HomeMy WebLinkAbout10397075 - PermitProject Address: 115 E Alton Ave
Lot: 2
Unit Address Range: 103-139
Historic: NoBlock: NA Tract: 8473
city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAT27O2 Building
Permit Counter: (714) 647-5800 lnspection Requestsi (714].667-2738 lnspector Section: (714) 647-5853
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Commercial
Alteration
Storage Racks
Commercial/Warohouse
s-l
t B
cBc 2016
x-0602320278J
2
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area
Total:
Patio:
T I Area:
Yards Req'd:
Valuation: $20,000.00
0
Description of Work: lnstall storags racks 8' high. Por Notice To Correct Work. Letter of auth on file.
Planning Conditions: lnterior ti only
Owner:
Address
Phone:
Tenant:
Richard Hunsaker
PO Box 2423
Santa Ana, CA 927070123
(949) 863-1390
Hospice Source
Contraclor
Address:
Owner-Builder
Address
Phone:
State Lic #;
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Canier:
Policy #:
Expires:
Phone:
License #
Architect /
Desiqner:
Address:
Planning Approval By:Escamilla, Manny
Plan Checked By:
Permil lssued By:
NPDES lnsp. Req'd No
PWA lnsp. Req'd: No
Planning lnsp. Req'd: No
Date: 0l/08/2019 Misc. Receipt: 71262
Date: 04t01r2019 Misc. Receipt:
Oate: 04130/2019 Misc. Receipt:
Subject to Field
t1
$160.25
$222 16
$3.76
$5.60
$1.00
$22.08
$55.04
So, Anson
Amsden. Julie
Fire lnsp. Req'd;
Police Insp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No
Every pennit 6sued shall become invalid unless lhe work on tho sit€ aulhorized by
such pemil is commenced within 360 days after its issuahce.ot if the wo* authorized
on the site by such pednit is suspendod or abandonad lot a penod oi,360 days afret
the tifie lhe wo is comrnenced
lnspeclor MID#: 2018-143411
01116002 51600
01116002 5160'1
01116002 51612
01'116002 57770
08901001 24000
Permit #: 1O397O75
Pin #: 20799
q
Assesso/s Parcel: 11141147
Bldg:Suite Range:
Zoning: Ml
Occupancy:
Constr Type:
Code:
Flood Zonei
# of Stories:
Paul San Gemloo ArcHtect lrft
Paul Gemino
2105 Summertlme Lane
Culver City, CA 90230
(201) 920-7200
6eneral Plon tlpdot.,:
01116002- 5160r:lr:rrr.
Brr i ld ins
01116002- 516111[00.
Eldg Stds RevoIv irr:r
r11116002- 51612000-
ll icrof i Ir A Do€urenl
Engineer:
Phone:
License #:
07776002 5+601 Pefmit Fee
07776002 5i600 Plan Check Fee
07716002 5777 0 Mictofilm Records
08907007 24000 SMIP - Calegory 2
01776002 57672 Bldg. Stds. Revolving
07776002 57600 General Plan Update
07776002 5160I lssuance
Fee Tolal:
Paid to Date:
Balance Due:
$22.08
$215.29
$1.00
$3.76
$5.60
$469.89
$222.16
s247 .73
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS OIINDR BT]ILI'EN DEL('A RATloN
I h.Eby .fim untl., rmlry of n rNry rhi I m.r.qi fnrm rh. odtu1fa l.f,qq lr* lin rlt folhrhs rcrsn (s{ 7r,11 5
Bu{n.sr rd Prr((i'. Cdl.,r Any (ry or (irdy rhrh BqurEr . Fni h !r!.rd. .in. rqrnE. d.mliih.r EFr my
ntuduE, Frrr(' i\ ir!uar.. lls RrtuiEs rlr lmlicrnr Ltr \u(h Frmii h rik ! n!n.d (d.r rh lEor {lE h,E.isJ puN.nr
(! rh. Fnv6D.c of rrr conrrrr'! l.r.nEd ll* r(-|llF.r 9. (i'mr,.8 wnh sdi{ 7(Ix! (f Drvkrri I of rlr Buriftn r.d
Pn'r.srrni (in r (r rh.r l! d dE n .r.qi rha.irom ,nl rll h..r r,tr rh. rlk3al .r.qri,. Ar! irErnn nf sd n. Tol l S hr .iy
Emltant inrll.m nrhjec rh. .rnlr! rnrdvill.nihy.ln nrcrh!trliv.hundEild.lle((t5lrr).
f,. * "**' "r,* .,,'nr. r my.n,1 )F.r srh tr r.\ ii rr'tr r,r orti,q rr. f,rn d, ,rr
'nr.nl.J ur orlir.'l Id r.L r S( 7(!1,1. ltu\ir$ rn,l Prof.$nn\ c, {1. Th. ( nntrd, tr'r l.'..ne l-rw d(rs n.i rypry r. m *mr ol
rll pn{Eny !h, h'ldr or i'qntrrrrlrEn lrl $h) r- uh *rd h'm\.1, r tIrvla or rhnrxh hn r, ltr o*n .r?ltr€r
,'n,*hl rld uch 'trIioEr 1en d.nkd,, oi*Rl fitr sl l(hq.\6. r tx'uiq nIn,E,d r q'u rihm.E Fa
"IeoryLft)n. rll Owkr Builk *illhlr,E tunkn nlDn,vm rhi lr o' \tr
'lid
nd h'iU or i'ryn'v. rlE pnrFny fin rlt puqrrk I
,. nso*Rrofrh. phFny. rm.r.loriEly(fur1ins qirt n..n(d cod.rbB b i'i{rud rlE pDi.d (Se 7r}tt. BuriE$
.rn Pil.sri'r(od.:'l h. (irr-roir l i.n! 1..*d(t frn lPply(, o*kr nfloFf,y rh' huildr.r nq'hw\ rh.kon.
lnl wlrl $ddr ftr qhIrDFr *.h!('.da1il(r lE sd lnrd n! r|r Codrirnr'r lise ljrr
;:-(rui;'liq-_#"#.,.
lltlllaArltlB
I h.r.by rln n uftL, F,.[ y ol Friui] oE of (h. ,(rl)w'ii d(bmx,nr
-l
,r.E {rl *,ll 6d.h ! ( difri. ol Colffi b s.li lrqrc ft, krt€r Gllllttur,., .! F*rLtl f.r hy S.dnn !7llr oI rlr
hhr CIl., frn rll Frilffir [f rh. r t l,r !t.h rh. lrmi r ^s.n
_lha!.'ndrillmr .inso .F onfEns.i i.{nn.. ar rquird hrsdr-.lTrr)of rllt}i'(ix!._aorrllFi)lrr@.l
rlk snl ftr *hf,h rhil Fm( . ncht My utrl6 omF.{i'i iirurer.m, rd Fllry Nn*s m
-t
-Dl
(d,r\ rh{ ,n rrr Frrdrur. rrrri r, t rr{ trhr h ihF Frmi n i\\u.,t, I lrlrll n .q,h! '.! Fr$i runy mnEr
q, h h tF.Dft {hFcr t, rh. wr -\, N',n nqr n, lN r of Calin)m'tr, ,i(l 4F. rhir if I \hnrltl trconr rdhr.lr n, rlr
*nitdr ormFn{rxr nmvnir! .15(r;r :r7(rr or rll Lhr rirl..l dhll. frflhrih arytt rih rlrrk IFyKi,n.WA*NINI; I;:iturc r, .ok *rrt r d'n{rNh,n !?ris. n unh*fi,|, and 6all rutFl rn .qlt)Fr r' mmiml FntF rn
eirn ,ln?r up n, or nundr.d rhrqnJ doll.is ($lrrll.(iir). in l ii,,n i) (l! .on of cnmn n\arion dnnax.\ ,\ prrvnl.d nn rlI
';:-q{r[,:rI 4 ull.sl.Lul'glt"BJlruxurlr.rRfrror\
I h.rhyaffinnund.r Fuhr.frrjuryrnd I am lk!n\.d uid.. tx,larr Df(tipr.r 9l(Jmfttuin! *irh S.di'n 7(r ) ofl)iliiin I
nf rh. a!{r$ lnr Eof.lti,ir c.d.. ,n m, h.R tr n tu ftrc. rn .fid
(a!,slxi]rt-tQNrllil2nlrillilNll
I h.rhy llnnr n.rrnrlryofEri'tryrhrrh.k,\3cdi{n(1irkn(lrn!rr.ri!frnrh.rrlo unc.rlrh.*rtrtI'trh'chrhn[t,r n
r\kli isa nA7,(,1\ (,)
A.ttUlANl-Il!;l:|rrltAIAl
Ild.l\.lIrmurld Fnrlrr dfF,!rv.E fin l(,ll,r,d d.( hiifri
lk rlix,tr l,.rm \ lht(.r N r'fi.di)n lld.rrlR.3ukrn)n\ llil. Jr).l'rn.)
llqu tr.1 Inrd or Mrfrirn
lc.niry rld rlr r.&r.lE3!h!nn\ r8.nliit nilk{o! r.m)rrr!( n{ rmlk,fik r, rhir pNl.d
l..nifyrb{ I hnv.rcdrhirippl{nrr,nlrl {ir.rhar rh. !h*? inir la[rcx)cory'ry*rhirlcnyrndcmnry
nrdi.rh-.s lnJ Sir.lipl Eldina tl h{ildiry coiiMlil,tr ul h.rhy dhru. r.F.addiv.\ .l rrri\ ( iry rd Counry(o.nrd uF'nrh.
!h*. mn($kLr nrotsnt nY
,tldnMrnr'\*dr SlrnNtur.
I,.-r***,rn,,,$6a,6[ Jk L-e-.s
q (olo
Set Backs
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheat hing
Shear Wall
Framinq
I ns u lation/E n ergy
Drywall
Exl./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
En ineer Final Re
Flood Zone Certif
FINAL z--7-P ,ZZrcI '4r..rr3 27
Certif icate ot Occu ancy
Notes, Remarks Etc I
I
I
Forms/Steel/Holdowns
Handicap Req.
Deputy Final Report
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Sal Iinajero
COUNCILMEMBERS
Angelica Amezcua
P. David Benavides
Michele Martinez
Roman Reyna
Vincent F. Sarmiento
CITY MANAGER
Davad Cavazos
CITY ATTORNEY
Sonia R. Carvajho
CLERK OF THE COUNCIL
Maria D. Huizar
Dear property owner: NorlcE To PRoPERTY owNER
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specmed " 115 6. nU+o., Alt€rrr{, \nnU rR^^, CA go)o?
We are providing you wilh an Owner-Builder Acknowledqment and lnformation Verification Form to make )lou 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 p€rmit 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 ACKNOWLEGMENT AND VERIFICATION OF INFORMAT ON
DIRECTIONS: Read and initial each statement below to signify you understand or veify this information-
V't . tunderstand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder"
building 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 nol 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
wotRyron my property.
V z. I understand building permits are not required to be signed by property owners unless they are responsible for
the con ction and are not hiring a Iicensed 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 financial risk by hiring a licensed Contractor and having the permit flled in his or her name
instea9f my own.
-V o , understand Contractors are required by law to be licensed and bonded in California and to lisl 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 construclion is at least five hundred dollars ($500), including labor and materials, I may be considered an
"empl r'under state and federal law
fed.ra
6. I understand if I am considered an "employer' under state and Federal law, I must register with the state and
I government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to
unem oyment compensation of each 'emoloyee." I also understand my failure to abide by these laws may sub.iect me to
flnancial risk.ser S
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// work is pe*ormed by
licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is
performed under contract with a licenseC general building Contractor.
CITY OF SANTA ANA
PLANNING & BUILDING ACENCY
20 Civic Center Plaza
P.O. Box I988. Santa Ana, California 92702
www,santa-ana.o19/pba
0L u. , understand as an Owner-Builder if I sell the property for which this permit is issued, I may b€ hetd tiabte for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects ln the
workry)anship or materials.
-{t. tunderstand I may obtain more information regarding my obligations as an 'employed from the lntemal Revenue
Servic,e, the United States Small Business Administration, the California Departm€nt of Benefit Payments, and the
California Division of lndustrial Accidents. I also understand I may contact the Califomia Contractors' State License Board
(CSL9 at 't{00-321-CSLB (2752) or www.cslb.ca.oov for more informatjon about licensed contractors.
M , O 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
address:
Ma, I agree that, as the party legally and financially responsible for this proposod constructjon activity, I witt abide by
all applicable laws and requirements that govem Owner-Builders as well as employers.
Mr. ,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 conlractors are regulated by laws designed to protect the public. lf you contract with someone who does not
have a license, the Conttactors' 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 liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will
be rasponsible 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 th€ agency responsible for issqing the permit, ivofei A copv of the prooeftv ownels drivefs license.
form notarization.or other verification acceotable to the aaencv is reduired to be Dresenled when the oermit is
to e s ture.
Signature of Property
Print name of Owner
Owner Date {-aL-tq
cfol '. d. t(fKt.r.{
AUTHORIZATION OF AGENT TO ACT ON PROPERW OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution ofwhich I understand is my personal responsibility, I hereby authorize thefollowing person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an O,'rner-Builder permit for myproj6ct.
Scope of Construction Project (or Description of Work)lnstallation of steel racki ng throughout warehouse
Pro.j ect Location or Address: 1 1 5 E Alton Ave, Santa Ana, CA 92707
Name of Authorized Ag ent: J?cob Stephens
Phone Number of Authorized egent -916471'9822
I declare under penalty of perrury that I am the prope rty owner for the address listed above and I personally filled out the above
informauon and certitr/ its accu
Property Owne/s Signa Date -aJr-n
Print Name of Owner l.a"A
Note: A copy of the owner's ddyels license, form notaization, or oahet veification acceptoble to the agency is requlred tobe prcsanted when the psrmit is issued to verffy the propedy owne,,s signature.
PLhk:WP51/Counter Activity/Assembty Bils/f,lotjce to property Form O3-13-2014
SANTA ANA CITY COUNCIL
Address of Authorizeo asent: 1 1 5 E Alton Ave, Santa Ana, CA 92707
Ms!€r^ pd'do I sd n..ih i v(EoLl i1n5o i M-.,. r1n* i ^ae6rc.
a,ll.EE i p. D.{d B,Eud6 i Rom.n R.ynsM.ys : M.yaPorf.w.d6 i._ w:,! ! ; yrr&6 2 ! - wril i -*;. j wlr:.r,F'jr''odiqG_.8.e : sr'tu.66!&r.-.. @ i vs!fr6b@t ^E.i.m i urantor,o*nrrna.oo , Aa,'rarosnao m i Ogr4.Eocl.orroL..."s j nnmacoarne m