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HomeMy WebLinkAbout10193976 - Permit (2)City of Santa Ana 20 Civic Center Plaza (l\il-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (7'14) 647-5853 Permit #: 1Ot93976 Pin #: 64374 q Project Address: 2413 S Oranqe Ave Assessor's Parcel 016-034-11 Lol 22 Unit Bldg: Address Range Block. NA Tract: 1575 Histonc. No Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Owelling New Garage New Garage SFD Wdet garage Occupancy: Constr Type Code: Flood Zone: # of Stories: U VB cBc 2016 x-0602320278J 1 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: T LArea: Yards Req'd Valuation:440 0 s17,200.00 Oescription of Work: New dotached garage with a hip roof. Auth on file. Planning Approval By Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd No Planning lnsp. Req'd: No Mar, Escarlet Oale 0812812017 CSE-Centurlt\Flructural Engineoate: 1OlO4l2O17 zuniga. nttiss\L,,/ Date to/09/2017 No \ \ subject to l-reld 0 77 7600 2 077750O2 07776002 08 90700 7 07776002 07776002 07776002 57607 si600 57770 24000 516 72 5760 0 57607 $167.20 $162.80 $28.96 $2.24 $1.00 $21 .25 $52.98 Misc. Receipt Misc. Receipt Misc. Receipt 69976 Total Permil Fee Plan Check Fee Microfilm Records SNIIP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance Fire lnsp. Req'd: Police lnsp. Req'd No No Account# Landscaping lnsp. Req'd: No Flood Zone Cert. Req'dr No Every parmit issued shall become invalid unlass the wo* oh the sile authonzed by such pemil is commenced wlhin 180 days aftet its tssuance.ot if lhe wolk aulhorized on the s e by such peml is suspended ot abandoned tot a petiod of180 days after the tine lhe work is commenced 01 1 16002 01 1 16002 01 1 16002 01 1 '16002 08901001 lnspector MtD#. 2017-137682 51600 51601 51612 57770 24000 $220.18 $1.00 $28.96 $2.24 $436.43 $162 80 s273.63 Suite Range: Zoning: Rl Engineer: Juan M. Miguel, P.E. Owner: Joe Alvarez Conlraclor: Owner-Builder Juan M. Migugl Address. 2413 S O.ange Ave Address: Address: 2134 Park Drive Santa Ana, CA 927073234 Santa Ana, CA 92707 Phone: (714) 662-0283 Phone: Phone: (949) 4OO4O8b state Lic #: License #: bgzbrs ,' , , l,Tenant: Lic Type: Architect / Bonarue Cad.,Sgfylces 1,,,Bus. Lic #: Desrqner LuzAnna Flgueroa Workers' Compensation lnsurance: Address 1OO8 E WarnsCarrier: Santa Ana, CA927O7 Policy #: Phone: (714) 979'8194 r ,. Expires: License #: r Fee Total: Paid to Date: Balance Due: BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS ON NI:R BTJII-DEN Df,LC RA ]loN I ls.b .mrm undd Funy ol FJuq rhd I e 6o,lr frod rh. co tdc LE.e 15 for rlr aolhl,.s rce. (st 70rl ! BBin6. ,,1 Prnfdon Cod.l Ary Cny or Coudy *h'(h r.quiB ! Fhi !(, .odtud. !h6. mlt.\i rt.molilh or Er!( ut srrudu., ,.itr ki n3 issuuc( d$ r.qrrs th. q'plicd tu srh n rhn ro fi|. . tiln.d llalddr rhtr rE or shc is licdcJ ptrBtrMr ro rhc rolstu$ of lh. Conlr*ff r l,rcN.d k* ( h4r6 q. (-onm.nciiB wirh S.dion 7000 or l)iviiion I oflh. Busin.rs lnd Pmasions ( od.l ot Ihd lE or !h. ir cr.mpr llE from ud lh. tss for rh. .ll.s.n .\6plion Anyrindi.nofs..lirn 70ll s hv !n, .9phc.nl to, . 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Ii*r Eld ,h.i.n6rk,n J F.pcnl tor ApIlicntrl or,\q t Sign n"..t,* n.-"tonrt, lL 1 4,"1 /ir,qclLaR "/r /,2 Set Backs '.t t-?l-tg.-L*b@ /tY) Erection Pads I UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathing 1 ,)@ A,^/d.ij Shear Wall +i\P- Framing L lnsulation/Eneroy brvwalz---.,,r-lR ,Ext/6t. Lath Y (,(9 _\. Brown Coat ? -2,6- D Jd54A ?fl':q-R6J '+4,/ Pool Fence" T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif . FINAL E-/(*/6 J).{; tz, Certificate of Occupancy Notes, Remarks, Etc I Forms/Steel/Holdowns [4€€€nA/ c:. rz a L- k - MAYOR MiguelA. Pulido I\4AYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vlcente Sarmiento Jose Solorio SalTinajero Juan \4llegas INTERIM CITY MANAGER Cynthia J. Kurh CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL l\.4aria D. Huizar CITY OF SANTA ANA PTANNING & BUILDING ACENCY 20 Civic Center Plaza P.O. Box I 988 . Santa Ana, Califo.nia 92702 www.5anta ana.orq oba 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 ;z € *y'r.<44 LA. ?2707<.o We are providing you with an 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. -.4,r't lL' -l / | 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" building permit that erroneously implies thatthe property owneris providing hisorherown laborand material personally. l,asanOwner- 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. l\.4y 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. na- I I I 2. I understand building permits are not required to be signed by property owners unless they are responsible for the cbhstruction and are not hiring a licensed Contractor to assume this responsibility. 3. I 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 inslead 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 pe its and contracts ft-t. ,understand if I employ or otheruise engage any persons, other than califomia licensed contractors, and the total value of my conslruction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. ffiLU. , understand if I am considered an 'employer- under state and Federal law, I must register with the state and federal government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." lalso understand my failure to abide bythese laws may subject meto serious financial risk. 4ll L t understand under California contractors' State License Law. an Owner-Builder who builds single-family residential siructures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. \tU. , understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent olyner(s)that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL q!!!@$.!j+e!3-9!g Mayor fto Tem Ward 2 m man nezrasanla-a.a oro V'csnr€ Srrmrenlo vsam enlo@s.nrE-ana.oro Golono@sanlts{ru.oro P Oav d Be.av des dbenavdesOsanla-ana oro lvl!9!s.@!ada:@ !c slrnai610@sanla-ana oro 9. I understand I may obtain more information regarding my obligations as an "employer" Irom the lnlernal Revenue Service, the 4k ro. r lEsally ano address: am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party financially responsible for proposed construction activ ity at the following/3o 70 {V 't't.l agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements thal govem Owner-Builders as well as employers. 4L'tr. ragree to noti, 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 havea 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. Youronly remedy against unlicensed Contractors may be in civil cou(. lt isalso 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 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 slgned by the property owner and returned to the ency responsible for issuing the pe rmit. Nofe.' A coDv of the Dropertv owner's dri license, form notarization, or other rification lable to the nc ,s re uired to be sented when the rmit is issued to the lure. Signature of Property Print name of Owner Owner Date AUTHORIZATION OF AGENT T A CT 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 file the documents necessary to obtain an Owner-Builder Permit for my prorect. AlDla<- 4eao 2, - c 44 D E-'7t4.! rtc> z. 44la,r.Z- Scope of Construction Project (or Description of Work)J parro ,--> / a4o + "t.n a*R Project Location or Address 21ta t2Aalto 6 AlE . -i4at rtt A-t 4 4-t l2z Name of Authorized Age nt: /-r z A*ta FteucaoA Address of Authorized Agent /ooa /6 /4 Phone Number oI Authorized Agent: I declare under penalty of perjury that I a the pro n66liluddru"" tisted above and I personally filled the above information and certify its accuracy 5Property Owner's Signature Date Print Name of Ownerl Note: A copy of the 's driver'licen no rization, or other verification acceptable to the agency is required to be presented when the permit is issued to veify the propefty owner's signature. PLr.k:'rrrP51 Ccun ie rActivity. ASScmbl) B ills Notice to Propedy Fo.m SANTA ANA CITY COUNCIL mool'do@sa.ta-6na do MEyo. fto I6m. WErd 2 mrtunrnez(asanra-am m V cenre $mLe.to vsad enro@sanra-aG.do Eplge je!3d!.!!!_A!g dbenaed.s6sa.ra'ana o.o ru e.as.Asanta-a.a oro slL.areroasanG-sna oro United States Small Business Administration, the California Department of Benefit Payments, and the California Division 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 information about licensed contractors. l-