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Home My WebLink About101104242 - PermitProject Address: 2530 N Grand Ave Assessor'sParcel: 396-111-58 Lot: POR 4 Bldg: Address Range: 2530-2550' Tracl: A.B. CHAPMAN Historic: No Suite Range: Zoning: C5Blockr A City of Santa Ana 20 civic center Plaza (M-19), Santa Ana, cA92702 Building Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853 q{ Permit #: 101104242 Pin #: 95993 Building Use: Job Type: Nature of Work: Existing 8ldg. & Use Proposed Use: Commercial Parking Lots Re-stripe Commercial B VB cBc 2019 x-0602320 t 63J Patio: T.l.Area: Yards Req'd: Valuation: $1,000.00 Occupancy: Constr Type Code; Flood Zone: # of Stories: Description of Work: Re-stdping of two existing accessible stalls. Planning Conditions: Owner: Address: Phone: Tenant: Contraclor: Address: Owner-Builder Address MARTHA ZAPIEN 427 W JONQUIL RD Santa Ana, CA 927061622 (7 141 7 44-6004 Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Architect / Desiqner: Address: Phone: License # 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 Orozco, Ivan Lee, Wayne Amsden, Julie Dale: 0112612021 Dale. 0112712021 Oale: 0112812021 Subject to Field: l\,lisc. Receipt Misc. Receipt Misc. Receipt 07776002 0 7776002 07776002 0!776002 07776002 07776002 57607 53500 57 770 57672 57600 57607 Permit Fee Plan Check Fee Microfilm Records Bldg. Stds. Revolving General Plan Update lssuance 74617 Total $2'!4.00 $150.00 $24.30 $1.00 s23.79 $59.30 No No No No Fire lnsp. Req'd: No Police lnsp. Req'd: No Flood Zone Cert. Req'd; No 01116002 51600 01116002 51601 01116002 51612 01't16002 57770 Account# Every permit issued shall become invalid unless the worr( o, the site authotized by such pennit is commenced wilhin360 days aller its issuance,ot if the wot* aulhorized on tl?â‚¬ site by such pefinit is suspended ot abandoned tgt a period of360 days atter the lirne the work is conmenced lnspector MID#: 2020-160596 Fee Total: Paid to Date. Balance Due: s472 39 $300.00 $172.39 $23.79 $123.30 $1.00 $24.30 Unrt 1st FL Area: 2nd FL Area: Other Areas: Garage Area: Total: 0 Engineer: BUILDING- INSPECTOR RECORD SITE-WORK DATE tD/slG.COMMENTS OWNf, I' DUII,DER T}EI.CAITATr()N I hcrchy rllnfl utr.lcr n trilry ol ncrNly rhtrr Lm c\chpl li m rh. Gr tu(rtrr Litn{ Law li]r lh. lt,lltt*mg r.rvr (S.r 70ll5 utrin s il lt rcsi('. ( (rl.Jr Ahy Cl'ry or C.unry *hrh rcq!tr$ ! 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(dir arl F ty nuDh.r i.: Il)lry Nunnrl E\!trc{: U?;i,ryrr-r -r** n,r i.tu. or rhc *o,r ktr r.rrk t, rhtr |.rntr ,{ N!!.r. r q,l rn rmfk,r an, F_F.n n any n,tuf,, $ r\ t' h.!on* subFrr n) rlr wolk.r(, LonrF n\!r tr'n l!r\ .l Crhft)mil, dtrd ,fr( rhlr rl I \h,uu r(utr rrhFl r n' ltE ldrkd\.onrfnvintrpov$('n\olS(xotrl?0oolrlnlihrC,rlt.llhill,lnnhwh(dnrnlywrrhrln)$Pn'var^ WARNIN(; Irllurc t' s(tri. e.rlcn r.nl.nsnotr rov.fulc ,s trnhwlul. itr! shorl $hr..r an cnTi'y.r r, dmi"rlEruhFs rnd .!rl rln.! !t i, on. hu lr.J rl$uq'rl S&riln .r()76 ol rh.Lhtr(irl_. dr.Nr I hcrchy dllnnldq pcn.llyol lrryry t u! rlr Ebnr\\ $J l1on\{o,n4 ..x'r, nry lf,tn\. ^ nrll nn.c!,rl.tl(( l_k.n\c t't,,\ c(rNsTtft( T()N I-t:NDllit; ,tcltN( t l,cn{l.r'\ A,lIr\\: APPI ICANT DICLARATION I trdrt dlim xturcr lxnat y ol ,c4ury oN dr rh. nlLrvh! 6'l,rr! on\l D.frnnk P.rnrirsAsh.(oi Nor rar!,n lcrl.rrl Rcaolrrrrs (Tnlc41,, l,trr6) -R.qtEtl b(.rof M L.rirr Ir.n'lyrhrrrh.t\h!,lr.fuhtn)nr(tadr! t!.{.\(rrr!!rlrrc nor,ll) k lcn,rhNJln)r&t llla"nry ,n, , "," ,",,t , t"\ rppfu.rnr !B] rrlrc rhar rrx !h,vc ,nn'rdrxotr rnrc( tlrrenrlonrnl,w hlllc yutulcou.ry .kl'ntR.\rtJSr..tre\kLrr,t!t)bu J'nr (ot{n'lnot. rll tkr.6y rurh{r. r.IE.\rnrtt'r.\ olrh'r Cny rnJ C.unty k!.N.r tF'n rlr rh,v. m.ii,rJ !n)P.dy |,tr nrFri'nr{rFe\. ,tppli.{nl or All.nl Sirmlum/4 Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor S u bf loor/VenVlns u lation Rool Sheathing Shear Wall Framinq lnsulation/Enerqy Drywall Exl./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req. Deputy Final Report Enoineer Final Report Flood Zone Certif . FINAL 3-/o-Z//L&5t t/r/@ -ZV Certiricate ol Occupancy Notes, Remarks, Etc. ). 0 ,ldfirr i' rh. ton .l ( ^", /e9/at ovNx'n ol ( hll{q 9l(r'l!nNrn! wnh Ser.n 7Ul0) ol DrvFi,n r ^\kJrS.. :rltsr7. C,r ( l Irndci\Nrnrl **22.&. 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-'i3 CBC 2016 Dear Property Owner: An application for a buil din NOTICE TO PROPERTY OWNER gpe rmit has been submitted in yo ur name listin ourself a uilder of the property im 2.4 I s specified at o We are providing you with an Owner-Builder 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 permlt until you have read, initialed your understanding of each provision, signed, and returned this 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 ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. WL.l. l understand a frequent practr ing permit that erroneously implies that Owner-Builder, may be held liable and his or her employees while working on am willfully acting as an Owner-Builder erty. .4/- il/, ,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 4.. Wt. ,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. tt 4n,u 4. I understand Contractors are required by law to be licensed and bonded in Californla and to list their license numbers on permits and contracts. th,L 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. -N,LU. ,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. M.X' l. lunderstand 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 not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. t. /, L"-A I understand as an Owner-Builder if I sell the prope(y for which this permit is issued, I may be held liable for any finan- EiIi-67 personal injuries sustained by any subsequent ownerlsj tnat result from any latent construction defects in the workman- ship or materials. stheb trJz provements ce of unlicensed persons is to have the property owner obtain an "Owner-Builder" build- the property owner is providing his or her own labor and material personally. I. as an subject to serious flnancial risk for any injuries sustained by an unlicensed person and my property. My homeowner's insurance may not provide coverage for those injuries. I and am aware of the limits of my insurance coverage for injuries to workers on my prop- h.? e. t understand I may obtaan more information regardang my obligations as an "employer" from the lnternal Revenue Ser- vice, the United States Small Business Administration, the California Department of Beneflt Payments, and the California Divi- saon 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. t{./<o I am aware of and consent to an owner-Builder build and flnancially re sible for propos ed constructiS ing permit applied for in my name, and understand that I am the on activity at the following ad-party legally dress: Z 3 H,% ll.l agree that, as the party legally and financially responsrble for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. 1"4'? lZ. I 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 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 flrm 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 coov of the orooertv owner's driver's license. form notariza- tion, or other verification acceptable to the aqency is required to be presented when the permit is issued to verify the Signature of Property Owner Date Print name of Owner 2 â‚¬,/4,/ 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 followlng 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 Location or Address Name of Authorized Agent Address of Authorized Agent I declare under penalty of perjury that I am the prope(y 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 verilication acceptable to the agency is re- quired to be presented when the permit is issued to verify the property owner's signature. p roDertv ow ne r's s i q n atu re.,h*, Phone Number of Authorized Agent: