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Home My WebLink About10193423 - Permit (2)Project Address: 4626 W Hollyline Ave Assessor's Parcel 100444-22 Lot: 5 Unat Bldg: Address Range:Suite Range: Zoning: Rl \t- Block: NA Tract: 2464 Historic No city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 1fJ153423 Pin #: 57946 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Alteration Windows SFD Occupancy: Constr Type Code: Flood Zone: # of Stories: R.3, U VB cBc 2016 A-0602320143J 1st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: T.l.Area: Yards Req'd: Valuation:$5,000.00 0 Description of Work: Legalize (10) vinyl sliding window change outs. Like for like. Auth on file Planning Conditions: Existing wood trim not to be removed or alteras part of this Project. Ownerl Address: Phone: Tenant: Contractor Address: Owner-Builder Engineer Address: Architect / Desiqner: Address: Phonel License # The Do Family Living Trust 19132 FESTTVAL CtR Huntington Beach, CA 926486609 (714) 316-9s09 Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: No PWA lnsp. Req'd: No Planning lnsp. Req'd: No Landscaping lnsp. Req'dr No Mar. Escarlet Zuniga, Allissa Oale 0710312017 Date: Dale: O7lO3l2O17 Subject to Field: l\,lisc. Receipt Misc. Receipt Misc. Receipt 07776002 5150I Permit Fee 07776002 51672 Bldg. Slds. Revolving 07776002 51600 General Plan Update 07776002 5150, lssuance $154.26 $1.00 $21 .25 $52.98 Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd: No Every permit issued shall becorne invahd unless the work on the site authonzed by such pemit is cofimenced wilhin 180 days aftat its issuahce,ot if the wor* authoized on tho site by such pennit is suspended or abandoned for a penod ofl80 days aftet the lhne the ,,vod< is commenced . lnspector MtD#. 2017-137194 01 1 16002 51600 01 116002 51601 01 116002 51612 $21.25 $207.24 $1 00 Fee Total: Paid to Date: Balance Due $229.49 $0.00 1229.49 Phonei License # BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNf,R AUILDEN DEI.(AIAIION I ha.tD rl'm undd FMll! oi F ru^ lhd I 6 .rmo non thr GnrrloE LtlM L.s lor th. rolLw'n8 r.sn (sd 70l l 5 BGinBs dd Proi*ion ('od.l Aoy Cily o, Counly rvhrch r.quir6 s Fni lo co.dtod, .h6. inrtorc drml6h or r.tff .., tudrc, Fior 'o d suMcq lki Equn6 rh. qrltd ror iuch F6n ro 6k r sis..d srr.mr rhd lE or slE t licds.d ru$.n (, rh. pr.\Bio6 olllE Conlrroi! I ic.N.d llu'((lE rd e. 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I ib.r Cod.. aor rhc F f(nffi. of rh. *ort lor trhkh $6 Fmn ir isd Mt $dtd' .omFarirn ierm. csir rn Fli.r,!mbc Ec Polkt Nu6bd: Erpr6 l.diry$,l 'n rlE FfolrljtNolrlr {o.I aor $h.h rha Fon 6 au.<ll I slEllmr @ploy ev pden in rny maE e ! lo h6om .uBel lo th. f,!*d' mn!.cllion h*r of (-rlifomi.. d.BElhd if I sh.lld b..orc$bJ.(l lorrE $!116' codr.Blli.r pr.vLio6 of S.dio. 1700 of llE lrbor Co&. I Jrll, tonlRilh orpl] r nn dsr Foiilioa$AtlrNG Flilur. ro su. $!.ta omFdiin ori.*. a ol,*tu|, ri rh.ll sbj<l e dplorE h an n l F$hi: dd cnil li.6 up lo o.. hundr.d rtousnd dollm llll[.(x)0,ion b lh. co$ of romn nsro., d!h.*6 $ rro\ id.d tor rh. sdr rn 1076.frh.l atfl ( &1. inrdd d D !t!!-t 1!\!ll^ I hn ny imm undn p.nslry o f lfjury rhar I m licaEd unds lllrt $n,tr ol Chaprd I (canhd.'.8 * h Sdi. r0ull of Di1 isk\. l of lhc BBrner and Pmrsioc ( od., En my IKG R h aull aorE in cfl6t (arsrilJcrrclrIdltrc-acr!(a I nRb ifm undd Frlr) of Fr,ury rhd tl'ac i!. oinrudhn Lnding.*o.y for rh. Fiol1,u.. ofrhc wo.k nn shich lhis Fnn i5 irru.d(S( 1097. Civ C l. ATIIIIAIiLDECIJXATTOX I hddr .trm u.d< !.!uh!_ orp<,u.} oE olllE lollo*ins d.(l&dirN Domlnion Pmtu-Asberor Notili..t ion F.ddrl R.luldio.r{In1.40, Pan6) R.luncd I dra of Ndrtual$n , .diry rhil rhc f.dral rcgulato6 ,qrerjlig NtEslos rmr ,. not 4lplrahL ro rhB pflrF ed (otrilio otd un,n (lE 2/5/b(7 Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathing Shear Wall Framing lns u lation/Energ y Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL */f '/t? ,Y Rrr-nr 8[ Certificate of Occupancy ' Notes, Remarks, Etc ".'., 'tfj f at1 lcd16 rhI I ll1\.r.id rhir t1rtr,(\D I T-Bar I\,(AYOR Miguel A. Pulido MAYOR PRO TEM Michele Marlinez COUNCILMEMBERS P. David Benavides Vicenle Sarmiento Jose Solorio SalTinajero Juan Villegas Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property tm provements ecif led at L/t ,N Nit Z D3 We are providing you with an Owner-Builder Acknowledoment and lnformatlon 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 permlt 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 VEBIFICATION OF INFORMATON DIRECTIONS: Bead and initial each statement below to signify you understand or verity this information. O- 't. ,understand a frequent practice ol unlicensed persons is to have lhe property owner obtain an "Owner-Buildei' building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, 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 prope(y. My homeowner's insurance may not provide coverage lor those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to worr(ers on my property. O Z. f 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. V g. t understand as an "Owner-Builder" I am the responsible party of record on the permil. 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. 6- o. I understand Contraclors are required by law to be licensed and bonded in Calilornia and to llst their license numbers on permils and contracls. O S. f understand il I employ or otherwise engage any persons, other than California licensed Contractors, and the total value ol my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employei' under state and federal law. fif O. t understand il 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 lailure to abide by these laws may subject me to seflo s financial risk 7. I understand under Calilornia 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 SANTA ANA CITY COUNCIL ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLEBK OF THE COUNCIL iraria D Huizar nDurido@san!a-ana orc Mayor P.o Iâ‚¬m, Ward 2 hmartner@san|a ana.o.o Vrcsnre Samenlo vs{menlo@sanla-ana-orc 60lono@sanra-an, qo P Davrd Benavdc! dbenavides@.anta ana o,o ivillsasraenta'ana oro slrnaso@santa.ana.o.o CITY OF SANTA ANA PLANNING & BUILDING ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, Californra 92702 ww\r'v.5anta ana,org, pba NOTICE TO PROPERTY OWNER licensed subcontractors and the number of structures does not exceed four within any calendar years. or all ol the work is performed under contract with a licensed general building Contractor. V A. I understand 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 owne(s) that result lrom any latent conslruction delects in the workmanship or materials. -U-g. f understand I may obtain more information regarding my obligations 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 Calilornia Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. 10. I am aware ol and consent to an Owner-Builder building permit applied for in my name, and understand that I am the part gall and f inancially responsible for sed construction activi at the loll rnro addres I 11 I agree lhat. as the party legally and financially responsible lor this proposed construction activity, I will abide by allapplicable laws and requirements that govern Owner-Builders as well as employers. X t 2. I aoree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the inJ-ormation'i have provrded on this lorm. 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 ror 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 Conlactors, you will be responslble for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Belore 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. /Vote.' A coDv of the Dropertv ownet's driver's license, form notarization, ot othet verification acceptable to the aoencv is reouired to be presented when the Dermit is to the wner s nature. Signature of Property Owne Dale 7 ,20 1 Print name of Owner ,\lt hau +11\v\ l) o le,l\<\ec- AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice lo Property Owner, lhe execution ol which lunderstand is my personal responsibility, I hereby authorize the ,ollowing person(s) to act as my agent(s) to apply lor, sign. and file the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construclion Projecl (or Descriplion ol Work) Name ol Authorized Agent Address of Authorized Agenl Phone Number of Authorized Agent I declare under penalty of perjury lhat I am the property owner for lhe address listed above and I personally filled out the above information and certify its accuracy. Properly Owner's Signature Date Note: A copy ol the owner's driver's license, fom notarlzation, ot other verillcation acceptable to the agency is required to be prcsenled when the pemit is issued to verily the propeiy owner's signature. SANTA ANA CITY COUNCIL mo!hdolasanla-an: o.o Mayor P.o Tem. Wa,d 2 fltun'nez@snl..a.a.ord vsarm,e.ro@sanra.anaoro'sclono@sanra-anaoro dbenavLdes@sanra.a.aoro lrlegar@sadr:ala,q9 ) Project Location or Address:_ Print Name ol Owner: slrna..o(asnla-ana oro m(I) m @ z inama \JI ;mf, =a -.t ! lIt !m, = ooao!oc 8z u) --{? --t ! mo--{ !r @c o .! I zIo =o , 'T',l,. oo Noz o om mo --.16z a -Tt 3 It t I I --l !o )J2 fl1a ,o n I I I I m l'ilm :l !-r 6 zIrI :)ro6{ao-{e\ UE/''l )--\,8 6= 8t)Xitchen and DininB Room 15 8'x 10 8' Liv ng Room 15.8 x 17 3' 98fl I 5.75', >l8' Bedroom 13.2 x 9.7' Bathroom 2 6.7'x4.a Bathroom I 6.7' x 4 a' Master Bedroom 11.2'x 14 8' \t g I - ^l^ \)a n ( f- Jcl .J J o ltJ otror l! I, L: T t',ul SITE/FLOOR PLAN \ h I I I II l I -\ \, o p e e o p e e o p e 5 t'., 10.4"10 4',10.4' LIVING ROOM WINDOW ELEVATION 34.5"34.5" o p e a o p a 46 46" KITCHEN WINDOW ELEVATION 19.5" < 8.5 19.5', <8.5"> a o o 66 66 BATHROOM 1 WINDOW ETEVATION BATHROOM 2 WINDOW ETEVATION 34.5'34 5' t6 o p e a o p e 5 46 BEDROOM 1 WINDOW ELEVATION 34.5"34.5" o p o p t 5 46 BEDROOM 2 WINDOW ELEVATION 28.5" < 13.25" > 28.5' < 11.25' > 28.s" < 13.25', > o p e e a o p a o p I e a 5 5 46' BEDROOM 3 WINDOW ELEVATION 28 s" < 13.25" > 28.5^ < 13.25" > 28.5" < 13.25' > o p a o p e o p e a 5'5 46 MASTER BEDROOM WINDOW ELEVATION 9tE9 U, ) 4) h h h h h i- ;. E h "1 \ -o o "c ir6 i.6 e 'o o "c ^l ^l .l ". 1 e 9! q E iD .D o ]; I r I I I - - I I I - I I - .9 ! I h ; 5 'o ] i^^l '6d; .! .l io u, ] d ;9Z 3 d ce $ e 'l s k k $ s F a G- a i,E3 EE= '> E'> E E E E E E E E E E E E FfLI J(,z-(_ . )=o(Jz= I l, l= l, .. l ;l-t t, " lDt; l- I Ir I