HomeMy WebLinkAbout102103974 - Permitcity of Santa Ana 20 Civic Cenrer Plazrr (lvl-19), Santa Ana, CA'27O2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 102103974
Pin #: 40605
2/,/
Proiect Address: 2531 S Salta St Unrt Bldg Address Range Suite Range.
Zonrng R'lBlock NA Tract 3962 Hrslonc No
Building Use:
Job Type.
Nature of Work:
Existing Bldg. & Use
Proposed Use:
Single Family Dwelling Occupancy:
Alteration Constr Type
N/V - Addition, Oemolition, Legalize Code:
SFD w/att Garage Flood Zone:
# of Stories:
R-3, U
VB
cBc 2019
x-0602320259J
1 st FL Area
2nd FL Area:
Other Areas:
Garage Area
Total
Patio;
T.l.Area:
Yards Req'd
Valuation:
185
$42,000.00
259
259
Description of Work: Demoof unpermitted structures ('l 'l' x 6' laundry room, 26' x 9' carpet attached, and 29' x 12' patio cover, 13' x 6' storage shed, and
room addition 1'1'x 6'). Addition of a den, powder room, laundry room, open patio, and legalize windows replaced with new vinyl
windows.
Planning Conditions:
Ownel
Addressl
Phonel
Tenant
Alvaro Gamez
253I S SALTA ST
Santa Ana, cA 927045628
(7',t41 432-6529
Contractor
Address
Owner-Builder
Engineer
Address
Shucri "Chuck" l. Yaghi
Shucri l. Yaghi
112 E Chapman Avenue, D
Orange, CA 92866
(714) 997-9120
c43205
A & A Drafting
Araceli Maciel
P. O. Box 672
Orange, CA 92856
1714128s-112'.1
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
Phone.
License #
Architect /
Desiqner
Address:
Phone:
License #
'Planning Approval By
tl:H::;;
l*'^::l;':":;'
Planning lnsp. Req'd:
Landscaping lnsp. Req'd
Orozco. lvan
So, Anson
Verduzco. Violet
Dale 05/19/2020
Date: 09/03/2020
Dale O9l21l2O2O
Subject to FieldNo
No
Yes
No
lvlsc Receipt
lvlisc Receipl
Misc Receipt
07776002
0 77 76002
0 77 76002
0 77 76002
07776002
o7776002
07776002
07776002
57607
s3600
577?0
57607
57607
57572
57600
57607
$345 28
$478.68
$48.60
$104.26
$261.96
$2 00
$23 79
$59 30
$1,323 87
$478 68
$845.19
7 4536
Total
Permit Fee
Plan Check Fee
Microfilm Records
lnvestigation
Penalty
Bldg. Stds Revolving
General Plan Update
lssuance
Fire lnsp Req'd: No
Police lnsp Req'd No
Flood Zone Cerl Req'd No
Account#
Every pomit issued shall becofie invahd unless lhe woll< on the ste aulho zed by
such pefinit is commenced wtthin360 days aftet tts issuance.or f lhe wo* aulhorized
on the site by such peml is suspeoded or abandooed for a penod of360 days alter
tha hfie the wotk ts commoncod
lnspector MrD# 2020-158896
01 1 16002 51600
011 16002 5'1601
011 16002 5'1612
01116002 57770
$23 79
$770 80
$2 00
$48.60 Fee Tolalr
Paid to Date
Balance Due:
Assessor's Parcel 412411-31 Lot 2
BUILDING. INSPECTOR RECORO
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SITE.WORK COMMENTS
Set Backs
Forms/Steel/Holdowns I r*,?,\tw60/
Erection Pads
UFER Ground
@E0pr= a--...--.\
Subf loo$len(lqdulation )I '|d a>l/26/zt A*-YI
noot*lhbahrfrq
-
4 p 2t D4*61
Shear Wall L lhlzt D*Vsa
Framino (+I t,lz-t 7
lnsulation/Energy fl I
D_rvwall I a t ?4ff /uParTA Dt+ta.Ex(.Dnt. Lath
Ei-own Coat zt D4'44v
]MaBTnrr f-p5rcH ,-9-Z\
Pool Fence I
T-Bar
Handicap Req.
Deputy Final Report
Enqineer Final Report
Flood Zone Certif.
nCerlilicate of Occu
Notes, Remarks, Etc
Rev.08-07-2015
*1"* -,4)Va/o Ca>*z ^,.,
cl - 2l - ?oZO
DATE ID/SIG.
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IFINAL Nllltf(
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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
ication for a building permit has been submitted^in y
dat 2)\) 5 Sttttr, <t erq q2
NOTICE TO PROPERTY OWNER
our name listing yourself as the builder of the property improvements
700An appl
specifie
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 provislon, 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 AN VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this intormation.
fl"Gl 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 flnancial rask 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 limits of my insurance coverage for injuries to workers on my prop-
erty
A:_Qz. 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.
E Eq I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits and contracts.
lzl . G5. I understand if I employ or otherwise engage any persons, other than Califomia licensed Contractors, and the total
value of my construction is at least Uve hundred dollars ($500), including labor and materials, I may be considered an
'employer" under state and federal law.
EAO I understand iflam considered an.employer" understateand Federal law, lmust 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.
fr:_Qt t understand under California Contractors' State License Law, an Owner-Builder who builds single-famaly residential
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.
.g_Cp 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.
E eF. t understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential flnancial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my
own.
9. I u'nderstand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser-
vtce,e United States Small Business Admanistration, the Californaa Department of Beneflt Payments, and the California Divi-
6ion of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-
321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.
4 q10 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: Z>7t I5c.,t Ic, S+ sqll t,2 a,/1 u (n Q22o<r
E-92 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
license, the Contracto.s' State Llcense 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 civii 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 propedv owner's driver's license. form notariza-
tion. or other verification acceptable to the aqencv is required to be presented when the permit is issued to verifv the
p ropertv owne r's s iqn atu re.
Signature of Property Owne,Date Q-zt-2o?<>
Print name of Ownet . ,,/ ) /,,.2,/,1:.Gq tt tc' =
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 Authorazed 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 Owneis Signature
Print Name of Owner:
Note: A copy of the owner's driver's license, form notarization, or other veritication acceptable to the agency is re-
quired to be prcsented when the permit is issued to verify the property owner's signature.
4..911 I agree that, as the party legally and flnancially responsible for this proposed construction activity, I will abide by all
applacable laws and requirements that govern Owner-Builders as well as employers.
nrto'_