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Home My WebLink About10197663 - Permit (2)EProiect Address: 2325W Borchard Ave Assessor's Parcel 109-123-34 Lot: 9 Unit Bldg: Address Range Suite Range: Zoning: R1Blockr NA Tract: '1347 Historic: No ,@ 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 #: lO{97663 Pin #: 7O5O5 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Alteration C/O Windows SFD WATT GARAGE Occupancy: Constr Type Code: Flood Zone: # of Stories: R-3, U VB cBc 2016 x-0602320257 J ,| 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patiol T.l.Area: Yards Req'd: Valuation: 0@0 $3,500.00 Description of Work: Legalize change out of (7) windows. Handout given. Planning Conditions: Repair & repaint any damaged trim, fascia, stucco, etc. as needed i 1 1/:1r-r1i:, flrrsi: i5 RPf+ r I /7t/2Lt1 ]D: NGARI I t[19766.i\ t2t4S Iii Owner: Address Phone; Tenant; Johnny Nguyen 2325 W Borchard Santa Ana, CA 92704 (714]-9094347 Contractor Address: Owner-Builder Engineer Address: Itthrr irl. t.t1 jr,dLrt:e Fee ,/rr []r,rri|]-. Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License #: Architect / Desiqner: Address; Phone: License #l $ ?:l ilrrlllrjl:[-r.- ,! l'.:tir ,.1 .ir.r.fl.r.- rl:l l Planning Approval By Plan Checked By Permit lssued By lnspector P esh r, Ali MID#: 2018-146006 B Date: 09/11/2018 Date: Date: 09/11/2018 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 07116002 5160I Permit Fee 07176002 s7672 Bldg. Stds. Revolving 07716002 51500 General Plan Update 07776002 5]601 lssuance $160.2s $1.00 $22.08 $s5.04ski, Teri NPDES lnsp PWA lnsp. Req No Fire lnsp Req'd Planning lnsp. Req'd: No Police lnsp. Req'd No No Account# Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless the wo* on the site authorized by such pemil is commenced within 180 days aftet its issuance,ot if the wo* authoized on the site by such permit 1s suspended ot abandoned for a period of180 days aftet the time the wo* is commenced. o Total 01 l 16002 51600 011 '!6002 51601 01 '1 16002 5'1612 $22.O8 $215.29 $1.00 $238.37 $0.00 $238.37 Fee Total: Paid to Date: Balance Due: BUILDING- INSPECTOH RECORD SITE-WOBK DATE ID/SIG.COMMENTS OWNER BTIILDI]R DTJLCARATION I h.rchr rtln undc' I[mhy or p.rjury rhd I an cxcnu liom rlr C.frra.km l-icc \c t-rwlnrrhc ri,ll.wilrs rcr{n, (s(7l)ll5 Bu\i'rcs{ nnd Pn'fcsrn Coi.f Any Ciry or Counry *hirh 'cqunc\ r ,rnnn nr c.nsrruct. 3lrcr. impn,vc. d.nd,\h or rct)ltr atry rlnl(nlc-rrdhns is\uitrcc.rhorcqunc\rhcrmli.rtrtrcuchnctinirt,flct\iSrd{Ictnrrh ltorshci\liccn\:dPursurti n, rhc pn,visbns ol Ih! C.nrracroas t,iccn\cd ltrr iChrttrr 9. Connncn.i.S qirh Sc.rion 7(xx).] Diri\n,. ] olrht Ilsinc\! yd rpplicanr larJ pcmir \uhlc.8rh. rpt'licanl b acivil|cNllyolnor nnncrhri ti\. hundr.ddollrr r55U)) - 1. N o*rcr ol rh! ri,Fny, ,tr .ry c lPlr')Nr snh $l!cs rs rh.t $lc conrpci\ln,n. will d. lhc work u lh.(urknnor i'nc ldl orofll d for srlc (S(.704,l.llusincs md t\ofcsions Codc lhc An r!.roi s Liccnr I rr ikrs nor amly ro rtr o$ncr ol' rhcrmncny who huilds or impnivcs rh.i([. {rl llN,l.s $.h $nd hnn\c]for lrcR'lf.r rhroulh his or hcr o*n.nrloyccs, ptuvdcd rh.r $ch imrrtrlmn\rcrn irnc cdnroff.tu1hr qtu ll ho*cu.rhc hxildii8or i,qr,vctrrnr i\ sokl wirhi" ft )trr ol(unptrid rh. OsNr auiklcr will hrvc lhc h'Rlcn ot prorins rh,rl hc or nt did n.t bnild or iryrov hc pmFiy ror rh. PUln$ol' LrsosncrofrhcFopeny-rn,.ichsivclyroiti.ril!shli.cr\cd.ofrBcnrsbcon{.rrlt!'oFr(Scc70t'1 Bu\in.\ r Pmfs\ir Codc Th. Cotrtacntr s Liccnrc Liw(l{Es norrpplyro osncrolnlofrryshohui!{l\o!inrPiorcsrhcrL\nr. .tr'l who .\n mcrs li)r$ch prcFch wirhrCotrr'r.bnr) li.cfscd pur${nr rolhcG,ntactx s Li..flsc Ln$) !rl!r.!8lruI I hcrcby nlltrfrntulcr pcnnlrj_ ol' -lhrrcardNillmainrainrccnifi.rrcotconscn!hs.lll$urcfin$.rkric.'nPcis.r.n.NPmvidcdturl,ysorn)nl70oollh.Libr(Glc.lbrrhc pcriormrce of rl[ r.rk r(n slri.lrrh.trnit is issu. -l hlrc adwillmrirrai'r *orr.s ..nlrnsrrio irNurancc. as rcqtrtcd hysdion l7(rool rhc Laho!CoJ.- fdrhc Fnann.n.c ol rhc sork li)r *hich rhisr.rn r is ksucd My$ukcN canlEnsatid in\u'aicccnicr rxl Pli.yrunrtut (c I.cniryrhlirrhcpcrln rncc,r rh! $ork tur shrh rhrs Nnnir ir il{nl. I \hrll nor cfllll,)y lrry lxr Rr ln n nr_ nrnNr vr rsn)t{.om \rl,jccr t)rhc $orkcri..nrrcn{ ior hwsofcrlinrtrir. x lstot rhrril I shdlld tf,cotrf, {'hjc.r n)rlr tror[c^.otrrp.tr\rri(ufmv,sion\olSc.r]otr.r7(x).lrh.lrhorCodc.lnu,ll.ndh\rir[(orf]ysihrlm{0'o\ni(nr\ WARNIN(; I irlu. r,) \cruc *orltr^ con,t).i\rri(r, co\rrr$ N u inl. ud 1hrll nrhjc.i xn.ilroJcr ro cri'ni'rl p!trrlrics rnd .Nil {n,.\ n r. .n. hundr.d rhonsrhd Sc.rion 107( ol rhc Labor Cndc. inre.cn r, rh. ..n ,,1 .orFnrdnnr, drmrlcs rs tnnid.d kn rhc I l'.'rlr! i lrir n,!trd tr xr,, tr!r, 11 |'o\6iu r rn ( hrtrrrl) r..nnn.f(in3 wirlr sr.lDn 71xx)).1 l)nnii),.1 of rhc Burirc$ rM hnfc$ions Codc, aftl myliccn\c is i', foll nn.c l.ffccr CONIiII!I:IANI.DNI)INI;JCENTI is{rcd (Sec .1097-Ci! C ) i fILISANIIII;LAS{IIOI I tm6! rrfirn uDJcr |t rlr y or Nrjury otrc or rhc i.llo* ins d..nmrn,n\ l)cnFlirionPcnnit ArlxiosNurifi.irrn l;cdcral RcEUhrntrs(lillc40. l'rn6J Rcqutcd lx crof Norifi.dirrr -lccdi,yrl,d rh.lirlcrrlr[ulariinr rcSirdnr! i\h.{o\lcrx]vrl)rc tror rrnli.16ll t) rhi\ fn'i..r rtu rtx,vr i'rlann n i\corrccl l a8rcc L)romnltwirhnll Cily!trd Cotrnry 7 *"'""'"'*'^"""**'*'",.-.lu/4rg - ""**'.,'ffirda Formsi Steel/Holdowns Erection Pads SLAB Floor Roof Sheathinq Shear Wall Framinq lnsu lation/Energy Drywall Ext./lnt. Lath Brown Coat Ir/asonry Pool Fence T-Bar Handicap Req Deputy Final Report Enqineer Final Report Flood Zone Cerlil. , -, FINAL o //,?/// fr.hurL'-/lt--./- Certif icate ol Occupancy Notes, Remarks, Etc I crkrcr \ \,ldrc.. Set Backs UFER Ground Subf loor/Venl/l nsulation 1 CITY I\,1ANAGER Raul Godinez ll - CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Marie D Huizar CITY OF SANTA ANA PLANNING & BUILDING ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, California 92702 www.santa-ana.org /pba NOTICE TO PROPERTY OWNER Dear Property Owner a n ra g permit ha been s mitted in e AS h the p pe tmp We are providing you with an Owner-Builder Acknowledqment and lnformation Verification Form to m e 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'ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or veify this information. ' r /ll 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildel' b"ullding 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. V-z f understand building permits are not required to be signed by property owners unless they are responsible for th6 construction and are not hiring a licensed Contractor to assume this responsibility. --f&-g. 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 Contractor and having the permit filed in his or her name instead of my own. -l\ I'^ 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license rYumbers on permits and contracts. --r#-S. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the tdtal 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. -t\l{ 6. Iunderstand if Iam considered an "employer" under state and Federal law, I must register with the state and Iederal government, wrthhold 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. -tttl l. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family ret]dential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by SANIA ANA CLTY COUNCIL [,4ayor Pro Tem, Ward 2 mmannez@sanla-ana.orn vsamrenro@sanla ana oro lsgLp!i9@s?4ja:a!!-sr9 P Oavd Bâ‚¬nav des dbenavides@sanra-ana orq ivilieoas@santa-ana oro st naiero1osanla ana.oro I\4AYOR Miguel A. Pulido MAYOR PRO TEM Michele l\4artinez COUNCILMEI\,1BERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas moulido@sanla-ana oB 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. jltr-8. t understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any f-rnancial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. .-\fur' 9 I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue S6rvice, 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.oov for more information about licensed contractors. t)-lv rc 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 responsible for proposed construction activity at the following address: -)1,..1 ll.l agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by an applicable laws and requirements that govern Owner-Builders as well as employers. -l1A,r.I 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 tor 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. /Vote.' A copv of the propedv owner's driver's license. o verification a le to the ,s ired to be ted when the it is ven the owner's si)nat Signature of Property Owner Date Print name of Owner -\ J f\ld..,r!-/ T\ldv"9L'lr-tw 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 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 il Name of Authorized Agent: Address ofAuthorized 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 of the owner's driver's license, form notarization, or other yerification acceptable to the agency is required lo be presented when the permit is issued to verify the propefty owner's signature- i) .r i.,:,4 .t-.i.-i":..in.:rr:,3 :.ir:..1:l>1--.. | .-, r.,i -r:: SANTA ANA CITY COUNCIL ooulido@sanla-ana.oro Mayor Pro rem Wa.d 2 mrmarllnez@sanla-a,ra.oro Vicenle Samiento vsarmrenloaasanla-ana.o.o P Davd BenaMdes dbe.avides@sanla-a.a oro vl eoas@sanla-ana oro sl na ero@santa ana oro Phone Number of Authorized Agent: iso or o@sa nta'ana orc