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Home My WebLink About10193567 - Permit (3)Proiect Address: 1519 S Ross St Assessor's Parcelr 013-181-08 lot.47,48 Unit Suite Range: Zoning: RlBlock: D Tract 531 Hlsloricr No city of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O193567 Pin #: 2177lJ Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family owslling Patio Cover wooden Patio Cover SFD Watt garage 1st FL Areal 2nd FL Area: Other Areas: Garage Area Total: Patao: 340 T.l.Areal Yards Req'd: Valuation: $6,630.00 Planning Conditions: Conlraclor Address: Engineer Address Owner-Builder Phonel State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires; Phone: License # Phone: License # Planning Approval By Plan Checked By: Permit lssued By: Kelaher, Selena Hernandez, Kathy Hernandez, Kathy Date: 07/t9/2017 oate'0711912017 Dale: O7l2Ol2O17 Subject lo Field: Misc. Receipt Misc. Receipt Misc. Receipt NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning Insp. Req'd: No 07776002 07776002 0 890100 7 07776002 07776002 07776002 5760 7 53600 2 4000 57672 57600 57607 $150.00 $125.80 $0.86 $1.00 $21.25 $52.98 $ Permit Fee Plan Check Fee SMIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuanceFire lnsp. Req'd: Police Insp. Req'd No No Account#Total Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Evary petnit issued shallbecome invalid unlosstha i/o* on lhe stle authonzod by such pemit is commoncod wthin 180 days altet its issuance,or if the wot* authorized oh the site by soch pemit ts suspended or abandoned tot a penod of180 days aftet lhe time the wotk is commenced lnspector MID#: 2017-137457 0r 116002 51600 01116002 51601 01116002 51612 01116002 53600 08901001 24000 $21.25 $202.98 $1.00 $125.80 $0.86 Fee Total: Paid to Date: Balance Oue: $351.89 $0.00 $351.89 Bldg: Address Range: Occupancy: Constr Type: Code: Flood Zone: # of Stories: R-3, U VB cBc 2016 x-0602320276J Description of Work: Add wooden attached patio cover/auth on file Owner: Jose C & Dolores Laris Address: 1519 S Ross St Santa Ana, CA 927072220 Phone: (714) B35-2370 Tenant: Archilecl / Desiqner: Address: BUILDING- INSPECTOR RECORD SITE.WORK ID/SIG.COMMENTS o\!N!:R B!tLDI:R D0tr(AR T|ON I hd.b) 6lTrm und6 Fdty of F,!D $n I d .ropl nom lh. 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Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report , FINAL f,/z t/rt ..'l/'lxh Certificate of Occupancy JN/U Notes, Remarks, Etc DATE I I I I I I I I I I I Flood Zone Certif.I I [,4AYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILI\,IEMBERS P. David Benavides Vlcente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERIM CITY IVANAGER Cynthia J Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Crvic Center Plaza P.O. Box I988 . Santa Ana. Californra 92702 www.santa ana-orq/oba NOTICE TO PROPERTY OWNER An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at We are providing you with an Owner-Builder Acknowledqment and lnformation Verification Form to make you aware ol 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. D 9, ,understand a frequent practice of unlicensed persons is to have the property owner obtain an 'ownerBuilder" 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 flnancial 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 for injuries to workers on my property. 1.\,' -l ) I Z. I u nderstand building perm its are not req u ired to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility.[\ r' J ) , | 3. I undersland a s an "Owner-Bu ilder" I am the responsible party of record on the permit. I u nderstand 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. 4. I understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracts.l\r> ll-tS f understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of my construction is at least flve hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. ^f)L-dU. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal g--ovemment, withhold payrolltaxes, provide workeri' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk.C''ZV u7. I understand under Calfornia Contractors' Slate License Law, an Owner-Builder who builds single-family residentialEi itures cannot legally build them with the intent to offer them for sale, unless a// work is performed by icensed 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 eneral buildi ng Contractor I understand as an Owner-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 from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL moul'do@santl-aru do l,l'ayor Pro Te6 ward 2 mrma.l ne2Osanta-ans oro V certe Sam'enro wam enloasa.ta e.a oro P Oavrd Benav'des dbe.zvdesAsanla'ana oro rM easasanta.ana o.o Dear Property Owner: -[.1S. f understand I may obtain more informalion regarding my obligations as an "employer" from the lnternal Revenue Service, the United States Small Business Administration, the Califomia Department of Beneflt Payments, and the Califomia Division of lndustrial Accidents. lalso understand lmaycontactthe Calilornia Contractors' 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 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 address , D/,.I agree that, as the party legally and linancially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govem Owner-Builders as well as employers V/ 12.I agree to notity the issuer of this form immediately of any additions, deletions, or changes to any of the information 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 assisl you with any linancial loss you may sustain as a result ol a com plaint. 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 maybe held liable for damag es. 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 slatus 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, ivote: A copv of lhe prcpertv owner's driver's license, form notaization. or other verification acceptable to the y is reouircd to be Drcsented when the permil is issued to verifv the Drooertv owner's Signature of Property Owner D@{u."o",", ? [ Zo Print name of owre, C) C> \ orc.; 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 Ille the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) >â‚¬tz--..-.---<_.--\ S LosProject Location or Address Name of Authorized Agent 'lrn 7a 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 fllled out the above information and certify Property Owneas Sign its accuracv- ".\ ./ I Date -l ,0 t Print Name of Owner Note: A copy of the o s driver's lic be presented when the permit is issued to verify the property owner's signature,,: SANTA ANA CIIY COUNC L () P O.ed Eenaedos dbenavdB@sanra-ena o.o rvffr!!se!3!]!.i!!- sr na'eroO sarl.'ana o'o se, form notarization, or other verification acceptable to the agency is required to mouldo@sEnl,-aFa no Mat r Pro Tem, Ward 2 m'man nezlasanla-ara do Ed.a!.q@5t!Eia!!-e!c sionature. 1t To i7. ,\ I \UYN/" oLtT9t DE KA A6 KEAU|i\EP, ?Rovrp )-Zi){;i;t',Vii.i+IN 2eaa>olY R.E? ?OOF, + qo,t-ot'rL, lv r- r\tr-l llz-ll rll \s\ -sI _o F- r il ti 1l! :ir il ri li I' lr :i Ii i 6Ap r'\hl , col"4 r ,r I 111-ttl ' t',r'r \ \\AlLt li\-IO H Xrcht E ITIDU 4IIiNELI -l tf\ $t 's{tr I L Lt( rA 6t6rsn"i['- lt. tl li It ll it t\ /. ..\ (\ \\\ ,/ C1 --\ \S S u\-\ c\ t G l-t-'( 6'eoo1D BL\ \tc\ +l (t-r ' , .t. lrL ot, covLrt zlt?TtooAwâ‚¬? 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