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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 $4.05 Fee Totall Paid to Date: Balance Due: Lynda Richards lg62 Rainbow Drive Santa Ana, CA 92705 (714) 743-0069 011 011 01 | 011 011 011 011 011 011 011 011 011 011 011 011 011 011 011 16002 16002 16002 '16002 '16002 16002 16002 16002 16002 16002 '16002 16002 '16002 16002 '16002 16002 16002 16002 16002 Owner"Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: 1'l Building Use , Job Type: Single Family Dwelling Addition Addition Occupancy: Constr Type Code: R-3, U VB cPc 2019 Date Date Date Misc. Receipt: Misc. Receipt: Misc. Receipt: TotalSubjecl to Field: Buird.ns Permir #: 101102927 z.a Every pemit issued shall becomo invalid unless lhe wod< on the site authorized by such pemit is commenced within 360 days aftor its issuanca. or il the work authorizad on the site by such pemit is suspended ot abadoned tot a pedd of 3& days eflet ttts time the wo* is c0mnen@d lnspector MID#: 2019-156643 Address Range: Hisloric: No PLUMBING-INSPECTOR RECORD APPROVALS COMMENTS ' owxEf, au[DEt ou,cllaTtoN . I tdiby.rre !.d6 po.ry ofFjny Or I oq.ry too d!. Conn.ttn Li!. le for E blloqi| niB (Se.rollj B6iE! !n Ptoftrb! Co&): Ary Ciry d Coullly wni[ cqun- . Fei ro od.Br. .16. ita.oE bolitl tr lt.n 6y suduc Fni lo ir isd'.., .b. 6qriB tt Tdi.rlt &. ed FEn io 6L . rt!.d rio*i thr h. o 6. i li.d F Id ro rb. Foriti4 of rtr Cln!! rorl La.ii*d t!* ((I!4ra 9. Coffilry eni Selior '1000 ot Divitid! , of t Bu!i!.. nd Atf.stbir Co&) s thn h. or dE i q6tDl rMoE.rd lhc bh tor lhc.lb.d qoptin Aly vblrion of s..riE 7031.1 E ey .!lPli.!d for. psrn !ubj€! th. ogtiBir lo . civilFBtty ol.or l!Dr.$.n nv. hutH dolld (SJ00) r{+r m or* popaq. d 6y qqloya witt s.a€ ! dEt eL .6DFlrion will & dE eut rn dE *Elc ! Dr ina.td d okld 6r rL (Sa-?044. &BiB &d Phftd.a Co.L rt Cotrad r lilE bw &abr eltlo norcof $.Fr'pdry who hdn c iqlE thd6! .d *lb .td iit st nit-lf or to-lf o, rLourt li. d hc od 6prt)q FoviLdrid Bh irgoEls c 6l a.ad.daotu d ft. rb lt lEltE. rlE hirlt d iryliqEr i-A wlib@ ]c ofcoqlibn' oEot,E &ttb *ill tirt rlrht& ofFovi! dti t d iE dd Dl hoiU c ia.!E dE FDFty &.rt ,llF-of l, ! M ofrh. Fopdry. 6 d.luilcly.o.'t-'i8 vil,llicaed co rEloE lo olerucl llE FDj(l (Sd.7044, A!!B ad Eo&lon Co&r Th. Co E lor! 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Pa() -R.!oh.d LnraolNodftiiE -l crriry dll lt. 6dad tlsrhkr rqrdiis eo. rerd tt nor Alht* lo thi F!j.d. lEl -r.O * , ,"* ,-O * .pdidh. rd rl. ltr lrc .boE ir&.D.iD L coGr t tE ro @rnd, wth .ll Cir.ld Co,t, ,rFq.miE oartir cay.d cord, ro cic '+or rlE ,.," . t\ lltlzots UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Buildinq Sewer Area/Storm Drain lnterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA P{raplDrain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device )l d Rouqh Plumbing / i6w {ryw ufiq) Final Gas Test 5'//'Al Ylzt&tr lf Meter Release ^/L I FINAL DATE I ID/SIG. ,,.,. ,rrltB lzozo I I Gas Service gfzvb & Notes. Remarks. Etc. / t,ii$\: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