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Home My WebLink About10196427 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-19), SantaAna, CAI27O2 Building Permit Counter: (714]t647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 1lJ196427 Pin #: 27749 EProject Address: 3031 S Oranqe Ave Assessor's Parcel 411-021-08 Lol: 8 Bldg: Address Range Tract 8473Block: NA Historic: No Suite Range: Zoning: Ml Bualding Use: lndustrial Occupancyr B, S-1 1st FL Area: Patio: Job Type: Alteration Constr Type: lll B 2nd FL Area: T.l.Area: Nature of Work: Demising wall Code: CBC 2016 Other Areas: yards Req,d; 3@60 Existing Bldg. & Use: Industrial/Storage Flood Zone: X-0602320278J Garage Area: Valuation: $15,000.00 Proposed Use: # of Stories: Total: O Description of Work: Construct demising wall to create unit B. New treads, handrails, and guards on existing stairways, ngw footings and shear transfer framing on existing first and second floor. Planning Conditions: Owner: Address: Phone: Tenant: Carman Group, Blake Elliott 3031 S ORANGE AVE Santa Ana, CA 927074247 (714) 5s6-3813 Carman Group trf licE: {:TYH Trfln:ii 5 1ol ?Ac,:ti: Feii; L'-t!9642! Erpt+!0?3tr3231 - /,?t/2r:rl.q j: lr-r Pn Trnnssct ion flotol *,-q l4 . 26 Owner-Builder Engineer Address Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Cormnn 6roupr Blflke F:l tr;,tt Gener0l Pton [.lpdote Frre n1 I16(102* 5160r:r0t:fl:r-guildine ttl 1 t 60t12- 514r-r1r:fl:rLr- E ldg Stds RcSolv ins i:r1I160t:tz- i 1d l2(:"r- lli, rof i Ifi d oo':r.,mert: Phone: License # Architect / Desiqner: Address: Phone: License # $21 .25 $2ti7 .24 { 1 , rlr:l Plan Checked By: Permit lssued By: NPDES lnsp. Req' PWA lnsp. Req'd; Planning lnsp. Req'd: Landscaping lnsp. Req'd Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Arabe, Jill , Anson Amsden, Julie Date: 05/14/2018 Date: 05/25/2018 Date: 06/2512018 Subject to Field: 70968 Total ,:l.l I I 0 1 1 1 6 o,qz: t' F 11697. eerfl !l riB?r 0717609e.,535qO. jFilan Check Fee 077760 d2 b,l7'iv',,tulitrfftnr-Rddoros . 08907007 24000 SMIP - Category 2 07776002 57612 Bldq. Stds. Revolving 01776002 57600 General Plan Update 01776002 5160f lssuance ,tr ..sr s+.lA' li'r $261E6. :r i , r !r.r$C554 $4.20 $1.00 $21.25 $52.98 $472.89 $213.86 $259.03 o No No No Account# Every pernit issued shall becone invalid unless lhe work on lhe site authorized by such pe nit is cornmenced within 180 days aftet its issuance,ot if the wo* authotized on the site by such pemit is suspended or abandoned lor a peiod of180 days after the tifie the wotk is commenced lnspector MID#: 2018-143343 01116002 51600 01116002 5'1601 01116002 51612 01116002 57770 08901001 24000 $21.2s $207 .24 $1.00 $25.34 $4.20 Fee Total: Paid to Date: Balance Due Unit: A Contractor: Address: Plannang Approval By:lvlisc. Receipt: lvlisc. Receipt: lvlisc. Receipt: BUILDING. INSPECTOR RECOHD SITE.WORK DATE ID/SIG.01{NER BUTLDER DELCARATX)N ! hcrcby rlfirnr lndcr pcnalry or pcrjury rnd , m crcmfl tinn rhc Conta.tH Licenc Lo* fitr rhc rollowin8 rqson (Scc ?0ll 5 Buiiic* n.d Pr.rcsion Codd: Any Cily or c(,onry shkh rcquncs a pctnil t' c.nitud. .lt.r. improrc. denxni\'& or repri 0nv {fl.rurc. Drio! ro irs issulncc- also rcqutcs the 4Dli.nnl lorsuch Frmil lo lild I siSn d $alcmnl rh0r heo, shc is liccnki punuonl In the porisions of rh. Coftelois LicenEd tlw (Chopr.r 9 Connrncing {irh Sâ‚¬ctioo 70ff) of Division I otrhc Aunncss ond Pidacrsions Cod.) or lhnl hcorshc is.xempr rhcrckonraM lhcl'asn i.r rhe allc!.d .rcnpti.n. Anyviolllionorsc.ri,n?0ll.5l'y'0nv ap,rlicdnrlortrFinilsubrrcl\lhd,pnlica.lroacivilpcn0hyotnormorerhrnfiv.hutrdcddollln($5fi0 l. 0s .wncr of Ihc llrolEny- or hy cnlfk,yccl *irl w4cs !s rhcn st conrP.ns,rnrn. sill do thc work ad rtE dmn'r t n.r inrcn&{ or olTeR'd lor \ald (sa.7o44. Busincss and h)fcssions C{nl. Thc Coitrctols l.tc.t l-nw docs nol rPplvlo 6osncr.r rhcpml(ny st(, builds o. in{'oEs rhcron. d qho d(r $rh mA himsellor hcF.lror rhmuSh his or hcr o{n cmlloyccs. Dovadcdlhrr suLh inrfmrm*.k rrc nn intc cd oroficE'd lot ulc lf- h.*evcr rli t iklina or iqroEnEnr ir k,ld *ihin onc vt0r of.onDhr ion. thc Ouncr Slit cr will hak rh h{nlcn of Pioving rh.l lE or sh. dil nor huild or nnpmv. rhc lFId, nn rhc po$Nc of \I/*,.. ",,r" ,,,,*"y. rm cr!rusi,cry cunrra.r,ns wnh ri.cnscd coftr.r". b connru.r rh. pmi*r (s( 7{g4. susi,Ess Fa p.r.o"n c"a. ir,i c",r,*u"i' r"c,,.c rJ*,r.is nor uprly ro an oRn.rolpopcrr, who huii<r. o i,nprorcs rhcrcon eDd who .ontich tx su.h rmjccls {irh u ConrEct,(t licd{d puruad ro lhc Contrcroas Li.cn{ trw) tl,,ion-. B. & PC lor lnt rca.on ^" b[<]}AX rltl:rANllrN!!-lltJ!DXll^3rrrcii I lttu6ynii"nuidcrri.iilrtolNrluryoncolihrlnlk,$i'rg .rl$rtonr -lhovcmd,ill,tuinrdhaccnnicatcofConsctrrloSclfln\trcn,sorkd{.o Petrs bn as rmlidcd for hvSecrion lTfi)orth. Ijhr C'(te.lor th. pcrfomtu. orrhc mrk tu which rhc pcnnir t i\\ucd lhrvc rn,t sill hn air workcra comneo\dn,n inixfun.0. dr tcqunql by Sccr id 17m ol rhc Lrhor Codc. f.r rht p.tfonu,E ol rhc *ork fitr whi.h rhis !.nnil i\ issuc(l Mt workcrr .otnFtrsdri, insur cc crri.r n poltynuntcr!rc: DECIIISAIION I hcEhy olitm undcr pei,hyorpcrjuryrhar I am liensd trndcr roridon ofChaPtcr 9 (La,frntRn'8 with Sdion 70fi)) 'rDivtnr l of ih. Busnrc$and Pnrc$ioisC.d.. ud 'n! ltcnse n in rulltorcc udl cffccr CONS'IRT-IC]'I(IN !.ENDINC AGI]N(IY I h.rchl affinn trndf l.Mlry of periry rhrr rhcrc isa..nnfl.rt lcndiflr +cn.y f(t rh. t^-.rl'on. ccofrhc sork li'r ththrht Frinir n PPI I(]AN'I DF(:t AR,{TION I[nhy{fiinnund.r pcnrlry oft,criuryonc ol rhc lollosinS dc.lrrridN: Dc n,liriur Pcnnil! Ashcio\ N.rin.ari(,n rcdcralRcAuhrii,n\ (Tirlc il0. P&6r adE{os rcnr)ril rrc or rfNi.rhlc rorhi\ ln,jccr rc infornhrior is corcd I rgrN b (mply c,u;c; R.(tun.J Ir(..f 1 Nor'li.nr.r [;r:ry,:,,'_" ,v!;|#:. Set Backs Forms/Steel/Holdowns 844K Y,4rA, Erection Pads UFER Ground Subf loor/VenVl nsulation Rool Sheathinq Shear Wall Framinq gn'qv Y. lnsu Iatio n/E n erg y Drywall Ext./lnt. Lath Brown Coat l\/asonry Pool Fence Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif . ---- FINAL ,11L0lR lrrrttw,tv,,i92-/ Certif icate of Occu n Notes, Remarks, Etc. COMMENTS SLAB Floor T-Bar crnir, - h\ucd(Scc lO97,Ci! C ) t ndcCr Nam:- xtx^. trRnrtr,( t"'ttrlrt ntr Pcmrite..nn,.lprinll: [------r------ f-------T------ = MAYOR Miguel A- Pulido MAYOR PRO TEM Michele Martinez COUNCILMEI.4BERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas Dear Property Owner An application for a building improvements specified at ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNINC & BUILDINC AGENCY 20 Civic Center Plaza P.o. Box I 988 . Santa Ana. Califo.nia 92702 www.santa- ana.org / pba NOTICE TO PROPERTY OWNER has been submitted in your name listing yourself as the builder of the propertypermit 3ol Sot -(4ur\n-U.,l-cft Lza 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 permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON XTRECI/OilS; Read and initial each statement below to signify you understand or verify this information. IW ,. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" 6'dilding 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 m y property 2. I understand building permits are not required to be signed by property owners unless they are responsible for nstruction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name eco 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. iN-U n 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 unemploymentcompensationofeach'employee.'lalsounderstandmyfailuretoabidebytheselawsmaysubjectmeto serious financial risk. Uv\411understand under California Contractors' State License Law, an Owner-Builder who builds single-family res{dential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL moulido@sanla-ana.oro Mayor Pro Tem Ward 2 mifr 6rtinez@sanla ana.oro isorono@sanla-ana,oro P. Oavrd 8â‚¬navides dbenavides@santa-ana.o.o rvilleoasrAsanla ana oro sl .aiero@sanla-ana oro instead of rly own. Wif ,nO"rstand Contractors are required by law to be licensed and bonded in California and to list their license humbers on permits and contracts. hld ' understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the Vicente Sa.mlenlo vsarmienro@santa-ana or0 licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is rformed 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 financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. [tL n ' 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 (QSLBfat 1-800-321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors. Y'tr 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 responsible for proposed construction activity at the following address: t1 W11 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by -all applicabljla*s and requirements ihai govern ownei-Builders as well as employers. N Vbdl agree to notify the issuer of this form immediately of any additions, deletaons, 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' 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 th ermit : A coDv of the DroDertv owner's driver's license, issued to the Signature of Property Ow Date ( Print name of Owner (*U4rtr/ 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 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 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 Print Name of Owner: Note: A copy ofthe owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. SANTA ANA CITY COUNCIL mouido@sanla ana.oro Mayor Pro Tem Ward 2 o marl'.d@s.nlz'a.a oro V ce.te Sarmienro vsam e.l06sa.la-ana oro Eclono@sanla.ana oro P Dav'd Benav'des dbe.avrdes@sanla-a.a oro ivilleoasOsanla-a.a oro stinaiero@sanla-ana oro