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Home My WebLink About10193419 - Permitq Project Address: 2238 S Kilson Dr Assessor's Parcel. 015-102-20 Lot: 20 Unit Bldg: Address Range Suite Range: Zoning: RlBlock: L Tracl 668 Historic: No city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA g27O? Building Permit Counter: (714) 647-5800 lnspection Requests: i'714) 667-2738 lnspector Section: (714) 647-5853 Permit #: {O{934{9 Pin #: 9{8E3 Building Use: Single Family Dwelling Job Type: Demolition Nature of Work: Domo Det Garage Existing Bldg. & Use: Sfd w/det garago Proposed Use: Description of Work: Oemolish (e) dstached garage Planning Conditions: Occupancy: U 1st FL Area: Patio: Constr Type: V B 2nd FL Area: T.l.Area: code: cBc 2016 other Areas: yards Req'd: FloodZone: X-0602320278J Garage Area: Valuation: # of Stories: , ,o,",, O (Se6 BP #10192938 for existing & new garage with 2nd dwelling unit on top). $1,000.00 Owner: Address Phone; Tenant: AGUSTIN GONZALEZ 2238 S KTLSON DR Santa Ana, CA 927072919 (7141 469-2542 Contractor Address: Owner-Builder Engineer Address Christina R Silva, P.E. Christina R Silva l71l Goldenwest Slfeet, lF-2 Huntington Bcach, CA 92647 (711].307-7101 37 201 Phillip G. Budovec Phillip G. Budovec 22246 Summit Hill Dr. Lake Forest, CA 92630 (949) 283-0r99 Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance Carrier: Policy #: Expires: Phone: License # Architect / Desiqner: Address: Planning Approval By Escamilla, Manny Plan Checked By Permit lssued By Amsden. Julie NPDES lnsp. Re PWA lnsp. Req'd Dale: 0710312017 Date; Dale: 07lOBl2O17 Subiect to Field: Misc. Receipt Misc. Receipt [Iisc. Receipt $1 .26 $1.00 $21 .25 $52.98 07776002 51601 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07776002 57600 Gene.al Plan Update 07776002 5160] lssuance No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#TotalPlanning lnsp. Req'd: Landscaping lnsp. Req'd Flood Zone Cert. Req'd: No Every pannil issued shall becorne invalid unlesslhe wod< on lhe site authonzed by such pemil is comnenced wilhin 180 days attet its issuance or if lho wo* authoized on lhe site by such pomtt is suspendec! ot abandoned for a period of180 days after lhe time the work is commenced . lnspector MtD# 2017-134471 01 116002 51600 01 116002 51601 01 1 16002 51612 $21.25 $207 .24 $1.00 Fee Total. Paid to Date: Balance Oue $229.49 $0.00 $229.49 Phonei License # BUILDING- INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS OWNEi BUII,DER DEL('AIIA'TION I hd.rr .rm undd Frhy of pdjur, 'hr I n .r.mB 6on rn CodEdoE Li..E lis litr rh. rolk,sn! r.Mn (Sd 7(r:tl t B6i6s .d Proa*ion ('od.) AryCiiyor (ounty *hich rcquu6 r rsm( lo rctultucl, ilr6, in'rov., &holih or EIEI a', {ruddc Fior to its i!s@cc, alr. ..qon6 th. rrpli.d for 3uch Fni h lil. . li3ndl sdmo! rnd h. or sh. n I'cncd punuai !o rh. rroliiioB oflh. aonlrrt.as l-i(sE d lju,{( hapt( I, Commcrcrs * h s(rion 7000 ol DilBion r.alh. 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I D"",r[L+r= I I I I I I I l I I I I I I I MAYOR MiguelA. Pulido MAYOB PBO TEM Michele Marlanez COUNCILMEMBERS P. David Benavides Vicenle Sarmienlo Jose Solorio SalTinajero Juan Villegas CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana. California 92702 www.santa-ana.org pba NOTICE TO PROPERTY OWNER Dear Property Owner: An application lor a building permit has been submitted in your name listing yoursell as the builder ol the property improvements specified atzz ACTING CITY t\4ANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLEBK OF THE COUNCIL Maria D. Huizar P- - 4-A<' 4"-1?-1 mpulido@snta-ana oro Mayor Pro Teh. Ward 2 m'rorl ne2@s.la-ana oro !X89tt@l3!lit4qi.9rc slrneo@snt.-ana-oio We are provid;ng you with an Owner-Builder Acknowledoment and lnformation Verification Form to make you aware o{ your responsibilities and possible risk you may incur by having this permit issued in your names as the OwnerBuilder. 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 otficial address indicated. An agenl of the owner cannot execute this notice unless you, the property owner, obtain the prior approval ol the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Bead and initial each statement below to signify you underctand or verity this intomation, a6 1 . I understand a frequenl practice ol 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. 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 property. lvly homeowner's insurance may not provide coverage lor those injuries. I am willfully acting as an Owner-Builder and am aware of the limils of my insurance coverage for injuries to workers on my property. & 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construclion and are not hiring a licensed Contractor to assume this responsibility. Af> 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 potenlial financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. AG 4. I understand Contraclors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. .a6 5. I understand il 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. A6 6. I understand il I am considered an "employer" under state and Federal law, I must register with the state and lederal 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. & 7. 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 CITY COUNCIL verm,enro@sa.ra.ana oio rsolondasanla ana o.o dbenav des@sa.la.ana oro licensed subcontractors and the number o, structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. A6 8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable lor any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction delects in the workmanship or materials. AA 9. I understand I may obtain more inlormation regarding my obligations as an "employer" Irom the lnternal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the Calilornia 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 inlormation about llcensed contractors. .A6 10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the lollowing addrcss: zzTB 6-, u9-> r.J & 11.1 agree that, as the party legally and financially responsible for this proposed construclion activity, I will abide by all appllcable laws and requirements that govern Owner-Builders as well as employers. ^1'- 12.1 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 linancial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contraclors may be in civil court. lt is also important tor you to understand that if an unlicensed Contractor or employee of that individual or firm is inlured 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 verilying whether or not those Contractors are propedy licensed and the status of their workers' compensalion insurance coverage. Before a building permil can be issued, this form must be completed and signed by the property owner and relurned to the agency responsible for issuing the permit. /Volej A copv of the propertv owner's driver's license, form notarization, or other verificatio n acceotable to the aoencv is reauired to be sented when the Dermit is <A,.Jl-}+ a^JA.. Zt\. '\2-1a'.' Print na me of Owner MV<f, J @<,,-r 2.o.u,a. --z- AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner. lhe execution of which I understand is my personal responsibility. I hereby aulhorize the lolowing person(s) lo acl as my agent(s) lo apply 1or. sign. and lile the documenls necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) Project Location or Address Name of Authorized Agenl Address ol Authorized Agent Phone Number ol Aulhorized Agenl I declare under penalty of perjury lhat I am the property owner lor the address listed above and I personally filled out the above inlormalion and certify its accuracy. Property Owners Signalure Dale Prinl Name ol Owner Note: A copy ot the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to ve ly the property ownet's signaturc. SANTA ANA CITY COUNCIL moulldo{asnla.ara o.o Mayo. Pro Tem, Ward 2 frrâ‚¬nrne2@sa.ra ana oo V'cenre Samleno v$h'enro@santa.ane.od E9lgr9@taqa:a!a.!r!to'lleas@snla.ana o.o $!rg@rsdq3!i.qg lssued to verifv the DroDertv owner's sionature. Signature of Property owne, AO Date: r t ,- I rz