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Home My WebLink About10296887 - Permit (2)City of Santa Ana 2C Civrc Center Plazr il!'l-19), Sa'r:a"':'^ '^i ??- Qz Building Permit Counter: (714),647-5800 inspection Requests: t.71al667-2738 inspecror Sectic l: (7'14) 647-5853 Permit #: {0296887 Pin #: 19l)74 EProject Address: 418 S Diarnond St Assessor's Parcel 010-01't -'15 Lot 52 Unii Bldg: Address Range Suite Range: Zoning: RlBlock: NA Tracl 4659 Historic: No Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Alteration Window c/o SFD w/att Garage Occupancy: Constr Type Code: Flood Zone: # of Stories: R-3, U VB cBc 2016 x-0602320257 J Description of Work: Legalize (8) window change outs. Owner-Builder form on file. Planning Conditions: 1st FL Area: 2nd FL Area Other Areas: Patio T l.Area Yards Req'd Garage Area Valuation: $4,000.00 f otat: Owner: Address Phone: Tenant: Odalia & Jorge Chavez Estrada 418 Diamond Street Santa Ana, CA 92703 (657) 218-9450 Contractorl Address: Owner-Builder Engineer Address Generol Plsn Updote Fee ti1. ,2ti (rl 116002- 516000tr(r- Bu i ld irte 0I I I6r.'102- 516(1t:t00- SffEdr,$il; CC+ r I*rr r* r**I*r5087 ramou P hone: License #It, Phone: License # Planning Approval By: Plan Checked Byl Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'dl Planning lnsp. Req'd: Landscaping lnsp. Req'd Escamilla, Manny Chavez. Dave Dale: 0612712018 Date: Date: 06/2712018 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 07176002 o 7776002 0 7176002 07716002 07176002 07776002 57607 57607 57507 57672 s7600 57607 Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Update lssuance Fee Total: Paid to Date Balance Due: $154.26 $93 17 $234.08 $1 .00 $21 .25 $52.98Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless the wo* on the site authgtized by such permit is commenced wilhin 180 days aftet its issuance,or if the wo* authorized on the site by such pemit is suspendod or abandoned lot a peiod of 180 daysattet the tine the wo* is commenced. lnspector MID#: 2018-144345 No No No No No No Account#Total 01 't 16002 51600 01'116002 5'1601 01116002 51612 $21.25 $534.49 $1 .00 $556.74 $0 00 $556.74 Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensataon lnsurance: Carrier: Policy #: Expires: Architect / Designer: Address: SITE-WORK tD/stG.EOMM!NTS . OWNER AUTI,DER DELCARA oN I hcrchy oififln und.r pcnslt! ol lcrJu.y that I !m cxc0pl lioar rhc Conllacrur t,icenE L:* ror rhc rolk,winS rcrsn (S$ 7031.5 Busincss a Pmfesion Codc): Any Ciry or Cou y which rcqlircs a pcrdir ro consflct. ,lb. inProvc. dcmolish or Epan lny dn.rurc. pri{, ro nr is!trrc, nko requt t rhc amlicxn' fn iu.h Fmir Io fiLa si8rcd stdenttrr thol h.o, sh. is li.cn*d pu^udr r,, rhc nrovnions of lhc Conrrrcroi( Liccnrd Lsw {Chrprcr 9- Comftncin! wirh s.c(io. 7tx$ ol Divhion 3 oflhc Busincss lnd Prorc$ionsC.dc) orrhd lr.rshc kcxcmpr rh.i.fr.mdid rhcbasis for rhc rllcgcd cxcnrl'lion Anyviol ionofseriJnT0ll.5byhny 0mlicrnrioripcrmnslbjcIsrncapplicantloacivil,,cnoltyofmrnnrethanfilehtrndrcddoll-s1S5{D). A]ds owm, or$c pbFdr. or my.mployccs with wJB.3 N rhcir q,h co qEnslbn. will.h rlE woll ad lt ntrm. to n crdcd oro,lcr.d for lnc (So.?044. Busincss and PmLssions Codc Th.cr)nirscroisLic.h\cl-,wdocsnorafdyto0nowrcrof rh. pmrcd, wh)t ilds o' itr{rft*B rtrMn. drld qlxr dds skh r.* hnnscll.r h.$cltor rhrough hi\ or hcr oen cmpk,yNs. nmvidcd thol such nn rovcmnrs m nol inlcnlcd or o,icEl lor sb lf. howcwr, rhc hoilding ot lnDmvcmm is sold wirh onc 'eeorcorpLrion. rt* O*mr Buildd wil hah dE t [d.n of pDvinS rhd h or shl dn mt borld or iqmr Ur Implny L, Lhc ,urFe of l. r\owncrolrhc |x,Jrny. aDcxclusiv.lyconlrrriD! rvilh I iccnsctl co nt kt,s t, cornfl.l rlr foiccl(s( 7(I{4. Du{ncs\ rrxl l\I,r6\i)trCodc th.Conracntr\l-iccnsct-trwdo.\.'rnplyr'anowDcrorr)pcayq'honuiftorimpn,lcs'hcrcon. aid who .otrtrad{n)rsu.h pil.cls wirh n Contict)(\) li.cnscdluruinr rolheC nrracrr's l-icci{ LJw). I.trncxrnror uidcr Sclrn,n . a;"- C -2 Zzg**% -zll)lf,E&tloufENlalro! D]ICL I]AUAN I hcEh, ai,irnr uf (lcr F-nalry orpcrjury onc nf ihc followin! d..lrhrniis: -l hlvc !d BillEinnin ! C.nificrrc orcon\c.i rosclr ln\rrc ror work!tr competrsarion,as pmvilcd lor bysccr n]T0oorlhc t hor Codc. Ior thc l)erforrorcc oI rhc *ort lbr which lhc pclnir is h\o.d I hrvc ond will mainilin porkcrs comp.nsation insu.rncc. as rcquired by Sccrioo.UoO ofih. tibot C.de.lot thc Frlornuncc of lhc wor* lorwhi.hlhh pcrmil is issucd My workc onrpcnsriotr i.suranc.cadcr rid poli.y.umbctd.: A/*rrr rn r ru rn *un *..c ol rh. work for which this lEirn( is rssucd. I shau nor cnnb, m, I}.r$n rn ,ny nran.cr h a\ lo lEcom sublrl lo lhc *o*cs cotr{rnsrlion lawsofcalifoni!. and asi.t rhr ifl should ntom sul,jd ro rhc workcs ompctrsdlion provhions ofSalion 3?00 orrhc ljh.r GiqI shall, r.nhwirh$mply wilh thoE Ptovnions WARNINC: Frilurc k' surc w.rkcs .on!*herion ovcDgc ie unlawtul. {nd snoll suhicr !n cmrL}$ ro rimn,l tf,mlri.s.nd .ivil lincs rp t, otrc hrhdrcd rhouund dollds lSl(D.(x)()). iMddir to lhc (o( oi con,|{D\rti,n,. drnug.s ns Sccrn,n.10T6 otrhc trtrtr Cold, inr.es Md .iky s fcrr.>> DICI.ABAII9N I hcrbyllitm ul(lo penalrrolncrjury rh lumli.cn*dLndcrptuvisionolChnpls9(â‚¬onnncncinawilhSc.rion?mo)orDivkionJ of 'hc ausims and Pmfcsions Codc. ard my ltcns h in tull forcc arrr cfrâ‚¬cr. CONIIBI]CIIONIENDINCIGINSI I he$by aminuidcr Fnahy or p.rjury lhdl thcic ir r.uiructi.n kMitrB 0scncy forlfic pcrlortutuc of(h. work lor rhich lhh !.anit is issuen (Sec.3$7, Civ C.) ATILIgANfIIEI;IJAAIIAN I lEEby dfiirD undcr pcnlll y ol'pcrjur, orc oilhc lbllowirE dcclurriuN: thnnnirion Pcirnils.Ashcsros Norilic0liotr ltderal RcBullrion\ (-lirle 40. Pan6) -Rcquncd brrcr or Notifi carion _l ..diry rhd rhc rcdcrd Egtrlario,s e8,rdin8 asb.slos !cn$!!l uc nol amlicahlc lo rhh pn j.cr. d&aty hlt t nn\c rcad $n applicariotr and norc rhar rhe ah,vc informarnrn i\ coft.r.l.!r$ b.onplyvirh rll Ciryand Colnr, odiMtrc.s.nd Sturc L3ws rldins ro tuildins consrtucrion. ud hcrchy aurlnriz. rcrc*.rarivcs ofrht Ciyand Counr, lo cnrcr upon dc fi,vc mdn,ncd ln,|f,ny to, iNp..rionpu /8,\|rlrliuul nr ,\,turl Sigrtrl urtX 2 c/t t1 Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loorivenVlnsulation Rool Sheathino Shear Wall Framing ln s u lation/E nerqy Drywall Ext./lnt. Lath Brown Coat It/asonry Pool Fence T-Bar Handicap Req D eputy Final Report Engineer Final Report Flood Zone Certif FINAL z/u/D -"Mut ) Certificate ol Occupancy Notes, Remarks, Etc BUILDING- INSPECTOR RECORD DATE "^,,, 'G'22 txndn s Addrn: - Z <z-Z: [------r------ tt I\,4AYOR MiguelA. Pulido MAYOR PRO TEM Michele l\4artinez COUNCILMEI\,1BERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at 8 5 b ,4., 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 DIRECTIONS: Read and initial each statement below to signify you understand ot verify this information. t (/1. 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 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 understand building permits are not required to be signed by property owners unless they are responsible for e construction and are not hiring a Iicensed Contractor to assume this responsibility ndrL3. 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. I24 | understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. MS. t understand if I employ or othen/rr'ise engage any persons, other than California licensed Contractors, and the 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. ful 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' compensation 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. A_aL? I 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, unless a// work is performed by SANTA ANA CITY COUNCIL mpulido1asanla-ana.oro Mayor Pro Tem, Ward 2 m manrnez@sanla ana.oro vicente sarmienlo vsam ento@sanlaâ‚¬na.oro i!p]9ri9@ced3:a!3 q!9 P Dsv d Benavides dbe.avides@santa ana.oro ivilldas@santa ana.oro slinaiero@sanla-ana.oro PLANNINC & BUILDIN6 ACENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana. Caifornia92702 www.Santa-ana.orq./ pba NOTICE TO PROPERTY OWNER Dear Property Owner: licensed subcontractors and the number of structures does not exceed four \ivithin ariy calendar years, or all of the work is performed under contract with a licensed general building Contractor. Od , 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 workmanship or materials. Qdn t understand I may obtain more information regarding my obligations as an "employea'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 Llcense Board (CSLB) at 1 -800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. f2drfO I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party le ally and financially res onsible for proposed construction activity at the following address 2-d I I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. eAhZ.l 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 verjfying 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. /Vote.'the owner's driver's license form notarization, or other verification aceeBtable to the aqencv is required to be presented when the permit is nature, Signature of Prope(y Owner Date 27 /2 Print name of Owner Name of Authorized Agent Address of Authorrzed 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 Owneis Signature Date Print Name of Owner: Note: A copy of lhe 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 prope,ty owner's signature. ir -r. ii,);,-i!i.r-A^,,, ir 4::..-: ri. :'i:..., 1. 1i,ir--1, ! : -- t,,r :.l ra SANTA ANA CITY COUNCIL mouiido@sa.la-ana o.o Mayor P.o Tem. ward 2 fr manr.ez@sania-ana.ora v cenle sarmienro vsarmienlo@sanla-a.a oro isolono@sanla ana oro P DavLd Benavrdes dbenavides@santa-ana oro N eoas@sa.ta-ana oro sl nalero@sanla a.a oro AUTHORIZATION OF AGENT TO ACT ON PROPERW OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal respons,bility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and Ule the documents necessary to obtain an Owner-Builder Permit for my Scope of Construction Project (or Descriphon of Work):_ Project Location or Address: _ SITE: 418 DIAMOND 5T sANIAANA CA r L!Z = cl Lrl6-oclI L!Z: F Lrlo-odo- U4 ^L-ol dtQl PROPERry LINE 72X36 72X36 72X36 5LIDER PROPO5ED 72X36 5LIDER PROPOSED c'fiw PP.o 72X36 SLIDER PROPOSED cr:lcATtoNs t{P BEDRooM BEDROOM I --62-rr DININC ROOM LIVINC ROOM KITCHEN 48X36 SLIDER PROPOsED IL /, BEDROOM BATH BATH BEDROOM BEDROOM 72x36 72X36 sLIDER sLIDER PROPOsED PROPOsED 48x96 5LIDER PROPOsED o'11', 26',-4', CARAGE /oz?6sâ‚¬7 Uf PROPERTY LINE QE WEVc PKOPOSED COI,IDiTIONS D ITIIIIIIIT IIII--l IIIIII!!-l /,* Z /,/ Z IIITrTII ))Vfl -LNOIJ lwoH ldrSNr woil dltnsvlw_rH)EH 115 MOdNtMsNollvnltl IIIIIIIIT /,/ Nt MOdNTM dNnOXV W|I-L dOOM T]O IIS f,2/ IIVl]d MCANIM I \ /7 ,,8 ld r5 rHDrr lc rs lilt lwoH ldrSNt wo?l dlrnsvlw _LH)t3H tlls MOONTM SNOl-Lvnltl ---I-_-ITIIIIII