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Home My WebLink About102104407 - PermitProject Address: 2102 W Glenwood Pl Assessor's Parcel:408-371-04 Lol 35 LJnil Bldg. Address Range Suite Range: Zoning: RlBlock NA Tracl 4433 Hrsloric No City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cA 92702 Permit Counter: (714) 647-5800 lnspection Requests (714) 667-2738 lnspeclor Sectron: (714r,647-5853 Build ing Permit #: 1O21O44O7 Pin #: 82234,ffi Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Alteration N/V - Window Change outs SFO Watt Garage Occupancy: Constr Type Codel Flood Zone. # of Stories: R.3, U VB cBc 2019 x-0602320257J Patio: T.l Area: Yards Req'd: Valuation: $4,000.00 Planning Conditions: Owner Address Phone: Tenant Contraclor Address; Owner-Builder Engrneer Address. Christina Rubalcava 28375 BRUSH CANYON DR Yorba Linda, CA 928875807 Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Architect / Desiqner: Addressl Phone: Llcense # Frank Mitchell, lll Frank Mitchell P. O. Box 29131 Santa Ana, CA 92799 (7141760-2397 Planning Approval By: Plan Checked By: Permit lssued By NPOES lnsp. Req'd. PWA lnsp. Req'd: Planning lnsp. Req'dl Landscaping lnsp Req'd Ennquez. Gissel c havez Dave Misc. Receipl Misc. Receipt Misc. Receipl 07776002 07776002 0 77 760 02 0 7 776002 0 7776002 07776002 01776002 57607 57770 57607 57607 57672 57600 57607 Permit Fee Microfilm Records lnvestigation Penalty Bldg. Slds. Revolving General Plan Update lssuance -e?' $172.64 $4.05 $ 104.26 $261 96 $1.00 $23.79 $59 30 Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Cerl Req'd: No Every peini tssued shall becofie nvahd unless the wod< on lhe s e aulhofized by such perfiit is cofitnenced within 360 days aftet tts issuance.ot if lhe work aulhorized on the site by such peon $ suspended ot abandoned for a ponod of 360 days altet lhe time the work is cotumenced lnspector No No No No H Account#Total .'01 1 16002 51600 01116002 51601 01 '1 16002 51612 01116002 57770 $23.79 $598 16 $1.00 s4.05 Fee Tolali Paid to Date Balance Oue $627 00 $0.00 s627.00 1st FL Area: 2nd FL Area: Other Areasl Garage Area Total: Oescription of Work: Legalize (8) window change outs. Owner-Builder form on file. Phone: License # Aale: Ogl25l2020 Date Date: 08/25/2020 Subject to Field. MID#: 2020-161042 BUILDING. INSPECTOR RECORD I h.r.h, rfrtr, untt.r Fnalry uf O.rtui_! rhit I !h.r.nlpi fnrn rh. { o'rDero6 l-'(.tr\.ljw tu rh.lollowr8 E0$n (S( 7011.5 lhrinc\: r'i P,.rt$$i C.d.r: A.y Cirt.r C.unr! *hrh ,cq.k\ . 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I FINAL I q a twtl Certilicate ol Occupancy lt Notes, Bemarks, Etc. , Hev. 08'O/-2015 C ,l\.,\fu+ €.f6 -;v1io I DATE I I I I I I I 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 APP,13 CBC 20't6 NOTICE TO PROPERTY OWNER Dear Property Owner An applicati specified at on for a buildirlg permit has been submitted in your name listing yourself as the builder of the property improvements 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 offlcial 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 ANO VERIFICATION OF INFORMATON D/RECITOIVSj Read and initial each statement below to signify you understand or verify this infomation. ,-'1j-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 linancial rlsk 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. C \ \ 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. ,. ii 3. I understand as an "OwnerBuilder" 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 :-11-4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. C R S. t 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 "employef' under state and federal law. :-LO f 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 flnancial risk. ! \\ 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. '.' t\ 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 owne(s) that result from any latent construction defects in the workman- ship or materials. C i" S. f understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser- vice, the United States Small Business Administration, the California Oepaftment c.f 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.qov for more information about licensed contractors. t r\ tO. 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 flnancially responsible for proposed construction activity at the following ad-dress: . t g-R f f. 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. Q P',f Z. f 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 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 llcensed and the status of their workers' compensation insurance coverage. tion, or other verification acceptable to the aqencv is required to be presented when the permit is issued to veritv the property owner's siqnatu re. Sig nature of Prope(y Owner &-,^*lt R-\-[6.J5.JCJ Print name of Owner C \rc's| i ro Q,rboLco,.ro 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.lect. 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 Date Note: A copy of the owner's driver's license, form notarization, or othet verification acceptable to the agency is re- quired to be presented when the permit is issued to verw the properly owner'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. ,Vote.' A coDv of the propertv owner's driver's license. form notariza- Date: Print Name of Owner: lnx o{ 2o oo oo ll lr E IBll! r nxo _{2o mxo{ 26 ? Zo Itx-Iao a a{, l,'l IHII E1 Er E6 / +.) {'tt ./t/\} C\..[ () (*) ')) ( 'n) (+) IE lir E; a o!) lr (xr ) ar ( Lr tr_-n lC, l!q 16i lira I s(Je<6rn6tr2 G.s FA .J E{g \-)(\ () (+ r-F c\s -:3 A , \7r/O2/a/?o I ! \ N)( N,'t WINDOW SCHEDU LE NO.stzE TYPE OTHER12'-0" x 6'-0"FIXED EXISTING4'-0'x 3',-0"SLIDING EXISTINGJ6',-0'x 3'-0"SLIDING FRAME V/ /\t Yt- V/M V/.WL EXISTING6',-0'x 5'-0"SLIDING EXISTING54',-0" x 4',-0,SLIDING YLN Ro F EB GR SLAS 1,lOt W. 6 Vr,rr^,ood Nvt r.r i il ii ) L- I = il L:- I __f I I_j_ I I 're)