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Home My WebLink About10194384 - PermitProject Address: 909 N Berni St Assessor's Parcel:100-4'12-08 Lot.20 Unit Bldg: Address Range Suite Range: Zoning: Rl (L Block NA f racl 2191 Historicr 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 Sectaon: (714) 647-5853 Permit #: 1O194384 Pin #: 65048 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use: Single Family Dwelling Reroof Reroof SFD Watt garage 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.Areal Yards Req'd: Valuation:$s,660.00 Description of Work: Reroof w/t.o.-Remove and apply comp shingles (not including patio enclosure Planning Conditions: . _. .BoLch+t{l:t1tL - Llt/4/2J.tt:, I0: (.(UELLAE H#S.gBnflnansA{lI4vâ‚¬JI,, r,rrrls;l I t(, ,t+r(r2u43357 - l{t/ 4/2it1? ll:06 All Trqns0ct ion TotoI lJll3.75 Owner-BuilderOwner: Address: Phone: Tenant Tho Hoang 909 N Berni St Santa Ana, CA 92703 17't4l554-7427 Engineer: Address Tho Hoons Phone: Stale Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance Carrier: Policy #: Expires: Gener[l Plon [JpdGt e Fee0lll60t2- 51600rj0r1- Bu i Id ins 01116002- 51601000- Blds Stds Revol v ine 01116002- s1612000- ICL Check 0184 t21 .21 t36l . 5tl tl.tttl t383. 75Architect / Desiqner: Addressi Phone: License # Phone: License # Fregoso, Vince Hernandez, Kathy Dale:1OlO4l2O17 Dale: Date: 10104/2017 Subjecl to Field: [,lisc. Receipt Misc. Receipt l\,lisc. Receipt $308 52 $1.00 $21 .25 $52.98 07775002 5f601 Permil Fee 07776002 57672 Bldg. Stds. Revolving 07776002 51600 Generul Plan Update 07776002 51601 lssuance\tx No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd: No 01t 16002 51600 Every ponnit issued shall become invalid unloss the wotu on lhe stte authoizod by such pemit is commenced within 180 days after its issuance.ot if the wo* authoized on lhe sit6 by such pemit is suspended ot abandoned fot a period of180 days aftet lhe lime the wo* is comrnenced . lnspector MID#: 2017-1391 13 01 116002 51601 01 1 16002 51612 $21.25 $361 .50 $1.00 Fee Total: Paid to Date: Balance Due: $383.75 $0.00 $383.75 Contraclor: Address: Planning Approval By: Plan Checked By: Permit lssued By: NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd: Landscaping lnsp. Req'd BUILDING- INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNER BI.III,DER DEI,CARATION I hdct! .flrd u.dd pd,lry oa Fjuh- rhd I m .r6q, frrm rh. (-odr&r6 l.r@ l,tr for rh. follotrins 6$n rsr 70r I 5 Il6in* ,nd Pmf*ion Cod.) Any Cn, or c.onry *htrh r.rttrnB . Fnil l. 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G r.qoif{ t'! Sclion uoo oflh. lrbn, co<t , fot lh. pof.llr:4c of rh< ErI for whi.h rh6 Fnn a e.d My *0r{6 .onFs.lion iNuMc. .unr alj Fli.y .ombd r.: l.dif, !h{ h rh. Ffolmnc. of lhc trort tor whiâ‚¬h ihis psi( B irr'.d, I !h,llnot mploy lny p6$n in uy den. h d 'o h(om rubi*t ro rlE trql6 onp.dion l,$: of Crlifoftia drl Br lhi rtl nsuE ticor ebj*' to rtr s!*6 $nF&tion Forrnrn..asc<lio.lT0oolrh.lrb.r cbdq l stEll.lonhu'ilh comply *ilh llrs poilioB wAmIxC F.ilG ro c@ r.rte o.pddir cora{r. i! ukqtul- drd .ldl at d 6 artqw lo mtntl FEiE Dd cMl fD6uptoo nun&.d lhoNnd doll6 {t100.0tu). in ldditnn h rh..ori of conP.Nrion. d!tr46.r p.o!id.d lor !h. ".,.,to/oa/ t> a Vhqsrxa'()NrR^( r'(,R TETLI&\IIA.} I hdcby llrm und6 Fi.n] of Fjury rhd I m lnolal und6 rrovilt n of ( hrliE 9t.on,l@i.u wirh Sdnrn 7(xI))oal)ivirntr l of th. AuiB ind Ptnt*b6 ( o&. !n ny lt.@ L f, tull aoN in.lTGl (ollrBl](Irclll.Elptlcacfr(I I hâ‚¬dr, rlfm undd FBh'.lFju.r rhd th?. t r codD.tio. Hi.s !8acr td l& paf.mu.. oarhc "ort for $'.h rhrs IErIl n isu.d (S< 11097, Civ ( ) AIITI(AILDISAAAIAN I hdrt, !trm un& Fnlny ol pcJu' r- oE of lh. folh\ in8 &.Unr ir.r I)molirion P.mirs-AltBlo! Notilic.rion Fcdarl R.8uhri.rG Onl. t0. Pd6) R.quir.{j L.lts of Noificddn I csliry thll rhc tusal 'csuLirN r.!rd'n! ftEi.r r.tr\ .l e. ml qDlk6hk to lhs Foi.Tr I .diry rhd I hiv. E d lhir .0plt.r ioo ed r.rc rt{r rh. ltFrc InfotuF. i3 .odd I .*E 'o comg\ tr nh .ll Cn) rnd ('oud\ odiEM6 sd Sld. l.$! r.hlts ro hild'ns .oldruclFnJrd hs.tt rinrnD. r.Fffids6 of rfin City .nd Counly lo dlE ulnn 'rE8h,v. ndrnrn.ri rn)tdv fur 'Nn dionp rlrls ^pplhiir or ^smr siri*rure X *," @10< /i z Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenUl nsulation Roof Sheathing lo t\(1 ,1,Ulq il TDI) k,,n 7,'lo>'t Shear Wall l.rl n^ -|a,,-al,{o" Framing lDob. lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report FINAL o ttJ.llh r 'fl) Certificate of 0ccu \:7pancy Notes, Remarks, Etc c-1Gz/Ul- I I I I I I I I l I I I I I i I I I I Flood Zone Certif. I tNSP,02 2013 CRC This document moy be lound ot...htlpllwww.sa nta-a na.orq/pba/ (Please use a black or blue ink ball-point pen) Project Address:1Oq Benui qr Permit Number:S*n'frf LNA e# q2103 I J-Jalc N,a ' \//44 -ftto Contractor:License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential bu ildings. California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define the requ ired locations. f\ so,t boxes below must be checked: E[Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired applignces (i.e. hot water heater, cooktop, furnace) or a fireplace. ds.ofe alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be battery-operated for buildings where no interior alterations are performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved by the State Fire Marshall (5FM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. I further certify that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the manufacture/s instructions. lcheck onel Lice nsed Contractor NOTE: Ihrs sef-certificdtion is only used for projects thot offect the EXTERIOR ol the structure. This prccess is opplicoble ONLY to projeds where access to the interior oI the dwelling by a Sonto Ana lnspector is not required, Have this completed form and the job-card readily available on final inspection! Signoture:Date:tolclt+- ,-,SANTA NA PLI\\NC INIIUI|IC $nn Planning & Building Agency 20 Civic Center Plaza Ross Annex P.O. Box 1988 (M.19) Santa Ana, CA92702 (714) 6il7-5800 www.santa-ana,orq Smoke & CO Alarm Affidavit I I eroperty owner: I I I tr d Property owner,%/?lr- t\4AYOR Miguel A. Pulido MAYOR PRO TEM Nlichele Martinez COUNCILMEMEERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERIM CITY I\,IANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PI.ANNINC & BUILDINC AGENCY 20 Civic Center Plaza P.O. Box I988. Santa Ana. Californra 92702 www.santa - an a.orq / 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 -j-Ha tffil/r 909 EX,ri c7 :?tt1/7A AilA Q4 q2 703 We are providing you with an Owner-Builder Acknowledoment and lnformatjon 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. o(, 1.I understand a frequent practice of unlicensed persons isto have the property owner obtain an "Owner-Builder" building permit that enoneously 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. 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. C( Z. I understand building permits are not required to be signed by property owners unless they are responsible for the construclion and are nol hiring a licensed Contractor to assume this responsibility. Ct Z. I understand as an 'Owner-Builder" I am the responsible party ol record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. d q. I understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracts. a{ 5. I understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total value of mi conslruction rs at leasl flve hundred dollars ($5OO), including labor and materials, I may be considered an "employer' und er state and federal law. Z-6. I understand if I am considered an "employer" under state and Federal law. I must register with the state and federal government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." lalso understand my failure lo abide by these laws may subject me to serious financial risk. tf t . t u nderstand under California Contraclors' State License Law, an Owner-Builder who builds single-family residentjal structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontraclors 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. ,d g. t understand as an Owner-Builder if I sell the property forwhich this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s)that result fiom any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL Mayor Pio Tem Ward 2 m,man ne:,As.n13-a.a oro M easasa.ta-ana oro snnaero]6sanl.-ana o.ovsamre.loosanra a.a orc Jsold'cosanla ana do dbenav,d*assnla a.a o.o { L l understand lmay obtain more information regarding my obligations as an "employer" from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Benelit Payments, and the California Division of lndustrial Accidents. I also understand I may contact lhe California Contraclors' State License Board (CSLB) at 1-800-321-CSLB (2752)or www.cslb.ca.qov for more information about licensed contractors. G rc.lam aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party Iegally and financially responsible for orooosed construction activitv at the followinq adidress, q)4'6ERN,; 'sf sANlv AfiVA A4 i)7o9 4 't't. 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. {lZ. I ^gr"" fo 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 nothave 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 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 flrm is injured while 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 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. i,lote: A copv of the oropeftv owner's driver's license. form notarization. or other verilication acceDtable to the aoencv is rcquircd to be Dresented when the Dermit is issued lo verify lhe propedv owner's Signature of Property Owner Date tcTo+ 1 t2 Print name of Owner 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 oblain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of Work) Project Location or Address Name 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 Owners Signature Date Print Name of Owner: 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 propefty owner's signature. PLink ir,rP51 C.unlaiAct r'1\,Assenl) J,Bills N.rl re lo Prii ariv Fornr SANTA ANA CITY COUNCIL moul,do@sa.la-ana do Mayor Prc Tem. Ward 2 m,man nez@santa-ana do siqnature. ' t rt? HdArl/A- Address of Authorized Agent: n