arh. aptlicanr ro aciulpcnalryofnor moErn,' fiy.hrnrti.ddollds($500)
Lsownrolrh€lrope1l.orfly€nrployGsilhs.Bssrhenskcomrensalon.silldolh€so*adlhesro.lu.i!.ot
rnrsdcd or orlecd lor sle (56 70J4. Businss dd Pm[sn]ns Cods'lhc Q)naact*i l-i.ds.lrlv do6nor.p!lylo nn o\rnd of
rhe l,spdy \ ho boil& o. i'npre\ 6 ihson. 0.d who &6 str h s od nnnsclf or nds€ll or lhrourt his or hs o\T cmplo)e6.
pturid.d rh.t such inlrovmnB e nor inrmd.d or olld€<l lor eL ll hos ( a, th. hnildin! or iryrcy.m.m is eld Nirhin on. ,ar
oaco'nplclion. rhe (\\ ncr Buiktd \yill Mrr rhc hldo of prorin! rhar h. or sh€ did nor huild or imrm\ c rh. FoFn! for Ih. pr[Jss oa
elel
l. as.\rnd.arhe Eordt, an.i.luiv.lyconra.'in! \ln[ li.ei..d..nha.hsro.otrsttr.t nr projrt (Sa. 7041. Rs'n$
and ltof66iI ('ode: l hc Co ractois l,iccnsc hr doe nol applr- io an o\ n6 o l proErl y Nho blilds or ihpo.s rh6$n.
,trd $ho contacri lor su.h pi.jeck \irh a contr&k(t hre6.d trBtram ki rh( (bntra.br-s Li.emc La$)
l.h.\r 1 trid$ Se.(i(rr
Dslc osrer:
$oxK0Rs' coNPtm,saiI(,ri
DECTAAAUOI
I htrcbt afinn lodd Fnahtofpdjury otr. oarh. follo\i.g detmrions:
I harc d sill nuintai! a Ccn ificar. ol Co6dr ro Srlllnsurc fttr \ ork6 .onposrnJn, a l'or id.d nr b! Sdion I Tctr of rh.
l-obor Codc forthepdlonnonccoflhc\o fo! \vhich lhc p6mn n isucd
Iha!.andsillnai.rain\r.rk.u .onF.ma'ion incur.n...4 r.qrnedb!s&lionlT00oalhct lFr (tdc.lo! tte psfonnaice ol
rh. sort fo.whichlhis p.mn is is ed My\ork6s compdsrion insur..c. ctrd6 and policy numh.r ec
l.enifyrhar in rh. Frform.nc. ofrfu *orl ld shich rhis tdmn is issu.d, I sh.ll nor dnploy ony !.rcon in 0nymanner
s 6lob..omc hjd lo I h. $orlGl olnpasl ion la$ s of( rlifo,nia. md asre lh ir| sh.uld b.conc subj(r ioth.
\od(6J compdsalio. prornions oiSdion:r700 ollhe l-.bo. Code I sh.ll. fonh(ilh comply Nilh rhosepmviri.is
wARNIN(;: F.ilu( tu ruft \vorkas' comr.netnrn Lo\sa8. is unla\ iul. and sh0ll sut d a. dnploi"o Io aininal FEki6 !.d _
cilil nn.s trp b on. hundEd rnnN.nd doll0N ($100.000). in 0ddirion lo rlrc con o f co'nlEnsar ion. darares ar prt\'idud aor lhe
Sdiion 1076 of rh. ktior Ode imtr6' md 0tromc, s ac
_ Applidnl:_
llc!!ffDtoxlnac]lla
DE('IARATllTN
I herlhy amrm unds Doalry ofrcrjuy that I anr liceis€d und.r [ro\ision orchdflc 9 (.ohnmcin! sirh se.lion 7000) olDn isi.n l
of rhe Itusin6s Md Pma6sions(ode. md vliccBc is in lull torccandefi(r
ffi*.-'
r!-t8t!l: rlD!(!aair!a!
I h6drl.lllm tr.d€r pcn.lry olpcrjury one ollhe roll$\iu dalnrslbns:
DcnFlirion Pennns-AsbarosNotincdtun l,edsal Rcruldions(lirlel0. I'an6)
R.q0n.d L.trs of Nolif€tion
I corify thar rhe tudal r€xuldioB rcgedins 6b6ros rmoral ae .or appli.abl. ro lhls p6jd
lc.niaynhlls\cr€ad'iisappli.ationmdslatelhdtheabo\€iniornalloniscorella[rEki.onrply*ilhallCiiyind(,runry
onlinancB and Slare t,rs Elatins r. buildins consrrucrion. d hcrchy aulhorizc rqre5rdild of tlG cn, dd counr-! ro mr6 uFn rhe
abole nmrioncd prcpeny lor insp.dion !urp.sB.
\l,plicrnt o, Ap.trt Sis altrrr
Set Backs
Forms/Steel/Holdowns I
I ll t2.
Erection Pads I t1 /v4!.1
UFER Ground 10 (ty
SLAB Floor 7
Subf loor/VenVlnsu lation
Roof Sheathing ll
Shear Wall ll ',I%tuott
Framing /J1 o4/1t/o z{,"'.?
ln s u lation/Energy 7/4 Miltt&YAY-P-
Drywall Elt AUor,luJ (avt
Ext./lpt. Lath
Bro Coat
Ivla n
Pool Fence
T-Bar
Handicap Req
Deputy Final Re port
Engineer Final Report
/),floo( Jone Cprtif I
i (,'40ic g,&1['w"
tl
FINAL 2-te-?)
Certificate of Occupancy
Notes , Remarks, Etc
t.hrts
^. Wtltt<tfrYt frx Vll^
i ll n s0 I 11,4
SITE-WORK
CQIiIaUqIIOIiIIIDIIG ElcI
I h€rlby aflinr trnds pgalry of!.rjury rhar rh6c is a consrrucrnrn hdins asdcy for rhc p6fomrnnc. ofrh. work aor vhichlhis p6mn t
ksu.d(Se 1097, Civ C)
I crdc' \ \d1c
l1
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CITY OF SANTA ANA
PLANNINC & BUILDINC ACENCY
20 Civlc Center Plaza
P.O. Box I 988 . Santa Ana, California 927A2
www.Santa-ana.org r' pba
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at n^bU
CITY MANAGER
Baul Godinez ll
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
[,4aria D. Huizar
0 rlt e
We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware of
your responsibilit,es and possible risk you may incur by having this permit issued in your names as the Owner-Builder.
We will nol issue a building permit until you have read, initialed your understanding of each provision, signed, and relurned
this lorm to us at our olficial address indicated. An agent ol the owner cannot execute this notice unless you, the property
owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signily you understand or verify this intormation.
h-!1L1. I undersland a lrequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildea'
building permit that erroneously implies lhat the property owner is providing his or her own labor and material personally. l,
as an Owner-Builder, may be held liable and subject to serious financial risk lor any injuries sustained by an unlicensed
person and his or her employees while working on my property. [/y homeownels insurance may not provide coverage for
those injuries. I am willlully acting as an Owner-Builder and am aware of the limits ol my insurance coverage for injuries to
workers on my property.
[1A-r. I understand building permits are not required to be signed by property owners unless they are responsible for- the construction and are not hiring a licensed Contractor to assume this responsibility.
/ vvt ,I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may
protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name
instead of my own.
& l\-+. I understand Contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
A hl U. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the
total value of my construclion is at least five hundred dollars ($500), including labor and materials, I may be considered an
"employer" under state and lederal law.
IL A_r- I understand il I am considered an "employer" under state and Federal law, I must register with the state and
federal government, withhold payroll 1axes, provide workers' compensalion disability insurance, and contribute to
unemployment compensation of each "employee." I also understand my lailure to abide by these laws may subject me to
serious financial risk.
c lttoA
eM_7. I understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily
residential struclures cannot legally build them with the intent to ofler them lor sale, unless a// work is performed by
SANTA ANA CIry COUNC]L
moul do@santa-ana.oro
Mayor Pro Tem, Ward 2
mimninez@sanla ana.oro isolono@sa.ta'ana orc
P. David Benav des
dbenav des@sanra.ana.ord ivilleoas@sanla-ana.oro slnaiero@santa a.a.oro
I\,4AYOR
MiguelA. Pulido
IVAYOR PRO TEIVl
Michele l\,4artinez
COU NC ILIV E I\,,!B E R S
P. David Benavides
Vacente Sarmiento
Jose Solorio
SalTinajero
Juan Villegas
Vrente S.rm'enlo
vsarmlenro@sanra-ana oro
7
a
a
licensed subcontraclors and the number of structures does not exceed four within any calendar years, or all of the worK is.
performed under contract with a licensed general building Contractor.
[,4'\ a. t understand as an OwnerBuilder if I sell the property for which this permit is issued, I may be held liable for any
Iinancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction delects in the
workmanship or materials.
CILn. , understand I may obtain more in{ormation regarding my obligations as an "employer" from the lnternal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the
California Division of lndustrial Accidents. I also understand I may conlact the Calilornia Contractors' State License Board
(CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors.
A- IA ,O.l am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am
the party legally and Iinancially responsible lor proposed construction activity at the following
address
/l tlA r.l agree that, as the party legally and financially responsible {or this proposed construction activity. I will abide by" all applicable laws and requirements that govern Owner-Builders as well as employers.
k LlLtz I agree to notify the issuer of this torm immediately of any additions, deletions, or changes to any of the
inf ormation I have provided on this form.
Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not
have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain
as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important for
you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your
property, you may be held liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will
be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form musl be completed and signed by the property owner and
returned to the agency responsible lor issuing the permil. ,Vote.' A coDV of the proDertv owner's driver's license.
form notarization. or other tion acceDtable to the aqencv is required to be ted when the Dermit is
Signature of Property Owner 144 *^Date: b
Print name of Owner V\A YLS a_
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner. the execution oi which I understand is my personal responsibility, I hereby authorize the
lollowlng person(s) to act as my agent(s) to apply 1or, sign, and file the documents necessary to obtain an Owner-Bullder Permit for my
project. ,/
Scope ol Construction Projecl (or Description rtrWork)
Project Location or Address
Name of Authorized Agent
Address of Authorized Agent
Phone Number of Authoriz Agent
ldeclare under penal f perjury that I am the property owner d I personally lilled out the above
nforrnatron and ce its accuracy
Property Owne gnatu re Date
Prlnt N bf Owner
Note copy ol the owner's driver's license,notarization, or o tion acceptable to the agency is required to
ted when the permit is issued to ty the properTy o signature,
3 r4 ?,.ra
SANTA AN COU NC IL
he address listed above
mou do@sanla ana.oro
Mayor Pro Tem. Ward 2
mrman nez@sanla.ana.oro vsarm entc@sanra a.a.ro isoloro@santa-ana oro
P Davd Beiav,des
dbenav des@santa-a.a oro Nrlieoas@sanla'ana oro s!naiero@sa.la ana.oro
issued to verifv the DroDertv owner's sionature.
L
ED CASTRO
3364 PASEO HALCON
SAN CLEMENTE, C492672
Cell 1714\ 328-0267 . Fax (949) 493-6447
ed-sylviacastro@cox.net
SPECIAL
INSPECTOH'S BEPORT
tr FEINFONCEO CONCRETE
tr POST.TENSIONEDCONCFETE
tr REINFORCEO MASONRY
COVERING WORK PENFORMED
WHICH BEOUIFEO APPROVAL BY
THE SPECIAL INSPECTOR OF
BLOG PERMII NO loiqAbAL'il u-tla.z-, * A { /;l',bJ()8 NA[!E
CONTFACIOE A)L.s n.rlitiz.,,/, L.oui^e *r- s-.all{A)a.92vaLJO8 ADDFESSt6a9
SU8 CONIFACIONs,( rn rqb
LAB TEST N6 SAMPLTSBc"l PD'ENG I,IEE6
CERTtf|CATt0N 0F CoMPLIANCE: All of the reponed work, unless olheruse noted, complies wilh approved plans, specitications and applicable
sections ot the unalorm building codes. Thrs repon cove.s lhe locations 0t lhe work insp€cted only and does not constitute engineering opinion or
proiect control.
OTHER CODES REOUIf,ED:
lNPECTION DATE
-Xcrq INSPECTED THE FOLLOWING WORKS:
*
t4
6,Ll v
O<z ,O\
MATERIAL INFORMATION: CONCRETE tr GBOUTtr MORTARtr OTHERtr
SAi/PLES CASTADMIXSUPPLIERIVIX NO
YDS- PLACEDSLUMPTYPE:SPEC, PS,I
tA 2,ol ltz?a4 H. ICL
CEFT NUMBES
Dale Slan Stop Beg. Hours OT Hours Mileaqe Billing Address All inspections based
on a minimum ol 4
hours&over4hours
- I hour minimum ln
addition, any inspec-
tion ext€nding pasl
noon hour will be an
8 hour minimum.
1'llo4a4 Am *n)+
WHITI lo oil'o YELI0w lo lnspeclor Plt{x loConraclo,
Approved by
E] STRUCT STEELASSEMBLY
D WELDING
.I I.II.TEN BOLT NG
E] REINF STL
FEPOXYtr OTHEF
,blAt ,t/C-z-
te& J L oo t /<-
At--
,.Dt 1ED CASTRO
3364 PASEO HALCON
SAN CLEMENTE, CA92672
Cetl (714) 328-0267 Fax (949) 49s-6447
sd-sylviacastro @ cox.
df,mnmt-J--.
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t?"Le)
aeBro@lEc
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-E tErothtri tr
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@ru.
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1Fo.no
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ED CASTRO
3364 PASEO HALCON
SAN CLEMENTE, C492672
Cell (714\ 328-0267 . Fax (949) 493-6447
ed-sylviacastro@ cox. net
SPECIAL
INSPECTOR'S REPORT
E REINFORCED CONCFETE
O POST.TENSIONEDCONCRETE
tr REINFORCED MASONRY
O STRUCT. STEELASSEMBLY
D WELDING
tr HI,TEN BOLTING
tr REINF STL
tr EPOXY
E] OTHER
COVEBING WORK PERFORMED
WHICH REOUlFEO APPROVAL BY
THE SPECIAL INSPECTOB OF
BLOC PENU 1 NO
t6tq6,8?2.'0"
* or" 7o.r n! z d(-A. e \ - e ddtrzlreeu.PZ
coNraAcro. ,i,- All, tt"rttLLo. LcDtteJOet
SUSCONTNACTON (
mdba,t Ara<
LAB IESI N6 SAMPLT5Bca PhqrfTNGII'IEEF
CERTIFICATION OF COMPLIANCE
sections ot the unirorm building
projecl conlrol.
oTHER C00ES REoUlREol
ol the reDorled work, unless otherwise noted, complies wilh approved plans, specifications and applicable
Thrs reporl covers lhe localrons o, the work rnspecled only and does nol constitule engineering opinion 0r
A
codes
INSPECTED THE FOLLOWING WORKS:NSPECT ON OATE
\olQ
;Ea*v Vs\.af-o.-0*L
IL
*.4t "L 2-
i,lt
ra)x?Q,
I
tD,
I/ATERIAL INFOBMATION: CONCRETE tr GROUTtr MOBTARtr OTHER tr
SAMPLES CAST:ADt\4lXMIX NO,
YDS. PLACED:SLU [/ PSPEC, PS,I.:
--4t **^Lr-tira,,rl
Dale ol ReDo.1Si9nature or Sp.c'ai lnspeclo'
0at€Stad Stop Reg. Hours OT Hours Mi eage Billing Address
All inspeclions based
on a minimum ol 4
hours&over4hours
- 8 hour minimum. ln
addition, any inspec-
lion gxtending past
noon hour will be an
8 hour minimum.
WllIt ro ort u. YttLoW lo rnsp.cror PrN( Io Coorracror
Approved by
l'/'i'* i.-L..xl,,il-L, allJ
SUPPLIER:
7--l\PE:
ttzLz,?l Lc(J
CECT NUMEIR