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Home My WebLink About102105991 - PermitProject Address: 1000 W MacArthur Blvd Assessor's Parcel: 937-380-16 Lot: 1,2,3,4, 5 Block: NA un :16 Blds Tract: 10643 Address Range: 1000-1040 Historic: No Suile Range: Zoning: R4 City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, CAg27o2 Building Permit Counter: (714) 647-5800 lnspection Requests: (714]|667-2738 lnspector Section: (714) 647-5853 Permit #: l02lO599l Pin #: 91137t Building Use: Condominium Occupancy: R-2 1st FL Area Patio: Job Type: Altsration Constr Type: V B 2nd FL Area T.l.Areal Nature of Work: N/V Alteration Code: CBC 20'19 Other Areas: yards Req,d Existing Bldg. & Use: e6n66 Flood Zone: X-0602320258J Garage Area Valuation: $1,000.00Proposed Use: # of Stories: Total Description of work: Legalize window and sliding glass door changeout-same size, same style/legalize unpermitted wall-Unit to remain a 1-bedroom unit only Planning Conditions: Owner: Address: Phone: Tenant Fernando Arroyo 1000 W MacArthur #15 Santa Ana, CA 92704 (909) 837-8671 Contractor Address: Engineer Address: Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License #: Architect / Desioner: 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 Pezeshkpour, Ali Hernandez, Kathy Date: 0212612021 Date: Oate: 0212612021 Subject to Field: Misc. Receipt Misc. Receipl Misc. Receipld No No No No Fire lnsp. Req'd: Police lnsp. Req'd I Account#Total $172.64 $4.05 $104.26 $261.96 $1.00 $23.79 $59.30 Flood Zone Cerl Req'd: No Every pemit Bsued sha becorne invalid unless lhe work on the site authoized by such pemit is commenced within360 days aftet its issuance or if the t /o* authoflzed on the site by such pemit is susponded or abandoned tor a peiod 01360 days after the tine the wo* is commenced. lnspector MID#: 2021-164561 $627.00 $0 00 $627.00 01 1 16002 51600 01116002 51601 01 1 16002 516'12 01116002 57770 $23.79 $598.16 $1.00 $4.0s Ovyner-Builder 07776002 51501 Permit Fee 07776002 57770 Macrofilm Records 07776002 51501 lnvestigalion 07776002 s7607 Penally 07776002 57512 Bldg. Stds. Revolving 07776002 51600 ceneral Plan Update 01776002 51601 lssuance Fee Totat Paid to Date: Balance Due: BUILDING- INSPECTOR RECORD SITE-WORK DATE Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVl nsulation Roof Sheathing Shear Wall Framinq lnsu lation/Energy Drywall Ext.i lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Reporl Engineer Final Report lr t.l I'4\\oW\ Certificate of Occupancy II Notes, Remarks, Etc. OWNER AUILDEI' DELCANAT!('N I h.hhy rfln und.r |lulry.l F jury rhi I m.rcqrr tr.,m rhc Cu ret'F Lr.ne L:w lnr rht f.rlk,vr8 t .rr lsâ‚¬.n}ll.5 Au{m!\ . 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I COMMENTS ,,/,// rwcJ(Sa {.'7. C8. C) /- I I I I I I Flood Zone Certil. FINAL Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-s800 www.santa-ana.org APP-13 CBC 2016 on for a buildin s rmit been bmitted NOTICE TO PROPERTY OWNER rn yo na li ting y ourself as the bu ilder of the property improvementsAn applicati specified at a U e 1O r CI We are providing you with an OwnerBuilder Acknowledqment 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 offlcial address indicated. An agent of the owner cannol execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON D/RECI/O/VS: Read and initial each statement below to signify you understand or verify this information. t:/ I I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildei' build- ing 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 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 prop- erty. r- ,,1t /_2 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:A_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. il-^ I understand Contractors are required by taw to be licensed and bonded in Californla and to list their license numbers on permits and contracts. f / S. I understand if 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. f_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 payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. tZ_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 licensed subcontrac- tors 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. E /l A. , understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan- cial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the workman- ship or materials. Dear Property Owner: # /: L g I understand I may obtain more information regarding my obligations as an "employe/' from the lnternal Revenue Ser- vice, the United States Small Business Administration, the California Department of Benefit Payments, and the California Divi- sion of lndustrial 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. /- .A 10.I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the oartv leoallv and financiallv resoonsible for Drooosed constru'dreis:ttro tl/ lloir4 rf h,-,. Bli,d' .# / b 1,. ction activitv at the followino ad-,.,1,,.4i, , ll q>/c7 f A ,r.l agree that, as the party legally and financially responsible for this proposed construction activity, lwill abide by all applicable laws and requirements that govern Owner-Builders as well as employers. fur. ragree 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 financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt as also important for you to understand that if an unlicensed Contractor or employee of that indlvidual or firm is injured whale workang 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 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. Note: A coDv of the propertv owner's driver's license. form notariza- tion or her verification acc ta Signature of Property Owner Print name of Owner eto e ,s Date .f o/".,' 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) 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 filled out the above information and certify 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 re- quired to be presented when the permit is issued to verify the property owner's signature. DroDertv ow ne r's s ionatu re. /l/rnaL/7 Project Location or Address Phone Number of Authorized Agent: ;7)* t y-ro 4C r \9rnr,1 ,1,s " a)e n xb/ \s{(\'.. J 6'.. l',cn -p =. \ .5 I-.o N\NI rJ C. aF< 6': i- af- N( .r) ; .-.,I ! --l.F ? { , \ t\ .> 1 I)F r-\,i ifr \li C.J $ t <. t c.- F\ ) I I I o \ I I Exhibit 1 Front elevation Front window replaced without a permit or inspection. Photos shown on real estate listing. Sale date 4124/2O Year built- 1969 -DI - --G 'II f Exhibit S 2 Dining & Living room. Ceiling fans (2) replaced without a permit or inspection Photos shown on real estate listinB. Sale daie 4/24/20 Year built- 1969 -III ,l -,\-a I !lE I I I AoDREsS: 1000 W. MacArthur Blvd. d16 DATE: 1-14-21 Officer: JN6 J I ,. \ I I ! I ./ Nt )I rr ,] a Jt-a I I-II v Exhibit fl 3 Wall partition constructed to create a 2nd bedroom without a permit or inspection. Property characteristics are: l bedroom l bathroom D I --l tt I - I Exhibit f 4 5ink faucet and light fixturâ‚¬ replaced without a permit or inspection. Photos shown on real estate listing. Sale dale 4/24120 Year built' 1959 -I 'r, I Exhibit S 5 Bedroom s1 Ceiling fan replaced without a permit or inspection. Bedroom window replaced without a permit. (Vinyl window) Photos shown on real estate listing. Sale dale 4/24/20 Ypar hrrilt- 1Q6Q t\ I ; Exhibit f 6 Bedroom #2 Ceiling fan replaced without a permit or inspection. Photos shown on real estate listing. Sale date 4/24120 Year built- 1969 ADDRESS: 1000 W. MacArthur Blvd. f16 DATE: 1-14-21 Officer: JN6 I I \IIrt!ry Kitche n. J*, l'' I l- I Exhibit fl 7 Bathroom Light fixture, water closet and sink faucet replaced without a permit or inspection. Photos shown on real estate listing. Sale date 4/24l20 Year built- 1969 Exhibit H 8 Rear patio slid ing door replaced without a permit or inspection. Photos shown on real estate listing. Sale date 4/24/20 Year built- 1969 AODRESS: 1000 W. MacArthur Blvd. #16 DATE:1-14-21 Officer: JN6 I T \ t l I 'l-,2 \.a 7 I