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Home My WebLink About101102007 - PermitPin #: 4O155 Proj ect Address: 1211 E Third St Assessor's Parcel 398-385-08 Lot. I Unit Bldg Address Range: Tract: HUMPHREY'S ADD.Block A Historic No City of Santa Ana 20 civrc center Plaza (M-19), santa Ana, ,oirror ' B'ilding Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspeclor Section: (7'14) 647-5853 Permit #: 1O11O2OO7 Building Use: Job Type. Nature of Work Single Family Dwelling Alteration Siding R-3 VB cBc 2016 x-0602320276J 1st FL Area 2nd FL Area Other Areas: Garage Area: Patro: T.l.Area: Yards Req'd Valuation: $15,000.00 Occupancy: Consk Type Code: Existing BIdg. & Ude:r..gpo ' '... ,.1. --I .6 - ...Ftood Zone Proposed Use # of Stories 2 ,o,r, Description of Work: Remove existing wood shake siding and wood siding clapboard and replace with hardie shake siding(straight edge panel) and hardie siding (lap siding). Auth on file. Planning Conditions: Owner Address Phone Tenant Vu Thy Lim 1211 E Third St Santa Ana, CA 92701 (714) 604-7280 . -, _ ,rr.:l.}...,. Owner-Builder Phone: State Lic #: Li8l!tril: - '' Bus. Lic #: Workers' Compensalion Insurance Carrierl Policy #: Expires: Contractor Address. Engineer Address: Phone License # Architect / Designer Address Phone: License # Planning Approval By: Plan Checked By: Permit lssued By: 'NPDES lnsp. Req'd: PWA lnsp Req'd: Planhing lnsp. Req'd: Landscapang lnsp. Req'd Guevara, Jerry Zuniga, Allissa Oale 1012212019 Date Date: 10/25/2019 Subject to Freld $ 166.53 $1.00 $22.95 $57.20 07716002 5160I Permit Fee 07176002 57672 Bldg. Stds. Revolving 07776002 51600 General Plan Update 07176002 51.60, lssuance No No No No Fire lnsp. Req'd: No Police lnsp. Req'd. No Flood Zone Cert Req'd No 01 1 16002 51600 01 1 16002 51601 01 't 16002 51612 $22.95 $223.73 $1 00 Account#Total Fee Total Paid to Date: Balance Due s247 68 $0 00 $247.68 vr4 Suile Range: Zoning: SO84 v Misc Receipt: Misc. Receipt: Misc Receipt: Every pemil issued shallbocome invalid unlosslhe work on tho slo authonzecl by such pormi is cofifienced wlhh 360 days aftea s tssuance.or if lhe wo+ sulhorized on lhe sile by such pom ts suspendod,ot abandoned rot a pe od 01360 days aftel . . tk? We lh? work 6 cofifienced-r. r.- Ill: r' rnspecror 'r' t ,iJiiiiin ,r.rz AUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS Set Backs Forms/Steel/Holdowns UFER Ground SLAB Floor Roof Shea thing Shear Wall I Framing I 7 I 1 9ttfitv-.t 61 ' lzgt*1flt lr 'zs \4 b*-nt'l.n *87 D rywall lnsulation/Ene r l' Ext./lnt. Lath l2-1 ttQ >tnna &&5 Brown Coat Masonry Pool Fence Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif tl FINAL I Zo Dfrn,t.,t i*1 Certificate of Occupancy tr NgteF, Remarks, Etc I L ,3.D tl I rl TTrl tl L9 lc /r1.I /2 OWNEi BUILDER DEII'ARATrcN I ha.by lltrm uida Frny ot p6rr-y rhi I d 6.nF ion llE Conr*loE' LilE L.s ror llE folhviir tsln tsd Tolt-s Bcilld ri Prol6.irn Co{b}r A.} Cny or Counry which rcqlt6 ! pdmn r. .onntuc1. .hd. imprcvc. dqmlah or R!." iiy' ,tuclurc. ru ro hs &uN.. .bo cltiB rlE +pli.d for rKh FDn lo nL ! i8r.d nr.lld rhn lE or tE i li.qldl plrld l.lh. FovirioB ol tlE ( onrrdoa! t-td!.d lr* {Ch|orq e, Comnftins wirh Sdion 7(l0O of Diviri.. I ofrh. Bui.* dd Proa.sioa (td.) or rhll h. or 3h. i! .r@pr tta.too .rld tlE b6! aor th. .lks.d ddBion A.y *rl6b. of Sarion ?011 5 b ey rrtli.d tor . 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I hadt rtrrn urd.r Frhy ol Fiury oc otl,E tolbwh, .l.lr.ri,N D.trolibn P6nit.A$d6 tJorifor ior l_.da.l R.8ulr ioN I I nL 40. ftn6) R.quir.d Ldlq of Noa6<ibn I cdrf\ rlh llr\.r6Jrh.nffrl(ar trn n.r. rhd rh..bo\c ini\di,n it..n<r I asrd h cotutly r ith rll ( ity lnd Counly ordinrncd ed Srai.lr*! rrlat!.S ro cotrnrurlion, art hd.t', dhotu r.F.std,!6 orthir C'ty rrd Counly to 6t6 i4on th. .bo\. mrEo.{ Fqxn} aor {ppllonr or ,ltflltlXnrruE u k -,.1 l0-ZS:-17 I -"-lo:2E15 I (d iry rhd lh. fcd.r.l Eslbrio6 ErrdinX stBro3 rmr.l {. nor 4,plkahk lo thi! pmJ.cl Vu Erection Pads SubfloorA/enVlnsulation T-Bar 1f- p**cn ld?o.'tr't I I_tr Planning & Building Agency Building Safety Division 20 Clvic center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org aPP-{3 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a specified at bui{lding pe as been submitte ur name listing you f as the builder of the property improvements o We are providing you with an Owner-Builder Acknowledqment 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 offlcial address indlcated. An agentofthe owner cannot execute this notice unlessyou, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verry this information. V-:l. 1. lunderstand a frequent practice of unlicensed persons isto havethe 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, mafbe treld.liable and subject to serious financial risk for any injuries sustarned 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 {or. inJuries to workers on my prop- erty. \j.:]:_2 I understand building permits are not required to be signed by property o\Mners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. \r.!- 3. 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 flled in his or her name instead of my own. V-f. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. V -]!. 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. v.) 6. Iunderstand if Iam considered an "employer" under state and Federal law, Imust register with the state and federal governmenl, 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 sub.iect me to serious financial risk. U.L 7. I understand under California Contractors' State License Law, an Owner-Builder who builds slngle-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. V-)* 8. I understand 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. > in ,J ,liLt-S. I understand I may obtain more information regarding my obligations as an "employel'from the lnternal Revenue Ser- vice, the United States Small Business Administratjon, the California Department of Beneflt 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 (2752) or www.cslb.ca.oov for more information about licensed contractors. V.l- 10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party I ly and financially res for p posed construction activity at the following ad- dres { .L I 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-Bualders as well as employers. 31El2. I agree to notify the issuer of this form ikrediately 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 conkact 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 ls 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. 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. lrote.'A coov of the DroDerlv owner's driver's license. form notariza- tion. or other verification acceptable to the aqencv is reduired to be presented when the permit is issued to verifv the Signature of Property Owner \r "U'^L-o 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 of Construction Project (or Description of Work) Project Location or Address Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally fllled out the above information and certify its accuracy. Property Owner's 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 propetv owner's signature. Datel'_]lL--AEl+ Name of Authorized Agent: Phone Number of Authorized Agent: