The URL can be used to link to this page

Home My WebLink About20163694 - Permit (3)City 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 #: 2O163694 Pin #: 326E4 Project Address: 3009 W Cubbon St Assessor'sParcelr 109-742-08 Lotr 85 Unit: Blockr NA Bldg: Tract: 4025 Address Range: Hisloric: No Suite Range: Zoning: Ri Owner: Address Phone: Tenant Name: Contractor Address; Heriberto & Maria Murillo 3009 W Cubbon St Santa Ana, CA 927041517 (714l-651-6220 Owner-Builder F6o Type 01116002 51603 Serv Meter 01 116002 51600 General Plan Update 01 '116002 51603 lssuance Amount 51.29 21 .25 52.98 Fee $51.29 $21.25 $52.98 Qty 1.00 1 .00 1 .00 Bctchi:39430 - 7/17 /2017 otf ice: CTYH Tronsis 6(rAcct+: Ref+ r RcptS:019{2S9{ - 7/17/2017 Tronsoct ion TotoI Heriberto A llqri(l llurillo Generql Plsn Updqte Fee 01116002- 5160(10(10- E lectr icql trl116002- 516(13000- Cosh (:t'on9e I0: oanoro les 15 2(l 10 t12 lofI 163694 :47 An Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Cafiier. Policf #: Expires: 12t.25 t|o4.2l 50 . O0 ta24.181 Building Use: Job Type: Nature of Work Planning conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Owelling Miscellaneous Service Meter Occupancy: Constr Type Code: Noles: handout given Date: Date: Date: Misc. Receipt; Misc. Receipt; Misc. Receipt: Total Hernandez, Kathy Ewry pennit issuod sha becorne invalid unless lhâ‚¬ wo.i( o,lhe slte authoizod by such peinil is commenced within 1 80 days aftet its issuance, ot il lhe wo* authonzed on the site by such peinit is suspended or abandoned lgt a penod ol 1 80 days after the lfie the wotl< is commenccd. 07117 t2017 Account# $125.52 $0.00 $125.52 lnspector MID#: 2017-137430 o'1 1'16002 51600 01 1 16002 51603 $21 .25 $104.27 Fee Tolal: Paid to Date: Balance Due: R-3, U VB cEc 2016 ELECTHICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS o$ NEn !trll.D]:R Dt:l,caLATloN I lEEhy.fitm uols IEDh, rn ttrlury rh,r I m.rc'qr fn,'n rlr ('odr&16 l.i(cn{Ir{ li,ih. l, l,xm8 Mlrr Is..nrll.t Au\ak\( ,nl hr(.<-!n Cd., Any Ctry nr O'uNy trhih ..tlunci r Isi h rrn(nN, ilh. nq, v.. Lnrntrh n' Elin oy (to(|urc. ritr x' ilr nsuuK. al$ r.rl!n.r rtr ryl.r.r,,r (uh ttn r h, lik 0 (i8erl {drnt lhrr ltor $( r li.ctr{a! PIr$., tr rh. lh,vninN nf rtr Co.k .htr 1 l-i$trsl LlB lchsntr 9. (( nENirs sirh s(.rtrtrr 7(rr) or l)irni,r .r ol rlf, l,u!in.s.nd Pnnisi,rnlCun).rlhtrrlE..sh. ir crcnlt'l rhcrclronr ud lh. hFir lnr rh.trlk8cd.r.itni'( Aryv(nniionolSclhnTo.ll Jhrrny 0rDli.r hr o pcrnit suhlRlt lhc lnrrliu k,acivilnc.alrynltur mr. rhdn irc hukkcJd lllFrsl(L) I.8 o$w ofrh. Ix.Fny. or my.hl'['y!.\ pilh Elid !r rhcn v,k llnllnsri,n, * ld, rh r.rk td rlr {e1ur F 'r!rtdmlrl d ofiftn fr qL rN( 7(X.l- BlriEs and PnlfciliA (irh lh Lid.&lor'r lioB I j* ds n afPlv n, ai rrm bl .h. F{dy *hr hiBio. nF's rtdlb. rd *h, tl6 q't kd finrMllni lFell or rhouih ht o, h.t $*n.q)11:_R\. Ilroi&d rhlr rhh in(m\ft r @ tr, nfti.l.rrfrdrl f(tr {E ll- lr,w. tlE l!filin! r inlnNmd k qrH r ihm.E ]r or$rt jan. rlE Osrcr Auilhr rill hlr rlr hidn of Is nt rhr lE or {r did d lnili d intn*r rh. Frrdt lin tlr Ii qrt 6f u.(l llr' $nr!(rrLrs!.htn,'f(hsirhn(in rNr{r\r li(.',y1lptr'ror n)rh.(irrrrrtr'\ 1.f,( {-lnqr I .'n.r.dF ui&r Sdrih-. B & P C ld rhir Er$. 7-17-t1 Zv tL <r c),/2tctri//o l)lj(I,r-EdllQf I lr'.hr rlrrtr, n(lur ncnr ry.l lr,lu't f n. o, r[. n)l,,{ n!,l..lx'iirrN u'h{(iilc ni rlr Falo.tr!tr{..frk r [turtrhthrli trnnir n i{nr,l _l hrt! lnl *i!l tuidrin *orlrn dniiEn{r rr in$rtu.. 15 r.qlird hy :E+r i'n l7l lr nl rhc I ititr (1x1.. n{ th ll r ntffi ol rh. utrI lii *nah rhk Fm,ii ir nqi M, ro.td. GrqEnqrrr in.ur.Br cuir trd Fni.! 'ntxi nn Ir0rifyrhrii'rrhrnrn)'iurrr,'lrh.sorknrwhihrlnlttr nr i\ nwd. I rhrll tror . doyn vItN{rirr n} nr' 'erv, !'lt\otr*\rhjer(,nEtro'ku^'( 'Nn\Jri'n h*\,'r(rl,l'trtr'r. xlurL{rr'd n l!lr(lrr!(ntrr {'hi.r i'!rr trorlr1 .onrr{n{ution I1n,rri'tr\ olSlrlin, l'Tlxrofrli.lihtr (irll. ]\l!'ll. a,nrhtrn[.'dtl! | 'ih rlrE I'(,1'rina .r$r[. n tr fuNlul. trnl dl'tl tnhr(r in ..DL,]u h Lrnninil F IE rd ).rr,(D. n, :rnliinr r) rlt cai ,n c'{{rNnin,. drnr,Sc\ r\ ,n,trikn ror rh. y'...14 e- r, lc crb /4 u r i t / o tift\ up !, orc nudrcn lh)uq,xl d.llnr lslll 'n :ll)76 ol rh. bbr anc. ini.r{ ond ortuyt 7'17- l7 Ap,rratr,' ucElssllljlJBuag]la DEqIISAII(A I lEEhy dtnm unLr Fnalry olFrJurr rhd IIn licnsn lnkr F*iiifl.r(lulro 9 r$nnnNn3 *irh Sdi,n 7rr,(,r,n l)ivilhn l oI $. BuiiE.! r Pr,r.r\irB CtL- !n my la..c n i. rull litrN nl .rl(r gN$BUqrxS.lEdlll!!-f,{,ilMlr I tr6r'y rmrar! rr Fnalry or Frjury r hlt rlf,E ilrcon{tu1i,n kBlirF0ecEy to, rll. Ixr(trnutuc lrt.$t,k tu *[ihltn Fnt it n.tn (s{..xDr,ci{ c r t.nti\ tutJ,r\ AIILll NLU:oAtAUsli I lr.hyrlllr ru cr |f dlry.f txrlury oiE.l lhc li,ll()Iir! l.(1 trr,\l lhtrr,lntrr lt nnir\ Adi{n\ Norill.rrrr I;0i$rl RcIuhri \ I lIlc.llr. l'Ira) Re!uird L dtr.r.lN,{'li Do I .lrriry rh.r rlr f.n rl Ernllri, Nsrdinf rrlidor (orntrl r,( nr qTli.dhlt t, rhr l[,j(r _l.cnilyrhnrlh,vcr. thhrrTli irnor,{trrcrh rl{rh' lr[rd't,rrnllllt \ihrll( 'r!x l(,)unty n ra'Fc.s srorcli*\sqrrnSk,hu'lJin!ro.{tu.rx,n.nrxlhcr.htrxrhtrr.rcrcrnr r$,'trhx('r\n l(irtr[\ r'r.rN ulln rh. ^,..,-,,:'^,"J;]J*/[/i.1, . .fa tu n)r-,.1 ' t1 ' I 7 Site-Work Underground Pole Bases Light Standards Spas, Pool, Founlains Siqns (monument) Life Salety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor .,'l Bondinq / Groundino / UFER i{fr/tr vl,lylTl Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilings (Hard & Solfit Rouqh Ceilinqs (T-Bar Rouoh)I lvleter Release t/tAltf t tti.41L1 Rouoh 1 I Service Meler lJt811+lkl14t FINAL fln lfi'fiilA Notes, Remarks, Etc. MAYOR I!,liguel A. Pulido IVAYOR PRO TEM l,richele N,laninez COUNCILi,IEMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinaiero Juan Villegas INTERIM CITY MANAGER Cynthia J. KurE CITY ATTORNEY Sonia R- Carvalho CLERK OF THE COUNCIL Maria D. Huizar CIry OF SANTA ANA NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at e U/^o We are providing you with an Owner-Builder Acknowledoment and lnformation Verification 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 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 ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or veify lhis information. _1. I undersland a frequent practice of unlicensed persons is lo have the property owner obtain an "Owner-Builder" building 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 dsk for any injuries sustained by an unlicensed person and his or her employees while working on my property. NIy 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 property. l/Z//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. 14.4 , understand as an "Owner-Builder I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hinng a licensed Contractor and having the permit flled in his or her name instead of my own. )fu10 tunderstand Contractors are required by law to be licensed and bonded in Califomia and to list their license numbers on'fiermrts and contracts. E 4\t. , understand rf I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of /my conslruction rs at Ieast live hundred dollars ($500), including labor and materials, I may be considered an 'employer" under state and federal law. l/b , undersland if I am consrdered an 'employer" under state and Federal law, I must register with the state and federal government, withhold payrolltaxes, 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 Iinancial risk. l7-4r. t 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 subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. N4 A. , understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any financial or 'personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL mo!hdo@sanla-ana oro M6ys Pro Teh. Ward 2 m man ne2osa.ra-ants oro Vrce.re 56rmrenro lsam'enlosa.la ana oro ,solono{Asanla-ana oro P Davd Benavdes dbsnaedesrosa.ta-ana oro rv e.as@sanE-a.a oro sl naeroasanta ana oro PTANNING & BUILDING AGENCY 20 Crvic Center Plaza P.O. Box 1988. Santa Ana. Calrfornia 92702 www.santa-ana.oro, 0ba lfutt ,undersland I may obtain more information r."grting ,y oOtig"tions as an "employer" from the lnlernal Revenue Service, the 'United States Small Business Administration, the Califomia Department of Beneflt Payments, and the California Division of ln dustrial Accidents. lalso understand lmaycontactthe Calilornia Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752)or www.cslb.ca.qov for more information about licensed contractors. d-4,0., am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: il4,,.I agree that. as the party legally and financially responsible for this proposed construction activity, I will abide by all rapplicable laws and requirements that govern Owner-Builders as well as employers. fflfi2.t ugr"" ro notity the issuer of this form immediately of any additions, deletions, or changes to any of the information I have 'piovided 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 lo assist you with any linancial loss you may sustain as a result of a complaint. Youronlyremedy 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 permit. Note: A coDv of the properlv owner's driver's license. form notarization. or other verification acceptable to the aoencv is reouired lo be presented when the permit is issued to verifu the propertv owner's siqnature, o*n", /-/errb"rffu^"-t1Signature of Property Print name of Owner AUTHORIZATION OF AGENT TO ACT ON PROPERTY 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. ,/ Scop" of constr,.lion Project (or Descri ption ot wo*1, 7 ^ I 7 ' I 1 Project Location or Address Name of Authorized Agent: 3oog w LUl,Lon 5 I SA vrTA ,4 na C Alllol Address of Authorized Agent: Phone Number of Authorized Agent I declare under penalty of perjury that I am the property owner for the address listed above and I personally fllled out the above inlormation and cerlify its accuracy Date 1-t1- t7Property Owner's Signature r/a Print Name of Owner Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is reguired to be presented when the permit is issued to verify the propefty owner's signature. PLin(r,r'P51 Ceunt7rAalr! 1! q:scnr!rl;3lls'Nci ar la Priri,.rli Fo'.nr SANTA ANA CITY COUNCIL nouldc@sBnrr-3ru o.E Mayor Pro T6m Ward 2 m manr.e2osa.â‚¬.a6a do Vcenre Sâ‚¬d'enlo 6am'enro6sant -an8 do Eg9lqerelEa!3-e{! P Oavd Benaudes !!e!!r4!e!@r41a:!!!49 ulrege'@!!llil:r!!-q!