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Home My WebLink About10489006 - Permit-@ City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853 Permit #: { O489OO6 Pin #: 42699 Projegtffidress: 801 N Main St Assessor's Parcel: 398-015-04 Lot: 1,2,6,7,8,9,10 Block: B Bldg: Address Range: Tract: PRICE & STELLA FRUIT Unit: Historic: No Suite Range: Zoning: SP3 k Building Use: Other Occupancy: A-2, A-3, E 1st FL Area: Job Type: Alteration Constr Type: lA, SPK 2nd FL Area: Nature of Work: Trash Enclosure Code: CBC 2013 Other Areas: Existing Bldg. & Use: Theatre Flood Zone: X-0602320163J Garage Area: Proposed Use: Theatre for High School of the Arts # of Stories: Totat: O Description of Work: Legalize unpermitted attached trash enlosure at rear of the building. Per city standard. Auth on file. Planning Conditions: Patio: T.l.Area: Yards Req'd: Valuation: $3,500.00 or,ner: onnse county Htsh schoot of the contracror: owner-Buldo. Ensineer: 8i]i:;;tcffH - i#l!ll,tl, I0' Pfo:Fzl Address: 601 N lu.in St Addrc$: Address: Acct+: Rof+: t0489006. S.nt An., CA 92t013808 Rr:pt+:01532?21 - 4/Zt/20t6 t?r$ pn Phone: Ol4) 2lo6E39 Phone: Phone: rrqnsoct'on Totol ls22'12 T.n.nt orrngo county ""*-,ng o* " sot" Li"#' Lijense #: [r nnee (ounte Hieh school ol t Llc Type: Archit.cr / Bus. Lic*: o€sidn.r: 6enerol pton ljpdqte Fee tt9.93 wofters compensation tnsurance: ;;;;;; 01116802 516110000- $g01. 19canier: _. tr1l16oo2- 5t6oloo[-Policy#: i'none: Btds StdE Revolvine tt.lflt,rn"", .,*n""0, ,;llr3l::; tt.r3l1,;[;r, - ,,rr,,, 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 zunisa,nrrissa V Fregoso, Vince Date:04/15/2016 Date: Dale. 0412112016 Subject to Field: Misc. Receipt: Misc. Receipt: Misc. Receipt: 07776002 07776002 07776002 07775002 07776002 Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Update Fee Total: Paid to Date: Balance Due: 57607 57607 57607 57672 s7600 $144.66 $87.36 $219.49 $1.00 $19.93 $49.6807776002 57607 lssuanceFire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Account#Total 01 1 16002 s1600 01 1 16002 51601 01 1 16002 51612 $19.93 $501 .1 9 $1.00Every permit issued shall become invalid unless lhe work on the site authorized by such permit is commenced within 180 days after its issuance,or if the work authorized on the site by such permit is suspended or abandoned for a period ofl 80 days after the time the work is commenced. $522.12 $0.00 $522.12 lnspector MID#: 2016-128152 OIVNIiR RUILDI]R DI]I-CARA'TIoN I hcrchy alfirilr undcr pcnrhy of pcrjury that I anr cxcmPt from thc Contraclors' l-iccnsc Law li)r thc {i)lk)wiDg rcr\on lScc.70-]1.5 Rusincss and Prolcssion Codc): Any City or Counly which rcquircs a lErnril lo construcl. allcr. inrprovc. dcnrlish or rcpair any slruclurc. prior lo ils issuilncc. also rcquires thc applictrDl for such Jrrtrril lo lilc u \igrrcd \tiltcnrcnt thrt lE or shc i\ liuc[\cd pursurnl k) thc fiovisions of thc Conlraclor's l,iccnsctl hw (Chaptcr 9. Conurcncing with Scclior 7(XX) ('l lfcli()r}.J^l5 l]usiness and Prolcssions Codc) or thar lr or shc is cxcirpt thcrclionr and thc busi\ li)r lhc rllcgcd c\cillrlion. Any violxriol ofScclioi 70]1.5 by rny applicantforapcrllitsuhjcctsthc applicanrtoacivilpcnxllyofnoto(,rcthrnfilchundrcdd(,ll^rs(15{x)).-i> I. r\ owilcr (,1'thc p()JEily. (n rry cillnkryccs with wagcr rs thcir solc errnrlrcnsltiorr. uill (k, tnt'iv(nk ilrtrl the \tnr(turc i\ rxrt lhcpn)Fny lvhobuildsorirnprovcsthcrd)n.udwhodocssuchuorkhinlsclforhcrscllorlhroughhisrrrhcrownerrrpkryccs. providcdthatsuch inrprovcrre[tsarcnolililcrdcdorolllrcdlbrsrlc.ll.ho$cvcr.lhchuil(lingorirnprclcilrntissoldwithin(!r]ril ofconlhtion. thc Owncr Builder will lHvc lhe burdcn of provi[g that lE or shc did not huikl or inrprovc thc p()Ircfly for thc purF)* of salc ). l. rs owncr ol thc prol)crly. am cxcltlsivcly conlrncling wilh liccn\cd cornr ack)rs l(, con\lnlcl lhc prrjccl (Scc. 7().11. Ilu\irc\s ilnd who contrrcts I'or such pr()jccls wilh a Conlrilckrr(\)pursuant lo lhe Conlrack)as Licclsc l.aw). I hcrcby al l irnr undcr pcnxlty of pcrjury onc of lhc li)llowinS dcchration\: _l hilvc end will nuintain u Ccrlilicrlc ol Consenl lo Scll:ltsurc iif w(tkcrs' coilpcnsilion. as pr(,vidcd li,r hy Scclir)n .17(X) of lhc [-atx)r (i)dc. tbr thc pcrloronDcc oflhc work for which lhc pcrmit is is\uc(|. _lhrvcandwillnraintxinworkcn conrpcnsatio[insurancc.as rcquircdhyScction.l?(x)o[thcLahorCodc.lbrlhcpcrli)rnunceof thc work ti)r which lhis pcrmil is issucd- My workcrs' coDfcnsalion insurtrncc caricr rnd F)licy nurnbcr rrc: Policy -l ccnify that i[ lhc pcrli)rmancc ollhc work lin which this permit is issucd. I shnll trot cil]pk)y otry pcrsotr in any rnxnncr so rs k) bccotrrc suhiccl lo lhe workcrs'cotrrpcnsalion hws ofCalilornin. and flgrcc thal il l should hccoilrc srhjcct h lhc workcrs'conrpcnsrttnrprovisionsolSccli()i.17(X)ollhclahorCotlc.lshall.fonhwithconlPlywilhthoscprovisk]il WARNING: Failurc lo *curc workcrs compcnsrlion covcrrgc is unlur'lil. and \hrll suh.i('cl an cmpk)ycr to crinrirtrl Jtilaltics and civil ines up to ooe hundred thousanrl dollus tn cosl ol'ion.lor Sccri(,n .1076 otc Lafr Codc. intcrcst D,r", - n ]!7D tt - ilil(l rlk)r,rcy'( Applicanl: damges as providcd I hcrchy allirnr undcr pcnally of pcrjury thal I ant liccnrtl undcr provi\ion ofChaflcr g (conurnncing with Sccti{)n 7(Xx)) ol I ol' lhc Rilsincss trDd Prrfcssions Codc. and my liccnsc is iil lill li)rcc atr(l cllcct. Liccnsc Class:-Liccnsc Numhcr: Dsle: Contmclor: CONSTRUCTION LENDING AGENCY I hcrchy affirm undcr pnally of perjury that there is a conslrucliril hnding rgcncy lbr thc [rcrfornEncc of thc work for s,hich lhis fErmit is issucd (Scc. 3097. Civ. C.). Lender's Namcl [-cndcr's Addrcss: APPLICANT ITECLARATION I lErcby nflim undcr pcnalty of pcrjury onc of lhc folhwi0g dcclaratiols: Dcrnolilion Permils-Asbcslos Notificalion Fcderal Rcgulnlions ('l illc 4{). Pnrl6) _Rcquircd kllcr of Notilication _l .cnily thill lhc lcdcrnl regulati(ills rcgiudirg rshc\los rcrnovillnrc n(il applicahlc kr Ihis projcct- -l ccl1ily lhat I hrvc rcad lhis appliculior alNvc iIlinrnxti()n ordinrnccs and Statc Lrss wilh all Cily ilod County irnd Tunty t) cnl$ unon thc rbtf ^ :t hril(l and atx)ve ntf,lioncd propcrly for ion Appli($nt or Agent l'crnrilm trntrlr (pritrl): l)lrJ- SITE-WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathinq Shear Wall Framinq lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Reo Deputy Final Report Enqineer Final Report Flobd Zone Certif lfl lr I FINAL fi 4'/-/,2 /l/,(al Uclt Y Certificate of Occupancv 'l I Notes, Remarks, Etc t,/ BUILDING. INSPECTOR RECORD 1-0rLI)tlr MAYOR Miguel A. Pulido MAYOR PRO TEM Claudia C. Alvarez COUNCILMEMBERS P. David Benavides Carlos Bustamante Michele Martinez Vincent F. Sarmiento Sal Tinajero CITY MANAGER . David N. Ream CITY ATTORNFY Joseph w. rlrrer L CLERK OF THTOUNCIL Maria D. HuiAr CITY OF SANTA ANA PLANNING & BUILDING ACENCY 20 Civic Center Plaza P.O. Box I988. SantaAna, California92TOz www.santa-ana. org NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at B 0t - /|uN ff fa,ur,q 4u, c4 1t-t n t We are providing you with an Owner-Builder Acknowledqment 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 ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS; Read and initial each statement below to signify you understand or verify this information. /1,/ ,. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" 6[itOing 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. LN 2 I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not niring a licensed Contractor to assume this responsibility.-./a./-[ V 3. 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 Contract,or and having the permit filed in his or her name inst6ad of mv own.(./-lV-O I understand Contractors are required by law to be licensed and bonded in California and to list their license nyarUers on permits and contracts. (nf \V 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the totalvalue of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an under state and federal law 6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal goyernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemplo/ment compensation of each "employee " I also understand my failure to abide by these laws may subject me to seriouslinancial risk \/, I understand under California Contractors' State License Law, an Owner-Builder who builds single-family reJE-entiat structures cannot legally build them with the intent to offer them for sale, unless a// 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. ,/' S5 understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finbhcial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the worknranship or materials. \y', ]rOerstanO I may obtain more information regarding my obligations as an "employe/'from the lnternal Revenue Slrvice, the United States Small Business Administration, the California Department of Benefit Payments, and the Califor[ia Division of lndustrialAccidents. 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. ,n ..- \A/f O I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I ::il:: j".y resar ry, "Vf J"'" uf.rffiIr;fir 0ryseo )?fl['"'\!'tl',] 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by al applica ble laws and requirements that govern Owner-Builders as well as employers. 2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the rmation I have proved 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 verifying 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. Note: A copv of the propertv owner's driver's license. form notarization. or other verification acceptable to the aaencv is reouired to be presented when the permit is Signature of Property Owner Oq-L)-D t 6 Print name of owner {-t €v (.,l./fra^l ac c o J hr'A/ / oc-(tA 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 a Project Location or Address 70/ //./t/bill t7' Name of Authorized Agent:Dr r, / ,(.os ) ouz Address of Authorized Phone Number of Authorized Agent:7 I declare under penalty of perjury that I the property owner for the address listed above and I personally filled out the above information and certify its accuracy Propefi Owner's Signature:0 'Lt-D Print Name of Owner:1<)< . a.o otfu! furd aeo{,t + 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 ls lssued to verify the property owner's signature. Bnegrete:WP51/Counter Activity/Assembly Bills/Notice to Property Owner & Authorization Form 1i2010 es.nt t0 / l/. /4,4)"J <T <r1^n4 4/,/A .4- g)7D t