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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$(t5OO) -l- !s o*rcr otrhc pmp.nt, or ry cnlpbrr.s with MScs as lhcn sh c.n, istri.n. eilldo lhc sork and rhc {odm i\ nut inrc' lrl oroff.rcd r{tr elc (Sr 701-1. 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( iv (') AEILICANLDELLABAIIAN I h.nby rninn nndcr Fcnslly.fpcrjnyorc.rrh. r.llo*ir8 dcchrrrion\: D. i,liiidr P$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.: -l.cnllirhai rhc rcdcrnlrc8uhibnsfrsrrdirsrshc(o\ rcrxrrldd troliftl.nhl. ro rhnf(Id f- -r ----+--- 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 '-.-Fl-_- fP,+fF-" DCtr 70a 69{tr3 OIAORAMMATIC FLOOR PLAN ANO BUILOING LAYOUT PLAN --T L urj r i I I I I I I I I i I I I I I t-t t-a - G-t rr,tclr- roi rr.rTa z a 6 LA ion€k, & f1 *t , 8.1,I}{.=, ol, -\S-. R)+b ,.\.t j Jt . J, l w__ctr- I W a0aIll .t, o t,o o 5a a on 8n oZ t ooo6)610 SECOI'o FLOOR TYAa.tL fOR ${TS I I ! 5-7-tY cccecq,aeafi t *-{ I It tolr f,EQ (711 -+t s FOR FUTURE EVISIONS TEMS CI-ECK ,.Iri ccNu IoNS Fx-. 1 I I I I4 I 0-2 o-a I (.) (TE{IQR ALTERAT u$rcorrrcnrroNsl. IIRIALS rO t.r..T i i Slis-l lNG SUBMIT LANDSCAPE P N-T- FIRST FLOOR .E -F co N) o tr !ntTtO Q I ETAI LJ i:[, L