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Home My WebLink About101104639 - Permit (2)Proiect Address: 3801 S Birch St Assessor's Parcel 410-',t22-22 Lol 49 Unil Bldg: Address Range Suite Range: Zoning. RlBlock NA Tracl 6697 City of Santa Ana 20 crvrc center Plaza (M-19), Santa Ana, CA\27O2 Building Permit Counter: (714) 647-5800 lnspectron Requests (714).667-2738 lnspector Section: (714) 647-5853 Permit #: { Ol t 04639 Pin #: 4lJ532 Building Use Job Type Nature of Work Existrng Bldg & Use Proposed Use Single Family Dwelling Alteration Stucco Sfd w/att garage Occupancy: Constr Type Code: Flood Zone # of Stories: R.3, U VB cBc 2019 x-0602320278J Patro: T I Areal Yards Req'dl Valuation:s5,400.00 Description of Work: Tear off wood siding and apply stucco to sfd and attached garage. Planning Conditions:Stucco to match the existing slucco on the home, same color and finish Owner Address Phone Tenant Teodoro & Juanita Gamino 3801 S Birch Street Santa Ana, CA 92707 17141 403-7394 Contractor Address: Owner-Builder Engineer Address Phone: State Lic f: Lic Type: Bus Lrc #: Workers' Compensation lnsurance Cafiier Policy #: Expires: Phone. License # Architect / Desiqner. Address: Phone Lrcense # 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 lnspector Orozco. lvan Verduzco, Vioret \-i Date 09/14/2020 Date Date 0911412020 SubJect to Field: Misc. Receipt Misc Receipl Misc. Receipl 07776002 07776002 07776002 017 76002 0 77 7600 2 5760 7 57770 57672 57600 5760 7 $345.28 $4.05 $1 00 $23 79 $59.30 Permrt Fee Microfilm Records Bldg Stds Revolving General Plan Updale lssuanceNo No No No Fire lnsp. Req'd Police lnsp. Req'd Flood Zone Cert. Req'd No MID#: 2020-161468 No No Account#Total Every pefintt tssued shall become nvahd unless the wo* on the s e aulhofized by such permil ts commenced wtthtn360 days after ls ssuance ot t lhe work authonzed on lhe site by such peml B suspended o, abandoned lor a penod ot 360 days aftet the time lhe work $ commenced 01 1 16002 51600 01 't16002 51601 01 '1 16002 51612 01 116002 57770 $23 79 $404 58 $1 00 $4 05 Fee Total: Paid lo Date Balance Due: $433 42 $0 00 $433.42 Histoflc No 1st FL Area: 2nd FL Area: Other Areas: Garage Area Totat BUILDING- INSPECTOR RECORD SITE-WORK ID/SIG.COMMENTS owNtr au ,Dl:t Dxt,cat r\TtoN , lrrcby nflirn' u .r p.n ry ol Frjury rhlr I m.rrmpr rtufr rb. (idftcro l-(.n$ ljw In th. followhs Ersn lS(.7011 5 Busii.s fil P,oldsrD C.d.)r Any Ciry o. Cou y uhah r.quiEs . prmir ro (onqMr, dE i'Ilr'ok. dcmluh or En n y io rR,Irdh n. ssur .. trtvr F+'E\ rh. !!!li!nr tur{ o.md !, fil ! rI.Ed srd.nHr rh, h.or ilE i.lirral llllld r' rlr Fnvi{ons of rh. Conrrclo.'r l,E.nr.d liw i('lu,,rc. 9. CoEfti.ing *rh S.ction 7(xx) .f l)ivirion :l of rht Au$mis and PoLsri,ns C{,d.,6 rhar h. q dE i! q.,r'r rhelflrs lrl rlE h$Ls ior 'E ulLsal.r.nprrr An} viJhrbnolsdenT0ll5hylny .pp,icnnr f.r r Fm( ubFu rlE lpp,icrnr ro r .ril FMh y of mr mG tha. liG hltlEJ doll6 1!51r,). -1. a o*Er or ItE lioNnv. or my .mphr.s *nt *4.r * rh.t $k ( dhp.tr\lra"i, will d. rtE *ft* .nd rhc {dM is mr N.Bldl o, ofi.r.d r,x qL rsd,t {-r- BlrEsi rnn PNfclihnrCd.: TIE (i, rrM . tr.n< l.* dE\ ior .pPl, ro r owEt of rlt FoFny qlr, t. J\ o. inlnEs riEarr !d ahl &E skfi ${li hinrelior,r.sll u rr@ugn hi5 or lE. oh.n+Lyes, [lvidcd rhar su.h imFnlw,Eors m d lnfld.d or ',lt dl rtu sk. Il, h,*.$r, rla hurhin8 or m0nâ‚¬m n hB *irhin 6d tta of.otrpldilq rltO*'Er Buill. ill hlE rtr bunLn of Fovin! lhr lE or Jr d! nn ttu'Ir or rpn'E E pmtdy nr tlE purpos of -1. !\owErolth. pDr.dy,.r.rclusiv.lyconrr.crins wirh lic.r-!.oitalon h !.nnE( rrE !oj.d (s.c.7or,r, Eusin.s !d htrtr$ncod. IIECo rdor'! Lr.ns b* n,rr d Jpply ro $ o*ftr or floFdy !h, hUildr or Dnnv.r it.r@ lnd vh, mtu d$ IM su.h Fords wnh . Cod*r,rl.) lEtra:d pu^uer r. ilr Oldrdn Li.etrr Ir*) II MSf,El.g.lEttDB$AIlA![lig.l-&ttrla I lx r.t'y alln m und( Fiaty or !.ruav otu rl rh. rnlt* in8 tk( brdr)B _l h!v. ul wrll .uinr.i. s (tniliaE of CoN.nr t, S.ll l'Lrurc tor wor\.s .onrrnslrirn, $ IlNvkj.,j ntr by S.cron 1700 ol rh. lru Cd., n{ rh. |ErnrmE ('fth. rck ld $hah rlE rErnir s rs!.d _ll'rv.lrlwillnuxtrrin*o.ncomFnrrrionnNrrnr.,ntr.quiEJhyS.criotr170(rol,lEl,F{tr(,'J.,ntrrlEpcrtunur.of rhc *..k ntr*hrh116l(rm a,sslrl M, *orksr .oq{n\d k'n Nur&.6trKr nlF'lxt nu.$.... l|.]'ry Nu.l*r] Uptr.\ -! ..!n y r [ur rn rh. F!li]rm(. ol rhc eork kn *[irh rhi! lqn i! srucrl, t ihrllnor.tr{,loy rny Nh.n !ntny m{nmr sArok{qE{hjdorlrMltcB.o,0.trsrionlr*\.1( l.mB.rn!4rccrhrr Ist uld tEcom {hj..r ro rh. *!.(6 tunIEn{r.o 0m$r'B of S.di'n l?(x, of rlr L.hor ( dL. I rlull. tdhplh (xnply *nh ttlos trevsnN. IVARNING Fulur. r, *curc *Drl.^ c)n{E.r.rr'...vc,u8. b u.lr*rul, arxl null ruhr.ct a.rpl)rn nr .nnnMl FMb.s el (lv'l ftrs up tn oB hur&.d rh.u$nd 'ioll s (llrrr,rxx)). ri ddd(i.r h rh..o\.lconf.n$rion, dam8.s ri PrDvi,ai lor rh. 3aJ. 2..- t-tcENsEt) coNtt^('ToR lEga8al|ltts I hcrchy illfln !nd.. p{niky o, Frjrry ihar I !m lic.nsn undcr Fov(ion ol Chtpr.r, ((dm tu$3 *irh Scdirn ?{xxr) .l DirBi.n l oi rh. BonEsi r d Pr,f.sn's CdL dl nry lr.nt. i\ in tull itre u{ c!t!d caEtrBlcltQljJiullNclc[ Ilftbya'ltnu.rFuiroftHiiryrh,rlEEnr.oNturnnk'rlm!4.ryfo llF.r,iM!olrlrultlor*htfirtnitdhnn i.u.!rls.c :lrE7, Cn C L attltg.i INLIIECLABdM! I ndlby dfn, ud.r Frtry o, Frr!ry oG of th. folk,*m8 dc{lrtu! ions. D.n,lirion l+rn,t-Arh.nos Nulilf,arM l.dcml R.ruhriotrs (Trl..l0. P!n6) -RquF.l ltrt rof tldirHliln I c.d'ry rhd rl* t d.ral E*uld6ro EguLltrB !\tEddsr.n!,vrlxE trli xl)plirhl b rh$ Ill'r(r _l rd'ry rld I h,v. Ed ifii\ ll?lic.rion ni $r. rhir rh. $or. rnaomrion a(.oBl l!3croon?l n4 url lErby J rrflrE]rE\. r,xv.\or )Y.1 (?a a.o,r* .. y *trhallCir, Lnl G,uniy y d coudyn'.nrd olnn rlr 9 ^rq,go Forms/Steeli Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUlnsulation Rool Sheathing Shear Wall Framino lnsulatron/Enerqy Drvwall 'Exylnt. Lath I ?,n )ft*g-, Brown Coat I kOttctl tilvlt t c t+el Qlalz.t N*fr Ivlasonry I Pool Fence Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif. I Y.-+l FINAL l0l4,p \t ! \)tv rID / Certilicate ot Occupancy Notes, Remarks, Etc. Flev- 0a-07-2015 DATE Cri."- Set Backs T-Bar Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, cA 92702 (714) 647-5800 www.santa-ana.or9 aPP"13 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner: An application bui tng s bee n submitted in your name listing yourself as the builder of the property improvements specified at We are providing you with an Owner-Builder Acknowledoment 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 agentofthe 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 understand or verify this information. Y-f . f understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildei' 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 injuries. I am willfully actang as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. J(_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. X., ' 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. K-a , understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and conkacts. N_\5 I understand if I employ or othenvise 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. -X- O f 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. \ z. t understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily residential strur-tures cannot legally build them with the intent to offer them for sale, unless a// work is performed by iicensedlubcontrac- 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. n.8. 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 owne(s) that result from any latent construction defects in the workman- ship or materials. . 9. I u-nderstand 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 Department 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. _10. 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 ad- dress: _1 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. _12. I agree to nolify 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 laable 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' compensation insurance coverage. Befole 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 prooertv owner's driver's license. form notariza- tion, or other veritication acceptable to the adencv is reauired to be presented when the permit is issued to verifv the propefty owner's siqnature. Signature of Property Owner Date 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, lhereby 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 projecl Scope of Construction Project (or Description of Work) Pro.iect 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. Date Note: A copy of the owner's driver's license, form notari2ation, or other ve fication acceptable to the agency is re- quired to be presented when the permit is issued fo verify the property owner's signature. Property Ownef s Signature: Print Name of Ownen *,SAI'[A NA.ffi Planning & Building Agency Smoke & CO Alarm AffidavitP.O. Box 1gEA {M- 19 ) Santa Ana. CA 92702 (7!4)647.5a00 www santa.ana or|] rNSP-o:2'llllPa fhis document mqy be found ot. (Please use a black or blue ink ball.point pen) Project Address: hil: 'r,',,,'r, s: n ta -a na.orq/pba,' IC IIC (.2 a, Property Owner:fâ‚¬odct,; QtlyiNJ Contractor:License #: State of California requir:s that smoke and c:rbon monoxide (C0) alarms are installed in residential buildings California Residential Code (CRJ) Section RSLl l and R315.2 states in pdrt that existinB d'I/ellrngs be "retrofitted with smoke alarms and carbon nonoxide alarms. CRC Section R314.3 and R314.3.3 define the required loca tions. /j E eoth boxes below must be checked; EI Carbon monoxide alarms: Are installed oitiid: of elch sleeping area in the immedlate vicinit'7 of bedrooms and also on each level of the dwellrnt Alarms are required in bedrooms with gas-fired appliances (i.e. hot water hetter, cooktop, f:rnace)or a fireplace. ,BS.ote alarms: Are installed in each room used for sleeping, in each hallway outsade of a sleeping room, and on each level of the d',velling Retrofitted detectors may be ba trery-operaieC for buildings where no interior alterations are performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved by the State Fire Marshall (SFM), Bdttery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. I further certify that smoke alarms and carbon monoxide alarrns have been installed in compliance with the governrng Codes and have been tested to be functional.l, also, hereby certify that lwill retest the alarms per the manufacturer's instructions. lcheck onel Licensed Contractor q Property owner Permit Number: Signature: l- /.. .'1,' t :.:12,\,.,.4..--l\Date:/tlc.2. ,)b) o Have this completed form and the iob-card readily available on final inspection! I 20 Civic Center Pl,rz: Ross Anrer I I I tr NOTE: fhis sef-c ertificotion is only used for projects thot aflect the ExTERIoR of the strudure. This process is applicable ONLY to projeds where occess to the interiot oI the dwelling by a Sant(, Ano lnspector is not requircd.