HomeMy WebLinkAbout101102927 - PermitProiect Address: 1318 E Fourteenth St
Assessor's Parcel 400-233-07 Lot 18
Unil Bldgr Address Range Suile Range
Zoning Rl
tu
Block NA Tract 1533 Hrstoric No
C'itv of Santa Ana
Permrt Counter (714) 64
20 Civic center Plaza (M-19), Santa Ana. cA g27o2 r. .r Building
7-5800 lnspection Requests (.714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 1()11o2927
Pin #: 26031
Building Use Single Family Dwelling Occupancy. R-3, U ' 1sl FL Area: 693 Patio:
Job Type. Addition Constr Type: V B 2nd FL Area: T.l.Area:
Nature of Work: Addition Code: CBC 2019 other Areas. yards Req,d.
Existing Bldg & use: sFD w/ att garago Flood zone: x-0602320'163J
Garage Area: vatuation: $7o,ooo.oo
Proposed User # of Slones: Tota' 693
Description of Work: Add 693 sq ft to create new bedroom, bathroom and relocating laundry room, kitchen and (1) bedroomrsAuso 84012
Owner
Address
Phonel
Tenant:
Contractor
Address
Engineer
Address:
Lynda Richards
1318 E r4th Sr
Santa Ana, CA 92701
(7141544-6240
Owner-Builder
Phone:
State Lic f:
Lic Type:
Bus. Lic #:
Workers' Compefl sation lnsurance
Carrier:
Policy #:
Expires:
OGI Designs
lgnacio Garcia Ochoa
8l9l Kingsdale Orive
Huntington Beach, CA 92646
(714) 9044823
35217
Planos Orafting
Gonzalo Guallen
718 S Hickory Street
Santa Ana, CA 92701
(714) 667-0892
Phone
License #
Architect /
Desaqner:
Address:
Phone:
License *
Planning Approval By.
Plan Checked By:
Permit lssued By:
NPDES lnsp Req'd No
PWA lnsp Req'd; No
Planning lnsp. Req'd: No
Landscaping lnsp. Req'd: No
Graham, Jeffery
Le, Tung
Verduzco. Violet
Oale 0112712020
Dale 0712212020
Date: 09/23/2020
SubJect to Field:
07776002
077760 0 2
07776002
0e907007
0 777 6002
0 77750 02
0 777600 2
57607
si600
5?770
24 000
57512
57 600
57607
Permit Fee
Plan Check Fee
Microtilm Records
S[,11P - Category 'l
Bldg. Stds. Revolving
General Plan Update
lssuance
Misc Receipt
Misc. Receipt
Misc. Receipl
7 4051
Total
$773.00
$948.88
$48.60
$9 10
$3.00
$23 79
$59.30
$1.86s.67
$91616
$949.s1
Fire lnsp Req'd:
Police lnsp. Req'd
No
No Acco u nt#
Flood Zone Cert. Req'd No
Every pem 6sued shall become tnvahd unless the work on the sJte authonzed by
such peml $ commenced wthn i60 days after ls lssuance or t lhe work authonzed
on lhe sle by such petml ts suspencled or abandoned lot a period o1360 days aftet
the time lhe wo is cofimenced
lnspector MID#: 2019-156643
01 116002
01116002
01116002
01116002
0'1 1 16002
08901001
$23 79
$832 30
$3.00
$32't2
$48 60
$9 10
51600
51601
51612
53600
57770
24000
Fee Totall
Paid to Date.
Balance Due:
Planning Conditions:
SITE.WORK DATE tD/stG.COMMENTS OWNER AUILDER DALCAR TION
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Set Backs
Forms/Steel/Holdowns ll't2'7e Ahv/bt iYf
Erection Pads
UFER Ground lt.n.a2 Dlaho qtt^@
SLAB Floor l t7 e4 /)h,v/ac tr4td '
Subf loor/VenUlnsulalion l(11?br lll:tit/3t,//4/ ^
Roof Sheathing ,efu/,ao 4&4 7W
Shear Wall t?/0/30 tfrL&4y;y
Framing /.982/M2Ptt 'dng"t
lnsulalion/Enerqy /flr/,l*/1r,{d},{
Dtywall I ',21/J.D1 AM,@-
./lnt. Lath ilst /*Lfvtllb,14 trga
Brown Coat c //*|/7t tItutu w@/
Masonry
Pool Fence
T-Bar
Handicap Req.
Deputy Final Report
Enoineer Final Report 2rFlood Zone Certif .It
)0r 0k)A ua,H ltlWillrul a
FINAL (q?7n/hA?/&MW
Certif icate ot Occupancy
Notes, Remarks, Etc.
_)L
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9')/ut /H5 /I C ;,,r'2.4
BUILDING. INSPECTOR RECORD
,*", ot lZ3 \zozo
I
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 20't6
NOTICE TO PROPERTY OWNER
Dear Property Owner
Ana
spec
pplication for a buildinq permit has been submitted in vour name listing yourself as the builder of the property improvements
iR"O "t \3 \A E.-'r.ll\ 5\'e-\ , So.*f- A*,-. - ql-]O\
We are providing you with an Owner-Builder Acknowledqment and lnformataon 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 thi6
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
DIRECIIO/VS: Read and initial each statement below to signify you understand or verify this information.
.KK, I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" 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 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 inluries. 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.
2. lunderstand buildin g permits are not required to be signed by property owners unless they are responsible for the
construction an d are not hiring a llcensed Contractor to assume this responsibility
3. I understand as an "Owner-Builde/' 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.
I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts.
$LU. I understand if I employ or otheruise engage any persons, other than California licensed Contractors, and the total
valie of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an
"employe/' under state and federal law.
6. I understand if I am considered an "em ployer' under state and Federal law, I must register with the state and federal
governme nt, 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
7. I understand under California Contractors' State License Law, an Owner-Builder who builds singlejamily residential
st ures 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 a licensed general building Contractor.
&
,eb 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.
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 and financially responsible for proposed construclion activity at the following ad-
dress
I 1. I agree that, as the party legally and flnancially responsible for this proposed construction activity, I will abide by all
ap icable laws and requirements that govern Owner-Builders 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
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
lacense, 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.
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 propeftv owner's driver's license. form notariza-
tion, or other verification acceptable to the aaencv is reouired to be presented when the oermit is issued to verifv the
Signature of Property Own tl Date 9lz = lzozo
E.R.,lo'\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 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 Ownels Signature Date
Print Name of Owner:
Note: A copy of the owner's driver's ,icense, form notarization, or other verification acceptable to the agency is re-
quired to be presented when the permit is issued to verify the propetty owner's signature.
&n I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser-' vic€, tne United States Small Business Administration, the California Department of Benefit Payments, and the California Div!
sidn of lnduskial Accidents. lalso understand lmaycontactthe California Contractors' State License Board (CSLB) at1-800-
321-CSLB (2752) or www.cslb.ca.oov for more jnformation about licensed contractors.
proDertv owner's s idn atu re.
I
Phone Number of Authorized Agent