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10295750 - Permit
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10295750 - Permit
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Entry Properties
Last modified
7/20/2021 9:19:02 AM
Creation date
7/20/2021 9:19:00 AM
Metadata
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Permit
Permit Number
10295750
Full Address
2341 S Park Dr
Permit ID
239133
Master ID Number
2017-140596
Project Name
Jiminez Residence - N/V
Street Number
002341
Street Direction
S
Street Name
Park
Street Suffix
Dr
Building Use Code
Resid-1 unit
Job Types
Alteration
Permit Type
Building
Applied Date
3/5/2018
Issued Date
5/15/2018
Finalized Date
10/1/2018
Flood Zone
X-0602320259J
Description of Work
Legalize (1) new window @ garage. Remove/fill-in (2) interior mandoor openings in garage. NOTE: 5/8" Type X Drywall is req'd on garage side wall.
Nature of Work
Window & Remove Mandoors
Document Relationships
10295750 - Plan
(Plan)
Path:
\Building\Plans\P\Park Dr\2341 S Park Dr
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/ <br />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 Iicensed general building Contractor. <br />t I 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 oipersonal injuries sustained by any subsequent owner(s) that result from any latent conslruction defects in the <br />workmanship or materials. <br />!LIg. I 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 />(CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. <br />jJ10. I 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 following <br />address: <br />J...,-L11 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 />\ . \12. I 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 />compensation insurance coverage. <br />returned to the agency responsible for issuing the p ermit. Nofe-' A copv of the propeftv owner's driver's license, <br />form notarization or other n table to the enc ,s ired to be <br />re, <br />Signature of Property Owne Date D O -/ \r-/? <br />Print name of Owner <br />AUTHORIZATION OF AGENT TO ACT ON PROPERry 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 />followirig 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 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 />Nole: A copy of the owner's diver's license, form notarization, or other yerification acceptable to the agency is required to <br />be presented when the permit is issued lo verify the propedy owner's signature- <br />:i ., irra itl_.i,jAr,r,,ri:..-:ra rr!- -.i:F.-.,.irFr- :.:'i :': <br />SANTA ANA CITY COUNCIL <br />mourdorosanla ana oro <br />Mayor P.o Tem Ward 2 <br />mmaninez@sanla-anaoro vsarmrento@sa.la'a.a oro so oro@sanla'a.a.oro <br />P Oavid Benavrdes <br />dbenavdes@sanla ana o.o Mlleaas@sanla-ana oro stinaierc@sanla-ana ora <br />Before a building permit can be issued, this form must be completed and signed by the property owner and <br />Address oI Authorized Agent: <br />Print Name of Owner: <br />stqn2 <br />re
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