HomeMy WebLinkAbout104105553 - PermitProiect Address: 501 S Santa Fe St
Assessor's Parcel 011-302-05 Lot 5
Unit Bldg Address Range Suite Range:
Zoning: M2Block NA Tract.5739 Historic No
city of Santa Ana 20 Civac Center Plaza (M-19), Santa Ana, CA 92702 Building
Permil Counler: (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853
Permit #: I O41 05553
frf Pin #: 619lO
Planning Conditions:
Owner:
Address
Phone:
Tenant
Conlraclor
Address:
Engineer
Address
GPI Group - Oon Warner
501 S. Santa Fe Street
Santa Ana, CA 92705
(949) 566-7911
Owner-Builder
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compeosalion lnsurance
Carrier:
Policy #:
Expires:
Phone:
Lrcense #
Archilect /
Desiqner:
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
Graham, Jeffery
Chavez, Dave-< "'No
No
No
No
Oale 1211712O2O
Date.
Date: 1212312020
Subject to Field:
Misc. Receipl
Misc. Receipt
Misc. Receipl
07776002
07776002
07776002
o7776002
071760 0 2
07776002
0 777600 2
Permit Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No Account#Total
57607
57770
57607
57607
51672
5160 0
5760 7
$172.64
$4.05
$ 104.26
$261.96
$1 .00
$23 79
$59.30
Fire lnsp Req'd:
Police lnsp. Req'd
Flood Zone Cert. Req'd: No
Every pem tssued shallbecome nvahd unless lhe evork on the s/le authonzed by
such perml is commenced wtthin 360 days aflet s tssuance or I the wo* aulhonzed
on lhe stle by such permll.s suspendecl or abandoned fo. a penod of 360 daysafter
the time the work ts commenced
lnspector MrD# 2020-163379
01116002 51600
01116002 s1601
01 1 16002 51612
01 1 16002 57770
$23.79
$598.16
$1.00
$4.05 Fee Total:
Paid to Date:
Balance Due:
$627 00
$0.00
$627.00
Building Use Commercial Occupancy N/A 1st FL Area Patio
Job Type: Alteration Constr Type: lll B, SPK 2nd FL Area: T I Area:
Nature of Workt Nny' - Remove partitions Code: CBC 2019 Other Areas: yards Req,dl
Existing Bldg. & Use: Commercial Flood Zone X-O6O232O276J Garage Area: Valuation: 012,000.00
Proposed Use. # of Stories
Total:
Description of Work: Removal of all unpermitted non-bearing partition walls and restore back to original permitted use. Owner-Builder form on file.
-BUILDING SHALL NOT BE OCCUPIEO UNTIL A PERMIT FOR A TENANT IMPROVEMENT HAS BEEN ISSUED AND FINALIZED'
BUILDING. INSPECTOR RECORD
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Shear Wall
Framing
lnsu lation/Energy
Drywall
Ext.i lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certil.
FINAL 3tf,-zt ,e e.d,'L</4-'2,
Certiticate of Occupancy
Notes,,flergarkslEtc nl
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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
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a buil di(
ng rm h be ?n sub tted in ur ame istin gv ourself as t he builder of the property improvements
specified at ()
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 official address lndicated. 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
DIRECTI NS: Read and initial each statement below to signify you understand or verify this information.
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildei' build-
lng perm it 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 flnancial risk for any injuries sustained by an unlicensed person and
his or her employees while working on my property. My homeownels insurance may not provide coverage for those injurjes. 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-
understand building permits are not required to be signed by property owners unless they are responsible for the
n and are not hiring a licensed Contractor to assume this responsibility
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
4 I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on per and contracts
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total
VA lue of my constructlon is at least five hundred dollars ($500), including labor and materials, I may be considered an
"emplo er" under state and federal law
6. I understand if I am considered an "em ployei' 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-
pensatio f each "employee." I also understand my failure to abide by these laws may subject me to seraous financaal risk
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 thgnumber of structures does not exceed four within any calendar years, or all of the work is performed under contract
with a liq,/nsed general building Contractor.
/n'P a. 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 sustained by any subsequent owner(s) that result from any latent construction defects in the workman-
ship or materials.
erty.
9. 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 Californih Department of Beneflt Payments, and the California Divi-
sion of lndustrial Accidents. lalso understand I may contact the California Contractors' State License Board (CSLB) at 1-800-
B (2752) or www.cslb.ca.qov for more information 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
legally a fin a ial pon le forpa rty
d ress C)
nd onstruction activit y at the llowing ad-c
g1 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
/6pplicable laws and requirements that govern Owner-Bualders as well as employers.
'12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
ave 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 an civil court. lt as 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 Iicensed and the status of their workers' compensation lnsurance 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 pe rmit. ,Vote. A coBy of tlD prgpeftv owner's driver's license, form notariza-
tion. or other verification acceDtable to the aoencv is reduired to be presented when the permit is issued to verifv the
prope rtv owne r's s i q n atu re,
,>Gc/roSignature of Property Owner Date
Print name of Owner \Ljer crzur y'( 6,"
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 Pro.lect (or Description of Work)
Project Location 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 listed above and I personally filled out the above
information and certify its accuracy.
Property Owner's Signature
Print Name of Owner
Note: A copy of the owner's drivert /lcense, form notarization, or other verification acceptable to the agency is re-
quired to be presented when the permit is issued fo verify the property owner's signature.
nrro _