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Home My WebLink About10194372 - Permit (2)E Assessor's Parcel: 008-092-03 Lot: 11 Unit Bldg: Address Range: 1210-1242 Tract: ROBINSON AOD Historic: No Suile Range: Zoning: R2Block. B city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 10194372 Pin #: 2378s Building Use: Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwelling Alteration Windows SFO R-3 SPK cBc 2016 x-0602320257J 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: T.l.Area: Yards Req'd: Valuation:$5,500.00 Description of Work: Change out existing windows. Auth on file. Planning Conditions: Vinyl sliders W grid. Trim to be added. Contractor Address; Engineer Addressl Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Architect / Desiqner: Address: Phone: License # Phone: License # Planning Approval By: Plan Checked 8y: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Kelaher, Selena Zuniga, Allissa Date: 10/03/2017 Date: Oale 1010312017 Subject to Field. Misc. Receipt Misc. Receipt Misc. Receipt $154.26 $1.00 $21 .25 $s2.98 07776002 57601 Petmil Fee 07776002 57672 Bld9. Stds Revolving 07776002 51600 Genetal Plan Update 07716002 51601 lssuance No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd: No Every pemit issued shall become invalid unless the wo* on the sito authonzed by such pennit is comnenced within 180 days after its issuance ot tf lhe wotu authonzed on the site by such pennit is suspended ot abandoned lor a period of 180 days after lhe time lhe wo* ts cofifienced. lnspector MID#: 2017-139098 01 1 16002 51600 01 1 16002 51601 0'1 116002 51612 $21 .25 $207 .24 $1.00 Fee Total Paid to Oate: Balance Due $229.49 $0.00 $229.49 Project Address: 1240 W Third St Occupancy: Constr Type: Code: Flood Zone: # of Stories: Owner: Maria Alejos Address: 1240 W 3rd St Santa Ana, CA 927033827 Phone: 17141 454-7221 . Tenant: Owner-Builder BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OIINER BUILDAR DET,'ARITION I rEn,.- !,Im u*.lctl'o!h) of FJuD lhd I m dmF nom rfic ConrBdoE l-ic.G lis lor fic lolkNins r.en ls< 70r I 1 Bdi.6 ot P6f*on (ql.) A.,(ny or Coud, *hrh r.qur, p<mn ro co.rtud, rh6, ih,rcvc d.molirh or r+lrn.n\ rtudu.. Ftu 'o ns eft., rlo r.qun6 rh. g,PlEd tor sr.h rEm o fil. ! sfun.d srrlddl rhal h. or th. B hatd purtn ro rh. Flbio6 ol dr corkddi Li.aEol btr {(lrFd 9. Commfti.8 $nh s..rn n 7000 or Divirion I of lhc Eurins .nd PmfsioB ( od.) or lh, lE or slE i .xm[, rhdcfion Ei ih. t8i! aor rh. .lk+.d .tdF ion Any viol.rior.tsBlirn 70ll ! hy lnt 4'plic$t fo, . Fnil et!.t1s llE ol,li(or ro r or il p.Mhy ol ml mo.. thD fit. hun&td dolld lttm) L a .wffi of $. F)Fn!. m mt â‚¬nph)6 *nh $+6 B 'h.n $k mmFMior. $ <h'n snit !d rrE lt,Ere ! hr inrddcd or offs.d tu d. (5{.704.4, BcitB &d Pror6shB coda'llk coddd J Li@ l^ &,6 (n q,?b b u otrk ot lhc F.raly who tril& or Ep.oE [Eotr r *hd.tE uh mrt h'rell.r lEslf or rhmqh hit.r hs.M dipl]d, Fovid.d rhd o.h 'mF{\grdrGmr idanbltrofiqd tu uL l[ lEE6.llE buiLlins or irrrcrstEr i' $ld wihii oE ]aofcoqrli,'. ilE ()*G hl'rd trdl h.* rh. hEdn of Flri,A rhn hc or sh. drl b| hdd n nqm( rh. FEFry tu. lll pa,Fe.a l. 6 0$6 of th. F!n6rv. m.\cGn.ly c..ir-1!u [nh licdsd conrxlGle co rn.i r psF ls< 7041. t!Gm6 d PrnlM Cd.: Th.C.nt&r.a! Li..e l* &â‚¬ mr,{?ltro o$ndoaFoFn,rn hildr d improv6 'hFsn..nd who onlr.cl! fn such Ftrj4-i! wilh. ( odrodo(r) lic.Bd ruBu.,r tolh. (tdrrclor! t.toE l^) , m'.\.m,, ud6Sdion -*,.. t0 f 8ln Qlcs os !u( ! \rt\!llt] I hs.by orlim unds p.n.lrtolpoluryoncofllr lol I h.t. d I ill m.intlin . Cd ilicar. of ( o.sar ro s.lf.lBorc aor $1116 (onpctrstnn, 6 F.rid.d ror br s(rion 1700 .l rh. Ilh.r arL, fo. ih. Ffomm. ol rh. rorl for $ h'.h rh. pdfrn ! eu.n . I h.E.rd \ iU tui .h 10.16 coEFBdirr iGIlJItr., . r.su'En b! S*itn l70o 6f ilE bboi Co&, aor ih. Ffomln . or rh. srl lor whth lhir pd6n n is.d Mt $dt6 onpaurirn a6urB.6i, -d Folt, nmbd G Icd!'rylh.r inrh.p<folrrldcotrt trorlrortrn{trhsFn'r,iirud.Ieh.llmrdpLy.nyF$.'.anynmG $ c to lE .m rut .d ro rh. $$rt6'6np.d hn l,ss of c.lifomia r.d 4r lhd if I .holld tE(otr sbiN' lo lh. worl6 cohD.Nlior Dilr irioB of S.clio. 170( ol rh. tlbor Code I slull. adhqnh onply r th lhos Dror 6nr6 WARNINC: Fliluc lo ku. rorl6 snFBni'n covmsc i urlartul. syi nall lbj.rl d drphy( l. oiotul Fuhi* dd .r'l lin.\ trt, r,'.nc hunlr.(l rl'.r\itri [n. d.nqr* 6 l,o\xkJ htr tht sclirn \r7a otrh.l-,tu coll. 'ni66r t0 03 ur-r:iini iiiii dri t6i Dtcl 'lttr I tot I hsrby amrd undr pqElly o I pqjury lhal I u licnsl ufljs FtrrcK. of ('hs[lrs 9 {c.nnftins trnh S.d hn 7(x)()) .f Dlrion r of lh.Itum6 Md l\ofdi.N C.&. lrl mr lk* ir in tull fore,n dld CONSTRUCTION LENDINC A(;EN(1 I hg.t'y .lIm un&r rEuh] of Fjury rhri rhs. i! ! .ott(rudnn Endins rs6q for lh. Ffolr@.. of rh. $nll f.r \rhi.h rhh rErfrit L is.d lS< 1097,Crv ( ) AIIIIIAXLDECIJSAIIOX I h.!4 rtrn unds pdlhy or Fjur) or ol rlr rollou itrs &rL'non! l)smliiFn Pm g^sb.sd fk'lificdhn Fqtdrl Rqlldionr ( I hL a0, Pd6) . R.itutrld ldt6of Noliftdir. I cd'ryrhd rh. lalqrl E$ulir iom (arding 8b6iq rd$vdltr. ror.ppl'.rbl. ro rhi!,R)d I cdiry rh, I h!v. E*l rh6 q'plr.rFr !d n.rc rhn 'h.lhx. rnfomnrion L! cotrd I dsrcrocodplywirhallCnt.nd cotrnr! ord@ft6 &rj Shr. l:*5 ElrI{ ro ln'ld'nr conrrucrir( rrd hddt rurlDn,! qrsnrrn 6 oarhr ( ny &d coudr h ark lt.nn rh. nb"!( mh"kd ph.r.n, fir tr6r'.9tnn nurr{E ' noo,r-", * or, t ",^"*/.4r/ 67 r / 71, _pmh*..r.{prrno: (..- .,// A T/ lf,. L. L (7 /ctos;,. lolBlt-lefcios Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framing lnsu lation/Ene rg y Drywall ,w.ahk 7 ,Fl Brown Coai Masonry Pool Fence T-Bar Ha ndicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif / FINAL %:/t//Lr ?/Lt>*,'6L-/ Certificate of Occu pancy t Notes, Remarks, Etc I I I I I I Ext./lnt. Lath fuiq- I I I I I I I I I I I I Fk t l IUt r _t if- 9v c \, tl I I $;! 1sr. r x, i ,, 7 h l" ' i i( h (4 ,0 si )t tL I 1L > l I tf )- C- - - ' 1 tr- \J f, -C] -a I I fr I I -r 'oUr)t- \nr\) JILFrrFa lat- . d)( (U ) o- - _ _ : DI , a' (n Y oO -- O( - o- . - 0. r -+ - C 't , _9 4 o-oE-0 )P(I )3(UoO- ^ oJ 3\ !l Eooo)oo- (,o- -c .o(uOl q) -COJ f I I I z l, t l I I I ILII tl l l tl ll Itt I .1 t' i rt I 1I l: l I ll. li l l l- * 1 I tt I i I i lt. f J-L,F I l I I II -. 1 I tt I II .J 1I lE l H+ lP + l, T ff i l_ f u I t- 1 -t -l I +l I H ll t \ tE I I lllI I Ir |1 l tL l 11 II 't l) 4' , -" t ID Itt l tl IL t lltt I I I I I I >t I{.I I,l I tt I tt tt t Lx I l- l II r t- l - l rt ]+l+ rc t rd lt I II i' 1 I I Il- l +1 l tl lt l tt I I Itt t t l l- l . l _ l tt t l t ll d lt \. 1 I tl lu tt ]l Ir I oi+\i . {+.$ I Il L u L l I I l a Ir E l lg l, J - | l- $ ' l- - r l ln l - r l_ t t | _ l I tt MAYOR Miquel A. Pulido MAYOR PRO TEi/ll Michele Ma.tinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas men INTERIM CITY I,IANAGER Cynthia J. KurE CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL N4aria D. Huizar CITY OF SANTA ANA PI.ANNING & BUILDING AGENCY 20 Civi. Center Plaza P.O. Box 1988 . Santa Ana, California 92702 www.Santa ana.orq.rgba 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 q ts soecified aL- I ,tU 'ay-d st c-fr qef 0 WeareprovidingyoUWithantomakeyoUawareof 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. fA--At , understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" building permifthat 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 prope(y. 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. .44tAr. 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. ,'tl, Ag t understand as an "Owner-Buildel' l am the responsible party of record on the permit. lunderstand that lmayprotect myself from botential financial risk by hiring a licensed Contractor and having the permit Illed in his or her name instead of my own. /1 ^tLl. 4l I understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracts. AA h/ V I t /+ 5. I understand if I employ or otherwise engage any persons, other than Ca lifornia lic ensed 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 lalY. 4l-4U , undersland if I am considered an "employer" under state and Federal law, I must register wath the state and federal government, wilhhold 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 Ilnancial risk. Ai A /l/ l. .+7 . 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 ail work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the \,vork is performed under contract with a licensed general building Contractor. tLlA, I 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 mpur doaAsanta-Ena do Mayo. Pro Tem Ward 2 m man'.qosanla ana oro sam enrcA sanra-ana oro 6olcro@sa.â‚¬ ana oro dbenavrdes@ssnl3-a.a oro iv'llecas@sa.l3-ana oro slrnareroiAsanla.a.a orq l\1, \5. I undersland I may oblain more information regarding my obligations as an "employer" from the lnternal Revenue Service, the United States Small Busrness Administration, the Califomia Departmeht of Benefil Payments, and the California Division of lndustrial Accidents. I also understand I may contact the California Contractors' Siate License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors AI-L legally '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 and fi stru on acti t the llowing address 'ffe-'ergl':CA 2:o lLt--A't't.I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable iaws and requirements that govem Owner-Builders as well as employers. 'LL 4,lZ.l agree 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. lfyou 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 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 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 verirying 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. rvote.' A copv of the propertv owner's driver's license. form notarization, or other uerificatien acceptable to the aqency is required to be presented when the permit is issued to verify the propefty owner's sionaturc. Signature of Property Print name of Owner Owner 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 /C Date; l0 0a aLa L. 0/c.t o s Name of Authorized Agent Phone Number ol 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 verification acceptable to the agency is required lo be presented when the permit is issued to verify the property owner's signature. SANTA ANA CITY COUNCIL mpuhdo@santaina do Msyor fto Tefi WErd 2 m'@n'06:@s6nr,-ana do Ve.re $mrenro EtIEE!f9@!ed!:e!!-aA lsdo.06sanla-ana oro P DaMd B6.sMdes dbensvdes@sanla-Eoa oro villeoas@sa.la ana oro stinaBo@snra-en. do <.\ ,l a /t . Address of Authorized Agent: