HomeMy WebLinkAbout102105752 - PermitCity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1O21O5752
h.\
Assessor's Parcel oo2-037 -32 Lot: 32
Unit Bldg: Address Range
Block: NA I.acl 1471 Hisloric: No
Building Use:
Job Type;
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Owelling
Alteration
Alt6r - N/V
Sfd wrdot garag€
R.3, U
VB
cBc 2019
x-0602320163J
1st FL Area:
2nd FL Area:
Other Areas:
Garage Area:
Total:
Patio:
T.l.Area.
Yards Req'd:
Valuation: S1,000.00
Occupancy:
Constr Type
Code:
Flood Zone:
# of Stories:
Oescription of Work: Remove drywall from garage ceiling & walls.
Planning Conditions
Owner:
Address
Phone:
Tenant:
Bryan Nguyen
401 W Jonquil Rd
Santa Ana, CA 92706
(6s7) 341-8976
Conlraclor
Address:
Owner-Builder
Engineer
Address:
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
.WgIkers' Compensation lnsurance
€lrier:
Policy #:
Expires:
Phone.
License #:
Architect /
Desiqner:
Address:
Phone:
License #
Planning Approval By:
Plan Checked BV, a
Permit lssued By: L
NPoES lnsp. Req'di
PWA lnsp. Req'd:
Planning lnsp. Req'd
Amsden, Julie
Amsden. Julie
Oale: 0112712021
Date:
Dale O't12712O21
Subject to Field:
Misc. Receipt
Misc. Receipt
Misc. Receipt
No
No
No
No
Fire lnsp. Req'd:
Police lnsp. Req'd ffi Account#Total
07776002
07776002
o7176002
07776002
07776002
07776002
07776002
s7507
57 770
57607
57607
57672
57600
57607
$172.64
$4.05
$ 104.26
$261.96
$1.00
$23.79
$59.30
Permil Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds. Revolving
General Plan Updale
lssuance
Landscaping lnsp Req'd Flood Zone Cert. Req'd: No
Every peftnit issued shall become nvalicl unless lhe work on lhe sile authoized by
such pemil is commenced wilhin360 days aftet its issuance.ot il the work authonzed
on the sile by such pennl is suspended ol abandoned fot a peiod o1360 days after
the lime the wo* iscommenced
lnspector MID#: 202'1-'163946
0'1 1 16002 51600
01 1 16002 51601
01 1 16002 5'1612
01116002 57770
$23.79
$598.16
$1.00
$4.05 Fee Total:
Paid to Date:
Balance Due
$627.00
$0.00
$627.00
Pin #: 32684
Project Address: 401 W Jonquil Rd Suite Range:
Zoning: R1
BUILDING. INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWNER EUIt,DER DEI,CARAIION
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DECI.ASAIION
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4,.-,*.'
rhc N'r,rrrii(rolrlr w!trk l!{ rh(lllr\ |Enr[ F tr\Rl.I \hr]lnli.tr,p|',yrny E^!tri tr, rtr, n tr1
$ nrr('hc(on{ lrhF(rn}rhc worlca (on1n n\rron lsw\ofCrhlonn, {nJn!rcc rh rl I slr)uld h(.nE NhF(r n,rlr
porkq\.otrrtLrsrror,'nrvHtr\ors.d({r]7(uotrhcLrhrrOrlc.lnull.h,nhwith$nll]lywirl,rlx,wln'viii,,r
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DECTNR TION
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ol rh{ liul$sr lnJ ltoli\lon: (]' ., dJ my lrcnrc s a tull tur.. alrl cllNr
caNlrallglltlt.LBpllliJlaf!!1
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A\uRl (sN. .r(y,r. c'r. c r
AITLICANIDECL,IIBAIIII!
I nk{ryalll u"tlcr ltnr! y sl rE,lUry oE ol ric tullown! rL.lrdims:
l).d,ltrnr P.rnie \lr.ins Nohfrerrfl FcJchl RrtuLlonr (Tnh {r. P.n6)
R.quucd lll(s0l N{ kzrr4
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\ lnd Srlrc,iws cl rnr l hurljr J h.r.hr2urhorrcr.r.{nrrr'tt!n rh^ C[yr (i\ny l,) .n(( urnr rlk
trh,vc nrtrlts)ncJ lJn't'.ny n tr
,\Itli.xnl or ,\I.nl Sittr{luft l'2f:al
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Sublloor/VenVlnsulation
Roof Sheathinq
Shear Wall
Framino
lnsulationi Energy
Drywall
Ext./lnt. Lalh
Brown Coat
Itrlasonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enoineer Final Report
Flood Zone Certil.
'-12a )
FINAL ?/14/2/'T74r/,la IJ__-/
Certif icate ot Occu anc
Notes, Remarks, Etc.
Planning & Building Agen'cy
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
Dear Property Owner
NOTICE TO PROPERTY OWNER
d in ame listing yourself as the builder of the property improvementsAn applicati
specified at
on for a buildin pe rmit h bee ubmig
O i:-r)
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 permit 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 praor approval of the permitting authoraty.
OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this intormation.
'Ma I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildel' build-
fng 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.
{1 I
bu-r. 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.
W_9. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect
inyself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts
'WU I understand if I employ or otheruise engage any persons, other than California licensed Contractors, and the total
I 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.
Iot
Wa I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal
rgovernment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com-
pe nsation of each "em ployee." I also understand my failure to abide by these laws may subject me to serious financial risk
7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential
S ructures 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 ai licensed general building Contractor.
ltl
W-A 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 injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman-
ship or materials.
^l'W-n t understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser-
irce, the United States Small Business Administration, the California Department of Benefit Payments, and the California DivF
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.nl
YL'tO I 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 financially responsible for proposed construction activity at the following ad-
dress.
,,.1 l'W ,,.1 agree that, as the party legally and flnancially responsible for this proposed construction activity, I will abide by all
5[!'.r'qaor" lais and requirements-thal govern Owner-Buildeis as well as employers.
VL,r. ,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 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.
tion or other verification acc table to the
proDeftv owner's sionatu re.
Signature of Property Owner
,s ired to be resented when the ermif is rssued to the
Date: t' L1 ' 2--ldPrint name of Owner
AUTHORIZATION OF AGENT TO ACT ON PROPERry 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 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 fllled 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.
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 orooeftv owner's driver's license. form notariza-
PLAI{NING & BUILDING AGENCY
CODE EI{FORCE ENT
20 cMc cE[rER PLAZA (Ml9)
P.O. BOX t988
sa lra Axa, cA 92702
0'r1)667.2780
Norce or Vrourroru &
NorrcE ro Aslre PusLrc Nursexce
Dlre: 1-7-21
Address/Location of Violation
401 W. Jonquil RD
Assessois Parcel Number
002437-32
Date Observed
12.18-20
Code Officer:
J- Navano, Badge #06
Ielephone:
\7141ffi7.2773
You AR-f, tt VroLATroN orrlrI Fol.t.o$t|r(; Sal\TA Ana MuNtcrp^r CoDE Sf,cnori(s)
I Tn< .\ldior ptupdry dnd prmisG shd I b. maiotaincd in a clc6n. $fc edsid,* condtim lAugtlo@lf !{C.l!LL
E Habir,,n/occupanq of privare rdsc (U Occupancy)rshed/unpsminalnrm oddinon E prchibitcd tl&S 17920J (n): SAMC,tl-232: H&S
I79203d.a f.l: ll
O wofiq prul\-,rion ir rstui,ql ror mttc 6ds. lirs.ia bo{rds, or wood nim.
Ap9l, cr6ior qF pai or.!,pmv6l(uting. Struc &2fi)0/lPMC ]{ltl:
U&sJ]2lUgcI
E wiDdo$i havc b<s irsrallcd or che8cd our wnhour Buildin8 p.mn od
Pldning q,pt,!rls. Build,dg Frrn Md inspdion Gruircdrl$lq&
94/CBC 105.t: SAMC l-.ll/CBC ll0.l
Q Ust nu pminca ln zoncSAMC 4t-l90lrl: SAMC4l-tl2
0 Pe'rmdq rnc. ir d.rcriomrd and h dirn+.ir !\!!grL!9!!!)
0 A'y accu,norarion of rubbish is prohibnd e!UqIEEr!!!!g&
2000/IPMC lm.l: tl&S 17920J rl)
E cErin lbarcm€nr by pn,rdy ownsr5l\r[!:t&]Eg!t
O Land$.pinB mr inaintlincd SAMC 41.6m
0 lllcsal sroru8. ofinopfiarile vchicler - rdtu)ve or l.pon !iAug.{L:
6071.): SAMC E-2000lPMC 302,t
E \o ln'nr ydij fMc. orcr slhrcc. (li, in(h6,n h€irhr sha.r bc
ronnru('6r *nhour rhc 6su&cc of ! p<n !t!4c.tljil0l)
D Propcny Marntaocc: Th€ equiFmmI, slsrn. dcvi.6 .id
soflyuardr naturcd by rh, s c1xl. or o pEviout rcguhtion or cod. undo
whrch fte jrrucrurc or prcmiss *[r construd.d. dr(rql or lEpairld
$!oll b. mlin',inol in ruld *o*inr ddcr SAMC_Llq&LlfMgt!22i!4tlz9:!J
I wo* wrthour pemirs. T]]e wo dBdibdl beldv,qtuift p.mils-
obt! p..mits !!!!iLl! hourrC$. Co!6 no work uiril insp.crcn
und dppnrcd Coll Sdnra Ana Pllnnins unrl B!ildin8 ASocy at (7t.1)
6{7-st0{ ror p€mir idbmarn n lAuej:9llcEc-l!1,!il8!g&.ll/cBc ll0.l: S$lC E{E6b{rI SAMC E-690(bt: SA,UC &
2m/CPC l&.1: SAMC &290/CPC l05.lr SAMC &s56/cilC l&.1:
SAIIC t-ssOcMC 105,1: H&S 17q203(b. d. !. r. l: k)
Rsnrlli: Contacr the PtaruDn,a & Buildrrs Divisions 6t City Hall. Submit plans & oblarn pcmrits and final insDection to either
lcgalize Or to removc all unp.rmincd alterauons, addrlions and modificarions & retum to odginal confi,quration
l. Drv'wall on lhe sam{e ceilin{ and walls. 2. Plumbioe connections for a sink. sho*er & toilel insrde the garage.
3. Tankless water heater inslallalion. 4. Alterations lo thc old electrical Danel. (Panel uDsrase) 5. Electrical oullet on cxterior
Garasc wall. CO\ I A("f M)' OI'F-l('E lI) SCHEDUt.f NSPECTION OF I HE HOUSE. Af LEGtsD UMNPER\IITTED
woRK. (7t.r) 667-:771
Notice as hereby given thal all violatons must b€ conEctad wlrhlh 30 dav3 om h6 date of r€ceipl o{ $is notic€. ll is the
re 9 p o n s i b i laty o I th€ prop€rty ownor andor occupant to not! thi3 olfics whon lhe abov€ conections h€ve be€n complel€d. You have the
right to.€qu€sl e publlc hoarang to deffilo Ulo wlidly of lh€ virations lisled and/or to sho/ cause why you arc not liable uithin ten {10) days
of th€ dal€ of thii notice (SAMC 17-21). Any r6qu€st lor h€aring should be fled Btth lhs C y Clsrk It lhe violatdls src l+h€ld (6 n Fr do
nd dS.rfe fis ndEs), pr d b€ ord€rad lo abeie tlte nt 6anca and all cosls of onbrcomonl andor abale.nenl will b€ ass66€€d and will
continrro to scctue unl,l th€ violations crs abated Feilure to 6bate fie violsliorl(s) may osrtl in ti€ matter boing rafafl€d to trc City
Atlom6y's Offic6 for e court orde r to s bate lhe n uisancs and/or criminal p.oseculion. Th€s€ violalioos ar€ a misds.noemr oi!?rsa and
66dr &y 0rd rr'y dfitD dlsfrro a n6rv rd E€parailo olbo6o. ln addlir b tb t,lolic€ of Violalion, Adminrslrdtv€ Ctlaf,ons may b€ issu€d
and additional lln63 may b€ iopos€d. Th€ failuro of any p€rson to pay the chdl inos as!€seod may r€sJtl in tle matter being tefured br
collection, which ircludes bd is not llmlted to trle filing of a srnall claim3 coon erdon; a sp€cial assess.nent irdudod in fne cily trater t lliru
endo. a lie6 on raal proporty.
App€al Notic6: Any p6son havlrE any Iecord. lide, or l6gal interc3t in the property may appssl this Noti:e. provided the app€d b made in
vrritng and fled wlth th6 Clsri of the Councal wthin 10 days kom tho dats of servics of this No0c€. lnbrmation I€gEdirE admhbffii,,re
app€et righB. and trl6 appropnsre lees lo b€ pald, may bo obLin€d ,rom lh6 EulldilE Offcial. Executive Oreclor of the Plannir€ E guilding
Ag6ncr. or th6 Cted( of ho Council. FaitrJrs to appoar vlrli constilule w6N€r of all dghls lo an adminis!'alivs heariflg and deEmnalbn of
th€ rnater.
This ootc€ has been maihdpGted puBuant to Arucle 8 (commerrcing wilh s€cton 17-100) ol Chaplsr l7 of tho Sanl,a Ar|a MuniciPalCode.
!!gIE: This noti:s wiU b€ lant to lh€ o$ne(s) ol r€cod. Further iniomaton may D€ obtain€d by contactng the asstgned
Prop6rly Owner(3):
Bryan Nguyon
1517 N. Newfiope Sl SPC 5
Santa Ana. CA 92703
Vi6it us al our rlcbsito fol mor€ lnlt rmaton.
httoj rwlv,aanta-ana,om 01, t41010 AN
luni*
Zone