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Home My WebLink About10291284 - Permit (2)Proiect Address: 3322W Borchard Ave Assessor's Parcel 109-664-18 Lot: 150 Unit Bldg: Address Range:Suite Range: Zoning. RlBlockr NA Tractr 3855 Historic 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 #: 1o29128,4 Pin #: 45315 Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: R.3, U VB cBc 2013 x-0602320256J ,| 1st FL Area: 2nd FL Area Other Areasl Patio: T.l.Area: Yards Req'd: $/t(/atl!r{: r ronSi: lo iei i Single Family Dwelling Alteration Storage Shed & Demo Patio SFO w/att garago Storage Shed Occupancy: Constr Type Code: Flood Zone: # of Storiesl Phone: Slate Lic f: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Garage Aita:$8,400.00 Total: , , 0 Description of Work: Legalize detached storage shed (188 sf). Oemo/remove unpermitted patio cover from sfd,ioIo i ;l t): )t Planning Conditions: Engineer Owner: Huey Lai Contractor Owner-Builder Address 3322 W Borchard Ave Address: Address: Santa Ana, CA 927042414 Phone: v14l 514_8144 Tenant; bto9 bf 05 0ili6nr,;- lri croi i ir 0iii6n0: siiiP 08tn.,".,: iiosier;qti(i:r"' xevotv l n9li oi2u00- d Docurmis , r 77,11tG- I + ,.,n tlt rutl - d rr r r rr *3358 Phone: License #: Architect / Desiqner: Address: 1.UU 5.6U i .,i7 7 . L7 Phone: License # Planning Approval By Plan Checked By; \ Permit lssued By NPDES lnsp. Req'd PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Kathy owska, Teri Misc. Receipt Misc. Receipt Misc. Receipt 0 77 7600 2 07776002 0 7776002 0 7 7 76002 07776002 08901007 0 7776002 0 77 76002 0 7716002 5760 7 53600 57770 5760 7 57607 210 00 57672 51600 5760 7 $150.00 $7s.00 $3.62 $93.17 $234.08 $1.09 $1.00 $21 .25 $52.98 n Dale'. 0212812017 Date.08lO7l2O17 Date: 08/07/2017 Subject to Field: 69231 Total Permit Fee Plan Check Fee Microfllm Records lnvestigation Penalty SMIP - Category I Bldg. Stds. Revolving General Plan Update lssuance No No No No Fire lnsp. Req'd; No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Account# Every pemit issued shall become invalid uhless the wotu on the site authonzed by such pe.mit is cofinenced within 180 days atler ils issuanco.ot if tho wo* authorizad on lhe sile by such pefilil is suspended ot abandoned lot a pedod of180 days aftet the timo the wo* is conrnencod . lnspector MID#: 2016-132645 01 1 16002 51600 01116002 51601 01 116002 51612 01116002 57770 08901001 24000 Fee Total: Paid to Date: Balancâ‚¬ Due: f6ii6E6F vtoLArloN $21.25 $s30.23 $1.00 $3.62 $1.09 $632.19 $75.00 $557.19 BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG-COMMENTS OWNE-N BUILDER DEI,(-AIATION I hd.tt drm lndr F dlty of Fjurr lhd I d .topt from lhc Co'{,E1oB' l...M ti$ aor rh. folLr*in8 Esn (ta.7o]l J llcin* &d Profsion Co&)r Any Cily or (ounly qhth r.qun6 a Fnn to .oNlrud, 516, itn{trore danoliih ur q{n y lttuciu. Fnl re ii isd( .I$ Eqlc rrE .l0lter for Mh Fnn to 6L a !$Ed niml tlld t or 3h. is lic.tE d pnB", to rhc [ovGioB ot lh. (ir Bror'! Licd$d L!* (Chaptd 9, ( oh6.mr! *nh sdion 7000 ol lrlis@n ] ol lh. B$ind lnd Prea*ioB Cod.) or $d rE q slr i! dmF lnâ‚¬cfom Md rh. b.!ir lor th. llks.d.lsnplid Any riihiion.rsdion 70115 ht.n! .rplk for!Fmnsbj6BtlE.p?1rc61lo..ivilFuhyotmr'mr.6envchu.rt.d&lla(ttu)). l. s o{E .frlE FDFry, or m} mpb}6 s'irh sra6 6 Eit $L rchF$aion. sil {h tlE srnl nd dt rnE|rc it d fio'&j or olI6.d atr slc (Sd 704,1, Bu.B od EolBoc Cqj.: IrE Qdd 'r Lidg ls'dr6 tr'l +rly lo d o*ffi or th.FDpqiy *ho hil& or inF.vd th@a dnd *ho dc uh "orl him.lf or h*lf or lhoush hn oi hd om .s9loy.6. Fovij.l rt l sh lrF !!Er! G r, nod.d (ofsEl fr'r nl lt lE*w. tlE ti din8 d in4.cttid ir $ld \ihh @ !d oaco,rFkbtr tlE o*E rhn& M[ lEw tlE h!&' of FovitB rl'i lE or dE dd rci hnld d ingot rhâ‚¬ FrFr, 6r lh. Fr!.* or I. s o*n ofth. Pr.pdy. o.rchErEly co ,..lins *nfi li.or.d .o'r1...t6 b $nrtud rrx FtrF (Sd 70.1.1. tt6r6 and PNi3sion cod.: Th. ( ont..ro. s Li.ru rl* do6 nor rpplr ro m own6 ofPlopslyf,ho buildr or if,pFve rhd$tr lnd $ho odd! fo. $ch Foj.r1s snh r Co .r]ro(3) ltdBj p{s{d ro!h.( odd('r Li..B lls) I m.rdnr, unddSdion r,r1!\!tllL!)\ I hscby dilim un!6 p6dlt!ofDquo I h,r. sd r ill @imrin ! Cdifkd. of coMr b S.lf-llue fd $.rtd @EFEdbq B Ford.d for bt sdnn ! r00 o{ rh. Iibor (ixi., aor rhc pqrolrre. 6f rh. NrI aor whrh $. Ff,n ir su.d I h,r..nd will mi.bh *ort6 conp.B.lion itMu., s Gtur.d h, S.d{'n 1700 oallt rrnr co&. lor tlE Fr(),rrld. of rh. *orl for vhrh lhL pdnn n isucd M, *ort6 snFEdioo iNtu.. .dnd td poli., numb.i ac I cdiay lhd mrh.pdfomrnc.of thcMrk for whichrhisF,rn h iesu.( I shall @r @tiry any Frson in uy mmns r B to b..om ubi6r ro 'lE ${t6'@oFaiion h*! otcriitomi. rd isE th, ial lhuld bBom eti.{l lo rl8 *s*6' comF!.r ir. rtuvisioB of Sdidn l7m 6l rlE t bor Cod.. I 3ldl. tonh! nh ond, with rhos prova.E WARNING: F ilrc to Ksâ‚¬ workd' comFMlion cov@sc n urbqtul md trhlll tubjel s dploF lo Eiminal psEn6 ud .ivil fn6 up ro om h!.d,.d I tlm,ooo). m ldlfFn 1,, rh. cdd of .omFNrion. d& 36 a rroud.{ tu Ih. sdri.n {176.arh. r,htr (-.,L nr I H^ 6fiim unj.r FEhr,' of DFCt-{rt TloN uBt6 rm\tion of (-h,F6 e (comffiit{ $ in S..1nn 70(x)) ol Lrn ist'n 1 Dl th. uGind Md PtoldioN ( odc. ad my lic.N k m loll fok! ud.trat COXiIf,IJqIOI|TE!iDI!IiAGE!(I I fi@by .lIm un&r Frlty ol Flury rhd lhd. i! ! rcnnrud6. LrdiS .!4y for rh. Flffi. or lt *.rk aor *tkh rhl! Fni R ilrual(sd. 1007.civ. c ) Arrlt(:A.ufD[g,a&ula! I hdd, ltrm udd Frh, of pdjury oE or llE 6lh*in8 d&l[d i)ns: l).moh,on Pm lArhdlos Nor ili.rlion l,olaal R.suhtiou (T lc40, P.n6) -R.rruEd lnlqof f}oli6<nb. I cdily rhd rh. Ld6.l rcsuldnrE Esrdins erb.sktr rooulsc ool .{,plEhl. (, rhir rn!.tl $tr i! cotr..r I ajrc !o c6mnl, wirh ull Cily .nd Cou.ly .i]. nF.ddiv6 of fiis Ciry .id ( oury lo 6rs urDn $. Y(aY s/t1/7 Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framing lnsu lation/Energ y Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif /1 FINAL {-llt-l/V.Wlta Certificate of Occupancy t) \7 Notes, Remarks, Etc /--tr/ I I I I I I I I I I.4AYOR MaguelA. Pulido I\4AYOR PRO TEM l\.,1ichele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTina,ero Juan Villegas INTERIM CITY MANAGER Cynthia J. KurE CITY ATTORNEY Sonia R- Carvalho CLERK OF THE COUNCIL Maria D. Huizar Dear Property Owner Ana rca p CITY OF SANTA ANA PTANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box I 988 . Sanra Ana. California 92702 www.santa-ana.oro / oba NOTICE TO PROPERTY OWNER s been su you lis you elfe e e pro rty rmprove en tss 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 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. t^ -l .M,. , understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Bualder building-permrt 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 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. lamwillfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. W-, ,understand burldrng permits are not required to be signed by property owners unless they are responsible for the'coN-truction and are not hirin; a licensed Contractor to assume this responlibiiity. from I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself ntial 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 California and to list their license numbers on pelln|rs and contracts. //-/ tfz_i I understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of 'my construclion is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. /@{-U I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment - comrensalion of each 'employee.' l also understand my failure to abide by these laws may subject me to serious flnancial risk. {U-', I understand under Caltfornia Contraclors' State License Law. an Owner-Builder who builds single-family residential stfoctures cannot legally burld them with the intent to offer them for sale, unless a// work is performed by licensed 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 ne building Contractor 8. I understand as an Owner-Builder if I sell the property forwhich this permit is issued, I may be held liable for any flnancial or pe onal injuries sustained by any subsequent owner(s)that result from any latent construction defects in the lyorkmanship or materials SANTA ANA CITY COUNCIL 3 Mayor Pro T.m. Wa.d 2 cified a mDurr0o@sa.la-ana ora V.enre Sam enlo vsam enlo6ss.ta 'ara oro 6crono@s.nra-anaoro dbenavrdesrosanra-a.aoro rvirleoas@sanlaanaoro stinaâ‚¬roosarla ana oro 1/ -/1/KLs. I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Service, the' Unitbd States Small Business Administration, the California Department of Beneflt Payments, and the California Division oI lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 'l -800-321-CSLB (2752)or lb.ca ov for more information about licensed contractors ally 10. I am aware of and consent lo an Owner-Builder building permit applied for in my name, and understand that I am the party and financially responsible for proposed construction activity at the following add 1 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all ap ble laws and requirements that govern Owner-Builders as well as employers '12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have p ded 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 financial loss you may sustain as a result of a complaint. 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 may be held liable for damag es. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verifi/ing whether or not those Contractors are properly licensed and the status of their workers' compensalion insurance coverage. Bofore 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. Nofe;of the owner's driver's licen verification acceptable to the aaencv is reouired to be presented when the permit is issued to vetifv the propertv owner's siqnature. Signature of Property Owner Date 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 lile the documents necessary to obtain an Owner-Builder Permit for my project. Scope cf Construction Project (or Description of Work) Address of Authonzed 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 filled out the above information and certify its accuracy. Property Owner's Signature Date Print Name of Owner: Note: A copy of the owner's driver's license, form notarization, or other yerification acceptable to the agency is required to be presented when the permit is issued to verify the propefty owner's signature. SANTA ANA CITY COUNClL moo do@sEnla-a.a oro Mayor Pro Iem Wa.d 2 mrmanrnez@sanIa ana oro vsarnrenro@sanra-a.a oro P Davd Senavrdes dbenav des@sa.la ana oro strna erolosanla s.a oro Printnameorowne, y'fttZV L*t POect Location or Address: Name of Authorized Agent: Edgqo$da.@a-o!9 :U__ lUU- ;Uov.I0u0mFaU]NNf, ln :B P oo o o_ -aoL! IaL! toFa Ea â‚¬1. . ) I \ \ 6r 5o , *t - 1l lu l s oH o d V U V ^ .5 6 s -a \6 !8 . o o{ c r. fl S J s( } jl r "l O( r' ) *j zoFtoziLr Jz> oJ- - 5s l ct9PoN ?u' )o() CO ttaE. ,i i D _ - - _ . - h i6r8ra â‚¬6Fo-EeoE '! oG|t la,?<t (}E EI9!r c{Or ca l tt (o \$+Fp E#C -( [ C6U)o7o i I* LS , f 1l $ 1Y:ooe8 =l - C- J (f )o,<l!JOr(JoE-()to(DFLr J= *q"(0i r4q-4 a()&) E]t q I 5t * 9 9 1 r oj o - - zz t Ll O l I ,\ a c I Zt o1: .l I Ll - rl r v, l J \b i, I -_ . - 1