HomeMy WebLinkAbout101103751 - PermitProiect Address: 2102 N Westwood Ave Unil Bldg: Address Range
Lot: 13 tllock NA I .acl 2977 Hrstonc No
\
city of Santa Ana 20 Civrc Center Plaza (M-19), Santa Ana, CA\27O2 ': . Building
Permit Counter: (714) 647-5800 lnspectron Requests: .7141667-?738 lnspector Sectlon: (714) 647-5853
Permit #: {01103751
Pin #: 77680
f11
Burldrng Use Single Family Dwelling Occupancy R-3, U 1st FL Area Patio
Job Type Alteration Constr Type V B 2nd FL Area T lArea
Nature of Work Interior Remodel Code: CBC 2019 OtherAreas: Yards Req'd
Existing Bldg. & use sFD watt garage Flood zone. x-0602320144J Garage Area vatuation: Siso,ooo.oo
Proposed Use # of Stories
Totat
Description of Work: Remove and add interior walls to reconfigure 2 (e) bathrooms, add closet to master bedroom, extend (e) kitchen, change out
windows and doors, remove and replace ext. vgneer, install interior beam and post, removo and replace patio head€r, support
beam and post, remove masonry chimney and fireplace, new raised slab. Auth on file.
Planning Conditions:
O\yrer:
Address
Phoner
Tenant
Laurie Hampton
2102 N Westwood
Santa Ana. CA 92706
(714) 623-6433
Contractor
Address
ATC Consulting Engineers Inc
Albert Chan
13104 Glen Ct #14
Chino Hills, CA 91709
(95'l ) 808€833
c-61343
Phone:
State Lic #:
Lic Type;
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires;
Owner-Builder
Engrneer
Addressr
Phonel
License #
Architecl /
Desiqner.
Address.
Daniel Dascanio Architect
17460 Drake St
Yorba Linda, CA 92886
(714) 996-9900
Plannrng Approval By
Plan Checked By:
Permrl lssued By.
NPDES lnsp. Req'd No
PWA lnsp Req'd: No
Planning lnsp. Req'd: I Yes o
Landscaping Insp. Req'd: No
Oate 0910912020
Oate.0711712020
Date: 09/10/2020
Subject to Freld:
07116002
0 7 7 76002
07776002
08907007
07716002
0 7 716002
07776002
5160 7
53600
57770
24000
57672
5 7600
5760 7
Permit Fee
Plan Check Fee
l icrolilm Records
SMIP - Category 2
Bldg Slds Revolving
General Plan Update
lssuance
Soto. Ricardo
Lee, Wayne
zunrga, Allissa
01 1
'
6002
01 1 't6002
01 1 16002
011 16002
01 'l 16002
0890100'1
51600
51601
51612
53600
57770
24000
$23.79
$749.86
$6.00
$33.88
$60.75
$42 00
$690 56
$957.36
$60.7s
$42.00
$6.00
$23.79
$59 30
$1.839.76
$923 48
s916.28
Misc. Recerpt
Misc. Receipt
Misc Receipt
7 4439
Total
I
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Ac count#
Flood Zone Cerl Req'd. No
Every pemll6sued shall become tnvalid unless the work on the stle authorized by
such pemil is cofimenced wihn 360 days aftor ls tssuance.or il lhe work aulhonzed
on the sle by such perml ts suspendeat o( abandoned lor a penod o1360 days aftet
the lime the woak ts cofimenced
lnspeclor MrD# 2020-158837
Fee Totat
Paid to Date.
Balance Due:
Assessor's Parcel 001-162-21
Surte Range.
Zoning: Rl
Phone:
License #
I
BUILDING. INSPECTOR RECORO
DATE OWNITR aUILDI:l{ Dl),CARATmN
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SITE.WORK ID/SIG.COMMENTS
Set Backs
Forms/Steeli Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathino
Shear Wall lo .ltr').rtuttp6ot I
Dba'@'Framinq lt.V'0o iEf,
lnsulation/Energy It'V'?o Ufutlcot ,w
Drywall ?\I.tb.9a tlylz,s.?x
blzzA€&(a|Utir ,r'Y'l, bb6l U't7'20 'e)''
Brown Coat
I\rlasonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Reporl
Flood Zone Certif .I
DW+tk7t9 ntu),llr IK h .-k\!
I ^l a
FINAL 3 tll u tXfMt WIN
Cerlificate ot Occupancy .t
Ngte!* Remarks, Etc s-Wu a rl.>.(
Rev. O8'07-2015
lvo
,","?/-/D
i
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(714) 647-5800
www.santa-ana.org
APP-13 CBC 2016
NOTICE TO PROPERW OWNER
Dear Property Owner
An applicati n for a buildin gpe rmit has been sub itted in your listing y ourself as builder of the ryoE?
improvements
spe cifled at
We are providing you with an Owner-Builder Acknowledoment and lnformation Veriflcation 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 otficial 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 ACKNOWLEGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
nl
. W\. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build-
in-g 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.
rrl&. I understand building permrts 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.
-dA ,understand as an 'Owner-Builde/' I am the responsible party of record on the permit. I understand that I may protect
mybelf from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
9ol. t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts-
y'/-5. I understand if I employ or otherwise engage any persons, other than California licensed Contraclors, and the total
value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an
"employef under state and federal law.
-!/b t understand if I am considered an "employer" under state and Federal law, I must register with the state and federal
0overnment, 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.
_UA-+ I understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily residential
structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac-
torc 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.
-(A-u. t 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 sustalned by any subsequent owne(s) that result from any latent construction defects in the workman-
ship or materials.
I understand I may obtain more information regarding my obligations as an "employe/'from the lnternal Revenue Ser-
vice, the United States Small Business Administratiot the California Department of Beneflt 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 informatiori about licensed contractors.
_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
d ress
and flnanciall at the followi ad-
%
!L.
applica
y responsible r prop osed construction activi ty
A oL
1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
ble laws and requirements that govern Owner-Builders as well as employers.
At* tagree 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 is also important for you to understand
that if an unlicensed Contractor or employee of that individual or firm is injured while working 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. ,Vote.' A copv of the propertv owner's driver's license. form notariza-
propefty owner's siqnature.
Signature of Property Owner Date ,
Print name of Owner lrl 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 file the documents necessary to obtain an Owner-Builder
Permit for my project.
Scope of Construction Project (or Description of Work)
Project Locatron 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 Isted above and I personally filled out the above
information and certify its accuracy.
Property Owneis Signature Date
Print Name of Owner
Note: A copy of the owner's driver's license, form nota zation, or other ve fication acceptable to the agency is re-
quired to be presented when the petmit is issued to veify the property owner's signature.