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Home My WebLink About101103642 - PermitCify of santa Ana 20 civic center Plaza (M-19), santa Ana, cA927o2 Building PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 Inspector Section: (714)647-5853 Permit #:1O1103642 Pin #: 68708 8Proiect Address: 5026 W Seventh Sta - Unit.Brdg Address Range: 5024-5026 Historic: No Suite Range: Zoning: RlAssessor's Parcel: 'l0O-24143 Lot: 33 Block: NA Tract: 1078 Building Use: Single Family Dwelling Occupancy: R-3 1st FL Area Patio: Job Type: Patio Cover Constr Type: V B 2nd FL Area T.l.Area: Nature of Work: Patio Cover code: cBc 2019 other Areas yards Req,d Existing Bldg. & Use: SFD w/ att garage Flood Zone: A-0602320143J Garage Area Valuation: Proposed Use: # of Stories: Totat 0 Description of Work: New 541 sq ft attached patio cover to the rear of the house. Per City Standard. roof 5.7 lb, ESR 1647. Auth on file. Planning Conditions: 541 $20,000.00 Owner: Address: Phone: Tenant Trang Dang 5026 W 7TH ST Santa Ana, CA 927032527 (714) 589-1414 Contractor Address: Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation I nsurance: Carrier: Policy #: Expires: Engineer: Address, Phone: License #: Architect / Desioner: 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 Gomez, Pedro lll#ll;[::N Date:06/15/2020 Date: 05/28/2020 Date:06/15/2020 Subject to Field: Permit Fee Plan Check Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance Misc. Receipt: Misc. Receipt: Misc. Receipt: 01776002 07776002 0LL76002 07776002 07776002 07776002 57607 s3600 57770 57672 57600 57607 $227.22 $221.81 $3.91 $1.00 $22.95 $57.20Fire lnsp. Req'd: Police lnsp. Req'd: No No Account#Total Flood Zone Cert. Req'd: No Eve,1 permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 360 days after its issuance,or if the work authorized on the site by such permit ls suspended or abandoned for a period of360 days after the time the work is commenced. 01 1 16002 51600 01116002 51601 01116002 5'16'12 01 1 16002 s3600 01116002 57770 $22.95 $284.42 $1.00 $221.81 $3.91 Fee Total Paid to Date: Balance Due: $534.09 $0.00 $534.09 lnspector MID#: 2020-158646 BUILDING. !NSPECTOR RECORD SITE-WORK DATE ID/SIG COMMENTS 0lVNER III )II,I)ER DEI,( :ARAI'IoN llusinc'ss and l'rolLssi<il Code): Any Cily or Cou0ty s'hich rcquircs n rcrmit to coil\lnrct, xltcr. improvc. dcmrlish or rcpat any stnlclurc. prior b il\ issuntrcc. also rcquires lhc npplicaill for srch Frmil tr lilc a signcd slillcnrcnl that hc or she is liccns(l pursurnl lr) lhc provisions of lhc C(ntrraclor's Liccnscd [-nw (Chilplcr 9. (i)ilnncncing wilh Secli(n 7(XX) ol Divisi(rn 3 ol lhc Busincss rnd rpplicanlli)rapcrnilsuhjcclslhc applicnllbrcivilpcnullyofnolNorclhxnllvchundrcddollars($5U)). _1. ar owner ol-lhe profrcny. or my cnlpk))ccs wilh wsgcs as llrcir \olc conlpcnsxli(nl. will(lo lhc sr)rk md thc slruclurc is n(,1 irlcndcd oroflcrcdlirrsalc(Scc.7(144.BusinctsandProltssionsCrxlc:'lhcCoiltraclor'sLiccnsclllwdoesn(ilapplyr)anowncrof lhcpmlEiy c,hobuildsorinlprovcslhcrqnr.ands'hod(rcssuchwrrkhinrscll'orhcrscllorthroughhisorhcr()wncnlpkiyecs. providc(l lhal such iillpro\rnrnt\ xrc not i0lcndcd orotTercd li)r snlc. ll howcvcr. thc huildirrg or inrpror'crnnl is sld wilhin onc ycrr ol cotrrplcliur. lhc Owncr Iluildcr will havc thc hudcn ofproving lltnl hc or shc did n(il huild or inprovc thc pmFfy for thc purF)sc of salc). _1. as owncr of lhc liopcfly. an cxclusivcly conlrilcling wilh liccn\cd conlrilclors t) conslrucl lhc projccl (Scc. 7()44. BusiDcss d&l ProlilssifCodcrThcConlraclor'sLiccnsc[-xwdocstrolapplyloalosnerofpropcrlyrvhohuildsorimprovcsthcrc()il. ilnd who cotrlrilcts lirr such proiccts fursuilnl k) lhc Conl'flck)r's [-iccnsc l-ilw). _l anr I). & t'.(' lirr thir rcason. lralc: l J-o \\ oRKttRs' ( ()IIPt,:NS,\1 tO\ t)t,t( t,ARA'il()N I hcrchlrllirmun(lcrpcnrltvofpcriuryo,rcol'lhcli)llosinlrlcclnrrtion\ Latxrr Crrlc. frrr thc pcrli)flnancc ()[ the \\rrk for $'hich thc l^-rmil i\ i\\ucd thc work li)r ulrich this I-.-rmil i( i\{ucd. My workcrr' conrpcnsati()n insurr0cc carricr rnd F)licy iluilllrcr arcl Policv Nunrbcr: Lxnircs: _l ccnily ihal in thc lrcrfornuncc of thc s ork for which lhis prnril is issucd. I shrll not cnrploy any ner\on in aily ilrnnncr s() rs lo lrcoilrc suhjccl lo lhe w(nkcrs'corripcnsati()n laws ol Cillili)rnin. iltr(l agroc lhill il I \lx)uld bccotN \uhicct k) workcrs'compcnsrtioilprovision\o[Section]7(X)otthctahrrCftlc.lshlll.foflhwithcomplywiththoseprovisions. WARNIN(i: Frihrrc k) sccurc workcrs'conrpensillioil c()vcragc is unlawlirl. an(l shall suhicct an cntploycr k)lu)rllics rrtrl civil lincs up l(, onc humlrcd lhousantl rkrllnrs (Sl{X).(XX)). in il(ldilion lo lhc co\l c(,nrlcnsrl ion. dililtilscS li)r lhc Scction 3076 of thc trtx)r Codc. intcrcsl D,'".d oGl!'lin and attorNy's fccs. t)t,.( 1,,\R,\ I l())i I hcrcby ilffirm undcr pcnrlly of pcrjury thill I an liccnsd uldcr provision ol Chaplcr 9 (conrmcnciilg wilh Scclion 7(Xn) of Division l of thc Business trnd Profcssions Codc. and mv liccnsc is in full lorcc and clTcct l-iccnsc C Date: l.icensc Numn{r: (lonlr{(lor' CONSTRUCTION LENDING AGENCY I hcrcby aftirrr undcr Fnillty of pcrjury thal thcrc is a conslruclion hnding agcncy lbr the Jrrlormancc of thc wr)rk for which this lErntil is irsucd (Sec. .1097. Civ. C.). hnder's Nnmc: Lcndcr'r Adtlrcrr: APPLICANT DECLARA'IION I hJl'byallinnundcr pcnahy ofpcrjury onc ol thc li)llowinS dcclarotions: Dcilrolilion Permits-Asheslos Notificalion l:cdcral Rcgulali(rrs (Tillc 40. Pilfl6) -Rcquircd Lcttcr ol Notilicati()n I ccrli[y lhxt thc tcdcrrl rc8ulali()ns rcgilding n\tEsl()\ rcrnovrl arc nol h this lrejccl. _l rcrlily lhal I hilvc rcild lhis ilpplicalion rn(l slillc lhal lhc iltx)vc inli)rnuli{,n i\ t with all City dxd County nnd Counly lo cnlcr upon lhcorditranccs rnd Stllc lis s rclnling Io hilildiilg conslruclion. rod herchy auth()rizc atx)vc mcnti()ncd propcdy lor Applicant or Agenl Pcrnritee nsnre lpiln(t aQansG Iza.rd ^",@1s $.D Set Backs Forms/Steel/Holdowns alilho ,r '?b ) Erection Pads I I UI UFER Ground SLAB Floor Subf loor/Vent/l nsulation Roof Sheathinq Shear Wall Frami O qo-c) t Z/,€ 27 *4 lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat ftlasonry Pool Fence T-Bar Handicap Req. Deputy Final Report Engineer Final Report Flood Zone Certif I F!NAL o/cl /zcnl .4 t<4i/ Certificate of Occupancy ?L/ Notes, Remarks, Etc. ?h,t-l Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA92702 (714) 647-5800 unrw.santa-ana.org APP-I3 CBC 2016 NOTICE TO PROPERW OWNER Dear Property Owner: An application for a building it has been submitted in your name I yourself as the builder of the property improvements specified at 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 formtousatourofficial addressindicated. Anagentoftheownercannotexecutethisnoticeunlessyou,thepropertyowner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS; Read and initial each sfatem ent below to signify you understand or verify this information. lY' L l understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builde/' 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 acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. -lYr. I understand building permits are not required to be signed by property owners unless they are responsible for the cdnstruction and are not hiring a licensed Contractor to assume this responsibility. 11 I 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 flled in his or her name instead of my own. L O I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. \1 S. 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 ($5001, including labor and materials, I may be considered an "employe/' under state and federal law. -LU 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 flnancial risk. lY ,. 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 I general building Contractor ,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- or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials. TVL1 g. I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser- vice, the United States Small Business Administration, the California Department of Benefit Payments, and the Cai;fornia Divi- sion of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800- 321 (2752) or v,r,,v,l.cslb ca.qorr 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- d ff ,1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all aOplfble laws and requirements that govern Owner-Builders as well as employers. lI p.l agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I h6ve 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 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 coDv of the properfu owner's driver's license, form notariza- to the ,s pro pertv ow ne r's siq n atu re. 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, 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 W ProjectlocationorAddress: 5DA6 W 7t0r Sf , <nnta Ana, CA 12703 Name of Authorized Agent A lb".t Lr^,, Address of Authorized Age L Phone Number of Authorized Agent: I declare under penalty of pequry that I am the property owner for the listed above and I personally filled out the above information and certify its accuracy Property Owner's Signature:Date Print Name of Owner:-l-Rr+lJ6 [- P G Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is re- quired to be presented when the permit is issued to verify the propefi owner's signature. G Lv P+r'tG 1