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Home My WebLink About30241953 - PermitCity of Santa Ana 20 Cavic Center Plaza (M-19), Santa Ana, cAg27O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 3024{953 Pin #:l8oiv Assessor'sParcel: 404-083-13 Unit: Block: D Bldg: Address Range: Tract WALNUT GROVE Historic: No Conlractor Address: 01'116002 01't16002 01 1 16002 01116002 01116002 011'16002 011 16002 51602 5'160i 5160i 5160i 5160C 5160: 5777C Fee $46.24 $100.57 $252.69 $26.1' $22.95 $57.20 $3.91 Phone Tenant Name: Chestnut Properly Partners LLC 1635 Ohms Way Costa Mesa, CA 92627 (949) 619-51s9 Owner-Builder Fse Type Amount Wtr Htr (Res up to 50 g: 23.12 lnvestigalion 100.57 Penally 252.69 Min Fee Adj 26.11 General Plan Update 22.95 lssuance 57.20 Microlilm Records 3.91 Qty 2.00 1.00 1.00 1.00 1.00 1.00 1.00 Phone State Lic # Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Building Use: Job Type: Nature of Work Planning Conditions: Planning Approval B}{ Plan Checked By: Permit lssued By: Subiect to Field: Building Permit #: Multi-Family (5 or more uni Occupancy: Miscellaneous Constr Type Water Heaters Code: Graham, Jeffery Date Oate Date R-1 VB cPc 2019 Notes: c/o water h€aters/auth on file o2t19t2020 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Hernandez, Kathy Every pormlt issued sha become invalid unless the wo* on lhe site authorized by such permit is commencod within360 days aftet its issuance, or if the wo* aulhoized on lhe site by such pemit is suspended or abandoned lor a period of 360 days aftet lhe tirne the wo* is comnenced. $509.67 $0.00 $509.67 lnspector MID#: 2020-'1579'18 01 1 16002 51600 01 1 't6002 51602 o1116002 57770 $22.95 $482.81 $3.91 Fee Total Paid to Date: Balance Due Project Address: 510 E Chestnut Ave Lot: 1, 2,3, 4 Suite Range; Apts 6 & 7 Zoning: R3 Owner: Address: 0211912020 Account# PLUMBING.INSPECTOR RECORD APPROVALS DATE oWN!]R II(J!I,DIiII D ,('ARAIIoN hair.\s r l"olc\\i{in Cq]t) AtryCirror(on y Bhi.h r.qu ,r\ r pdn ti co (tu.r. i,lrcr. n\!n\c. dcnx'lrh or rqirrty rotuprori\nnrlofrltCnnhcroi\l-iccn\cnLrq(Chr.rt).ComnreNing$irhSc.rim70(X)ofDiri\n,n.l.frlkausin.{\and rmlicntrr tur {!cnnirsuhjc.r\ rlN rpnlicrtrlri (.ivilNnnIyol troi trocrhrtr l'ir! hu .cd dollrtr r55u)r 2($nsN{,rrhcpn,rdr,(tr t. phB\trirhqr!$asrhcnv)h.ortrtr$n.r.$rlrdorh.tr.rkiftrrh.nMrur.i\ft, ickll\l orollcrdlor{r!c(Scc7(}1ll.BusircssindPnna\\iot\(-( c Ihc(i rr.!oi\ l.iccn$ l.rs doc\ norlPPl\ r,rno{ic'or rhc p'oprnt $h, buiu\ or i'n!(nr\ rhcRar ud sho d(f,\ such troI{ hl'n\cllor hLr!.llrr rhhurh h\ or lrr oqtr cnlpl,)y.$. oi..trDLlior. rlr Owmr lruild.r N'llhr\c lhc htr(lcn oi flovin3 rhtr lE.r ih. dd tror htild or nnpnnc ihc pn,|Liy f,rilf puqxEof -1, rso*mrofrhcpmFny. a.rcichsiv.lyonrrmrins wnh li.cnscd coorDcloR rd..ndo.i rn pElrr (s.c.7044, BusR$ and PDlixsirnCodc:ThcContrnlolsLiccnrcLawdo.\.or,pplyroanownc.ofprorcrlywhobuildsorinDrovcsrhc,e6n, o.d *no.onrEcrsto,su.hO11,cr(airheConiEcnr(s)liccnEdp!(uuorbrhcC.nracror\Li..n$kw). I mcrcn{t undcr SN' ,*,, //t/za u**. DECIIAflION I hcrcby lfatrm udlr pcmlty of pcrjury one of lho follovin8 delu.lio.s: -l h.vc sd will minrain . CcnifMt. of Conmr ro Sclf.lnsurc fd vorkss oElxnsriotr as Fovided for by Scdio. 3700 ol rlE l,ktr C.dc, fu. rhc pdforun.c of rh. rcrt for which lhc pcmil h ksucn _l hrEandsillmi oin sorlcs cohlensrrio. insrnrcc. !s rcqlied hy Ser iiJ. ]700.r rh. Labor C.dc. ror 'lE Frfommc of rhl worl lor whkh rhis E mir is j$!cd. My eorkB smpenqrior ansn6nce $rtr 0id p.licy numh.r aE: lzt.cnily rh,i i.rhe pcrfomftc .r fic wort for whhh rhir p6mit ir iss!.d.1sh.ll nol c'npbyanyFrs'n in lny mnNr s, ss to t rorN subj.cr r. rhc vo*cn ompctrsrion laes .r Crliaomi0. and asee rhrr irl shoold l$6m subF.r io lh. uorlcs orpcn$rionnn'vi\bns otscdion 1700 6frhc ljlir ciic,I rh,u. tinhwirh.omply wnh rho* pmvhi.nr.. WARNING: Fnilurc lo surc vorkna s'nltn$rion .ov.mgc ir utrhwfll. lnd shall suhjcd u cmtlorq lo oaointrl F6xi.r md civil lines up ro orc nundrcd thousond dollaN ($100.0001. in eddirion ro thc.ort ofcomncn$rio0, d!tu8cs,s providcd l6i thc Sdrion 1076 of rlE Lrtor Cid.. hrftsl dd altonE \ f.rs. D'ELr/lar/rz nrn^r,rt/ / I / I JdTNSED CONTRA( -TOR IIDCIdIAIIO! I hcrchy rflirm utrdcr I'cnilrlofoerjlrr rhar I !n liensd undcr lmlhion ofChsprd9 (conmring sirhSc.rion IxD) orDiviihn.l of lnc Ausi,rc$ &d Pofcs\iors Codc, and nry liccnsc is in tull furc &d clIsl. Li.cnsccl$: Lic.ns. Ntrnbcr D.t.' co .rdor g)NStBI]euQ -LirulNl;_d1i&lll is\u.d (Scc 1l)i)7. Civ C.) Lcn 0 \ Nrtrr AITLICANI.IIE(IA8AIIAB I rm*'y Iinn undd pcnrlryorp.ijury on. orrrr i.lhRnre dccldirnrsl Dcnrli!ion P.rnirlAsb.{os Norili.drn,n F.dfidl RrSularidns (Tirl. {1, Pad6) -Rcqutel txn.r of Noific.riotr - ..1onib rI rhc lallcrrl r*uhri($ r.EinlifS r\tunosr.r(,r lxr. for rtpli.rhl. n, rIn lnijr.r otxru mnrioncd pmncny t, inspccrion lpplicnnl or ]1,tcnl Signslu.cl A-,,/h Waste & Vent Water-Under floor Building Sewer Area/Storm Drain lnterceptor/ Clarilier TOP OUT Waste & Vent Water Pipinq Gas Piping Roof Drain Tub/Shower Test Rouqh Water Heater POOL/SPA P-trap/Drain Line lvlain Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbing Final Gas Test Meter Release I FINAL z/zh.o 44-14, Notes, Remarks, Etc 7 \J 7V ID/SIG.COMMENTS UNDER GROUND Gas-Underfloor Water Service trnddl Addrir -n^"_fq/ze I -------r----- i- I s i { a{NINt's \{-tu a)\$.+ \t,* ({_as :Bd L.\!,.,\ \r.\lt t iiib,tf6 :-i i-) li( o) oo rlCln 'L- 1.,] ;,- o 5 fL Lu i- z:, o t: oF FO>t1l >>a9_)uliro (t>2<(JrI t-.Lud tiJ z o-a ?_ z 33rL c( olu TU b dF E u-lzz Jo- v..J o -.:t uJF 5 5a 1\ i I i Go s -?-a /tf/ol s|-nzo E =o o42. e,{ CT F I ) tI T J 2cF Otroo C) 3L (,z tr <t)nt!l .{l $."t-k, I a7L, =tur. LurlF Ll fr: o Eoz.oO z.t l:) tiJ () l} O () I f- .{ IIJ UIFr-EX ulz Yotuq fo lLJ(tr{Q2trrL() .- l:l t -'It . ) o,r -U o- (., .l <.l 3 N a N \t 1stil *t\ \\-]-t".t \ \.=\ t\)\ +)o) F"\ *tr3r. \ \ U ( F 5 col .( Lxa u.J,tl:L) oaxUt LLI =z oF Fo>ul>a9 2 5 o- z" Flx uJ2 5 Iolo a = zzz ) o EE UJ l.Laz n t UJ z )o 61.--\ o tu,Fo s \\ Iq -2. ttrf/ioU 3 o r.lJrr5oultr()z 6 I 3 F- tllF o \4. 3oN l I IulF (] ot CL U)z a UJE rljtfF)l!to Ll- zoF6zoooz o tIJYo H U' l! -tzo trt L o oz 5 I x, ,'z 9oIUE5q ulG 6l 6r'ul 2 i 9t!6o Eaz9F Eul\ tXo7 ozFg)iul IoF oF -.1g Ct! BDOON o- r"i a J iB Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-s800 www.santa-ana.org APP-I3 CBC 2016 NOTICE TO PROPERW OWNER Dear Property Owner: lication for a build rmit has been submitted in your name listing urself as the builder of the prope rty improvementsAn app s specified at 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 otficial 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 AND VERIFICATION OF INFORMATON DIIECIONS: Read and initial each statement below to signify you understand or verify this information. l\\x\ v\ 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 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- . I understand building permits are not required to be signed by property owners unless they are responsible for the ction and are not hiring a licensed Contractor to assume this responsibility. I understand as an "Owner-Builder" lam 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 flled in his or her name instead of my 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers n and contracts. 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total alue 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. i. )d-=0. 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- p\ensftiondf each "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk. t\!t 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 lroensed general building Contractor. ..nrK \ rl-A 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- tial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials. 4 I understand I may obtain more anformation regarding my obligations as an "employe/'from the lnternal Revenue Ser- vice, the United States Small Business Administration, the Californja Department of Beneflt Payments, and the California Divi- sion of lndustrial Accidents. lalso understand lmaycontactthe California Contractors' State License Board (CSLB) at1-800- 321-SLB (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. 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. n nLl \'-l$, I 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 permil 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 pe rmit. /Vofe.' Lcopy of the propertLewneL:s driver's ,icense, form notariza- tion. or other verification acceptable to the aoencv is reouired to be presented when the permit is issued to verifv the p ro p elrty own e r's s i g n atu re. Signature of Property Owner Date t3 20a L Print name of Owner t (uJ ( 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 prolect. Scope of Construction Project (or Description of Work) Project Location or Address Name of Authorized Agent:Lqrl.r Oor.'lo Address of Authorized Agent Phone Number of Authorized Agent Property Ownef s Signature 2 Or 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 ai Print Name of Owner:u) Note: A copy of the owner's driver's license, form notarization, or other ve fication acceptable to the agency is re- quired to be presented when the permit is issued to verify the propefty owner's signature. Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-s800 www.santa-ana.org APP-'|3 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner: An applicati specified at on for a buildin er it has been submitted in ur name isting yourself as the builder of the property improvements I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total my gonstruction is at least flve hundred dollars ($500), including labor and materials, I may be considered an el. Lnder state and federal law. We are providing y ou with an Owner-fl nF rm 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 agent of the owner cannot execute this notice unless you, the property owne r, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEGMENT AN VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.,lY , \, t I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildef' 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 flnancial 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- ertv. ' \lI) I understand building permits are not required to be signed by property owners unless they are responsible for the 'constrgc-lton and are not hiring a licensed Contractor to assume this responsibility. \\L\ I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect \ myseilf from potential flnancial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers nd contracts 'valu "em eof b I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal overnment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- pensa{ion-of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.. \rw -r-D ' understand under California Contractors' State License Law, an Owner-Builder who builds single-family resldential 'structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac- ctures does not exceed four within any calendar years, or all of the work is performed under contract ding Contractor n Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan- cial or personal in.iuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials. own. andtors with I understand I may obtain more information regarding my obligations as an "employe/'from the lnternal Revenue Ser- ce, the United States Small Business Administration, the California Department of 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 SLB (2752) or www.cslb.ca.qov for more information about licensed contractors aiy eg . I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the ally and financially responsible for proposed construction activity at the following ad- dress I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicabplans and requirements that govern Owner-Builders as well as employers. .Nt}lr tI\ 2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the rnformation 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 in.jured 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. Signature of Property Owner Date: J'1a zfr Print name of Owner a AUTHORIZATION OF AGENT TO ACT ON PROPERW OWNER'S BEHALF Excluding the Notice to Prope(y 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 project. Project Location or Address Name of Authorized Agent:/-rrrrl, 4.";/lo 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 J 4 print Name of own"r. /27a'/l/r- /o /., H."y' Note: A copy of the owner's drivels license, form notarization, or other verification acceptable to the agency is re- quired to be presented when the permit is issued to ve fy the propefty owner's signature. Before a building permit can be issued, this form must be completed and signed by the pioperty owner and returned to the agency responsible for issuing the permit. l/ote.' A copv of the propeftv owner's driver's license, form notariza- tion, or other verification acceptable to the aaencv is rcouired to be presented when the permit is issued to verifv the p roDertv owne r's sion atu re. Nv-,- ScopeofConstructionProject(orDeScriptionofWork)