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101106116 - Permit
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101106116 - Permit
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Last modified
9/9/2021 8:01:59 AM
Creation date
9/8/2021 5:06:15 PM
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Permit
Permit Number
101106116
Full Address
4713 W Henderson Pl
Permit ID
273237
Master ID Number
2021-164842
Project Name
Le Residence Window Changeout
Street Number
004713
Street Direction
W
Street Name
Henderson
Street Suffix
Pl
Building Use Code
Resid-1 unit
Job Types
Alteration
Permit Type
Building
Applied Date
3/12/2021
Issued Date
3/12/2021
Finalized Date
3/16/2021
Flood Zone
A-0602320256J
Description of Work
Legalize windows changed out.
Nature of Work
Windows
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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />APP-13 CBC 2016 <br />Dear Property Owner: <br />An applicati <br />specified at <br />on for a buildin g perm t has een submitt <br />NOTICE TO PROPERTY OWNER <br />In yo ur na e listing yourse lf as the builder of the property improvementS)7c'A <br />We are providing you with an Owner-Builder Acknowledqment and lnformation Veriflcation Form to make you aware of your <br />responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder <br />We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this <br />form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, <br />obtain the prior approval of the permitting authority. <br />OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information <br />4 L f f understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build- <br />irig permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an <br />Owner-Builder, may be held liable and subject to serious financial risk for any inluries sustained by an unlicensed person and <br />his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I <br />am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- <br />erty. <br />4-LZ. t understand building permits are not required to be signed by property owners unless they are responsible for the <br />construction and are not hiring a licensed Contractor to assume this responsibility. <br />4tI g. f understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect <br />myself from potential financial risk by hiring a licensed Conkactor and having the permit filed in his or her name instead of my <br />own. <br />-ll-l--0. f understand Contractors are required by law to be licensed and bonded in California and to list their license numbers <br />on permits and contracts. <br />.rl't- S. t understand if l employ or otherwise engage any persons, other than California licensed Contractors, and the total <br />value of my construction is at least flve hundred dollars ($500). including labor and materials, I may be considered an <br />"employei' under state and federal law. <br />xlll\--6. Iunderstand rf Iam considered an "employer" understate and Federal law, I must register with the state and federal <br />-government, <br />withhold payroll taxes, provide workeri' compensation disabality insurance, and c6ntribute to unemployment com- <br />pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. <br />-llLZ. f understand under California Contractors' State License Law, an Owner-Builder who builds single{amily residential <br />structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac- <br />tors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract <br />with a licensed general building Contractor. <br />jd!= <br />' <br />understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan- <br />cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- <br />ship or materials.
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