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Home My WebLink About101104950 - PermitCity of Santa Ana 20 civic center Plaza (M-19), santa Ana, cA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests. (714) 667-2738 lnspector Section: (714) 647-5853 Permit#: lO{{O495O Pin #: 14146 Project Address: 2029 W Hall Ave Assessor's Parcel 412-396-09 Lot: 13 Bldg Address Range Suite Range Zoning: RlBlock NA Tract 3679 Building Use: Single Family Dwelling Occupancy: R-3, U lst FL Area: Patio: Job Type: Reroof Constr Type: V B 2nd FL Area: T.l.Area: Natureof Work: Reroof code: cBc 2019 other Areas: yards Req,d: Existing Bldg. & Use: Sfd w/att garage Flood Zone: X-0602320259J Garage Area: Valuation: $4,100.00Proposed User # of Stories: Total: Dsscription of Work: Reroof house & attached garage - remove comp shingles, replace any damaged sheathing, install n€w comp shingles. Handouts given. Letter of auth on file. Planning Conditions: Owner: Address: Phone: Tenant: NORMA L LOMELI 2029 W HALL AVE Santa Ana, CA 927045508 (714} 4024170 Owner-Builder Engineer Address. Phone: License # Architect / Desiqner: Address: Phonel License # Planning Approval By Plan Checked By Permit lssued By NPDES lnsp Re PWA lnsp. Req'd Graham, Jeffery Amsden, Julie Dale 1Ol14l2O2O Datel Dale. 1Ol14l2O2O SubJect to Field: Misc. Receipt Misc Receipt [Iisc. Receipt 07775002 0777600 2 o777600 2 077760 0 2 0771600 2 57607 57? 70 57672 57600 57607 Permit Fee Microfilm Records Bldg Stds. Revolving General Plan Update lssuance $345.28 $4.05 $1 00 $23.79 $59.30No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#TotalPlanning lnsp. Req'd: Landscaping lnsp Req'd Flood Zone Cert. Req'd: No Every pennit issued shall become lnvalid unloss the worr( oa thg s,te aulhonzed by strch pemit is confience<t wtthin 360 days aftet its issuance.ot tl lhe work authoized on lhe sie by such permil is suspended ot abandoned fot a penod of 360 days alter the tirne lhe wo* is commencod . $23.79 $404 s8 $1.00 $4 05 $433.42 $0.00 9433.42 lnspector MID#: 2020-162161 01 116002 5'1600 01 116002 s1601 01 116002 51612 o'1116002 57770 Fee Total: Paid to Date: Balance Due; Unit Historic: No Conlraclor Address: Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNEI' BTIII.T'ER DELGIRAIION I llEhy rlfirn un{.r Fodr} ol l*rj!r, rhlr I m crcq'l anm rrE Conkadns Lrm{ t * iot rL aollo*iry @!rn ( s.. ?0:r l 5 Buiincs n Pnn!$ion Gnlc)r A.y Ciry or c{,umy whi.h rcqunc( 0 Fn n, ('"\'ruc|. ulrd, imPnv.. &ml*h or rclln {y {ru.rurc,p rkrns Nuarcc. oho r cluir\ rnc applic nr tbr {uch Fmir k' rilc ! \i8ncd (arcmnl rtur tr nr !,8 k liccn*d |)!tsuMr b rhc tmli{nnrs.r lb CMlra.lois l.i.entd l2e (ChnPl.r 9, Commn.in! wilh SElbn 70U) ot Divliion I orrlr atrsitsl ! l Pn'ac$bns (-txldor rhlr lE o, dr h.rcq,r th.(rr.n rl rhc h.\is ror rrr.llcscd cictrrflbn Any tnn.lb. of Sa'bn mlI ttlyrn, rppli.a for . 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I hs:ht anhn !'nLr FnaiyorF.iury o'r olrll lolloerns dNbrn!io.i: I).mlnnm Fcnnir!A$csros NotifElliu Fcddal Rcanld nnr (]it h .lO. Pd6t Rrqrnrtl l.rk, rl Norflcdk{r _l.cnilyrhrrrhr lcd.'rl rcgoL nn\ rc8ndi.g arhc{o\ rnr)u|ff. En lpplicrhh n,rh( utrr ldL *nr,- , t*.r,n* *rt",-n "rV o,",r',,x"t"* nt-*'" i. -,* I rsft b m'lr ysnh.rc.rud(hu,y 1 ffi.*- ",a sr.rc t"*..rfug i\'lt.u,.d |*.tur.{ ln ha6r,,i(#u! EF('"m,*..rrhn c r.td c,u yro .,'tc urbn,rr ig-n*-*,,",, hao'r:e)A \' - Lov^eli- I Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Rool Sheathino /0 , /9;,t Z' ftYvt 2b t12? Shear Wall Framinq lnsulatron/Energy Drywall Exl.i lnt. Lath Brown Coat Ivlasonry Pool Fence T-Bar Handicap Req Deputy Final Report Enoineer Final Report Flood Zone Certif FINAL /0-26-a 2-/,e lfr/49 xZry Certilicate ol Occupancy Notes, Bemarks, Etc. Rev. 08 07 201: ) -y:'Plann ing & Building Agency Building Safety Divis ion 20 Civic C enter Plaza P.O. Box 1988 (M.19) Sa nta Ana, CA 92702 (714) 647-5800 www.santa-ana.otg APP.13 CBC 2016 NOTICE TO PROPERW OWNER Dear Property Owner An application for a build ng permit has been submrtted in your name listing yourselF as the builder of the property improvements specafied at We are providing you with an Owner-Bu lder Acknowledoment and lnformation Veriflcation Form to rnake you a,,vare of your responsibilities and possible risk you may incur by having this permit issued in your names aS the Owner-Builder U/3 will not issue a build ng permit until ycu have read. rnrtialed 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. o CK LEGMENT AND V CAT ON F NFO T D/RECflOTVS: Read and initial each statement below to signify you underctand or verify this infotmation _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 OwnerBuilder, may be held liable and subject to serious financial risk for any inluries 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 _z 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. _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. _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. _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 flve hundred dollars ($500), including labor and materials, I may be considered an "employe/' under state and federal law. 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. _7. I understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac- :ors and the number of structures does not exceed four within any calendar years or all of the work is performed under contract /vith a licensed general building Contractor. _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- :ial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- )hip or materials. N/ t ' understand I mal obtain more jnformation regarding my obligations as an'employer" from the lnternal Revenue Ser- iice, the United States Srnall Business Administration, the California Department of Benefit Payments, and the California Divi- sion of lndustrial Accidents. I also understand I may conlact the California Contractors State License Board (CSLB) at 1-800- 321-CSLB (2752) or vv,v,,v.cslb ca qcv for more information about licensed contractors. \)y fO I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that t am the patly dre ss legally and Fin a nc ia ll yt sp ibt lor ropos co slruct n actrvity the N/11. I agree that, as the party legally and financially responsible For this proposed construction activity, I will abide by all applicable laws and requlrements that govern OwnerBuilders as well as employers. n A, tagree to notify the issuer of this form immediately of any additions, deletions or changes to any of the information I have provaded 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 Contractcrs State License Board may be unable to assist you with any financral loss you may sustarn as a result of a complaint. Your only remedy against unlcensed Contractors may be in civil court. lt is also important for you to understand that if an unlrcensed Contractor or employee of that individual or firm is inlured 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 verifyrng 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. Note: A copv of the propen tion. or other verification acceptable to the aoencv is required to be presented when the permit is issued to verifv the propertv owner's sienature Srg nature of Property Owner Date io llul2sy2 Prjnt name of owner 1t1r, *r l;fVrC\i 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 flle the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Descrjption of Work) Prol ectlocationorAddress; tl)cl il \kU fu,, 1t^-+z h"{)(,} qlloLl Name of Authorized Agent Aacrrr\, ?. t"rwt"n Address of Authorized Agent 5LJ o I 1)lc Phone Number of Authorized Agent 1tLl. )L<-85 <> 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 Owneas Signature n,n*o/,4,o"r" o ltqltn,) print Name ot owner: Il0/Mr1 l-, utA l, 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. ,f /1 APP.r3 CBC 2016 Dear Property Owner: An applicati specified at on for a uild n e It S een sub ed NOTICE TO PROPERTY OWNER name lis youv elf a builder of the property improvements We are providing you with an Owner-Builder Acknowledoment and information Verificalion Form to make you aware of your respo n sib ilitre s and possible risk you may incur by having this permlt 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 ACKNOWLEG IVENT AND VERIFICATION OF INFORMATON DIRECTIONS: Road and lnitial each statement below to signify you understand ot ve fy this lnformation. .,t l$_L/ 1. I undersland a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Euilde/' build- ing permit that enoneously implies that the property owner is providing hrs 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 propeny. My homeowneds insurance may not provide coverage for those injuries. I am wllfully acting as an Owner€uilder and am aware of the limrts of my insurance coverage for injuries to workers on my proF erty 2. I understand building permits are not required lo be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. \M-S f understand as an 'Owner-Builded I am the responsible party oF record on the permiL 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. I Vo , understand Contractors are required by law to be licensed and bonded in California and to list their license numbers bn permits and contracts. \M_S. t understand if I employ or otheMise engage any persons other than California licensed Contractors, and the total lrilue of my construction is at least flve hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. lV U tunderstand if I am considered an 'employer' under state and Federal law, I must register with the state and tederal !6iEhment, withhold payroll taxes, provide workeri' compensation disability jnsurance, and c6ntribute to unemployment com- p€nsation of each "employee," I also understand my failure to abide by these laws may subject me to serious financial risk. .\r., \]Z-r. , understand under California Contractors' State License Law, an Owner-Builder who builds single-lamily residential ltructures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac- :ors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract ,vith a licensed general building Contractor. \L/ 8. I understand as an Owner-Builder if I sell the property for whlch this permit is issued, I may b€ held liable for any finan- :ibl or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ihip or materials. Plan ning & Building Agency Bullding Safety Division 20 Civic Center Plaza P,O. 8ox 1988 (Ml9) Santa Ana, CA 92702 (714) 647-5800 www.sa nta.ana.org ,,,,SANTA NA ILI\]T[C &lillJt\c IGIIfi Planning & Building Agency Smoke & CO Alarm Affidavit 20 Civic Center Plaza Ross Annex P.O. Box 1988 (M-19) Santa Ana, CA 92702 (7't4) 647-5800 www.santa-ana.oro INSP-02 2013 CRC This document may be lound dt...http://www. santa-ana.oro/pba/ (Please use a black or blue ink ball-point pen) Project Address:LOLq \\ Permit Number:r0 \l cqqR'' Property Owner:\16,'1 gnr,^.- L-c,nrult Contractor:License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in resldential buildings. California ResidentialCode (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 requ ired locations. A sott boxes below must be checked: E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are requrred in bedrooms with gas-fired appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. $ Smofe alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted 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 State Fire Marshall (SFM). Battery life must be 10 years. 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 alarms have been installed in compliance with the governing Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the manufacturer's instructions. Signoture:ZZLtk-Dote l0 - zwzo lcheck onel ts Property Owner NOTE: Ihis serr-certif,cotion is only used for projects thot olfect the EXTERIOR of the structure. This process is applicdble ONLY to projeds where occess to the intedor of the dwelling by o Sonto Ano lnspedot is not rcquired, Have this completed form and the job-card readily available on final inspection! tr Licensed Contractor I I I