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Home My WebLink About10193450 - Permit (3)Assessor's Parcel 408{54-14 Lotr 50 Unit Bldg: Address Range Suite Range: Zoning: Rl A1 Block: NA T.acl 4572 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: (714\ 647-5853 Permit #: {O{93450 Pin #: 64526 Planning Conditions: Patio: T.l.Area: Yards Req'd: Valuation:$6,226.00 Owner: Address Phone: Tenant: Serglo Santoyo 1714 W Pendleton Ave Santa Ana, CA 927044736 Contractor Address: Owner-Builder Engineer Address: Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Phone: License # Architect / Desiqner: Address: Phone: License # Planning Approval Byl Plan Checked By: Permit lssued By; NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd {\ Hernandez, Kathv Guevara, Jerry Oale 0710712017 Date: DaIe: 0710712017 Subject to Field: Misc. Receipt Misc Receipt Misc. Receipt $308.52 $1.00 $21.25 $52.98 01776002 51501 Permit Fee 01776002 s7672 Bldg. Stds. Revolving 01776002 57600 Genetal Plan Update 07776002 51601 lssuance No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd. No Every ponnit issued shall becomo invelid unless the woi< on the site aulhoized by such pemil is comfienced within 180 days after its issuanco ot tl the wod< authonzed on lhe sile by such peinit is suspend4d or absndoned for a period of180 days afte. the time lhe wo* is cofimenced lnspector MID#: 2017-137263 01 't 16002 51600 0'1 1 16002 51601 01 1 16002 51612 $21 .2s $361.50 $1 00 Fee Total: Paid to Date: Balance Due; $383.75 $0.00 s383.75 Proiect Address: 1714W Pendleton Ave Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Job Type: Reroof Constr Type: V B znd FL Area: Nature of Work: Reroof Code: CBC 2016 Other Areas: Existing Bldg. & Use: 5pgr ra126 g3rsgg Flood Zone: X-0602320259J Garage Area Proposed Use: # of Stories: Total: Doscription of Work: Reroof Wt.o.-Remove and apply comp shinglos/replaco shsathing/handout givon BUILDING- INSPECTOR RECORD SITE-WORK COMMENTS O\T'NI:F AUILDER DII-('AR TION I h6.t y .mrm !.!n Fiah, ,'l txrjur_ rhd I m .rdF lred rh. 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Bui'B od FolBrhd cod.- &d ny lid! . i tull [orc. il drd ca!:uit(ra!1E!u!cncE!(t I hd.5).ilrf, un&r Frny.fFjui) rn rlE. ir r.odtu<ii,n lai,B.Cft! lor rh. F()lrrlft. o,tlE sorr turhrhrhi!Fni 6 tss.d (sr t(I)7, civ c ) dIILIgTLDECIJAAUO! I tad!.lffr undE Fruh) ofFJury otofo. folhtr 'ns &cle bB D.molilFn Pdmnr-Asb6ro3 Noxfi(.l nn l-.dsDl R.ruLl ions {TnL 40, Pan6) Rqtuircd l.its of Nolilicdion I cdrifj- lha rlE liis,l r.aulriF6 ESedinS 8lErt's r@n al u. rtn qrh..bL ro thn pr.Fl I.drfrrhdIh,\.@drhi!q,'ird6.&nsi.r.ihdrh.atrtEinfotuF.E..trd I.arat onply sirh lll( i) irj (.u.r! ordinanc6 dd srd.lrs: rchtrB u hoiting.odtudon. &t h(.6r.orh.,. rcpr6.fldir6 oalhir City od (irutur n' d'6 utF. rr* ntlrcmo (nk(l p'ftdy lN \Ipliotrr r' \!(trr \iE irurr .SL Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation , Roof Sheathing /e-///t 7 ilo/Yl tvy7o') Shear Wall F ramrng ln sulatio n/E nergy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handica p Req De puty Final Report Engineer Final Report Flood Zone Certif FINAL */\.li7 ). Dt *Lo/ b\) Certificate of Occu pancy Remarks, Etc srttt*.eiO.M -4P1 \:-.., DATE ID/SIG. \(ron ru-6,,1rh.L.hort'aL.d.d ddr.lm 116 , tl,.:- ^*r-rr,@r t(lFr{sFrf'or I R/t6r,R 1 Notes, *-SNTA ilA,ffi P.O. Box 1988 (M-19) Santa Ana. C492702 (714) 647-s800 ww.r Santa-ana.orq Smoke & CO Alarm Affidavit rNSP-02 2013 CRC This document moy be lound dt...http://v,,.,,nv. sa n ta -a na.or q,'pba.' (Please use a black or blue ink ball-poinl lr) Project Address:L L .a_ S Property Owner:lx r ?'1o S"J 3)cl r) Contractor:Li cense #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential b u ild in gs. California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R3L4.3 and R314.3.3 define the req u ired locations. O[sornboxes below must be checked: d Crrbonmonoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedro ms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired ap ances (i.e. hot water heater, cooktop, furnace) or a fireplace Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be battery-o perated for buildings where no interior alterations are performed, Combination Smoke/CO alarms must comply with all applicable standards and be approved by the State Fire Marshall (SFM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. I further certify that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the man ufacturer's instructions. a7- 31- t'| lcheck onel Li cense d ontractor Prop erty Owner NOTE: Ihis serl- certilicdtion is only used for projects thot olJect the EXIERIOR of the structure. This process is opplicdble ONLY to projects where dccess to the interior ol the dwelling by d Sdnta And lnspector is not required. Sig noture:(,aa'*r 61 C.^..Ay..,Dote: Have this completed form and the job-card readily available on final inspection! Planning & Building Agency 20 Civic Center Plaza Ross Annex I Permit Number: MAYOR Miguel A. Pulido i!4AYOR PRO TEI l,richele Martinez COUNCILMEMBERS P. David Benavides Vicenle Sarmiento Jose Solorio SalTinaiero Juan Villegas CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box 1968 . Santa Ana. Californra 92702 www.santa-ana.or9 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 ol the property ovements sp qat .T 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 ot each provision, signed, and returned this lorm to us at our ollicial 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 ot verity this intormation, 5al 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 property. 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 lor injuries to workers on my property. SS.'Z. I understand building permits are not required to be signed by property owners unless they are responsible for the construclion and are not hiring a licensed Contractor to assume this responsibility. S>p I understand as an "Owner-Builder" I am the responsible party ot record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit liled in his or her name instead of my own. =a.)-24. I understand Conlractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. >=)..-5. I undersland 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 "employei' under state and federal law. .\ i\ . O. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ol each "employee." I also understand my failure lo abide by these laws may subject me to serious financial risk. }-b=Z I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by SANTA ANA OITY OOL]NCIL ACTING CITY MANAGER Gerardo Mouel CITY ATTORNEY Sonia R- Carvalho CLERK OF THE COUNCIL [raria D. Huizar [,,â‚¬yor Pro Teh, Ward 2 mrun'ne2@snra-a.a do the party I address: all and financi res sible for proposed construction the folloeactivitv alrA, A/ta SS-,,1 I agree that, as the party legally and linancially responsible lor this proposed construction activity, I will abide by -all applicable laws and requiremenls that govern Owner-Builders as well as employers. S-!f Z. I agree to notify the issuer of this lorm immediately of any additions, deletions, or changes to any of the inlormation 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 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 for you to understand lhat 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 verilying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. torm notarization, or other verification acceDtable to the agency is required to be presented when the permit is o issued to veritv the Dropeiv owner's sionature Signature of Property Owner Date:7-oz Print name of Owner liiRZ,tn 3t4*)f-a',,o 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 ,ollowing person(s) to act as my agent(s) to apply for, sign. and lile the documenls necessary to obtain an Owner-Builder Permit for my project. Scope of Conslruction Project (or Description of Work) Projecl Location or Address Name of Authorized Agent Address ol Authorized Agent ldeclare under penalty of perjury lhal I am the property owner lor the address listed above and I personally filled oul the above inlormation and certify its accuracy. Property Owner's Signature Dale Print Name ol Owner Note: A copy of the owner's driver's license, lorm notarization, or othet veritication acceptable to the agency is required lo be prcsented when the permil is issued to verily the prcperty owner's signature. SANTA ANA CITY COUNCIL Mayoi Pro Tem. Wad 2 lBlr.,o@snta.ana oro vsa'm,enb@sa.ra a.a o.o Eoloro@snta.ana oro d5â‚¬nav des@santa.ana oro Mlleas@snla-ane oro sxnabro@sanla.ana o.. licensed subcontractors and the number of structures does not exceed lour within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. >\8. I understand as an Owner-Builder ll I sell the property lor which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owne(s) that result lrom any latent construclion defects in the workmanship or materials. b.) ,g I understand I may obtain more inlormation regarding my obligations as an "employer" from the lnternal Revenue Service, the United Stales Small Business Administration, the California Department of Benefit Payments, and the Calilornia Division of lndustrial Accidents. I also understand I may contact the Calilornia Conlractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.(--^ >>;10. I am aware of and consent to an OwnerBuilder building permit applied lor in my name, and understand that I am Belore a building permit can be issued, this torm must be completed and signed by the property owner and returned to the agency responsible for issuing lhe permit. /Vote; A coDv ot the proDertv owner's driver's license. Phone Number ol Authorized Agent: