HomeMy WebLinkAbout101105947 - PermitProiect Address: 2730 W Harvard St
Assessor'sParcel 408-211-08 Lot: 35
Unat Bldg: Address Range Suite Range:
Zoning: RlBlock: NA T.acl 4022 Historic: No
Citv of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana' cA92702 Build ing
Permit Counter: (714) 647-5800 lnspection Requests: 1714\ 667-2738 lnspector Section: (714) 647-5853 K\
Permit#: {O{105947
Pin #: 41952
Building Use:
Job Type:
Nature of Work:
Exasting Bldg. & Use
Proposed Use:
Single Family Dwelling
Alteration
Remove Porch
SFD wlatt garage
Occupancy.
Constr Type:
Code:
Flood Zone:
# of Stories:
R-3, U
VB
cBc 2019
x-0602320256J
1st FL Area
2nd FL Area
Other Areas:
Garage Area
Totat
Patio:
T.l.Area:
Yards Req'd
Valuation: $1,000.00
Dsscription of Work: Remove unpermitted front porch
Planning conditions:
Owner:
Address
Phone:
Tenant
Hai Run Tran
2730 W Harvard
Santa Ana, CA 92704
Contractor
Address:
Owner-Builder
Engineer
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
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
{[ xernanoez, xatnv
Dale:
Date:
Dale 0212312021
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
Fire lnsp. Req'd: No
Police lnsp. Req'd: No
Flood Zone Cert. Req'd: No
0 7176002
0 7776002
07776002
0 77 760 02
0 77 76002
5760 7
57770
57672
5760 0
5760 7
$'172.64
$4.05
$1.00
$23.79
$59.30
Fee Total
Paid to Date:
Balance Due:
Permit Fee
Microtilm Records
Bldg. Slds. Revolving
General Plan Update
lssuanceNo
No
No
No
Account#Total
Every permit issuod shall becofie hvalid unless the wo* on the site aulhoized by
such peinil is commenced v,tithin 360 days after its tssuance.or if the wo* authorized
on the site by such pemil is suspended or abandoned for a period ot360 days after
the hme the work iscofimenced
lnspector MID#: 2021-164453
0'11 16002 51600
01116002 51601
01116002 5't 612
01116002 57770
$23.79
$231.94
$1.00
$4.05 $260.78
$0.00
$260.78
Architect /
Desiqneri
Address:
Phone:
License #
BUILDING. INSPECTOR RECORD
SITE-WORK DATE tD/stG.COMMENTS OWNER DUII,I'EB DEI,C lr^TION
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Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVl nsulation
Roof Sheathing
Shear Wall
Framinq
lnsulation/Enerqy l
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Engineer Final Reporl
I
FINAL 1 1 ot DA%^
Certiticate ol Occupancy
Notes. Remarks, Etc
lrak, r Arl&Gsl
^pprksr
or
^rdr
skrru. X l<---,A
Flood Zone Certil.
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-t 3 CBC 2016
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permat has been submitted an your name listing yours elf as the build
specified at z?30 ,,r ilaR_'l/iAr>snuzt er of thp property improvements
.,1-il4sr
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 thjs
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 ACKNOWLEG MENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
ll_I_1 I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildel' build-
ing pelmit 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 flnancjal 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.
{L_z I understand buildrng 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.
l'{_( 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 tlled in his or her name instead of my
own_
|lJ--4. I understand Contractors are required by law lo be licensed and bonded in California and to list their license numbers
on permits and contracts.
tlt'5. 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.
?!-J-A. 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 flnancial risk.
f7_J_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/l work is performed by licensed subcontrac-
tors and the number of structures does nol exceed four within any calendar years, or all of the work is performed under contract
with a licensed general building Contractor.
tt_J_8. I 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 in.iuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman-
ship or materials.
ft__!_g I understand I may obtain more information regarding my obligations as an "employer" 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.qov for more information about licensed contractors
ll7 rc.1 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the
party legally and finqncially responsible for proposed construction activity at the followrng ad-drcss. ;_7'7 o t HA*u A1W 9T . <^)/ht 4v1A
tl
._r----
k-f-ll.l agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
'applicable laws and requirements that govern Owner-Builders as well as employers.
12. I agtee 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 sorneone 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 Contraclors 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. A/ote. A copv of the propeftv owner's driver's license, torm notariza-
tion, or other verification acceptable to the adencv is reou d to be presented when the permit rs ,ssued to verifv the
p roDertv owne r's sion atu re.
-<-Date: 02-23-2ot/Signature of Property Owner
Print name of Owner k/lr 7"A-n/
Excluding the Notice to Property Owner. the execution of which I understand is my personal responsability, 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 Descriptlon of Work)
Project Location or Address
Name of Authorized Agent
Address of Authorized Agent
Phone Number of Authorized Agent
I declare under penalty of periury that I am the property owner for the address listed above and I personally filled out the above
information and certlfy jts accuracy.
Property Ownels 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.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
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