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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 .,;:Ptl:t??63 r nnsoct ion ir6!tEl-. rrenernl f 1nn uPdntr: L]I 1 16l](r2- ti16r:ttto(r(r- P,rildins i.r1 1 J.6t02- i16r:rltr-r(r- EIdr titds ftevolvins irlI 1.6Ut2-'1612r:I:t(r* i n..h ,,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. 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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: