HomeMy WebLinkAbout10196423 - Permitq
Proiect Address: 930 E Warren St
Assessor's Parcel 404-012-',10
Bldg: Address Range Suite Range:
Zoning: RlBlock: NA Iract 2482 Historic: No
city of Santa Ana 20 Civic Center Plaza (M-'19), Santa Ana, CA127O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O195423
Pin #: 76933
Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio:
Job Type: Reroof Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Reroof Code: CBC 2016 other Areas: yards Req,d
Existing Bldg. & Use: SFO Wdet garago Flood Zone: X-0602320276J Garage Area: Valuation:
Proposed Use: # of Stories:
Total:
Description of Work: Reroof Wt.o.-Remove and apply comp shingles to sfd and det. garage/replace sheathing as req'd/handout given
$7,075.00
Planning Conditions:
Owner:
Address
- 5/ lL/ 2t.tlil ID I F7:r
TRI]i:
FrEt'+ ! lr:llri,
,4 _ 1,14/.tt_tt? lt 1aIotol SSlil.T
Miguel Aguilar
930 E Warren St
Santa Ana, CA 92701
/.7141 724-2358
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P,rildins
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EIdr titds ftevolvins
irlI 1.6Ut2-'1612r:I:t(r*
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,,ll,rnge
Owner-Builder
Engineer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Architect /
Desiqner:
Address;
Phonei
Lacense #
i,!,:
.l_ll.
, I,l t-
Planning Approval By:
Plan Checked By:
Permit lssued Byl
NPDES lnsp. Req'dl
PWA lnsp. Req'd:
Planning Insp. Req'd:
Landscaping lnsp. Req'd
Guevara, Jerry
Hernandez, Kathy
Date: 05/'1412018
Date:
Date: 05/1412018
Subject to Field:
Misc. Receipt
[iisc. Receipt
Misc. Receipt
$308.52
$1.00
$21 .25
$52.98
01776002 51501 Permit Fee
07776002 57672 Bldl. Stds. Revolving
01776002 57600 Genelal Plan Update
07776002 51601 lssuance
No
No
No
No
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No 01 1 16002 51600
0'1 1 16002 5160'1
01116002 51612
$21.25
$361 .50
$1.00
Account#Total
Every pemil issued shallbecohe invalid unlessthe wo* on lhe sile authorized by
such permit is commenced within 180 days aftor its issuance,or if the wo* authorized
on lhe site by such pemit is suspended ot abandonad for a period of180 days aftet
the timo tho work iscommenced
Fee Total:
Paid to Date:
Balance Due
$383.75
$0.00
$383.75
Lot: 47
Unit;
Contractor:
Address:
ll 1 t,:E
Phone:
Tenant:
Phonel
License #i
ea$Tfer-lNs(&-To<
MtD#.2018-143334
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG.COMMENTS owNtrR BtrlLDltR lrBt-( ARA] loN
I hcR$y rflirnr u cr pcnrlry (,f tl.rj$y rh l!mcxcmrr fmm rhc Cont!.ttrr l-ic. { l-i! lhr rhc lollosi'r8 rc.$rrscc70llt
BusnB\{ ufrl ltofcsi.n Cdc)r Atry Cny .r Couiry thi.h rcqutcs I Fnnir ro onsrru.r. tlrr. in|,ovc. c'tuli\h 'tr tl'ir rn)
nocrd'c. ritrt, ih is\rmcc. !l$ r.qrncs rhc l|)0li.itrr in n'chtcnnn io flci rigned {rrctrrnr lhnlhc.r \hc h licct\cd l)!6ulnr
lo nrc pnvnions of rhe Conrrrclofs Liccnscd l,trw (( hrPr.r 9. Coumencin[ sirh scdiotr ?(xxr 'r Divisiotr 3 ol rh' Bn{nt\r rDd
Protis\i( \Codc)orrhnl h.or s[c ircxcnrpr rluclr. rtrdrhc 6rsn fi, rltr,lLgcd cxcnrfli,nr Aivv]ol.rionofs(lotrr03r 5hvtnv
applicrnrlainFiinirsubJr.rsrh. +tli.rrtIoacivilPctrtrlryofnor irclhrn lirc hundrcddolhN(l5ll))
-1.n\o*ncrotrh.|1ro|ry.ornrycnrk,y.c\sirhNrBc\(\rhcir{,lc(.rllfnsdi{rr.}illdorlt$.rkr
lhcsrMtunn'br
inrc d oroltarcd for srh (SE 7(Irrr. Busircs(rnd Prclcs\ion\Codc Thc Cor( rrctn' s Li.cnsc l-as d{E\ h.r nmlv r' !n o$n" or
rhc|h'|En, who huilds or i.pmvcs tlErin. xnd who ocs {rh tro* hinl\clforhrr\clfor rhmrshhi\ or hrr oBn cnPlorc.s
p'1'viJcdihnrstrchn\rocnrnr\trt'xnirctrdcdotollcr.dlo!srlcll.howcv.r.rhctuikli'rsornnfio\cnrnris$Uuirhnronc)sr
;l cnndcrim. rtf, o*ncr Buil,q willhrvc rh. burdctr urlmliry rhol hc or sh. dtl tr.r h'ild or irProv. ihc pn)Env r.r rh. !uq$e oi
_1. r\o*ncrorrh. trolEdy r cx.htrnelv.otrt.c.n! \r[h lrcns.J cofun.tn\r. cofdnld rlf, |n.i.crrSc. 7Ol-1 Bu\irrc(\
,M tnnLsshn Cod.: Th.Conkrrois Lic..sc l-awd.cs,ror.PP rr olDn)p.nv \ h. hnilJ\ or rN0rcr\ rh.rcf
ird *ho roirn,.rsfd su.iIrij..r\ wirhacofnrkn(\) I r) rh. cotrtr.d'( l.i.ctr{ I xsr
-l
lnrcxcn,nr und.rSc.rir)
t h.rcby omrmundcr pcnalry ol pdjury onc otthc folldwihS dechr,'ions:
-lhrverixlwiumdnrah0CcnificdrcorC.nsctrlroSclilNurcforsor*.rsconrpcnsarbraslmvidcdtotbvSmrion:l'7(x)orrhttjbor Cdc. lbr lhc perf.mu.r of lhs work for {ni.h th. Fi,nit h tsled
-l
hrlc nnd willmaintsin workeB ..nVrnsorion insurlmc- as ,equi{d byScclirn l7morth. titor Code ror dc !.rfohEnc' oI
rh. aork ror whth rhh Frmir L\ hsri. Mywo ss onpcnssiion insutlncc cMif rnd Plicv nuolber m:
P. icy Nnn,b!r:
-E\Ptcc,-
I ccnilyihnr ir rhc pcnarnrtu ollhcsorkfor*hichrhi\Pcrnriisi\\uctl.l{hrll.orcnrPloy.ypcrs.nirrntiutrtrcr
\o !\ b hc(rf, \ubacr lo rhc sorkcr .omp.trrdi hws o, Crlihnrii. Mdt3N (h r ifl \l$uld hcconrc srhjc{r ro lh.
*olkss comp.\ari.trtiovGionsofs(rn,rlT0OoIIhcLlhor(i)d. lsl[rll. f.nhwirh..mllywirh rho{povtions
WARNIN(; inihc ro ccuR soAtF comPcn{id c.rdrs. is nnli*iul. rnd \hnll suhicl an cnrPIIt$ ro aiari'ul Fnrkic( d
.ivil hr( nn ro onc hu drcd rhoustrd dollfi\ (Sl(x).l)(Xl), nr a n b rhc ({ ofcompcn\lridr drntrScs as Ptulidcd lor rhc
S..rtn ll)76.llhc I rhtr (inlc. dcrc( xnJ rrrtrnr!\ rc(\
!.2rlt"!&!lM
I hcnby.ftrmunder pcnrlry of N.JUty rhlr I am liccn*t utrd.r pmvniu ofChryrd 9lcommnciig wirh SNlion TlXt)) 'fl)ivki'n ll
ol rhc Bu{i,rc\s,nd Pmicssi{,ns Cod.. Md myli.cnsc i\ in torl roN .rd cllccr
CONSTRT](:TIoN LENDIN(: A(:FNCY
I hcrhy rl,_rrn uMlcr rlnxlryofp.riury rhar rhcrc i r.on{rucrnrn Ending recrv lor rhe pcrfornrn c.llhc sork ror *hich lhh Pcrdir i\
is\ucd (S.( 1097. Ci!. C.)
Lcndci\ Nrm:-
t-n'lc,'\ Ad&.(\
-
AI'PI ICAN'I DFCI ARAI]oN
I hmby x,llmundcr Nnally olrclnry otrc ot lhc ii,ln,Nii! dccharions:
Dcmolir onPonrir* sbc(os Norifi.aridrFcdcrnl ltc3ullrior(Tirlc{0.Prn6r
_RcquiEd t llerof Norificorion
-l
cenify rha! rhc rcdcrsl rcgularinns Egi,iling asbcslos rcmvrl d. nor afl,licahlc ro rhis proFl
I cef, rfv rtu' I haL. Fad ftn dDDkari,n,it r,rc rhar thc !ho!e inroio0riotr is c.trtd I aFE lo odpl, wi$ all Cirv and Coun(v
;;;omc\;nd sratc hws rchti"i i. t',,y'fi-*,.a*". ",*t t
"rcby
aurnori.c rq'cienrarilcs ofrhh cnv and counrr ro enrr uFn rlE
otsvc trEnr'nnd rnn€ny rnr D,n"d'.1Et11t4.
nrrrr-, * nr*rrr*"ron 4'US{ D.t.
Pemlle Mm lprtnltl
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf looriVenVl nsulation ll
Floof Sheathinq 5/zt /, {..161q,)T^
Framinq
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deouty Final Report
Enqineer Final Report
Flood Zone Ceftif
lr
FINAL /-,h,'l ll{-pg.vli
Certilicale of Occupancy r
Notes, Remarks, Etc
Shear Wall
MAYOR
Miguel A. Pulido
I\,4AYOR PRO IEI!1
lvlichele Martinez
COUNCILME|\,llBERS
P. David Benavides
Vicente Sarmiento
Jose Solorio
SalTinajero
Juan Villegas
ACTING CITY MANAGER
Gerardo L4ouet
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF THE COUNCIL
[,4aria D. Huizar
CITY OF SANTA ANA
PLANNINC & BUILDING ACENCY
20 Civic Center Plaza
P.O. Box 1988 . Santa Ana, California 92702
www.santa-ana.org / pba
NOTICE TO PROPERTY OWNER
An application for a building pe rmit has been submitted in your name listing yourself as the builder of the property
improvements specified at
We are providing you with an ment 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 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 ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
fi+-l I understand 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 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 property.
AAr. tunderstand 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.
A 4r. tunderstand 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.
fu 4 q. 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 em ploy 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.
&"tA I understand if I am considered an "employer" under state and Federal law, I must register with the state and
federal government, withhold payoll taxes, provide workers' compensation disability insurance, and contribute to
unemployment compensation of each "employee." I also understand my failure to abade by these laws may subject me to
serious financial risk.
ilb, t 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 performed by
SANTA ANA CITY COUNCIL
mp!iido@sanla-ana.oro
Mayor Pro Tem, Wad 2
mimaninez@sa.ta-anE oro
Vicenle Sarhienlo
6aoiento@santa€na.oro isolo.io@san1a-ana oro
P David Benavides
dbenavds@santa-ana.orc ivillmasOsanla-ana oro slinalero@s.nta-ana o.o
Dear Property Owner:
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 licensed general building Contractor.
il ,4- g I undersland as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any-financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
l-4'g. I understand I may obtain more information regarding my obligations as an "employer" from the lnternat Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the
California Division 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.
)/A rc ram
fiffirtytesat
address:
aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am
d financiall y responsible for proposed construction activity at the following
t-O
fr.Ll I .l 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.
/4 /yz.l 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 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 responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
com pensation 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. irote.'A coov of the DroDerfu ner's driver's license
notarization or other verification a to to be ted when the it is
ow ss n
Signature of Property
Print name of Owner
Owner Date
AUTHOR ION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my peBonal responsibility, I hereby authorize the
following person(s) to act as my agent(s) to apply for, sign, and flle the documents necessary to obtain an Owner-Builder Permit for my
project.
Scope of Construction Project (or Description of Work)
Project Location or Address
,-l 1
.z//
Name of Authorized Agent:
Address of Authorized Aoent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally lllled out the above
information and certify its accuracy.
Property Owner's Signature Date
Print Name of Owner:
Nole: A copy of the owner's driver's license, form notarization, or olher verification acceptable to the agency is required to
be presented when the permit is issued to verify the propefty owner's signature., ., I,i:r a:..-r-n-. .rLr:--,:ra :i'i:'..::-^r-r_.:: -. -,'.:'.':
SANTA ANA CIIY COUNCIL
moulido@santa-ana oro
Mayor Prc Tem. Wad 2
miman ne2@sanla-ana.oro
V cente Samiento
vsam ento@sanra-ana oro isolo.io@sanla ana.oro dbenavdes@sanla-ana oro ivl eoas@santa ana oro slinaiero@sa.ia-ana oro
Phone Number of Authorized Agent: