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HomeMy WebLinkAbout20163633 - Permit (3)Cify of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA92702 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Electrical Permit #: 2O163633 Pin #: 64526 AU ?Proiect Address: 1006 E Chestnut Ave Assessor'sParcel. 404-011-04 Lol: NA Unit: Block: NA Bldg: Tract: NA Address Range: 1002-1008 Historic: No Owner: Address Phone: Tenant Name: Contractor Address: Serge Gharakhanian 8077 San Fernando Rd Sun Valley, CA 91352 (818) 590-7191 Owner-Builder 01 1 16002 51603 01 1 16002 51603 01 1 16002 51600 01 I 16002 51603 Amount 51 .29 19.35 21.25 52.98 Fee Typo Serv Meter Min Fee Adj General Plan Update lssuance o 41 Qty 1.00 1.00 1.00 1.00 Fee $s1.29 $19.35 $21 .25 $s2.98 Phone State Lic #: Lic Type: Bus. Lic #; Workers' Compensation lnsurance: Carrier: Policy #: Expires: Building Use: Job Type: Nature of Work Planning conditions Planning Approval By Plan Checked By: Permil lssued By: Subject to Faeld: Building Permit #: Commercial Miscellaneous Service Meter B VB cEc 20r6 Occupancy: Constr Type Code: s Carvajal, Verny 07 tost2017 Fa4'!"Date: Date: Date: F 1 Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Hernandez, Kathy Every pemit issued shall bocone invalid unless tho wo* on the sile authorized by such pemit is commonced within 180 dsys after its issuance, ot il tho wotk autllodzed on the site by such pamit is suspended or abandoned tor a poiod ol l E0 days aftet the lime lho wo* is cofifienced. o71o712017 Account# $21 .25 $123.62 $ 144.87 $0.00 $1.14.87 lnspector MtD# 2017-137267 01 1 16002 51600 01 1 16002 5'1603 Fee Total: Paid to Oate: Balance Oue: Suite Range: Zoning: Ml Notes: UUW 2017-5 ELECTRICAL-INSPECTOR RECORD DATE ID/SIG.COMMENTS (rwNr:l Bt,[,Dt]R D]:t,cARATI(,N I hlr, llltrn orj., Foh, or,Er,lfl thd I .n.rcq rrm rlt CodBr'n'l-ift lls ld rlr ft,|k,f,m8,.r1'. (S.( toll.J Aurim< xrl P,oL{rr (lrL): /\., Cnt or c, dy xh.h rrtuiB r Frn'. h (rn'{,k1. ilrtr. inthrq {.n!lirl' ,tr EFir s, {nx-lwr,Firtrili iraet. is Eiun.r lh..tt'lar.r lir uh Fmil ro lih, (llFn {rroEil rh{l lr.r {tr a li(cnrn Frun ro rlE Jmvti,.r ol !h. 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'.1!ll*r nrnlr)Bl Irotdy litr ,\Dpll.rrr or ,\|l.or sllur ., ' J,l! c r'.Irir\,$,1,i trr,*'il,-'f-il'l ','.F-il- ,",3/7 /t7 Site-Work LJnderground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Lite S afety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding / Grounding / UFER /4 Transformers Torqueino Sub-Panels Air Conditioners I Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh)I Ceilings (Hard & Soff it Rouqh Ceilings (T-Bar Rouqh) Ivleter Release I Rough L-. \f -\/\\\ c*t -v.., Service Meter ?$)0"- - - FINAL 9-1-t1 J).C.+-" (-.{tr-) Notes Remarks Etc APPROVALS I MAYOB Miguel A. Pulido MAYOR PRO TEM Michele N,lartinez COUNCIL[rEt\,'IBERS P. David Benavides Vicente Sarmiento Jose Solorio Sa Tinajero Juan Villegas CITY OF SANTA ANA PLANNIN6 & BUILDINC ACENCY 20 Crvrc Center Plaza P.O. Box 1988 . Santa Ana, Californra 92702 www.santa ana.org.lpba NOTICE TO PROPERTY OWNER Dear Property Owner An application for a building permit has been subm edi ur name li rse tf the r of the property improvements specif ied at d We are providing you with an Owner-Builder Acknowledoment and lnformation Verilication Form to make you aware of your 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 permil until you have read, initialed your understanding of each provision, signed, and returned this lorm to us at our oflicial address indicated. An agent ol the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. ow R'S ACKNOWLEDGMENT AND VERIFI ATION OF INFORMATON DIR TIONS: Bead and initial each statement below to signity you understand or verify this information. ACTING CITY MANAGEB Gerardo l\,,louet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL [.4aria D. Huizar b U ldin 1. I understand a lrequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" g permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner-Builder, may be held liable and subjecl to serious linancial 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 lor those injuries. I am willfully acting as an Owner-Builder and am aware of the limits ol my insurance coverage for injuries to worlers on my property. V Z t understand building permits are not required to be signed by property owners unless they are responsible ror the c nstruction and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner-Builder" I am the responsible party ol record on the permit. I undersland lhat I may ect mysell from potential financial risk by hiring a licensed Contractor and having the permit liled in his or her name insteld t/_^ of my own I understand Contractors are required by law to be licensed and bonded in California and to list their licensenuifes on permils and contracts. V 5 I understand it I employ or otherwise engage any persons, other than California licensed Contractors, and the ldlal value of my conslruction is at least five hundred dollars (9500), including labor and materials, I may be considered an''emdoyer" under state and lederal law. V-0. f understand if I am considered an "employer" under state and Federal law, I musl register with lhe state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. V-1. t understand under California Contractors' State License Law, an Owner-Builder who builds singteJamity reisidential structures cannol legally build them with the intent to olfer them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL mooldo@sanla ana oro Mayor Pro Tem. Ward 2 mimartLnez@sanla-ana oro vsa,m'enro@santa'ana o,o P Oavd Benav'dos dbenavrdes(asarla ana.oro ! lcoas@sa.ra aia or.sl narero(asa.la.ana oro ( licensed subcontractors and the number of structures does not exceed four within any calendar years, or all ol the work is pedo./]r.ed under contract with a licensed general building Contractor. V 8. I understand as an OwnerBuilder il I sell the properly for which this permit is issued, I may be held liable for any finarrc,ral or personal injuries sustained by any subsequent owne(s) that result from any latenl construction delects in the workmanship or materials. \ / 9. I understand I may obtain more information regarding my obligations as an "employer" lrom the lnternal Bevenue Se-rvice, lhe United Stales Small Business Administration, the California Department of Benefit Payments, and the Calilornia Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board at 1-800-321-CSLB (2752) or www.cslb.ca.oov lor more information about licensed contractors 0. I am aware of and consent to an er ul building pe app Ior the party legally and f inanciall y responsible rp cllo n tth llowin ,"Y' V1 address ,/ ,, my na and understand that lam S I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all a,)plicable laws and requirements that govern Owner-Builders as well as employers. V lZ. t agree to nolify lhe issuer of this form immediately ol any additions, deletions, or changes to any ol the information I have provided on this form. Licensed contraclors are regulated by laws designed to protecl the public. lf you contract with someone who does not have a license, the Contractors' Stale License Board may be unable to assist you with any financial loss you may sustain as a result ol a complaint. Your only remedy against unlicensed Contraclors may be in civil court. lt is also imporlant for you lo understand that if an unlicensed Contractor or employee ol 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 ol their workers' compensation insurance coverage. Before a building permit can be i .lhis form ed and signed by the property owner and returned lo the agency resp onsib iss u in t owner's driver's licen lorm notatization or uired to be n to the Signature ol Property O Date Print name of Owner AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Nolice to Property Owner. the execution of which I understand is my personal responsibility, I hereby aulhorize the following person(s) to acl as my agent(s) to apply 1or, sign, and lile lhe documenls necessary lo oblain an Owner-Builder Permit for my project. Scope of Construction Proiect (or Descriplion ol Work) Project Location or Address ,r/r r+k Name ol Authorized Agent: Address of Authorized Agent Phone Number ol Authorized Agent I declare under penally of perjury lhat I am the properly owner lor lhe address listed above and I personally filled out the above information and certify its accuracy. Property Owneas Signature Date Print Name ol Owner Note: A copy ol the owner's driver's license,lorm notarizalion, or other verification acceptable lo the agency is required to be presenled when the permit is issued lo verity the propefty ownet's signature. SANTA ANA CITY COUNCIL mouldo@santa.ana oio Mayor Pro Tem. Ward 2 mrroahez@sanra.a.a oro vsam cnlo(asaf la.na.oro Eda@@lada:aE q! P Dav'd B6.avdes db€nevdes@sa.ra ana oro igXel4@rada:ala.ll!sr,raiero@sa.la ana oro Plannlng and Bullding Agency Plannlng Olvlrlon 20 Clvlc Centor Plaza P.O. Box 1988 (M.20) Sanlr Ana, CA 92702 (7r4) 647.5804 wtwv.ranta€na.org 4|et-ts3.i7o1/4 (' si 8\ UNDERGROUND UTILITY WAIVER REQUEST Pursuant to Soclion 4l$26 of the Santra Ana Municipal Cods (SAMC), all utilities for new buildings, abditjons, and changs of service must be uriderground. Approval of an underground utility waiver by the Zoning Administrator permits an applic t to maintain overhead eleclrical seMce. An exception to SAMC Section 41- 626 allows oloctdcal servico changeouts for existing single-family and two-family residential structures to be a cornbinatjon type box with provisions for overhead and underground feeds. OWNER/APPLICANT WAIVER T.IO.:il U M->o l7^6'uEtt/ Legal Owner:e Applicant: 7 ( Rolli$onrhip ol Applicant !o , Lor3o.i, con.lirnl, .tc. PROPERTY INFORMANON Land Use:ryr\-l LR E!rtrn9 Prop..ry rtd/A 8{nidtt!4- C h llT4a Zoning Oittricr htisn.rbnLocation:l/1 Strxt Addro3. REASON FOR WATVER REOUEST: o, No.rot! tnl.rt.cting Suaoi r {,/tat C-Yr<'t t .*e r Sttre L i lL "-/ | firr.ki 70 Date SUBMTTTAL REOUIRE 1 2 3 All items on tho Undorground Utility Waivor appticatiofl must b€ compl8ted by the applicant. Two copies of a fully dstailed sits plan includin locatlon and a d€tail ot the nety meter boxare I , the propossd meter box Three photogra p must b€ prov power sourco,existing mster location and elevation of the building illustrsting the proposad n6w meter location. This infomation is noeded to ansure ths meter boxes match building as closely as possible. -tlF t lt r t /itt FOR OFFICE USE ONLY Sit€ lns CommentYConditions:0 Eleclrical I Oats: Planning Conditons:'ll>tt*t-(rcr'artD 1o1n7x.1 IWW*tr,tr I DETERi'INATION OF ZONING ADMINISTRATOR:'{APPROVE Signaturs '24114.-- N'"'SANTA ANA,',hlliril ll a, rf cm\mL.arm\UUW 9/0O Date: DENY ffxn,J Case Planner a