The URL can be used to link to this page

Home My WebLink About10195018 - Permit (2)ffi Project Address: 1015 W Fairbrook Ln Assessor's Parcel:oo2-242-25 Unit Bldg: Address Range Suite Range: Zoning: R'lBlockr NA Tract. 1939 Hislonc: No 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 #: l0195Ol8 Pin #: 41278 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Singl6 Family Dwelling Reroof Reroof SFD 1st FL Area: 2nd FL Area: Other Areas: Garage Area Totall Description of Work: Tear off existing roof material and install new comp shingle roof material. Owner-Builder form on file. Handout given Planning Conditions: Repair sheathing, fascia, rafters. R-3, U VB cBc 2016 x-0602320144J Patio: T.l.Area: Yards Req'd: Valuation: S6,936.00 Owner; Address Phone: Tenant: Miguel Lopez 1015 Fairbrook Lane Santa Ana, CA 92706 Contractor Address: Engineer Address: Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance Carrier: Policy #: Expires: Architect / Designer: Address: Phone: License # P,ttt!dirrs t-lll16r-ir-l? !.l d,r StJ tll l I iU07 Planning Approval By: Flores, lvan Plan Checked By: Permit lssued By. Chavez. Dave NPDES lnsp. Req'd: No a<) A Dale: 12107120'17 Oate: Oale. 1210712017 Subject to Field: Misc. Receipt lvlisc. Receipt Misc. Receipl $30&152 $1.00 $21.25 $52.98 07776002 fl&, Fâ‚¬riilF.e 07776002 57612 Bldg. Stds. Revolving 01776002 51500 General Plan Update 01776002 51501 lssuance PWA lnsp. Req'dr No Planning lnsp. Req'd: No Fire lnsp Req'd: Police lnsp. Req'd U Account#Total Landscaping lnsp. Req'd: No Flood Zone Cerl. Req'd: No Every permil issued shall become invalid unless the wo* on the sile aulhorized by such pemil is commenced wlhin 180 days aftet its issuance.or t the wo* aulhonzecl on the site by such permit is suspended ot abandoned fot a peiod of 180 days altat the lime the wo* is cofimenced. lnspector MtD#. 2017-140345 01 1 16002 51600 011 16002 51601 01 1 16002 51612 $21.25 $361.50 $1.00 Fee Total: Paid to Date: Balance Due: $383.75 $0.00 $383.75 Lot: 61 Occupancy: Constr Type: Code: Flood Zone: # of Stories: Rrr t i:0211 Tronsoct ir q:t,,*) Phone: License #: ni I BUILDING. INSPECTOR RECORD DATE COMMENTS owNEn atrllllll-L Dl-t-( aRATI()tt I h.,?h) amro udLr Fmli ol Flllry ihd I m.t.n!x an,n rh. OdLloF' Lx.nâ‚¬ bw ,{, (rr tolS*ri r..$n lia* 7[:rl J Iruin.s rnl Pn,f.(i)n (-'xk) Any (iry oi Cddy *hth t.rttriB a Fnu ro n'nrd. .tn mt DE &mnnh or r.Fr inv {tuche. nrin r, ir\ ir\urk!. alrr rqo'r( rh..nnlks( l \r'h Frmir t, fik a \i!na! ikl. nl rhd L.r dr n k.N.i ldr 3nr h rlE Inr!^bnt of rh. (-"n(dd'! l.F.(d tr* l(lBda I, Collmd'nt sih S..r$tr TlIn ( lrvFiln 1 f rlr Butii.$ tftl Pnlf.a'i,nr (iik r or rhar lI 'i {: n.r.qt rh.Erom arl rlr h.r\ r{ rlr ilLi.d .r.n$rr AnyvilL.nn lSdnnTo:ll5ltYii) npplf,antirrFmir\uhF$rlErnplk.nrr'r.'vrlnnihrorn mn. rltrn fir. hltk.'l dolldr ( tlrr) .\'I Yr "*Er.,f r|I F,Fi' rrtr.|.codFndr,n. *'[d] r*{ri rrr{dre6nn 'd.nldl ('.iLr.J tu ql rsd 7llr.r. Fu{E( frl ltilG(r)r ( trL Tlr (nnd,i \ I .o{ l,v dtt nr inly b, o*rr rr rh. r'n'Imy *hr hlkrr or rtn*!\ rl*Brtr ul *h) d,a *n krl h'nx.lror h.Ello, rhnushhtr !n h.r d*. rn'r'hy..\. Dn,viJdlrhd\uchirqru$trisrn{mr..tlor,,fGEdinv'Llf,h,*.v.r,ilrtoitlrniorirF'}.mdira,ld*thinni.FdlLrrThir$. rlt OsF aoau.r * l hqF & hrd.n., Frrinr rrl, lt n. {r dil rr tu'tl,r '!ftF rh. lt{Eny ntrrlt FrFE nl l. r\.*n.r olrtu nn)tf, y tr*(|Itr,!r1,.!itr(r'nsu Ih(.tr\.n.nnn(n rnn'd (& nn)r.d rS.( )rrl.l. Bunn.\ F'rt rho btr,lll!rr nnlnn\r\ rh.r.onP$F.qr (irl. Th. Contaor'\ l.f,.ns.l 'r dG\ r{ lr'rlr t, r,"r rhl fldd(n, uhFir!( *rhrGdR1trl\r lx.n(! Ilr I )r.r.tr,t{ undd S..rrn, r,,r. r'L/c-l/zc r1,"..,K I rr,.h\ xlrtrr1trtr(l.r Fmlrr IFrtrry!'n.of rlk h,ll'!*r'r drI',In'n\ I ha( .d srll mdu r Cd'ara. o, (tn?d h S.lf li{k nn rtYrd\ q,rtt.str)n. .. Frli.l ft, hy Sa1$n l,]t rr ol rrr l.ah, Cd.. fitr(ll Fntrmm ord ort for *tkhrh.n rni h rs.tl -lh,v.,nJ$,llroi rinrrrt6 omFnrdi,n m{'!r.. il r{u'En h|S(rio r7(r, r r& lrtin c,xk, [d th. Fi,roE. .f rh.r l in rn{t i hil Fnd ii iirhl M y sdtn! omrE.d nn 'n\urrN. cMir JFniydntq r. M !l *n,ry rru m rrrr ncrr,,rnin.. orrh. *o* Ln *hrh rhtr rrmi r n1u.'1. I shr hy niy ti.^ n,i r.ymMm v, i.rn irro r luhFr r, rlt trfld! omFnsri'i hrs of('rhn)mir. Ml iFE. ! \ ofs.di'i lTrrr!,frh.lih (,ij. l\hlll. \l kNN(; lJlur. !, r.u( trorl.^ .omFnltn'n c.\.rir. a unhsnn .'ul lin.\ rr ro oF htrnrlr.rl rh{\!fr! d!'llr^ rlllrr.liirr. ,n r 'ltri,n I' sccrrrn :rr,76 ofrlr l,1hn (ixi.. inr.(q rnd i[onrt i f..\ ,,.,., l2 /c1/ll ^,,,-,,,F r tr .El)Fr h dintul Fotx 'nJ l.l! !r. \l3!n1.r] Ih.Eny rl6rmurkr FMliynfFrjorv rhr I 'r litn<J undr rorni( of(le s 9l d,mntmrn! *ih S.dIi rlr l,r ol Divur)n I .f ,E Bu$En .id fttrLlr[N C'r,L- ,rl mt ltoâ‚¬ x r h]rl lttrc. ,n .ltd coltsrtl |crloN I-[,r{pl lt(i A(ir (1 I h.Ehy ifrrn ud- FMl, nf Fjlrt dq rlrn n ' co.rerir bdirS rady tu ri. FnrllrB trll rri* fin $hrh fin Fmr x trru.Jrsd lrrr7,Civ C ) AIILICANII&IJJBAIIII! I harr, dfm uRl.r F.rl y .l Frju.t oF of rk n,ltlr,I3 &{Urd [n3 lkmrlrn. P.mGA.h.qn( Ndiftrnn Fd.6l R.8ol itnrII k.xr.ls6r i..lnnnl l.od or N,rifrrrhn lr6'(yrhd rlr r.J.r.lrcgubtnn\ Fsx inr i+.,$l iE ftr rpdunk h rhn rroFi f.' v. t-"' :.nifyrhd Ih,Y. r.d rhi\inllidi Dmd N.r ',rl Sr . Ils( kld"lE r. h{rl,,n3 d,rorhnr. r.s.kd,rtr.s or(hs (-ry:nd ( ')! v r,.nr., trF,nrlr mdi)Ed n,oFn) (i inrFdn. r,Ir*\.\z la1 / t1,\pl i.ant or A{tnr Slxntrlurr x â‚¬L LO i)ELrt-,r,*-*'r",,,( \a lG Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Y1-,,I*/t",--v UFn 4 Shear Wall Framinq lnsulation/Eneroy Drywall Ext./lnt. Lath Brown Coat lrlason ry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report FINAL t\z\ t9 l-\Lth 'A) Certificate ot Occupancy Notes, Remarks, Elc SITE-WOBK ID/SIG. I I I I Flood Zone Certif . I MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. Oavid Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas Dear Property Owner INTERIM CITY MANAGER Cynthia J. KurE CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box I 988 . Santa Ana. Califo.nta 92702 www. santa - ana. orq / pba NOT]CE TO PROPERTY OWNER An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specifled't lotl Fatl)-9, l)-o6l( L\) s^\urA A\] A. LcA qZl C â‚¬. 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. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. Y L ,1. , understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Buildei building permit that enoneously 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 property, My homeowneis 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. \1 L 2. 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. \4 L S. f understand as an "Owner-Builder" I am the responsible party of record on lhe permit. I understand that I may protect myself from potential flnancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. Y L O. ' understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. N4 L 5. I understand if I employ or othemise engage any persons, other than Califomia 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 "employer'under state and federal law. V L U. , understand if I am considered an "employe/ under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide \,/orkers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee.' I also understand my failure to abide by these laws may subject me to serious flnancial risk. V L ,. , 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. V ! t , understand as an Owner-Builder if I sell the property for which this permit as issued, I may be held liable for any flnancial or personal injuries sustained by any subsequent owne(s)that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL mou|do@sant 'ana do tt'ayot P@ r en, watd 2 mrman ne2@ssnla-ana oro V'mte Sam'6nlo vssrmr.nlo@sanl3-ana.oro isolono@santa-a.s oro P Davd Bâ‚¬.asdes dbenaedeslasa.la-ans o.o Mlleoas@srnta ana oro slrnEierolasanta-ana oro t'.4 L 9. I undersland I may obtain more information regarding my obligalions.as an "employer" from the lnternal Revenue Service. the United States Small Business Administration, the Califomia Department of Benefit Payments, and the Califomia Division of lndustrial Accidents. I also understand I may contact lhe California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.qov for more information about Iicensed contractors. \4 L I 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 leoallv and financiallv resoonsible for orooosed construction activitv at the followino aoioreis: l o r rJ, F,o. \n_ p.rioo \( L { saF},T,1 a. r,.t A c,{ .l LJ <_, t h,4 t' ' ' *- 11. 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. tr/r:_:12. I agree to notity 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 with any financial loss you may sustain as a result of a com plaint. Youronly remedy against unlicensed Contractors may be in civil court. lt is als o important for you to understand that if an unlicensed Contractor or employee of that individual or llrm 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 propedy licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this agency responsible for issuing the permit. must be completed and signed by the property owner and returned to the A copy of the propertv owner's driver's license, form ootarization, or other verification acc to the ,s be nted when the rmit is issued to ve the owner's s iq nature. Signature of Property Owner printnameof owne, | 1 lciu â‚¬ol)ez 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 POect (or Description of work) Dare: lz /o-t /2_o l-\ I o I 6 1:/-r11rPJ t.)-oo lz- L x\ SAxl TA z-rr.-l A,cA IZIOOProject Location or Address Address of Authorized Agent: Phone Number of Authorized Aqent: I declare under penalty of perlury 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 to be presented when the permit is issued to verify the property owner's signature. _. . :, l- ' i - ,' :' i SANTA ANA CITY COUNCIL mp!lrdo@sanla-ana o.o ilsys Prc Tem W6rd 2 hrroninez@santa ana oro V'cenle Samiento Eamrenlo@sanl, 3n. oro lreb!p@r@E:e!!.p!g P Davd Benavdes dbenEvdes@sanG ana.o.o u-Le!!!@rdr.34e,p!9 strnarm@3anla ana oro Name of Authorized Agent: