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Home My WebLink About101102789 - PermitPermit #: 1O11O27A9 Pin #: 6E33$l Pioject Address: 3010 S Bradford Pl unit: G Bldg: Tract: 7583/7161 AddressRange: 2900-3080 Historic: No Suite Range: Zoning: RlAssessor's Parcel:933-120-31 Lol 1,211 Block: NA Building Use: Job Typel Nature of Work: Existing Bldg. & Use Proposed Use: Condominium Patio Cover Patio Cover Condos R-2 VB cBc 20t9 x-0602320278J 2 1 st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: 128 T.l.Area: Yards Req'd: Valuation: $2,500.00 0 Description of Work: Legalize open attached patio with lattice roof cover. Planning Conditions Owner: Address Phone: Tenant Dang Vu 3010 S Bradford, Unit G Santa Ana, CA 92707 (408) 828-6989 Contractor Address: Owner-Builder Engineer Address: Phone: License # Architect / Desiqnerl Address: Phone: License # Planning Approval By Plan Checked By: Permit lssued By: NPDES Insp. Req PWA lnsp. Req'd: Planning Insp. Req'd Landscaping lnsp. Req'd N B dokki, Teri 0777 60 0 2 077160 0 2 0177 60 0 2 08907007 0 77760 0 2 0777 60 0 2 017150 0 2 Permit Fee Sub,ect to Field L4icrolllm Records SNillP Category 1 Bldg. Stds Revolving General Plan Update lssuance trl Date: 01/03/2020 Nlisc. Receipt Date: lvlisc Receipt Date: 01/09/2020 l\.4isc Receipt Sub,ect to Fieldr K Ahangian. No No Account#Total 5160L 5i 500 57770 24000 51572 57600 57501 $150.00 $166.53 $7 .82 $0.50 $1 .00 $22.95 $s7.20 o No No No Fire lnsp. Req'd; Police lnsp. Req'd Flood Zone Cert. Req'd: No Every permit issued shall become invalid unless tho work on the site authorized by such pemit is commenced within360 days aftet its issuance,ol if the wo* authoized on lhe site by such permt is suspendecl ot abandoned lot a peiod ot360 days aftet lhe lime the wotk iscommenced 01 1 '16002 01116002 01116002 01 1 16002 01 1 16002 08901001 51600 51601 51612 53600 57770 24000 $406.00 $0 00 $406.00 lnspector MID#: 2020-156880 $22.95 $207 .20 $1.00 $166.53 $7.82 $0.50 Fee Total: Paid to Date: Balance Due city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Occupancy: Constr Type: Code: Flood Zone: # of Stories: Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: \r.r rr rjt ( I rl116r:t0: liu i ]d ios .rl11l,[r:r? lUds :il d iI11,{t:ru? i'l'(: P,u i 1 J 1 i l6U[? "ii.rol' i 1 rn upooIE i16rt[rl]r:rt]- ; 1 6ll 1 r:rtlr:r - ievnlv iris i 161 ? l-il]|-r* t9 ; I6 r:rlfl:fi:r-r-, Documerr BUILDING- INSPECTOR RECORD ID/SIG.COMMENTSSITE-WORK DATE Set Backs Formsi Steel/Holdowns Erection Pads UFER Ground Subf loor/VenVl nsulalion Rool Sheathinq Shear Wall ,11 lzo P ko)at {rYFraminq ITlnsulation/Energy Drywall Ext./lnt. Lath Brown Coat IVlasonry T-Bar Handicap Req. Deputy Final Report Enqineer Final Report Flood Zone Certif . tl7(lu))0. n0 'otFINAL Certilicate of Occupancy II Notes, Femarks, Elc.tlzql2D -c/tl - P/w OWNETI BUII,DER DH-CARATION I h.rhy 0lttrn u.'lcr l..alry or pcrjury rhar I @ cxcmfl li.nr th. Cilr(mrk,r l-'ccnsc tj* lilr rhc rallow'n8 rc0sr (Sc.70.11.5 Bunness rRi P(rc\non C,'.le): Any C , ot C.trnry *hi.h r.quilcs r lt.rnnt l. con(rucr. rlr.r. inllrnt. ilcnlllish 'tr r.r.n ,nv Fluircs rhc imlianr i,tr $rh Ixmir 1,, Iilc ! stncd narcmnr lhir hc or si. ic I'ccn*d luNunnr i! I-lccn\cJ l-Jq (Chrl cr I, Con,m.nutrg wih S..r(,n ?lxlo (n D'vriu I ol rhc Busnc$ M l[{ hcor\r'c is crcmpl rhcrcli om !n'l rhc tun\ turlhc le3cJ.\cn]l i( Atryri.hri,rol Sccrion T0 hrccr\ rhc rapli.anr r' !.illp..,hyotnor mmrh lilc htrndrcd dollan ($500) {so*rcrolrhcn'olEriy,ornrycryrloycc\wtrhqrecsJsrhctstleuonrNns otr.*i11dorhcworkddrhc(Blurcistror inrcndcd or diltrd n)r srle (Scc 1044. Btr\ircrs.nd Prule$i,)n\ CoJ.r'Ihc C nrru.ntr r l-ic.n$ If,w docs norlPply o.n dqner of rhc tmncny who huiu\ or m{BJvcs rh.Rm. nl wh) d(B {'!h M)d( hnn\.ll.r hcF.lfor rhmugh hi\ or hcr dwn cmdr,rcc\. pr ovdcJ rhsr su.h inlln)snrnt m not i enJcJ ot ofltt{ lar sk lr tx,ftvcr. tlI htrdo€ or itr{mvcmd r sLl * hm on. tti I uoqrlcltrnr rhc Ownd Btrilhr rill hivc rlr l r,Lnofpn)vurgllhlhcor\hcJ nor huild or m0nrt rho !) !F1v lnr rir Puqrs of l. rs own.r of rh. pofcdy, am c\c16ivc1y $nt,crm! wn h lrcnBl .onkr(,6 n, on(ru.r rhc Fl,j.d (se-. 704'4. 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J097. C,! ( ) APPLICANT DECI,ARATION I hctr+t rlidnund$ Ftrrlly oi F-^'jnt otrc ol rh lnll,,wi',! Jc.lrxrrns: l).n.l'rnn l'(' rir\ A\ltno\ N.r,lL.lRcruldkn$ (l nh 40. PMO _l rhclilcralr.guhrons rclddirrg .drdos r.nn,vrl M nor!p i.,hlc k,rhl\ t'iojc.l o conllly *[h all Cirt rnd connry rhrC(yann Ondy k, cnrcr qmn rh. SLAB Floor Pool Fence o*,", at,/o?,/ z-...o **. n r/"q />o zo ol rh.lnrnNs Md P(nt$ion\Codc. d nry l(ctrrc i\ lull ,,tr( rikl cil.ur l.icensc classr-I. Ecnsc N u ab.r: .-.- u,, r^ tr/ogr/. w^o I 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.org aPP-13 CBC 2016 Dear Property Owner An app licatio for a buildin g permit has been submitted in your name listing yourself as the builder of the property improvements specified a R L We are providing you with an OwnerBuilder Acknowledoment 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 b-A. 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. _b._l . 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. WA. t 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. NOTICE TO PROPERTY OWNER 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 o\Mner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON D/RECITOIVSi Read and initial each statement below to signily you understand or verify this information. L 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildef' 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 hjs 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. ilW 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. ll^ g. t 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.? - q. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. -D.u-5. 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 "employef' under state and federal law. ),L I 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 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. ju rc.1 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: 2, ll.lagreethat, asthe party legally and financially responsible forthis proposed construction activity, lwill abidebyall applicable laws and requirements that govern Owner-Builders as well as employers. -Mlr.t 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 lo 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. Signature of Property Own al C 2cZ o Print name of Own 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. Date Print Name of Owner: Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is r* quired to be presented when the permit is issued to ve fy 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. irote.' A copv of the propertv owner's drivet's license. form notariza- tion, or other veification acceotable to the aoencv is reouired to be presented when the permit is issued to verifv the Dropettv owner's sionatu re. Property Ownels Signature: