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Home My WebLink About101103282 - Permit (2)City of Santa Ana 20 Civic Center Plaza (l\il-19), Santa Ana, CA 92702 Building Permit Counter: (714),647-5800 lnspection Requests: (714\ 667-2738 lnspector Sectaon: (714) 647-5853 Permit #: 1lJ11l)3282 Pin #: 8530 Proj ect Address: 405 S Birch St Unit Suite Rangel Zoning: SD40Assessor's Parcel 394-292-02 Block 14 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Multi-Family (5 or more units) Alteration Fill-ln Windows 8-Unit Apt w/att 2-car garage Occupancyl Constr Type Code: Flood Zonel # of Stories: U, R-2 VB cBc 2019 x-0602320276J 2 1st FL Areal 2nd FL Areal Other Areas: Garage Area Total: Patio: T.l.Area: Yards Req'd: Valuation:$1 ,000.00 Description of Work: Fill-in & seal (2) windows on garage & stucco area Planning Conditions: Engineer I Lt-1( 6errer A IIAF1 Owner: Addressl FELICIA MARTINEZ 10345 BRIER LN Santa Ana, CA 927051585 (7141 604-3111 Owner-Builder Address Phone: Tenant Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License # Architect / Designer: Address: 1 I 1 .1Ilr (:+ i ** * t * * i(* lt ** i(l:,t Phone: License # Planning Approval By Plan Checked By: \ o zco, lvan Date. 0212612020 Date: Dale: 0212612020 Subjecl to Field: N,4isc. Receipt lvlisc. Receipt lvlisc. Receipt 011160 0 2 0 717600 2 017760 0 2 0 771600 2 0111600 2 57607 57770 57672 57600 57607 Permit Fee l\.4icrofilm Records Bldg. Stds. Revolving General Plan Update lssuance $166.53 $3.91 $1.00 $22.95 $57.20 Permit lssued By: NPDES lnsp. Req PWA lnsp. Req'd: r i, Teri o Planning lnsp. Req'd: Landscaping lnsp. Req'd No No No Fire insp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd: No $22.95 $223.73 $1.00 $3.91 Every permit issued shall become invalid unless the wolk o, the slle authoized by such permit is comrnenced within360 days after ils issuance ot if the work authoized on the site by such permit is suspended or abandonecl fot a peiod of360 days aftet the time the work ts commenced. $25'1.59 $0.00 $251.59 MID#: 2020-158053 01 1 16002 51600 01116002 51601 01 1 't 6002 5161 2 01'116002 57770 Fee Total Paad to Date: Balance Due: Lot: POR 2 Bldg: Address Range: Tract: PALMER'S AOD Historic. No B(ltch+:l:i4i64 - 2/26/2tt2tj iDj l ufl ice: (:lTH 'lrons+! 1gA,:r:Ui: Fei+: l|1 R.pt+ I tr?90?898 - i/76/1t'?tt 121 Trsnssct ion Totnl $251 Contraclor: Address: Aulh*:1 lnspector BUILDING- INSPECTOR RECORO SITE-WOHK DATE ID/SIG.COMMENTS OWNItR Btill-DllR DI,il-CABATION I h.Eby alii.nr ! cr,.trrhy of p.ryry thir I m.r.mfl,onthc ComacloR'Lt..E t:w rd ih. followinx rc.$n (Sd.7O:11.5 Bu\iness ad Proltsion Codc): Any City or Counry which rcqunes a pchi( (. ondto.r. ihM. imProvc, dcmlish ot Epan ,ny srrudu@. piu ro ns islu c., \o rcquiB ir. [I)ILicaN lbr $ch p.mrii t, lih r si8'Ed sd.ft.l rhar tE or shc is 1i..tr5.! pursanr ro rh. pdvirions of rlE Conrmror's Li4nkd trw (Chaprcr 9, C.mocEi.8 wirh Sedn'n Tlxxr.f Divkion I ofih. B$incs rnd Pmr'.sions CixL) o l[r tE or sh. is er.mpr rhtrelion ard rlE b&sis lbr rlE ilLged er.oprior ny rioliion ofs*rior 70ll.5 by.iy rn icrtrr ror!t nnl subjccFrhe rpplico lo!civilp.uhyoinorrmrclh fiv. huidtd dollnts ($500). )fI. . .**, .r,rr" rcI"ny. .t my cmnk))tcs w h s!g.s 6 rhct $le corpensdion, will d. ilE sork dd rL idm L mr im.'nlcJ orofieEd for sl. (Sa.1}11, Busin.s lnJ Pmf.sions Cod. TlEContidor'sLic.ns.Lawdoesnoripplyroanowrcrof ih. pn .ny wtr t{ildr or infnrEr rh!rul id wlD d(6 such !o,t hioyll or rssllor rhlough hn or h.r own emplortA, provided rhar such impmvcmnh e mr idcnd.d o! olicrd lor sL ll; holevcr 'h. tlilug or inpo(mnr L( $Ic wnhln om ,!tr oforyLrior rh.oqftr Buitlr willhsE rh. bunl.n ofpovirs lhd lEorsh.d nol hitl or inpoâ‚¬ rh. pop.n, ior rh. purT.s oi I. N o*ncroirhe Impeny, am.xclusiv.ly.onrdirg wirh li..trEd.odracro^ro.onnru.r rtE poj.cr (s4.701-1, Bu\iks ! rtDlAsi CoJe, Th. Contr3ctol ! Licehe L{w rt,rs ftn sI'I,l} ro str o*Nr ol ptup.ny who burlds or impto\ts rh.r4n. wh. c.nnrd\ lr \uch roi(r\ wih r O)nrr.k)r1\) lic.niJ nu'\,rnlr, rh. c(,nt&nr'J Lr.0se l.rwl !r!!A-Blll!f I h.rcby rtiirmundcr ncnahyof tcrju'r/ox of rh. lnlloqing {lcclmtinr I haw md wrll nEinr.in !C.nitidar. ofcons. ro S.lf-ltr Eformrt. c.n[.osatiotr, a! F,vid.d for l,S..riotr ]?mol$. Ijh., Codc. for rhc pstorlr@. oa rhc *ort ,i{ rii.h rhc pcrmir is iisu.d _I hav. rnd will hrinriin wort6 comp.tu.rhn inrlrlac, .s Rquircd by S.crio l?00 of rh. Labo, Cod., tor rh. pdtotu. ot rhc *ort lbr which rhis l)(rhir is ns!d. My workd: e,nIxjNrion iBlrme cris nl IslEy nunh., uc: Jxpircsl ccnilyrl' inrr lc,nrNncc ol rlr wo,k n{ *hi.h rlns r)cntu r i$ued,I shrllnor cnrploy uy E-r$n in a.y manncr $ !r ro h.com suhjN! ro rhc m.kc6 mrn0crs.rion hws ol C{lifomu. , 33rccrharifIsthuldh.comsubic.irorh. *o*.r: coftp.nsdrio pDvnioN ol S.d Dn lTlI) of rh. Lbor Cod.. I slull, lonhwirh lxmply with rhos pDrisio'L. WARNINGT Failurc ro sc.m qortcd comp.ns{ion colcdEc is u.l.whrl. Md slull suhjcct u .mploy.r b aiminll pcMkica Md .'v'l ft,.! up h fne hun,lrcd rhouirnd 'loll r (Sirn.), in sddition to rh. cos or cDrn0.trerion, dim8cs i\ provil.! for thc llllfr\8MlQll I hctubyallirmunddrp.nrhyofp.rjrr,thd Irm lk {d und.r polirion.IChipr.r, (.omEn.ing wnh Sccrhn r0fii).1'l}ivntun 3 .i rhc Busi.s\ ud PrcltsioE code. rd oy lic.nsc t hlrlllbrcc irxl cfficr Lic.ns.Cla$ Lic.NcNumb.r: c!)rifltrllcMNlnNllNclcllcr I tEftby affm rnd.r lEn.lry of p.rjury rhlr rh.E is ! .ori rudiJn LndiB !3cNy lor rh. F{omN. ot rrE work lbr whicfi rhi pdnir t issued (Scc.3017, Civ C.). APILTCANIIIECIA84NAT I h, lrmr und.r p.n.lr y of p.rlury oe of rh. foll,owin8 &.l arions: Dcnbliri.n P.rnrrlA!b.nos ion F.d.Bl R+ub(nn\ (Tnk.$, Pdn6) hd rhd r'.'leful re-nlrri,,x rc!&jtr,! r\6.(or r.nx)vrl rr. nor rt)t)lcrblc o nN |norccr rhi\ uppltnrion a'd sar.thsrrh. rb.'. infornurioo n.ord Irgrroco ro building cor(DL1nn\ anl h.â‚¬hy rborr. r.nr.e ilvcsolrhis ,"21 arx- Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Sublloor/VenUl nsulation Roof Sheathinq Shear Wall Framinq lnsulation/Eneroy Drywall Ext./lnt. Lath Brown Coat lvlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif. I FINAL (u L:ry4,0 .W Certilicate o, Occupancy/ I I tNotes, Remarks, Etc. Rev 0n'07-2015 l)urr: lxelL' ' AJJ($ ' tl) Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-s800 www.santa-ana.org APP-t3 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a no o ermt AS n submitted in ur name listin g rself as e builder of the ro rty improvements specified at We are providing you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our offlcial address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build- g permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an OwnerBuilder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeownels insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. A.n (.l\ \Z f 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. /Xnl ll'tlg 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 flnancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 'h\o I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers Un permits and contracts. r rf,\'U U\ 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. f j-\n. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal Sjovernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. tN I understand under California Contractors' State License Law, an Owner-Builder who builds single{amily residential sYructures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac- tors and the number of structures does nol exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. /iSA I understand as an owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan- ciblbr personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials. -/\ ht ' understand I may obtain more information regarding my obligations as an "employe/'from the lnternal Revenue Ser- viue, the United States Small Business Administration, the California Department of Benefit Payments, and the Californla Divi- sion of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1 -800- 321-CSLB (2752) or wlvw. cslb.ca.oov for more information about licensed contractors. lh{v\ I ' 10. I 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 financially responsible for proposed construction activity at the following ad- dress: '1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all a licable laws and requirements that govern Owner-Builders as well as employers I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I h ve 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 must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Ivore.' A coov of the Dropertv owner's driver's license. form notariza- tion. or other verification acceDtable to the aoencv ts requt re d to be Dresented when the Dermit ,s issued fo verifv the propeftv owner's si(lnature. Signature of Property Owne Date: al 6b 7D Print name of Owner AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) Project Location or Address Name of Authorized Agent Address of Authorized Agent Phone Number of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Date Print Name of Owner Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is re- quired to be presented when the permit is issued to verify the propefty owner's signature. Property Owner's Signature: +q v) EE |\+ APPROVED Pr.ANr{tt{c Dlvrstoit DATE T4'ra3,P ,TIASTER I.D. PLAN ?x-$l$.lta(! 5vupWUI lcNAe-4i tltc'2vur) PLANNING INSPECTIO}IROUGH---. FINAL REOUIRED NAIr1E (711l, TETAJN PI.ANS FOR FTJTURE REVIS{O S lHldflr"t ,o lrEus cHâ‚¬cKED ANo coNDrIoN: O INTERIOA I ONI Y I No ExrERtoR ALTERATIONS/t ODtFtcATtoN. /aL ^,-r ',^TERtALS rO r,.'.TcH EXtST|NGLJ '.,-EENING FEOUIRED.,] ,LJBIT:IT LANDSCAPE PLANS Pâ‚¬4.ftifk*rro> WINTDN< /