HomeMy WebLinkAbout10296282 - Permitq
Project Address: 1825 W Washinoton Ave
Assessor's Parcel 405-101-35 Lot: 'l
Unit Bldg
Tract: 10988
Address Range: 1817-1827
Historic: No
Suite Range:
Zoning: R2Blockr NA
,I
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 #: 1o296282
Pin #: 4980{
Building Use:
Job Type:
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Condominium
Alteration
Demo Enclosure
Condo Watt garages
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2016
x-0602320144J
2
Description of Work: Remove unpermitted walls and return patio to permitted use
Planning conditions
trI I r fJr-rtll t 6trl Lrtltr
Owner:
Address
Phone:
Tenant:
Contractor
Address:
Julio & Leslie N. Mendoza
1825 W Washington Ave
Santa Ana, CA 92706
(7141953-7423
Owner-Builder
Phone:
Stale Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
P, ids Stds Revol v ins
[1 1 l6u[r?- i161zurl-r-
Viso
(.(+: xxxr *r * xr xrI7991
Engineer
Address.
t
Phone:
License #:
Architect /
Desiqner:
Address:
Phone:
License #:
Planning Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp. Req'd:
Planning lnsp. Req'd;
Landscaping lnsp. Req'd
lvlar, Escarlet
Hernandez, Kathy
Date: 05/02/2018
Date:
Dale OSlO2l2O18
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
0777600 2
0717600 2
0177600 2
07776002
0111600 2
07776002
57607
51601
57 601
57672
57600
57607
Permit Fee
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
\x
$154.26
$93.17
$234.08
$1.00
$21.2s
$52.98No
No
Fire lnsp. Req'd;
Police lnsp. Req'd U Account#Total
No Flood Zone Cert Req'd: No
Evory permit issued shall becomo invalid uhless the wotu on the site authorized by
such pemit is commenced within180 days aftet its issuance,or if the work authoized
on the site by such permit is suspended ot abandoned for a penod of180 days after
the time the wo* is commonced .
lnspector MtD#'. 2018-143023
$21.25
$534.49
$1.00
Fee Total
Paid to Date:
Balance Oue:
$556.74
$0.00
$556.74
1st FL Area: O Patio:
2nd FL Area: 0 T.l.Area:
!i,i:, ir:;i+.iliir - i,/ ilr:.rll,i1 :i,l
Other Atttds: "0 , r ,ii Vaard€;Regd:
ii,,:i,:;: t,tF:t l. t.t:.,,r
GaragerArea r il., . r:,i:,., r':, Valuation: 91,000,00,', ||,,,t, i :',, ,'Total: 0
ir lrl, i. l', l,,, rl" rlr',1i,,-r,
Generol Plan t.lpdote Fep
fr1I16(r[r?- :i160ttUtltl-
P.u r Id ins
Aut h l; lll
01 1 16002 51600
01 1 16002 51601
01116002 51612
BUILDING. INSPECTOR RECORD
SITE.WORK ID/SIG.COMMENTS oWNER BUILDER DELCARATION
I hc.c$y aftfl undcr t ndry i,f p.ilury rhd I m cxcmfr from rhc Conrnckn Li.cns kw lor lhc follosio8 ..4$n (s..7011 5
BusnNr (xl Prolcssi,r Codc) Any Ciry or Coury which rcquits 0 Fanil io con{rucr. olrcr- nnptuvc. thnrolhh nr E|]in rny
nruclurc. orto ils nsoancc. also t qond{ Ihc.pplicim ror su.h Pciinil lo nh s sisncd sh.mnt rhd fuor shc i\ liccnscd nrrrinr
ro rh. pmvisions orrtk Con[a.lois l-iccn\cd Law (Chrrro 9. Conmcnc,n-P silh Seclion 7fin.r Division 1of lhe Ausirtc$ !trd
Pn,fcasions Codc) or lhir hc or shc i\ crcnrpr rh.6rn,m rnd rh- hnsk lor rhe allcscd cicmprion Anyviol ionolSccri{,n70:ll5hydny
appliLrnr(,rFrmnsrhjcchrhcamlicanlloacivillctrlllyolnormncrhanfivchu.dtdd.ll$(t5OO)
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!s o*rcr otrhc pmp.nt, or ry cnlpbrr.s with MScs as lhcn sh c.n, istri.n. eilldo lhc sork and rhc {odm i\ nut
inrc' lrl oroff.rcd r{tr elc (Sr 701-1. Busims ond frof.ssiuF C{}d.r Thcc.nt0 otsLkcn\cl,!wd{E\nol,pllyr.inoNncrol
th. tmlIny who irilds or inp(nBrlrrsh. arkt wha dds \sh s* hinscll'or hccclfor rhn,uah his o. h.r owtr enrPloytcs.
prt,rnhd rhrr such nnpmEnrnrs ec mr inrcnd.d or olToxd ri,r slc. Il howcE . rhc tflildin8 or in{,nrcfttrr is srkl wirhm om )ls
ol con{lciion, rhc O*n r BuilC.r will h{rc rlrc tdrdc. .l pmvins rhd h. .i shc drl mr huild or iqnow rhc Pn,Fiy fot lhc turDoE .l
L dsowncrolrhcfioDcny. amqclusivclyconrdcrins *irI li.cnsdconrrncroFro.on(fl.r rh. lojLtr (Sa ?044. Bt\ims
, l\.tlshnCoJc: lhcContmror'sLi.ctrscL.$docsnollpnlybmown(ofproFrlyuh.buildrornrytravcsrhcrcon-
nnd who conrRcts lor such !nir( (irh r G,nh.nrnr) li.cn\.{ punulnl lo rhc Contn.trn'\ Ltcnrc t w)
lrncrcm uMcrSc.lion
I hc(by trfllnnundq En$lryolFrjuryotu olrhd follo*irA d..l0arions
I cediiylh.t ir rhc pcrlorrokcofrhc w.r* forwhi(hrhi\ ncirrit is i\st.d,I \hrll n.t .trD|,)y rny Pcron inrnrmMmr
q, ns t, h..r'ft subjc.( Io rhc $frkcr ompcnsarion lass o{Crlifomir. and Urcc thir ifl sln,lld h..onc suhJccl ro rhc
*.rkc^' conpcnurn,n [ovhions oi Scclior .]7(x) of lhc l-rh, ad., l \hrll. fonhwirh confll sirh r h sfr.vision\
w,lRNlNc: I,rilurc i, $ctrr Ro'kcr! .o pcns (r
civil fircs up n) .trc hunnrd rhorqid dollrn (Sl(X
Sc.rtrnr 1076 ollh.lrtxtr G{tc- inrrrdn nid rnoaty'\
l. rid nrall suhjccr rr cnpl.y.r b cri'ni' l tf,inlri.\ Jnl
rhr."{ dlonllcN. }n. drtrrlc\ r. rm!'d!d hr rh(
I I'rruh!rlir utulc' t,.trrlr!ol r,.rjrtryrhrr lxr ll.cDrl lcrp'ovnrriolClrrincr'rlconn,(mi',!* hSc.riorl(xx))ol I)ivi\irr:l
ot rhc Businc$ and Pror.$ionsCodc. ud,nylicensc is iI
l-i.cric Nunh(r:
COXiISUEIX}IiIENDI G. iENII
t hcicby lllin undcr peulry ol pcrjury that rhm is a con(ructi('n lcndins usun.y rot lhc l)crform0ne orrhc *otr 6r Phich thk rnnil n
issucd (S.r.1097. ( iv (')
AEILICANLDELLABAIIAN
I h.nby rninn nndcr Fcnslly.fpcrjnyorc.rrh. r.llo*ir8 dcchrrrion\:
D. i,liiidr P$nrils- shc{os Norincarn,n FcdeBl RcPUlItrn\ (Tnlc,10. Pan6r
Rcqurcd Lrr.r of Nolifra'krn
I.cn y rhdr I hlr. rcad rl-F,nrlrrri,.n and {a!c tJr thc ah'vc,nrornD!tuo
nrJ'rrfr.c\ arkl srdc L1* s mlar ins ro huild'ir .oNrrfi nn. 0nd hcrchPUr6r vc
rh^. mnu kd.m*nt f.r hsKtruuNE/
^'*,i."" - ^,,''-*.-l 4)245
PE rh.e*d.(Drrnr': ( '' --Z-,-
ir c.A.r lietrr i, on'nly tr irh rllCi'r rnd Counr\
rcflr{cnr trcr nl rl'r C y zn,t Ci',ir} rn.nrcr uF,n rhc
z _/d
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathinq
Shear Wall
Framinq
ln s u lation/E ne rqy
Drywall
Ext./lnt. Lath
Brown Coat
lt/asonry
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
llq\ t8 .<,t(l(rqt
Certiticate ol Occupancy )
Notes, Remarks, Etc
DATE
Pool Fence
Flood Zone Certif .
FINAL
I hdlc dwillmrirhin0CcnifEarcofConscnrroSeltl6urerorworkn'do,nPcnsdion,dslRrvidcdlorbySccrionlT00orrhc
Irbor Codc, id rh. lclformiroc olrhc sork for $ich rhc Frdir is hsucd
I havc and will minrain $orke6' conn nsarion inrurdtu c, as rcqDird hy S(r ioi 3700 of thc L.hor Codc. aor rh. l.rronm cc ol
rhc uork for shich lnis pqnir ii hsu.d My wo.ksC conlcnsario. insurucc Ladi$.nd lBlicy numb.r 6c
Liccn\cClos:-
Drl.:
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----+---
CITY OF SANTA ANA
PLANNING & BUILDINC ACENCY
20 Civic Center Plaza
P.O. Box 1988 . Santa Ana, California 92702
www.Santa ana.orglpba
NOTICE TO PROPERTY OWNER
Dear Property Owner
An application
improvements
for a building permit has been submitted in your name listing you ef as.the bl'*uilder of the prope rty
at 4z)" u
IJ{,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 performed by
SANTA ANA C1TY COUNCIL
mpuldorAsanta a.a.oro
vi.ente Samienlo
sam enlo@santa-ana.oro isc ono@sanla-ana oro dbena! des@sarla ana oro ivilleo6s@sanla-ana.o.o sllnaiero@sanla-ana oro
MAYOR
Miguel A. Pulido
MAYOR PRO TEM
Michele l\4artinez
COUNCILI\.4EMBERS
P. David Benavides
Vicente Sarmiento
Jose Solorio
SaiTinajero
Juan Villegas
ACTING CITY MANAGER
Gerardo Mouet
CITY ATTORNEY
Sonaa R. Carvalho
CLERK OF THE COUNCIL
lraria D. Huizar
(
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 offjcial address indicated. An agent of the owner cannot execute this nolice unless you, the property
owner, oblain 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 ot verify this information.
Llq I I understand a frequent practice of unlicensed persons isto 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 OwnerBuilder, may be held liable and subject to serious financial risk for any iniuries 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.
L Mr. tunderstand building permats 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.
LilrlZ 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.
LLO I understand Contraclors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
L M- s. t 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.
l"'lJ'( u. , 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 compensation of each "employee." I also understand my failure to abide by these laws may subject me to
serious financial risk.
M chele Maninez
Mayor Pro Tem, Ward 2
miman nez@sanla-anB.oro
licensed subcontractors and the number of structures'does ntt exceed four within any calendar years, or all of the work is
performed under contract with a licensed general building Contractor.
t-.U't.
'understand
as an Owner-Builder if lsell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the
workmanship or materials.
LM n. ,understand I may obtain more information regarding my obligatlons as an "employer" from the lnternal 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.
L.M ',0. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am
the party
address:
nd finan ial res nsfble propos construct "ry)w at foll
r'
L\tt-,,,'ali*applica I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by
ble laws and requirements that govern Owner-Builders as well as employers.
_12.1agree 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'
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. A/ote;A coDv of the Drooertv owner's driver's license
form notarization or other ,s to be if is
ued to the
Signature of Property Date 1k
Print name of Owner e 's-,t\oz< i--
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 flle the documents necessary to obtain an Owner-Builder Permit for my
project.
Scope of Construction Project (or Description of Work)
Name of Authorized Agent
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 lllled out the above
information and certify its accuracy.
Property Owner's Siqnature Date
Print Name of Owner:
Note: A copy of the owner's driver's license, form nolarization, or other verification acceptable to the agency is required to
be presented when the permit is issued to verify the property owner's signature.
i_r, . l.r.'r:a)i r iii:..i:p/.:r:lrl-_- i.' --.'.ia
SANTA ANA CITY COUNCIL
houlrdo@santa-an..oro
Itayot PtoIei Watd 2
mimadrnez@santa-ana oro
Viceate Sar..ienlo
vsarmlenlo@sanla-ana oro rso oro@sanla-ana oro
P Oavid Benavldes
dbeiav,des@santa ana.oro N eoas@sanla'a.a oro slL.aero@sanla ara ora
Proiect Location or Address:
,i, i
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DCtr 70a 69{tr3
OIAORAMMATIC FLOOR PLAN
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BUILOING LAYOUT PLAN
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