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HomeMy WebLinkAbout10195164 - Permitq Project Address: 1730 W Harvard St Assessor's Parcel 408-352-11 Lot 43 Unit Bldg: Address Range:Suite Range: Zoning: R'lBlock NA Itacl 4402 Hrsloric: No city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Building Permit Counter: (714) 647-5800 lnspection Requestsr (714\ 667-2738 lnspector Section: (714\ 647-5853 Permit #: {O{95164 Pin #: 63476 Building Use: Single Family Dwelling Occupancy: R-3, U 1st FL Area: Patio: Job Type: Reroof Constr Type: V B 2nd FL Area: T.l.Area: Nature of Work: Reroof Code: CBC 2016 other Areas: yards Req,d: Existing Bldg & Use: SFD w/ att garage Flood zone: x-0602320257J Garage Area: valuation: S5,ooo.oo Proposed Use: # of Stories: Total: Description of work: T/o existing comp shingle and install new comp shingl (liko for like) to SFD with atlached garage. Roplace sheathing/plywood as ne€ded. Hand out given. Auth on file. Planning Conditions: Replace sheahting, eaves, and fascia boards as needed. Owner: Address Phone: Tenant: Contractor Address Engineer Address: Jesus Reyes ,I730 W HARVARO ST Santa Ana, CA 927044728 (714) 3374569 Owner-Builder Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Architect / Desiqner: Address: Phone. License # Phonel 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 Guevara, Jerry Zuniga, Allissa Oale1212612017 Dale: Date: 1212612017 Subject to Field: l\,lisc. Receipt lvlisc. Receipt Misc. Receipt $308 52 $1.00 $21.25 $52.98 07176002 5160I Permit Fee 07776002 s7672 Bldg. Stds. Revolving 07776002 57600 Genetal Plan Updale 07776002 51601 lssuance No No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total Flood Zone Cert. Req'd: No Every pemit issued shall becone invalid unlessthe wod on the sile authonzed by such pemit is commencod within 180 days aftor its issuance,ot il the wo* authoized on the site by such pemit is suspended or abandoned for e peiod of180 days efter tho tifie the woi< ip commenced lnspector MtD#. 2017-140627 01116002 51600 011 16002 5't601 01116002 51612 $21 25 $361.50 $1.00 Fee Total: Paid to Date: Balance Due $383.7s $0 00 $383.75 BUILDII{G. INSPECTOR RECOBD SITE-WORK DATE ID/SIG.COMMENTS ()wNt:R Btrll_Dtk oct,('At{ATtoN I h.dl} rmrm unkr F lr, I Frttrt rhd I m .r.mr, flum rh. (-ltd,iLttr\. Li.ns ll$ nn tlk ftnt$h! krv{ rS.. 7(,! l 5 Buok\l r Pr.f.sx)n CdLr ny Ciry or (-d y "hrn r.qun.\ . 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Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Enoineer Final Report Flood Zone Certif FINAL 5 z4ltB lPse Certif icale of Occupancy , Notes, Remarks, Etc I I I Alarm Affidavit SmokePlanning & Building Agency 20 Civic Center Plaza Ross Annex rNsP-02 2013 CRC This document moy be found at...http://www.santa-ana.orq/pba/ (Please use a black or blue ink ball-point pen) Project Address:ll ?-O. LN, kAR'V;A&O. clil strrrr.Nr.ru Permit Number:l.,\qgt6\ Property Owner:,\'E.suS i<\=vr=3 Contractor:License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential buildings. 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,\ gottr 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 appllances (i.e. hot water heater, cooktop, furnace) or a fireplace. E Smoke 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 (SFM). Battery life must be 10 years. I hereby certify that lam the contractor or the property owner of the above project. lfurther 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 ma n ufactu rer's instructi ns. (check onel Licensed C ontractor A Property Owner NOTE: Ihis serf-certification is only used Iot projeds thot offect the EXTERIOR ol the strudure. This process is opplicoble ONLY to projects wherc occess to the interior of the dwelling by o Sonta Ana lnspector is not required, 5-lq -(aSignotute:I Have this completed form and the job-card readily available on final inspection! Itt$NC $r1t-0Nc $n0 a NA *-SANTA P.O. Box 1988 (M-19) Santa Ana. CA 92702 (714) 647-5800 www.santa-an a,orq I I I Dote: tr MAYOR MiguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCTLT,4EMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERIM CITY MANAGER Cynthia J. Ku.E CITY ATTORNEY Sonia R- CaNalho CLERK OF THE COUNCIL Maria D. Huizar PI.ANNINC & BUILDING AGENCY 20 Civic Center Plaza P.O. 80x I988 . Sanra Ana. Calrfornra 92702 www.Santa-ana.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 imorovements soecified at ^\') 1\E9vs Re:rJ -/- We are providing you with an Owner-Builder 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 this form to us at our offacial 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. frr !g=X. I understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder" building perriit 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 homeowneas 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. \J A I 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..\ \)t J Y3- I understand as an 'Owner-Builder" I am the responsible parly of record on the permit. l understand that l 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. rr. \F +. tunderstand Contractors are required bylawto be licensed and bonded in Califomia and to list their license numberson permits and contracts. Sl tp. tunderstand if I employ or otherwise engage any persons, other than California licensed Contractors, andthetotal valueof my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law -]A-)-\A I undersland rf I am considered an 'employer' under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious flnancial risk. \ I .4J undersland under California Contractors' State License Law, an Owner-Builder who builds single-family residential stitctures cannol legally build them with the intent to otfer them for sale, unless a// work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor./<-^\- \JH pelYonal materials Mayor Pro Tem. Ward ? I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any flnancial or injuries sustained by any subsequent owner(s)that result from any latent construction defects in the workmanship or SANTA ANA CIIY COUNCIL m!!hdoosanra-ana o.o v cente Sam'enro 6amrenloasanra-.n. oro E9h@@r@la:@4a!9 dbenav'desAsanra-a.aoro v'lle.as@$nta-anaoro sr'.aerc,Osa.raa.aoro CITY OF SANTA ANA \\r)j-.LF' l understand 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 Benefit Payments, and the Califomia Division of Industrial Accidents. I 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. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party nancially responsible for proposed construction activity at the following address ( ik[. t aqree tnat, as the party legally and financially responsible for this proposed construction activity, I will abide by all A;ffibE lais and requirements'thai govem Owner-Builders as well as employers. !=$q. 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. lf you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any flnancial 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 lirm is injured while working on your property, you maybe held liable for damages. 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 agencyresponsibleforissuingthepeImit.Note: verification acceptable to the agency is required to be presented when the permit is issued to veify the p@pedy owner's sionature. Signature of Property Date: )e Print name of Own 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 project. Scope of Construction Project (or Description of Work) Project Location or Address \ 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 filled out the above information and cerlify its accuracy. Property Owner'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 property owner's signature. SANTA ANA CITY COUNCIL moulrdoaasanl3-ana o.o Mayo. Pro Teh. Ward 2 mrhan nez@sanla-ana oro Mce.te Sam'e.to 6smrenl0(asanlr-ara oro ls0lono@sanl6-an3.oro P Oav'd B€nardes dbenavrd.s@sanrs-ana o.a rvrlrsds@sa.ta-ana oro sn.arero@sant3-ana oro Name of Authorized Agent: