HomeMy WebLinkAbout104106760 - PermitotProiect Address: 3334 W Castor St
Assessor's Parcelr 408-1 l4-11
Bldg: Address Range:Suite Range:
Zoning: MlBlock. NA Tract: 3236 Historic No
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Building
Permit counter: (714) 647-5800 lnspection Requests: (7',14) 667-2738 lnspector Sectton: (714).647-5853
Permit #: {O4l06760
Pin #: 9{883
Building Use: lndustrial Occupancy: F-'1, S-1 1st FL Area Patio:
Job Type: Oemolition Constr Type: V B, SPK 2nd FL Area T.l.Arear
Nature of Work: N/V-Demo Code: CBC 2019 Other Areas: yards Requ
Existing Bldg. & Use: Industriat Flood Zone: X-0602320256J Garage Area Valuation: $6,000.00
Proposed Use: # of Stories:
Totat
Description of Work: Oemo all unpermitted interior work(non-bearing walls) and return induatrial building to original configuration, Owner auth on filo.
Planning Conditions:
Owner:
Address
Phone:
7272-7274 La.Ir.pson LLC
12601 Western Ave
Garden Grove, CA 92841
(714) 800-91 16
Owner-Builder
Engineer
Address
Architect /
Desiqner:
Address:
Phone:
Lrcense #:
TenSnt
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Carrier:
Policy #:
Expires:
Phonel
License #
Oate 0512412021
Datel
Oale. 0512412021
Subject to Fieldl
Misc. Receipt
Misc. Receipt
Misc. Receipt
0 77 7600 2
0 7 7 76002
o77 760 02
0 77 7600 2
017 7 600 2
017160 0 2
0 77 760 02
o77150 0 2
57507
5i500
57770
57607
57 601
516 72
5750 0
57507
Permit Fee
Subject to Field
Microfilm Records_
lnvestigation
Penally
Bldg. Stds. Revolving
General Plan Update
lssuance
No
No
No
No
Fire lnsp Req'd
Police lnsp. Req'd
No
No Account#Total
$172.64
$'172.65
$4.05
$104.26
$261.96
$1.00
$23.79
$59.30Flood Zone Cert Req'd. No
Every pemtl issued shall becofie hvahc! unless lhe work on the site authorized by
such pen1l 6 commenced withn 360 days after s issuance.ot t the wo* authonzed
on lhe site by such pemit ts suspended ot abandoned for a period of360 days aftet
the trne the wort B commenced.
lnspector MID#: 2021-166333
Fee Tolat
Paid to Date:
Balance Oue:
$799.65
$0 00
$799.65
01116002
01116002
01 1 16002
011 16002
01115002
51600
51601
51612
s3600
57770
$23.79
$598.16
$1.00
$172.6s
$4.05
LoI POR 7
Unit
Contractor
Address:
Plannang Approval By:
Plan Checked By:
Permit lssued By:
NPDES lnsp. Req'd:
PWA lnsp Req'd:
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
.il::"$./
BUILDING- INSPECTOR RECORD
SITE-WORK DATE ID/SIG,COMMENTS OWNER AUlLDER DDITT'ANATloN
! hsctD i,Im uf,d6 Ffl.ny oa polury rfi6l t m.rcnpl 6on tnc Contraclo6 Licffi li{ forlllc rolbwiry r.&o (5(.70115
8uD* .,1 Profsion Cod.)r Any Ciy or County $hrch r.qun6 a pdnn lo codru.L an6. ibpr6v.. .bnolirh or E an .n,
nM'Ec, Fior h tr3 suac.. ,l5o GNn6 rh. rpplkul aor $.h Frmil b liL r sisn d idoml lha lE or JE it lic6E d nuslr
xi rhc rorirod ofrh. conmcroa! Lic.E d hw (chrprn 9, conmcncinE wirh sdion r00o of Division I ofth. Burins ud
l'rofsions Cod.) c rhal h. or sh. L! .(mF rh6.to'n ed tn. bf,ris for rh. alkgcd .xorltrro. Ant vioblion ols..1bn 70.1 I 5 5, &y
arplicdt fo, , p6n( subjcl' rhc lrolicair ro . civ'l poaty ot.or mr. rhd fir. hundrdl .hlld (lsoo)
L s o*'E ot lh. prop.nr. or n'y .mplo,6 u'ilh wss6 6 lh.ir el. conF,sal6n. qill & dE wrk exl rE {nde it Nl
inrod.d .r orla(l for s.t. (Sd 7014, Bosi6 ed Prnfsioc (-od. Tn Conlr..ioas |.rc@ t $ 1116
"or eply lo o o*nd of
rhc ff,orEry rhdtn &orinFo!6ln@tr, who do6 s!.t tro hnnscla oi h.Mlf or ttmush his or hq o@ dpk'yc,
,rovid.d thar such iuprovdrn s e ml i' dxbl or olTq.d lor sL lt t $is. rlE triEilB or @Fo!.j6r ir $ld sihi. od t@
ot.ohpkiol\ th. ()$c BuiU6 ult hac th. hrd, ofp.lviA rhd hc o, si. dil Nl hild or irp..e t. FrFry tu UIE F,Fre of
l, 6 o$ns of rfic rroFrt, m.r.lGiv.l]- Lonlrdtrs *'llh liGsd Lo'ndoE r. @nslrud tlE Fojd (Se 7(x,r. tt8d<
rnJ hrfBrkr(i r Ih.(inn'..(n's t-rctrsc I-r* tlor\ ior n rl u o$nd.fpro!.ny *ho nuilds or irnprovcs lhdmn
.nd who conlmts for such Fojds eith ! Conlt k'(, li(plrswr ro rh. conracrois l-tce hw)
lan c\.n,pt utrdrSdnn
,,"," s S-z{-?dl-\
Df,q"l&UtoJ
I hEcby amm uadr Futrr of FJuO onc or
I hav. &rl *illmaflain a Cfiincar. orcnnst to s.lfltuurc lor w.r[6 .omFMlnrn. a proldcd tor byS(tior 1700 otth.
l,bor Cod.. lo. llE Frolrle. 6f rh. *qL lor *ith rh. Fh{ a isucn
I havcand*ill linlain workss comp.Nsr nr. iEuru... s r.lutcd hy S(ri{n :1700 of rbc l$or Cod., ior rhc Faalr@c. oa
lhc $orl for $hih lhis p.ml n isol My qorl6 conFtrio. eurac 6i6 &t! pol'., rudbf &.
- lc.nily$ in rh. pqtu@c. otrh. \ ork lo. \,hkh ih,s fEmn 6 su.d. l 3holl mr odol dnr !.r$. ir sy Den6
s 6 lo tl on sobjrt to th. *ort6 comFEdion hs of C.lilomis. ed a{6 ltd il I rhould b<.oe tulicr to llE .
so m (ornpaslnrn prerisioNoiS.clioi llT0Oofrnc llbor (
WARNINC Failurc to s(. *0116 .rnpoen,n (!-+.
r('l nn* up to on. hunJ,<n thou J doll6 (1100.000),
'n\Rr'on rro olrhr lrbu' C dq rnrdd J. r.mo \ {6
conply wirn $os pNvtioN.
l ebjd' n oploF lo aituind Ftrnis.frl
or dnFMion. dm4r6(, FoirH to. th.
I horbr-' amm u.d6 p@l', ol FJury lhal I on l.6!ql F!!t&n ofcn p'6 0lon'nftin! "rh sdnn 70@)olDnBbr l
ot thc lnNinsond PmfRri('6 ft'.ic, ad r, h.sc Ll in tullforcefl clTer
Cq!iIB!Cru!.IEUU!G.AGI!C
t hecb rmrs uid6 FBlr, of Frjury fid rh6c is r .o.arudion kndmg lsocy for rhc D6lolr@.. of rh. wort fo. whi.h rhts IErn i
isu.d (Sd :1007. Civ C).
AITUCANLDICIJAAII!,I!
I hortr 6fli uidd I,.n.hl olFjury orc of lh. followhr ddlelioB:
l).molnirn Pmnr-Ash6h. No'iicdion r.d6rl Rcglhiio$ ( I {lc 40, lu16)
Rqr'tr.J I drsof Noni.aron
I ro1'li rl rih.fuddrlrr!u].rrrrrc8,ud tr!\ale. nor aaplrnblc lo rhG prold
f(1 .-n, ,,', , *," ,-a\" *,"'u- -!bo\.'nfofl'drc. G cor6l I 33re lo cooply snh tU Cnt d Cou.rr
o',1' ftrrcs itrd Srrrc Lrssrclnrirtr,!d ho.by .urhonz! r.p 6oktiv6 o f th6 (ity d Counry ro drs uFtr rh.
.tF\. nori(,o.! prup.ny lor
ADpli.{nt or /\prtrl siEn{l
t mile nrm. (prino:_\.fo/.|
5-4-2{\
Set Backs
Forms/Steel/Holdowns
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenUlnsulation
Roof Sheathing
Shear Wall
Framing
lnsulation/Enerqy
Drywall
Ext./lnt. Lath
Brown Coat
Masonry
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Engineer Final Report
Flood Zone Certif.
FINAL K -20 -21 y,tll10
Certificate of Occu n
Notes, Remarks, Etc.
""..-fuAnal-
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APP-13 CBC 2015
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An applicati
specified at
r a buildino3:-7 pe rmit h been
(-
itted in your na e listing yourself as the builder of the property improvements
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 indicated. An agent ofthe 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 signity you understand or verity this information.
1 . I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build-
rmit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an
Owner-Builder, may be held liable and subject to serious financial risk for any iniuries sustained by an unlicensed person and
his or her employees while working on my property. My homeowneis insurance may not provade 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-
2. I understand build in g permits are not required to be signed by property owners unless lhey are responsible for the
truction 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
lf 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
rmits and contracts
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total
of my construction as at least five hundred dollars ($500), includang labor and materials, I may be considered an
loyer" under state and federal law.
6. Iunderstand if Iam considered an "employer" understate and Federal law, Imust register with the state and federal
rnment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com-
sation of each "employee." 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
ctures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac-
nd the number of structures does not exceed four within any calendar years, or all of the work is performed under contract
licensed general building Contractor.
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-
r personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman-
ip or materials
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
9. I understand I may obtain more information regarding my obligations as an "employei'from the lnternal Revenue Ser-
, the United States Small Business Administration, the California Department of Benefit Payments, and the California Divi-
SI lndustrial Accidents. I also understand I may contact tlie California Contractors' State License Board (CSLB) at 1-800-
LB (2752) or www.cslb.ca.oov for more information abouf lice.nsed 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
lly and fl na nciall y res nsible fo sed nstruction activity at the following ad-ro
c..^
11 . I agree that, as the party legally and flnancially responsible for this proposed construction activity, I will abide by all
le laws and requirements that govern Owner-Builders as well as employers.
I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
rovided 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 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 must be completed and signed by the property owner and returned
to the agency responsible for issuing the it. /Vote: A copv of the propedv owner's driver's license, form notariza-
,ssued to thet
propertv owne r's s i dn atu re.
Sig nature of Property Ow Date
Print name of Owner
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 flle the documents necessary to obtain an Owner-Builder
Permit for my project.
Scope of Construction Project (or Descraption 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 Ownels Signature Date
Print Name of Owner:
Note: A copy of the owner's driver's license, form notarization, or other ve fication acceptable to the agency is re-
quired to be presented when the permit is issued to verify the property owner's signature.
S-Lt-'Lozl