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Home My WebLink About10293046 - Permit (3)Project Address: 1414 N Hathaway St Assessor's Parcel.398-082-03 Unit Bldg: Address Range Suite Range: Zoning: RlBlock: NA Tracl 9519 Hisloric: No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {0293046 Pin #: 4o532 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Alteration Shed - n/v SFD Watt garage Residential Occupancy: Constr Type Code. Flood Zone: # of Stories R-3, U VB cBc 2016 x-0602320163J 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: T.l.Area: Yards Req'd: Valuation:$1,000.00 Description of Work: Demo unpermitted adition/shed. Auth on file. Planning conditions: Owner: Address: Phone: Tenant Jose Santana 1414 N Hathaway St Santa Ana, CA 927012631 Contraclor Address: Owner-Builder Engineer Address Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policl #: Expires: Phone License # Architect / Desiqner: Address: Phone License # Planning Approval Byl Plan Checked By: Permit lssued By: NPOES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd. No Landscaping lnsp. Req'd: No Fire lnsp. Req'd: Police lnsp Req'd No No Account# Zuniga. All -rv Mar, Escarlet Oale: 0711012017 Dale: Dale 07l'1012017 Subject to Fieldr Misc. Receipt Misc. Receipt Misc. Receipl 077760 0 2 017 76002 0 7775002 0 777600 2 0 77 7600 2 0 7776002 Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Update lssuance 57607 57607 57607 s7672 5760 0 57607 $154.26 $93.17 $234.08 $1.00 $21.25 $52.98 Total Flood Zone Cerl. Req'd: No Every pemit issued shall becomo hvalicl unless lha wolr( or) the sile authonzed by such ponnil is cornfienced wilhin 180 days alter its issuance.ot il the ito* aulhoizec! on the sito by such peinit is suspended ot abandoned fo. a peiod ot180 days aftet the tme lhe wo* is commenced lnspector MID#: 2017-136305 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 $21.25 $534 49 $1.00 Fee Total. Paid to Date: Balance Due: $5s6.74 $0.00 $556.74 Lot.23 BUILDING. INSPECTOR RECORD SITE.WORK ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUlnsulation Roof Sheathing Shear Wall Framing ln s u la tion/Energ y Drywall Ext./lnt. Lath Brown Coat tyMason Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. FINAL -Y//t//7 'I Certificate of occu pancy -.--,..-._--r Notes, Remarks, Etc. 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Ftumec of l lE qork tu *hicfi ltL pmil ie isuol. My worl6 com0.M i.n iN!ru(. cei6 ud polky numh6 ac l .di'6 rhrr i. rh. Ffom c of rh. *orl tor utrh rhir Fnn i s!d. l rn ll mr dph) !n) Feri rn u) 6mk $ 6 io tEr,m 3uqd ro rh. rorld NmFMio. lr*. of Crliaomis. .nd +ft rhd if I 3lbuld h(.ft sqdr ro rlE volk6..mpderionthvisioNofsdion.l?c4.frh.tlbor(od..l.b.ll.fodh{irh.onplrsnhrhorplovlsionr WARNINC F.iluE ro Kr. sort6' comFm'ion o\ois. i. unLwtul. ed shdl 3ubj.rl u dplotq lo dininnl ,qtrhis ud c.il nn6uptooEhon&.dtlsuqrd&lla(tr00,000),inlddnionk,In.o{otcotr4EB.iion,d,uux6aFo\xHaorrh' Sdrion 1{)7t ofrh.lrhy( od. 'nrdd,ndto L 7'a) Llll\\r !' ( ()\lR\( r(,1{ ltr {- l !&!r r!,\ I heb! omm r.d6 Fn.t! ofpdpr) lhd Ln li.dE d umld tro\iion of(1apl6 e ($mm6cin8 trilh SdM 7000) ofl)nRbn l ol rh. lrusin* dd Prol6io.s ( od., sd m, lic@ is in rull ro(. rnl.rldr (lNiraucll0!!-!E DIaG-AGE!(I I h@by afln h unds ,Enalty of rEiury lhal lhs. i.s s cod(d.rirn kndins asocy lo, thc pqtomuc. otlhl *uk nn \hi.h rhi! pdnn ir BU.i (s( r097,(h ( ) ASIIISILDECIJEAIIQ! lho!r? lffr u.dr rorhy olFjrry oN ofrhc i(nL,*mr d6lr.tio.s Dtuliri,n P@ils-Alh6los Noriliclrion Fclsal RcauLrion! (Till..lo, ltan6) R.qund l!116 oI r,lor,6.nir l.dily rh.r rh. fdoalr.gulark)ns râ‚¬3rd,nt ash.slos, cnn\ d r. nor lnplicahl. ru (hF prtic-1 md ('o0nrlro 6ta ut.n rlE l.dif) rrn I har. roJ r hi*r4l'.irin dnl dar. rhd rh.atrr. 'nr(nrdx'n 6.ondr I iNret)cofrd! '{JrMntd J\rr.lr$tr.ldmer.h{'lJ'nF(.'n{anfun rl\.ch)adh,'u...Fe itr6ofrhB('[\ rhl c morir.d pmnd) ({ io?t1n n rulrs , **,1â‚¬__? no",,-",.,^,,,n,,,y';'f I I o I 11 2 rlit-1- -,, ""^U*,"^, rrn.r, 1y'' ? / toltT_ 7r.Tll DATE I I I I I I fl I - II !EI II I ! T I t ) I II I II - aa I EI I I !I jffI I IL T GovClarityrM lr s, NI I , I I I I I I t I I II c J];],, il ) ,)- -.tI tl I I ,, I {'- tl I I :.J I l--: lr I a oOJ)x {( {u : \ []A ,J -l --1 -BI a c c6 ft T^ t o t I I tlT [-l r+r+ N HATHAWAYST, sANTAANA, "o E c) o- Fo MAYOR Miguel A. Pulido I,4AYOB PRO TEM Michele I'ilarlinez COUNCILI./lEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas ACTING CIry MANAGEB Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF IHE COUNCIL l\.4aria D. Huizar CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Crvrc Center Plaza P.O. Box 1988 . Santa Ana, Calrfornra 92702 www.santa-ana.or9 pba NOTICE TO PROPERTY OWNER An application for a building permit has been submitted in your name listing yourself as the builder of the property p vements specili at c(It li N\-J 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 OwnerBuilder. 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 ollicial address indicated. An agent ol the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting aulhority. WNER'ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verity this intormation. ' 1. I understand a frequent practice of unlicensed persons is lo 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. I, 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 property. My homeowner's insurance may not provide coverage for lhose 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. \ja2 t understand building permits are not required to be signed by property owners unless they are responsible lor the construction and are not hiring a Iicensed Contractor to assume this responsibility. }l_43. I understand as an Owner-Buildei l am the responsible party of record on the permit. I understand that I may prot6ct myself lrom potential linancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. (\ <4. I understand Contractors are required by law to be licensed and bonded in Calilornia and to list their license numrers on permits and contracts. A 15 | understand i, I employ or otherwise engage any persons, other than Calilornia licensed Contractors, and the lotalralue ol my construction is at least f ive hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. i}- 8.6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federSl government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ol each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. \\q7. I understand under California Contraclors' State License Law, an Owner-Builder who builds singleJamily resid6ntial structures cannol legally build them with the intent to ofler them for sale, unless a// work is performed by SANTA ANA CIIY COUNCIL m!hdo@snta'ana oro rvlayo. Pro Tem, Ward 2 Bron'ne2@snta.da.o,o VEeore Ss.menro Ermenlo@enra a.a o.o Eal!!l@llIla:3!e-9lc P Davd Benav'des dbenardes@ent..ana ord M ll6as@snla.an. cro Dear Property Owner: ( licensed subcontractors and the number ol structures does not exceed lour within any calendar years. or all of the work is perlormed under contract with a licensed general building Contractor. v! \ 8 I understand as an Owner-Builder if I sell the propeny lor which this permit is issued. I may be held liable lor any finahcial or personal injuries sustained by any subsequent owne(s) that result from any latenl construction defects in the workmanship or malerials. A'1 S. t understand I may obtain more informalion regarding my obligations as an "employer" from the lnternal Revenue Service, the United States Small Business Administration, the Calilornia Department o, Benefit Payments, and the California Division of lndustrial Accidents. I also understand I may contacl the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors. J0. I am aware of and consenl to an Owner-Builder buildin g permit applied for in my name, and understand that lam the le lly and financially resp onsible for osed construction activi at the Iollowi ngro address ty hra.-,l 1 I agree lhat, as the party legally and financially responsible for this proposed construction activity, I will abide by all apllicable laws and requirements that govern Owner-Builders as well as employers. &<12. I agree to notity the issuer ol this lorm immediately ol any additions, deletions, or changes to any ol the infordation I have provided on this form. Licensed contractors are regulated by laws designed to protect the public- lf you conlract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any linancial loss you may sustain as a result ol a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important lor you to undersland that i{ an unlicensed Contractor or employee of that individual or firm is injured while working on your properly, you may be held liable lor damages- ll 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. lorm notarization, or other veritication acceptable to the aqency is required to be presented when the permit is to veri L t Signature of Property Owner Date Print name ol own"a4 S \v1 â‚¬"v+<1 AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice lo Property Owner. lhe execution ol which I understand is my personal responsibility, lhereby authorize the following person(s) to act as my agent(s) to apply for. sign, and file the documents necessary lo obtain an Owner-Builder Permit for my project. Scope of Construction Projecl (or Description of Work) Project Location or Address Name ol Authorized Agent Address of Authorized Agent Phone Number of Authorized Agent ldeclare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above inlormalion and certjfy ils accuracy. Date Print Name ot Owner Note: A copy ot the owner's driver's license, torm nolarization, or olher veritication acceptable to the agency is required to be prcsented when the permit is issued to verity the propetly owner's signature. SANTA ANA CITY COUNCIL nx)ulrdo@snre.ana oo Mayor Pro Tem, Wa.d 2 ft nan!ner@s.nta.af a.o.o VLcenre Samenlo vsm6nlo@snta-ana.rc Eororo@sanla.ana oro llSljirl:jil.!.all &!99rr@!i!b:a!r,q9 Betore a building permit can be issued, this lorm must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A coDv of the propertv owner's driver's license, P'operly Owneas Signature: III T a I !)IEIT t rlI -.r I IIT T -I ! ltIEIt T |t.t-: -E I It. : :1 + p I tI I @u, o I fl I I 7 w+ N HATHAWAY ST, SANTA ANA, cA c o 7 I ., 3o- FO IJJJ GovClarityrM 2 lt I 1l I r I ( ; ):l iI ,i- -J l1 fr I _ aL. --b I I pr r I J1Itu.! -a II I )l {-- I i ) )t l -n- { \J .g qvos ( (- ,J C({l \q ( http://maps.digitalmapcentral.com/produclion/Dashboard/v1_38/SantaAna/City.aspx?loginPage=http:/imaps.digitalmapcentral.com/&sik=/dc1/ T193/39 111