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20166998 - Permit
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20166998 - Permit
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Last modified
6/2/2021 9:42:08 AM
Creation date
6/2/2021 9:42:07 AM
Metadata
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Template:
Permit
Permit Number
20166998
Full Address
314 N Bewley St
Permit ID
246239
Master ID Number
2018-143194
Project Name
Residential remodel
Street Number
000314
Street Direction
N
Street Name
Bewley
Street Suffix
St
Building Use Code
Resid-1 unit
Job Types
Miscellaneous
Permit Type
Electrical
Applied Date
9/25/2018
Issued Date
9/26/2018
Finalized Date
10/2/2018
Flood Zone
X-0602320256J
Description of Work
Auth on file.
Nature of Work
Serv Meter
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licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is <br />performed under contract with a licensed general building Contractor. <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 <br />tnancta I or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the <br />workmanship or materials. <br />fl ll-n. <br />' <br />understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue <br />Serviie, the United States Small Business Administration, the California Department of Benefit Payments, and the <br />California Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board <br />(CSLB) at 1-800-321 -CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors. <br />A[r,o <br />the party I <br />address: <br />i am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am <br />nd financ llv responsible for proposed construction activity at the following <br />flf,1'1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by <br />all applicable laws and requirements that govern Owner-Builders as well as employers. <br />nh <br />_[\f Z f agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the <br />information I have provided on this form. <br />Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not <br />have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain <br />as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important for <br />you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your <br />property, you may be held liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will <br />be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' <br />com pensation insurance coverage. <br />Vr';re a building permit can be issued, this form must be comPleted and signed by the property owner and <br />ned to the agency responsible for issuing the permit. /Vofe.'of the owner's driver's li <br />form notarization, or other verification acceDtable to the aqencv is required to be sented when the Dermit is <br />issued to verifu the propertv owner's sionature. <br />Signature of Property Owner Date <br />Print name of Owner <br />AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF <br />Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the <br />following person(s) to act as my agent(s)to apply for, sign, and flle the documents necessary to obtain an Owner-Builder Permit for my <br />prolect. <br />Scope of Construction Project (or Description of Work) <br />Name of Authorized Agent <br />Address of Authorized Agent q <br />Phone Number of Authorized Agent <br />I declare under penalty of perjury that I m the property owner for the address listed above and I personal filled out the above <br />information and certify its accuracy <br />Property Owner's Signature Date <br />Print Name of Owner: <br />Note: A copy of the <br />/t <br />owner's license,otarization, or other verification acceptable to the agency is required to <br />be presented when the permit is issued to verify the propefty owner's signature. <br />p: .r ;p: -'1. .i.-A::':_ n5..-: iil i fi.: i. l. !:ir;ilr l.-:: ::' il :i'li. <br />SANTA ANA CITY COUNCIL <br />Mayor Pro Tem, Ward 2 <br />m marlrnez@sanIa-ana oro vsame.lo@santa ana.oro isolorio@santa-ana.o.o <br />P. David Benavides <br />dbenavides@santa-ana.oro rv eoasrosanta-ana oro sllnaierc@santa€na.oro <br />?hr, , <br />Project Location or Address: <br />-r7moulido@sanla ana oro
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