HomeMy WebLinkAbout10196429 - Permitol
Project Address: 2221 S Kilson Dr
Assessor's Parcel: 015-103-04 Lot; 6
Unil Bldg Address Range Suite Rangel
Zoning: RlBlock. N Tract 568 Historic: No
@ city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA127O2 Building
Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 10196429
Pin #: 13244
Building Use: Single Family Dwelling Occupancyt R-3, U l st FL Area: Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Reroof Code: CBC 2016 Other Areas: yards Req,d:
Existing Bldg. & Use: Sfd w/det garage Flood Zone: X-0602320278J Garage Area: Valuation: $7,924.00
Proposed Use: # of Storiesr
Total:
Description of Work: Reroof house & detatched garage - remove comp, replace any damaged sheathing, install 28 squares comp shingles.
Planning Conditions: Repair damaged fascia, eaves and rafters
Owner:
Address
Phone.
Tenant:
Contractor
Address:
Owner-Builder
Engineer
Address:
Phone.
License #:
Architect /
Desiqner
Addressr
Phone:
License #:
MANUEL CASTRO
2221 S Kilson Drive
Santa Ana, CA 92707
(7',t41 s47 -8621
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
Soto, Ricardo
Amsden, Julie
Date: 05/15/2018
Datel
Date: 05/15/2018
Subject to Field:
$308 52
$1 00
$21 .25
$52 98
07775002 51501 Permit Fee
01776002 57672 gldg Stds. Revolving
07776002 51600 General Plan Update
07776002 51501 lssuance
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 lhe work on the site authonzed by
such permit ts commenced wilhln 180 days after its issuance.o/ il the wo* authoized
on the site by such pefinil is suspended or abandoned for a penod ofl80 days after
the lime the work is commenced
MID#: 20 18-143350
01 116002 51600
01 116002 51601
01 1 16002 51612
50
00
$2
36
$
$
Fee Total:
Paid to Date
Balance Oue
$383.75
$0.00
$383.75
""t-
Phone:
State Lic #;
Lic Type:
Bus. Lic #l
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
lvlisc. Receipt:
NIisc. Receipt:
lvlisc. Receipt:
lnspector
SITE-WORK DATE ID/SIG.COMMENTS OWNER I]UII,DER DILCARA'TION
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DECI.Af,A.IIAN
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rtrrr. trtrLdMd prof.dy lor i.strrtion liurpo{s
AU,licH r or A,rr.l Si*n.lure
Forms/Steel/Holdowns /.-- D
Erection Pads /t l/2i
^t/l'rhr,4SLAB Floor 0)t'* | v
SublloorVent/l nsulation '/,e-
Roof Sheathing 5.r/o-tO-)&l{ru
Shear Wall
Framinq
lnsu lation/Enerqy
Drywall
Ext.i lnt. Lath
Brown Coat
lVasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certil
FINAL 1-L-/8,Dztrlzt f*t)
Certiticate ol Occupancy
Notes, Remarks, Etc.
BUILDING- INSPECTOR RECORD
txnJci. Addrc$
Set Backs
UFER Ground
l
20 CiYic Center Plaza Ross An.ex
Planning & Building Agency Smoke & CO
Alarm AffidavitP.O. Box 1 IAA (i!t.19)
Santa Ana, CA 92702
(71J) 6.17-sA00
,viv.,r/ slT :l-:t:1t,aa
fhis document moy be lound at..h:il /',\),,',,,. se n if -a ra. c r': 'c b a.
oc^.-
4 Prooe
r.rSP-022!1laia
a.(d.
Owner
(Please use a black or blue ink ball-point pen)
Project Address
Permit N umber:c
i Property Owner:
Contractor:License #:
State of California requires that smoke and carbon monoxlde (CO) alarms are installed in residential
bulldings.
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 req u ired loca tions.
f\ eotl, boxes below must be checked:
El Carbon monoxjde alarms: Are inst3lled outside of each sleeping area in the immediate vlcinity of
bedroor":rs anC also on each le'iel cf the C,rv:lling. Aiarnis are req,..lir:d in bedrcorns witn g3s-f reci
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
E Smoke alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeprng
room, and on each level of the dwelling.
Retrofltted 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 Slate Fire l/arshall (SFlvl). Battery life must be 10 yeers.
I hereby certify that I am the contractor or the property owner of the above project. I further certify
that smoke alarms and carbon monoxide alar,-':rs ha're been installed in compliance with the governrng
Codes and have been tested to be functional. l, also, hereby certify that I will ret3st the alarms per the
ma n ufa ctu rer's instructions.
Signatute:Dat ?:
U
t,
(check one)tr LiCensed Contractor
NOTE: fhls sef-c ertilicotion is only used for projects that dffect the EXTERIOR of the structure. This
process is applicable ONLY to projects where occess to the intetio( of the dwelling by a Santa Ano
lnspector is not tequired.
Have this completed form and the job-card readily available on final inspection:-
MAYOR
MiguelA. Pulido
MAYOR PRO TEI\,1
Michele Martinez
COUNCILMEMBERS
P. David Benavides
Vicente Sarmiento
Jose Solorio
SalTinajero
Juan \4llegas
ACTING CITY MANAGER
Gerardo lvlouet
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
Maria D. Huizar
CITY OF SANTA ANA
PLANNING & BUILDINC AGENCY
20 Civic Center Plaza
P.O. Box 1988. Santa Ana. California 92702
www. santa-an a.org / pba
NOTICE TO PROPERTY OWNER
Dear 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 dA
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
thls 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 or verify this information.
[\:_e 1 . I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder"
building permit that erroneously lmplies 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. i,4y homeownefs 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.
&_Lz 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.
g=la3. 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 Contractor and having the permit filed in his or her name
instead of my own.
^^..-L4.
I understand Contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
h.- l_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.
t4:_L6. 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' com pensation djsability insurance, and contribute to
unemployment compensation of each "employee." I also understand my failure to abide by these laws may sub.iect me to
serious financial risk.
&-e_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
SANTA ANA CITY COUNCIL
moulido@sanla-ana oro
Mayor Pro Tem, Wa.d 2
m man nez@sa.la ana oro vsamienlo@sanla-ana.oro solono@sania-anaoro dbenavdes@sanlaanaoro N I eoas@santa-ana oro slinaiero@sanla€na.ora
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 Iicensed general building Contractor.
It - ( 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
financial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the
workmanship or materials.
L1_9. I understand I may obtain more information regarding my obligations as an "employer" 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 License Board
(CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.
g:_L10. I 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
address:
M:_e 11.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.
[f - e t 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 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 verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
form notarization, or other verification acceptable to the ao enc ,s reouired to be oresented when the Dermit is
issued to verifu the DroDertv owner's siqnature.
Signature of Property Owner Da q-tr- (?
Print name of Owne t/o
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my p ersonal res ponsibility, I hereby authorize the
following person(s)to act as my agent(s) to apply for, sign, and flle the docume ecessary to obtain an Owner-Builder Permit for my
project
Scope of Construction Project (or Des of Work)
Project Location or Address
Name of Authorized Agent:
Address of Authorized nt
Phone Number of horized Agentl
ldeclare un penalty of perjury that an d I personally fllled out the above
informati nd certify its accuracy
Prop e Owner's Signature Date
rint Name of Owner
Note: A copy of the owner's driver's license, form notarizati r verification acceptable to the agency is required to
be presented when the permit is issued to verify the ner's signature.
SANTA ANA ClTY COUNCIL
am the owner for the a ress listed abo
moulrdo@sanla-a.a oro
Mayor Pro Tem, Ward 2
mrmarl ne2@santa-ana ora
vicenre sarliienlo
v:a.mrenlorasanla ana.oro solo.io@sa.ta-ana.oro
P David Benavrdes
dbenavides@sanla'ana oro v eo.s@santa ana.oro slinaiero@sanla-ana oro
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.' A copv of the propeftv owner's driver's license,