HomeMy WebLinkAbout10299350 - Permit (4)Prdj ect Address: 1923 S Parton St
Assessor's Parcel 015-133-06 Lot: 12
Unrt Bldg: Address Range Suite Range:
Zoning: RlBlock F Tract 289 Historic No
I
@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA127O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: {O29935O
Pin #: 323(f.{
Building Use
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use
Singlo Family owelling
Alteration
Addn/Patio coverrDemo
SFD w/att garage
Occupancyl
Constr Type
Code:
Flood Zone:
# of Stories
R.3, U
VB
cBc 201 6
x-0602320276J
1
1st FL Area
2nd FL Area:
Other Areas:
Garage Aqga,,
Total
Patio:
T.l.Area
Yards Req'd:
Valqalro. _ei
280
174
$20.000.00
Description of Work: Convert existing garage addn to full bathroom, guest room ('l-bedroom), laundry room w/linen closet, & construct new open patio
cover. Demo unpermitted 2nd kitchen, patio enclosure, & storage room.
Planning Conditions
Owner.
Address
Phone
Tenant
Pedro Salas Garcia
'1923 E. Panon Street
Santa Ana, CA 92707
(714) 454-5993
Contractor
Address
Owner-Builder
Engineer
Address
Phone
State Lic #;
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires;
Phonel
License #
Architect /
Desiqner.
Address:
Phone:
Lrcense #
Truplans
Alex Hurtado
630 S. Glassel Street Suite 201
Orange, CA 92865
17141 2894652
Planning Approval By
Plan Checked By
Permit lssued By iTen
NPDES lnsp R
PWA lnsp Req'd No
Planning lnsp. Req'd No
Landscaping lnsp Req'd: No Flood zone Cert. Req'd: No
Every poml tssued shall becofie invahct unless lhe rvork o, lhe s/te authonzed by
such pein B comfiencod wilhn 360 days after tls tssuahce or tf the work authonzed
on lh6 sfte by such perml is suspendad or abancloded for a peiocl of360 days after
the ltme lhe work is commenced.
lnspector MtD#.20'19-149848
Subject to Field:
Fire lnso Reo'd. No
Pohce lnsp. Req'd: No Account#
01 1 '16002
01'116002
01 1 16002
0'1 1 16002
5't600
5160'1
5't612
57770
Date: 03/05/2019
Date.0712312019
Date 0l/15/2020
0 77 76002
0 77 76002
07776002
07776002
0 77 76002
0 77 75002
0 77 76002
07776002
57607
5 3600
57770
5750 7
57607
57672
57600
57507
$483.06
$345.67
$39.10
$86.78
$252.69
$1.00
$22.95
$57 20
, Jerry Misc. Receipt
[,1isc. Receipt
tvlisc. Receipt
72281
Total
Permit Fee
Plan Check Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
F as & Assoc
$22.95,
se+srrbhLl , DL
$1.00
$39.10 Fee Total:
Paid lo Dale
Balance Due
$1,288.45
$331.36
$957.09
BUILDING- INSPECTOR RECORD
ID/SIG.COMMENTSSITE.WORK DATE
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Su bf loor/V enVlns u latio n
Roof Sheathin
Shear Wall
Frami
Ext./lnt. Lath
Brown Coat
Masonr
Pool Fence
T-Bar
De Final Re rt
rtEnineer Final Re
Flood Zone Certil
t<)DFINAL
Certif icate ol Occu nc
Note ,RE arks Etc.
Ct
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APPT I('AiiT DECI-{RATI(IN
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DcBnntru ltyh sA\h.(or Nor',r&r(,n I'c1lcr!1R.!uldr(,n\ ( r'rrlc4{r' l'"n{,)
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Drywall
Handicap Req.
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I n
I t-
t- lr-LoZo
Conl ror
-
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-s800
www.santa-ana.org
APP-13 CBC 20t6
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An applicatio r a buildin perm has been sub in rna listi ourself as builde of perty improvementsve
()specifled at l/l
We are providing you with an Owner-Builder Acknowledoment and lnformation Veriflcation 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 otficial address indicated. An agent of the owner cannot execule this notice unless you, the property owner,
obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEGMENT AN VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
I.\ t. t understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" build-
ing permit that erroneously 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 flnancial risk for 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 in.iuries to workers on my prop-
erty
Q-Z I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hinng a licensed Contractor to assume this responsibility.
7, l. t understand as an "Owner-Builder' I am the responsible party of record on the 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.
l2-q. t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts.
( ) S. I understand if I employ or otheMise engage any persons, other than California licensed Contractors, and the total
value of my construction js at least five hundred dollars ($500), including labor and materials, I may be considered an
"employe/ under state and federal law.
E1-A I understand if I am considered an "employer' under state and Federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com-
pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.
? ) L 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 subcontrac-
tors 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.
?)-, , understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan-
cial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the workman-
ship or materials.
E-n. , understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser-
vice, the United States Small Business Administration, the California Department of Benefit Payments, and the Calafornia Divi-
sion of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 'l -800-
321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors.
?'9 lO.l am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the
party legall! and financially responsible for proposed construction activity at the following ad-
dress.
7 5 ll.l agree that, as the party legally and flnancially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner-Builders as well as employers.
(> lZ.l 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 unable to assist you with any financial loss you may sustain as a result of
a complaint. Your only [emedy 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 damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verifying
whelher or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage.
tion, ot other verification acceptable to the agency is required to be presented when the permit is issued to verifv the
property owner's siqnatu re.
Signature of Property Owner rc l- /f- 2ozo
Print name of Owner
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 Prolect (or Description of Work)
Project Location or Address
Name of Authorized Agent:
Address of Authorized Agent
I declare under penalty of perjury 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 re-
quired to be presented when the permit is issued to verify the propefiy owner's signature.
Before a building permit can be issued, this form must be completed and signed by the prope(y owner and returned
to the agency responsible for issuing the permit, /Vote: A copv of the propertv owner's driver's license. form notariza-
Date
Phone Number of Authorized Agent: