HomeMy WebLinkAbout10296887 - PermitCity of Santa Ana 2C Civrc Center Plazr il!'l-19), Sa'r:a"':'^ '^i ??- Qz Building
Permit Counter: (714),647-5800 inspection Requests: t.71al667-2738 inspecror Sectic l: (7'14) 647-5853
Permit #: {0296887
Pin #: 19l)74
EProject Address: 418 S Diarnond St
Assessor's Parcel 010-01't -'15 Lot 52
Unii Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Tracl 4659 Historic: No
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling
Alteration
Window c/o
SFD w/att Garage
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320257 J
Description of Work: Legalize (8) window change outs. Owner-Builder form on file.
Planning Conditions:
1st FL Area:
2nd FL Area
Other Areas:
Patio
T l.Area
Yards Req'd
Garage Area Valuation: $4,000.00
f otat:
Owner:
Address
Phone:
Tenant:
Odalia & Jorge Chavez Estrada
418 Diamond Street
Santa Ana, CA 92703
(657) 218-9450
Contractorl
Address:
Owner-Builder
Engineer
Address
Generol Plsn Updote Fee ti1. ,2ti
(rl 116002- 516000tr(r-
Bu i ld irte
0I I I6r.'102- 516(1t:t00-
SffEdr,$il;
CC+ r I*rr r* r**I*r5087 ramou
P hone:
License #It,
Phone:
License #
Planning Approval By:
Plan Checked Byl
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'dl
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Escamilla, Manny
Chavez. Dave
Dale: 0612712018
Date:
Date: 06/2712018
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
07176002
o 7776002
0 7176002
07716002
07176002
07776002
57607
57607
57507
57672
s7600
57607
Permit Fee
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
Fee Total:
Paid to Date
Balance Due:
$154.26
$93 17
$234.08
$1 .00
$21 .25
$52.98Fire lnsp. Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every permit issued shall become invalid unless the wo* on the site authgtized by
such permit is commenced wilhin 180 days aftet its issuance,or if the wo* authorized
on the site by such pemit is suspendod or abandoned lot a peiod of 180 daysattet
the tine the wo* is commenced.
lnspector MID#: 2018-144345
No
No
No
No
No
No Account#Total
01 't 16002 51600
01'116002 5'1601
01116002 51612
$21.25
$534.49
$1 .00
$556.74
$0 00
$556.74
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensataon lnsurance:
Carrier:
Policy #:
Expires:
Architect /
Designer:
Address:
SITE-WORK tD/stG.EOMM!NTS
.
OWNER AUTI,DER DELCARA oN
I hcrchy oififln und.r pcnslt! ol lcrJu.y that I !m cxc0pl lioar rhc Conllacrur t,icenE L:* ror rhc rolk,winS rcrsn (S$ 7031.5
Busincss a Pmfesion Codc): Any Ciry or Cou y which rcqlircs a pcrdir ro consflct. ,lb. inProvc. dcmolish or Epan lny
dn.rurc. pri{, ro nr is!trrc, nko requt t rhc amlicxn' fn iu.h Fmir Io fiLa si8rcd stdenttrr thol h.o, sh. is li.cn*d pu^udr
r,, rhc nrovnions of lhc Conrrrcroi( Liccnrd Lsw {Chrprcr 9- Comftncin! wirh s.c(io. 7tx$ ol Divhion 3 oflhc Busincss lnd
Prorc$ionsC.dc) orrhd lr.rshc kcxcmpr rh.i.fr.mdid rhcbasis for rhc rllcgcd cxcnrl'lion Anyviol ionofseriJnT0ll.5byhny
0mlicrnrioripcrmnslbjcIsrncapplicantloacivil,,cnoltyofmrnnrethanfilehtrndrcddoll-s1S5{D).
A]ds owm, or$c pbFdr. or my.mployccs with wJB.3 N rhcir q,h co qEnslbn. will.h rlE woll ad lt ntrm. to
n crdcd oro,lcr.d for lnc (So.?044. Busincss and PmLssions Codc Th.cr)nirscroisLic.h\cl-,wdocsnorafdyto0nowrcrof
rh. pmrcd, wh)t ilds o' itr{rft*B rtrMn. drld qlxr dds skh r.* hnnscll.r h.$cltor rhrough hi\ or hcr oen cmpk,yNs.
nmvidcd thol such nn rovcmnrs m nol inlcnlcd or o,icEl lor sb lf. howcwr, rhc hoilding ot lnDmvcmm is sold wirh onc
'eeorcorpLrion. rt* O*mr Buildd wil hah dE t [d.n of pDvinS rhd h or shl dn mt borld or iqmr Ur Implny L, Lhc ,urFe of
l. r\owncrolrhc |x,Jrny. aDcxclusiv.lyconlrrriD! rvilh I iccnsctl co nt kt,s t, cornfl.l rlr foiccl(s( 7(I{4. Du{ncs\
rrxl l\I,r6\i)trCodc th.Conracntr\l-iccnsct-trwdo.\.'rnplyr'anowDcrorr)pcayq'honuiftorimpn,lcs'hcrcon.
aid who .otrtrad{n)rsu.h pil.cls wirh n Contict)(\) li.cnscdluruinr rolheC nrracrr's l-icci{ LJw).
I.trncxrnror uidcr Sclrn,n . a;"- C -2 Zzg**% -zll)lf,E&tloufENlalro!
D]ICL I]AUAN
I hcEh, ai,irnr uf (lcr F-nalry orpcrjury onc nf ihc followin! d..lrhrniis:
-l
hlvc !d BillEinnin ! C.nificrrc orcon\c.i rosclr ln\rrc ror work!tr competrsarion,as pmvilcd lor bysccr n]T0oorlhc
t hor Codc. Ior thc l)erforrorcc oI rhc *ort lbr which lhc pclnir is h\o.d
I hrvc ond will mainilin porkcrs comp.nsation insu.rncc. as rcquired by Sccrioo.UoO ofih. tibot C.de.lot thc Frlornuncc of
lhc wor* lorwhi.hlhh pcrmil is issucd My workc onrpcnsriotr i.suranc.cadcr rid poli.y.umbctd.:
A/*rrr rn r ru rn *un *..c ol rh. work for which this lEirn( is rssucd. I shau nor cnnb, m, I}.r$n rn ,ny nran.cr
h a\ lo lEcom sublrl lo lhc *o*cs cotr{rnsrlion lawsofcalifoni!. and asi.t rhr ifl should ntom sul,jd ro rhc
workcs ompctrsdlion provhions ofSalion 3?00 orrhc ljh.r GiqI shall, r.nhwirh$mply wilh thoE Ptovnions
WARNINC: Frilurc k' surc w.rkcs .on!*herion ovcDgc ie unlawtul. {nd snoll suhicr !n cmrL}$ ro rimn,l tf,mlri.s.nd
.ivil lincs rp t, otrc hrhdrcd rhouund dollds lSl(D.(x)()). iMddir to lhc (o( oi con,|{D\rti,n,. drnug.s ns
Sccrn,n.10T6 otrhc trtrtr Cold, inr.es Md .iky s fcrr.>>
DICI.ABAII9N
I hcrbyllitm ul(lo penalrrolncrjury rh lumli.cn*dLndcrptuvisionolChnpls9(€onnncncinawilhSc.rion?mo)orDivkionJ
of
'hc
ausims and Pmfcsions Codc. ard my ltcns h in tull forcc arrr cfr€cr.
CONIIBI]CIIONIENDINCIGINSI
I he$by aminuidcr Fnahy or p.rjury lhdl thcic ir r.uiructi.n kMitrB 0scncy forlfic pcrlortutuc of(h. work lor rhich lhh !.anit is
issuen (Sec.3$7, Civ C.)
ATILIgANfIIEI;IJAAIIAN
I lEEby dfiirD undcr pcnlll y ol'pcrjur, orc oilhc lbllowirE dcclurriuN:
thnnnirion Pcirnils.Ashcsros Norilic0liotr ltderal RcBullrion\ (-lirle 40. Pan6)
-Rcquncd
brrcr or Notifi carion
_l ..diry rhd rhc rcdcrd Egtrlario,s e8,rdin8 asb.slos !cn$!!l uc nol amlicahlc lo rhh pn j.cr.
d&aty hlt t nn\c rcad $n applicariotr and norc rhar rhe ah,vc informarnrn i\ coft.r.l.!r$ b.onplyvirh rll Ciryand Colnr,
odiMtrc.s.nd Sturc L3ws rldins ro tuildins consrtucrion. ud hcrchy aurlnriz. rcrc*.rarivcs ofrht Ciyand Counr, lo cnrcr upon dc
fi,vc mdn,ncd ln,|f,ny to, iNp..rionpu /8,\|rlrliuul nr ,\,turl Sigrtrl urtX 2
c/t t1
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loorivenVlnsulation
Rool Sheathino
Shear Wall
Framing
ln s u lation/E nerqy
Drywall
Ext./lnt. Lath
Brown Coat
It/asonry
Pool Fence
T-Bar
Handicap Req
D eputy Final Report
Engineer Final Report
Flood Zone Certif
FINAL z/u/D -"Mut )
Certificate ol Occupancy
Notes, Remarks, Etc
BUILDING- INSPECTOR RECORD
DATE
"^,,, 'G'22
txndn s Addrn:
-
Z <z-Z:
[------r------
tt
I\,4AYOR
MiguelA. Pulido
MAYOR PRO TEM
Michele l\4artinez
COUNCILMEI\,1BERS
P. David Benavides
Vicente Sarmiento
Jose Solorio
SalTinajero
Juan Villegas
ACTING CITY MANAGER
Gerardo Mouet
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Huizar
CITY OF SANTA ANA
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at 8 5 b ,4.,
We are providing you with an Owner-Builder 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 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 ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand ot verify this information.
t (/1. 1. I 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. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to
workers on my property.
(,/"I understand building permits are not required to be signed by property owners unless they are responsible for
e construction and are not hiring a Iicensed Contractor to assume this responsibility
ndrL3. 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 financial risk by hiring a licensed Conkactor and having the permit filed in his or her name
instead of my own.
I24 | understand Contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
MS. t understand if I employ or othen/rr'ise 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.
ful 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 compensation of each "employee." I also understand my failure to abide by these laws may subject me to
serious financial risk.
A_aL? 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
SANTA ANA CITY COUNCIL
mpulido1asanla-ana.oro
Mayor Pro Tem, Ward 2
m manrnez@sanla ana.oro
vicente sarmienlo
vsam ento@sanla€na.oro i!p]9ri9@ced3:a!3 q!9
P Dsv d Benavides
dbe.avides@santa ana.oro ivilldas@santa ana.oro slinaiero@sanla-ana.oro
PLANNINC & BUILDIN6 ACENCY
20 Civic Center Plaza
P.O. Box I988 . Santa Ana. Caifornia92702
www.Santa-ana.orq./ pba
NOTICE TO PROPERTY OWNER
Dear Property Owner:
licensed subcontractors and the number of structures does not exceed four \ivithin ariy calendar years, or all of the work is
performed under contract with a licensed general building Contractor.
Od , 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 personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the
workmanship or materials.
Qdn t understand I may obtain more information regarding my obligations as an "employea'from the lnternal 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 Llcense Board
(CSLB) at 1 -800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.
f2drfO I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am
the party le ally and financially res onsible for proposed construction activity at the following
address
2-d I I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by
all applicable laws and requirements that govern Owner-Builders as well as employers.
eAhZ.l 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 verjfying whether or not those Contractors are properly licensed and the status of their workers'
com pensation 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. /Vote.'the owner's driver's license
form notarization, or other verification aceeBtable to the aqencv is required to be presented when the permit is
nature,
Signature of Prope(y Owner Date 27 /2
Print name of Owner
Name of Authorized Agent
Address of Authorrzed 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 Owneis Signature Date
Print Name of Owner:
Note: A copy of lhe owner's driver's license, form notarization, or other verification acceptable to the agency is required to
be presented when the permit is issued to verify the prope,ty owner's signature.
ir -r. ii,);,-i!i.r-A^,,, ir 4::..-: ri. :'i:..., 1. 1i,ir--1, ! : -- t,,r :.l ra
SANTA ANA CITY COUNCIL
mouiido@sa.la-ana o.o
Mayor P.o Tem. ward 2
fr manr.ez@sania-ana.ora
v cenle sarmienro
vsarmienlo@sanla-a.a oro isolono@sanla ana oro
P DavLd Benavrdes
dbenavides@santa-ana oro N eoas@sa.ta-ana oro sl nalero@sanla a.a oro
AUTHORIZATION OF AGENT TO ACT ON PROPERW OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal respons,bility, I hereby authorize the
following person(s) to act as my agent(s) to apply for, sign, and Ule the documents necessary to obtain an Owner-Builder Permit for my
Scope of Construction Project (or Descriphon of Work):_
Project Location or Address: _
SITE: 418 DIAMOND 5T
sANIAANA CA
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PROPERry LINE
72X36 72X36 72X36
5LIDER
PROPO5ED
72X36
5LIDER
PROPOSED
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72X36
SLIDER
PROPOSED
cr:lcATtoNs
t{P
BEDRooM BEDROOM
I --62-rr
DININC ROOM
LIVINC ROOM KITCHEN
48X36
SLIDER
PROPOsED
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BEDROOM BATH
BATH
BEDROOM BEDROOM
72x36 72X36
sLIDER sLIDER
PROPOsED PROPOsED
48x96
5LIDER
PROPOsED
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26',-4',
CARAGE
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