HomeMy WebLinkAbout10193654 - Permit (2)ryProject Address: 2545 N Santiaoo St
Lot: 1
Unit Bldg: Address Range Suile Range:
Zoning: RiBlock NA Tract 1716 Hrstoric No
City of Santa Ana
Permit Counter: (714) 647-5800
20 Civic Center Plaza (M-19), Santa Ana, CA 92702
lnspection Requests: 1714) 667-2738 lnspector Section: (714) 647-5853
Bu ild ing
Building Use: Single 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: Garage roof/storage alteration Code: CBC 2016 other Areas: yards Req,d:
Exasting Bldg. & use: sfd w/det garage/storeroom & det Flood zone: x-0602320't63J carage Area: valuation: $12,ooo.oo
Proposed Use: # of Stories: Total: O
Description of Work: modify the existing garage hip roof to extend over the approved attached stororoom. The proposed modification will consist of a
partial gable roof towards the north elevation ofthe garage. The north elevation will also includs(6) new fixed windows and a new
slider door. Garage alterations will include an exposed beam extruding out18 feet, held by a post. Auth on file.
Plan ning Conditions:
Owner:
Address:
Phone:
Tenant;
Conlractor
Address:
Engineer:
Addressr
JOHN WOOOHOUSE
2545 SANTIAGO ST
Santa Ana, CA 927061726
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
J.S.Byon Structural Enginecrir
Jin S Byon
'13601 E Whittier Blvd, Sulte 205
whittier, CA 90605
(626) 991-7354
45122
Kenneth D Arnold & Associates
Kenneth Arnold
1352'r re
Whittier,
legraph Rd #A
ca 90605
Phone:
License #
(562) 944.3696
F i'rone:
License #
Architect /
Desiqner
Address:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd: No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Ni, Ann Date: 0713112017
CSE-Century Structural Engineoate: 1ol3ol2o17
zunioa. Allissa N Oale. 1'1t14t2o17- t t<'
Subject to Field:
No
No Account#
0 717600 2
07776002
08907007
0 77 76002
07176002
07776002
$ 154.26
$213 86
$1.56
$1.00
$21 25
$52 98
IrIisc. Receipt
l\,lisc. Receipt
Misc. Receipt
69860
Total
51601
53600
24000
57672
57500
57607
Permit Fee
Plan Check Fee
SMIP - Category 1
Bldg. Stds Revolving
General Plan Updale
lssuanceFire lnsp. Req'dl
Police lnsp. Req'd
Flood Zone Cert. Req'd: No 01116002 51600
Every permit issued shall become invalid unless lhe work oh lho site authoized by
such permit is comfienced within 180 days after its issuance,ot il the wo* aulhoized
on lhe sile by such pefinit is suspended ot abandoned lot a potiod 01180 days after
lhe lime the wot* is cofimencocl
lnspector MtD#. 2017-137681
01 1 16002 51601
01116002 51612
08901001 24000
$21.25
$207.24
$1.00
$1 .56 Fee Tolall
Paid to Date:
Balance Due:
$444.91
$213 86
$231.05
Permit #: {O193654
Pin #: 85579
Assessor'sParcel: 003-051-01
El-"rLDlNG- INSPECTOR BECORD
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Fo rm s/Stee l/Ho ldown s
Erection Pads /a,24
UFER Ground
Subf loor/VenUl nsulation
Roof Sheathing 7/^t 5 s<
Shear Wall tu4r-
Framing Tftqq W-a$r'ab €(xt4Ba'u,
lnsulation/Enerqy
&UHeDrywall )wn//-Ext./lnt. Lath
Brown Coat outuq
Masonry YP/\-fA+..bJ h r1 /4/4at
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certif
FINAL //)4-/A
Certilicale ot Occupancy' '
Notes, Remarks, Etc
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INTERIM CITY MANAGER
Cynthia J. KurE
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Huizar
CITY OF SANTA ANA
PI.ANNING & BUILDING AGENCY
20 Civic Center Plaza
P.O. Box 1988. Santa Ana. Californra 92702
www. san ta-ana. orq / pba
NOTIGE TO PROPERTY OWNER
An application for a building perm jt has been submitted in your name listing yourself as the builder of the property
(provements specified at5.{5 5 J
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.
o NER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON
RECIIONS; Read and initial each statement below to signify you understand or verify this information.
1. I understand a frequent practice of unlicensed persons is to have the properly owner obtain an "Owner-Builder" building
permit that enoneously impliesthatthe property owneris providing hisorherown laborand material personally. I,asan Owner-
r/ 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. My homeowner's insurance may nol provide coverage for those injuries. I am willfully acting
aslan Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
2. lunderstand buildi ng permits are not required to be signed by property owners unless they are responsible for the
n struction and are not hiring a licensed Contractor to assume this responsibility
r' 3. lunderstand as an "Owner-Builder^ I am the res ponsible party of record on the permit. I understand that I may protect myself
m potential financial risk by hiring a licensed Contractor and having the permit Iiled in his or her name instead 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
its and contracts
/5. I understand if I em ploy or otherwise engage any persons, other than California licensed Contractors. and the total value of
construction is at least five hundred dollars ($500). including labor and materials, I may be considered an'employer" under state
federal law.
I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal
e rnment, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemploymentppensationofeach"employee.'lalsounderstandmyfailuretoabidebytheselawsmaysubjectmetoseriousflnancial risk
I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential
tures cannot legally build them with the intent to offer them for sale, unless a// work js performed by licensed subcontractors and
number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed
ggneral building Contractor... ,l
kg. t understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or
ffErsonal injuries sustained by any subsequent owner(s) that result trom any laient construction defects in the workmanship or
lrh ateria ls.
SANTA ANA CITY COUNCIL
t,ayot tua Ten. Wa.d 2
mrman ne!@$nta-ao3 oro
V'c6nre SamEnro
6am'6nro6sa.tE ana oro Lsoloro@santa ana oro
P David Benavrdes
dbena! des@ssnta-ana oro rvilleoas@sanla-6na qo slrnareoA'san13 ana o..
T,,IAYOR
Miguel A. Pulido
MAYOR PRO TEM
Michele Nlartinez
COUNCILMEMBERS
P. David Benavides
Vicente Sarmiento
Jose Solorio
SalTinajero
Juan Villegas
Dear Property Owner:
\
.l,
-{&. , understand I may oblain more information regarding my obligations as an "employer" lrom the lnternal Revenue Service, the
[.lDited States Small Business Administration, the Califomia Department of Benefil Payments, and the Califomia Division of lndustrial
Alcidents. I also understand I may contact the California Contractols' State License Board (CSLB) at 'l -800-321-CSLB (2752) or
cslb.ca for more information about licensed contractors
'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
llyrfd financially responsible for proposed construction activity at the following
re 2
11. I agree that, as the pa(y legally and llnancially responsible for this proposed construction activity, I will abide by all
licable laws and requirements thal govem Owner-Builders as well as employers
2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have
vided on this form
Licensed contractors are regulated by laws designed to protect the public. lfyou contract with someone who does not have a licens€,
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 imporlant 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,is form must be completed and signed by the property owner and returned to the
agency responsible for issuing the pe t.Nole:
siqnature.
Signature of Property Owner'
Print name of Owner
v
rrj.".,o{Lo.r; e
Dale: /t -ltl-2Li2
,VZJ
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 file the documents necessary to obtain an Owner-Builder Permit for my
project.
Scope of Construction Project (or Description of Work)ll-.-{
Project Location or Address 55 l, - lc
Name 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 certify its accuracy.
Property Owneis Signature
Print Name of Owner
Note: A copy of the owner's driyer's license, form notarization, or other verification acceptable to the agency is requircd to
be presented when lhe permit is issued to verify the property owner's signature,
?L.li !r!'F5i C.,rri.rrActi\rll AsS.rrr,Sr!B lS l^.1.,1!!e lo Prlri)ei! Form
SANTA ANA CITY COUNCIL
mbul doi@sanl3-ana oro
Mayor Pro lem WErd 2
mr@n ne!(!$nla-a.a oro
Vrceni€ Sa@enro
63m'enro@s3nta a.e o.d Lsdono@sanla-ana oro
P Oav'd A€n.vidn
dbeneudes@santa-ane oro relleoaslosan|a-an3.oro srrntsErolosenlg-ana.oro
,
Address of Authorized Agent;
Date: