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10295773 - Permit
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10295773 - Permit
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Last modified
6/2/2021 2:38:10 PM
Creation date
6/2/2021 2:38:09 PM
Metadata
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Permit
Permit Number
10295773
Full Address
1330 S Rita Way
Permit ID
239198
Master ID Number
2018-141900
Project Name
N/V - Bu
Street Number
001330
Street Direction
S
Street Name
Rita
Street Suffix
Way
Building Use Code
Resid-1 unit
Job Types
Addition
Permit Type
Building
Applied Date
3/6/2018
Issued Date
6/20/2018
Finalized Date
7/24/2018
Flood Zone
X-0602320257J
Description of Work
Legalize expansion of (e) 1/2 bathroom (portion of front porch enclosed) to become a full bathroom. NOTE: NO DOOR ALLOWED FROM GARAGE TO BEDROOM. Provide 1/2" drywall on garage side of wall.
Nature of Work
Addn
Document Relationships
10295773 - Plan
(Plan)
Path:
\Building\Plans\R\Rita Way\1330 S Rita Way
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lacensed 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 />I V' A. 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 owne(s) that result from any latent construction defects in the <br />workmanbhip or materials. <br />I 1,9. I understand I may obtain more infor.nation regarding my obligations as an "employer" from the lnternal Revenue <br />Set'vice, 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 />I V. 10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am <br />thb party legally and financially responsible for proposed construction activity at the following <br />address: <br />f\,tll.l agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by <br />af applicable laws and requirements that govern Owner-Builders as well as employers. <br />Il/lZ.I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the <br />iAfdrmation 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 />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 the permit. /Voae.' A copv of the propertv owner's driver's license. <br />form notarization, or other verification acceptable to the agency is rsquired to be Dresented when the permit is <br />issued fo verify the property owner's signature. <br />Signature of Property Owner Date 2ol <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 Ille the documents necessary to obtain an Owner-Builder Permit for my <br />project. <br />o <br />Name 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 Owner's Signature Date <br />mpulidorosanla-ana o.o <br />Mayor Pro Tem, Wa.d 2 <br />mimadinez@santa ana.oro vs.rm ento@sanla ana.oro soonorosanta 8na oro <br />P David Aenavdes <br />dbenavrdesasanla€.a.oro iv eoas@sa.ta'..a o.o snnaiero@sanla a.a.oro <br />Scope of Construction Project (or Description of Work):_ <br />Project Location or Address: _ <br />Address of Authorized Agent: <br />Print Name of Owner: _ <br />Note: A copy of the te to the agency is required to <br />be presented when the permit is issued to verify the property owner's signalure. <br />! :rr ,^i t: : ir - ., n,. t. i...'.- :l:: i -!.r:i lr p _;..ir ;..- l: in la ': <br />SANTA ANA CITY COUNCIL
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