HomeMy WebLinkAbout10299350 - PermitProject Address: 1923 S Parton St
Assessor's Parcel 0'15-133-06 Lot: 12
Unit Bldg: Address Range Suite Range:
Zoning: RlBlock: F Tract.289 Historic: No
'@ city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714\ 647-5800 lnspection Requests: (7'l'4) 667-2738 lnspector Section: (714) 647-5853
Permit#: {O29935O
Pin #: 3237$[
Building Use: Single Family Dwelling Occupancy; R-3, U 1st FL Area: Patio: 280
Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area: 124
Nature of Work: Addn/Patio Cover/Demo Code: CBC 2016 Other Areas: yards Req,dl
Existing Bldg. & Use: SFD w/att garage Flood Zone: X-0602320276J
proposed use: # of stories: , !"'ne $I??,1.1 , , ,, r, vJl{lliQl-i fr:20'80040''" ll'
Total: . 1,r,,,,0,,,. ,,",,'.,,r,,ili, r ,ri,.],1-]
Dcscription of Work: Convert existing garage addn to full bathroom, guest room (1-bedroom), laundry room w/liAuh Elosst;'& constrnc{rhew,opefr fltio
cover. Demo unptrmitied 2nd kitchen, patio enclosure, & storage room. lr-riiir r'rlir- r1r'trr )l'' 't I
Planning Conditions: r'' rr(L
Owner:
Address
Owner-Builder
Engineer !1tt I LO tn5
'' .i i i 6u'12
.ienr.r(l i
$t1?4. tt4
t-'r'i OLI
$l . rllr
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F iur up ritr ee iee
Phone;
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy f:
Expires:
Phonel
License #:
Architect /
Desiqner:
Address:
i I l,rllll'_ I'1f,\r.'llllllll-
I .ie i'i.ii!. irrvu.rv rr::
ii i irrrrr' :iilrr ''rr'ir:, ir i ri , ni * ,,,r, ,rm',rr"'.
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Truplans, aqter' i itIr,
Alex Hurtado; : rr ;, r r,r,t***s,c:i r.
630 S. Glassel Street Suite 201
Orange, CA 92866
(7 141 28946s2
Planning Approval By
Plan Checked By
Permit lssued By
NPDES lnsp. R
PWA lnsp. Req'd
, Jerry
zekas & Assoc
ski, Teri
Dale: 03/05/2019 Misc. Receipt: 72281
Dale: 0712312019 Misc. Receipti
Date: OltlStZO2O Misc. Receipt:
Subject to Field:
Total
0 777600 2
0 77 76002
0 77 7600 2
0 77 76002
0 77760 0 2
0 77 7600 2
07776002
01776002
57607
53600
57770
5760 7
57607
57672
57600
57607
$483.06
$345.67
$39.10
$86.78
$252.69
$1.00
$22.95
$57.20
$1,288.45
$331.36
$9s7.09
Permit Fee
Plan Check Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Updale
lssuance
o
No Fire lnsp. Req'd No
No Account#Planning lnsp. Req'd: No Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become invahd unless lhe wo* on lhe site aulhoized by
such pemit is commenced wilhin360 days after its tssuance.or if the work authonzed
on the sle by such permil is suspended or abandoned for a period c1360 days after
the time lhe wo* is commenced.
lnspector MID#: 2019-149848
$22.95
981ffi
$1.00
$39.10
8gr+.orf
Fee Total:
Paid to Date:
Balance Due:
Phone:
Tenant:
Pedro Salas Garcia
1923 E. Parton Street
Santa Ana, CA 92707
(714) 4s4-5993
Contractor:
Address:Address
Phone:
License #:
01 1 16002 51600
011 16002 51601
01 1 16002 51612
01116002 57770
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS I hcrchy drirn, un't.r IEnllly oi Frjury
OWN6R BUILDER T'EI-CARATION
I dn c\cmpl lirnn rhc conrr&lo^' l-iccn* tjw ntr lhc li)lkrwn! rc!$o<Sc.70ll 5
tlu{n.\\ r!1 Prol.*sD CoJc): A or Cornry whch icqurcs a Frtur t' consrru.r. ,lr.r. imItnrc. d.nolih or E!!tr anv
rcqurs rhcaptlicaDr n s!.hFmir b lile a stncd n cnrcnt lnd h.or shc s liccnkJ t{r\uanr
ackn s l-iccn*n Lw (Chafrer 9 ComrcE--ii! t h Scrrion 7(Do ot Drvi\io! .l oi Ihc Busnrs '!J
h. or rh. is.kmfl rhcrcti.n o'l rhc $r!\ tor rhc rlle8c'l .rcnfrion Afly vidarR'nofSccrionT0.ll5 byabv
r osn.'ol rh. |n |rnY ortrrycn]l)loyas wirh wrscs ,r rh.r inc .omp.nrdriin, w ! do lhc qd* arrl rtE slniim i mr
i cnd.d or rllt!.J lbr srld (Se 7&4, Bu\inc\\ md Pnncsions (i ., l hc Cdnlra.ttr s t-rc.n{ lrw .locs nol aPp
rhc p$pcdy who hlilds or itrt ov.r rh.No. &.1 wla' d,Er skh H)a( hins.lf or hcnclf or rhruugn hi or hcr own cmrloyccs.
lDvrlen rhnr s.h imtircnEnls m fr rrorlcd ot oicrrl for qk ll lk,wcw. (h. htrl,j,ry ot in{rcwE r t{ sU uirhin on' y'r
;r$mphriun. r)r Owrcr Bu lct will hit rlE ttrln or ptlvms lld h.orrhc d,l ftn huill or trh{'rcvc Ir l'n'}Fnv ror rtquq$s or
l. $ .wNr o, rh. ln !.ny, am cx.lusivcly $,ta.rula wirh li{tr*d ontrlcb6 b connrucr rh. rojccr (So 7044 Burm$
md DoL$ir C,xtc 'l hc Contac(or s Liccnsc l-a, Jds Rn a0fly h an ownct of lr)Pcn y who hullds or impov't th'rcon,
rnJ who ronrBck lin such pn,irk w h u o)nlncl,,(9 liccntd flBurnt r,) rht conracM s l-i(cnsc Lrw).
I xncrcmtr trnlcr Sccrnn,
uEgr^raM!
I lrc.chy xlTr undcr p.nrlrYol
Ih.vcanlwilltuinraraCcnili.rrcofConscnrltScllln\urcturwDrkcr'L-sn.iaron.!sIn'liJcdfdrbySccrion:]7fllofrhc
Irhor CoJc. tur rhc FrfomDncc of lhc work tni which thc pqmir t issucd.
t nrvc anJ will nrinlrin workcF .omFnr.r bo insur.kc. rs tcquircn $y s..r ion 1?00 of rh. ubot codc, ltr 'h' PcdnlmE--c of
rhc w.rk for ahrhthispelnir ir sucd. Myworkm coml.ns.lDn insunnc. .mrcr ar.l F,licy numb.r m:
Policy Nnnbtr:-Ex0ir€s:
-ldnilillul
rhc p.ibrmncc ol rhc rotk tor whEh lhh Pcrm 's
6src,l.I shallnor.n\l)l'rv anv pclYn in any nu'cr
$ N k) hcd'nr suhjNl t, lhe Mlrk d .otrr!.Nar ion laws or cdlinrnria, at'l rs(. (h iI slould heom NbFr t' rh'
wor[.r\ conf.tr$lion povisn,n! or Se..tltr .]r0O (
wAnNNG: f.iltrrc b {cutc Rtrkcn o,{rns,i
)lrh.lrbr clllc. I shrll. Ldhwfh omdy wirh rlrs povirhn\
covcri8c k unlnqrul. lnd shall suhFct atr enploy.r b uinhal lrtukts MJ
0O,OG,. in i.llir n lo lh. cosr ot coml'ensarbn drm,Scs !s Pn,v cd lir rhc
5c.1tr|n.10?6 ofrhc LrhY Culc, inr.r.n "-PoJ S ol a'C/- /f- LoLo fb
I h.rchy aljirn undcr r.n.llyofrrjr.y rhar I rm lren$,1u.&r p,DviirnolChapr.r I (omtrErerE wirh Sccrkln 7000) 'rDrvrnrn l
of lhc Bu nes a&l Pof.sionsC{}tc, dd nyl,lcnsc t in lnll tuic.,il cfl&r
CONSTRUCTTON LENDINC AGENCY
I hc66y .l1tm uBlr p.nalry or Friury rhrr rh.,. ir r consrrucl iotr lcnJin8 a8ckv irtr !h. 0.rlomne oa rh. w"k tor which rhls p'mil is
nsucJ(S.c J09?.Crv.C.)
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I lf,Nt,yrlllnn trlJc.o.nxiry ol ltrlttry otrc ol r[c nnbwr3 Jc(lmr$n\:
D.nn)l o. PcmrrsAdr{o\ N.rrlLciri,'n ltJc lRclultrior( r 1r1.40 l'{r6)
aaeJins rsh.sl.s rcmov{l dc nor+pliunhlc t, rhir lln)jer.
n rn! srarerharrh.rbvc inlilmrn,n E ro,Bt l a8rrromPl
in8 con(rudn,n. ud hcr.byaulln a r.rGcnlalives of rtis ciIy wirh allCiry.nd counry
y ,nd Counry ro cnro uF,n lhc
uS 1- ( f- zo za
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVl nsulation
Rool Sheathing u\l,,lt *97
Shear Wall lr l]r
Framinq Dtl]r,{)r'*fl
lnsu lation/ En erq y /t ll
Drywall
Ext./lnt. Lath
Brown Coat
lvlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif .
FINAL alb (,<)DIW)a',,*vl
Certiticate of Occupancy
Note$, Remarks, Etc I
o
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lt
sutrccrslhc ippli.!nl1,, rci!ilf.ndltyotntr morc thM livc htrndrcd Jollds ([5(r0)
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c'v'l lincs u, b onc hundrcd lho!\rnd Jollrs
Liccnscclrssr Li.cnsc Ntnh.rr
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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
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An applicatio r a buildi perm has been sub e listi ourself as t builde of perty improvementstnrnve
specifled at t't
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 rssued in your names as the Owner-Builder.
OWNER'S ACKNOWLEGMENT AN VERIFICATION OF INFORMATON
D/RECI/O S; Read and initial each statement below to signify you understand or verify this information.
f ) l. t 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 prope(y. 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 iniurles to workers on my prop-
erty.
Q-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.
t' S 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 flnancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
E2-l t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts.
() 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 ($500), including labor and materials, I may be considered an
"employed' under state and federal law.
E1-A. t 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.
t2-r. t 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.
?- ) A. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any f inan-
cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman-
ship or materials.
APP-13 CBC 2016
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.
(-> 9. 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. lalso understand lmaycontactthe California Contractors' State License Board (CSLB) at1-800-
321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.
?'5 lO.I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the
party legallf and flnancially responsible for proposed construction activity at the following ad-
dress:
7. 5 ll .l agree that, as the party legally and flnancially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner-Builders as well as employers.
f5 lZ.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 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.
tion. or other veification acceptable to the aoencv is reouired to be Dresented when the Dermit is issued to verifv the
Drooertv ownels sidnature,
Signature of Property Owner YC Date /f- 2ozo
Print name of Owner o
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 pro.iect.
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 Owneds Signature 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 re-
quired to be presented when the permit is issued to verify 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. /Vore.' A copv of the oropettv owner's driver's license. form notariza-
ScopeofconstructionProject(orDescriptionofWork):