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Home My WebLink About10194398 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Permit #: 1O194398 Pin #: 924Os b;Y Project Address: 3217 S Deeqan Dr Assessor's Parcel 412-'t52-'t9 Lot: 37 Unit Bldg: Address Range Suite Range: Zoning: AiBlockr NA Tract 7646 Hrstoric: No Building Use: Single Family Owolling Occupancy: R-3, U 1st FL Area: Patio: Job Type: Reroof Constr Type: V B 2nd FL Area: T.l.Area: Nature ofwork: Reroof code: cBc 2016 other Areas: yards Req,d: Existing Bldg. & Use: gfp s136 66169s Flood Zoner X-0602320259J Garage Area: Valuation: 08,670.00 Proposed Use: # of Storiesr Total: Description of Work: Tear off existing roof material and install new comp shingle roof material to SFD, attached Garage, playroom and patio cover. 30 squaros. Handout given. Owner-Builder form on file. Planning Conditions: Replace theathing, eaves, and faacia as nseded. : Owner: Address Phone: Tenant: Salvador Perez 3217 S. Deegan Drive Sanla Ana, CA 92704 (714) 558-7937 Contractor. Address: Owner-Builder Engineer Address: Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carraer: Policy #: Expires: Architect / Desiqner: Address: Phone: License # Planning Approval By: Guevara, Jerry Plan Checked By: Permit lssued By: Chavez, Oav4c.' NPDES lnsp. Req'd: No Date: '10/05/2017 Date: Date: 10/05/2017 Subject to Field: Misc. Receipt Misc. Receipt Misc. Receipt 01776002 51601 Permit Fee 07776002 57672 Bldg. Stds. Revolving 07775002 57600 Genetal Plan Update 07776002 51601 lssuance $308.52 $1.00 $21 25 $52.98 PWA lnsp. Req'd: No Planning lnsp. Req'd: No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Landscaping lnsp. Req'd: No Flood Zone Cert. Req'd: No Every pefini issued shall becomo invalid unless lha wo* on the site authonzed by such pemit is commenced wlthin180 days aftet its issuanco,or iflhe wod< authorized on tho sito by such pefinil is suspended ot abandonod tor a penod ot180 days aftet the tme the wo* is cofifienced $383 75 $0 00 $383.7s lnspector MrD# 2017-139146 011 16002 s1600 011 16002 51601 01116002 51612 $361.50 $1.00 Fee Totall Paid to Date: Balance Oue: Phone: License #: BUILDING- INSPECTOR RECORD SITE.WORK DATE IDiSIG.COMMENTS OU'NEN BUILDET DIII'ARATION I hd.b dmm undd Fn.hy of Fjory thd I m .rmpi 6on lh. (n r!.16- Ltd& Lt* aor rlE folloq s .a$n (s{x r0rl 5 t]6rn* .,n Pr.f6hn Cod.) An! Cny or (oudy nhih ,.qun6 ! Fnir r. (odrud. .ha. improre &tmlirh or r.fnn mr (rudue Fior kr ns Buocq !b! r.1uir6 th. q'plkinr f.r roch rEnr ro lil. a ssn d iaml lta lE or !h. ir n..G.d |dro.nr b rh. Fo6rcE of rlE Conltoi I 'c&!.d lrtr (( ltlid q, ( onmft!.t fih Sdion 7om or l)l\itr. r oa rh. Bu.in6i tnd Prcldmnr Cod.).r rh!! h.orct t.r.mfl lh6.aromMd th. bst for lhcallclcd crdpr@n AnylioldionolSdirn70r15 hr.n) .fi,li..nr nn d Fmn sobiRB rh. a?Fhcan! ro r crr il ,.Mh r o f ml dtc rh,n li\ . nudt.n (hllB (t500) l.6 orvro or rh. rroFny, n dy dpl.r6 * h $rs6 s rhd sk (mFBdKn. tr l& llE*rtt id ErMEitmr idarLd orolfd.d rm sLlsc ror.{. Auil6ud I'r.fshB Cod. IhcCoddn rl-i..eb$ do6not.nrlyloe0},6ot lh. l,oFny rho bu'l&.r imFov6 rrEen, &i Nlh dE fth silt hims.lr ficrllo. rhrcu8h hn tr hd o*n mphyc, F$i:Ld rhd kh arrmt!1tfu E d inldxt d m o,H lor et. lt l$tr6q. ih. tlildq or ing.ordd n $ld wirhin on. ]@r of.ompldion. !h.o$nd 8!,kt6 $ill IEE rn tlrrk.fFr\n{rthilEsn!.ddrnt B d nnFDr! rh. F.F! for tlE po.IE.f L s o$ E.alh. FrFiv. m aclcndy cod,ri iry n iih l,cEsd ollrdou r. coNdcl tlE trej..l (Sr 704-l.llB ns ed filEieDn cod. thi ( onta.roir Licds ll$ di6 nor applyro &o$n6orpmFrluh. bsild!.r impror6rhd@n. md $h. odBr f( sh FDj.(t$nh. Conrrdo(rl laEsd ptr6@i b rh.codrdor! Lic# llw) I m.rm ufri.r Sdrr*"./c-ji-/ 7 o"..r )A -ry--- tll:clJa^rlo! I hd.by i mnn undd p6.h y or lEjury oE of rhc foll,\rin! dslesr d ! I hav. and $ill minl.in r ( .nifi..I. ot(oNa! lo S.lf-lEurc for q ortEi' cof,Frrd ion, a lmndiAl for tD Srlren .r 7m or rh. trFt Cod.. lor rh. pgrolrra. oarlE $nrl lor *hrh r lE Fmn u is!.d , hA. .nd \ ' ll miini.in \ro 6 comFsnn i6oratr.. s r.{uu.!i b sdr [n :r 7(x] of rn ltt[r ( od.. nn lh. tsrrnMc. ol !h. $ orl lor trhth rhc Fnnil ir i$ual. M, *o' 16 comrdsd 'oi iBn.u.c .dio ad polq nunbr Ec I cd'ft_ rhll inrhcFlodr.c.ofrh.*dt for shichrhi!panrt i! i$u.d,I thlll nor dploy !^y rdson in tnt mu.s $ a r. iE oru sub,.d ro rlE r td amFl!.iion l$r.ac.li6mL u<l {rE thd 'll druld lx.otr sb6i lo rrE tr$*6' .onlld ion Fo\isi.B or sdi'n 170() of rh. L,t r ( od.. I lttrll. fonh*nh @mdy wilh thoe pmvi3,od wARNINC rrrtuG ro Bd. sorld mmIEMi.. mt.ns. i u.b*tul. dd 3hdl 3ubr.<r x dtrphtn kr oiniMl Fula rtrd .irl n^d tr|' ro 6m hundral lhoMd dollB lllur.000). in dditbn to lh. co3l .l.om''Mti.n, dam86 s! Imrd.d for lh. Sdrmn 1076 oflh. t4.rCcl. imr.r.nd dunt, s f6 DECI-A RAIION I hdtt'r .rm ui&. Frhl. of FJ0D- rhn I o liGld undd Ftl i!io. .f ('tutaE 9 ({n'ntrins *irh Scri)n 7000) of OivrFn I ol lh. Burs &d Phfsi.B co&. dd m, lkd. is in tull nncc md.fi..l CON A!flqI.LllDllGJGllq I Hr' .llm u.d.r Frdty of Fjury thi lh6i i3 . o'dtoctb. loiog +*y llr llE psfotuc. dath. srl f.. which lhn Fnn t irucd lsd n097.civ c ) AfTLI(AdLDECII!8AI!]! I nd*r irm unLr F.llry of pdjur. .n. of rh. folh* i4 dc htd irN: D.holiri.d I'onsAltBroi Norinoiion F.d6.l R.gul.rmnE (1 ill. 40. Pirl6) R.IUtdl t,ld of Ndincdio. I cdlify lhd th. Ld6.l r.sularioN rcErdrn8 &1h61(\ rdovd d. .or appncdblâ‚¬ kl ths pFrRl ionL{(oral I.Erdkromplt*[h6ll(- ]indC.unr] 6 ofrhi ai'r ud Cou.rrro Brd uFn rh. ,""/p i/ > Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulalion Roof Sheathing tnx L/tt ) ;x-t Lt;t:l.,4't Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coal Masonry Pool Fence T-Bar Handrcap Req. Deputy Final Report Engineer Final Report Flood Zone Certif /n\ FINAL l0;?5)7 v,w)a Certificate of Occupancy {/ \_/ Notes, Remarks, Etc -+ --/2L",,,.y'$ t / 7 I _ f__ -_r------ I I I I MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P- David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas INTERIM CITY MANAGER Cynthia J. Kurtz CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL I\,4aria O. Huizar CITY OF SANTA ANA PI.ANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. 8ox 1988 . Santa Ana. California 92702 www-santa-ana.orq'oba 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 specifled at ,.7/ We are providing you with an OwnerBuilder Acknowledoment 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 thas 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 1. I understand a frequent practice of unlicensed persons is to 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 flnancial risk for any injuries sustained by an unlicensed person and his or her employees while working on my properly. 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. 5E ,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. ZE, t understand as an 'OwnerBuilder" I am the responsible party of record on the permit. I understand that I may protect myself from potential flnancial dsk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. 9-Lq. I understand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on permits and contracts. 3 P S. , understand if I employ or othen ise engage any persons, other than Califomia licensed Contractors, and the total value of my construciion is at leasl five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. ./'' tt O I 6. I undersland if I am considered an "employe/' under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. a1 A)-1L7. I understand under Catfornia Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by Iicensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. SE, tunderstand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any tinancial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL moul'do@sanla'ane m Mcnle Sam'enlo vsa.m'â‚¬nlo.osanla a^a oro i!olonolasanra am.o.o P Dasd Benavrdes dbâ‚¬nrvd6lasanta-a^a o.o !41&9!r@!rEia:q!-s9 sr'Mâ‚¬roraenl.-a.a orc Mchele Manine: Maror PJ'o Tem Ward 2 m manr.â‚¬zOsania-a.a oro -$fundersrand I may obtain more informalion regarding my obligalrons as a.n employer" from the lnternal Revenue Service. the United States Small Business Administratron. the Califomia Deparlment of Beneflt Payments, and the Califomia Division of lndustrial Accidents.'l 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. J/ 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 a address ndfi an ia ll yre onsibl <1 e for proposed construction a at the following q * l. 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. S-Zlz. t 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. lfyou 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 resull of a com plaint. Youronly remedy against unljcensed Contractors may be in civil court. lt isalso important for you to understand that if an unlicensed Contractor or employee ofthat individual or firm is injured while working on your property, you may be held liable fordamages. 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. Beforo 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. Notei A copv of the propeftv owner's driver's license. form notarization, or other verification acceptable to the aqency is rceuired to be prcsented when lhe permit is issued lo verify the propely ownets sionature. Signature of Property Print name of Owner Owner Date AUTHORIZATION OF AGENT TO AC T 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 llle the documents necessary to obtain an Owner-Builder Permit for my project. Scope of Construction Project (or Description of work) Project Location or Address 0-u- / > *.< Name of Authorized Agent Address 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 certify its accuracy. Property Ownef s 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. PLinkr\',iP51 Co!.t'rAciLr t! A-cseml)l,E lLs l'.loi,te to PrL\;,C.iY Foii.ir SANTA ANA CITY COUNClL nrou rdo@$nla-sn3.oro M.yo. Pro rem, Ward 2 m manrnerrosanra-ana oro E!rp!@$.dE!r-ea P Oasd Eenaudes dbe.av'des@s6ntEâ‚¬na oo M eo6s@s6nta-ana oro srrna6ro@sanla.ena orovsarm enro@san13 an3 oro .-) Phone Number of Authorized Agent: _