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Home My WebLink About10196675 - Permit (2)? @ Permit #: 1O196675 Pin #: 75513 City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, C492702 lnspectron Requests: (7 1 41 667-2738 lnspector Section: (7 14) 647 -5853 Proiect Address: 1319 W Third St Assessor'sParcel: 007-183-13 Lot: 14 Bldg: Address Range Tract: GOLDSMITH'S ADD Histoflc: No Suite Rangel Zoning: R2Block B Building Use: Single Family Dwelling Occupancy: R-3, U l st FL Area Job Type: Alteration Constr Type: V B 2nd FL Area Nature of Work: Windows/door Code: CBC 2016 other Areasl Existing Bldg. & use: sFD woET GARAGE Flood zoner X-O6O232O257 J carage Area: Proposed Use: # of Stories: Total Description of Work: Direct change-out of (7) windows & (1) door - same size & style. Close up (11) windows. Auth on file. Planning Conditions:All matorials to match existing. Existing wood trim @ sill to remain Patio: T.l.Area: Yards Req'd Valuation: $9,000.00 Owner: Address: Phone. Tenant Contractor Address: Owner-Builder Engineer: Address Truong Pham 31850 Paseo Tarazona San Juan Capistrano, CA 92675 (714) 397-6490 Phone: State Lic #: Lic Type: Bus. Lac #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Architect / Desiqner: Address: Phone: License # A & A Drafting Araceli Maciel P. O. Box 572 Orange, CA 92856 \714).285-1121 Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp Req'd: Planning lnsp. Req'dl Landscaping lnsp. Req'd Soto, Ricardo Mazarjr, Zac \v Zuniga. Allissa\ Date: 06/08/2018 Date 06/08/2018 Date: 06/08/2018 Subject to Field: 0 777500 2 0 777500 2 0 777600 2 0 77760 0 2 0 77760 0 2 57607 5 3600 57672 5 7600 576 01 Permit Fee Plan Check Fee Bldg. Stds Revolving General Plan Update lssuance $154.26 $106.93 $1.00 $21 .25 $52.98No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd: No Every pemit issued shall become invalid unless the wo* on the site authotized by such permit is commenced within180 days aftet ils issuance ot if the work authoized on the sile by such permit is suspended or abandoned lot a peiod of180 days aftet lhe lime the work is commenced $21 .25 $207.24 $1 .00 $106.93 $336.42 $0 00 $336.42 lnspector MID#: 2018-143857 01 1 16002 51600 01 116002 51601 01 1 16002 51612 01 116002 53600 Fee Total Paid to Date: Balance Due: Building 6/ Unit: Phone: License #l lVisc. Receipt: lvlisc. Receipt: lvlisc. Receipt: BUILDiNG. INSPECTOR RECORD ()\\'NtiR Itt lt,LIaR t )t,],c]\ R,\1 1()N I hcrchy aiirn und$ lEMlty of pcrlury rhal I cxcnF from rhc Conrrlon Liccnsc Llu for rhc follo*in8 rcaq,n 156 70.11 5 Itusincs !d Profcsion Codc): Any Cily or Counly Bhich rcqutcs a p.rmn 'o con(tucr. alrcr. io{tov.. d.nblth ,tr rcrBn rn, docrrr.. r, trro irs h\uancc. aho r.quirei rh. applicanr f{rtrch Frnrir t,lih r sigNd srdcmnr rhat tr.r shc i licen*d pu$uanr ro rhc pmvnioN olrh. ConrEclois Li.cn*d ljw (Ch.prcr 9. ConrnEmio8 wilh Sccri'n 7Un or Dilhir..l orrhc Brrin.ss dnd Ptufc\stunrC.xlc)orrhrr h.orrh. iscx.dpt rh.nfr.6lnn rh.bosn for thd r lhg.d cx.nlpr ion An! violtrlionotSsrio"?011.5 $y!try antli.anl lor a pei,nit subjcchlhc arflicont ro acivilpcn.ltyo, nor mrcrhan fivc hundrc.l dolhr (S5mr -1. r\ osncrofrhc pr.IEny. orfiycn,ploycc\ wirI wagcsrl rhcir $]cconlPcosiion. $ill do rh( sorkd rhc{ulu.isDol idrhd.d or ofiired nn srlc (S( 7(x4. ausiisa md Pn,fc\\ions c(xlc: Thc C'ontra.tr'\ Lifttrsc Lrq docs ooraDply h rn o$nflof rhc I[)tf,ny who huil,lsori'npro!.srhcKn,,xnd !hodocs{rh*1trk hi'nscli orhcncllorrhn)uEh his orh.row c'ntlorccs. ol con]Irlcri,n. thc O*mr Builder slllhrve rhc h'd$ ofrn,vin! rhrr hc or shc did Rr buiu or inuolr dr pn,p,ny ftr rhc nn4r$ of I. Ao*ndorrhctrol.ny. rncr.lusiv.ly.ontncring $irh I iccn\cd co nta.ros ro consl nr.r ltE rn)jc.r (Se 7(84- Bunnes !tuj ltfc$inCodc:lhcConrr.croisLi.cn{chudesnornnrlyrorn.wncrorpn,pcnywhohoil&orinrlmlcsrhcrcon, a.d stu .onk..afor\uchrroj..rstrirhrC.trito.rtr(s) li..n.cd Nsurtrr roth.annriclq s Liicnsc liyJ. "^e\i)t( DI|rl &r.UoN I hcrchr_ rllnnutrdcr ]tr ihy.tpcrjury. c .l rhc ln lk,wi'rg d(lnrdnr\: litxtr (i)dc.,nr rh. Ifrtunn mr of rtu work lbr ahi(h lh. rcnnii i\ i\{'ctl rhc $ork f(tr shrh rhi\ |tnr i\ n\&{ lrl!sorkr^'.onlllrtr\rr(tri trtrurr (.rtricr lin].y trtrrh.r rrc: Poli.y Nun,tcr Erlrc\ I ccarly rhrr ir rhc |trLrowEc.lrhc Nork lnr *hl.h rhi\ rrnrir i\ istr.d. I shxll nor cmtk,j_ rny n.^on fi xnt irtrtrrr v'r\t,h.om$hj.dt,rhc$,ork.r\conf.nsrri()nh*s.tCrlilafl,ir.rdrgr.rhnrifl\]k{ldh.ont\rhl.(rrorh. sorkcr\'.onlnctr\rri{nrInNisi{'nsofSccri,r.lT(x)ofrlIl]hrCodc.lshxll,n,nh*irIc.n]frlyf,ithrh.\cpnv^i,x \ trrLxslul. JDn drx I {'hic.r rr rnrdo )cr ro dniml lEmhics ond rm08cs !s providcd lor rhcc vil lnro\ trI, (, otr. hundrcd rhorsrtrJ ^'"'- E/t/i'$n*- I husbyaftr u ndm Fnrlry of p.rjury rld I h li..Rn undn,)ovision ofchrplcr 9lonnmncinE sirhScdio.7000).fDilhion l ol lhcBu$imsr t otsnrn\ Codc- Lrtl my liccn{ n io tullfucmlcftLy' AIILISANLOICLANAI]O! I lErby dfiim uNi.r p.n,lry or p.rjury ofl. orrh. rollusire d..lmrn]ns Dcnnirion Pcrmiri Asncsros Norificarion Fcdcral Rqrhri('n\ (Till. ro. Pad6) -Rcquncd Lcrrcrol Norifrclrion ont'nrncc\ aftl Strlr lr*\ rcrri'i! k,(di.rtrtrr. rrlhcrcl)y rdll,izr rc]}c\cfhri!og&h \ ( i'y xnrl(iir r! tr, rntr ur[ rhc rnxc Ntrriincd pn,Dcny Iitr iN AIDIi(onl or aetrlSianalurc SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathi ng Shear Wall Framing lnsu lation/Energy Drywall Ext./lnt. Lath Brown Coat lVlasonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif FINAL llH x TM:*Y - Certifica te ol Occupincy 17 Notes Remarks, Etc ^", b/t/1i rax$f,ucuqluENl).lNclcllcr I hcrchy allirnundcr p.nrlryofperury rhd rh.E h i con{d.ri,n lcndnr8 aecncy lor lhc |xrhrn{ncc olrhc nuk foi which rhn Fnnir is nsucd (Scc.1197. Civ C ). rxtrdcr'. N nc'- I c.niryrhrrrh.ltdcrrlrcguhri{)n\ rgrnli'rI \h.{.\'rnr)ilJc nornttlirxhlc k, rIiN nn)icrr lnn4 T----- MAYOR [4iguel A. Pulido MAYOR PRO TEM Michele Marlinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas ACTING CITY MANAGER GeErdo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNINC & BUILDING ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana. Caifonia92702 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 C 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 prope(y 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. /7^ /l' 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 provading 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. lO r r understand building perm its are not required to be signed by property owners unless they are responsible for thg construction and are not hiring a licensed Contractor to assume this responsibility. 1t S , understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may prutect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. _JP_4. I understand Contractors are required by law to be licensed and bonded in California and to list their license ndtnbers on permits and contracts. "10 S. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the tot5l value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. '7n A. I understand if lam considered an 'employer' under state and Federal law, I must register with the state and f{deral government, withhold payroll taxes, provide workers' com pensation disability insurance, and contribute to unemployment compensation of each "employee." l also understand my failure to abide by these laws may subject me to serious financial risk. 1D r$oe 7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family ntial structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL mpuL do@santa-ana oo Mayor Pro -fem, Ward 2 mimarlinâ‚¬./Asanta-ana oro Vicenre Samrento vsamienlo@sanla-ana.oro isolono@sanla ana.oro P Oavid Benavides dbenavides@sanla-ana.oro ivilleoas@sa.ta-a.a.oro slr.a ero@sanla-a.a.oro imorovements soecifred at,l'X4q ral 1Ah 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 Cont&ctor. 1,C 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 finldncial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. 11g I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue S6ivice, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of lndustrial Accidents. lalso understand I may contact the California Contractors' State License Board (CSLB) at 'l-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. .-7 n/r thb/pa 10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am rty leoallv and financiallv re4.t'19 '{- lk}S ible for proposed construction activity at the following address:ce- I 7./ ll I agree that, as the party legally and financially responsible for this proposed construction activity, lwill abide by allApplicable laws and requirements that govern Owner-Builders as well as employers. TA,r.tagreetonotifytheissuerofthisformimmediatelyofanyadditions,deletions,orchangestoanyofthe 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 Iicense, 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 impodant 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 whether or not those Contractors are properly licensed and the status of their workers' compensation 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. Nole.'A coDv of the orooertv owner's driver's icens form notarization, or other verification a cceDtable to the aqencv is required to be presented when the permit is issued to verifv the owner's sidnature Signature of Property Owner Date: b 3 Print name of Own"r 'I(rxrrJer P/'1N AUTHORIZATION OF AGENT TO AGT 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 Project (or Description of Work) Project Location or Address: 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. Date Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presenled when the permit is issued to verify the propedy owner's signature. ir ^, .-,,;a :..^.. irr _... i-.:; .tr,.a .'!.:,..i_ i, r;-i! i -. a-r -: lll'a SANTA ANA CITY COUNCIL mpul do@santa-ana oro Mayor Pro Tem, Ward 2 mimarlinez@sanla-ana oro Vrce.te Samle.ro vsa.m enblasanta-ana oro iso orio@sania-ana.oro P Oavid Bâ‚¬navdes dbenavrdes@sanla-ana oro villeoaslasania-ana oro strnaiero@sa.ta'..a o.o Name of Authorized Aoent: Property Owner's Signature: Print Name of Owner: