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Home My WebLink About10293130 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building Permit Counter: (714) 647-5800 lnspection Requestsr (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 10293{30 Pin #: 542ll7 q Project Address: 1332 S Cypress Ave Assessor's Parcel: O14-O2'[-2O Lot: 16 Unil Bldg: Address Range Suite Range: Zoning: R2Block: B Tract:245 Historic: No Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: Job Type: Alteration Constr Type: V B 2nd FL Area: T.l.Area: Nature of Work: Alter - n/v code: cBc 2016 olher Areas: yards Req,d: o@o Existing Bldg. & Use: Sfd w/det garage Flood Zone: X-0602320276J Garage Area: Valuation: $1,000.00Proposed Use: # of Stories: Total: Description of Work: Demo portion of unpermitted addition and leave 114sq.ft. as storage. Remove unpermitted plumbing electrical and capbackto point of origins. Owner-Builder form on file. Planning Conditions: Ownerl Address Owner-Builder Engineer Address Vicente & Guillermina Gonzalez 1332 S Cypress Ave Santa Ana, CA 92707'1317 (714) 454-915sPhone: Tenant: NOTICE OF VIOIATION Architect / Designer: Address: 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 Guevara, Jerry Chavez, Dave Dale: 05131120'17 Dale: Dale: O5l31l2017 Subject to Field: lvlisc. Receipt [4isc. Receipt tvlisc. Receipt 07776002 07116002 07776002 07776002 07776002 07176002 57607 s7607 57607 57672 s 7600 5 7607 Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Update lssuance $149.25 $90.14 $226.47 $1.00 $20.56 $s1.26Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Cert. Req'd: No Every pemit issued shall become invalid unless the work on the site authorized by such permil is commenced within 180 days after its issuance,or if the wotk aulhoized on the site by such peftnil is suspended or abandoned fot a period ol 180 days after lhe lime lhe wo* iscomfienced No No No No U Account#Total $538.68 $0.00 $538.68 lnspector MID#: 2017-134552 01 116002 51600 01 116002 51601 01 116002 51612 $20.56 $517 .12 $1.00 Fee Total: Paid to Date: Balance Due Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Contractor: Address: Phone; License #: Phone: License #: BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns Erection Pads SLAB Floor Subf loor/Vent/l nsu lation Rool Sheathing Shear Wall Framing lnsu lation/Enerqy Drywall Ext./lnt. Lath Brown Coat ltilaso n ry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif. FINAL zt ht"ltY 'tb-.. 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I lErcby dItrm under p.nrlrv ofl).riury o* ofrE r(rlk,Rin3 d.clirdi,,is D.ml ion P.nnir$A\h.{os Norificdn,n le .rilR.!ulitirn\ ('lirl. t0.lin6) Requned Ltr.r oI M*ifidi.n lcenifyrhl rl'. fedcrrlr.3trl tin\.c8&lrtre \h.{.\.enr^rlm. iorrtfli.xhlerrrhi\ p0i..r ild, -",, '*, ''* *-*,\ imr,c. r,ninJ n. e,h.n,r{{h'v. iif,rn i')n n.orid lxEr(i' frl h.r.hy iurhrn r.|n.{ef,rdn.\ oIr ;;::::i*:: "ffwu"**"*.",,,,,, )( U i.cq I (ddqal> 6tn<,&z- t nDb uirlrill( iryrtrd( 'n' v l,i\('iryrnil(in y !, edc, tr| nrh. ,,",". str-l) il a 8ev 0B 0/-20J5 CMar: UFER Ground I\,4AYOR MiguelA. Pulido I\,4AYOR PRO TEM Michele Marlinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas CITY OF SANTA ANA PLANNINC & BUILDINC AGENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, Califo.nia 92702 wlvw.santa ana.org/pba NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in yo ur name lislin yoursell as the builder of the property improvements specifi at 2 s, o s9 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. 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 oflicial address indicated. An agent o{ the owner cannol execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKN WL EDGMENT AND VERIFICATION OF INFORMATON D,RECTIONS: Read and initial each statement below to signity you understand or verify this intormation. ^),n(LItt I understand a frequent praclice of unlicensed persons is to have the propeny owner obtain an "Owner-Buildei' building 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. lr,1y homeowneis insurance may nol provide coverage for those injuries. I am willlully acting as an Owner-Builder and am aware ol the limits of my insurance coverage for injuries to workers on my properly. AlL, I understand building permits are not required to be signed by property owners unless they are responsibte for the construction and are not hiring a licensed Contractor to assume this responsibility. -l _. W, I understand as an "Owner-Builder" I am the responsible parly of record on the permit. I understand that I may prolect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. Clb-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. ULU. I understand if I employ or otherwise engage any persons, other than Calilornia 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''eTployer' under state and federal law.nlr L!-U.-A. I understand if I am considered an "employer" under state and Federal law, I musl register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ol each "employee." I also understand my failure to abide by these laws may subject me to sprious financial risk. Al, I understand under Calilornia Conlractors' State License Law, an Owner-Builder who buitds singtejamity resia-ential structures cannot legally build them with the intent to offer them for sale, unless a// work is periormed by SANTA ANA CITY COUNCIL ACTING CITY i\,4ANAGER Gerardo Mouel CITY AfiORNEY Sonia R. Carvalho CLERK OF THE COUNCIL [,4aria D. Huizar mpul do@sanIa-ana.o.o Mayor P.o Tem, Ward 2 miman nez@sanla.ana.oro V.e,rte Sarmienlo vsamrenlo@sanla ana.oro isoloro@santa.ana.oro P Davld Benavdes dbenavides@saola-ana.oro iv'lle6as@santa anaoro slinaie.o@sanla ana.oro licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is p ormed under contract with a licensed general building Contractor 8. I understand as an Owner-Builder il I sell the property for which this permil is issued, I may be held liable for any fi n a ncta I or personal injuries sustained by any subsequent owner(s) that result lrom any latent construction defects in the workmanshi p or materials I understand I may obtain more information regarding my obligations as an "employei'from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Benelit Payments, and the California Division of lndustrial Accidenls. I also understand I may contact the Cali{ornia Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed conlractors.nl/( U U lo.l am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legal va'3 nd f inanciall v po nsible fo r oroe nstru n acti at the fol 0address dL,, .S s I agree that, as the party legally and financia ly responsible for this proposed construction activity, I will abide by all applica d/r* 'informatio ble laws and requirements that govern Owner-Builders as well as employers agree to notily the issuer of this form immediately of any additions, deletions, or changes to any ol the n 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' Slate License Board may be unable to assist you with any linancial 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 lor you to understand that if an unlicensed Contractor or employee of that individual or lirm is injured while working on your property, you may be held liable Ior 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. Betore a building permit can be issued, this lorm must be completed and signed by the property owner and relurned to the agency responsible for issuing the per mit. /Vote,' A copv of the property owner's driver's license, form notarization, or other verification acceptable to aoencv is reouired to be Dresented when the Dermit is wner nature. Signature of Property Owne Date:3 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 ol Construction Project (or Description of Work) Name of Authorized Agenl Add.ess of Autho. zed 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 certily its accuracy. Property Owneas Signature Date Print Name of Owner Note: A copy ol the owner's driver's license, lorm notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verily the property owner's signature- ] . 'l:: .. . '.i] ' i:.. .:' ll i: ::.) 'i i., : SANTA ANA CIIY COUNCIL 0&1149@lada:a!r.or9 Mayor Pro Tem. Ward 2 m martinez@santa-ana.oro Vrcenre Samienro vsarmienlo@sanla.ana.oro isolor o@sanla'ana oro P David Benavides dbenavides@santa-ana.oro ivlleoas@santa'afaoro snnaiero@sanlaana.oro Project Location or Address: Phone Number of Authorized Agent t du {p rJt @ ,+n.---_ tL,)l PFEPAR€O ElY +.L+'\r\a -/, .1\frG) 1Pf*ee f" W WFdlttW - ll4fr tslqer.** -yi gAr*qt,.l t47rt Uutq+<mett:4ppatr*1p SO t),VHii,a.-tleV r !lq-e r?t oTlvePsy +" DII,-,+FT-( N q () ) Araceli Maciel PH 714 /2A5-1121 \ N affE. 'laaz 4-ffiw+s 4>frf* fu{ *., <_*_ - 1'"'P+ zwNw?, t1"--YVaJlo @Azddi 4*+t+/451-4p? ?ffi-p71ral A? Jofy''.- /oz1jt 3O .2a?ff u*ys7y,tav nef.*a.V -to W l:egat; qe? +. 114fr E,).-tcy*aefa eapatr.J. 4t*re)spF.*n eIe V WyJyl<+.- NOTICE OF VIOLATTON I I PL NNING DIVISION ao t]- i3qss a ?A oere 5-31-\ 1 / TER I.Dl,o. ,1,, -ZoneLANNER RANSFERRED T LANNIi\I(IJFT AME _t 0 N\ :T, .JB :L( f I I I I I I I I _ (714) !SIONS, !D CONDITIONS ._t l_ (\ (\I I I I De-,'r"'vo tu!g Yorl'_1<-q )3Q s ll q'-o -lb'2 /''1'14\, -A rrl $i ClVg-=.'= +T \ AvA NONE (J ltl? r -) (t G)a6 1zY / 2'12 E)+r* (1oo* t 7rl? @lt-y zfzn. a 35o ,.F- t?\ #T- 49b <f. (F) C:*fAr-E - 214 ',f- I4 L -'/6,. la"/o a>L1'i'r'.A €w7 PLAN v -*ril)t,l-tl 41+12?z I I I :-il -DATE- fUGH FINAL C ITE P, O, Box 672OrangeCalifornia 92856aadrafting@msn-com s' -tr0 N 3LI rl I rl O ..,rrt-!/^\i.!q \ ?11. c+ t.lt\ -- ,// ?'14 t, ,El?r{-f) 5 -t N 1 J { tt i+ n+,1 b1-" <e)41fr etof^*PvoJI1,7'a v6lteu<+lc? 1oe) a,1ry4\62@fa W7 ?o v.t)in'/+W 11o 6)s r-lYE$A" (114fr) t, / / 1ft1ut..lMF41ffTUP 40Y'*a9 f,? i ?o4 fr) oU+tl€Pf?U G)PoeVtc vE ?er,^,e? 4 74ars G5 ) zuBGr- GA=r^a;e t t{\ q N lt ,-dl .no1"N,l-ol (E)wd-14 feve. TtWwcp 't al zq? co eZ )sa zo I ss-aa) |?t L22t L/t2