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Home My WebLink About10295773 - Permit (2)city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA 92702 Building Permlt Counter: (714],647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Project Address: 1330 S Rita Wav Assessor's Parcel 109-375-09 Lot: 61 Bldg: Address Range Blockr NA Tractr 2070 Historic No Building Usel Job Type: Nature of Work: Existing Bldg. & Use: Proposed Use: Single Family Dwelling Addition Addn Sfd Watt garage Occupancy: Constr Type Code: Flood Zone: # of Stories: R-3, U VB cBc 20't 6 x-0602320257J 1 1st FL Area: 45 2nd FL Area: Other Areas: Garage Area: Tota l: 45 Patio: T.l.Area: Yards Req'd: Valuation:$4,900.00 Description of work: Legalize expansion of (e) 1/2 bathroom (portion of front porch enclosed) to become a fuf,dd*oofil.lilgIE/1lg.SQpR {raIQXljlFPt es t g FROM GARAGE TO BEDROOM. Provide 1/2"drywall ongaragesideof wall. 0ffice: (:TYH Trnns+i :,rr 1of 5Ai.it+! Frlir lt-t"lq5ll3 planning Conditions:All materials to match existing including new bathroom window. f;ret9:9229967?bi- 6/;:1i-r,r?ttlVl4r17Ff'l_1_ Engtneer Owner: Tracy Vu Contractor: Owner-Builder Ir flcv Vt, Address: 21845 Michigan Lane Addressr Ad.iress' Lake Forest, cA 92530 Prrildins $69(l'?3 phone; (s4e) s10-6661 phone: phone: illlfl]lt;,ll'flilXfl" ,." $21.?r Tenant: State Lic #: License #; rll I 16ll[]2- 516rlrl0(rt1- Lic Type: Arr P'Ids Stds Revolvins $1,t1[l Bus Lic#: ,"*ffi:ll 3:[liJl"i$Bffim'PBl3l]l!;,, ,;.,,Workers' Compensation lnsurance; Address: PO Box 3ql4tr6tltl2- 5777r: ltlrl-Carrier: Downey, g[It0239 $Lt .61r Policy #: Phone: (562) 7154g7tllr:rrrl- ?4rllltrllll0- Expires: License #: Iil' {:heck 0(1541 $1r81li'9'-' Planning Approva Plan Checked By: Permit lssued Byl NPDES lnsp. Req lBy PWA lnsp. Req'd: Planning lnsp. Req'd E anny Kathy ki, Teri Misc. Receipt Misc. Receipt Misc. Receipt 0 77760 0 2 o77760 0 2 077760 0 2 017760 0 2 017760 0 2 o8907007 o77760 0 2 077760 0 2 077760 0 2 57607 s3 600 57770 5760 7 5 7601 24000 57612 57600 57607 $300.00 $300.00 $3.62 $93.17 $234.08 $0.64 $1.00 $21.25 $52.98 Date: 03/06/2018 Date; 06113/2018 Date: 06/20/2018 Subject to Field: 70926 Total a ,d No No Fire lnsp. Req'd: Police lnsp. Req'd ffi Account# Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every peftnit issued shall become invalid unless tho wo* on the site aulhotized by such permit is cofifienced wthin 180 days aftet its issuance,or if the work authoized on lhe site by such permit is suspended or abandoned for a peiod of180 days afte. the time the wo* is commenced. 01 1 16002 51600 011'16002 51601 o1116002 51612 01116002 57770 0890'1001 24000 $21 .25 $680.23 $1.00 $3.62 $0.64 $1,006.74 $300.00 $706"74 lnspector lVllD#: 2018-141900 Fee Total: Paid to Date: Balance Due Permit #: 1o295773 Pin #: 814{9 Unitl Suite Range: Zoning: R1 Permit Fee Plan Check Fee l\4icrofilm Records lnvestigation Penalty S[ilP - Category 1 Bldg. Stds. Revolving General Plan Update lssuance NOTICE OF VIOLATION BUILDING- INSPECTOR RECORD SITE-WORK DATE IDiSIG. Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground Subf loor/Vent/lnsulation Roof Sheathin Shear Wall wallD Ext.i lnt. Lath Brown Coat lVlason T-Bar Handi R Final Re r1Deut Flood Zone Certif . FINAL Certificate ol Occu n 2\L)I'1ctQ- sOLt4 (r\YNtR Bt:ll,t)1,:R l)lil,c,lRt I ll)\ I h.rcby amrnr undcr p. ,lry of,i.rjurr rhnr I an crc.U lm'n rh. 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Civ C I trndcis A{ldrcls: - i\tly*irhJllCiJ_| rl( (nn v Cn! in,lCouNt n, cnhY trl,. rhc Lb I3-a 101 COMMENTS SLAB Floor Framinq lnsulation/Enerqv Pool Fence Enqineer Final Report Notes, Remarks, Etc. tFdn\ \Jm APPLICANT DF() ARA'I'ION I hcrcnyammundcqrnrlly ortdrruty onc ol rhc r(,lk,wing dc.l{rart'h\ n. !.t ntr Pc nl\ A.h"J..Nn tr:rtr{l'dc'J'R.gJLri.tr\'l[lc4r.Prror Rc!uir. lrrr$ uf Norilicrrim tognnlirEi\hc{o\r.n)vnl.rc'tri,'mli.ahlck)rhi\Pn,jrcr -4r MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solo.io SalTanajero Juan Villegas Dear Property Owner ACTING C Y N4ANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDINC AGENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana, California 92702 www.santa ana.orglpba NOTIGE TO PROPERTY OWNER An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements Spec{ied/at t , t, ta -t _ ttzAnr>7. pt.t-r)..- Vlil4 - )Nfl AltA . CA '/2lr?t7 We are providing you with an nF to make you aware ofti 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 thisform 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 DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. =lZ1 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. -_i-lr_z. I understand building permits are not required to be signed by property owners unlesstheyare responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. -f | 3. 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 Conkactor and having the permit filed in his or her name instead of my own. 1i4 I understand Contractors are required by law to be licensed and bonded in California and to list their license dunibers on permits and contracts. -J ,' 5 I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the totaYvalue 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. -f I 6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and fdddral 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. 'i h. I understand under California Contractors' State License Law, an Owner-Bullder who builds single-family ref iddntiat structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL hpulido@sanraâ‚¬na.oro Mayor Pro Tem Ward 2 mrm6ninez@sanlaâ‚¬na.oro V cente Sam enro vsaft e.lo@santa-ana oro isolorio@sanla-a.a oro dbe.avrdes@sa.la-a.a oro iv eoas@sa.ta-ana oro sl .arero@sa.ta-ana oro lacensed 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. I V' A. I understand as an Owner-Builder if I sell the property 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 workmanbhip or materials. I 1,9. I understand I may obtain more infor.nation regarding my obligations as an "employer" from the lnternal Revenue Set'vice, 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. I V. 10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am thb party legally and financially responsible for proposed construction activity at the following address: f\,tll.l agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by af applicable laws and requirements that govern Owner-Builders as well as employers. Il/lZ.I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the iAfdrmation 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 the permit. /Voae.' A copv of the propertv owner's driver's license. form notarization, or other verification acceptable to the agency is rsquired to be Dresented when the permit is issued fo verify the property owner's signature. Signature of Property Owner Date 2ol 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 Ille the documents necessary to obtain an Owner-Builder Permit for my project. o Name 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 mpulidorosanla-ana o.o Mayor Pro Tem, Wa.d 2 mimadinez@santa ana.oro vs.rm ento@sanla ana.oro soonorosanta 8na oro P David Aenavdes dbenavrdesasanlaâ‚¬.a.oro iv eoas@sa.ta'..a o.o snnaiero@sanla a.a.oro Scope of Construction Project (or Description of Work):_ Project Location or Address: _ Address of Authorized Agent: Print Name of Owner: _ Note: A copy of the te to the agency is required to be presented when the permit is issued to verify the property owner's signalure. ! :rr ,^i t: : ir - ., n,. t. i...'.- :l:: i -!.r:i lr p _;..ir ;..- l: in la ': SANTA ANA CITY COUNCIL