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Home My WebLink About102106482 - PermitProject Address: 1215 N Daisy Ave Assessor's Parcel 405-104-02 Unit Bldg. Address Range Suite Range: Zoning: RlBlock: NA Tract: '1899 Historic. No city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building Permit Counter: (7'14) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 64F5853 - Permit #: 1o21lJ6,482 Pin #: 84144 Building Use: Job Type: Nature of Work: Existing Bldg. & Use Proposed Use Single Family Dwelling Alteration Alter - N/V Sfd w/att garage Occupancy: Constr Type Code: Flood Zone: # of Stories R-3, U VB cBc 2019 x-0602320't44J 1 st FL Area: 2nd FL Area: Other Areas: Garage Area Total: Patio: T.l.Areal Yards Req'd: Valuation:$5,000.00 Planning Conditions:NOTICE OF VIOLATION Owner: Address Phone: Tenant: TU TRANG KIEU 221 12th Street Huntington Beach, CA 92648 14241 2't2-9245 Owner-Builder Address Phone: State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: Phone: License #: Architect / Desiqner: Address. Phone. License #: Planning Approval By Plan Checked By: Permit lssued By: L NPDES lnsp. Req'd: PWA lnsp. Req'd: Planning lnsp. Req'd. Landscaping lnsp. Req'd Arechiga, Liana Amsden. Julie Dale 0412112021 Date. Dale.0412112021 Sublect to Field: [iisc Receipt Misc. Receipt Misc. Receipt 0 77 7600 2 0 77 76002 0 7776002 07776002 07776002 o77760 0 2 077760 0 2 57607 57770 5160 7 57607 5 7672 57600 57607 Permit Fee Microfilm Records lnvestigation Penalty Bldg. Stds. Revolving General Plan Update lssuance 1.lo No No No Fire lnsp. Req'd: Police lnsp. Req'd No No Account#Total $172.64 $4.05 $104.26 $261 .96 $1 .00 $2 3.79 $59 30 Flood Zone Cert Req'd: No Every permit tssued shall become nvalid unless lhe ,vork on lhe sile authonzed by such peftnil is commenced wlhtn360 days aftet ls issuance,ot if the wo* authoflzed on the site by such pemil is suspended ot abandoned lor a penod of360 days alter lhe hme the work 6commenced lnspector MID#: 2021-165643 011't6002 51600 01 1 16002 51601 01 1 16002 51612 01116002 57770 $598 16 $1.00 $4.0s Fee Total: Paid to Date: Balance Due: $627.00 $0.00 $627.00 Lol 25 Description of Work: Legalize windows changed out; remove drywall from garage ceiling. Contractor: Addressr Engineer BUILDING. INSPECTOR RECORD SITE-WORK DATE ID/SIG.COMMENTS OWNET BUILDTIR DEL(ARAIION I Lrcby rfln'r nMcr J)cndry of pcrlury rh0t I dn cxcryr liom llE Conlrld.F l,kcnsc Ljs f(t rlt aollo*ing rce\on. S.. 70.1 1.5 Bunm$ anl Pmrcsion Odc) AD, Ciry .r O,unry which rcqunr\ r Fm lo .usln.r, dr.r. improvc. dcmlkh or EFn My stMlurq Drior to s h$rda, alw rcquircs lhc otplicanl tor \uch IErmir ro lilc a \i8n.il nddtu.r rhnr hc Dr shc is liccntd pu*uMr lo rhc F.vnnns o{ ltE Contmcloas t,iccns.{ tjw lchaflcr 9. Con,mnci',g wirh Strtun rulo or Dvision 3 oirh. Busimss md PbrcrsionsCod.)orrturthdrshciscr.ml,trhcrcronandrhchastro!th.nll.scdcxcnrflion.AnyvioldrionofSclilnT0.rl5l,yany flSqll-rr,-r,*t,.,-,rr sPrrrdr h sc,Lirl,fturrt' n, tur rhs ri,. humrcJd"llJ. '150ur --Erl ,{."*.,'r ,r," n ,p"r. ur f,} cnpl,,yd\ utrh ualcs as rh.tr $k onrFns ion. will& rirc work un rhc srnxlG i\ R,r inrcid.n or olTclc{j lor slc (SE ?044. Burines lnd t otc$ion\ Codc: Tie G'nlollori Li.en* bw &s mr {ply lo 0n osmr of rh.FmFny wh. huild{ or inpolcs iltm[ dk] qlF das such slk hi'rl$lior hcBelfor rhFugh his or hcrosn cq,lorecs, tirolidcd rld \uch i'ntrolu'rnls m nor id.nddi d oft,rl tur sL ll h.$rE- th. hoiriina or inpmE Enr is $ld wiliin orc F{ ofco pLrirn,rhcOwrrB ldLr willhrw thc burd.n oa lh,vinB $d hc or shc dil tnt hoild or rnlrow ilE nn\f,ny for th. Plryos of I, r\ o$nd ot rhc pmllny. rd.r.lusivdlyrotrta.rinS wnh li.cnsd.o rados lo con(Nci rtE prejsr(SeL 701.,1. Bn'rs md Pmt$i[ C{ilc]'lhc O'nrrrroir l-iccn\c t-rw dors nor,prly k, rnosi.r.rttuFdy who hurlds or irl)rovcs lhcrLln. rtrtl *ho.onr.chlorsuchpnrdr*irhnContrero(9lncnqlpumu"dn)rlrCotrtnt,\Li..nscL!w). I aNcxcDrpr utrLicr Sdri(tri-/a- t",. D4! DI.CLASAITA! I h.rchy ifln undcr !cnaltyol[trjuryonc oirhc folhqnrs dcclarllionr IhrrcJrnwillnEi nin r Ccnifir,lc oiConcnr lo Scltln\u,e ior worltrl. .onp.n\dioi, .\ lnvidcdlorbys..lio.l hh.r Ciod.. nr rhc F.rfoinDncc of rk wo* Ior whi.h rhc nâ‚¬rn r n nsued -l hlvc ntrd wilL aEinllin workcrr co'nrEnsari'n, n$un'x-c. a\ rqutcd hy sl\r ion :l?tn .r rhc tib.r Codc. lnr thc l]crl'ormmc ol rhe wo,k ri), whrch rhi\ Frmi n is$dl My worksa co'r{risn nuramc.Mff nnl I.lit numbtr (c: ry5;;;rn nr pcrbnDrc ol lhc rork lor whi(h rhk r--onr t i\\ucd. I \hf,ll mr crrl,,yrny [rcA.tr i'i rny nuin r Nhjcr rorhcw. cr'.onDcn{rion lr*sofcrlif(mu. d 4rc rhnrirl rh uld B*om suhlr\t !'rh. workc'\ ro lr srrn,rln,vnon\.lSc.lonl70U.l rhc htFr(odc.l \h!ll- lonh*irhmmllt *irh rho*pn,v,nohs. W^RNINC liilurc h {.urc wor]{cn comP.nvri{,, .ovcrg. '\ unlawtul. and shnll suhl.cl m oDlo}cr h sininal pctrrl,ic\ rnd rivil lincs up n,o'E hundEd r)x,usrDd dollrrr (sllD.oql). i', ddirn to rh. co{ oi.onlcnslion. drrugcs !\ pruvidrd Irrt ::4"1;irfri;I n]1,/ DEET,ASAtrQ! I trrcbyalfir und.rlxn ry of lrrjury lhii I m licened unnd pmvision ol Chrlrs 9 (omnEncins wirh sori.n 70{})) or Divishn 1 ol rhc Burincsr rnd Pmlessi.nsCodc. arn rny liccN i\ in rullforcc urcfli{r. I-i.enscCla$:- toltrf,!(uoN.rralAlidtiENcr I tErchy rninn u cr Fnrlry ot p.rjury rhrr rh.rc is 0 mnsldction Lndilr8 o8cmy ld lhc Frl'ornuncc oi rhc work fd whi.h rhis Frnii is is$cd lsc. :1047, Civ C ) AIELICANIDECLABAIIQX I d,y tt undcryctrllty ol p.ljury onc of lhc nrh* ins dcclullion\ Dc rnn,n Purni\ Ash.qos Norinc nn lcdcrul Rc8ulari.ns rTirlc.r0. Pin6r Rc!UPt z(*u,'n Elx,**l lhc lcdcr0l rcrululion\ rcguding x\t{ los rcm,vrl JIxn rpfltablc k, rhrt pr'n\l lhlrcr.rJ rhi\ rlrnliuri,nr a'kl (at ihrr dr trh,vc rnnu nn i\ codc(t lngrcc k, rrc lr'*\rlrrtr,gti hdilJ ,x co n'x..,tr'. ,:h.vc '(nrinrcd pr,ncd! r.r insn .ri n ndrri\G n,,,n-,*n*-,r**'- f./.ItQ.rL. o"^r*,-",,n",, J U TLfyNd,, I cFrllysirh rll Cir, rnd C.unry rir Cu lo! counry ro drcr DF,n r)h l.(Qelur Set Backs Forms/Steel/Holdowns Erection Pads UFER Ground SLAB Floor Subf loor/VenVlnsulation Roof Sheathing Shear Wall Framing lnsulation/Energy Drywall Ext./lnt. Lath Brown Coat Masonry Pool Fence T-Bar Handicap Req Deputy Final Report Engineer Final Report Flood Zone Certif FINAL a Certilicate ol Occupancy Notes, Remarks, Etc Fov.0B 07 2015 I I'- ril, 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 Dear Property Owner An applicati specified at Ing it hasona.br.Ji eensubmrtted/+\ra na L ff ting the builder of the property improvementsutf We are providing you with an -Builder ment and I tion Fo to make you aware of your responsibalaties 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 offlcial 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 D/RECI/O/VS: Read and initial each statement below to signify you understand or verify this information. -L=(f . f understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildel' build- ing 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 flnancial risk for any injuraes 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. y-l { 2. 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. k{5. t understand as an "Owner-Buildea' 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. . / -::'{La. t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. 1- t I 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 "employei' under state and federal law. A I 16. I understand rf 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. L I I Z. t 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/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 I t g. 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. NOTICE TO PROPERTY OWNER K Y<- rF I I 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 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 I -800- 321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. JLL-ho 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 1. I 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. LflY-I '1!.'l agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the rnformation 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 flnancial 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 obtarn a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verifying whether or not those Contractors are properly lacensed 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. /Vofe.' A copv ofthe propeftv owner's driver's license, form notariza- tion, or other verification acceptahle to the aqeoey is required to be presented when the permit is issugd Lo rcdlLthe Signature of Property Owner Print 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 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 Date Print Name of Owner Note: A copy of the owner's driver's /icense, torm notarization, or other verification acceptable to the agency is rc- quired to be presented when the permit is rssued to verify the property owner's signature. proDeftv owner's siqnatu re. Uut {-c( -lt{ k-4 Date:kt /-zt/ )tx/------------+--t------.-f- I Phone Number of Authorized Agent: 1215 North Daity Avenue 8 1 6 Eiectric o 9 l l3 10 2 l2 I ceilinto 9(} ",:';*',,Window Dimenrions liSht 11 1- 3wr3'H 2. 5'W x 3'H 3. 2'W x 2'H 5. 3'WxlH 8. 2'Wx2H 9. 3'W x 3'B 10. 6'Wt 3'H U. 6'Wx!'H 12.5'Wr3'H garaSâ‚¬ ceilintto Ele.tric Garageo Wln,tdd P\nYwvl Vrn..( I 6 \'" t, U Plain:ir3 & APFIiC'i ID i Sa:te Ana Bulicl:rrg Agency t /futht q ru lln,t o