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HomeMy WebLinkAbout10294188 - Permit9? Project Address: 105 S Birch St Assessor's Parcel 398-276-02 Lot: POR 4 Unit Bldg: Address Range: Tract: HENINGER'S RESUB Suite Range: Zoning: SO40Block: 3 Hisloric: No City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA 92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (714J.667-2738 lnspector Section: (714) 647-5853 Permit #: 1o294188 Pin #: 91731 Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Job Type: Alter Materials/Methods Constr Type: V B 2nd FL Area: Nature of Work: Legalize window Code: CBC 2016 Other Areas: Existing Bldg. & Use: SFO wdet carage Flood Zone: x-0602320276J Garage Area Proposed Use: # of Stories: Totat: Description of Work: Legalizo window change out at Garage and remove unpermitted olectrical inside Garage. Patio: T.l.Area: Yards Req'd Valuation:$1,000.00 tlli ,-t Planning Conditions: Wood window, wood trim ll Tron Owner: Address: M & R MATTINGLEY 1OO2 N ROSS ST Santa Ana, CA 927013315 Owner-Builder Engineer Address Phone: Tenant Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: 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 Soto, Ricardo Date: 09/18/2017 Date: Date: 09/18/20'17 Subject to Field: Misc. Receipt Misc. Receipt Misc. ReceiptChavez. Dave 4?/ 0 77 7600 2 0 77 7600 2 0 77 7600 2 0 77 7600 2 0 77 76002 0 77 7600 2 $154.26 $93 17 $234.08 $1.00 $21.2s $52.98 57607 57607 57607 57672 57600 57607 Permit Fee lnvestigation Penalty Bldg. Stds. Revolving General Plan Updale lssuance No No Yes No Fire lnsp. Req'd: Police lnsp. Req'd Flood Zone Cert. Req'd: No U Account#Total 01 1 16002 51600 011 16002 51601 011 16002 51612 $534.49 $1.00Every pemil issued shall bocone invalicl unless the wotk on tho site aulhoized by such peinil is commencod within 1E0 deys aftet ils issuance,ot il the work authorized on the site by such pemil is suspendod or abandoned tor a penod of 180 days aftet the line the wod is comfiehced. lnspector MtD# 2017-137834 Fee Total: Paid to Date. Balance Due $556 74 $0.00 $556.74 Contractor Address: Phonel License # .i BUILDING. INSPECTOR RECORD SITE.WORK DATE ID/SIG.COMMENTS orxN ER B! ,Dr:X DE|_(-A i T|ON I hd.b .mrm undd td,h, o f Fjnry lhd I m .r@rrr rrom lh. Codrdo6 Lkd. h$ lor rh. followtrU r.Mn ( S( 701 1 s lrusin6! 3*l Prcfdi.n Cod.)r ,{ny ( iry or County *fiich r.qoir6 r tEftir lo conntud. th6. imp.ov€. &ioli5h or rqsn ey srruduq Fior to irJ Ls!e(.. lbo r.qut6 rlE qplicd for $.h Emi nr frk a lBn d xdmr rhd h. or !h. ! li.4rd lntusr ro rh. Fn!6bB ol r ('.nt*rc-s Licdrn L.s (chrF6 e, coMftr.3 *nh Sdrn 7000 of Dnsi,n I orrh. Bu!6t rnd Pr!f*on! Cod.)or lhr lE s rE is c!mp( ll'q.&om ud tn b6t [or th..lks.d doFn An, \iohnnofsdb.70ll ! ht tn, ,pphc!.r ior ! rrn subJdr3rh. rFpli.lnl ro rcivilpmhyofnor mor.rhd fivc hu.drcd &rlld (St00 ) 'l..rn{ffinfrhcrmrEd}.orm}mnlo6trnhs.*6srnnsko'rp.Gdion."ill&,llE$qtsdllt!t(r@ud iddrli soll6.d ror qL (s( 7ol.l- BuriB r(l PnlBnB Cod. Ili(tirdor!Ik.@lr$&dmrq'PlvroMo*n(of rh. FFt {h.h)ikld sgorBiE6r rn uho.l(Esh tr! hi'Mlf lEElro. tlmu*fi fin or llF o*n mpkr!€. Fo\ ikn rh.r .ud mrmrgtds e r{ ddxrrj M orrtd n{ d. ll hr$6r. ltE hildnrr c ,irmrffi ir $tl untu oE \w ofconl9klx'n. rhc Osrd lru'ld.r will h.v. rh. hrtor ofForr.s lhd h. or s\c d'd mr hrild o qi.\. th! FnFry adr $. Frrnk.f l.6.sG of rh. F Frr, aacldnrltcoddins *nh lkaB.d contrlc'o Ndtud llr FoF lsc 7orr. &!i,6 nd hlksCod. 11. (tnrr*roir l. icorc l,s &6 mr qplt ro uo$nd otFoFt! trho builds or im ovdrhdtun, mn *ho .odr&l' ror uch Foj.rti Nirh. cont donr kdsal plllI@ o rh. Codrdoar l-i.(e k{ ) I tunflanF undd sdrnin ,,,.. ?\,1 \r ,,",_ \{_ )-- 'ruiursEsEhsr:rc1Dt(lJ.8arq! I hd.t, ifinn und6 to.hr.alrjuryon.oirlr f0l16*inr d(ld.rioB: I h!\. rt *ill mrr.'. . (-difk.r. of (\Mr ro s.lf- IBUr. lor $116' smFMi1., B Folid.d for br S.clhn 1700 of rh. ti&r (irl. lor rh. Frffi. of {lt ur* lor *trh rl! Fn a su.d F I hn!. MJ q ill miinr.i. so,t6 conFm.lhr iNU6n... f,r r.q!n.d h, Sd'on I7OO of lt. hbor Cod.. aor rrE p6aome. of lhc work fttr whrch thb p6nir i3 irscd M, worl6 comFroltion i6umc..end dd policy "!dbd es lc.nifvrhlr inrhcp.rfodorccofrh.*ort lir *hicfi rhi!Frnil is irrucn.l shrll nnr ontloli., F$n in.nr mmnd $ arotBom.sut <rbrh.*oltd comrf,Mio. htr! of( .lifomi.. Md +ft rhd if I3h.old tE omc3ub6t toIh. \ odda ..qml{n F,v6i.B of sd$n l Tm oath. l,hor (iJd . I lrsll. f.dhe nh omplt u trh rhov For Noc wlnllN(; r.ib. ro suc trlrt6 FmrEMhn m\d8. ir unbtrtul.,n 3hall suhFl d o,9hlE k, min i FEriF.nd cnil fin6 uD ro orc hlndr.ij rhoued dollB ttloo.(x)i,). r ldd'rion ro rh..oq ofmnrFsrnn. d!h+6 B Fo\ d.d ntr rh. sdtun 1076 of rhc uhy (id.. inr66l dd .trodEyi fc t(rx 1/ )a>--UTEIiELCONIaa(fOA I DE4.IJ8AIIA! I H'1 .mm undcr,qrlly or pqju J- lnd I n lica!.d und6 rml ision oa ( firpls 9 (enmcnB s irh s?db. 7()()0) of Dn irn\n ] .f th.8$incud Phfalion3 Cod., 'l mr licN i! in ttrllfor..dd.ficr calilf,ucrlo!-LElDttrclcErqr I hd*t fm ud.r Frtt of Fl!4 thr rlE. i . NEMh. L.di.g .stry ev th. Ff(ffiG ortk s{ri f.r trtth lhir Ff,i 6 isu.d isa. 1097. cn c) AIIII(AIiLDI]CIJa6IAN I hddr arnn undd ,.n!lr' ol rc.juD_ onc ol rhr {ollon nr tLrldir ionr Don.lirion ldn:irl^stEr's NDrilicdion lialdal R.xularionrlrnl.40, P.n6) R.\r tr.n Ldr6.ltJdi6cdio. I (6! rt rhn th. fRi.r.l ESuhio6 FtrrdlnE abcbr rEno\ .l e mi ,mlkibL ro ths F.ld !1lh.rity rhar I n 'c E rhn lpph.alion erj r!r. rhil rhc.hrv. infomdnrn i! coftcr lryrE16conply$,rhrll('ityrnd ( odnrr- ddt.nc6 od Sr.r. L,q! rchri.u ro b'ldins .oGtru(ion. dd hRby sulhorn! qrdardivd .l rhi! Cny !d (ooni, lo 6ra u,[n rn( abr. ,ffiti,.al p.op.d\ I Gttt1ion tuFB ^pplt.nr or ^16r shirrnru X Y- Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Roof Sheathinq Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Masonry Pool Fence T-Bar Handicap Req. Qgputy Final Report Engineer Final Report Flood Zone Certif ,1 FINAL Certificate of Occu pancy -, I ISubf loor/VenUl nsulation Brown Coat I Notes, Remarks, Etc. MAYOR MiguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERIM CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PI.ANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana. Calrfornra 92702 www-5anta ana.orq.i pba NOTICE 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 7 ,,t \ 5 6,rcL sr t*^l A^" (c {z )ol We are providing you with an Qgqgqfuilgpfq@owledqment 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 VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. "i* 1. I understand a frequent practice of unlicensed persons is to havethe property owner obtain an "Owner-Buildea 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 Ilnancial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. N.4y homeowner's insurance may not provide coverage for those injuries. lamwillfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 117.'- 2. I understand building permits are not required to be signed by property owners unlesstheyare responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. /j:!_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. L4 I understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracts. /:l_5. I understand if I employ or otheMise engage any persons, other than California licensed Contractors, and the total value of my construction is at least flve hundred dollars ($500), including labor and materials, I may be considered an "employer' under state and federal law. ^l- 6. I understand if lamconsidered an'employer" understateand Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk t\ 1' 7.1understandunderCaliforniaContractors'StateLicenseLaw,anOwner-Builderwhobuildssingle-familyresidential 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 building Contractor. f1.l:_8. 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 owner(s)that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL mouldoAsanla-ana do Mayor Pro Tem, Ward 2 m'man n.rOsa.ia-ana @o v cenle samienlo \6afr re.roassnrr-ana oro Edse@i!!la:a!!-ss dbenav,desosa.re.a^a oro !M eoasrosanIa-a.a oro sr naerooss^ra-ana oro r!\''^ 9. I undersland I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Service, the United States Small Business Administration, the Califomia Department of Benellt Payments, and the Califomia Division of lndustrial Accidents. Ialso understand Imay 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. ,\i* 10.l 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 resronsible for propgsed address: f i, i \ L, rL \^ \, ) r,.-- con G slruction activitv at the followind^^. (; 9Lzt I I l' ).- 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 govern Owner-Builders as well as employers. +rl'12.Iagreetonotifytheissuerofthisformimmediatelyofanyadditions,deletions,orchangesloanyoftheinformationIhave provided on this form. Licensed contractors are regulated by laws designed to protect the public. lfyou contract with someone who does nothave a license, the Contraclors' State License Board may be unable to assist you with any linancial loss you may sustain as a result of a com plaint. Youronly remedy against unlicensed Contractors may be in civil courl. lt isalso important for you to understand that if an unlicensed Contraclor or employee ofthat individual or firm is injured while working on your property. you may be held liable for damag es. lfyou 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 pe.mit.Note: A copv of the propedy 9y4er's driverb license, form notarization, or other verificalion acceDtable to the aoencv is reouired to be orese when the permit is issued to verifu the oroDertv owner's sionature. I ltrlrSignature of Property Owner Date Print name of owner ,!l I tlTJ l),,,r4r;h,r1ta :1 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 prolect. 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 fllled out the above information and certity its accuracy Properly Owner's Signature Date: (Ir,lt I Print Nameof Owner' ,",\ r(.-.i "l nrlt\,,',(t Note: A copy of 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 verify the property owner's signature, SANTA ANA CITY COUNClL mou do@sanla-an3.qo l,layo. Pro Tem, Wad 2 m marllne2@santa'ana oro E9&!9@sE!h:@r.!a P Oavid Benavldes dbenaMdes@sa.ta-.na o.o iylleoas@ssnlts-ana oro sl'naE.olAsaota'en. orolsarm e.toaAsanta a.a oro ScopeofconstructionProJect(orDeScriptionofWork); 2r$l--L .- ) ryN{\ lr )o {AtsA5 z\ )0,\2a0o L.J*6Pn$E 5(! 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E E: 8 8 tt 6l - x E F E a a 9 o< ! l! 'E E . 2 @ o a 3 cE ( . ) , - i : r 5 E! ^ 9 ei t o- o - & o - ( / , 5 . == 2 -a - _ = . 2 44 = || | l l t Heninger Pad( tlistorical Dishict 5eplember 6, 201/ fle: 105 5. Enrh Slreet A 105 yeor old home buih in l9U ilt-20t/.?.HP a Deor Rirordo, (ommeflt!: o.0riginolwood windovs ond y00d kim oppeor i 0d ond ron be seen lrom lhe slreel 0l thie 105 yeor old home. Ttonl you, Heninger Porl Arrhileourul leview (ommittce GH Eo E L E E, first Street tlcFadden Avenue .t tr - Ilh tr [. Reommendolions: L Reploring o vinyl goroge rindor rith o wood double-hunq rood rindov rilh originol style wood trim 05 propsed ir oppropriole ond recommended.