HomeMy WebLinkAbout101102125 - PermitProject Address: 1237 W Third St
Assessor's Parcel 008-091-16 Lot 20
Bldg. Address Range
Tract: ROBINSON ADD Historic: Yes
Suite Range:
Zoning: SP'lBlock A
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, cAg27o2 Building
Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: (714) 647-5853
Permit #: 1lJ11o2125
Pin #: 96891
///
Building Use. Single Family Owelling Occupancy: U 1st FL Area: Patio:
Job Type: Alteration Constr Type V B 2nd FL Area: T.l Areal
Nature of Workr Garage Repair Code: CBC 2016 other Areas. yards Req,dl
Existing Bldg. &use: sfd w/det garage Flood zone: x-0602320257J GarageArea: vatuation: $2o,ooo.oo
Proposed Use: # of Stories: ,
_or",,
Description of work: Repair existing detached garage with new footings, sheer panels, roof/ceiling .ioists, & Iraming with barn doors (10'3" x 18'1" =
185.32 sf).
Planning Conditions: Historic Property-Like-for-like materials to including siding, wood windows wrlambs-tongue detailing, window trims, & roof.
Owner:
Address
Phone:
Tenant:
Erick Carbajal
1237 W 3rd Street
Santa Ana, CA 92703
(619) 701-192s
Contractor
Address
Owner-Builder
Address
Phone:
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance
Caffier
Policy #:
Expires:
Phone.
License #
Architect /
Desiqner.
Address:
Phone:
License #:
AG Luna Construction Builders
Santiago Garcia
19731 Camino De Rosa
Walnut, CA 91789
(909) 841-3553
Planning Approval By
Plan Checked By.
Permit lssued By:
NPDES lnsp. Req'dl
PWA lnsp. Req'd:
Planning lnsp. Req'd:
Gomez, Pedro
msd
Fazekas & Assoc
en, Julie
0 77 76002
0 7776002
0 7716002
08907007
07776002
07776002
0 7776002
5760 7
s3600
57770
2 4000
57672
57600
5760 7
Permit Fee
Plan Check Fee
Microfllm Records
SMIP - Category 'l
Bldg. Stds. Revolving
General Plan Update
lssuance
Dale: 11/04/2019 Nlisc. Receipt: 73722
Date. 02lO4l2O2O Misc. Receipt:
Date. 12!1gl2O2O lvlisc. Receipt:
Subject to Field:
$172.64
$239.34
$32.40
$2.60
$1.00
$23.79
$59.30
No
tto
Yes
Fire lnsp. Req'd:
Police lnsp. Req'd
No
No Account#Total
Landscaping lnsp. Req'd. No Flood Zone Cert. Req'd: No
Every petmil tssued shall become invalid unlass the wotu on the site authonzed by
such pemil is commenced wilhin360 days aftet its issuance.ot if the wo* aulhonzed
on lhe sile by such pe ntt is suspended ot abandonec! tot a penod 0'360 days aftet
the tirne the wo* ts cofifienced
lnspector MID#: 20'19-'155636
01 1 16002 51600
01116002 5'1601
01 1 16002 51612
01116002 53600
01116002 57770
08901001 24000
$23.79
$231.94
$1 .00
$8.47
$32.40
$2.60
Fee Total:
Paid to Dale:
Balance Due:
$531 07
$230 87
$300.20
Unit:
Engineer
BUILDING- INSPECTOR RECORD
SITE.WORK DATE ID/SIG.COMMENTS OWIIiF,T BUII,DER DEI.CARTITIoN
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Pmrc.s$ns Gld ,r r l lE or rlE s .i.trrr rlmfir8 etn rll hri!\ tur rh. rlk!.J .rcsJistn Any vrlLiiln ol Sd,n ,01 1 5 hy lny
,p,)r,rl ntrrl!.rn subF(k
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rh. nn)rrny wh, hortl\ or rqnN( rlEc'n. nl ub dEr skh *'ti hm{ll or lfull or rhhllh h,lor h.. uw..trl,ll'yer,
pmlrL.l ih.l rkh inynlvcmdr e h nr.Dlcl fl odml l',tr sL ll. how.vcr, dE h[ln! or inlnrw.d R q ] ulhq om Fs
ol!dn{'kri)n, rlr O*Er auitk BrI lEv. rh. hil.n nI I'o!'nE thrt h. ttr slr Jrl n tnilll or m{roE ir ln)tEly (tr llr F,FE oI
l, rr ow,rr .l rh. l'n,n n y, am .r.lurkly (ontr!.rmt * [ l!.n{d $nrra(n'u h ()nnnkr rL Ir)F*r rse 7014. BonRs
.d Pn)lcsrr (ir.: fh. Conr rrclm'{ l-(cnsc l,.s ,l Euxr rpoly t, u optr r .l pn,n y wl'n! 6urld! o mfloEs lh.r..n.
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ftf1)-,1ry rr'r *r*|.a,.rmnci rh.*,trlr,trlhrhrhaFrnu^,sruoJ,lsh.llftn.q'blrnyl{rs,,{anynfrmr
\>ntit\{ft \uhFr r, rlr k ai ( qrnsrDn L*s or Cdlnomu. ,rl rsN rhrr rr r (h)uU h.\om hFr b rrr
k)rtc $n{xhsrx,i nn,lrK,ni ofS(ir 17t{,ol rhc lrt$ C,d..l ihrll, n)nhw[h cdrl'ly srrh ih'r pn'vsr'.r
WALiilN(; Irilrr. t, ruc qtrkcn ()mpcf,iti,n !.Err!c ir un!*rrl {rl \h!ll ruhF.r .n coi ,,r.r t, \tuIFdlr.! rfll
(drl fiks u! k, onc hundR, tlxrsnl !,nLr rillt).lx,Or. n 6JJ !,n n, UE .on ol $nqxner()n. rLm!.r 8 !fuvrLJ n, rlr
2lzo
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coNuBuquoll.LENllac-ac&iq
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rsf,d(S.1 :1091.Crv Cl
l,nli! A,l.l,cs:
-APPLICANT DECLARATI(}N
I h:!*'y iltmuftllr Fnrlry nlFrJUry or ol rhc tulk$rng JcldarIns:
txnxtur,n PrmrsAiisn^ Notlirlrr'n Fd.rtl R.8ul,ri'nt (l lc (), P.n6)
_Rr_q!!c.llJtrcr.rN i.rdn
-l
(di,y rhr thc lolcfll rc8ll.tDns ESddhS r{trno\ rcBrlrl m nn {'tlk.bk tu rhN llntFl
fQryJ}, , "*.,,t'.p|lrlhrn nl nrk fi{ x rh,t. mr$ruron s.oKr ! rsB h o.! y uirh rll cny rnJ c.unry
onluEnrcsnd Srar. ll*r rbri4 !, ho ins (on{ruchotr.nl lEr.hy.urhtrE rFcrnrrrrv.t orrhi C y,ftl Colnrt n, .nrc u!fl lrt
,h^r nlnrk,nJ n'oFnv Irn tr^It(rk,rl,trrFtr.\
,\\Iplicrnr or A!cnl Siqnolu 2L2L'
Set Backs tLll
Forms/Steel/Holdowns t llt I
Erection Pads
UFER Ground
SLAB Floor
Subf loor/VenVl nsulation
Roof Sheathinq PnT t -16-2lt
Shear Wall P+$-
Framino Ai/r:-
lnsulation/Energy
D(ywall ,'^2J iit ^'z,Aa,2-77-7J
Exj./tnr. Latn lmf 2->9-7)ffi 0A* urtl ry.\\Ltli
Brown Coat +tl->l \/
{dasonryJrrllr.$df 2>->7'zl ,!I
Pool Fence
T-Bar
Handicap Req
Deputy Final Report
Enqineer Final Report
Flood Zone Certil.
FINAL 5-21-A tIt
Certiticate oI Occupancy
Notes, Remarks, Elc /,'a-->l
2*
'?
D-!./rr{ii,t*{p
.t|
bn/
.tL!
-r.)
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
APP-13 CBC 2016
NOTICE TO PROPERTY OWNER
Dear Property Owner
An applicati
specified at
on for a buildin gpe it has been submitted in our name listin OU elf as t bui
C
lder oJ thAqZ e pro perty improvements
t?S a
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 AN VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
]\rt f understand a frequent practice of unlicensed persons is to have the property owner obtaan 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 tlnancial 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 limits of my insurance coverage for injuries to workers on my prop-
erty.
co U
. I understand building permits are not required to be signed by property owners unless they are responsible for the
ction and are not hiring a licensed Contractor to assume this responsibility.
tJ<)L3 I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect
frryself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers
on permits an d contracts
I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total
VA lue of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an
"employei' under state and federal law.
C-r,/\ -4. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federaI
g-overnment, 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 sub.,ect me to serious financial risk.
,.- I
7t,\.2. I understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily 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.
\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-
cta o r personal injuries 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 obligations as an "employe/'from the lnternal Revenue Ser-
vlce.the United States Small Business Adminlstrataon, the California Department of Beneflt Payments, and the California Divi-
sion of lndustrial Accidents. I also underctand I may contact the Calafornia Contractors' State License Board (CSLB) at 1-8001
321-CSLB (2752)or www cslb.ca.qov for more information about licensed 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
party legally
dress:
and flnancially responsible for pro d construction activi at the followin ad-o<L zst RD Ct o
fi},
l/pr*i",
1r(I
1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
ble laws and requirements that govern Owner-Builders as well as employers.
?. I agtee 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
Before a building permit can be issued, this form must be completed and signed by the property owner and returned
verification acc table to the a nc d when the it is rs
property owner's siqnatu re
Signature of Property Ownef---Date tz tg 2aa
rl
Print name of Owner L V
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
Phone Number of Authorized Agent
I declare under penalty of per.iury that I am the prope(y owner for the address listed above and I personally filled out the above
information and certify its accuracy.
Property Owner's Signature Date
Print Name of Owner:
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 propefty owner's signature.
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 linancial 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 as 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.
to the agency responsible for issuing the permit. l/ote:A coDV of the Dropertv owner's driver's license. form notariza-
t (