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Home My WebLink About10196712 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana'CAg2io2 Building Permit Counter: (714\ 647-5800 lnspection Requests: (714],667-2738 lnspector Section: (7'14) 647-5853 Permit #: 1(J196712 Pin #: 13248 q Proiect Address: 2213W Monte Vista Ave Assessor's Parcel 010-303-18 Lot: 120 Unit Bldg: Address Range Block NA Tract.4659 Historic No Engineer Bot,:hi r4,t229 - 6/1 1/2r118 0ff ice: t:TYH TPonE+: 1f,5A,:ct+: Rela: Rc1birt)2292'741 - 6/tt/2trlg fnooEoct ion TotRI i Owner. Address Phone: Tenant: Contractor Address: Doantrang Dang 91 Legacy Way lrvine, CA 92602 (714) 6s7-s899 Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires; 1r-ll'/r :ir]1tiJ2.l Phone: License # Phone License # Do(rntrclne DBns Architect / Desiqner: Address: lieneral P1fln Updqte Fee r:r1 I I 6rlt12 - 5 160ur1rlr:r- F1u i 1d ine rr l l16u02- 5l6ul rJ0u- P.ldq Stds kevolv ine 'rt I 16U{2- :j16l2rlir,r- 1.r isfl Planning Approval By: Plan Checked By: Permit lssued By: Chavez, Dave NPDES lnsp. Req'd: No -2t' Date: Misc. Receipt Date: Misc. Receipt Date: 06/.11/2018 Misc. Receipt Subject to Field; No No Account# ,{:ir*xx}lxxx**i*11,;n Auth,+ _l 07776002 51501 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07716002 57600 Genetal Plan Update 07776002 51601 lssuance $154.26 $1.00 $21 .25 $52.98 PWA lnsp. Req'dr No Planning lnsp. Req'd: No Fire lnsp. Req'd: Police lnsp. Req'd Total Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every pemit issued shallbecome invalid unlessthe work on the site aulhoized by such pemil is commenced ivlhin 180 days aftet ils tssuance ot if the wo* aulhorized on lhe site by such pemii is suspended ot abandoned for a penod of 180 days after lhe time the wotk is commenced lnspector Ir/lD# 2018-143918 01 1 16002 51600 01 1 16002 51601 01 1 16002 51612 $21.25 $207 .24 $1 00 Fee Total: Paid to Date: Balance Due: $229 49 $0.00 $229.49 Suite Range: Zoning: Rl Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area: Nature of Work: Kitchen/bath remodel Code: CBC 20'16 Other Areas: yards Req,d: Existing Bldg & use: sfd watt garage Flood zone: x-o6o232o257 J carage Area: varuation: gs,ooo.oo Proposed Use: # of Stories: Total: O Description of Work: Non-structural kitchen and bathroom remodel. Tiling in bathroom, drywall repairs in kitchen. Owner authorization on file. Planning Conditions: Address. BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS I)WNFJR BUII,DER DELCARATIoN I h..ehy 0llirn hdcr pcnalry .r Frjory rh,r I r r cxc'ryr lr.nr rhd Contuclom' Liccnsc tis lor rh. aollosinE rcrv,r (s...70r1 5 Btr\i.css atul Pr.fcsson C'odc) Any City or Counly s'hich rcqunc\ 0 Fnnir ro mnsrrucr. rhcr. inl,)iovc. dcnrlish fr rqun iny srrudulc. fin to ils ksuancc. also rcquircs rnc amlicanl ior such !'cn.ir t lilc a sigtud {,rcnf,nr lhar hcorshe is liccnsd prnnnnr k, rhc F,vi\ions ofrhL Conkr.roi s Liccnscd hw (Choprfi 9. CommNirg wirh Seclion 701)0 of Divhbn:l oi rhc BusirE$ nnn Pofc$ions Codcl or Ihar h. or shc hcxenur lhcrclromrnd lhc b.st turhc allc!.dcrcnDrion Anrviohlb.olSslionT0.ll5hrlny lprlica tu u pcmir subtds rhc applicam roncivilp.nnhyofnor mr.rhnn firc hundrcd dollnr 15500). El. x .wtrr or nr l)n'lfn y, or my cmployecs $irh qr8c\ rs lhct solc conrpcnsal ion- will do Ilr wnk md lhc ntrturc i\ nrr i c,rtcd oroficrcdfors.lc(Sa7()44.Bu\incs\odP.ofcsrhnsCorlcTh.G)hkr.ttrsLi.cn*tjqdoc(notipplyr{,oosmr{,i rhctslrny rho bdildror nrl,oEs rtrE$.. ffil wh) dtB (kh trltt hn$cll.r her{ll.r rhmugi ii\ orhcr.wi.mrloycci n'ovided r hi snch nnrrckrxn( rrc n.r i .ndd or off.rd f.r slc. ll tx)s$q. rhc hurllmg .r i,ryewm.r is sH qirhin nm rrr ofconrrlctio.. rhcO$ncr Buikld *illlrvc rh. h cnofrtuvihgrhnr hcorsh.did tror blild or inu.vc lhe pmFny f.r rlr fufl.$ ot _1, asoNncrol'rhepmpeny. rn crclusnrly c.funcring wirh lic.n\cd contachu ro .otr(rud Itr pr.rar (Scc 7(144. Bu.in.* Md ftlltsshn Codc ThcConkaclolsLiccnscLasdocstrortpplylox osncrofp(,Ic ywho huildsor irnP.ovcs rhcrcoD. and who o racrs for sxch Fm.j..r\ wirh i Conr..rods) liccnsdd |)ursurtrl rolhcConrDcrois t-iccn* tjw) I rmcrcnDr utr,l.r Sccu.n . B & *" '{"/rr]r( D[grIaAIllN I hcr.by rfilrn:xnd.r pcnrlryoipcrj,otrcoilhc n l.lnr8 dc.hmrions: I ha\t iJn *ill tuinrrin rCcnilic.rcofCo.$nr roSclf.lnsurcf.r wortcr' c.6pcnrdn,n. d\ tiovidcd iorbyS(lio.3'7(x)ofrhc lrhor Ordc, f{tr lhc p$formrne of rhc wor* for $hich rhc tnmir t hsucd. Iharcand*'illmni airworkcracompcnsrrioninru.ai.c.asrcqundbysc.rn lTm ol thc L$or Codc. lor rhc r.rianun.c of lhc *orr r{tr*hicnnrnNnnn is nscn My eorkcr' ompcnern,n in\trrx..c.rnicr and Flicy numt'ct arc: 3r ."nlry ,r,, i. ,r,. p",r".n,,ncc or rhc No.k n, which rhis Nrnrir isi\srcd lsh,llnor ctrlPl()ldnypcron i.rny mrnNr $ rs lo bcorE suhFct Io rhc *orkcr(conrctrnii{nr h*\ orCslilirrnix. r d,gft rh il lshould ticconE sh]cd t rhc worker c.nlPcnsltionImvisions.lSccrn :l7U)ofthc Ijhtr Cdic.lshtll. ionhsirhconldy!irhrhoe!R,vni( \ WARNINC lJarlurc lo scuE wnlcn conrp.nidn,n c.!crs!c i\ unlnqlirl. rtrd shnll \rhjccr !n.'nploFr b rininrl tfrrrhics Md .n'l 11tr.\ rf 1,, .n. hrn,lRl rh,tr^x ,lo lr\ l\ll)t).lxN)r, r ' rnl con]Pcn\rrnin. danr!.' rt tr.ridt\l inr r[c s..ri,r.rl)76 ol rhc l rlxtr (in[. i'nfl c( xt ft nry \ lc{\ u*. 'Llrtlr(A|,Plicxnr: K.' I]ECIABAUAN I hcEby dfiirm trnd.i r..rlrt ot t rrury lhal I !m li@.sn undcr Imrhion ot Chap'c. 9 (.om'fttui.e wnh Scction 70OO) ol Dilhioo :l of rhe Busimss and Pnfcsrions Cdd., aJld !y lic.ns is in lull lor.c.nd.fIccl CAXSItrIJSTNIENDTNG.AIiENCI I hcr.by rllirnundcr lr rlly ol pcrjur! rhd rh.rc is r co.{rudi,n Lndifs rBctry lor rhc pstmunrc of rh. wuA lor lhich r[is Frnir i\ i.su.d (Sc..30i)r. Civ C ) APPI II:AN-TDF(]I ARATI(IN I rra+, Minn undcr Fnrlry oi rcrjury onc ol rhc lnlbwin8 dcclxrarions D.mriri. PLnnir( Ashc$os Norin.tlIior Ftdcr.l RcEulrrionsIIirlc.lo- l,rn6) R.qui'rd !rnorol Norili.dhi I ccnilyrhodhclcdcrulrcsulalions rcsrrdins oshesi.! rc'noval rr. ior nppli.ablc lo iht pojccr. qlt.*'tr,t,, t l,*,-r,t'i\ apnti.dbn dld srnlc rh.r rhc rlrJun{nnM ioD h co'rccr I aBrc t, .o'ryly wnh 0ll Cily a Counry ordinrnes rnd Srarc bws rclar in8 ti huildir8 .on(ru.rbn. u hcrcbrrulhtrizercpr.scnrrriv.\.frhisCiryindCounryrocnrcroponrlt ltl,vc nEfliord |trolrny ntr ir\Faln,n ADplic!rl or Arcnl SiE.rltrrc fB e"-ir* ."." r p.i"r 1, )(- Slâ‚¬vq4 3,,.-" (, /tt ft( Set Backs Forms/Steel/Holdowns Erection Pads SLAB Floor Rool Sheathinq Shear Wall I Framinq 6-22"tV ,44t4, lnsu lation/Eneroy Prvrv4{'//'-\)Xlnl] L-atn bzZ-tv Brown Coat Itrlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif . t FINAL t\q,\\s\Certificate of Occupancy Notes, Remarks, Etc. .,'.,,". x-.t Lilr nsc C lass:-Li.cnxc Numh.r: - D.re' Contaclor - t nrLls AddF( - UFER Ground Subf loor/Vent/lnsulation ywltl Arxh\\\\ IUlAYOR I\4iguel A. Puldo MAYOR PRO'TEM Mi.hele Maninez (]OIINOIIMFMBERS P. David Eenavides vicenle sarmiento Joce Solorio Sal linajero .luan Villegas CITY OF SANTA ANA PTANNINC & BUILDINC AGENCY 20 Civic Center Plaza P.O. 8ox I988 . Santa Ana. Calrfornra 92702 www.sanla-ana.orq,']oba 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' 7-71., b,t. Aonla V i-s*a Arr We are providing you with an Owner-Buildâ‚¬r 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 wrll not issue a building permit until you have read, initialed your understanding of each provisjon, 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 DIRECTIQNS: Read and initial each statement below to signify you undersland or veify this information. alqL1 . I undersland a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" building permit that enoneously implies that the prope.ty owner is providing his or her own labor and malerial personally. l, as an Owner- BLrilder, 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 homeowneis insurance may not provide coverage forthose injuries. lam willfully acting Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 2. 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. 2fuL.3. I undetsland as an "Owner-Buildel' I am the responsible party of record on the permit. I understand that I may protect myself from potential llnancial risk by hiring a licensed Contractor and having the permit fled in his or her name instead of my own. dl/ l. I unaerstana ConFactors are required by law to be licensed and bonded in California and to list their license numbers on perFits and contracts. (Yl ,. ,understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of my construclion js at least five hundred dollars ($500), including labor and materia's, I may be considered an "employe." und er state and federal law- -Q6. I unaerstand f I am consrdered an 'employer" under state and Federal law, I must register with the state and ,ederal -govemment, wittrhold payrolltaxes, provide workeri' compensation disability insurance, and cdntribute to qnemployment comptnsatron of each "employee." I also understand my fa;lure to abide by these laws may subject me to serious financial risk. 51ft7. t understand under Califomia Contractors' State License Law, an Owne,-Builder who builds single-family residential Struclures cannot legally build them wjth the intent to offer them for sale, unless a// worl is psrformed by licensed subcontractors and the number ot structures does not exceed four within any calendar years, orall of the work is performed under conlract with a licensed general building Contractor. f Lt-e. t undersrano as an Owner-Bullder if I sell the prope.ty for which this permit is issued, I may be held liable for any financial or" personal injuries sustained by any subsequent owne(s)that result from any latent construction defects in the workmanship or materials. SANTA ANA C]TY COUNCIL as tn d.{, [,l3y* Pro Tm, Wa'd 2 @i!!id!3!@5!!la:!.]ird!i!@s!!E:!!!3&r53r!E!&es3:E::!3-!.s !Eiv3!s@'3nl3:a!r.gc INTERIM CITY MANAGER Cynthia J. Kurtr CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maia D. Huizar j@nv,liâ‚¬.as Salrnaiero w.ia 5 wgrd 6 M!e$Sl!Elr!la.aoa,q! slnalrcos.nb-.4e do ,,. l:l- I U. t underEtand I may obtatn more information rega.ding my obligalions as an "employer" from the lnternal Revenue Service, the ' Urxted Stares Small Busine;s Admrnist ation, the CaliJomia D;partment of Beneit Payments, and the Calitornia Division of lfldustrial Accic,ents. I also understand I may contact the Cali{ornia Conlraclors' Slate License Board (CSLB) at 1-800-321-CSLB (2752) or 10. I 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 1-2-ri responsible for orooosed construction ia rltqta A"c activity at the followjng add 11. I sgrec that, as lho party logally and linancially responsrble for this proposed constructlon activity, I will abide by all ap le law6 and requirements that govem Owner'Bullde.s as well as employers 2- I agree to notify the issuer of this torm immediately ol any additions, deletions, or changes to any ofthe information I have provided on lhis form. Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not have a license, the Coniractors' State Licenie Board may be unable lo assist you wilh any financial loss you rnay 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 Contraclc.or emplo-yee ofthat individual or firm is injured while working on your property, you may be held liable fo. damag es. lfyou obtain a permit as O,vnerBuilder and wish to hi.e Contactors, you will be responsible for verifying whelher or not those Contractors are properly licensed and the status of their workers' compensalion insurance coverage. Before a building permit ca. be issued, this form must be completed and slgned by the property owner and returned to the agency responsible for issuing the permil. Nole: A copv of the prcpeftv owhels d vel's license. form notarization. or other v;rification acceptabte to lhe adencv is reduired to be presented when the pormit is issued lo veifu the DroDeftv owner's siqnalute. Signature ol Property Prinl name of Owner AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNE R'S BEHALF Excluding the Notice to P.operty 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 app,y for, sign, and file the documents necessary to obtain an Owner-Builder Permat for m Owner Date:5Jtt/tf, project. Scope of Construction Project (or Description otWork)Q+vn,,rlzl lz.lfchca otri &qlhrz",,--. v 7Z"-tZ tl),Mrn(a r/l s{< S+e , Ja-r'(. fu\a- cA qz7) Project Location or Address Sleve--,n Pha,nn Address of Authorized Agent:_ Phone Number of Authorized Agent qq q - 4l L- qLlo ')- I declare under penalty of perjury that I am the properly owner for the address lasted above and I personally filled out the above information and certify its accuracy t-/tt /t?Propedy Owner's Signature Date i,A^+'(ar\\ l};\1Print Name of Owner: Note: A copy of the owier's drivet's licehse, form notarization, ot other verification acceptable to the agency is required to be presentad when the perrnit is issued to verify tho ptopotty owner's signatore. P:ink:Vf P51 lCo!.rniei'ActiiilyrAssemblyBliislNotice to Prcpcny' Fonn SANTA ANA CITY COUNCIL :!r!]l!9r0!3!l!:!!4l9 LGyd Pt Ten, W6rd 2 Er43i.e!e$::19i&.O9 $g!4!!&@Ea:!r.a!!,!!c lrslclljliadn:rnrrrc db.n!..Eâ‚¬!@93!lg-!4a49 4!l3-a!!â‚¬l4r.!,- lraeâ‚¬ t for more inlormatron about licensed contractors. Name of Authorized Agent: