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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. 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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: