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Home My WebLink About10293601 - Permit (3)Project Address: 1308 N Flower St Assesso/s Parcel 005-084-22 Lot: 10 Bldg: Address Range Suite Range: Zoning: R2Block: NA Tract: 1012 Historic: No city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (7'14) 647-5853 Permit #: l029360l Pin #: 8,426,lJ Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Alteration N/V-Windows SFO w/ garagâ‚¬ Occupancy: Constr Type Code: Flood Zone # of Stories: R.3, U VB cBc 2016 x-0602320144J 1st FL Area: 2nd FL Area: Other Areas. Garage Area Total: Patio. T.l.Areal Yards Req'd: Valuation:$1 ,000.00 Description of Work: Legalize window change outs. Auth on file. Planning Conditions: Owner: Address Phone: Tenant Luig Navarro '1308 N Florver Sl Santa Ana, CA 92706 1t+ 361t zo ItLt 1b1 Sttl Owner-Builder Engineer Address tll{ ace! CTYH Trqns+: 44 I r.rf Ar:,:t,i3 Reti l I ri293.5111 h, nl;+:01946067 - 7/21/2O17 1117 ?n lr (lnscct ion Totql f5r6.7( edk L-./,'t Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance Carrier: Policy #: Expires: ,ierrerol Plqn Updote Fee r:rl I16r-102- t 160000fi- P'lr i ld inr ril l 16002- 51601000- hlde Stds RevolvinslltIl6u0?- 51612ri00-.rt!(l \,. i 3 r* *r*r*;**r}1ui 2 Phone: License #: Archilect / Desiqner: Address: Phone: License # I rr rs Novorro t21 . ?5 r53,t .19 tl .lll:l Auth+: 7Ur-r'14i Planning Approval 8y Escamilla, lvlanny Plan Checked By: Permil lssued By: Zuniga, Alli NPDES lnsp. Req'd: No PwA lnsp. Req'd: No Planning lnsp. Req'd: No Dale: 0712112017 Misc. Receipt Date: Misc. Receipt Oatet O7t21tZO17 Misc. Receipt Subject to Field: No No Account# 077760 0 2 0 7776002 077760 0 2 o1776002 0777600 2 0777600 2 57 607 57607 57607 57672 57600 57507 Permit Fee lnvestigation Peoalty Bldg. Stds. Revolving General Plan Update lssuance $154.26 $93.17 $234.08 $1.00 $21.25 $s2.98Fire lnsp. Req'd: Police lnsp. Req'd Total Landscaping lnsp. Req'd; No Flood Zone Cert. Req'd; No Ewry pemit issued sha become invslid unless tho wo* on the sito authoized by such permil is conmenced within 180 days aftet ils issuance,ot it the wotk authorized on lhe site by such pefinit is suspended ot abandohod fot a pedod of180 days after lhe time lhe wotk is commenced lnspector MID#: 2010-92840 01 116002 51600 01 115002 51601 01 1 16002 5'1612 $2',1.2s $534.49 $1.00 Fee Total: Paid to Date: Balance Due: $556.74 $0 00 $556.74 Unit: Contraclor Address: BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS O\A'NI:R BUILDEN DEII'ARATION I hsd,r .mm uidd F.!h, oI Frury thd I m .rmpr ftom rn (-od,-loE LicG l,tr for lhr rolb*Ta rd)n ls6:',orl 5 Bain6 ..d Prordion Cod., Any Ciry or Counry trh:ch rcqun6 ! tEmn ro conlltu.l. ra, mp.ov., d.mo[in or Epan u! stru.lu.. 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Huizar CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana, California 92702 www.santa ana.orq'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 ents s cified at il,z ( Y fr.r,Ta- Aaa- ({Z?Pltyo nDuhdo(as6.ia ana ora Mayor P/o Tem Wsrd 2 m han,nez@sanl. ana.oro Vcenre Sarmieflto vsam 6.lo@santa-6na oro Edsi@silEialr.sg WeareproVidingyoUwithantomakeyouawareof 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 official 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 ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. T.tr-oZ 't. I understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" building permit that erroneously implies that 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 for any injuries sustained by an unlicensed person and his or her employees while working on my properly. My homeowner's 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 property. TL* Z. t 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. Tt-t"rZl. 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. T-LLC I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. TLZS. t understand if I employ or otherwise engage any persons, other than Califomia 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 federal law. -Ll-,yA. I undersland if l am considered a n 'em ployer" under state and Federal law, l must register with the state and federal-governmenl. withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk. ILZ.t I undersland under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannol legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors 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. Zi.zA. t understand as an O,,yner-Builder if I sell the property for which this permit is issued, I may be held liable for any flnancial or personal injuries sustained by any subsequent owner(s) that result lrom any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL ) t ,45. t understand I may oblain more information regarding my obligatiors as an "employer" from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Beneflt Payments, and the Califomia Division of lndustrial Accidents. lalso understand lmay contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. -\-L!21 legally 0. I am aware of and consent to an Owner-Builder buildin g permit applied for in my name, and understand that I am the party ial respon SI e for propose ction acti ity at the folad address jLZ,.l agree that, as the party legally and f nancially responsible for this proposed mnstruction activity, I will abide by all applicable laws and requirements that govem O\,vner-Builders as well as employers. TUn.l agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of lhe information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. lf you contract with someonewhodoes not have a license, lhe Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a com plaint. Youronly remedy against unlicensed Contractors may be in civil court. ltis also important for you to understand that if an unlicensed Contractor or employee ofthat individual or firm is injured while working on your property, you maybe held liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verii/ing 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. i/ore: A copv of the prcDertv owner's driver's license. form notarization, or othet re rm issued lo the r' sionaturc. r fc.iv 2/- Zzi/ Signature of Property Owner Date Print name of Owner It 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 flle the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) 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. Property Owner's Signature Note: A copy ol the owner's driver's license, form nolarization, or other verification acceptable to the agency is required to be presented when the permit is issued to yerify the propefty owner's signature. F.likr,,"JP51 C!rnl?:A.jil,ri! Assi,n'f,l!B lls N:tlce 1o Proi.,r'a(,,,Fornl SANTA ANA CITY COUNCJL npUrdo@san!aâ‚¬na do Maylr Pro Tem. Wa.d 2 nrrodrnez@sanrE .na oo llcente samento Bamiento@sant -ana oro Eal!!!@r!!l!:a!a.s9 P Dav'd Ee.audes dberuvd6sOsanla-a.a do rrrle.sasanl, .na oro sl narero. sa.la 8na oro -n, AUTHORIZAIION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Project Location or Address: _ Date: Print Name of Owner: