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Home My WebLink About20170716 - Permit (2)Permit #: 2fJ170716 Pin #: 97f \V Project Address:4030 W Mor inoside Ave unit: Blockr NA Brdg: Tract: 3387 Address Range: Historic: No Suile Range: Zoning: RlAssessor'sParcel: 198-043-32 Lot. 8 Owner: Address VENANCIO & LUZ RAMIREZ 4O3O MORNINGSIDE AVE Santa Ana, CA 927031323 1'7141235-3378 011 16002 51603 01116002 5160C 01116002 51603 01116002 5777C Fee Type Serv l\4eter General Plan Update lssuance Microfilm Records Amount 55.37 22.95 57.20 3.91 Qty '1.00 1.00 1.00 1.00 Fee $55.37 $22.95 $57.20 $3.91 Phone: Tenant Name: Contractor Addressl Owner-Builder Phone Slate Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: P.n fit ll,- Tr Irhfi,- rt i (lns F: (:TYH Tt :fr?88607r:r act ion Toto vFt'lAN(:I0 & Llll riAfl I Iitii Building Use: Job Type: Nalure of Work Single Family Dwelling Miscellaneous Service Meter Occupancy: Constr Type: Code: R-3, U VB cEc 2019 Upgrade, Hand out given/Auth on file. Planning Conditions Planning Approval By: Plan Checked By: Permit lssued 8y: Subject to Field: Building Permit #: Zuniga, Allissa Date Date Date o1t3112020 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Every pemit issued shall become invahd unless the wo* on lhe site aulhorized by such peftnit i6 comrnenced within360 days aflet its issuance. ot it the work authorized on the site by such permit is suspended ot absndoned fot a period of360 days after the time the wo* is commenced $139.43 $0.00 $139.43 lnspector lillD#: 2O2O-1575O7 01 1 16002 51600 01 1 16002 51603 01116002 57710 $22.95 $'t 12.57 $3.s1 City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CAI27O2 Electrical Permit Counter (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 IDI IlFINEDAI (|f 1 ?r'Jl7r1i16 0 l:17 Fll ts1:9.43 Notes:rr.7Ul-l , l:lf-r Fee Total Paid to Date: Balance Due: ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hs.by amm undd po ty ofpâ‚¬iury rhd I d.&mfl tom thc Conlmdou Licâ‚¬N Lâ‚¬w lorlh. followinS râ‚¬&. (Sd 7031.5 Ausin6s and Pr.fsion Cod.): Any Ciry or Counry $hich r.qut6 a Dqnit lo coNlrud. ahs. nnlno!., dmlish or qlir my srtucrue, Fior ro irs isu c.. also Equt6lhâ‚¬ applicful lor slch Fmi ro 61. a s8ncd staloncnt lhal h. or shc is licga.d tusulr! lo lhe provisioN olrh. Contractors Li.cnscd Lrw {Chapls I, Com,nencins wilh Sdion 7000 olDivisio.I olttc Busi.N md Ptu rc;iois C.d.) or rh, h. or sh. b .r.npl ih6.iiom e; lhe bass lor rhe Etlcrcd dmr{ion. Any viohlioD of Sd ion 7()l 1 5 by oy' applicant for a p6En subj(B rhc appli.d to acililpemhyofrcl morc lhu tivc hu.dicd doll4(1500). l. 6 owâ‚¬r oi the propcny, or hy mplorB wilh $a!6 d lh.t sle compâ‚¬.slion, will do drc work and Uc nrudrc is nor inlov:lâ‚¬d or o!I6â‚¬d for sa]c (56 7044, Busine dd Prclsiore codq ]'hc Conlmclori l-i.sc Lr* .106 nor +Ply ro d oMo ol rh. Dmp6'y who boil& or inprcrGlh@n. ad *ho dod su.h *!rt himFlf or n6clf ot thoush h's or hd om mPlor6. prcliddl rh,t such imFovms 6c mr i qdsl or onsed ror et lr, ho6G, rh. htilding or inprcvmt is sB wnhin one ,a ol conDlâ‚¬lion. rhc Ownd Buildd will hav. rhc bdd6 oaFuin8 lhrl h. or ehc dij ml hrild or iqrovâ‚¬ lhc p,opcly lor rhc FtrFos of k*,olrheptp..ry.aflerclusirclyco,acrins{irhlicd*d.ont..routoco$ltucllh.p.ojecllSE.7044.&ains Codc lheConrr0ctois l-icensc l.aw do6 nor aptlyro dosnd olpropglywho builds or improvcslhoon. and Uho conrracrs aor su.h projfik sith a contmdo,l, licm$d pUBU I lo the Codracroas Li.dse ljs) DECI.ASAIIQ! I hqcby afiiiln undcr p.nah, of pdjury...of rhe followinB dcclaratioN Ihav.ddwillroi a'n a Cdificale ofcoMr ro sclfin$rc aor rorlss comp.rod ion. d Fovid.d ior by Setion l?00 oarh. t tor Code. lor th. Flolr@cc of rh. woik aor wnich fi. pemit is isucd. I havc .nd will ,mi.tain wolkc6 compâ‚¬malion iNUEncq 6 requn.d Uy s.ciion 1700 of thc Labo! Code, for lh. pdfomd.. of Ihc {ork fo! shich lhis p.mrit is is6uâ‚¬d. My work6 codp.tuarion n6ure.. cnia and !.licy nlmbd ac: -l calirylll.l in rl& D6lor6anc. of lh. work lor vhich this pdml h nsucd, I shill nol @ploy any p.uon in my nmB $ d lo b.conE subjNl ro lhs work6s' compâ‚¬nslion laws ot Calilooia. dd agrec $d if I snouH bâ‚¬comâ‚¬ subjd to lhc work6'comF6alionForisioEols.dionlT00olrh.tiborCod..lstBll,lodhsthcomplysithlhorprcv6ioN W RNING: Failurc ro secu. sork6'compâ‚¬ssalion olmrc ir unls*ful, md shall subjccl olFlolt to siminal i8dli6 od ciril lin6 up to on. hundred lhousd doll6 ($100,000), in lddnion to 'hc cosl ofcompc6alioo. d.ia!.s 6 p{ovidâ‚¬d for rh. sarion 1076.frh.l.alnrCodc i.ttrsi url dromv s [&claBAua! I heby afim lhds paalry o f pdjury tnal I dn liccrccd undB FnvGio. olch.pld 9 (comoci,8 wnh Salion ?000) of Divirion 3 ol rhc Busine md Proleio.s Cod., ed my licm. is itr tull forc. ald effd ATTIICAIII.DICLAAAIIA! I ha*y afrnn und.r paslty ot p.rjury on. oflh. lollo*ios dcle.tiobsl Dmolilio. P.miteAsb6tN Nolificorion l'cdsal R.sular ioB ( ritl. 40. Pd6) Rcqun.d L4uo ol Norifi..rio. _l cdify rhar thc acd60l r.sulalioN r.gdding dbBtos r@oval e. no! rppli.able lo thie pojâ‚¬.1. L-Erdiry rh6r I h!,. @d Oi. applicarion md srar. thar thc abovc inromrioo G corer I alrd to comply w h all c'ry aod county ordinm.6 od SI.rc Ijws Elalins ro buildins co.$ru.ii6a dd nd.b, a!$onrc rcpr6dlaliv6 oflhis Cily ed Couty lo 6lr ulon rfic abo\c cnlionsl prcpcny for '-*, , br/.ou Site-Work Underground Pole Bases Liqht Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor-- Bondinq / G-roundinq) UFER Vzz,4)fZc zt ) Transformers Torqueing Sub-Panels Air Condltioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouoh Ceilinqs (T-Bar Rouqh) Meter Release Rough Service Meter Z/zt/z o I?L Z', FINAL A/z z-Utvr't 'zjt r4O Notes, Remarks, Etc Rev. 08-07-2015 I n exâ‚¬n,Dr un,t6 S rin o"" r r/3 / /cu 'o L(.cc Nmb.r qOIEIBIJCIIAIIIINDITC.AC.EICI I hd.by amrm undâ‚¬r p.nalry olpsjury rhar Ihft is a .on$rucrio! lddlng r8.ncy lor lh. psfomdcc ofthc Md( tor s'hich lhis pabir i3 i$ucd (sc 1097. Ci!. C.). t nd6 s Ndrc. L6dd s AddrBs: - Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-s800 www,santa-ana.org NOTICE TO PROPERTY OWNER Dear Property Owner An applicati specified at n r a building permit has been submitted tn your name listing yoursel as the builder of the property improvements WeareprovidingyouwithantomakeyoUawareofyour responsibilities and possible risk you may incur by having this permit issued in your names as the Owner-Builder We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEGMENT AN VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you underctand or verify this information. LD-|. I understand a frequent practice of unlicensed persons is to have the prope(y owner obtain an "Owner-Builder' build- ing permit that erroneously implies that the property owner is providing his or her own labor and material personally. l, as an Owner-Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. I 2-2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. L--D t understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential flnancial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. C-b. t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. -U-k I understand if lemploy or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employe/ under state and federal law. ,--b. I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. L t\7 . I understand under California Contractors' State License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac- tors and the number of skuctures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. i .P 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- cial or personal injurles sustained by any subsequent owne(s) that result from any latent construction defects in the workman- ship or materials. APP-13 CBC 20r6 Lb tunderstand I may obtain more information regarding my obligations as an "employed'from the lnternal Revenue Ser- viue, the United States Small Business Administration, the Calit'crnia Department of Benefit Payments, and the California Divi- sion of lndustrial Accidents. I also understand I may contact the Califarnia Contractors' State License Board (CSLB) at '1-800- 321-CSLB (2752)or www.cslb.ca.qov for more information about licensed contractors LlL- rc.1 am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party d ress legally and financially responsible for prop osed construction acti at the followinty g ad-:o LiL ll .l agree that, as the party legally and financially responsible for this proposed construction activity, I witl abide by all applicable laws and requirements lhat govern Owner-Builders as well as employers. /, o l" P.l agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. lf you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any flnancial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. lt is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. lf you obtain a permit as Owner-Builder and wish to hire Contactors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the p ermit. /Vote; A copv of the propertv owner's driver's license, form notariza- tion. or other verification acceDtable to the aoencv is reouired to be presented when the permit is issued to verifv the Sig nature of Property Own Print name of Owner ,r tl,Lrz-Q amtr<Ztl' AUTHORIZATION OF AGENT TO ACT ON PROPERry OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following 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 project. Project Location or Address Date: >)o).) t[uL.L0 z Name of Authorized Agent Address of Authorized Agent: Phone Number of Authorized Agent: Property Owner's Sig nature Date Print Name of Owner: Note: A copy of the owner's driver's license, form notarization, or other verffication acceptable to the agency is re- quired to be presented when the permit is issued to verify the propefty owner's signature. propertv owner's sio natu re. ScopeofConstrUctionProject(orDeScriptionofWork): I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy.