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Home My WebLink About10191244 - Permit (2)City of santa Ana 20 civic center Plaza (M-'19), Santa Ana, cA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667 -2i35 lnspector Section: (714) 647-5853 Permit #: 1fJ191244 Pin #: 15038 w Project Address: 512 S Euclid St Assessor's Parcel 932-610-83 Unit: .Bldg f ftcl. 13723 Address Range: 502-520 Historic: No Suite Range: Zoning: R'lBlock: NA Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwolling Addition Addition/Patio Cover Sfd wratt garago 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: 250 250 Patio: 250 T.l.Area: Yards Req'd: Valuation: S27,250.00 Description of Work: Add 250 sq ft to second floor to create master bedroom and bathroom. Planning Conditions: Owner: Address Phone: Tenant Contractor Address.Address Diemmi Nguyen 512 S Euclid St Santa Ana, CA 927041054 17't41705-3614 er-Builder Phone: Slate Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Architect / Desiqnerl Address: Phone: License # Planning Approval By Plan Checked By: Permit lssued By; NPDES lnsp. Req'd: McCann, Melanie Chehade, Nabil Hernandez, Kathy Date: 1208/2016 Date: 1208/2015 Oate: .12112J2O16 Subject to Field:ux No Misc. Receipt Misc. Receipt Misc. Receipt 07776002 07776002 07776002 08907007 0717600 2 07776002 07776002 57607 si600 s7770 24000 57672 s7600 57607 $860.00 $952,.50 ,r4 00 / $3.s4 $2.00 $20.56 $51 .26 68776 Total Permit Fee Plan Check Fee lvlicrofilm Records SMIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance PWA lnsp. Req'd: No Planning lnsp. Req'd: No Fire lnsp. Req'd: Police lnsp. Req'd No No Account# Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every pennit issued shall become invalid unloss the wo on the lite authonzed by such pemit is conmenced wthin180 dsys after its issuance,or if lho wo* authonzed on the sile by such permit is suspended ot abandoned fot a period ofl80 days aftet lhe time the wo* ts commenced. 011 16002 011 't6002 011 16002 01 1 16002 08901001 $20.56 $91 1.26 $2.00 $14.00 $3.54 $'r,903.86 $952.50 $951 .36 lnspector MID#: 2016-132571 51600 5't601 516't2 57770 24000 Fee Tolal: Paid to Date: Balance Due: Lot Occupancy: Constr Type: Code: Flood Zonel # of Stories: R-3, U VB cBc 201 3 A-0602320252J Engineer:Oonald J lnman & Associates Donald J lnman 5131 Fox Hills Avenue Buena Park, CA 90521 17't{l s2145s4 11888 Phone: License # SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns 2.1 - t7 J,l"!."(,a?D Erection Pads UFER Ground SLAB Floor Subf loorA/enVlnsulation Roof Sheathing 3lzt lt,l\1\, #3f Gp R-.,{,,-l- Shear Wall (/rr,/1'7 iltl/ i r.t y'Evi,w t* lvttll4 Framinsd'5 hilb[i,DW lns u lation/Energ y r ltr(t7 ,'/&( /r) Drywall Ext.tlnt. Lath fu( 4a(-'o/1A/l?/ t.'r,eLf- rr* lln'ttu-A Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report n-&k{r.d ,lLq6/t7 l.D.bY FINAL rq "9lb s.at tLt4At <' Certificate of Occu pancy Notes Remarks, Etc -BUI ING. INSPECTOR RECORD or\ Nt:R al ll.t)r.R t)ut_( 1R \ I ()\ I trchy nmnn undd p.allly ol p.rjury lhal I d. .r.mpl lmrn lh. Conka.lou Liffi liw for lhc rolbsiry r.aq\. \h r(rll 5 Ittrrn6r ud P(f*'on Cod.) ny (\ry or Counly whth r.qutr6 a p-nn ro .onsrtuc(, alr6. improv.. danolish or Bet y slnrclu.. Fior ro n! isuDc.. .Lr. r.!un6 th. ippli.dl for soch Fnnir Io 6lc a shn.d stalmdr rhd hc or shc is hcer.d pursinr h rh. Forisi.6 of thc Coir8lor'r l-iccn*d Ir* (ChlprF 9. Conrndons \vith s..rion 7000 of Dnisio. I ol rhc lrBin* ed Pn'fd.n'n! ( .d.) or rh'l h.o,shc ts.rofl rhdctonMdrh.bot lor rh. .14.n .ranpl ion ny violdion of Sdbn 7011 5 br sn, apllic. for.Fmnsubj*srh..pplic.mto.cnilp.nrhy.lnormorâ‚¬rhefiv.hundr.ddoll&s1t5(x)). L ai o*hn of rh. 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'ntdd dd AfuLa.+â‚¬ olclJ8allqd I l6!b' .mm urd6 Frlly ot FJUr' lh, I m licqE d un&r Fortio. ol (l[pr. 9 (mnmi.8 $th Sdirn 7(x[, or D'rnrn ! ol 'h. B6i,B,rd Pr.i6ioE Co&, *l mr lt.N i in tull to@ !d.ftd CONSTNU(]TIOII LENDII{G AGENC| I hq.t y .llm und6 pc..Xy of Fjury lha thsc i! a .ortlNclbn l6drs !c*y lor ih. Ffoffi ot th. $ orl [)r ufiich rhi pqnir ir is.d(S< !0e7, civ c ) ATIIICANLDECIjSAIIOT I \dq lfm undd po.h y or Fjur, on. ot th. hlhq ins ddlsral on3 D.nolnion P.mils-Alb6lN Norificdion Fcd6.l R.8uhb {TnL40. Pan6) R.1un.d l!rd of Ndifr.dbn I c<lray rhd rh. f.d6al r+ul.lioN Esrdios Nt6ka roo\ al ec nor amlicabl. to lhis ,r.jd I .dr '[ rh'i I hr\. rod r hir sfi,li(arion lrd 3r.r. rhd rh. .tx)r. infomdion t coEd I rarE lo comply ud Counry ro dta uFn rlE '4u-2. I I Flood Zone Certif . A--'l ,r/4-2.r"'r-, o'dd,.c6&d srrr.l.wr'.lddr ro h'ldrn! (.nntud'Fiatd.b) lurhorn.rGFMidtr6, rtn. 'norrn J propgly tor r6n.r'on,ru.I{h , J ^pp,k.n,or^sm,shn.,ur.: ( J'kz'zt*' r.rhhen,h.(p.hr): Dt;avl,++i Ne%E+) I\4AYOR t\4iguel A. Pulido MAYOR PRO TEM Mcente Sarmiento COUNCILMEMBERS Angelica Amezcua P. David Benavides Michele Martinez Roman Reyna Sal Tinajero CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Crvrc Center Plaza P.O. Box I 988 . Santa Ana. California 92 702 www.santa-ana.org/ 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 of the property improvementsspecified",r.lA. S â‚¬LtCLtD S+S vrT*nO) . c/+ 92?6:{ CITY I\4ANAGER David Cavazos CIIY ATTORNEY Sonra R. Carvalho CLERK OF THE COUNCIL [.4aria D. Huizar We are providing you with an Owner-Builder Acknowle ent and lnform 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 inilial each statement below to signify you understand or verify this information. v 1. 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 for injuries to workers on my property. v 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. 3. lunderstand as an "Owner-Builder" lam the responsible party of record onthe 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. -Y-A t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permils and contracts. V S. t understand 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 ($500), including labor and materials, I may be considered an "employer' under state and federal law. V 6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each 'employee." I also understand my failure to abide by these laws may subject me to serious financial risk. J l. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. SANTA ANA CITY COUNCIL MPuldoosenl,-ana @ Mayd fto l6n. Wa.d 1 vsadrsro6sn16-ana.do MManrhe@ent ..n6.do AAmzM@s.t -.ne m DBe.aedesasanra.anao! RR.haosa.la-anaro S linaso@$nta-ana *o r./ a. I understand as an Owner-Builder if I sell the prope'rty for rihich this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. V 9. I understand I may obtain more information regarding my obligations as an "employel from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Oivision of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more informalion about licensed contractors. V 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 leg address: and fina ally responsible for proposed construction activity at the followingall V 1'l.I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. ., , '12. I aqree to notify the issuer of this form immedialely of any additions, deletions, or changes to any of the iriformation I have provided on this form. form notarization. or other verification acceptable to the aoencv is reauired to be presented when the Dermit is issued to verifv the property owner's siqnevrre. )Signature of Property Owner Print name of Owner Date L L. 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 flle the documents necessary to obtain an Owner-Builder Permit for my project Scope of Construction Project (or Description of Work) Project Location or Address Name of Authorized Agent 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 filled out the above information and certify its accuracy. Property Owner's Signature Print Name of Owner: Date Note: A copy of ahe owner's driver's license, form notaiza on, or other verifica{on acceptable to the agency is required to be prcsenaed when the permlt ls issued to veify the prope,ly owner's signature- PLinkr\JP5lrCounlerAclivLty AssernblyBills'Notrce lo Propedy Form 03-1{'20'16 SANTA ANA CITY COUNCIL MPulrdo@sanre{m.ord Mayo. Frro T6.n, Wad 1 Ys{E!s!l@la!l!:!!e"e!!Mtna.!nâ‚¬z@s6nre-Bna.ord Mft:ora@s6ntr-6ns.o.o OBenavdeso$nta-ena oro RRena@sanla-ana do ST na,erd@sanra-ana do 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 financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contraclors may be in civil court. lt is also important for you to understand that if an unlicensed Contractor or employee of that individual or rlrm is in.lured 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 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. ,Vote.' A copv of the propettv owner's driver's license. 1..t