HomeMy WebLinkAbout10293437 - Permit (3)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853
Permit #: 10293437
Pin #: 68563
Project Address: 2003 S Maple St
Assessor's Parcel: 403.172-02 Lot: POR t
Unit Bldg Address Range:Suite Range:
Zoning: RlT tacl: 284 Histonc. No
Patio:
T.l.Area:
Yards Req'd:
Valuation: S1,000.00
Owner:
Address
Phone:
Tenant:
Salvador A Gonzalez
2003 S Maple Street
Santa Ana, CA 92707
(7',t413294235
Contractor
Address:
Owner-Builder
Engineer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Architect /
Desiqner:
Address:
Phone:
License #:
Phone:
License #:
Plan Checked B
Permit lssued B
Planning Approval By:Guevara, Jerry
sden, Julie
Dale: 07lOGl2O17
Date:
Dale: 0710612017
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07776002
07716002
07176002
07776002
07776002
07776002
$154.26
$93.17
$234.08
$1.00
$21.25
$s2.98
5760 7
57607
5760 7
57672
57600
5760 7
Permil Fee
lnvestigation
Penalty
Bldg. Slds. Revolving
General Plan Update
issuance
NPDES lnsp.
PWA lnsp. Re
Planning lnsp.
Landscaping I
q'd;
Req'd
nsp. Req'd: N
Fire lnsp. Req'd;
Police lnsp. Req'd U Account#
o
o
o
o
N
N
Total
Flood Zone Cert. Req'd: No 011t6OO25j6OO
Ewry pemil issued shall becorne invalid unless lhe wo* on tho sile authorized by
such pemit is cofifienced within 180 days aftet its issuance,ot il lhe wo* authoized
on lhe site by such peftnit is suspended or abandonad fot a penod of180 days aftet
lhe lime the wo is cofifienced .
$556.74
$0.00
i556.74
lnspector MtD# 2017-137226
011 16002 51601
01 1 16002 51612
$21.25
$534.49
$1.00
Fee Total:
Paid to Date:
Balance Due
Block: K
Building Usei Single Family Dwelling Occupancy: R-3, U 1st FL Area:
Job Type: Altoration Constr Type: V B 2nd FL Area:
Nature of Work: Alter_N/V Code: CBC 2016 Other Areas:
Existing Bldg. & Use: Sfd w/att garago Flood Zone: X-0602320276J Garage Area:
Proposed Use: # of Stories: Tolatl
Description of Work: Remove unpermitted structure at rear of house (patio cover & breezeway). Letter of auth on file.
Planning Conditions:
BUILDING- INSPECTOR RECORD
SITE-WORK COMMENTS OWNER BUILD':R DELCANATl('N
I hd.tt .rtrm und.r Fndhy of |ErJu., thd I m .rdB nrn rh. Coitdo^ l-f,re tiB htr rh. fotloBrs r..si (S( 70ll l 5
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srrudue Fin ro tu isluc, *. rcqutG rh. q'rli<&r for 3uch pcmir ro fik ! rsn d rld@dr rh.l h. nr !h. ir li.4r.d prtum!
ro rh. FtrriFB ol F Conrtori Lk6..d L$ {(11416 e, (imtrin8 $ni srrion 7(xro of Dtision I.rrh< BuslKi lnd
frcf.srrN (irL) or rhal lE or rlE s qdnpl l,E.fiom &n rh. l(B fo. th. rlk*.d .rmnion A.) \mLlFnotsnrxm 70.r I t bt ,nf
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Shear Wall
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Drylvall
Ext./lnt. Lath
Erown Coat
Masonry
Pool Fence
T-Bar
Handica p Req
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Flood Zone Certif
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2017-07-01 09:19 5025
MAYOF
MrOuelA, Puldo
MAYOR PRO TEM
MicllelO Ma(ii.2
COUNCILMEMBERS
P. oavd Benrvidcs
Vicanlo Sanrlicnto
Jose Solorh
SalTin€r.ro
Juan Villegat
8303938146 >>P 1/3
ACTING CTTY MANAGES
Ger ardo Mouo
CITY ATTONNEY
Sonio R Carvalho
CLERK OF THE COUNCIL
Mana D Hutzer
*q
*-CITY OF SANTA ANA
PIINNING & BUITDING AGETICY
20 Crvl( Cenrer Pla2a
P.O, 8or I988 . Sanrr An1, 6dils.6,3 92762
rrr^/yw.5aDta-art.orglpba
Dear Propeny Owner
NOTICE TO PROPERTY OWNER
An application for a bulHing psrmit has besn submined in yor./r name listing yours€ll as thB buildar ot the propenyrmproyeme
u with an +q2!-ggilcglAqtoqwbdomenr f,nd tnforp?tion v6rification Form to make you awa/e ot8nd posrlble risk you may rncur by travrng tntipEhlGfGi'inlo anre-s as the owner_Builder.
Wo will not i6sue a building permlt unlil you have read, rniliatad your und€rstanding of sach provision, 6ignEd, and relurnedthis totm lo us al our ofticial actdress indicaled. an agenr or rne'o*nii liinot eru.rr" rnis notice untess you, lho propenyowner. obtain th6 p/ior approvat o, lh€ permitting autiority.
Wa are provrding yo
your responsibititi€s
WNER'NO M FI TION OF NFOR
OIRECTIONS:Read dnd tnitlol oech sldlament below lo slgnlly you undcrctsnd or vorlly lh!s tntomrtton,
SANTA ANA CITY COIJNCIL
SJr:-f lundirstand a t,equenl praclice of unllcensed persons is to have lhe propeny owner obtain an ,,owner-Buitdgr.
buildrn! permit lhat erron€ou6ly impties lhat th€ prope,tyo*r"r,. pioviOrng nrs'or ier 6w" f"ioi aro ,"r.i"t personaly. Las an owner-Buitdsr, may b6 hetd ri?bre and subjeci lo ierious r,niniiJ riit ,;;"y;.Ar;;:;ti,.ij Ll; ji., unticensedporson 8nd his or her emptoy€es whilE working on my propBrly. My homeownor.s insurance rnay Dot provide coverago lorlhose injunes. lam witlully acling as an Owner-Buitdei ano am awarJot tte r;m,rs oi ,y inirra-n'ce lJvJrage ro,,nyrri"s roworkers on rny prop6ny.
99i -' undersland building permirs are not reqlrred lo be signed by propony owners unr6ss lhey are responsible ,orthe construclion and are nor hiring a ricensed coniracror ro assJme ttrt respon!ibitity.
S 6 -3, tunderstand as an "Owner-Builder' I am th€ r€sponsible pany ol rocord on the psrmit, I uoderstand that I rnayplotecl myself lrom polentiat tinanciat n6k by hirrng a ricensed Coniraa'or a^a frarrrl ir,i Irrii f i"-j in i,ri, nu n"rn.rnsleao o, my own.
5 6. 4, lundersland corllraclors are required by law to be licensed and bonoed in calitornia and to tist their tjcenserlumbers ofi permrls and conlracls.
JS, -l I undersland il lemploy or otherwis€ engage any persons, olhsr than catifornia licenssd conlradors, and thelolal valu6 o, my construction rs at teast five hund;e; ooftiri (SSOO), inctuding labor ano ,n.renit, fr.y-Orionsidered a.l"employer" under slale and ted6ral law.
5--6-6. trna"ot"nd il lam consideed an .emptoyer., unde/ s(ate and Federal law. I must register with the State andf€dsral.governmenl, wllhhold payroll.tares, provide workers; compensaton d)sabitity ,nsuran"e] lno
"ont
itlre rounomplo.ymenl compensatron o, each "employee.' I also undersland ;y tatture tc, dbioe uy rt eie ri*s ,"liuo;ecr .e ,oserrous linancial risk.
S 6 z lunoersrand under calilornia.contradors' State License Law, an own8r-Builder who builds singtsjamjtyresidenlial$ructurEs eanhot legally build rh6m with lhe inlent ro otfer lhem lor s;baunG;s ;lf-"o*-ii pi,io-eo uv
E
4!d'&€r{lEioa-fi3
Urf^ t1a tAa6,Vltd:/
E6n&*i!llqll.ja1!.g!rr!!iu!@!&!t!!,91!r
7 0&.?.d oF.r o.r ,!ir19log!t S€,Ii,lfri
waiit 5 trrro itta!r!!&(l!:r!,dl!(! r,n!lElBi-o.rE.d! rllrl,lrrll|lttrrjlr
?017'07-04 09:20 s025 8303938146 >r P 2/3
licensed subc-onlraotors and the number ol struclutes does not excoed lour w(hin ally calandar years, or all of the work i3perlorm6d under contrSct tr/ilh a licensed general building Contraclor.
56 , , undersland as an OwnerBuilder if ls€llthe prop6(y lorwhich lhis permil rs rssued, I may be held liable tor anyfrnanciar or porsonar iniurros susreined by any subsequbnr'owrierlsl tnar resui rrom any latem coniiruaron derects in rheworkmanship or malgnal6.
SA, t ulglrsl?ld I may obtain more rnrormafion regard'ng my obr,garrons as an .emproyer', rrom rne rntgr43l 6sys6r,sS6rvice, the Uniled States Smatt Busine6s AOmrn,strati;, thetat,tornii bepartmenr ot Blnltit eayrenis, ino tneCalilornia Divlsion ol hdustrial Accidenls. I also under6End t may conai tne california Conlracors, Slale Licenss Board(CStB) al 1.800'321.CSLB (?752) or !,ww.c6tb.ca.oov lo, more rnformation about lrensed contractors.
${t0. lam ar"are o, and consent to an Owno,-Builder buildi ng permil applied ior in my name, and und8rstand thal tamthe pany legally and financral ty nsL lor proposedsF construclonStu+r ivily ar the,ollowi r)0c{address c/ft
*4^_l:.llr,::_tl.-t::]ll9l31I]-e.lry "nd
{inEncr8llyresFronsibre tor rhis proposed consrrudion acriviry, twiil abido bya[ apprcaDre rayys and requrremenls lhat gov6m Owner_guilders a6 lvell as employers.
Slit2. I agree to noldy the rssuer ol thi6 form immodiately ol any additions, detolions, or changes lo any ot th6inl67n31lon Ihave provijed on this lorm.
Licensed contraclors are r€oulaled by laws desbned ro protect th€ public. ll you contrad with someone who ooes nothave a llcense, fi6 conl.adors' stato License Board miy be unaoii ro assisfyou witr iny linanciairofi pu'may susrain
T.:.1".{ .-T::Tl]arnt. Your onty remedy againsr unticensed Conrractofs riay be in civit coun. rt is irlo imp6rranr to,you to undersland that il an Unlicsnsed Conlraclor or employBe ol lhar individuator lirm rs rnjured Mlrte working on you.prop€ny, you may be hetd liable lor damages. l, you obtain a permit as Owner_Buitder and ;ish to hrra Contac'lors,'you witt
bB rBsPonsible.lor ve.ifying whether or not those ConlractorE dre proparty ticensed and tho status of tfren wJ*ers,
compensation insurance covera916.
Belore I bulldlng petmll can be lssusd, thls lorm must be completod and 3ignod by the proporty ownar.nd
retumed to the sgency responslble lor issulno the pormll. lrote;,on
Signarure ol Properly Owner Date:7s'r7
Prinl name o, Owner s ql
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
9l:'rO,ng tn" Notce lo PrOpeny Orner. the ereculion Ol w']ich I underslaM ts my personat responsibllity, I her€Dy authonze thelollos/ing P€rson(s) to 8d as my agen(s) lo apply lor, slgo, and lile the documenli necessary to oblain a; Ow)er-6uilder peim,ilor myprol€ct.
Scrrpo ol Construction Pro/ect (or Oescnprron ot Worfy, Vt^e--\)ttu{-fryrtvce
P/o,ed Locator) or Addre6
Naore ol Authorized Agenl
,, 2gg3---S.-
dr{rabe-(
Address ol Authonzed Ageol:r2r3 W.C-ubbop s't.Qz?u 7
Phon6 Number oJ Author.zed Agent; .]g:-33 z-Z3sl
I ooclare under penalty ol perjery thai I am owner ,or tho addfess lsted abovs and I personally tilled out tne abovernformatioo and certily its
Propcdy Orrneas Signalu re.Dale 5-f7
Prinl Name ol Owner \Va-t-)
Nolrt A cgpy o, the ownat s d aor's ticen
be Preaamed when th. parml, b brued ,o
/i trr 11. r', 1.ilaifuA(rr'l, A-:i n:r,,ri.r ! ;.-,"a c rur,\ t.,l
5e,m aota,lizalloo, ot olhc. vctfitcatlon rcr,?'ptabte lo lhe ogency I5 roqutrcd bust y lhe propeiy ow,lo. s
'lgnglute.{ i4 itrl
SANTA ANA CII V COUNCII.
!&!4@8ff:acrs!
i,kvd Pri 16, w&6 2
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