HomeMy WebLinkAbout101104639 - PermitProiect Address: 3801 S Birch St
Assessor's Parcel 410-',t22-22 Lol 49
Unil Bldg: Address Range Suite Range:
Zoning. RlBlock NA Tracl 6697
City of Santa Ana 20 crvrc center Plaza (M-19), Santa Ana, CA\27O2 Building
Permit Counter: (714) 647-5800 lnspectron Requests (714).667-2738 lnspector Section: (714) 647-5853
Permit #: { Ol t 04639
Pin #: 4lJ532
Building Use
Job Type
Nature of Work
Existrng Bldg & Use
Proposed Use
Single Family Dwelling
Alteration
Stucco
Sfd w/att garage
Occupancy:
Constr Type
Code:
Flood Zone
# of Stories:
R.3, U
VB
cBc 2019
x-0602320278J
Patro:
T I Areal
Yards Req'dl
Valuation:s5,400.00
Description of Work: Tear off wood siding and apply stucco to sfd and attached garage.
Planning Conditions:Stucco to match the existing slucco on the home, same color and finish
Owner
Address
Phone
Tenant
Teodoro & Juanita Gamino
3801 S Birch Street
Santa Ana, CA 92707
17141 403-7394
Contractor
Address:
Owner-Builder
Engineer
Address
Phone:
State Lic f:
Lic Type:
Bus Lrc #:
Workers' Compensation lnsurance
Cafiier
Policy #:
Expires:
Phone.
License #
Architect /
Desiqner.
Address:
Phone
Lrcense #
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
lnspector
Orozco. lvan
Verduzco, Vioret \-i
Date 09/14/2020
Date
Date 0911412020
SubJect to Field:
Misc. Receipt
Misc Receipl
Misc. Receipl
07776002
07776002
07776002
017 76002
0 77 7600 2
5760 7
57770
57672
57600
5760 7
$345.28
$4.05
$1 00
$23 79
$59.30
Permrt Fee
Microfilm Records
Bldg Stds Revolving
General Plan Updale
lssuanceNo
No
No
No
Fire lnsp. Req'd
Police lnsp. Req'd
Flood Zone Cert. Req'd No
MID#: 2020-161468
No
No Account#Total
Every pefintt tssued shall become nvahd unless the wo* on the s e aulhofized by
such permil ts commenced wtthtn360 days after ls ssuance ot t lhe work authonzed
on lhe site by such peml B suspended o, abandoned lor a penod ot 360 days aftet
the time lhe work $ commenced
01 1 16002 51600
01 't16002 51601
01 '1 16002 51612
01 116002 57770
$23 79
$404 58
$1 00
$4 05 Fee Total:
Paid lo Date
Balance Due:
$433 42
$0 00
$433.42
Histoflc No
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Totat
BUILDING- INSPECTOR RECORD
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9 ^rq,go
Forms/Steeli Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Rool Sheathing
Shear Wall
Framino
lnsulatron/Enerqy
Drvwall
'Exylnt. Lath I ?,n )ft*g-,
Brown Coat I kOttctl tilvlt t c t+el Qlalz.t N*fr
Ivlasonry I
Pool Fence
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
I Y.-+l
FINAL l0l4,p \t ! \)tv rID /
Certilicate ot Occupancy
Notes, Remarks, Etc.
Flev- 0a-07-2015
DATE
Cri."-
Set Backs
T-Bar
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.or9
aPP"13 CBC 2016
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application bui tng s bee n submitted in your name listing yourself as the builder of the property improvements
specified at
We are providing you with an Owner-Builder Acknowledoment and lnformation Veriflcation 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 official address indicated. An agentofthe owner cannot execute this notice unless you, the property owner,
obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
Y-f . f understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildei' 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 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 actang as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop-
erty.
J(_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.
X., '
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.
K-a , understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and conkacts.
N_\5 I understand if I employ or othenvise 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.
-X- O 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 financial risk.
\ z. t understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily residential
strur-tures cannot legally build them with the intent to offer them for sale, unless a// work is performed by iicensedlubcontrac-
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.
n.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.
. 9. I u-nderstand 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.
_10. 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 ad-
dress:
_1 1. 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.
_12. I agree to nolify 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
laable 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.
Befole 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 prooertv owner's driver's license. form notariza-
tion, or other veritication acceptable to the adencv is reauired to be presented when the permit is issued to verifv the
propefty owner's siqnature.
Signature of Property Owner Date
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, lhereby 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 projecl
Scope of Construction Project (or Description of Work)
Pro.iect 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.
Date
Note: A copy of the owner's driver's license, form notari2ation, or other ve fication acceptable to the agency is re-
quired to be presented when the permit is issued fo verify the property owner's signature.
Property Ownef s Signature:
Print Name of Ownen
*,SAI'[A
NA.ffi
Planning & Building Agency Smoke & CO
Alarm AffidavitP.O. Box 1gEA {M- 19 )
Santa Ana. CA 92702
(7!4)647.5a00
www santa.ana or|]
rNSP-o:2'llllPa
fhis document mqy be found ot.
(Please use a black or blue ink ball.point pen)
Project Address:
hil: 'r,',,,'r, s: n ta -a na.orq/pba,'
IC IIC (.2 a,
Property Owner:f€odct,; QtlyiNJ
Contractor:License #:
State of California requir:s that smoke and c:rbon monoxide (C0) alarms are installed in residential
buildings
California Residential Code (CRJ) Section RSLl l and R315.2 states in pdrt that existinB d'I/ellrngs be
"retrofitted with smoke alarms and carbon nonoxide alarms. CRC Section R314.3 and R314.3.3 define
the required loca tions.
/j E eoth boxes below must be checked;
EI Carbon monoxide alarms: Are installed oitiid: of elch sleeping area in the immedlate vicinit'7 of
bedrooms and also on each level of the dwellrnt Alarms are required in bedrooms with gas-fired
appliances (i.e. hot water hetter, cooktop, f:rnace)or a fireplace.
,BS.ote alarms: Are installed in each room used for sleeping, in each hallway outsade of a sleeping
room, and on each level of the d',velling
Retrofitted detectors may be ba trery-operaieC 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), Bdttery 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 alarrns have been installed in compliance with the governrng
Codes and have been tested to be functional.l, also, hereby certify that lwill retest the alarms per the
manufacturer's instructions.
lcheck onel Licensed Contractor q Property owner
Permit Number:
Signature: l- /.. .'1,' t :.:12,\,.,.4..--l\Date:/tlc.2. ,)b) o
Have this completed form and the iob-card readily available on final inspection!
I
20 Civic Center Pl,rz: Ross Anrer
I I
I
tr
NOTE: fhis sef-c ertificotion is only used for projects thot aflect the ExTERIoR of the strudure. This
process is applicable ONLY to projeds where occess to the interiot oI the dwelling by a Sant(, Ano
lnspector is not requircd.