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Home My WebLink About10194347 - Permit (2)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 #: 1lJ194347 Pin #: 30365 Proiect Address: 32215 Pacific Ave Assessor's Parcel 412-025-23 Lot: 16 Bldg: Address Range Suite Range. Zoning: RlBlock: NA Tract: 5780 Historic: No Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Reroof Reroof SFD w/att Garage 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Description of Work: Tear off existing roof material and install new comp shingle roof material. Handout given. Owner-Builder form on file. Planning Conditions: Occupancy: Constr Type Code: Flood Zone: # of Stories: R-3, U VB cBc 2016 x-0502320259J Patio: T.l.Area: Yards Req'd: Valuation: $13,000.00 Owner; Addressl Phone. Tenant JOHN & LORENA VIDAURRI 3221 S PAC|FIC AVE Santa Ana, CA 927046726 Contractor Address: Owner-Builder Engineer Address Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License # Architecl / Desiqner: Address: 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 Guevara, Jerry Chavez, Dave *' Misc. Receipt Misc. Receipt Misc. Receipt 07776002 51501 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07776002 515'00 General Plan Update 07776002 51601 lssuance $308.52 $1.00 $21 .25 $s2.98 No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'dr No 0111600251600 Every pemil issued shall becorfle invalid unless the wotk on the site authorized by such pemit is commenced within 180 days aftet its issuance,ot il the wotu aulhorized on the site by such permit is suspended ot abandoned for a poiod of 180 daysaftor the time the woi< is commenced. $21 25 $361.50 $1 00 $383.75 $0.00 $383.75 lnspector MID#: 2017-139053 011 16002 51601 01116002 516't2 Fee Total: Paid to Dale: Balance Due: Unii Dalet 1010212017 Date: Oale: 1010212017 Subject to Field: BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG COMMENTS OWNDR BUILDEN DET,('ARATl()N I h6ctl, lmm und6 Fnlht dr Frjur_ rhd I m .rmpr non lt. C. r.dn6' I itffi lis ror 'h. r.lhmg r@n (Sd 70! l 5 aG66r dt Pr.fs6. (-o&) A.y ( 'ly or Coulrr- shth ..q!n6 ! Fmn lo codtud, th6, inrov.. ddmhth or qar er sduc. Fin to rli Nm.. i!. GqurB rh. +?li.d lor 3Eh IEnn lo frk t lisn d nd.mr th, lE ot 3h. ! Ii..ru.d Pued ro rlE Fo\B6d olrlE (-..kdni l.icmr.d li* lG.pF L Comstri.8 { h Srlirn'7000 olDairhn I oih. &ard.nd Pr.fs66 co&) or rhd lE s rE !.tmfl lhq.6on rnd rh. hcir for th. llks.d.rotib. An, vFhrio. olseln.70.rl ! '!..\ arpli.ld for ! Fmn $bj6lr rh. rr?lic.nrlo..nilp. t!ormr mr. rhd nr. huD:!.d.hllB I'J(r)) l. s o$ffi of rh. D.r,D.ny. or my mplo!6 n dh *.s6 s rh.ir sL.oBFEnri. $ ill& ilt N(t md rh. rnrrG a mr i dr&i or.llE.d fr qL lsa 7014. Bur.s &d Ptlt6ioB CodG: TL (nnrd.ir I kd lis &E mr .Pd! ro d ouE oI rh. FopqlJ_ $ho h.r!:l or uqrorE rhdotr rd *h. d(6 sh $o* hinklf ot Isllf or rhmusn hn d ha orn @rhl6. proy'dol rhd tu.h imF.rffirEn ddd.d or ofidd 6r sL lt lrsa(. rlE h'iuil{ or ,rF.\mr 6 $U tr iihin oft ]w ofcotrpldn.. rlE (nc Build- $ ill har. rlE hr& ofFo\ilu rhd h. or llE dd ml trild o, rIm\t dr lrtldv f.r ltE InnF* or It/,. * "*,. "r'* *,0-r. m.\cru!tr.ry.odr&!'nr wiih ricff.d conlmcloE ro conrrud rh. t'uNr ts( ror4. Bsin< -una 1\or*o, t na.. rt ri,nt&ror ! Lk.N. La$ Jo6 nol aprl) lo m6$nd ofProP.n, wk) buildr o, inProv.s thdNn. and who contmdr aor 3u(n Ir1j6l!vilh i Cod6.to(s) li(6s.d Plumt lorh.(irnri.d ! l-i.dk lrq) I an.rdpl unJd S(ln,n ^":1b)- 11 I hd.t,.mrm un.!.. n nrh! otn6jun oEorrh. Ih.\.ndwllminhh.('difrdcoa(oMrloS.lf-lBuGld{dl6c.mFsrnn.aFNndforb}Sd6.l70t)rfrh. ljts Cod.- tor th. Ffo,lra. olrlE $r.I aor rtrh lh. Fnn a au.d I h.\G $d *ill m.nllu worl6 cdnFE hn isuffia s r.qtEn bv s.dxm 1r7fi, oa rlE ljhor Cod.. ror rh. pdfo.rllm. of E srA aor *irh rhn Fin !eid M,$o 6 omFE n.,Bu.4. trir tn Fky nunlE c Jllcd'6rh.r,irh.rEronsnc.,,trh.sortror$h'.h$ispdn is issocd.l tll.oi mplo!a.tP6on in onyhan.d s sxr bc.ooc slhj.Tl lo lh. so*d .onrFds.tiof, la*s of(slifomia. ed atB rhd ial should tE om. n,bj<r ro rh. *ork6r co'npslrtl ion pmvilniB .l sd n'. l7m ot lhc titor Con . I .htll, l'.nhqith Nml,ly *'ilfi rho* fbriei.ns WARNING liailu'. t, Fs. rork6 comFsiidn covd.8. ir unlowaul. Md ihall rubi(r an mlloF lo oim'nd F niu and civil fin6 uD ro on. huhrlr.d lhousnd doll6 lll0o.0o0). i. addiFn ro rh.( olcomFrslion, d.ms6 s po\id?d for !h. sdio. !076 ofrh. L,l coL. mrs.i dd dr.nFyt fd t , 1- 11ottc: ./(/ ri l I I h*t" lllm un&r Frx) of F jln rh! I d ihrai.i of (n4{( e (!trffilns *h sd-n ?(mr orDtri'o.:r of th. EGIB ltd hof*rB ( oi<, in m) lrru t in tull foe tt.rd la!flaucrtoNlliaDl.N!-a(il;!(r I hGhy lmnn undd Fulr, of pdNry lh.l lhsc n a cntrntu(i.n ldxlin! .soc) nn lh. Ffome. o f lh. work aor shi.h rhi. lcrmi b isu.d lS( 10r?.(iv ( ) AfftltaNlDEodadua! I hsEbr .trm un&. rE.h! of Frrury om oa rh. follo$ inB dc(latni.ns D.mhion PmnlA3bdG Nohncdirn r'.ddl R.suLrhtu (Til..l0. P!n6) R.qrtrdl Ld'6 or*iifrdio. I cdiry rl'l rlr f.<kr.l r.guLt hB Egrdins 6b.ns lw\ d t mr t'tlic.bk lo lh! FoF iy,/ciliry lnd I haâ‚¬ ral rhi! @lkdhl !d r!r. thi rh. t'br. inroldion 6 (M.( I.sintoomdt $nh !I cn) tn<l cou.rt odl1d6 and si.r. lr{i rcL.I{ 'o h'ld'ry ha.6r .dlFru. rq'sn,ttr 6 ol rft ( nt .nd Coudy io and lron rlE ftorc 6irr! rroFd, fn '6FlNn .--.-Gf,a.'n,,c)cL*/rr. ./0:d:fl Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathing l0-547 \.uat)rn>n tFFr Shear Wall u\J Framing ln su lation/Ene rqy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Repo( Engineer Final Report FINAL i0ll 5/t+ 5.>?L;(n+<7 Certificate of Occupancy Notes,marks, Etc. 0 Ln 6 Pttut vo -+ I I I I Flood Zone Certif . *,,SANTA NA llt\ll\C $illJNG lcfro A a Ptanning & Buildins' \gency 20 Civic Center Plaza Ross Annex P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714)647-5800 wlvw.santa-ana.orq , Smoke & CO Alarm Affidavit rNSP{2 2013 CRC This document moy be lound ot...htto://www.san -ana-oro/oba/ (Please use a black or btue ink ball-point pen) Project Address:.\.1.) I s ?ar Permit Number lot ') )t1I ll Property Owner:'r Contractor:License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential bu ildings. California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define the required locations. Aeoth boxes below must be checked: p Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. p Smofe alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be battery-operated for buildings where no interior alterations are performed. Combination Smoke/Co alarms must comply with all applicable standards and be approved by the State Fire Marshall (SFM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above pro.iect. lfurther certify that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing Codes and have been tested to be functional. l, also, hereby certify that lwill retest the alarms per the manufacturer's instructions. lcheck el tr Licensed Contractor X Property Owner NOTE: Ihis sef-certificdtion is only used for projects thdt oflect the EXTERIOR oI the structure. This Wocess is opplicoble ONLY to proiects where occess to the interior oI the dwelling by a Santo Ano tnspedot is not required. Dote:1o /7Signature: Have this completed form and the job-card readily available on final inspection! fri(t -1. MAYOR Maguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. Oavid Benavides \4cente Sarmiento Jose Solorio SalTinaiero Juan Villegas INTERIM CITY MANAGER Cynthia J. KurE CIIY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA 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 LS 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 undetstand or verify this information. ]1-f . f understand a frequent practice of unlicensed persons is to have the properly owner obtain an "Owner-Builder" building permit that erroneously impliesthatthe property owner is providing hisorherown laborand material personally. I,asanOwner- 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. 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. l(/ Z. t 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. --rl /.f\/ 3. Iunderstand as an 'Owner-Builder" lam the responsible party of record on the permit. lunderstand that lmay protect myself from potential financial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. Jf-+. f understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbe rs on permits and contracts. .\V 5. lunderstand if I employ or otheMise engage any persons, other than Califomia licensed Contractors, and thetotal valueof my construclion is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. AA-A. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal governmenl. withhold payroll taxes, provide workers' compensation disability insurance. and contribule to unemployment compensation ofeach "employee." I also understand my failure lo abide by these laws may subject me to serious financial risk. -!U__7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner-Builder if lsell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owne(s) that result from any latent conslruction defects in the workmanship or materials. SANTA ANA CITY COUNCIL moulrdo@sanra-ana oro M.yor Pro Tem, Ward 2 mr6.n neza$nta an6 do Vcents Samrento 6smienbrasanla-an. oro 60lono@ssnla-ana o.o P O6rd Benav'des dbenavides@sanla-ana qo rv reoas@sanla ana oro sl naieroosanta ana oro PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box I 988 . santa Ana. Califotnia 92702 wvr,w.Santa ana.oro Dba NOTICE TO PROPERTY OWNER o: ! J/ S. f understand lmay obtain more information regarding my obligations bs an "employer'from the lnternal Revenue Service. the United States Small Business Administration, the Califomia Department of Benefit Payments, and the Califomia Division oI 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. f,]L1 O I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financial res nsib construction activity at the following address .-:V f f . 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 govem Owner-Builders as well as employers. ')J 12.1agree 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 Contractors' State License Board may be unable to assist you wilh any linancial 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 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 musl be completed and signed by the property owner and returned to the agency responsible for issuing the permit. /Vote; A coov of the proDerlv owner's driver's license. form notaization. or other verification table to the re to be ,s ,s to signature. Signature of Property L-Date /0 )- 11 Print name of Owner AUTHORIZATION OF AGENT TO A 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 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 oul the above informatjon and certify its accuracy. Property Owner's Signature Dale 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 to verily the property owner's signature. SANTA ANA CITY COUNCIL mou do@santa-6m oro Mayor P.o Tem Ward 2 orrunL.ez@sanla ans.oro vsarm'enlolOsanla.ana oro isorono@sanla-ana oro P OavLd Bâ‚¬..sdB dbe.avrdes@sanla-an6 oro giEgas@$!la:@a!g strnaE.o@sanl, sna.oro L