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Home My WebLink About10294927 - 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) 667-2738 lnspector Section: (714) 647-5853 Permit #: 10294927 Pin #: 54584 I fT Lot.29 Unit Bldgr Address Range Suite Range: Zoning: R1Block: NA f .ad.2219 Hisloric No Building Use: Singlo Family Dwelling Occupancy R-3, U 1st FL Area: Patio: Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area: Nature of Work: N/V code; CBC 2016 other Areas: yards Req,d: Existing Bldg. & Use: SFo wdetached garage Flood zone: x-0602320256J Garage Area: valuation: $35,ooo.oo Proposed Use # of Stories: Total Descraption of Work: N/V Demolish unpormtited garago conversion and return garage to original condition. Qemolish unpermitted ertorior structures including patios and freestanding structure used as outdoor bathroom. Reroof remove/replace composition shingles, replacâ‚¬ Planning Conditions: Contractor Address: Engineer Address Tito Kawile 2577 Turmeric Way Moreno Valley, CA 92553 (951) 743-01 1 1 Owner-Builde. Phone: Stale Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License # Architect / Desiqner: Address. Phone: License # 0 7776002 07776002 07776002 07176002 0 77 76002 0 77 76002 5160 7 5760 7 5760 7 57672 57600 s7607 $'1 54.26 $93.17 $234.08 $2.00 $21.25 $52.98 No PWA lnsp. Req'd: No Fire lnsp. Req'dr No Planning lnsp. Req'd: No Police lnsp. Req'd: No ' Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No - Every Derml 6sued shall becofie invalid unless the work on lho site authorized by J suci permir s comfiencod wtthnlSO days aftet its issuance,ot il the wot* authotped on the sile by such permit is suspendad or abandoned for a period of180 days after lhe time lho wo* is commenced Planning Approval By Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: Arabe, Jill Hernandez, Kathy Date:1112812017 Date: Oale:1112812017 Sublect to Field: [.4isc. Receipt Misc. Receipt l\,!isc. Receipt\(,[ Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Updale lssuance Account# _ 01116002 51600 01 116002 51601 011 16002 51612 Total $557.74 $0.00 $5s7.74 lnspector MtD#. 2017-140172 $21.25 $534 49 $2.00 Fee Total: Paid to Date Balance Due: Proiect Address: 1129 S Harmon St Assessor's Parce| 108-333-02 Owner: Address Phone: Tenant: :l,t+*IlrItvt SITE-WOBK DATE ID/SIG.COMMENTS Set Backs Ereclion Pads UFER Ground SLAB Floor Subf loor/VenUlnsulation Roof Sheathino Shear Wall Framing Insu lation/Enerqy Drywall Ext./lnt. Lath Brown Coat l\,4ason ry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Reporl Flood Zone Certif ,4) FINAL -u, tlllll 417,bdffi Certificate of Occupancy '---r--T--:t tt u I-T1 N oter, Rernarks, Etc 9 v;-\ i I ri(rl I r)\r \t.R l I)t H t,tt r \R\ l t()\ I h.kbt ilftm!n(l.r Fnahy utFirry rh.r Idn.km fnn rh. Cnrtra(n! l.{.n< I-!} r.r rh.,',ll,,w'nt r.aq'n (SaTrrl! AunN( id Pn,f.$rrn C,rL, A.t C[t o. 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R F{.d rsd l(r)7,( ! c ) ATTUSAAUTEqJAA N I h.!.t, rrin u j r fnah t {r Frj{.y om ol rhc nil}$ri8 d{hrd x$5: I)cnrlrnn P.rnik arh.{ r Nnrifi('ri('n F.J.rel R.EtLrirns(Tirl. t0,l,an6l -R.qu.Ed Ldt., of Nr,turnn l.d'rtrhr rrr f.J.,ii,.3rht Dn! F(,rJ'nr r{rror r.m^trlJt. n{ +f|.jhk t, rhr lln)Fl /tH::*ffi#TW:K:Z Lmrllc 'rnF lprlno: -'.,",.^! -2r-/) E BUILDING. INSPECTOR RECORD 1 il+y?^x'--1tu#ill#+i|Ifil! Forms/Steel/Holdowns I I 7/ A.4AYOR MiguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERII\,4 CITY MANAGER Cynthia J. KurE CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CIry OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana, California 92702 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 t'na< fh 4 f</1?Cq l-z -z> 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. R'S c DGMENT AND VERIFICATIO F INFORMATO DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. t l/\ ',. 't 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. I, as an Owner- Builder, may be held liable and subject to serious flnancial risk Ior 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. {/( 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. 1 f S. I undersland as an "Owner-Builder" I am lhe responsible party of record on the permit. I understand that I may protect myself Irom potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. {X l. I understand Contractors are required by lawto be licensed and bonded in Catifornia and to list their Iicense numbers on dermits and contracts. fk 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 "employe/ under state and federal law. / A O. t understand if I am considered an 'employer" under state and Federal law, I must register with the state and federal -government, withhold payrolltaxes, provide workera' 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. 'l K l. I understand under California Contractors' State License Law, an Owner-Builder who builds sjngle-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. ',,.t,/^ g. tunderstand asan Owner-Builder if lsell the property for which this permit is issued, I may be held liable for any flnancial 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 mo![do@santa-ana oro [,tat6l Pi'o Td Wdd 2 mrhanr.er@3a^.3-a.a o.o 6anâ‚¬.ro65anra a.a oro Eorono@sanra-ana oro dbe.avrdes6sanra-..a oro M reoss,asanE-ana oro sl .aleroo $nra -ana o.o 'lK S. I undersland I may obtain more information regarding my obligationF as an "employer" Irom the lnternal Revenue Service, the United States Small Business Administration. the Califomia Departm'ent of Benefit Payments, and the Califomia Division of lndustrial Accidents. I also understand I may contact the California Contraclors State License Board (CSLB) at 1-800-321-CSLB (2752) or wra/w.cslb.ca.oov for more information about licenseb contractors. 'lK n.l 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 financially responsible for proposed construction activity at the following address: 16 I I . 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. fi12.1 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. lf you contract with someone who does not have a license, the Contractors State License Board may be unabletoassist youwith any flnancial loss you may sustain as a result of a com plaint. Youronly remedy against unlicensed Contractors may be in civil court. lt is also imporiant for you to understand that if an unlicensed Contractor or employee ofthat individual orfirm is injured wtrile working on your property, you may be held liable for damag es. lfyou 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. Ivore.' A copv ol the proDeftv owner's drivet's license, form notarization. or other verification acceptable to the aqency is required to be prcsenled when lhe permit is issuCd lo verify /ihe prepeftv owner's siqnature. Signature of Property Owner Date r --..-2-Print name of Owne r /tlO l{ni / t AUTHORIZATION OF AGENT TO AC T 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 documenls necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) 7 Project Location or Address 7121 /4/'ao+)e"ra ),o (c', 2z rt 75'a Name of Authorized Agent:4-no, - Address of Authorized Agent:_ Phone Number of Authorized Agent ;/-7 3-2 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 certify its accuracy --78 K^:*4Property Owner's Signature Date: 11 -.V-'1 7 Print Name orowne ,t -i6 KA ,urZ , Note: A copy of the tetolhe agency is required to be presented when the permit is issued to verify the propedy owner's signature. PLrok \/\/i51'Ccuni,:rAclrrrir Asscmbly6 ls l.l1,trce to ProDe(y Foinr SANIA ANA CITY COUNC L moul'd06sanla-ana oro Mayor Pro Tem, Ward 2 mr6a n .e26sanla 'ana oro Vlcenle Sâ‚¬rm'enlo Bamâ‚¬nloasenIa ana oro Ed!!!(!$!hir!!-p!c P Davrd Bâ‚¬navrdâ‚¬s dbenaudeslosanla-ana oro Mlleo6s@sanl,.a.a do srinaâ‚¬rc@sanla-ana do