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Home My WebLink About102104570 - Permit (2)Proj ect Address: 14225 Mohawk Dr Assessor's Parcel 407-103-10 Lot 31 Unrl Bldg: Address Range Suile Range: Zoning: RlBlock NA I (acl 3627 Hrstoric No CiQ of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests (714) 667-2738 lnspector Sectron: (714) 647-5853 Permit #: 1O21O457O Pin #: 44569 Building Use: Job Type: Nature of Work Existing Bldg. & Use Proposed Use: Single Family Dwelling Alteration N/V - Patio Cover SFD w/att Garage R-3, U VB cBc 2019 x-0602320256J 1st FL Area: 2nd FL Area: Other Areas. Garage Areal Total: Patio. T.lArea: Yards Req'd: Valuation: S1,000,00 Occupancy: Constr Type Code: Flood Zone: # of Stories: Description of Work: Remove unpermitted patio cover. Owner-Builder form on file Planning Conditions: Owner Address Phone. Tenant: Contractor Address: Engineer Address: Maria De La Luz Leon 1422 S. Mohawk Drive Santa Ana, CA 92704 Owner-Builder Phone: State Lic #l Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License # Architect / Desrqner Address Phone. License # Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd No Landscaping lnsp. Req'd No Arias, Fernanda Date: 09/03/2020 Date: Chavez. Dave Date: 09/03/2020av'-c' subject to Field: Frre lnsp Req'd. No Police lnsp. Req'd: No Acco 57607 57770 57607 57607 57672 57600 s7607 $172 64 $4.05 $104 26 $261 .96 $1.00 $23.79 $s9 30u nt#Total Misc Receipt Misc. Recerpt Misc. Receipt o7775002 07776002 0 77 76002 0 77 76002 077 76002 07776002 07776002 Permit Fee Microrilm Records lnvestigation Penally Bldg. Stds. Revolvrng General Plan Update lssuance Flood Zone Cert Req'd: No Every pemit issued shall becohe nvahal unless lhe work orl lhe s,le authoflzec! by such peml B commenced wlhin 360 days atler ils tssuance ot iflhe wo* authonzed on the site by such petm B suspendec! ot abancloned for a penod of 3@ days allet the lme the wo* ts commenced lnspector MtD# 2020-161307 01 't 16002 51600 01 I 16002 51601 01 1 16002 51612 01116002 57770 $23.79 $s98 16 $1.00 $4.05 Fee Total Paid to Date: Balance Due $627 00 $0 00 $627.00 BUILDING. INSPECTOR BECORD SITE-WORK DATE to/stG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUlnsulation Roof Sheathinq Shear Wall Framino lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Ivlasonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Reporl Flood Zone Certil. I -p&t4FINAL/a/zl /t r*o Certiricate of Oc'cupancy \-,.. 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Edw{ e m' l00llriL o th! pEldt. \4 OLry rhd I h{E â‚¬J lhi. lpph.rion lrl qd. rh.r rh. .lDv. infomrion is LlrBi I .sE ro .uVl, wnh ! ciry .ntt Counl, iirllre.s .tll slr. t rr EErrE ro b,ldru o'edm dl l*by rdhorn EFlrddrEr of .tn Cr, rrn Coud, ro dr uIor fi. ,'rrtr. nrnrhN!t ,ll!'Nnv htr Ln\!..rirtrr Nrr as ,\Dpll.trnt ar A3.nr Sknrn'n:u.A .92n rhrc r )( k flr'rl,,y|^%P-?o^n Rev. OB-0/-2015 /\/\ * vi A D, I eo 1,1 Planning & Building Agency Building Safety Division 20 Civic Centei Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org aPP-13 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner An application for a building rmit s been submitted in your name listing yourself as the builder of the property improvements specified at We are providing you with an Owner-Builder Acknowledqment and lnformation Veriflcation 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 ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you underctand or verify this information. \, t ,' t)7 I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build- ing 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 inluries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. ,l'r2r-_2 I understand 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. ,|JAL_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. i I I t);4. lunderstand Contractors are required by law to be lacensed and bonded in California and to listtheir license numbers on permits and contracts. /!JDL,. I understand if I employ or otherwise 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 "employe/' under state and federal law. z UjAf..6. 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 com- pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. ; t\ i);1 . 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 licensed subcontrac- tors 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'l\ l) L8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan- cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials. , tlr!, I understand I may obtain more information regarding my obligations as an "employe/'from the lnternal Revenue Ser- vice, the United States Small Business Administration, the California Departr,ent of Benefit Payments, and the California Divi- sion 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. lY\-2-L1 o I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party dress and financiall responsr for propo sed construction activ ity at the following ad-legally tiDtt t. 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. A]DU Z 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 impo(ant for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your prope(y, 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 veritying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. tion, or other verification acceptable to the aqencv is required to be Dresented when the Dermit is rssued to verifv the p roperiv ow ner's sionatu re. Signature of Property Owner \ \nr/. Vfix"^Date 20 zo 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 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 of the owner's driver's license, form notarization, ot other veification acceptable to the agency is re- quhed to be presented when the permit is issued to verw the property owner's signature. 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 propertv ownet's driver's license. form notariza- qlt