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Home My WebLink About10194276 - Permit (2)wProiectAddress:1429 N Euclid St Assessor's Parcel 100-170-6'l Lot. NA Unrt Bldg Address Range: 1 425-1 429' Historic: No Suite Range: Zoning: R2Block NA Tract: NA city of santa Ana 20 Civic Center Plaza (M-19), Santa An.a, CA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (7'l'4], 667-2738 lnspector Section: (714],647-5853 Permit #: 1lJ194276 Pin #: 61O84 Building Use: Single Family Owslling Occupancy: R-3, U 1st FL Area: Patio: Job Type: Rsroof Constr Type: V A 2nd FL Area: T.l.Area: Nature of Work: Reroof Code: CBC 2016 Other Areas: yards Req,d Existing Bldg. & Use: SFD w/att garage Flood Zone: A-0602320'143J Garage Area: Valuation: Proposed Use: # of Storiesr Total: Deacription of Work: Reroof w/t.o.-Remove and apply comp shingles/roplacâ‚¬ shoathing as req'd/handout gire8lr.n,,oorr, _ 9/2,J/2itt? Planning Conditions: 0lf ice: CTYH Tnons+: 129Acct+3 Ref+: $7,641 .00 I0:016.a1aar' 1of 1 11119 427 6Ii, hta:frrrrt qlai Owner: Address Ouong Thi Kim La 1429 N Euclid Sr Santa Ana, CA 92703 (7',t41326-9382 Owner-Builder Trqnsnct ion Total D ons Thi Kir Lo ( Hso r3s3.75 Vuons _ f361 .50 _ t2l .25 _ il .tro t3s3. 75 Auth+:035628 Contractor Address: Engineer Address Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Phone: License f Phone: License # Euildine 01116(r(12- 51601000- Generol Plon t pdote Fee ir1116002- 516tr00f'0- Blds Stds Revo lv ine 01116002- 5161200t r- VisG C(:+; * r **r*r r rrr*6829 Planning Approval Byl Plan Checked By: Permil lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Orozco, lvan Hernandez, Kathy Oate: 0912512017 Date: Date: 09/25/2017 Subject to Field: Misc. Receipl Misc. Receipt Misc. Receipt $308.s2 $1 .00 $21 .25 $52.98 07775002 51501 Permit Fee 07776002 57672 Bldg. Stds. Revolving 01776002 s7600 Genetal Plan Update 07776002 51601 lssuance{\YlNo No No No Fire lnsp. Req'd. Police lnsp. Req'd Flood Zone Cert Req'd: No No No Account#Total 01 1 16002 51600 0'1 I 16002 51601 01 116002 51612 $21 .25 $361.50 $1.00Every pefinit issued shall become nvalid uoless the work on lhe site authotized by such pennit is commenced wilhtn 180 days after ils issuance.ot lf the wotk aulhoizod oh the sile by such peml ts suspended or abandoned fot a peiod o1180 days after the time lhe wo* is commehced. lnspector MID#: 2017-138882 Fee Total: Paid to Date: Balance Due: $383 75 $0.00 9383.75 Phone: Tenant: Architect / Oesiqner: Address: BUILDING- INSPECTOR RECORO SITE-WORK DATE ID/SIG.COMMENTS OTTIN T:R BUI I-DIJR DEI,('AR TION I hdorr.mrm un&r Fllly olrdjuB lhll I d.rc ,pl liom ltc Conlrrro6 l icos li\ tor rh. rouosins rdsn lS( r0rl i lrusind r,n Profdion (il] ) Any(ntor (Ndylhth r.nund. 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I hdrq ,Ifrh unda F rh ) .f p6Ju r.. or ot rhc rolkrtr rns &(Ldrr nns: lxmlition Psmns-AstBto. NorifimrFn tcddal R.8ul ion! (Tn|.40. Pd16) Rcqu&n ld16otMnif(rhn I .diat ihd rh. f.d6.ll+uL'io6 qrdi.e iltEstr Mor.ld. m' .$lr.hl. ro rhE tr.l.d I c6iin rhd I na\ c rd! rhir rFpliclrion dd sl.!c rhlr rh. rtsr. inlonMioo t cor< I !8re ro conpl\ u'ilhill(i[ rndcou.r\ .dmimd.nd Srn.ljtr. ELr'Is ro tl,ldht conrn({( ed hs.l,t rdh.n,. EI'6.ndr 6 orrh6 (-i} tuil Cou.r\ k, or( urx\. rhr Etir . lHlnn d InoFn) nr iBtdn'n plrF$ ^pprrotrr o. ^$trr sisn.rur. D(tA DtioNG n+,l*-, Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing lo ,U-l 9fiti > 1e-e off<'{,^ rc.9o1,* Shear Wall Framin lnsulalion/Ene D rpvall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif FINAL t 4ta4U<) Certificate of Occu pancy Notes, Remarks EtC I ".,,, ql){f J. ll'A-Ql I I I I I\4AYOR N.4iguel A. Pulido I\4AYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinaje.o Juan Villegas INTERIM CITY I\4ANAGER Cynthia J. KurE CITY ATTORNEY Sonia R. CaNalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box I 988 . Santa Ana, Califotnia 92?02 www.santa ana.orq/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 improvements specified at J \1,c 9nrttr Aer,C (1o3 We are providing you with an Owner-Builder Acknowledqment 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 veify this information. NV_l. 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. lvly homeowner's insurance may not provide coverage for those injuries. lam willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. \Nt Z. f understand building permats 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. NV.-g. f understand as an "Owner-Builder" I am the responsible party of record on the permit. I undersland 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. NL+. t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. Nlt S. funderstand if lemploy or otherwise engage any persons, other than Califomia licensed Contractors, andthetotal 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. NV-U. , 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 compensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk. N\t ,. ' 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 lvork is performed under contract with a licensed general building Contractor. NVg. r understand as an Owner-Builder if I sell the property for which 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. SANTA ANA CITY COUNCIL a mouhdo6sanle-ana o.o Mayor Pro Tem Ward 2 rnrlr,anrnezosan16 ana oro V,cente Samrenlo !5am'enlcasanla-ana da Ed9!@!!!E:E!!.qg P O6vd Benasdes dbenaudBasanl. ana do I Nli 9. I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Beneflt Payments, and the Califomia Division of lndustrial Accidents. lalso understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752)or www.cslb.ca.oov for more information about licensed contractors. Nt, tO. l am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that l am the party legally and financiall address: sible rp ropo sed con ctio activity at followi Y,l <tzl cAt4na \r/ tL tagree that, asthe party legally and financially responsible for this proposed construction activity, lwill abidebyall applicable laws and requirements that govem Owner-Builders as well as employers. !(t2. t ,gr"" to notify 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 Conlractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a com plaint. Youronlyremedy against unlicensed Contractors may be in civil court. lt is also important for you to understand that if an unlicensed Contractor or employee ofthat individual orfirm is injured while working on your property, you maybeheld 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 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. ,Vole.' A coov of the prooertv owner's driver's license, form nolarization. ot other verification acceDlable to the adencv is reouired to be Dresented whe n lhe Dermit is issued to verifv lhe Drooertv owner's siqnature.-t' Signature of Property Owner Dale t Print name of Owner N 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 fllled out the above information and certity 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 verification acceptable to the agency is required to be presented when the permit is issued lo verify the propefty owner's signature. PLink.vll P5 1'Ci,unl.JrActivriy,Ass.enri)1,/B I s N!irce tc Prr,Deriv Forn SANTA ANA CITY COUNCIL mouhdorAsanlE Ena.o.o Mayor P.o Tem Wa.d 2 mrmanr.ez@sanla anaoro vrcenle Sam,c.lo vsarm'enbras3nla-Ena.oro Bolono,Osa.â‚¬-ana do P Oaed Bâ‚¬naedes dbenavtdes@sanla-3na.oro !y!eg3s@i3!]3.!!3.9!9 sl'narerorA sanl! ana oro I AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF