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101106455 - Permit
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101106455 - Permit
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Last modified
10/6/2021 2:55:36 PM
Creation date
10/6/2021 12:00:07 PM
Metadata
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Permit
Permit Number
101106455
Full Address
1228 W Fifth St
Permit ID
274312
Master ID Number
2021-165575
Project Name
Re-roof
Street Number
001228
Street Direction
W
Street Name
Fifth
Street Suffix
St
Building Use Code
Auto Repair
Job Types
Reroof
Permit Type
Building
Applied Date
4/19/2021
Issued Date
4/19/2021
Finalized Date
5/24/2021
Flood Zone
X-0602320257J
Description of Work
Tear off existing roof material and install new comp shingle roof material. Repair and repaint any damage to window trim, stucco, eaves, fascia, rafters as needed. 26 squares. Owner-Builder form on file. Handout given.
Nature of Work
Reroof
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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-i3 CBC 2015 <br />NOTICE TO PROPERTY OWNER <br />Dear Property Owner: <br />An applicati <br />specified at <br />on for a building permat has been su rn your na mel sting ourself as the builder of the prope tm provements <br />.1//o <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 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 infomation. <br />Z, I 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 providang his or her own labor and material personally. l, as an <br />Owner-Builder, may be held liable and subject to serious flnancial rask 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 />/ -./'/2. I understand burlding 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.a,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 />ZZ_4 I 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 />125 I understand rf 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 materaals, I may be considered an <br />"employer" under state and federal law. <br />fVU I 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 />A I understand under California Contractors' State License Law, an Owner-Builder who builds singleJamily 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 />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 finan- <br />cial or personal anjuries sustained by any subsequent owne(s) that result from any latent construction defects in the workman- <br />ship or materials.
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