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Home My WebLink About10296951 - Permit (2)q Proiect Address: 611 E Chestnut Ave Assessor's Parcel:404-075-11 Lot: l0 Unitl Bldg: Address Range Tract: HALLADAY'S AOD Suite Range: Zoning: R3Block. C '-: City of Santa Ana 2(r Civ;c Center Plaza (M-19), Santa Ana, cAg27o2 Building Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {029695{ Pin #: 43373 Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: Job Type: Alteration Consk Type: V B 2nd FL Area: T.l.Area: Nature of Work: Alter - n/v Code CBC 2016 Other Areas: yards Req,d: Existing Bldg. & use: sFD w/det garage Floc'' zone: x-0602320276J Garage Arear varuation: $1,ooo.oo Proposed Use: # of Stories: Total: Description of Work: Replace (3) windows (bedroom, bathroom & living room) to match style of existing; legalize water heater enclosure; in garage remove unpermitted partition walls, electrical & plumbing - cap back to point of origin. ptanning Conditions: Water heater enclosure shall be architecturally compatible with the primary dwelling, \ijr,fod siding & compoiltlon shi[igle roof. Owner-Builder Address Owner: Address Phonel Tenant: Julie Nguyen & Than Vo 828 S DENNIS ST Santa Ana, CA 927042211 (714) 360-2563 Phone: State Lic #: t-ic Type: Bus. Lic #: Workers' Compensation lnsurance Carriei: Policy #: Expires: Architect / Desiqner: Address: Phone: License # Phone: License # Flan [Ipdqt - i160ltilLlt.l rns tl0?- i16ttltnt:l Stds Rcvolv in lltr2-:i16l2rr0( *}xlr* nxx!3?[l LI At't.hi: ? Planning Approval By Plan Checked By: Permit lssued By: NPDES lnsp. Req' PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Mar, Escarlet Amsden, Julie 07716002 07776002 07776002 07776002 0 7776002 0 77 76002 s7601 57607 51601 57672 57600 57607 Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Update lssuance $160.25 $86.78 $243.16 $1 .00 $22.08 $s5.04 No No No No Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 $22.08 $545.23 $1.00 Account#Total Every petmit issued shall becoma invalid unless the wod< on the site authorized by such pefinit is commenced wtthin180 days after ils issuance,or lf the work authorized on the site by such permit is suspended or abandoned for a peiod o1180 days after tha time the wo is commenced. lnspector MID#: 20'18-144496 Fee Total: Paid to Datel Balance Oue: $568.31 $0 00 s568.31 Historicr No Contractor: Address: Engineer:Ac,:t-i: Rcpt+r"-r?321152 .. Tn0nso,::l i r-1n [ot(l ] REfi: I /9 /1t119, la.t?.l69 iI,6 AlltII lr.^ .luIie Nguserr & ilron Uo Date: 07/09/2018 Nlisc. Receipt: Date: Visc. Receipt: Date; 07109/2018 lvisc. Receipt: Subject to Field: dS{JILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OlINER BLII,DEI' DEL('ARA NON I hcrcby Jflntr' utrdcr pcnalry nI p.rrur) rhar I m.(mpl frcm$c Contn loa-Liccnsc L.q for lhc lollowinB rcasn 1scc70:11.5 su\incs ud Proltsion Cn'lcr Any Cir) or Counry which rcrluircs 0 pcmil ro conFIdcl. lllcr. improlc. dcmlkh or Epalr any erudurc. Pr6rro ( (umc, ako rcqu 'rc hr rgplranr for su.h Frnir ro fih a ri8tr.d enrcmnr lhnt h. or shc n liccns.n lunuanl ' to !hr fru\ni,'n\ of rhc Conhcroi\ Licend tj* tChtrprq 9- Commncing *irh S..lion 7O(r of Divilio. I or rh. Bn\in.$ trnd L\ofc$ionsCoddorrhrrlEor(ltrisci.mn'rh.rcft,{nrndlhch,shror'h.ellcsdcicnTlion.AnyviolatirnofScclionToJl5bydny apr!'t8nr ror aFllir \ubi(h lhc lnrlrcrtrt to a!pillrcnrlrvrfmr mnR rhan fi\c hundrcdd,,lldr{l50nr ff . ^ .",*,,r,* n-*"y. r'ny.mnrorrr\! h l aacs us rhctr a,rc con,Fner ion. wdr do rh. edk 8Ir rlr srmrm i\ nor int cd or oficrcd for sk ( Se ?044. Busincss rnd Pn,acscions C,dcr Thc ConkNror's Li..ns ljw docs trot rpply ro !n own.r of rhc pmpcrl, uho huildsor in{m6lhcmn. Md who des sEh po* hnmclfor hcrsllor lhnuch hh ornqown c@loyccs, pmvidcd rhll such inJmEnrnrs @ frr inrcnld m ofidql for slc Il lx,*cwr, rlE t{iBnr8 or irlmErEnr is sh uirhin om F{ ofconrphlion. rh.Owncr Aurlr sillhr\r tlE hdrdcn ofpfl,rihg rL, h.dish.did nor build or inlllm\t th. tmFrty lor rh. puqnc ol L rso(ncrofrhc lropcdr. r'ncxclu\ivcl!.u ri.ht with li.cn*d .oftr.r.r s ro cotr{ru.r rnc fmr&r (Scc 704,1. Aur.c$ !d l',ntcsi,n Conc thcConlrocroisl-iccnscLarvd.csnorlmlrrorn.uncrofprop.nywhobuildso.imptr'vcsrhcrcon, rnd shi, .o.rhrh r.r such ttuF{s snh n Conh.k'(n liccnsd porurnr 1iD.r"z./zz (,x.(/'/ t)tl l \k,r rr)N I hc'.hy rllnnufd.' p.trrlryrr n.rtLryom.l rl[ nn],)$nrgdc.lx'ri,^ l hdvco willnuinrsinsCcnifrar.ofc.isc i,Scllln rc for workcr' crnrrrnsdiotr. rs t,ovdctl for by Sel ion ITUJ of rhc t:htr Codc, ro rhc pcrlomaicc oilhc *ork lu which lhc lrrmi is n\ucd lhiuc r0d srll.rri'nri'r work.ra.. rt* sdnnr iisrranc.. \ rqur.d $J-Sc.rdr:17(x)ofrhc t]horCodc. iorrhc ncrnnranccol rh. *ork f(r {hth rhi\ Fnnir i\ nsusl Mt sork.ra .o'npcnsrtn,n ihtrr cc.rtricrdl fxni.y Nn$cr dcl {g (niiy rhri in rhc Ndn mmc or rhc {o'k ior vhi.h rhn p$mir t issucd. I shall nor cmrby any pero! in any muncr $ N ro lEcom su6jâ‚¬ct ro rhc workcn compensal ion laws ol Crlilomia. lnd lg@ rha! il I sholld tEcoe sxbFi ro rhc solkcrs co'np.nslrion pDvhions olSccrion lT0Oofrhc Latn Codc- l $ill tunhwirh co,nply sirhr,x,r pruvisn,n. WAIINNG: Failurc ro wxrc work.tr onpcn\arn,n .ovcagc is unhwtul, ,nd sh.U subjdl ar cDrlo)q lo ain nol |Etr0ltics rnd .ivil lnrc\ ut) k) o c huidrcd rhousrtrd dollx^ (slu).Ux)). in nddirirni n) rlrc con dnmscs !s pro\idcd rbr rhc Y::;:;A/;{::^,X,,,,/-\..-.- LMNSIiDlOtit&{qlla DEELItsIIjOI I h.Rhyannflundcr pcnalr! or r.rjury rhar I rn lion*n xturd pr.vist,n orChll)rn 9 (snnrErcinS wirh Scdi,n 70(()) ofDivnion 3 or ihc Bu\iies and Porcsion\ Codc.,nd nry licensc is in lullhrcc {n cff.cr D,".'*."* CANEIBIJqIIANIEIDTIIiJIIjISI Ihrfthyrffii, ! crpcnahyofpcrjrryrharihcrchaconitu.ri,nrLndi'rgr8.kynnrhc!.donnM.coflhcworkl'orwhichrhis0cnntk irucd(Scc :109?- Civ C.) AITLIIANLDECLdIAII9II I hcm6y dllm uDncr p.N li, ol li.rj!r) onc or rhc lollowing dc. hfirn r l)cnr)liln,n fcnnils Asbcnos Nolificrlnnr ftdc.rl Rcrululion\ (-l illc 40. I'ma, l{.qtrt.(l l,crr.r.l Noliri.rrio "E*.* ily rh.r rhc rcdcrnl rcBul,rion\ mgadrB asbc{os nnBvdldc n.r lpplic$lc lo rhis pmjccl rhar lhlvc rmd rhis !pplic(nnr rd srurc rh{r rhc ahrvu rrr i\.,,trccr I xgR ni roDI,lt $irh rll Ciy dtrd ( ({n ! odinnn.cs od Sr!ic liss rchring ro building con(rucri{r dborc nrmnmcd [opcny lor nsFrr i{ppli$nl or Asâ‚¬ot sirn"l (rtmirr unrtlpanrr:ffi "';'"ii'*"''" Set Backs Erection Pads Subf loor/Vent/l nsulation Boof Sheathing Shear Wall Framing o,r pla 19Giw Ntz >) lnsulation/Enerqy Drywall Ext./lnt. Lath Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report I FINAL I,M 7b) Certif icate ol Occu I I I a-Tpancy Notes, Remarks, Etc Forms/Steel/Holdowns UFEFI Ground SLAB Floor Brown Coat It/asonry Flood Zone Ceftif . wilQ.(t t---+--- ---r------ = I MAYOR NriguelA. Pulido MAYOR PRO TEM l,.4ichele l\.4artinez COUNCILME|\,llBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas CITY OF SANTA ANA PLANNINC & BUILDING AGENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, California 92702 www.santa-ana.org/pba NOTICE TO PROPERTY OWNER Dear Property Owner An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at 6tl CITY MANAGER Raul Godinez ll CITY ATTORNEY Sonia R. CaNalho CLERK OF THE COUNCIL I\,4aria D. Huizar |- We are providing you with an Owner-Builder Acknowledoment 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 permittjng authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. y 1 I understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder' building 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 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 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. /v 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. 7 3 I understand as an "Owner-Builder' I am the responsible party of record on the permit. I understand that I may prbtect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. -{_+. I understand Contractors are required by law to be licensed and bonded in California and to list their license ni.imbers on permits and contracts. ,|'a 5. I understand if I employ or otherwise engage any persons, other than California 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. ,f/ 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 compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. t/ 7. 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 mpulido@sanla-anA-olq Mayor Pro Tem, Ward 2 mimadinez(asanta-ana.oro Vrcenre Samrenro vsamreNroosanra-a.3 0ro so ono@sa.la ana oro P Oavrd Benavides dbenavrdesAsa.ta-a.a oro iv reoaslosanta ana oro sli.aiero@sa.te-ana.oro I SANTA ANA CITY COUNCIL 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. ."/ 8. I understand as an Owner-Builder if lsell the property for which this permit is issued, I may be held liable for any fin-ancial or personal injuries sustained by any subsequent owne(s) that result from any lalent construction defects in the workmanship or materials. fu g. t understand I may obtain more information regarding my obligations as an "employer'from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors. ,A/ rc.1 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 responsible for proposed construction activity at the following address ,tu 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. M p.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 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 firm is injured while working on your property, you may be held liable for damages. lf you obtain a permitas Owner-Builder and wish to hire Contactors, youwill be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' com pensation insurance coverage. 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. Note: A copv of the oroperfu owner's driver's license, form notarization, or other verification acceDtable to the aoencv is required to be Dresen ted when the permit is Date (Signature of Property Owner 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 lile 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 Aoent: 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 Print Name of Owner Note: A copy of the owner's driver's license, form notarization, or other veriftcation acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature- !: ., i.': -.-.,-:r.-i:l .., At:.-a \il i \.,.. : trr;.-\ i:.-- i.? :i : 1'a SANTA ANA CITY COUNCIL mou do@santa-ana o.o vicente samienlo vsar.niento@santa-ana oro isolorio(Asanla ans.oro P David Benavdes dbenavides@santa'ana.oro ul||gges@ge!.tg:4ep!g stinaie.o@santa-ana.oro Mayor Pro Tem Ward 2 m martinezOsanIa-ana.ora issued to verifu the propertv owner's siqnature.