The URL can be used to link to this page

Home My WebLink About10296483 - Permit (2)City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 Permit #: {0296483 Pin #: 75665 q Project Address: 1219 W Cubbon St Assessols Parcell 010-271-13 Lot: 11 Unit Suile Rangel Zoning: R1Block. NA Traclr 543 Historic: No Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Job Type: Miscellaneous Constr Type: V B 2nd FL Area: Nature of Work: N/V Code: CBC 2016 Other Areas: Existing Bldg. & Use: SFD Wdet garage Flood Zone: X-0602320257J Garage Area: Proposed Use: # of Stories: Totat: oescription of Work: Remove unpermitted addn at rear of sfd and remove drywall from ceiling in garage Planning Conditions Patao: T.l.Area: Yards Req'd: Valuation: $1,000.00 Owner: Address Phone: Tenant Jose Tony Martinez Soto 1219 W Cubbon St Santa Ana, CA 927034923 (714t 206-314'.1 Contractor Address: Owner-Builder Engineer Address ofricEr (:IYH Tnonslt L? I oAcrti: Rel+: 1r:rl?,54S kcpt+,(l?317897 - 7/3/2lttg 9ilq A TIqnsq,:L ion [ot(11 $7\7,i4 Phone: State Lic #: Lic Type: Bus. Lic #i Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License #: Architect / Desiqner: Address: Phone: License #: k'sri ionc finrt iner Sol0 6enerol Plon UEdqte FL,( 01116tr62- ij160l|]rrtr- P,u i 1d ing (t11 16r.102- 601nn(- BId: Stds Fevolv ine 01 I16(r:'2- 5l6lzr:rlr:r- Cosh Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Soto, Ricardo Zuniga, Allissa Date: 05/1712018 Date: Date: 05/1712018 Subject to Field: Misc. Receipt Masc. Receipt NIisc. Receipt 07776002 0 7776002 0 7716002 07776002 o 711600 2 0 777600 2 5760 7 57607 57607 57672 5 7600 57607 Permit Fee lnvestigation Penalty Bldg. Slds. Revolving General Plan Update lssuance No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'dr No Every pemit issued shall becofie invalid unlesslhe work on lhe site authorized by such pemit is commenced within 180 days after its issuance,or if the wo* authorized on tho site by such peftnit is suspended ot abandoned for a period of180 days after the time the wo* is commenced. $556.74 $0.00 s556.74 lnspector MID#: 2018-143430 01 1 '16002 51600 01 116002 s1601 01 116002 51612 $21.25 $534.49 $1 .00 Fee Total Paid to Date: Balance Due: Bldg: Address Range: v $154.26 $93.'17 $234.08 $1.00 $21 .2s $s2.98 BUILDING. INSPECTOR RECORD DATE ID/SIG.COMMENTS ()\!NltR BlIl,DI.iR t)Lt.C]\lll l l()\ I h.rcby !fiirn undcr pcnally of r.rjfiy rhdr Ln cxcn1fl ro'r rhc Co ra.xri Licci* t2* ntr ihc r.llosir8 reastr ls!.7r'il5 Businc\s snd Pmrd$idr C.d.) ny Cily or Counly which rcqlircs a pcrnir t, c.nirucr, rxcr, iqrrovc. dcnblth or mp,n 0n1 sdcrur.. pri.ro irl hsutrmc. lho rciuncs rhc appliclnr for such pcrni t) fih. siSncn sar.mtrl rhat hcor shc is liccn*d Pmuunl ro thc prolnions of rhc Conr.r.kn { Li.cntd bw lcnaPl.r 9. Connmnci'rs sirh S..rtrn 7fix) ol Divnion ] ofrhc Busincss and Prcfcs\n,nsG)d.) orrhdltro!shc ncxcmpl rhcrcliomandlhcha\n ntrrh. rllcScd.xcnflion Anyviolsrionofserk,n?'rrlrbirny ipplic.nr ior r !.rmil subJccr\ lhc lprlicsnrt,acililpcnalryornor brcrhrn fivc hutrdrc!dollm rs50o) L rs o*ncr ol rhc ,rclcny. ar nry c rloyccs wirh {rgcs ar rhcir {,lc .otrrJf truri.n. will do lhc trort rfrl rh. ddm '\ r, inrcndcd or ollcrcd nr vlc 15( 7184, au*i'ic\s r A'ofc$ion\ Qtrlcr 1lrc Onrn(tn \ l-irn* L'q ilocs .or rpplr ro in otr ncr of th. pmttny uh) la'ilih.r i'ryovc\ rh.mn. md *tx, nrf,s \!.h tlrk hirnscll o. hcrclfar rhrough hk or hcr own cmf'loyccs, F)vid.d rhrr u[ i'q'n,vcmnrs N nor inrc cdoroiircdtorelcILlxN.rtr.rhthirikiir8o.DuovcmDris{nd*irhi""irttu .fcomnhrion. rhcOwmr Build.'sitlhr!.rh.budcn.iproviD! thrt hco.shc iil lor hrild or i'nFror rhc pm!.ny lor rhc Purlns ol l. $ o\Nroirlrc I()n.ay. rnrcr.h\iv.l! coih.iin8 trirh licctrscd ..nrricl,tr\ tr).otr{ra.r rhc In,rc.t lsc..7(11,1. trusnc$ n rh,f.\si{n,Coc:lh.Cotrtrr.rtrsl,iccrscLrwdocsNrrnnlybrios.roffrofcrry*h(ihnildrorirnProrsthcrtoi. n.l *h. ..nnrhlnr\uchtx)i.crs*hhnCotrtr.b(nh.crrcdflr\u rrl{)rh. Onnrr.tr's LircNc LnN) "!",t: I t 't ){11-4a >z-r'2 DlicLABAurlN ! hclcbyiirilnundcrri{ alryor!.rjxryotrc.rrhcLllostrrEdcclt,iliu,s -l hxvc and iill'.rinrrinnC.nifi.rrcol aanscnl to Sclf.ln$trc li,r $o'kcrs inrnriui.n. is Jtr.vidcd fo!hySecrn,n:lTmofrhc Utior Codc. tu rhc Frfoirnrdc. of rhc rorl foi whi.h rhc p.nnir i{ isu.d lhrv..ndwillnrirrirlorlturiconDcn\lrioninsurancc.rsr.qtrmdhrSsrio.:t7lx)oliicl,!bo!Codc,forthclxrlonMccof ihl Bork lor B[ich rhir ncrmir is is!.i nrysorkcrs Qrmpcnsdn,n ,nsurnrE .rflicr 0 nolicl nrnrh.r dc: *l.cnilyrhrr irrhc ncrlo.n, m.t rhc soik io. whichrhis D.nnil i\ lsntJ.I \hrlliorc lroyrDyfcrvlr ir tny nt tr d v' asr,lf,.o ,c suliLrr t,rhc s.rkci('c.nrFn\rri,,n lrMolCrlir(tr i], rtrrlrsr.c rh ili \lnn,l 6..onr \uhjc.r r.rhc s.rkr'i r. t)ctrqri( fr)visiofl\olSsti:17(xl.lth.trtxtrCodc.Inrll.l,rlhsirhdnflysirhrho$t,mI(ion\' IVARNING I' ilurc b {cur. *orltcri coml.n\dn .ov.nt il utrl{wli,l. od srHll {rhEcr 'r cnrflo}tr ro d'nifrlpcmlric\ and ciul llN\ u, ti onc hundrrl rhotr\rnd d.ll*\ (S100.{X)0 l,iiriLr r,' rlr.,^r o1.f'*';,;:r;.:-* u*", |!21 L 0tl DEIIAEAIION I hcrcby lllirn unJcr p.nrlryolrcrjury thlt I am liaocn uftdcr povirion orchtlrs 9 (comrEmins $irh Sdrion 70m) ofDivision 3 .a rhc Bu\irc$ ,nd Prclcsio.s Codc. .nd my liccns h in lnll tore 3id cffccr COBSIATX.DONTENDINCIAINqI is rd{Sc. 1097, Cir. C.) t ndo . N,r'c'- APPI ICANT DECL{RAjION I k y flfiinn umlcr nenalr, orp.rjury oft orrhc lblbsnre dcln.ltiotrs: D..rlilion Pc nirsAshcslos Norificlrio. Fede,al R.gola!ionrlTnh {0. Prn6) R.qun.d kt(cr ol Noliltarion -l ccnifyrhor rh. Ldrrilrc*Uldions rc8 dirg tE{nsrcnr)valrr.rcrritli.nhlckrrhispro]c.i I ccnrlyrld t hrv. rcl(l rh \ npplkli,n, d {rtrhrr rhcxhrc i0ttrtr[i(r i\c.lrccr I"sRk,ro fly wirh r ll Cirr ud Coun(, ordirdtr..s nDd Sr{c t-r$s rhrilg ro hulltli',8 con{dct.i. rd hcr.hy ixrh.riTc rqrr.srnrrrilcs ofrhi\ Cny ind Countyt, ttrrcr rtrinrhd dn,vc nrninnrd nii)lrd! tu ii\lrdon frposcs ADpli(ntrl or Aaut sil rh' o:Li.cl or,tl rY?a u L fzz Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Sublloor/VenVl nsulation Roof Sheathino Shear Wall Framino lnsu lation/E nergy Drywall Ext./lnt. Lath Brown Coat It4asonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Certif . I/l /2u',FINAL tt{ .#afirl Certilicate ol Occu a Notes, Remarks, Etc. SITE.WORK /s fasc I [,4AYOR Miguel A. Pulido MAYOR PRO TEM Michele Ilartinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas Dear Property Owner INTERIM CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. CaNalho CLERK OF THE COUNCIL l\.4aria D. Huizar PI.ANNING & BUILDINC AGENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana, California 92702 www.santa ana.orq/oba NOTICE TO PROPERTY OWNER An application for a building permit has been submitted in your name listing yourself as the builder of the property imDrovements soecified at" b-ii"- i",""-cu-iL oq 3l .a,1lu A Dt (L 7"10? 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 or verify this information. 5_!.-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. lamwillfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. r', rn 2. lunderstand 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. ifl44_3. I understand as an "Owner-Builde/' 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. L+. t understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracts. JaI-_s. I understand if I employ or otheMise 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. .;--2w 6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." lalso understand my failure to abide by these laws may subject me to serious financial risk 71_-c-_7 . 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 ail work is performed by 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. -=1L g. l understand asan Owner-Builder if Isell the property for which this permit is issued, l 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. mp! do@sanl.-ana o.o Mayot Pra len wad2 m man nez@sanla-ana.oro Vice.te Samienro vsarm enlo@sanla-a.a oro is9]sda@9@lai!?!!s P. Oav d Benavides dbenavrdeslasanla ana.oro CITY OF SANTA ANA SANTA ANA CITY COUNCIL Juan Villegas SalTinajero Ward 5 Ward 6 fyLegEs@9ae.alaqg slinaiero@san1a-a.aoro f-i.,^- 9. Iunderstand Imayobtainmore information regarding my obligations as an "employer" from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Beneflt Payments, and the Califomia Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-32'l-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. ' -T-L 10.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 an address: d financiall v responsibl e for proposed constructi o n activity at the foll ng --z-a__'|1. 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. --4712.1 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 ,lnancial loss you may sustain as a result of a com plaint. Youronly remedy against unlicensed Contractors maybe in civil court. lt is also important for you to understand thatif an unlicensed Contractor or employee ofthat individual or firm is injured while working on your property, you maybe held liable for damag es. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verirying 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 permit. Arore.' A copv of the proDeftv owner's driver's license. form notarization. ot other verification acceptable to lhe v is reauired to be Dresented when the Dermit is issued to ye rifv the Drooeftv owner's sianature.ISignature of Property Owner \i*Z o.t , oE /r,t /t B Print name of Owner AUTHORIZATION OF AGENT TO ACT ON PROPERTY OW NER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the fol!owing person(s) to act as my agent(s) to apply for, sign, and file the documents necessary lo obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) o Name of Authorized Agent I declare under penalty of perjury that I am the property owner for the address listed above and I personally fllled out the above information and certify its accuracy. Property Owner's Signature Date Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued lo verify the propefty owner's signature. PLin k:\^j P5l icounlerActivltylAssem blyB illsi Notice to Properly Fcrm SANTA ANA CITY COUNCIL mouLdolosant6 ana.oro Mayor Pro Tem, Ward 2 m'martinez@sanla-ana.o.o vsa.mrenlo6sa.la'ana o.o isal.a!!@s4E3!3.9!q P. David Be.avides dbenavldes@sa.ta-a.a.oro !r!.ca!s,@E!E=E-E!. slrnare,olasanG-a.aoro 1 Project Location or Address: Address of Authorized Agent: Phone Number of Authorized Agent: Print Name of Owner: