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Home My WebLink About102102832 - Permit (4)Project Address: 940 W Eighteenth St Unrl Bldg Address Range Suite Range. Zoning: RlAssessor's Parcel 399-053- l l Lot 6 Block NA Tract 9451 Histoflc No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAq27O2 Building Permit Counter. (714) 647-5800 lnspection Requests (714) 667-2738 Inspector Sectionr (714) 647-5853 Permit #: 1O21O2A32 Pin #: 12726 \N Building Use: Job Type: Nature of Work: Existing Bldg & Use Proposed Use Single Family Dwelling Alteration N/V - Orywall SFO w/det Garage Occupancy Consk Type Code: Flood Zone # of Stories R-3, U VB cBc 2019 x-0602320144J 1st FL Area: 2nd FL Area: Other Areas: Patio: T.l Area: Yards Req'd Garag Total: e Area: tlolr h : :'i.i',r l,l Valuation:s1,000.00 0 Description of Work: Legalize drywall on garage walls ticp t i ! u?966t-l5tl - Trflnsocl i on Ioto I 1 lr: I r.r 46, R i eoberto Pere; Owner Address Phone: Tenant Cont.actor Address. Engineer Addressl Architect / Desiqner: Address Phone: License # Rigoberto Perez 940 W. Eighteenth Street santa Ana, cA 92706 (714) 206-0016 Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: 6errerol PInn Ljpdote Fee u1 I I6r-lrJ2- i16tftlr,I:lU.- P.u i 1d ineIl I16t:rD2- r l6r:r1(n]['l -Ilde Stds Revolv ins (r1l 160r:r2- 51612r:rur.r n icrof ilB I Do{:uientg lrl l l6f lrl? - i777iu[[t.. Vrgo (:C+: *rrrrxrr rxrr I971 $ Planning Approval By Plan Checked By Permit lssued By: NPDES lnsp Req'd. PWA lnsp. Req'd: Planning Insp Req'd Landscaping lnsp. Req'd Graham, Jeffery Chavez, Dav -vt Dale 0111512020 Date Dale 01115l2O2O Subject to Field Misc. Receipt Misc. Receipt Misc Receipt No No No No Account#Total 0 77760 0 2 07776002 07775002 0 77 7600 2 07776002 0 77 7600 2 0 77 7600 2 57607 57770 57607 57607 57672 5 7600 57607 $166.53 $3 91 $100 s7 $252 69 $1 00 $22.95 $57.20 Permit Fee Microfilm Records lnvestigation Penalty Bldg Stds Revolving General Plan Update lssuance Fire lnsp. Req'd No Police lnsp. Req'd No Flood Zone Cert Req'd: No Every peml tssuod shallbecome tnvalid unloss lhe wod< on the sle authonzed by such permit iscommenced wtthin 360 days alter ls issuance.or tl the work authonzed on the sle by such perml ts suspendecl ot abandonec! lor a peiod of 360 daysafiot the timo the wotk ts cgmmenced. lnspector t\AlD# 2O2O-157O54 01 1 16002 51600 01 1 't6002 5'1601 011't6002 51612 01116002 57770 $22 95 $576.99 $1.00 $3.91 Fee Total Paid to Date Balance Due: $604.85 $0 00 $604.8s Planning Conditions: Phone. License # I BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG,COMMENTS OWNER BUIT,DER DELCARATION I h.r.hy dlltrm udcr lrnslry,, Friury rhrr I m.r.dlr hm lh. O,trrrtn'F' Lietnr. uw fir rhc tullrqo8 rcos'n (semll t Bulrcs( .Bl Pntir\x{ (-dlc): A.y Cry or C(Mty wh*h r.1uue r Frh nr .1rn!Nr' !lrc( r'{n'v.. d.m L'h " rcF! 't.nlB-rm, Ftr t' [. hr!.F!. .lq, rquri rh. {'il.er fq rhh IEmr I' lik . 1l3Li (dr*d rh, h( or ax ( hcn*] I'{r{d' 1,, rtx Fi'rrrnr of IL Conrrtnn-s l-..n*d tlw ((]upts 9. Conh.mr8 *nh Saron 7(m of Drvr[n .] ot rh' Busrm( r'l PNlcsions(i c)orlMr lrorrh. r.rcml'r rhcrctn,turnl rh. hrn( n, th. allcScd.rem , n Anvvirhrrn tS..lDtr 70115 byrny dfiirc.nr lnr rltmn slbFh lh. tml{{r t':.,v'1,'.n,lrvotnn orc rh:n nv. huB]Gi tlollB (l5rn) 44aL {*ffi ,,r'hc pn,rny. d my.q'bFs w h vrs.r I th.r q . coqrnqr.n. * l'.tr rl! *d,n th. {urE ! B' mr.nt{ or ollini nn trk (SN rur4, Buucs,nd PDfcsDnr C,rlc: Th. 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Btrrm$.nJ Pn,f.sx,trr C,ik. ,rl my lr.n{ tr n iullh(t lrl clldr l-trctrr ('li$ CONSTRTICTION I ENDING (|ENCY I h.Ehy rtltm uoJcr Fhrryof p.riury itu rh.rc x l Nnrtd.r$n Ln lin3 r!.n v tir lh. Fnarl]rfr. of rh. *ork t)i rhf,h rhri IEturr ! Fs!.rl rso trJT.Crv ( r l. d'tNrtu _ ATILICATLIEII.A8AIIO!! I trrtry rlli n, u 'rl.r !.nrlry ol P.rr!ry.n. ol rh. n)l!)s1n3 del.[r!,ns: lrrnrnnr,n l'.rnrk-Alh.dds NoLlr.rrr |.Jcful Rqolrr( 1lI dlc 40. Pi6) R.qur.,l l.nd ol tlidi.c'n l..n'iyrh[ th.l.dcr{l reNlsr(rs rc8drlin3 {\h.dos,1]lmvilrrc Nl ltfl(trh|. t,lhn I'n*!r 44fd,rv rh! I htrc rc.,]rh,. rmlrdrrn gi !r.r. rhri rh. rh,n ml!)mrir r.odd I .3N b !1,qiv $rh.ll crv r cou.rv ,cJDr.r rnJ Srrr. b*\ ELrry I' hu'l]hr r.rrtur I r,I\ d rrrh! rurh r/tlrr(snrri r.\ {l rhhOr} lri Counrv nr mrd uF nilr Jh,s. mn'!,r.J nn,Fn! ri{ ,.il\t'n4/ /L* ,/-/ ^ca\*t * ^.^tsv,-t"*.@.ht'J: t (' 1 o ?,,,,1*-*,,n"1,.L. (t6o6e AfO C. /aAtz- Set Backs Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathing Shear Wall Framinq lnsulation/Enerqy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certil FINAL r /Z{/ )az.Fl:fz/rrJ Certit6te dabccuparrcy Notes, Remarks, Etc -t, l).k - Conlalo. - Forms/Steel/Holdowns APP UVEL PLANN G DIVISION .4As'ERr o )olo l57lJD zo,* ltl DATE ED BY D^I'E ,LANT'iING INSPECT FiN ETATN pr..A \,S FOR F URE REV!S{ONS UBJECT TO ITEN:S C ELOlV REOU IRED ruorutX lin t/ J alatn'""/ 7 INTIRIOP TI OI{L NC aX iE ilo.r .\L E llAT r oN s/t,1 0 0l F tcATt o'J, ,CH EXISTING i:NlN,; REO IREIJ lUEl',flT LANDST:E PI ANS ;p LA ]LANNER ,.RANSEE iOUGH rAt,tE 3 \(,J J -l (6nt Yrzla s(frcL0( f'r) e E <:-' L*l srPG 3t r:e uL Pnr.,t'uY R-f,-; ts[-trLft' .-9s\- c( TF 5 tt L t_ { \^I l- SD o :t--s- (714) _ - _$-1 rrro.u.. I-\l\< LJ.t}(,Pr- G n,taGv --) 2L Cr tQ 1I+ 3A , T.Ni: -7 r., t il t t s e J{.] B .!} :tl CKED AND CONDITION l!: I 'l I t. _ I t------.r T Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org APP,13 CBC 2016 An application for a bgilding permit has been submitted in your name listing yourself as the builder of the property improvements specified at q{o L). /gr4 sT S a ^4.L ANA ca 911 oL NOTICE TO PROPERTY OWNER Dear Property Owner: 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 atour 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 ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. Dcl L t understand a frequent practice of unlicensed persons istohavethe 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 seraous 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 injuries to workers on my prop- erty llcl Z. 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. Ltj Z. 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 financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. E4-0. , understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. k4 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 flve hundred dollars ($500), including labor and materials, I may be considered an 'employer" under state and federal law. -/,4U t 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. 8t-? l. I understand under California Contractors' State License Law, an Owner-Builder who builds singlejamily 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. Rcl A. t 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. A. !U-5. I understand I may obtain more information regarding my obligations as an "employe/'from the lnternal Revenue Ser- vice, the United States Small Business Administration, the California Department of Benefit Payments, and the California DivF sion of lnduskial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1 -800- 3?1-CSLB (2752) or www.cslb.ca.oov for more information about licensed contra'ctors. [Lc? 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 respgnsible for propose dressr q40 D./efli d construction activity at the following ad-ST 5 al-trA ArJA c* 9L1 ob 2c? ll.l agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. P<?p. t 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 flnancial loss you may sustain as a result of a complaint. Your only remedy 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 flrm 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 whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. tion. or other verification aecgpla$e to the agency is required to be presented when the permit is issued to verifv the prope rtv ow ner's s ion atu re. Signature of Property Owner Dater / - lf- 2oL0 Print name of Owner /, Goot-t,.c fzsLz- 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 flle the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) Project Location or Address Name of Authorized Agent Address 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 filled out the above information and certify its accuracy. Property Owner's Signature Date 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 propefty owner's signature. 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. /Vote; A copv of the propeftv owner's d ver's license, form notariza- Print Name of Owner