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101102760 - Permit (3)
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101102760 - Permit (3)
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Last modified
11/14/2022 2:12:20 PM
Creation date
11/14/2022 2:12:18 PM
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Permit
Permit Number
101102760
Full Address
1923 W Jan Way
Permit ID
262039
Master ID Number
2020-156905
Project Name
Alvarez Residential Reroof
Street Number
001923
Street Direction
W
Street Name
Jan
Street Suffix
Way
Building Use Code
Resid-1 unit
Job Types
Reroof
Permit Type
Building
Applied Date
1/6/2020
Issued Date
1/7/2020
Finalized Date
1/17/2020
Flood Zone
X-0602320257J
Description of Work
Reroof house & attached garage - remove comp, replace any damaged sheathing, install new 30-year shingles. Handouts given. Owner authorization on file.
Nature of Work
Reroof
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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />APP-13 CBC 2016 <br />Dear Property Owner: <br />has been submitted in your me li rng yours lf as the bu er of the pro improvementsAn applicati <br />specified at <br />on bu ild in s ermr <br />c\ <br />We are providing you with an Owner-Builder Acknowle ment and ln to make you aware of your <br />responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder <br />We wlll not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this <br />form to us at our oftlcial address indicated. An agent of the owner cannot execute this notice unless you, the property owner, <br />obtain the prior approval of the permitting authority. <br />OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />=J <br />I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build- <br />ing permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an <br />Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and <br />his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I <br />am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- <br />erty. <br />-==2 I understand building permits are not required to be signed by property owners unless they are responsible for the <br />construction and are not hiring a licensed Contractor to assume this responsibility. <br />=ts <br />I understand as an "owner-Builde/' I am the responsible party of record on the permit. I understand that I may protect <br />myself from potential financial risk by hiring a licensed Contractor and having the permit filed an his or her name instead of my <br />own. <br />-5L_1. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers <br />on permits and contracts. <br />=!J <br />I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total <br />value of my conslruction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employe/ under state and federal law. <br />:=i--6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal <br />government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- <br />pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. <br />=S.-7. <br />I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential <br />structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac- <br />tors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract <br />with a licensed general building Contractor. <br />NOTICE TO PROPERTY OWNER <br />-€=-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- <br />cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- <br />ship or materials.
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