HomeMy WebLinkAbout101103298 - PermitProiect Address: 1030 112 W Carlton Pl
Assessor's Parcel 0't 5-143,01 Lot 92
Unit Bldgr Address Range Suite Range:
Zoning: R'ltslock NA Tract 1191 Histoflc No
city of santa Ana 20 Civic Center Plaza (M-19), Santa Ana, C.Aq27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: l Ot I 03298
Pin #: 4O3OzhP
Building Use
Job Type:
Nature of Work
Exrsting Bldg. & Use
Proposed Use.
Accessory Dwelling Unit-Convert
Alteration
ADU Conversion
SFD w/det Garage
SFD Wdet AoU
R-3, U
VB
cBc 2019
x-0602320257J
1st FL Area
2nd FL Area
Other Areas
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: t45,000.00
0
Planning Conditions
Owner:
Address
Phone.
Tenant
Javier & Leticia Flores
1030 W. Carlton Place
Santa Ana, CA 927072522
17 1 41 244-5432
Contractor
Address:
Engrneer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Phone:
Lrcense #
Archilecl /
Desiqner:
Address:
Phone.
Lrcense #
Sandoval Design
Billy Sandoval
2617 Washington Avenue
South El Monte, CA 91733
(626) 6924907
Planning Approval By:
Plan Checked By
Permit lssued By:
Arechiga, Liana
Scott Fazekas & Assoc
Hernandez, Kathy
Permit Fee
Plan Check Fee
Lllicrofilm Records
Res. Dev. Fee - S^/v
Bldg. Stds. Revolving
General Plan Update
lssuance
$34s.28
$478.68
$60.75
$3,461.00
$2.00
$23.79
$59.30
$4,430.80
s461 .74
$3,969.06
\(.K
Date: 09/1112020 Misc. Receipt: 74203
Dale 0511412020 Misc. Receipt:
Date: 09/11/2020 Misc. Receipt:
Subject to Field:
Noyes Account#Total
0 771600 2
0 77760 0 2
0 777500 2
3747300 2
o7176002
07776002
0 777600 2
51607
si600
57770
5i 300
51672
57600
51607
r NPDES lnsp. Req'd. NoI
PWA lnsp Req'd: No
Planning lnsp. Req'd: No
Fire lnsp. Req'd:
Police lnsp. Req'd
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every permit issued shall become nvaltd unless the work on the site authoized by
such pefinit is commenced within 360 days aker its issuance.ot il the wo* authofized
on lhe sile by such peinl is suspended or abandoned tot a penod ot360 days attet
the tme the wotk is commenced
lnspector
01 1 16002
01 1 16002
01 1 16002
011 't6002
01 1 16002
31413002
5 r600
51601
51612
53600
57770
53300
$23.79
$404.58
$2.00
$16.94
$60 75
$3.461.00
Fee Total
Paad to Date
Balance Due:
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Owner-Builder
Description of Work: Convert existing 400 sq. ft. det garage into a new ADU. SAUSD paid on ,14008
MID#: 2019-155084
SITE-WOBK DATE ID/SIG.COI\4MENTS oWNl:R Slrll,Dl:R Dl:l,CAXA floN
I h.Eby rtlmr uftl.r p.i iy of p.rlury lh.r I m .r.npr fiutu rlE (bnik-.ro6 Lc.ns. li* ror rh. follo*rt8 Easn 1Sa.7031.5
Burinc$ ! t l,r.r'!sioi CDd.): Any Ciry Dr Counry *hi.h i.qun.r , l.rmi h .dnnn,.r, 6lrcr. i'n!rov., d.nnish or rq!tr rny
no.to... pritr t, ils i(s,w..rL. Equi6(rll lppl.lni ntrntcntrmu ro fk! r!rcds!r.m t rhd lEo. Ot B lr.nsd Nmsr
rn rl!'rinrNi.h.l rh. conk&r.. r l,c..\.d li* lch.!.r'), (.l)h.ncrin8 *nh s.crhn 7((xr ot Divisi.h ll ol rh. B6ams..d
EoLsriltr Cql.r,r rhar lr or nE s.rnll{ rh.rctln.o! rh. h8! n{ rhe !lk3.tl.x.nyfun Ary vDhrnn oa Scrrx! 7031.5by.try
rpplicrntlor.Fmtr\ubFstlt npplt$lbrciylp.tuLyolmr'FErh liv.hun{r.Jdoll.(l$lr,)
l.6 .wtu..r ilr r.IEny. o. 6y r6pbt!.s rnh *aa.r.. ih.r lrk.rmp(nsdrri. qilld' rh. $.nt $d rtts nnhm i\ d
i. .J oroft.EJ for sl. (Sd ?18.1, Blsi'Es lnd Pmf.*n \a(!. 1r,.(tntr!.rr'\I-i..n{l,o*dEsnorrpplylo rowrof
ih.pmFdy wh) hurldr or irytrowr F.dr. urxl wlr, do.\ luch u(' hinNll.r lEu.ll or rltrDtrth hn or lEr .qtr .nlpLy!.s,
|lnn idcd rhil i!.h imnnrEmd. rc tur id.nd.d .r olt Ed f,tr uk ll, hn$cri rtE hlillin8 or ur{[)rmd n v,kl widin .r ra.
ol.oq,LrDr! !h.{)sft. BuiLL qillhaE th. hunLn.flmvnt rhr lEo.ilE dil n h.iU or iqh)r rtE pmpdly nr r p{rF*of
l- Io*Mr.lrll !n,r.d,. om.r.lui*|,cof,rrunA * h lr.trclco rih^n!$i{trr rll FoFd tse.7t}l1. AuriE:r
and Prot:.u,n (txJ. Th. Coirdol r l-r.n1. tjr dtB sn utnl, !) u owkr of pxlp.n, *h boilils n rnlp.Mr !h.bn.
and wkr codrrdr Ltr luch roi{N wnh ! Codtrro(rl li.Nd puhlrd ro rh. C(' h.kr'r Lic.ns. lj*)
I dn.\.nnn tr 0Scclx)
PE(IAAAtr!'E
I h.r$y .flim u.d., F.dt, ot ll.rjlry ox of lhc foloviry d..Lr.trnr
I h!v. inl wrll nhinrdn i C.nrfic.r. !f Coh*nr ro S.lll n$e i,r *orl.c (nl.n*r (n, r\ nruvid.'l tu hy S.cri'n 17m of $.
lihor Cdl.. id rha nslorlre. olrlr $.rt tur shi.h rlI ll.rmir i! i\\ucd
I v. lnd wrll mlmr3m sbrk.R' !rn{*6!rbn in ras_. r\ Fqtrir.J hySerxr 37t$ nilh. Lborctd., r{r rh.IE f(],rrxrt. nf
rh. *url ro. *h'ch il pcmi i! i$K, My roacc mrryEBrDr rNurffic oft, rl Fnry nun xr {..
-l
clnilyrhlr h r F.ribrnm ol rlE *orl n, r,hi h tlrt |xrtrf r ssu.i, l lhrll fri cmplry any p.Aon rn lny murcr
s1ri.tEconriuhF.rr.rh.m.r'oqrnsrionlre\.Icil'lomH,,nlr8(crhd'aIdbuldh.cotusuhFcrr.rlE
*blt.L.on{E.errnpmfnirnsofsal'on1?00of E Lh, ( oJ.. l Jsll_ fonfi*ih {r.{,ly *nh fios p6vrrns.
l,vAf,NItG Fi'hE n, ru rort.r' .nr{rtrdhn coKr!. ! !.L*tulnl ndl sulltcr dt loFr t, ffrol FulE ,.d
.ml 6tus up i. ot hn'dEd thou$id dolli( (tl{x,.ulrr.
'n &ldnnn h th. coi ol .onirNton. drE!.r nr tmrd.d ror lh.
S..rn,n:rlJ76of(E likn(ixL, inr.Gr lnt nt my ! r..\
slgdaargN
I hcrh, iri.m lidd Fnrhy of C..rr.y th! I .m licn .d undcr |'ovamn or (.!rprd , rs'nftming snh Sc.rhi ?lln) ol Divi.si I
or llI BuiBs &l Pmf6sirB csL. u! my IEN i in tull ao.e .,Il.n ct
l-i..d. Chs _l-ic.n{. Nutrtcr:
CoNSTRUCfION I -}]IDING AG}:NCY
I h.Eby '0_m ur,.. FDlry or F+ry ttd rtR ir ! 6n.Ed.n llrluE osrEy tu rrr Frfmr or rlE tun (' ,llrt rl't Fn ir
$sed rs4. .\r97, civ c l.
APPLICANT DFCLARITION
I lE!6v Jamr unl.. Fnalrr or p..iury o.E or rh. folbs'oB d.ldrli on!:
t).tuhirn Pdm6-Asb.ios NdifE.tb. F.d.El R.EolrrrB (Trl. .{}. PM6)
R.qon.J kn.r oI N.{if..ti.n
f
I.. !lyrl$rrh.l.d.rilr.guldk{!\r.trl$3rsh.s,(etrr'vL'l r.'(ir,rflrlhLn,rlr$I FIr
l.enlrtrl ll!,8rodrhnapplrirtrrdrl{r(srhdrrh.ilrr.rn, lr!'(n)onDl!rnhrllai)rhlC.utrry
'orhdr rl,rrnirtv.\ oI rhr C y !d Colnry ro .Jrd qbn rlt
7-,ruror
l1.r ecntrnnit,rlni:
o?
Set Backs
Forms/Steel/Holdowns ot//E h 0 bk+x,
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVlnsulation
Rool Sheathinq
Shear Wall lol qfZ.)bM'
Framing lotQl?t),*87
lnsulation/Energy tllAltu)Dt{x v
D_rywall itllt-Lo tti4t/Eir/tnt. Larh I o/a 170 D**6 7
Eiown Coat I
l\ilasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
FINAL lZ-zz-79 kLr , N z.lzo-=2rl
Certif icate ol Occupancy
Notes, Remarks, Etc.
BUILDING- INSPECTOR RECORD
o
ordo ir.: sr!r. uq. Ehrina r, h h'3 doNodi,r
Firefor about:blank
Nanc (First. Vl. I sst)
Javier Flores
Projert Addrcss
'1030 Carlton Pl
Certificatc of Compllance
Pr1'nrent of School Facility Fees
Santa Ana Unilied School Dlstrlct
Telephonc
Tnc!?arcel Number
'101103298
4008
0YlDs:v--r 3Z
Ciw, Sr8tc, Zip Codc
Santa Ana, CA92707
Name (rirsl Mt, Lasr)
Sandoval Oesign
Use of Buildiu (chcck)
Nuolbcr of Sguarc Feer of 400Rcsidcnrial Spocc _
Nun:bcr of Squerc Fcet of
Commcrcial Spacc_
TlIc of Projrct check)
\cw Addition [-lattcrution DResiderrtialCommercial E Scuior Horsilg E
Dcscription ofP:oject
ADU 400 SF (existing garage to be converted to ADU)
4.08Sq.Ft x S 'l'otal S
fotal S_
(Dcv, Fcc)
_ _Sq.Ft x t_-_ __
(Drcv. Frc)
Tbc ebovc representations as to squarE furtagc arc truc. Apptic8rt agrccs that if it is latcr d<rcmil€d thar $rch
rcpEscatrtionc are not truc, thcn thi! ccnificsE shru rutomsticllly Ermioltc, End tbc appropriste CityicorDty shall bc
ooti6cd. Applicant is hcnby noticad thet rrly psrty filing s protcst rcgarding thc imposition of fccr pulsuaot to
Govcrnmcnt Codc Scctioo 53080 tnrtst do so witbin 90 &y.s from lhc prymcnt of thc fcc
Jgy\\e (,tpvuke 3l $la
Appllcrnt -\rnlr (Plc$c P,inr)D*te
s
This csilies thlt thc abott-namcd Applicsrt hss psid school f.cility fees ir mmpliancc rvitb 8ll ?xistinS 8nd applicablc
sections of thc (ioiln)ment Codc 8nd Education Code.
s trnifi
tlt - Ctt ,1
'I elephonc
626-6924907
lof I
horized Represetrtarive
8i l8/2/
.lluildint ()rr rrrr
I lrlx(lol 'Arc itccl ,I II
\\'ork
1/gF
\-/
APP-13 CBC 2016
NOTICE TO PROPERTY OWNER
Dear Property Owner:
pplication for a building permit has been submitted in your name listing yourself as the builder of the property improvements
ified at r Ulc \,\ ( 4-ra \-farw 2 ( -
Ana
spec
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 otficial address indicated. An agent of the owner cannot execute this notice unless you, the prope(y owner,
obtain the prior approval of the permitting authority.
OUVNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON
D/RECI/O/VS: Read and initial each statement below to signify you understand or verily this information.
Lt_l. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owoer-Builder" build-
ing permit that erroneously imples that the property owner is providing his or her own labor and material personally. l, as an
Owner-Builder, may be held liable and sub.iect 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 prop-
erty.
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
LJ_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 filed in his or her name instead of my
own.
L-Lc t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts.
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
'employe/' under state and federal law.
L l- 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 com-
pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.
I . I 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/l 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.
L-LA 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.
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.org
lrl-L_g. 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 (2752) or www.cslb.ca.oov for more information about licensed contractors.
lr
L_L10.1 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:
)-rJJll.l 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.
l'-I , f 12.1 agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the anformation 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 agaanst 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.
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 p ermit. ,Vote. A copv of the propertv owner's driver's license, fgrm nota za-
tion, or other verification acceptable to the aqencv is requ ired to be Dresented when the Dermit is issued to verifv the
proDeftv owner's sionature.
Signature of Property Owner e o/,,.y' /z,f e5z Date 7- t/ 2o
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 pro.ject.
Scope of Construction Project (or Description of Work)
Project Location or Address
Name of Authorized Agenti
Address of Authorized Agent
Phone Number of Authorized Agent:
I declare under penalty of perjury that I am the prope(y owner for the address listed above and I personally fllled out the above
information and certify its accuracy.
Property Ownef 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 prcsented when the permit is issued to verify the property owner's signature.