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Home My WebLink About101102789 - Permit (2)City nf Santa Ana 20 Civic Center Plaza (M-19), Santa Ana CAg27o2 Building Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: lO11O27Ag Pin #:..lI\6833 Project Address: 3010 S Bradford Pl Unit: G Bldg Tract 7583frt6l AddressRange 2900-3080 Historic: No Suite Range: Zoning: RlLol 1, 2/'l Block: NA Building Use Job Type Nature of Work Existing Bldg & Use Proposed Use Condominium Patio Cover Patio Covor Condos Occupancy: Constr Type Code: Flood Zone: # of Stories 1 st FL Area: 2nd FL Area. Other Areas: Garage Area Total: Patio: T I Area: Yards Req'dl Valuation: '128 $2,500.00 0 Planning Conditions: Owner: Address Phone Tenant Dang Vu 3010 S Bradto.d, Unit G Santa Ana, CA 92707 (408) 828-6989 Owner-Builder Engineer Address Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License # Architect / Desrqner Address Phone: License # Planning Approval By Plan Checked By Permit lssued Byl NPDES lnsp Req PWA lnsp. Req'd iTl rbdolYski. Teri 07776002 0 7 7 76002 07776002 08907007 07775002 0 7 71600 2 017 7600 2 57607 s3600 57770 24000 57672 57600 57607 Permit Fee SubJect to Field Micmfilm Rec,ords SMIP - Category 1 Bldg Slds Revolving General Plan Updale lssuance N Daler 01/0312020 Misc. Receipt Date: Misc. Receipt Date: Oi/09/2020 Misc. Receipt Subject to Field: K. Ahangian. No No Account# $150 00 $ 166.53 $7 82 $0.s0 $1 00 $22 95 $57.20 \-, 'd $ No No No No Fire lnsp Req'd: Police lnsp. Req'd TotalPlanning lnsp Req'd Landscaping lnsp Req'd Flood Zone Cert. Req'd: No Every pemit tssued shall become nvahat unless the wo* on the site authonzed by such pemtl $ commancod wthtn360 days aftet ls tssuance ot il the wort aulhonzed on tho sle by such peml $ suspanded or abancloned lot a peiod of360 days aftet lho llme the wo* is commenced $406 0o $0.00 $406.00 lnspector MrD#. 2020-156880 $22 95 $2O7.2O $1.00 $166.s3 $7 .82 $0.50 Assessor'sParcel 933-120-31 R-2 VB cBc 2019 x-0602320278J 2 Description of Work: Legalize open attached patio with lattice roof cover. Contractor Address: Fee Total: Pard to Date. Balance Due: 01 1 16002 51600 01 1 16002 51601 0'1 1 16002 51612 011 't6002 53600 01116002 57770 08901001 24000 BUILDING. INSPECTOR RECORD ID/SIG.COMMENTSSITE-WORK DATE Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathinq Shear Wall I 'l1t lu P knaat +rYFraming ln s u latio n/Energ y Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enoineer Final Report Flood Zone Cefiif . I jirt-lFINALrlTtlut)\ a,c ot Certilicate of Occupancy rI Notes, Femarks, Etctl2qlzD -c/fl - Pl 'noeL 4E-tt OWNER BUII,DER DEI,CA!'ATI('N I lrkhy rtlrn urnr |lnalry.l t(rlury rhrr I m.t.mlr lidn rtt Cotrh.{oG l '.cn{ liq l'tr rhc l ll"*nrg r.rvnl r\( 7lrll s tru\tr,.!\ xnl l\,nc(tr'n (-'rl.): Any ( 'ry or Counry lhtrh r.qurcs r pcnn n) ( tr{ru.t. rlr.r rnrrn(. dcnirlsh ., r.nrtr Jnv r&lu(\ rhc lnIlEinr lnr surh |irmr r) liL r ,! nctl !.nc'mni rhrr lr d. {!. ^ l(.tr{J Pn^ d rr.ttr's l-r.h!'J Ir* rCh.prcr'r. (bn,mfrT! r h S..n.n 7(IX) or l)'v^Btn rhlt rrorsh. n .rcn{,| rtrrcl'rom and rhc hari n,i rh..lhtcd.t.nflk,n Any hl,L nol I'.mnr ilbFk ihc .mllcrnr h a .ryrl I{Dhy ol tur 'Nc I hln n\. hufrlrcd ,lour' ( l5lj0) l. !\ ormror rhc ln)lEnv,or trryc rybNrs h qrg.rN rhctr srk.on{f,ner(r. eJl.!, rh. *'tt lrn rrr{ ieIn ur.n]., olt.mJ nr {! (Ss 7ortl. 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( l APPLIL-A\T DECL{RATIIJN I lrrnt r(im urkr lEn.lry nl n rrury or o, th. fouos 'ng d.! br.rir(: t,rm,rrnn li'ni!./\.h({4\ N"r'rkrq.*Ffrrl R.!uLri,n.,I k &t Pdh, i (lr f.J.r.l FSrLls'r EBrJng 2.h.(o(rcmrrlle n llpl('hkhrh(|nFr t.rcrl rhrrnlkrrr,n $l q.'c ihrr th. rh.v. 'nl,'Iruri,n r !'inNr l.rr k, I.\ (l,ri(r i' h{,Llms .r{ru( rr,n. a,, h.rh} rurhtr,.r.FcvnrrtN.' II I*ry\q6.F.r.n ru,I''*'/\a\/'-/. sk,uftrr '!-L1?"'?' t' (rn'l,ll !tI rll(irr_ ]trJ (inn ! htr (',ry l( !{ rrt r'.n(r trtrr (r / zu t,: I Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-s800 www.santa-ana.org aPP-13 CBC 2016 NOTICE TO PROPERW OWNER Dear Property Owner An app hcatio for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified L a-.22 We are providing you with an ment and lnformation Veriflcation F 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 ACKNOWLEGMENT AN VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify 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-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 property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Bullder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. iry7- 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,^ S. 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. I - 4. I understand Contractors are required by law to be licensed and bonded in California and to last their license numbers on permits and contracts. D,, 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 "employer" under state and federal law. -Iz-O 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 financial risk. y. 7 . 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. --D.ZA. f undersland 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. P 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. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800- 321-CSLB (27s2)or www cslb.ca.qov for more information about licensed contractors iu rc.| 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: 4,, 't't.l agree that, as the party legally and financially responsible for this proposed construction activity, lwill abide by all applicable laws and requirements that govern Owner-Builders as well as employers. -M,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 flnancial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be an civil court. lt is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm as in.iured 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 verlfying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. tion. or other verification acceDtable to the adencv is reo to be presented when the permit is issued to verifv the prope rtv owne r's siq natu re. Signature of Property Own D ct a 2o'L 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. Property Owner's Signature Print Name of Owner: Note: A copy of the owner's driver's ,icense, form notarization, or other verification acceptable to the agency is re- quired to be presented when the permit is issued to verify the property ownet'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, Note: A copv of the oroperTv owner's dliver's license, form notariza- .D Date: