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Home My WebLink About3120 W Warner Ave - PlanBldg# 104119035 APPROVALS: PLNG - FArias BLDG - TLe HOLD- 3120 W Warner Ave - 104119035 7/17/2024 HOLD- 3120 W Warner Ave - 104119035 7/17/2024 HOLD- 3120 W Warner Ave - 104119035 7/17/2024 HOLD- 3120 W Warner Ave - 104119035 7/17/2024 APP-13 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at ________3120 West Warner Ave._____________________________________________________. We are providing you with an Owner-Builder Acknowledgment and Information 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 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 INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. _____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. I, 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- erty. _____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. _____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 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 five hundred dollars ($500), including labor and materials, I may be considered an “employer” 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 single-family residential structures cannot legally build them with the intent to offer them for sale, unless all 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 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- cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials. 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.org HOLD- 3120 W Warner Ave - 1041190357/17/2024 _____9. I understand I may obtain more information regarding my obligations as an “employer” from the Internal Revenue Ser- vice, the United States Small Business Administration, the California Department of Benefit Payments, and the California Divi- sion of Industrial Accidents. I also understand I may contact the California Contractors’ State License Board (CSLB) at 1-800- 321-CSLB (2752) or www.cslb.ca.gov 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:___________3120 West Warner Ave.____________________________________________. _____11. 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 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. If 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. It 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. If you obtain a permit as Owner-Builder and wish to hire Contractors, 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 permit. Note: A copy of the property owner’s driver’s license, form notariza- tion, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner’s signature. Signature of Property Owner _____________________________________________ Date: __7-15-24____________________ Print name of Owner _______Joseph Erickson___________________ 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 project. Scope of Construction Project (or Description of Work):____Demolition of un-permitted mezzanine improvements_________ Project Location or Address: _________________________3120 West Warner Avenue ___________________ Name of Authorized Agent: __________________________Donald Davis _________________________ Address of Authorized Agent:__________2 Upper Newport Plaza Dr., Newport Beach, CA 92660 ____________ Phone Number of Authorized Agent: _______________949-502-3425 __________________________ 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:__7-15-24______________ Print Name of Owner: ________________Joseph Erickson____________________________ Note: A copy of the owner’s driver’s license, form notarization, or other verification acceptable to the agency is re- quired to be presented when the permit is issued to verify the property owner’s signature. HOLD- 3120 W Warner Ave - 1041190357/17/2024 YES NO INSTRUCTIONS: ORAN GE COUNTY FI RE AUTHORI TY Plan Submittal Criteria COMMERCIAL projects, MULTIFAMILY RESIDENTIAL projects and RESIDENTIAL TRACT developments • Fill in the project/business address and provide a brief description of the scope of work and type of business operation that will take place. • Answer questions 1 through 10, read and initial items 11 and 12, then complete and sign the certification section. • If you answer: - “YES” to any part of questions 1 through 10, submit the type of plan indicated in italics to OCFA. • In some cases, other plan types not indicated herein may also be necessary depending on specific conditions or operations. • Visit www.ocfa.org for submittal information and locations. If you need assistance in filling out this form or have questions regarding requirements for review, please contact OCFA at 714-573-6108 or visit us at 1 Fire Authority Road, Irvine, CA 92602. Address Suite City Project Scope/Business Description 1. Construction of a new building, a new story, or increase the footprint of an existing building? Changes to roadways, curbs, or drive aisles? Addition, relocation, or modification of fire hydrants or fences/gates? Construction within 300 feet of an active or proposed oil well? Fire Master Plan (PR145) 2. Property is adjacent to a wildland area or non-irrigated native vegetation? Fire Master Plan (PR145); a Fuel Modification Plan may also be required. (PR120, PR124) 3. Located in or < 100’ from a Division of Oil, Gas, and Geothermal Resources (DOGGR) field boundary, < 300’ from an oil/gas seep, or < 1000’ from a landfill? Methane Work Plan. (PR170) 4. Installation/modification/repair of underground piping, backflow preventers, or fire department connections serving private fire hydrant/sprinkler/standpipe systems? Underground Plan. (PR470, PR475) 5. Drinking/dining/recreation/meetings/training/religious functions or other gatherings in a room > 750 sq.ft. (> 1,000 sq.ft. for training/adulteducation) or > 49 people? Healthcare/outpatient services for > 5 people who may be unable to immediately evacuate without assistance? Education for children (academic tutoring for ages 5+ is exempt unless classified as an E occupancy by the Building Official)? Adult/child daycare? 24-hour care/supervision? Incarceration or restraint? Hotel/apartment or residential facility with 3+ units and 3+ stories (3-story townhouses/rowhouses where an independent direct exit to grade is provided for dwelling are exempt)? Congregate housing/dormitories with 17+ people? High-rise structure (55+ feet to highest occupied floor level)? Architectural Plan (PR200-PR285) 6. Installation/modification of locks delaying or preventing occupants from leaving a space or requiring use of a card, button, or similar action to open a door in the direction of exit travel? Architectural, Sprinkler, and/or Alarm Plan depending on the occupancy and type of device installed (PR200-PR280, PR420-PR425, PR500-PR520) 7. Installation/modification/use of spray booths; dust collection; dry cleaning; industrial ovens/drying equipment; industrial/commercial refrigeration systems; compressed gasses; tanks for cryogenic or flammable/combustible liquids; vapor recovery; smoke control; battery back-up/charging systems (> 50 gal. electrolyte, > 1,000 lb. lithium ion); welding/brazing/soldering, open flame torches, cutting/grinding; or other similar operations? Special Equipment Plan (PR315, PR340-PR382) 8. Storage/use/research with flammable/combustible liquids or other chemicals? Motor vehicle/aircraft maintenance/repair? Cabinetry/woodworking/finishing facility? Chem Class & floor plan (full architectural plan if H occupancy); Special Equipment Plans may be necessary. (PR315-PR360, PR232-PR240) 9. Storage or merchandizing areas in excess of 500 sq. ft. where items are located higher than 12’ (6’ for high-hazard commodities, plastic, rubber, foam, etc.)? High-piled Storage Plan (PR330) 10. Cooking under a Type I commercial hood; installation or modification of a fire extinguishing system located in a commercial cooking hood? Hood & Duct Extinguishing System, not just the hood mechanical plan. (PR335) Initial each of the following two items indicating that you have read and understand the statement: 11. *Sprinklers/Alarms: Consult Building/Fire Codes and ordinances to determine sprinkler/alarm requirements; if a system is required, plans shall be submitted for OCFA review. Existing buildings undergoing remodel must be evaluated by a licensed Initials contractor to determine if modification is needed; if so, contractor shall submit plans prior to making modifications. 12. Fire Hazard Severity Zone: Consult maps available at building department or on OCFA website to determine if your site is located in a FHSZ. Buildings in a FHSZ may be subject to special construction requirements detailed in CBC Chapter 7A or CRC R327— Initials the building department will determine specific requirements. I certify under penalty of perjury under the laws of the State of California that the above is true: Print Name Signature Phone Number ( ) Date / / Building Department: If you have verified that all of the questions have been answered accurately as “NO”, and the project does not otherwise require OCFA review of sprinkler or alarm plans*, then you may accept this signed form as a written release that OCFA review is not required. Should you still require that the applicant have plans approved by OCFA, please initial here or attach an OCFA referral form and have the applicant submit the form along with the appropriate plans and fees for OCFA review. 10-08-14 EE COM HOLD- 3120 W Warner Ave - 1041190357/17/2024 O R A N G E C O U N T Y F I R E A U T H O R I T Y Plan Referral Form Required for OCFA to review plans upon the request of the Building Department when the answers on the Plan Submittal Criteria Form (on the reverse) are all “No”. City / County Official Requesting Review: City / County Reference #: Date: __________________________________ City / County: _____________________________________ E-Mail: __________________________________ Contact Name: _____________________________________ Phone #: _________________________________ Title: _____________________________________ ** Have the applicant complete and sign the OCFA Plan Submittal Criteria Form on the reverse of this form. ** Reason(s) for Review: Please describe why OCFA Plan Review is or may be required by the City/County : OCFA COMMENTS: No further action required on this specific plan type, based on information provided on: ____/______/______. Project to be taken in for OCFA Review. Other: Name: _________________________________________ Contact #: ______________________________________ Date: _________________________________ OCFA Authorization Updated: 06/02/2020 rs HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024 HOLD- 3120 W Warner Ave - 1041190357/17/2024