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101107458 - Permit
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101107458 - Permit
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Last modified
9/23/2021 2:27:38 PM
Creation date
9/23/2021 2:27:37 PM
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Permit
Permit Number
101107458
Full Address
2005 S Forest Ave
Permit ID
277720
Master ID Number
2021-167890
Project Name
Gaytan Reroof
Street Number
002005
Street Direction
S
Street Name
Forest
Street Suffix
Ave
Building Use Code
Resid-1 unit
Job Types
Reroof
Permit Type
Building
Applied Date
8/9/2021
Issued Date
8/9/2021
Finalized Date
8/30/2021
Flood Zone
X-0602320257J
Description of Work
Reroof house & attached garage - remove comp shingles, replace any damaged sheathing, install new comp shingles. Handouts given.
Nature of Work
Reroof
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I <br />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-s800 <br />www.santa€na,org <br />APP-'13 CBC 2016 <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner <br />An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements <br />specified at <?Zzo< 5 FaAgff 4L/ c4^/j'4 r7..\/.1 <br />We are providing you with an Owner-Builder Acknowledoment 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 untjl you have read, initialed your understanding of each provision, signed, and returned this <br />form to us at our otflcial 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 AN D VERIFICATION OF INFORMATON <br />DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. <br />I C- l. t understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" build- <br />ing 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 subiect to serious financial risk for any injuries 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 />E-Q I 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 llcensed Contractor to assume thas responsibility. <br />&G_Z I 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 Contractor and having the permit filed in his or her name instead of my <br />own. <br />/Z_C_4. I understand Contractors are required by law to be licensed and bonded in Californra and to list their license numbers <br />on permits and contracts. <br />Be_s I understand if I employ or otheMise engage any persons, other than California licensed Contractors, and the total <br />value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an <br />"employei' under state and federal law. <br />4.9_e t understand if I am considered an "employer" under state and Federal law, I must register with the state and federal <br />government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute 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 />l<G 7. I understand underCalifornia Contractors' State License Law, an Owner-Builder who builds single-family residential <br />structures cannot legally build them with the intent to offer them for sale, unless a/l 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 />P_G_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 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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