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HomeMy WebLinkAbout10291458 - Permit (4)q Unit Bldg: Address Range Suite Range: Zoning: R2Lot: 3 Block E Trccl 737 Historic No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building Permit Counter: (714) 647-5E00 lnspection Requests: (7'l4l667-2738 lnspector Sect;on (714) 647-5853 Permit #: 10291458 Pin #: 23335 Building Use: Job Type: Nature of Workl Existing Bldg. & Use Proposed Use: Single Family Dwelling Altoration Demo Unpermitted Addn SFD Wdet garage Occupancy: Constr Type Code: Flood Zone: # of Stories: R-3 VB cBc 2013 x-0602320257J ,| Palio: T.l.Area: Yards Req'd: Valuation: $1,000.00 Oescription of Work: Remove/demo unpermitted studio addition & patio cover from rear of house Planning Conditions: Ownerl Address Phone: Tenant: Conlractor Address: Engineer Address: Phonel License f: Alvaro Rojas/Miriam L Rivas 1529 S Townsend Street Santa Ana, CA 92704 (714) 6s3-2971 Owner-Builder Phone: State Lic fi Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires; Architect / Desiqner: Address: Phoner License # Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req' PWA lnsp. Req'd: UC ki, Teri o17760 02 o777600 2 077760 0 2 017760 0 2 o771600 2 077760 0 2 57507 57601 57601 5 7572 s7600 57601 $154.26 $93.17 $23.08 $1 .00 $21.25 $s2.98 Dale: 0711012017 Misc. Receipt Date: Misc. Receipt Dale. O 1O|2O17 Misc. Receipt Subject to Field: No No Account# Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Update lssuanceNo No Fire lnsp. Req'd: Police lnsp. Req'd Total Planning lnsp. Req'd: Landscaping lnsp. Req'd No Flood Zone Cert. Req'd: No 011.16002 51600 Every pemit issuod shall becofie invaltd unless lhe wo* on tho sito authonzed by such petmil is commenced within 180 days aftet ils issuance or il tho wolk aulhonzed on the sile by such pom],il is suspended or abandoned tot a pedod o1180 days aftel lhe time the wo* is cgmmenced . lnspector MID#: 2016-133098 01 1 16002 5'1601 01 1 16002 51612 NOTICE OF VIOLATION Fee Total: Paid to Date: Balance Due $2',t.25 $534.49 $1.00 $556 74 s0.00 $556.74 Project Address: 1629 S Townsend St Assesso/s Parcel 408-213-12 'l st FL Area: 2nd FL Area: Other Areas: Garage Area Total: BUILDING- INSPECTOR RECORD SITE.WORK COMMENTS OWNf, R BUITDEN DEI-C 'IATTONI hGby amm ur{j6 ,<rihy ot psrury lha I m ddri fmm 'h. CodrJloR l.i.@ l js for lh. folhu in3 rcron lsd ro r I 5 Bcin6r .id Ptul6ion (-od.) Ant cn) or ( oud) $ hxh r.qur6 . 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FINAL 2-lrt-11 k-wu Certificate of Occu pancy Noles, Remarks, Etc DATE 1 lD/SlG. 7 I I I I I I I I I I I I I Deputy Final Report I i I I I I ,A oz ic Jn \r I \- ll n'II l! 'll l/()r -)1 t-\1 \Ir)F- I ).! I lv 1 ,l .t'n \\ 1;_)(.-J ( r^ \tl L \/\ a n \{1rr I I i I I l \^\t -(/\I )\I a;t+ \V_I I I.l \U I,/tTt^D\--]I i IJfl r 1 I r- I Ln ,PE, ()oD ON lr I I LU(EC :FI lr:. t lEr'l D YE NC IltoF I I NOT TO SCALE C),crno : \. vn 0-!-.r\ ., ltgJ_ L. v ^ i\a.^1.,*&J BrtrJr\i r,rr p6+)o C O\-!-C I l I I tt I I t.ttt I I I I tt t1 I I I lt I II I I I I I I I I I I I I I l )Itt1t I I I L) I l I I I I I Ill tt I tt I i I I ttl I I I I ---, II I II I I MAYOR MiguelA. Pulido MAYOR PRO TEt\,i Michele Marlanez COUNCILMEMBERS P. David Benavides Vicenle Sarmiento Jos€ Solorio SalTanajero Juan Villegas CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Crvic Center Plaza P.O. Box 1 988 . Sahta Ana, Californ? 92702 www.Santa-ana.org pba NOTICE TO PROPERTY OWNER Dear perty Owner Ana CA on 0r a permr has EN SU ed r nam sti e U er e property rmpro m ntS We are providing you wilh an Owner-Builder Acknowledoment and lnlormation 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 permil 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 VERIFI CATION OF INFORMATON DIRECTIONS: Bead and initial each statement below lo signity you understand or ve ty this information. t1 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 lor 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 ol the limits of my insurance coverage lor injuries to workers on my property. lf,f0Z. f understand building permits are not required to be signed by property owners unless they are responsibte for the construction and are not hlring a licensed Contractor to assume this responsibility. $4<r. , 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. -\}r1=. f undersland Contractors are required by law to be licensed and bonded in California and to list their license numbers on permrls and contracts. \&=. , understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least live hundred dollars ($500), includlng labor and materials, I may be considered an "employer" under state and federal law. !U{- U. , understand if I am considered an "employer' under state and Federal law, I musl register wilh the state and federal government, withhold payroll taxes, provide workers' 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 financial risk. f\,.,i\,,7. I understand under California Contractors' State License Law, an OwnerBuilderwho builds singlejamily residential structures cannot legally build them with the intent to offer them lor sale, unless a//work is peiormed liy SANTA ANA CITY COUNCIL ACTING CITY MANAGER Gerardo Mouet . CITY ATTORNEY Sonia R. Carvalho . CLEHK OF THE COUNCIL Maria D. Huizar Mayor Pro T€m. Ward ? moul'do@sania ana oro vsarm'e.to@sanraanz0.o Fcloro@sanla.ana.ro P OEvd AenEv'des dbenav.res@sanE a.a oro N lleas/asanla-ana.o,o I I I licensed subcontractors and the number of structures does nol exceed four within any calendar years, or all ol the work ls perfo16red under contracl with a Iicensed general building Contractor. 0&o. f undersland as an Owner-Builder il I sell the property lor which this permit is issued, I may be held liable {or any firiincial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the workmanship or materials. M4. I understand I may obtain more inlormation regarding my obligations as an "employer" from the lnternal Revenue Service, the United Slates Small Business Administration, the California Department of Benefil Payments, and the Calilornia Division of lndustrial Accidents. I also understand I may conlact the Calilornia Conlractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more inlormation about licensed contractors. 'Yi l"-10. I am aware ol and consent to an Owner-Builder building permit applied for in my name, and undersland that I am the party legally and financially responsible Ior proposed construction activity at the following ..1.1/ac c' -0t1,1. I agree lhat, as the party legally and flnancially responsible lor this proposed construclion activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. $Vr r. I agree to notify the issuer ol this form immediately of any additions, deletions, or changes to any of the inlormation I have provided on this form. Licensed contractors are regulaled 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 financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Conlractors may be in civil court. lt is also important for you to understand that if an unlicensed Contraclor 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 lor verifying 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. ,{ote.' A copv of the propertv owner's driver's license. lorm notarization, or other verification acceptable to t aoencv is reouired to be Dresented when the permit is ro ss nature. Dale (tSignature of Property Own Print name ot owner ffli P-t ; (iurS AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I undersland is my personal responsibility, Ihereby authorize the following person(s) to act as my agent(s) to apply tor. sign. and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope o, Construclion Projecl (or Description ol Work) Proiect Location or Address Name ol Authorized Agent Address ol Authorized Aoent Phone Number ol Authorized Agenl: I declare under penalty of perjury that lam lhe property owner for the address listed above and I personally filled out the above inlormalion and certify its accuracy. Date Print Name ol Owner Note: A copy ot the owner's drlver's license, lorm notarization, or olher verilication acceptable to the agency is rcquired to be presented when the permit is issued to verily the prcperty owner's signature. SANTA ANA CITY COUNCIL moul6o@santa..na oro Mayor P.o Ten. Ward 2 h ma.t nez@enta-ana.oro v'6r€ Sarnento $s!rq!!&@la!la.aDr.s9 Eolono@sanla.anaoro &!!a!r!e5@Sa!l33!a Mllooas@santa-ana oro $oeie@@!a!ra:@a.sq Properly Owner's Signalure: I \c \J j.\(\t rl I It n'ili )tl .I 'll I t/-\ r^ Irl Y l /r \-l '/'i 1\L )-.(\),/ aA (-./ ! T It (-\(Y/ l) Int {rrY) I,r ), I !.t"\^1 I -(I )\ lc- I ,tl ut'l \U I,/t-\e^1 I LJtlr-I r- I irr l.n ,PE (IE A',\I A r I LU(JI\.EC =Ht rFf lEr)D YEI Ill:t I NOT TO SCALE l)<.rr\o \Vr\ (!Lrr1r'r +tAf Ds.l.\)\, un r- n 1r..n',QJ ,r n{: q C o\.!-C I I 2l I , tt tt- I I lltl I I I I I I ---rI t. / I I I tt III II I I I II I I I ttt I Ittl-l tt .t tl r i I TI i tlI I I I I lt III I I I I I .:. I I th.I t I I I II I 1;- |I lt pi Itl I i Itt t, J# I I I fiq I I I tt I l I IttlII I I II I I I I I l I I I