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10195932 - Permit
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2941 N Hesperian Way Unit# B
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10195932 - Permit
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Last modified
6/3/2021 8:43:28 AM
Creation date
6/3/2021 8:43:27 AM
Metadata
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Permit
Permit Number
10195932
Full Address
2941 N Hesperian Way Unit# B
Permit ID
239784
Master ID Number
2018-141110
Project Name
Repairs for Fire Damaged Structure
Street Number
002941
Street Direction
N
Street Name
Hesperian
Street Suffix
Way
Unit Number
B
Building Use Code
Manufacturing
Job Types
Alteration
Permit Type
Building
Applied Date
3/26/2018
Issued Date
6/26/2018
Finalized Date
1/4/2019
Flood Zone
X-0602320144J
Description of Work
Repairs due to fire damage - reconstruct bathroom, create new office, new roof structure over unit B only with new class A bur. One new rooftop unit.
Nature of Work
Fire damage repair
Document Relationships
10195932 - Plan
(Plan)
Path:
\Building\Plans\H\Hesperian Way\2941 N Hesperian Way Unit# B
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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 />--{2Vl18. 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 />fin-arrcial or personal injuries sustained by any subsequent owne(s) that resutt from any latent construction defects in the <br />workmanship or materials. <br />L!!g. t 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 lndustrlal Accidents. I also understand I may contact the California Contractors' State License Board <br />(CSLB) at 1-800-32'l -CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. <br />- /') <br />W hO. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am <br />tn6 party legally and financially responsible for proposed construclion activity at the following <br />..l.l.oc c <br />the ow ner's re <br />Signature of Property Owner Date <br />Print name of Owner <br />AUTHORIZATION OF AGENT TO ACT ON PROPERW OWNER'S BEHALF <br />Excluding the Notice to Property Owner, the execulion 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 ior my <br />project. <br />Scope of Construction Project (or Description of Work) <br />POect Location or Address <br />Name of Authorized Agent <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 Owner's Signature:Date <br />Print Name of Owner: <br />Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to <br />be presented when the permit is issued to verify the prope,Ty owner's signature. <br />,r i,,,.ia -..iAr ., i.,;i-.ri.. .:...ir! 1-,).- i,';_'-. <br />SANTA ANA CITY COUNCIL <br />houlido@sa.la-ana.oro <br />Mayor Pro Tern Ward 2 <br />mLmarlrnez@sanla-ana o.o vsarm'entorOsanla-a.a oro isolorio@sarta 3na oro dbe.avrdes@sa.ta ana oro ivilleoas@sanla-ana.oro st.a ero@sa.ta-ana.oro <br />-o/l I tt .l 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 />l,/ I 4Z t agree to notrfy 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 />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 the permit. /Vote; A copv of the prooertv owner's driver's license. <br />form notarization, or other verification acceptable to the aqencv is required to be presented when the oermit is
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