HomeMy WebLinkAbout101102450 - PermitProject Address: 711 S Van Ness Ave
Assessor's Parcel 010-204-03 Lot: 3
Bldg: Address Range: 711-713
Tract: pOLyTECHN;C VTLLA Historicr No
Unit Suite Range: 711 & 713
Zoning: SO40Blockr 14
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA\27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspector Sectionr (7'14) 647-5853
Permit#: lOl{O245O
Pin #: 72497
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use:
Proposed Use
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3
VB
cBC 20't 6
x-0602320276J
1
Patio:
T.l.Areai
Yards Req'd:
Valuation:$15,000.00
1st FL Areai
2nd FL Area:
Other Areas:
Garage Area
Total:
Description of Work: Change out (30) windows with same size/style This pormit include8 both 711 & 7'13 S Van Ness. Owner/bldr form filed.
Planning Conditions:Wood trim around windows & same sill height to be maintained.
Dupler
Alteration
C/O Windows
Ouplex with deugarage & apt over
Owner:
Address
Phone:
Tenant
Contractor
Address:Address
W R WIRTZ
PO BOX 747
Fallbrook, CA 92088
(530) 9134224
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
Archilect /
Desiqner:
Address:
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
o , Pedro Date: 12105/2019
Date:
Oale 12lOSl2O19
Subject to Field
Misc. Receipt
Misc. Receipt
Misc. Receipt
$333.06
$3.91
$1.00
$22.95
07776002 5160, Permit Fee
07776002 57770 Microfilm Records
07176002 57672 Bldg. Stds Revolving
07776002 57600 Genetal Plan UpdateTeri
N
Frre Insp Req'd:
Police lnsp. Req'd
No
No Account#TotalNo
No Flood Zone Cert. Req'd: No
Every permi 6suec! shall become invalid unless the ,vorr< o/, lho slle authonzed by
such pemit is commenced within360 days atlet its issuance,ot I the wo* authonzecl
on the site by such permi ts suspendecl ot abandoned fot a peiod of360 days after
the time the work tscommonced
lnspector MID#: 2019-156212
01116002 51600
01116002 51601
01116002 51612
01116002 57710
$22.95
$333 06
$1 00
$3.91 Fee Total:
Paid lo Dale:
Balance Due:
$360.92
$0.00
0360.92
Engineer:
Phone
License #
Phone:
License #
SITE-WORK DATE ID/SIG.COMMENTS
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subfloor/VenVl nsulalion
Roof Sheathing
Shear Wall
Framing
lnsu latio n/E ne rgy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Report
FINAL h/tdJ-ot o -7tr/
Certificate of Occupancy / /
Notgs, Remarks, Etc
ol 0u/
J
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BUILDING. INSPECTOR RECORD
Flood Zone Certif.
"'/("_
,.-SANTA
Ail'A
ILI\I\C
(lillJN(;
lct\cr
Planning & Building Agency
20 Civic Centgr Plala Ross Ann6x Smoke & CO
Alarm AffidavitP.O. Box 1988 (M.l9)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.orq
rNSP-02 2013 CRC
This document may be lound ot...http://ww!v. santa-ana.orq/oba/
(Please use a black or blue ink ball-point pen)
Project Address:711 & 713 South Van Ness
Permit Number:101102450
Property Owner:Walter R. Wirtz
Contractor:License #: z744oo
State oFCalifornia requires that smoke and carbon monoxide (CO) alarms are instalfed in residential
buildings.
California Residential Code (CRC) Section R314.1 and 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 required locations.
f\ro,n oo*"s 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 required in bedrooms with gas-fired
appliances (i.e. hot water heater, cooktop, furnace) or a fireplace.
E0 Smoke 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 fo 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 pro.ject. lfurther 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
lcheck onel L lce n se dCo actor tr Property Owner
NOTE: Ihis sef-certificdtion is only used lor projects thdt ollect the EXTERIOR ol the structute. This
process is opplicable ONLY to projects where access to the interior of the dwelling by o Sonta And
lnspector is not required.
Signdture:h Dote:o6t2912020
Have this completed form and the job-card readily available on final inspection!
I
I
I
I
+
-!i.Plannlng & Buildlng Agsncy
Bulldhg Safoty Divislon
20 Civlc Centsr Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647€800
www.santa-ana,org
aPP.t3 CBC 20r6
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An appli cation for a buildin rmit has been submitted in ur name lisli urself a the bu ilder of the pro rty lmprovements
specifled at +
Weareprovidingyouwithantomakeyouawareofyour
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, initialad 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 property owner,
obtain the prlor approval of the permitting authority.
OWNER'S ACKNOWLEGIIEIIT At{D VER,FICATK}N OF lt{FORllATOtrl
DIRECrTOTVS: Read and lnltlal each statoment below to slgnlly you understand or verlfy thls lnformatlon.
-/,
& ,understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" bulld-
I g permit that enoneously implies that the property owner is providing his or her own labor and material personally. l, as an
Owner-Builder, may be hsld liable and subject to serious financial risk for any iniuries 6ustainsd by an unlicensed person and
his or her employees while working on my property. My homeowne/s insurance may not provide coverage for those injuries. t
am willfully acting as an Owner.Builder and am aware of the limits of my insurance coverage lor injuries lo workers on my prop-
erty.
,& ,understand building permits are not required to be signed by property owners unless they are rasponsible for the
construction and are not hirinq a licensed Contractor to assumo this responsibility.--|
fu. t unarr"tand as an'owt€(Butlde( I am th€ res@asible pa (ty ot recoa, on thepermiL , understa N, that t may ptolect
hlfself from potential linancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of myo*h
Un. ,understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permils and contracts
Ar. ,understand if I employ or otherwise engage any persons, other than Galifornia llcensed contractors, and the total
lel.ue of my construction is at least five hundred dollers ($500), including labor and materials, I may be considered an
"erDployer" uDder state and faderBl l8w../)
&. ,understand if I am considered an 'employer" under state and Federal law, I must rsgister with the state and federal
d-ovemment, withhold payroll taxes, provide workers' compensation disability insurance, and contributE to unemploymEnt com-
pensation of each "employee.' lalso understand my failure to abide by these laws may subject me to serious financial risk.' --,
Zr. ,understand under California Contractors' State License Law, an Owner-Buitder who builds singte-famity residential
Efructures cannot legally build them with the intent to offer them for sale, unless arl work is performad by licensed subcontrac-
tors snd ths numbor of structurus d00s not e)(ceed four t,Jithin eny celondrr yoerc, 0r ell 0f lho w0rk ls pefformod undor 00nt[00t
with a licensed general building Contractor.
A I understand as an Owner-Builder if I 6ell the property for which this permit is issued, I may be held liable for any finan.
clal or personal iniuries sustained by any 3ubs€quent o\ ner(s) that result from any latent construction defects in the workman-
ship or materials.
2, ,understand I may obtain more information regarding my obligations as an ''employer' from the lnternal Revenue Ser-vI6tne Unlted States Small Business Adminiskation, the Califomia Department of Benefit Payments, and the Caliicrnia Divi-
sion of lndustrlal 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,
--l
&ro I afi awae ot and acrs€nt to an owner-Euher butfiing permit affid for in my name, and understand tiat I aftI tlt€
party legally and financially responsible for proposed construction activity at thE following ad-
dress
11. I agree that, as lhe party legally and finanoially responsible lor this proposed construction activity, I will abide by all
govem Owner-Builders os well as amployers
this firrm rmrnaiialely of any addifions- delefians, ot chdnges to any ot the infomahon I
Ltcensed contractors are regulated by la\ivs designed to protect the public, lf you contract with someone who does not have a
ltcense, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result c
a complaint. Your only remedy against unlicensed Contractors may be in civil court lt ls also important for you to understand
that if an unlicenscd Contractor or employee of that individual or firm is injur€d whils working on your property, you may be hel
liable for damages. lf you obtain a permit as Owner€uilder and wish to hire Contac'tors, you will be responsible for verifying
u,h6&her ry not lh6\se CoDracrars ere p,roperry licensed and the status ol tl]€.it wo*ets' cotnpensatkn insuan@ eowego.
Belore a building permit can be iasued, this form must be completed and signed by the property owner and rsturned
to the agency responslble for fssulng the permit. Itlote.' A copv of thc orooefiv ownor's d vat's license, lom nota 22
tion, or other verlfication acceotable to the adencv ls requlred to be prasented when the oermlt ls lssued to verltv the
grooertv gwnef s sldnatu re,
o,E /2/oz/2o/?srgtrrture of Propgny owner
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 porsonal responsibility, I hereby authorize
Ule ,olrowing personls) to ect 8s my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner€uilder
Permit for my projact.
Scope of Conslruction Project (or Description of Work)
Prolect Locatloo or Address q 10
Name of Aulho,'Led y'gent:Terrv Garrbav
Address of Authorized Agent:3b03 W. 5+i sl slNrA *NA, cA 4>t1
-/--- --1
Phone Number of Authorized Agent:7lq- 33t- oolo
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the abov
intofip q, eN cetfiy tlse'5.urzcy.
Propeny Ownef s Signature:aae. /J
Print Name of Owner.
Note: A copy ol the owner's drivsr's license, form notarlzatlon, or other vcrlficatlon acceptable to the agency is ro-qaldbbFq*Nt'Mtup#lelsstdtovully toptryerry Dvt ryb dgt Etu e