HomeMy WebLinkAbout10296522 - Permitcity of Santa Ana 20 civic center Plaza (M-19), sairta Ana,tA 92702 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1o296'522
Pin #: 1G683
EProiect Address: 2217 S Fairview St
Assessor's Parcel: 404-224-10 Lot '178
U nit Bldg: Address Range:
Block: NA Tract: 2260 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Fourplex
Alteration
Windows
Fourplex w/att garage
R-2
VB
cBc 2016
x-0602320258J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
(23) total windows
Patio:
T.l.Area:
Yards Req'd:
Valuation: $11,500.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories
Description of Work: Legalize (6) front windows changed out & change out the rest of the windows
Planning Conditions:
Owner:
Address:
Phone:
Tenant
CARLOS & ROSA PEREZ
3479 CALIFORNIA AVE
Norco, CA 928602163
(562) 7s5-2897
erDContractor
Address:
Engineer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phone:
License #
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
sden, Julie
Permit Fee
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
$'154.26
$93.17
$234.08
$1.00
$21.25
$52.98
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Flood Zone Cert. Req'd: No
Every pemit issued shall become invalid unless the work on the site authotized by
such pemit is commenced within 180 days aftet its issuance,or if the wo* authotized
on the site by such permit is suspended or abandoned fot a peiod of180 days afiet
the time the wo* is commenced.
$21 25
$534 49
$1 00
lnspector MID#: 2018-143515
01 1 16002 51600
01 1 16002 51601
01116002 51612
Suite Range;
Zoning: R3
Botch+:4390u - 1/22/ lt)l$ IU; lliir
Ac,:U+:
R,:p t.+: t:I226S943 -
Tron soct ioo lotol
CARI.OS A ROSA PERE,Z
Genenol Plon UPdtlte Fee
01116002- 5160u0r10-
Bu i Id ing
tll I l6tro2- SI6rllLlUl:l-
Blds Stds Revolv ins
01116t.1t12- 51612[0t:r-
V iset
(:C+ 3 * *r***i r* *ri9??ii
Phone;
License #:
Architect /
Designer:
Address:
1/22/1t1!3 I
Dale: 0512212018 Misc. Receipt;
Date: MiSc. Receipt:
Date. OSlZ2t2Olg Misc. Receipt:
Subjecl to Field:
07116002
07716002
0 7176002
07776002
0 7116002
07776002
5160 7
5760 7
s760 7
57672
51600
5160 7
Fee Total;
Paid to Date:
Balance Due:
$556.74
$0.00
$556.74
BUILDING. INSPECTOR RECORD
DATE tD/stG.C(.r'JIMEN'fS OWNEX BtJII,DOR DET,CARATION
I hcrcl,y !ffln undcr p€nalry ol p.rjury rh r I m.xcmrr r6n rlt cdnkro( Liccns tiw lbr thc i,llosing rc.\on (So.ro]l.t
tlusincs Md Polcsion Code): Aiy Ciy or cou.ry whi.h toqun$ r Fnnjl to consrucl. alrcr. improlc. d.nrli\h ot rFn ant
nd.or. trin b ns issuin... oko r.quiEs rhcappli.onr Lr slch Fnnil lo filea sisncd iarc'Enr rhar hco.shc is liccn\cd ,)unuunr
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inrcnddl n otlcrcd ror slc (Se.?(ll,{- Burircss und [t.tcsrn'n\ Cdc: 'lnc Grta.r.rs Li..nt tjw dcs nol atply ro an owncr of
rtu pDlcny *txl hikls or i'qmrs rhcNn.ond wh d,B sEh q,* hinrclr or hc6cll or rhmurh hir or h.r uwn cmployccr.
[oridcd rhal sucn impmwnh m tur i, .dH or ollcrd for slc. !l ho*.tr. rhc huikliry or ilrqmvcarnr is v,ll wirhin .nc )Mr
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.nd wlb..nric*hrsuchpn,jccrs*irhBcoor,rdo(nlic.n$dpuEUnnrhrhccunt(ttr\Li.cnsctjw).
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IJ TUXAITAN
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libor Gdc. ror rhc ncrrorm.mc ol thc No for $hi.h rhe pcnnil k issucn
I h.vcand will mri.rain wor*cri conFnsarion in\urDncc. ss rcqunrd bySc.rn)n 1700olrhc tit{r Codc, lor ihc ll.rL trn..of
llf *ork l(,r *hi.h rhis |cirnil is nsu.! Mysorlc .annp.n\a|b. in\lratr.. .nnicr atrd lhlicy nunrbcr arc:
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$ rsb h.com.ruhjc.r n,rhc workcN con!{,rs i(D liw\ ol CiliLarii. rrl xgrcc rhrr if l \h.uld bc..nr $hjLtr b rhc
*orkcF co'npcnstrrnrnrri,visioniofSc.roi l7(Xr., rhc Lrtttr C( ..I rl(ll. hdh*irh.\nnnlysirhrho{ Prornion\
WAI{NIN(; Irlilurc r. $cur. *.rkri.onrlt snri($ covctusc i! utrhwtul. ind \hnll su6J.{r m rrploycr h) fi'niNl Etrrllicr I
.tril lltrd\ ut, ro on. hu rcd rhou\rnd .trllxi\ r!lrx)(xxrr. tr i,r xi rh. .od ot conpcnsarion, danrScs !s pnrilcd lor rhcr
Sc.ri,jn 1076 ol rl,c l.rhtr (id.. i'Ic,.! rtrd r drr!'\
X,".,5-77: tX ^
coNnrncina u h Sc.ri.i Tlxx)) otl)n r!tr$:l
ol' rhc Busincsnnd ltn,Lsi.nq c.dc.,nd my liccrsc n ir full lora nnd .1id
CoNSTRUCTI(}N LFI\DNE CIN(:\'
Ihcrcbyrft'nrndcrFnalryolpjrjlryIhdrhcrci\!con\lruclbnl$dinsr!.crlorrhcPcrrban.nccoirh.$c ftn shi.hrhi tirnriri(
ir{'cd lS$ :r1,9?, Cir C I
{.!..fn,vnlrr or r)d.rllc ro rhis nmjccl
rhcrhir. irrinnrri,r is.orcd I r!r*ro.onrllywirhallCiryud A,u y
0,xt hcrchy xulhoriTc rprc\cnrdrirc\ ollhis City.nd Counryb otrl& oJ).i rhc
fiorc nrnriotrci proF:dy lir ilNpc.rt,n
fAD0li.rnt or Ascnt sisnature
l4'*"u."--,",u",,, CA Ar4,,tzog2-
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Roof Sheathinq
Shear Wall ,-.--\
Framinq 11 ?mq8 ?,-.,e,\<J-)
lns u lation/En erg y
Drywall
3)I./7./8.G 4"pat4 u?
Brown Coat ? " k,:fT );9\-to,1
It/asonry
Pool Fence
T-Bar
Handicap Beq.
Deputy Final Report
Enoineer Final Report
FINAL 4lDlnii ?r)
Certif icate ol Occu n rl
Notes, Remarks, Etc
SITE-WORK
Ext./lnt. Lath
Flood Zone Certil.
I hrtubyrlllrnunddr.nalryoipcrjuylhol I ! liccnsl undcr p0vi\i,,n
a"e&rcANll)ll! aaloN
I lrl:6y sJfinn u ndf lcnrlry of !crtury onc ol Ihc roln,$ing dcclararn,ns:
Dc $liri,,n Pcrmirs \h.nos Noriicrrion IjcdcrnlRcculiri{nrs (-l'illc'rO. l'ad6r
-Rcquircd
td!cr of Ndii.dio,i
\*,,,{-22))-8
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Michele l\.4artinez
COUNCILMEMBERS
P. David Benavides
Vicente Sarmiento
Jose Solorio
SalTinajero
Juan Villegas
INTERII\,4 CITY MANAGER
Cynthia J. KurE
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
I\raria D Huizar
CITY OF SANTA ANA
PI.ANNING & BUILDING AGENCY
20 Civic Center Plaza
P.O. Box I 988 . Santa Ana, Califo.nia 92702
www.Santa ana.orq/oba
NOTICE TO 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
We are providing you with an Owner-Builder Acknowledqment and Information 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 ACKNOWLEDG MENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.t)
C-\ t. f understand a frequent practice of unlicensed persons is to have the property owner obtain an "owner-Builder" 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. My homeowner's insurance may not provide coverage for those injuries. lam willfully acting
as ao Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property.(l
C)-2. t understand building permits are not required to be signed by property owners unless they are responsible for the
col:truction and are not hiring a licensed Contractor to assume this responsibility.
Ll-\3. I understand as an "Owner-Builder' I am the responsible party of record on the permit. I understand that I may protect myself
frorttotential flnancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own.
^[I \+: f understand Contractors are required by law to be licensed and bonded in California and to tist their license numbers on
oermits and conlracts.I
ALS: t understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of
ifiy construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employe/'under state
ar$federal law.
(J-6 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
coqpensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.
--
L--\-2. t understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential
stroctures 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
gen?lal 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 financial or
trersonal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or
materials.
SANTA ANA CITY COUNCIL
moulidoaOsanla ana oro
Mayor Pro Tem, Ward 2
mimarlinez@santa a.a oro
V cenre Samienlo
vsam enlo@sanla ana.o.o solorio@sa.ta ana oro ivilleoas@sanla-ana oro sl naieroiasanra-ana oro
Dear Property Owner:
P. Oavid Benavides
dbenavides@sanra-a.a.oro
address
(-\U I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
fi!6able lais and requirements'thai govem Owner-Builders as well as employers.
^\. )(*\-l Z. 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 llnancial loss you may sustain as a result of a com plaint.
Youronly remedy against unlicensed Contractors may be in civil court. ltisalso important for you to understand that if an unlicensed
Contractor or employee ofthat individual orfirm is injured while working on your property, you may be held liable for damag es. 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. /Votei A coDV of the Dropeftv owner's driver's license, form notarization, or other
verification acceptable to the aqency is required to be presented when the permit is issued to verify the Dropertv owner's
sienature..5--}>-tlSignature of Property Owner Date
Print name of owne, CAJ.y''OJ
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
xcluding the Notice to Property Owner, the execution of which I understand is my personal responsibiljty, I hereby authorize the
owing person(s) to act as my agent(s) to apply for, sign, and file the docum ts necessary to obtain an Owner-Builder Pe t for my
p
ld
S of Construction Proj (or D ription of Work)
Project cation or Add SS
Name of A orl nt
Address of rized Agent
Phone N Authorized Aqent:
under Ity of perjury that I am the
imation an dce its accuracy
roperty Owner's Sig re
Print Name of Owner:
Note: A copy of the own
be presented when the p
PLink;WP51 /CounlerActivity/blyBillslNotice to Properly Form
personally out the above
Date
icense, form notarization, or er ation acceptable to the agency is
to verify the propefty owne ature.
to
n-l
SANTA ANA CITY COUNCIL
owner the address listed above a
dris
it is
.noulidorosanla-ana.oro
vicente Sarmie.to
6arm e.torosanla -ana oro solono@safta-ana.orc !villeas@sanla-ana.oro sllnaero@santa-ana oro
N
:<)9.-l understand I may obtain more information regarding my obligations as an "employer'from the lnlernal Revenue Service, the
United States Small Business Administration, the California Department of Benefit Payments, and the California Division 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.tl
CIrc I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party
-ISgally and financially responsible for proposed construction activity at the following
required
Mayor Pro Tem, Ward 2
m manrnezrosanla-ana oro
P. Dav d Benavides
dbenaudes@sanla-ana.oro
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*,,SANTA
NA,',t'ffi!
Planning & Building Agency Smoke & CO
Alarm Affidavit
20 Civic Center Plaza Ross Annex
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647.5800
ww,v. santa-a n a. o rq
rNSP-02 2013 CRC
This document moy be found at...http://www. sa nta-a na.orq/oba/
(Prease use a black or blue ink ball-point pen)
Project Address:e2t1 S TnrevtruL sf,
Permit Number:laTqb 57v
Property Owner:E A RLDS PLAT-,2
Contractor:License #:
State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential
b u ild ings.
California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be
"retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define
the required locations.
A ao,h boxes below must be checked:
El Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of
bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
p Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleepang
room, and on each level of the dwelling.
Retrofitted detectors may be battery-operated for buildings where no interior alterations are
performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved
by the State Fire t\4arshall {SFM). Battery life must be 10 years.
I hereby certify that I am the contractor or the property owner of the above pro.iect. I further certify
that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing
Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the
(check onel Lic e d Con ra cto r tr P roperty Owner
NoTE: Ihrs sef-c ertificotion is only used fot projects thdt dffect the EXTERIOR of the structure. This
process is opplicable ONLY to proiects where access to the interior ol the dwelling by o Santa Ans
lnspector is not required.
Signature:Dote:lltefrs
Have this completed form and the job-card readily available on final inspection!
ma n ufacturer's instructions.
tr
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