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Home My WebLink About10196253 - PermitCity of Santa Ana 20 civic center Plaza (M-'19), santa Ana, qA.d?zoz Building Permit Counter: (714) 647-5800 lnspection Requests: (714\ 667-2738 lnspecior Section: (714) 647-5853 Permit #: {O196253 Pin #: 4o532 Br Proiect Address: 909 N Sheffield St Unit Bldg: Address Range Suite Range: Zoning: RlAssessor's Parcel;'100444-50 Lot: 50 Block: NA f?cl2464 Historici No Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: 240 Job Type: Patio Cover Constr Type: V B 2nd FL Area: T.l.Area: Nature of work: Patio cover/windows/orywall/stuc( code: cBc 20'16 olher Areasr yards Req,d: Existing Bldg. & Use: sFD watt Garage Flood zone: A-0602320143J carage Area: valuation: S35,ooo.oo Proposed Use: # of Stories: , ,or",, Description of Work: Legalize demo of permitted patio cover. New patio covar, Change out (12) windows to comply w/handout giv6n. Lower2 windows sill height. Replace sliding g lass door dFrench door, No structural chan ges. Fill-in (e) window in garage. Re-drywall sfd & Planning Conditions Engineer Owner: Address Trinity Gamez 257 E. Osgood Street Long Beach, CA 90805 (307) 256-7837 Contractor: Address: Owner-Builder Address. Phone: Tenant Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License # i. Architect / Designer: Address:'11 l6u0.l-',/( Bu i 1d r1116r:r-12- ;u i! {B?r:rlrlll - Phone: License # Planning Approval By:Guevara, Jerry Ahangian, Kathy Amsden, Julie I/isc. Receipt Misc. Receipt Misc. Receipt K. Ahangian 07776002 0 777600 2 0 77 76002 0 890100 7 0 77 76002 0 77 760 02 0 77 76002 51601 Permit Fee 5i600 Plan Check Fee 53600 Subject to Field 21000 SMIP - Category 1 57672 Bldg. Stds. Revolving s7600 Cenetal Plan Update 5]601 lssuance $458.52 $88.80 $'154.26 $4.55 $2.00 $21.25 $52.98 Plan Checked By: Permit lssued B NPDES lnsp. Req!No No No No PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd: No Account#Total Every permit issued shall become invalid unless the work on the site authoized by such pamit is comnenced within 180 days afler ils issuance,ot if the wo* authoized on the site by such peftnit is suspended ot abandoned for a period ofl80 days aftet the time the wo* is commenced. $21 .25 $511.s0 $2.00 $243.06 $4.55 $782.36 $0.00 $782.36 lnspector MID#: 2018-142933 01 1 16002 5'1600 01 1 16002 5160'1 01 1 16002 516'12 01 1 16002 53600 08901001 24000 Fee Total: Paid to Date: Balancâ‚¬ Due: re-stucco entire house.sfd/garage.l la{ i.p: a l Yt.r [ronEo,:t i0n I r in i t.:J G(rJi1 F n Dale: 0412412018 Date: 05/1712018 Date: 05/1712018 Subject to Field: BUILDING. INSPECTOR BECORD I SITE-WORK DATE tD/slG.COMMENTS OWNER BUILDER DELCARATION I hcrcby alfifln undcr pcmhy {'r p.rjury thnr I m.kmfl r$'n rhc C.nlr0clon t-iccn{ Ij* ftr rhc rolbsire rclsn (Sc(r03l5 Brsirc$ 3nd P<,rc\iion c.d.): Any Ciry or Cotrnty shi.h r{uncs a t^-mir lo con{ .r. alrcr. nryrovc, dcmolish or rcran uiy sru.lurc. prir o n( fiune. 0l$ rcquirc\ rhc $llicanr tor \uch Frnrir ro fih . r8trcd slalc,rcnr rhlr hc or rh. s li.cns.d puruanl ro rhc F{,!i\nr.s.rlhc Cotrtacrols Li.c.*d ti* (Chopt$ 9- ComN.tuin! wirh sccrion 7uJ0 of Division I orrhc Businc$ .trd PmlcsnnrCodc).rlh.thcorshciseicnrflllrrct.nsndIhchrrirtarrhctllcS.dcxcmllion. Any vdarn,n or Ssrion 70:11.5 b, try JnSltrod r.r ! F.n'ir.uhr. \,hc ifflrcrnrrur,rvrlt.nrlryrlrurmrcrhJn'it.hdnd'cdd,llr.'S50o,a\-/ \ 9!(* ,,"*' r," ,-*"y. o, n,y cdnloycc\ q {h I aacs !\ rhct {,L.\mPc.snrion. willdo [r sor{,.d th. nm(ur n nd -llicftlc'l or.,lcrc{ tu slc(Sr 704.1, Burncsi .l Pturc\sions Co.lc: Tnc Cotrhrroir l-iccns. llw do.r nol a,,l'ly to an o*F or rlrc noncny wh. build\ or improvcs rhc@n- ud who dixs soch kirl himsclfot hcsclior rh.ouBh hn or hcr owncmpbyccs. nmvid.d rhd ru.h i'nlrn)vcmnh m mr inrcndcd n oficrcn in {h ll lnwcwr. rhc hoikiirg or inpmknEnr ( $[l wirhir onc tcr olRrlllllcridn, rh. O*hcr auillcr qil hr{ lh budco ofpovirA rhrr hc or shc did hor buiu.r irproR rh. ProPcny lor rlf, PUrPr ol l.r\o*ncr.frhc!n,pcv,nrcx.h*ivcly.offr.lirAqirhli.cn'cd..nrrrktr\t,cod{nr.rrhr1r,Jc.r(Sc.7l!,l.ln^iDGi xt tt\rLs*'nCodr'lh.Conrrrctr'\t.iccDscl-a(,br\norrtfltt'r oNner.ftr.n.dy*hobuild\ori'nr('vcsrhcrcon. rtrd Nln co rri.. tur uch pmf.rs*irhr (ir rrckn(r) licctr{cd funHnr ro rh.Contn.rr'\ Li.cn\c lj*) l sd.i.nrnr r .i Sc.rn)(,"*9-rrrL Drctdarrla! I hrrcbynlliiinun cr |{Nll) oincrjuryonu of rhc f{,ll,,trin!n..hrrrnrN: -lhrvcmd+,illrnoinrainrCcnificarcofCon\.nir.sclflnnrcturworkcrq,mncn\!ri,n.astmvid.dfdbySsliu:l7lx)o,rhchllr Codc. Lr ir prrlormrccollht wort in whichrhc pcrniir is isucd. -l hrvcrnd will nui' ain $.rkcB ..nD.nsirion iNurincc. is rcqrhd nys(rnD ]TLUnfrh. L.ho! (bdc.lirr rhc p.rron !tur-nr rhc *ork lor whi.h rhhNnnir is i$ucd. My *qkcis conDctrr0ri, in\urrn.c .tiircr .nd l[lEy nunrhcruc: r\/d 1 F-z I .cn'ly rhx r ir rh. NrlnnnrNc oirhc (ork nrr *hi.h rhA Nnnir ir N{rcJ. I shull nol cmpl,'y uy pc^on in rnymrnner c rfilr ifl \h,!ld tf,.om suhjccr Io rhc h*irhcomnly wirh rh.* provisions. d *hrll suhjcd an cnphycr ro mmiful FDahics ,nd .oi of.omFnsotion. drnE8e\ Ds tbvid.d for rhc s r\roluoN suhlc.l lolhc \!orlcr(..nD. \ari{$ las\ of Cdl'foatix. ani rgB trork.rs conDctr{ri(rrfDvisionsolSccrion.l?fi1of rhcl-rhtrCdl..l \hill. i,n W IININ(I: Iinilurc h {rorc rorkos,.onlrnsdi(rr.ovcrrlc ir uDhqtul. rr civil fitr.\ rt, i, .i. hu drud rhou{r d dolldr\ (SI00-(x)0). ir a(l iri,nr b rhc Socrtrr.ll)76 olrhc L ltr (idc. irrcrc{ xn(lr(1,"tuy \ (,,", 5-t'1-\ Q) ut.lttB^-l&s IhcrcbytrnnnruodcrncmlryofpcrlurtthrrIdnhcctr*dtrMcrprovnionolChrtrs9(.onr.tr.ingsirhSccliotr7l)(D)ofl)ivisi,,n-l ol rhc Bu\inc$ and Profcssionr Codc. ml nry li.cnsu i( in irllfoN ldclltcr I-i..nrc Nu $cr -cQNljlBlcul]NrlNlMi.lli[rrl I h.rby rlltnn crDcnrlryoipcrirryrhdrhrrci\ic.treru.riotrlctrdir8ilcfcyi.rrhePcrturtukco,rhcworklor*|ichihi\PLnniris i\\!rJ lScc 1097. Civ C.) AITUCANI.I,EII.ANAIION I lf,rhyron 1u $lrcn.lryollcrjuryoncof rhcnnb$in! dcclrnri.nll Dcnmlirion Pcrmik Ashcdos Nori6.ilio. rtdcr.l Rc8uhlioFl'l rh rO. PJ16) -R.quift ', tr .rrrN,irli!ari,{r -lccnrf) rhr lhclc,lc trlrEd'rr'an' r.!ddn8 rsbcno\rcnmrrl!T rnr nflhrJbl. !"hi.I'r,iccr. M -nr, ,n, , ** ."0 ,ns lnpl'cari,rn dd darc rhar rhc dh,vc inhnml ion is cotrccr l ,!rLt 16 .on{,ly wirh all c y and (i,u ry F?illiBRN;nd sritr h*. rcbrins ro hrrld'n! condtu.rn,n, and h.tchFUrh.rize rcprcscnrDrivcs orrhh City lnd Counryt,.nro llxln th. rh.k 'xnrhrcd poplay lar f,?,,u'*' I 5-\r-\S .-.<.- nr." rpAnll, \f \ Y\\/" Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground ) SLAB Floor Subf loor/Vent/l nsulation Roof Sheathing qft-.,1,\l(bv ,),C,,.-L -5+o torlb6l Shear Wall blztll'g ^^L< IA Framinq 7l-r*ltt -1M.@ lnsu lation/Enerqy l.ti-6 ?r{zl)- Drywall 9lt{ftg '/.tW/L t) Ext./lnt. Lath t'l7Al'P -.(/t{Y Brown Coat J?4-/s$ 1.t1r1,t 8"7:t0 ffi)(<,c e-7',' Masonry T-Bar Handicap Req Deputy Final Report Engineer Final Report \ Flood Zone Certil FINAL //-/t-/8.tt'{'n rt ,-/e.r 9 7 2 Certif icate of Occupancy Notes, Remarks, Etc 0) 0 Pool Fence cri' - f-------T------ [IAYOR Nrliguel A. Pulido MAYOR PRO TEIV1 N4ichele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERIM CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. CaNalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDING ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, California 92702 www.santa-ana.ora / oba NOT]CE 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 "oo, 5L<(si-\d. !l toj..$."=.. q2--1o\ We are providing you with an Owner-Builder Acknowledqment 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 VER IFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.nr\â‚¬9. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildel 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. N,ly 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. -y>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 eE_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 ry>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. J- C-5. I understand rf 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), jncluding labor and materials, I may be considered an "employe/' under state and federal law. VdA. I undersland 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. c\-^ &-l. I understand under Californla Contractors' State License Law, an Owner-Builder who builds singlejamily residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by 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 buildinq Contractor. SA. , understand as an Owner-Bullder if I sell the property for which this permit is issued, I may be held liable for any financial or Fers-onal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL m.ulido@sanla-ana ora Mayor Pro Tem Ward 2 m marlrnez@sanla-ana oro Vicenle Sarmienlo vsamienrorAsanta-a.a.oro solono@sanla-ana.oro P. David Benav des dbenavides@sant5-ana.oro Nrlleoaslasanla ana oro stinarero6santa-.na oro 96 n I undersland I may obtain more information regarding my obligafions as an "employer" from the lnternal Revenue Service, the '.[lnited 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. \ts^.&lO.l am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party leqallv and financiallv responsible for proposed construction activitv at the following ad"dreis, f oq'S.r.-t.C(:r\d t* q?--lo1.' 1 '1. 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 govem Owner-Builders as well as employers. {Ar.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 Ilnancial loss you may sustain as a result of a com plaint. 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 wh ile working on your property, you may be held liable for damag es. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verirying 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. lvote,' A copv of the Drooeftv owner's driver's license. form notarization. or other verification acceptable ,o the aqency is reduired to be presented when the permit is issued to verifv the property owner's siqnature. Signature of Prope(y Owner ..-....<- print name of owne, - \(-.. (\.. Date Project Location or Address 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 filled out the above information and certify its accuracy. Property Owner's Signature Date Print Name of Owner Note: A copy of the owner's driyer's license, form notarization, or other verification acceptable to lhe agency is required to be presented when the permit is issued to verily the property owner's signature. PL ink:\irP5l lCoir nterActivitylAssern blyBills;Nolice 1o Prope(y Form SANTA ANA CITY COUNCIL mp!l dorosanta-ana oro M3yor Pro Tem, Ward 2 m ma rl .ez@sanla 'a.a oro V ce.le Sarmrenlo vsarmrerlolasa.ta-ane oro lsolorio@sanla-ana.oro P David Benavdes dbenavides@santa-ana.oro ivi eoasrasanla-a.aoro stin6ierorosanta ana oro 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 pOect. ScopeofconstructionProject(orDeScriptionofWork):