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Home My WebLink About10196619 - Permit (2)ry Project Address: 1002 S Araoaho Dr Assessor's Parcel:109-701-08 Lot: 130 Unit Bldg: Address Range Block: NA Tract: 3937 Historicr No City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cAg27o2 Building Permit Counter: (714\ 647-5800 lnspection Requests: (714) 667-2738 Inspector Section: (714) 647-5853 Permit #: {0196619 Pin #: 58244 Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area Patio: Job Type: Reroof Constr Type: V B 2nd FL Area T.l.Area: Nature ofwork: Reroof Code: CBC 2016 Other Areas: yards Req,d Existing Bldg. & use: sFD w att garage Flood zone: x-0602320256J carage Area: vatuation: $7,ooo.o0 Proposed Use: # of Stories: Totat Description of Work: T/O existing roof and install new comp shingle to SFO with attached garage. Replace sheathing as needed. Hand out given. Auth on file- Planning conditions: Owner: Address Phone: Tenant Bertha Maximo Salgado 1002 S Arapaho Dr Santa Ana, CA 927042405 (714) 5s2-0180 Phone: License #: Architect / Desiqner: Address: Phone: License #: Ber!hn llnx ih0 r-r I "r.l ,;enProl Plon UpdotE F r:r1 1 1 6t:l(r2- 51 _1r,''ri'r:,4'. gu i ld ine es t.h +: 0fl ice: Fi.ptiru 41!17 - L11., CTYH Trqr !?975e4 - : Contractor: Address: Owner-Builder Engineer Address: ronso,:t ion Tofni t:1 e 1r I Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'd: No Fire lnsp. Req'd: Police lnsp. Req'd Gomez, Pedro Zuniga, Allissa Date: 06/04/2018 Misc. Receipt Date: Misc. Receipt Date: 06/04/2018 Misc Receipt Subject to Field: No No Account# 01'116002 51601 01116002 51612 515'ot Permit Fee 51672 Bldg Stds. Revolving 5L500 Genetal Plan Update 51601 lssuance Fee Totat Paid to Date: Balance Due: 017 7600 2 0 77760 0 2 01716002 0 77750 02 $308.52 $1.00 $21.25 $52.98 Total Flood Zone Cert. Req'd: No Ol116002 51600 Every pemit issued shall become invalid unless the work on the site autho zed by such permit is commenced v,/ilhin 180 days after its issuance,or il the work authoized on the site by such pemit is suspended ot abandoned fot a peiod of180 days after the time the wo* is commenced. lnspector MtD#. 2018-143737 $21.25 $361 .50 $1.00 $383.75 $0.00 $383.75 Suite Range: Zoning; Rl Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: BUILDING. INSPECTOR BECORD SITE-WORK DATE ID/SIG.COMMENTS oWNER B(III-DI'R DI]LCARATION I hcrchy rtfirn u .r Fnrhy ,,r pdrjury lh l Mr cxcmrr ftuD rhc colltrNon l-iccnsc li* tur rh. r.l).win8 rcasn (Scc.70ll.5 Bu\nr\\ r Pnrcssion O,lc) Any Ciry or Counry which rcqut \ r Ilcrmir k, or{tu.r, axcr, nn|,o!c. demlirh or Eplt 3ny $ru.Iurc. piorlo ils hsuancc.nkolcquteslhctrpplicanli,,\!chrcrinirronbanSncd$jtnEnrrh.rhcor+ctliccnsc.lNrsuatrr t, rh. tmvni.n\ of rhc Conta.r.ls Li.ctrscn bw (Chsrrcr 9. (tnrmcncing *irh Sccrnm lfitr of Divnion I ol rhc ausinc$ and ProLsionsCodc) orlhar hcor\hc isqcnlrr Ihcrcfronud rhc basi\ in rhcnllc8cd.rcnulotr AnyviolalionolSc.rhnT0.ll 5hyrny rl]plic!trriurllennirslbjc.hrhcappli.dtrrrciviltcnlry.ltror.rorcrhlnlivchuDdrcddollaB(t5()) -1.n\owmrollhcpnlf,.ly-ormycmpbrtc\slihwrlcs$rltr n c .urpcns0r ion. will do lhe work !d rhc ntulm L\ nur inrc' cJ.roff.rcdforsh(SNT04l.Ausincs0MPmfcssionsC{}dâ‚¬'rhcContmroisLiccnscLowdocsnorapPlyban.wi.rof rhc F.pcd, (ho hoild\ or iqrdvB rh.En. iril *tu des nKh m* htnsclfor hcMlf .r rhmu8h his or hcr owtr emtlorccs, |iuvidcd thrl such nnpmlcnrnt\ m ml inrcndql r oftFl f{n !h lf, howdcr, ttE huillio3 or irymtrmnr i\ v'U snhin .nc ,td of conDbri{nl rhc Owncr BriU.r will h,vc llf hoftlcn or pmvi g ilan hc or shc did mr huitl or iq,ov. rh. F,Fny ior r}r lluqD* of l.sso*ndrofrhrnmp.ny.a cr.lusivcly.otrhr.rinB wirh Ircnscd conrradon ro connrud rlt InJjccr (SN 71}14, Busirrc.s r Lhf!*chnCodc: l hc Conrrucxn s l-iccnsc l-!* docs nor apply b nnown.i orFopc y who l,uilds or impnnts rhcrcon. and who cunra.rs ror \uh proi.ts wirh. conrBtuns) liccnsc{ Dunur n',hc G,nrrrcroi\ Li.cn{ ta*) Z" lZ I hcrchy !llirm trnd.r pcnxl!y oln.tury om olr[c n)]k)ai',! d.(lrrrri(rr\ I hnvc,rkl*ill nEir airrCcnra(trrcofConscnltoScli.lnsurclor$orkcr'c.nDcnsdioi.A provi'lcd lor bySdion 3?fiJ ollhc Lalnr C.xlc. ltr r hc F f.flMn.c oi rhc wo.* for Nhich rhc p.mil n issucd. I hrvc lnn willnri rir sorkcs compensrri{,D insoraE_c. &s rcqrncd bys(rnrn:lTtDolrhc l-lhorCodc.lbrrhc Pc'fodin.c of rhc work l'or *li.h lhirpciinil is is$cd My wolkcr'(,nrp.tr\,rnrn nr(urai.c.rricr and !olicy nunhcr rc: P.,la r t\u'ih -f \ric. l.cnifyrhrr nitu pcr,nnMoce.irhe*olk lor $hi.hrhi\t ilnir i\ isntd.I n[l]norc lt,.ydtryNrsotr ir any nunmt $ $b hconc \uhjcd h rh. *.rkcricomprn\nri( ldw!olcdliturii{ rM ag(..c rhrlil I \htr,ld hcqn* \ubtd orhc wo*crs compcnlarimpnrkt,n\ofSccrtnrl7(Dolrli.IrhtrCr..Islmll.,ndh*irhinnplt*irhrl{xcpmli\iod\ WARNIN(; Frildrc t) {.!rc sorlch .otrrpcrsrrior.ovcr !c is utrlrrii,l. rDd ll \!hjr.r M c'nploycr ro cimirul I'.Mllics ond ofcompcns"ri(,n,lrnn'!.s rs trovid.d tur lhccivil finc\ ut b on. htrndr.d rh.trsrirl dollrs (Sl(X ( t il,,( 1,\lt\ll()N Ihcruby116r unddr p.ndlryof,rrlury rhJl I om licctrr{ undct tovi\ion ol lhc Busircs lnd ftorcsion\Codc. aM nyiic.trsc h ir tull lirr.c ond rrtr l.onnrf, rtrrs $irlr S..1Dtr TlrroL ol I)nisi,r l Liccnsc Cllsr-Liansc Noml,â‚¬r: D.l.: Contmclor: CINiIBIIEII!]NIINDIIC.AGIIIjI I hc(b, notd und.r Fnallyofpcrjury thol rhcrc h 0 cotrstrucltin kndins lscncy for rnc !.rfortun.. orrhc wor* Lr whi.h thir lErnil is hsucd ( ss. 1097. ci!. c ) AITUCANLDECI.AEAIII]N I hdtny altim undcr Fnaliy of pcrjury orc ol rhc follovi.E dalarrr ionsl DcnDlirion Pcrnir\ A\bcstx Norifi.rrio. F.dcrrl R.guhrnns (Tnh40, Pan6) R.qun d Lcnfi of Norificarion I.cd'ryih,r lhrvc rcdd rhisaDDli{lirn d (alclhnr rhcltDvc inlntrHlim h.orc.r LlrelocomPlrwirhallCiryandCoonr, oftlinamcs rNl Srrlc tjws rhrin8 ro rurhori7c rcprc\cnrrinc\ .frhis City ud Counly h cnr.r uI)nrk' xh.Y. nrnrntrr.d fn)N,rr lor ^*--efqfsug,lppli(nnl or Allcnl SiaBl n d AXidt;- t]. Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor Subf loor/VenVl nsulation Flool Sheathing Framino lnsulation/Eneroy Drywall Ext./lnt. Lath Brown Coal l\/asonry Pool Fence T-Bar Handicap Req. Depuly Final Report Enqineer Final Report Flood Zone Certif . I toltl lt*irir..r..,<nre u\t Certilicate of Occupancy I {fJ Notgs, Bemarhs, Etc Erection Pads Shear Wall FINAL L.h,lcr s Na'E - knCci\ AddE$ -l ccnily rhur rhc ltdsaldsuLrn,n\ rcSddine asb.sos rcnrrvrllrc nol oppliclhlc ro rhi\ !n,jccr. ?P I I\4AYOR Miguel A. Pulido [,4AYOR PRO TEM l\,4ichele Martinez COUNCILMEI,4BERS P. David Benavides Vlcente Sarmiento Jose Solorio SalTinajero Juan Villegas ACTING CIIY iiIANAGER Gerardo 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 I 988 . Santa Ana, Califo"nia 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 ecified 9 We are providing you with an Owner-Builder Acknowledqment and lnformatlon 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 permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON D/RECI/OA/S: Read and initial each statement below to signify you understand or verify this information. O"4 I . 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. Q{r. tunderstand building permits are not requared to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. n.,,'.h,t-\. I 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. h4 q. I understand Contractors are required by law to be licensed and bonded in California and to list their license n"umbers on permits and contracts. /-,tl s. t understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the idtal'value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employef' under state and federal law. Apl 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' com pensation 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. @ ,. ,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, uniess a/,/ work is performed by SANTA ANA CITY COUNCIL moulido@santa-ana oro Mayor Pro Tem, Ward 2 mimarlrnez@santa-ana.oro Vrcenle Samlento vsarmienlo@santa-ana oro isolono@san1a-ana.oro P. David Benavdes dbenavrdes@sanla-ana.oro iville!as@sanla-ana.oro sti.aiero@sanla-ana.oro 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. BUa. I understand as an OwnerBuilder if I sell the property for which this perm it is issued, I may be held liable for any fi6ancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. r2,v19. I 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 conlractors. aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party I and financial responsr for propos construction activ at the llowin address o 4 t4ll. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by afl applicable laws and requirements that govern Owner-Builders as well as employers. btllZ.I 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 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 perm it. Nofe.' A coDv of the DroDertv owner's driver's license. form notarization, or other verification acceotable to the a oencv is reouired to he Dresented when the Dermil is 7 issued to the Signature of Property Owner ownert s Date: tr L//,+"t//r Print name of Ow ner -'l â‚¬)e .<\raV i '.,-',.--- 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 prolect. Scope of Construction Project (or Description of Work) Name 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 lllled out the above information and certify its accuracy. Property Owner's Signature Date Print Name of Owner: Nole: A copy ofthe owner's driver's license, form notarization, or other verification acceptable to the agency is required lo be presented when lhe permit is issued to yerify the propefty owner's signature. SANTA ANA ClIY COUNClL moulldo@santB-ana oro Mayor Prc Tem, Ward 2 m marllnez@santa-ana oro lsolono@sanla'a.a.oro P Oavd Bâ‚¬navides dbenavrdes@santa aoa.ora N eoas@sanla ana ora sli.alero@sanla-ana.orovsa'hienro@sanla-ana $o $nl rct Project Location or Address; _ Address of Authorized Agent:_