HomeMy WebLinkAbout30142607 - PermitProject Address: 1318 E Fourteenth St
Assessor'sParcel: 400-233-07 Lot: 18
Unit:
Block: NA
Bldg:
Tract: '1533
Suite Range:
Zoning "pu
City of Santa Ana 20 civic Center Plaza (M-19), Santa Ana, c{g27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: O 141667-2738 lnspector Section: (714) 647-5853
Permit #: 3O142607
Pin #: 74245
Owner:
Address
Phone:
Tenant Name:
Contraclor:
Address:
Nature ot Work:
Plannlng Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Fee Typ6 Amount Qty Fee
5'1602 Waler Closet 15.32 2.O0 $30.64
51602 Sho\,Yer 23.97 1.00 $23.97
5'1602 Shower/Bathtub 23.97 1.00 $23.97
51602 Clothes Washer 15.05 'l.00 $15.05
51602 Oishwasher 12 90 'l 00 $12.90
51602 Garbage Oisp 11.49 1 00 $11.49
51602 Cap Fixlures 7.48 1.00 $7.48
51602 Sewer Alter/Repair 47.95 1.00 $47.95
51602 Gas Line alter/extend/a( 70.64 1.00 $70.64
51602 Gas Lane repair/replace 47.95 1.00 $47.95
51602 Cap Gas Outlet 9.12 2.00 $18.24
51602 Wtr Hlr (Res up to 50 gi 23.97 1.00 $23.97
51602 Repipe Res (Each 100' 47.95 2.00 $95.90
51602 Wtr Conditioner 23.97 1.00 $23.97
51602 Hose Bibb 16.67 3.00 $50.01
51602 Alter Drain^/ent 47.95 1.00 $47.95
51600 General Plan update 23.79 1.00 $23.79
51602 lssuance 59.30 1.00 $59.30
57770 Microfilm Records 4.05 1.00 $4.05
Notes: Plumblng for addltlon. Owner-authorlzation on file.
$639.22
$0.00
$639.22
11t18t2020
Account#
01115002 51600
011 't6002 51602
011 16002 57770
$23.79
$61 1.38
$4.05
Fee Totall
Paid to Date:
Balance Due:
Lynda Richards
lg62 Rainbow Drive
Santa Ana, CA 92705
(714) 743-0069
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16002
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16002
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16002
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16002
'16002
16002
'16002
16002
16002
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16002
Owner"Builder
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Policy #:
Expires:
1'l
Building Use
, Job Type:
Single Family Dwelling
Addition
Addition
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2019
Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
TotalSubjecl to Field:
Buird.ns Permir #: 101102927
z.a
Every pemit issued shall becomo invalid unless lhe wod< on the site
authorized by such pemit is commenced within 360 days aftor its
issuanca. or il the work authorizad on the site by such pemit is suspended
ot abadoned tot a pedd of 3& days eflet ttts time the wo* is
c0mnen@d
lnspector MID#: 2019-156643
Address Range:
Hisloric: No
PLUMBING-INSPECTOR RECORD
APPROVALS COMMENTS ' owxEf, au[DEt ou,cllaTtoN .
I tdiby.rre !.d6 po.ry ofFjny Or I oq.ry too d!. Conn.ttn Li!. le for E blloqi| niB (Se.rollj
B6iE! !n Ptoftrb! Co&): Ary Ciry d Coullly wni[ cqun- . Fei ro od.Br. .16. ita.oE bolitl tr lt.n 6y
suduc Fni lo ir isd'.., .b. 6qriB tt Tdi.rlt &. ed FEn io 6L . rt!.d rio*i thr h. o 6. i li.d F Id
ro rb. Foriti4 of rtr Cln!! rorl La.ii*d t!* ((I!4ra 9. Coffilry eni Selior '1000 ot Divitid! , of t Bu!i!.. nd
Atf.stbir Co&) s thn h. or dE i q6tDl rMoE.rd lhc bh tor lhc.lb.d qoptin Aly vblrion of s..riE 7031.1 E ey
.!lPli.!d for. psrn !ubj€! th. ogtiBir lo . civilFBtty ol.or l!Dr.$.n nv. hutH dolld (SJ00)
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htor Cod.- b.lh. pafolrt@. of lt @d tuxttttt.Dqnir. !ar.d.
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tr 6t fd *tit llli F6t b ir.d. My rcla' @opdiir iMe .trit -d Ft y Etb. e
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so s to b6o,nc Dtic.r b th. mddr' @npa!.tioi hs ofc.tlbmi!. 6d .sE lt ill rloud b.co,i. obr.ctlo rt
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w^Rnrllc: F.itr ro Ee rg16' odFn id dv6ir! i uL*tu|. .rd 3hllsbjer d @pL'F t6 di id Frrb rn
cMl tu6 rp ro oG IM<H ln wd &lldr (3100.000). h .ddiion lo rlE st of rhlr. . Frvi.d ft( tL
scri@ 1076 ofrh.lrtor C.d4 i od.d ntoEr'i t6
I
pEcr.6Salro!
I h6.by.flirm unds poalry o f Fjury rhar I dr licd&t undd p.oilaon ofChrprg 9tcommocins *nh S..lFn 7000) omililhn 1
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'ny
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L(mE NumlE
co!!IBltcuoNr,E!!t8c1c[d(l
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ir$.d(Sd 1C97.('iv C).
AIBJCAIII.OECIISAUO!
I Hy.frn uidd pa.ty of p6iry om of rlE folbeh! &lediEi
Ddolib! P-Eir.-Artdc ibtifidIb. F.dail R.auldiE fialc 10. Pa()
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,rFq.miE oartir cay.d cord, ro cic
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,.," . t\ lltlzots
UNDER GROUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Buildinq Sewer
Area/Storm Drain
lnterceptor/ Clarifier
TOP OUT
Waste & Vent
Water Piping
Gas Piping
Roof Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P{raplDrain Line
Main Drain/Pool Pipinq
Fill Line/Back Flow
Pool Heater/Gas Line
Miscellaneous
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device )l d
Rouqh Plumbing / i6w {ryw ufiq)
Final Gas Test 5'//'Al Ylzt&tr lf
Meter Release ^/L I
FINAL
DATE I ID/SIG.
,,.,. ,rrltB lzozo
I
I
Gas Service
gfzvb &
Notes. Remarks. Etc. / t,ii$\:z^r-;il luf" Wvwtb wlv -ttn>rtad - H#g
ii
l l
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 927 02
(714) 647-s800
www.santa-ana.org
APP-13 CBC 20't 6
NOTICE TO PROPERTY OWNER
Dear Property Owner:
An applicati
specified at
on for a buildi ermrt3noD
E.
hast\been submitted in your name listing yourself as the builder of the property improvements
\
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 prior approval of the permitting authority.
OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
<-R-l I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Oyvner-Builder" build-
ing permjt 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 ljmits of my insurance coverage for injuries to workers on my prop-
erty.
2. I understand buildin g permats 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.
AJL3 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
own.
&o I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Conkactors, and the total
va lue 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.
&-(_0 I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal
!6vdrnment, 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.
i/v)-).J5_7 I understand under California Contractors' State License Law, an Owner-Builder who builds single-family resldential
structures 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.
\p-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 in.iuries sustained by any subsequent owne(s) that result from any latent construction defects in the workman-
ship or materials.
9. I understand I may obtain more information regarding my obliglt ions as an "employer" from the lnternal Revenue Ser-
ce.the United States Small Business Administration, the California Depa rtmerit of Benefit Payments, and the California Divi-
sion of lndustrial Accidenls. I also understand I may contact the Calafornia Conlractors' State Llcense Board (CSLB) at 1 -800-
- 3-21-CSLB (2752) or www cslb ca qov for more information about licensed contractors.
10. I am aware of and consent to an OwnerBuilder building permit applied for in my name, and understand that I am the
party legally and financrelly rgi;ponsr!le for proposed construction achv(y at the following ad-
dress \a\8 E,.\qL! \\. S.a*r* B^r. qa--ro\
1 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
app licable laws and requiremenls that govern Owner-Builders as well as employers
eg-
have
12. I ayee to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
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 unhcensed 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.
Betore 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. /Volei A copv of the properTy ownet's driver's license, form notariza-
tion, or other verification acceptable to the aqencv is required to be presented when the permit is issued ,o verify the
propedv owner's sionature.i\,o",",Q Izr lzozoSignature of Property Own
I
I
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 lhe documents necessary to obtain an Owner-Builder
Permit for my project.
Scope of Construction Project (or Description of Work)
Project Location or Address \3 \8 E r q\ 5\., 5o^\
Name of Authorized Agent R,\^'\s ov Ve6.nR,\o'k
Address ol Authorized Agent \8c>--R.>..,-r""- \So*\- G.".r* 1\-ro\^
r\rq: -z\61
I declare under penalty of
information and certify its
Property Owneis Signatu
perjury that I am the proggl{ own
accuracf ) ', f/- . I \
er for the address listed above and I personally filled out the above
\\zzlzozoDate,"/
Print Name of Owner E.ic\av\s
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.
Phone Number of Authorized Agent
Type ol
lnspection
Required
Welding
High-Strength Bolting
Fire Prooling
Reinlorced Concrete
Post-Tension Concrete
Reinforced Masonry
Shotcrete
@ Epoxy/DlA
Other
Project; Darwin & lynda richards Project #Pern,t 101 102927
Aooress: 1318 E. Fourteenth street Jurisdrctron: Santa ana
Type ot Struclure: HOme dWelling Archrtect: PlanOS draft in
Material Description Engineer
lnspector Contractor: Ownef
Subcontractor: JJP COnCrete
Type ol Sample Slump Ouanlrty Bilt to:
lnspection Summary:
Observed the installation of (10) 5/8' A.B. & (6) 5/8" All thread for hold downs (HDU2)
Along gridline B. Verified holes size, depth and free of debris prior to installation of Simpson
SET XP epoxy esr 2508 Expire:0212021 . Yerilied proper drill bit size as well as mixing and storage
Of epooxy was in accordance To manufactures specifications. All as per detail 7 & 8.
Registered lnspeclor's Daily Report Oate. 1113012020
Work observed was completed.
80uBs We hereby cenrty lhal. al lhe trme ol lhrs rnspeclron, we have oDserved all ol
lhe above reponed wo.k, unless olhetuIse noted To lhe besl of our knowl-
- edge and bele,. we have lound lhrs work lo comply wrth the approved plans.TIME IN
8:00am
TIME OUT MEAL PERIOD o'rME)
10:00am spaohcalrons, and apphcable sectron(s) ot lhe Unrtorm Burldrng Code. as
applcable lo lhe localily where lhrs prolecl rs localed Thrs.eponed cannol
be conslrued lo be a recommendalon ol work ot any nalure lo be pealormed.
The pedormance ol orJr observalion se.vrces is suqecl lo lhe terms and
conclitrons as descnbed on the reverse sde ol thrs Observalrcn Repon. The
Owner o, a successor in interest shall hold harmless any nature
whatsoever.lhal rs .elaled lo lhe observalon servrces p.ov ded
REGULAR r5X 2X
4
By thls srgnature on the Observatron Reporl, I acknowledge that
depuly rnspeclron was pertor.ned on the above observalron and
am bound by lhe lerms and condrlions on lhe reverse srde ot lhis
reporl
F$-
Srgnalure of Regrslered Observef
Reinforcedconcrete 8343,148 tcc
Approved Dy Protec! S!pefi^le^de.l . Fore,nrn - Other Specrally No Agerlcy
trtl EE
ACIS Proiect #
Tests Performed