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10196428 - Permit
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10196428 - Permit
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Last modified
6/2/2021 2:38:06 PM
Creation date
6/2/2021 2:38:05 PM
Metadata
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Permit
Permit Number
10196428
Full Address
3031 S Orange Ave Unit# B
Permit ID
241538
Master ID Number
2018-143338
Project Name
Airlink Distribution Inc. TI
Street Number
003031
Street Direction
S
Street Name
Orange
Street Suffix
Ave
Unit Number
B
Building Use Code
Warehouse
Job Types
Tenant Improvement
Permit Type
Building
Applied Date
5/14/2018
Issued Date
6/25/2018
Finalized Date
9/28/2018
Flood Zone
X-0602320278J
Description of Work
Interior TI for unit B only.
Nature of Work
TI
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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 bu ilding 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 />financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects ,n the <br />workmanship or materials. <br />a>rru <br />I \' L L l understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue <br />Service, 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 />(QSLB!at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. <br />*), .4\Y ,O.l am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am <br />the party legally and financially responsible for proposed construction activity at the foltowing <br />address: <br />a ll app <br />11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by <br />licable laws and requirements that govern Owner-Builders as well as employers. <br />I agree to notify the ,ssuer 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 />compensation insurance coverage. <br />Before a building permit can be issued, this form must be completed and signed by the property owner and <br />returned to the agency responsible for issuing th ermit.: A coDv of the DroDetfu owner's driver's license, <br />form notarization or other a bt ented when the it is <br />Signature of Property Ow <br />Print name of Owner <br />Date <br />/ <br />('t0rariltl <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 file the documents necessary to obtain an Owner-Builder Permit for my <br />project. <br />Scope of Construction Project (or Description of Work) <br />Project Location or Address <br />Name of Authorized Aqent: <br />Address of Authorized Agent:_ <br />Phone Number of Authorized Agent <br />I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above <br />information and certify its accuracy. <br />Property Owners Slgnature Dale <br />Print Name of Owner <br />Note: A copy of the owner's driver's license, form nolarization, or other verification acceptable lo the agency is required to <br />be presented when the permit is issued lo verify the propedy owner's signature. <br />SANTA ANA CITY COUNCIL <br />s,nat <br />Mayor Pro Tem, Ward 2 <br />mrmartrnez@sanla'6.a.oro <br />V'cente Samrenro <br />vsarmrenro@sanra-a.a orq Eolono@santa-ana oro <br />P Davrd B€navrdes <br />dbenav des@sa.ta-ana.oro rvrl eoas@santa-ana oro st na eroosanla an3.rq
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