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Home My WebLink About20163629 - Permit (3)Permit #: 20{63629 Pin #: 50{70 Project Address: 1113 N Evonda St Unit: Block: NA Bldg: Tract: 6588 Address Range; Historic: No Suite Range: Zoning: R1Assessor'sParcel: 10O-222-OB Lol.76 Owner: Address: Thu-Thuy Nguyen I113 N EVONDA ST Santa Ana, CA 92703 (714) 548-8104 01 1 16002 01 1 16002 01 1 '16002 01 1 16002 01 1 16002 01 1 16002 51603 51603 51603 51603 51600 51603 Fee Type Amount 125 Volt Receptacle 1.4O Light Switches, Occ. Se 1 .52 Light Fixlures 'l.01 Air Condilioner 93.28 General Plan Update 21.25 lssuance 52.98 Qty 3.00 3.00 6.00 1.00 1.00 1.00 Feo $4.20 $4.56 $6.06 $93.28 $21.25 $52.98 Phone Contractor Address: H L Home 11071 Dune St Norwalk, CA 90650 1714!.277-9495Phone State Lic #: 812009 Lic Type: B Bus. Lic f: 354204 Workers' Compensation lnsurance Carrier: Exempt Policy #: Expires: Building l,Jse: Job Type: Nalure of Work Single Family Dwelling Patio Cover Patio/Porch Occupancy: Constr Type Code: R-3, U VB cEc 2016 Notes Constrcut new 176 sq ft porch and 532 sq ft patio cover. Planning Conditions: All materials to match existing. Planning Approval By Date Date Date Misc. Receipt: Misc. Receipt: Misc. Receipl: Total Plan Checked By Permil lssued By sden. Julie o7106t2017 Account#Subject to Field Building Permit #:0192893 $182.33 $0.00 $182.33 Every pormit issued shall become invalid unless the $/ot* on the site authorized by such petmil is commencod within 1 80 days attet its issuance, or if the wotl< aulhonzed on the site by such pemil is suspended ot abandoned lor a period of 1 80 days after lhe tine the wod is lnspector MID#: 2017-135909 01 1 16002 51600 01'116002 51603 $21.25 $161.08 city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit Counter: (7'l4l647-5800 lnspection Requests: (714) 667-2738 lnspector Sectaon: (714) 647-5853 Tenant Name: Fee Total: Paid to Date: Balance Oue: APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Siqns (monument) Life Salety /Low Voltage Fire Alarm / Dam pers Communications Cable Buildinq Under Slab / Floor Bonding / Groundinq / UFER Transformers Torqueino Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Sollit Rouoh Ceilings (T-Bar Rouoh) I Rough 'il^tlr+vll"l/ Service Meter I l FINAL l0ltoM tl:,) l3Y Notes, Remarks, Etc ELECTRICAL-INSPECTOR RECORD owNt:ta BUll-DEt trl:t,c tATtoN I lE lhy afitr uel.r rEn0h, ('r pcrjury rhur I D.rcn{r n.m ilr G'ntkr{E l-i.nâ‚¬ lis lnr rll ri,lk,rirs .c!yn rS(mll5 Auiih d Pro,.lrirn Gxlc, Any (I, nr Con , which.cqunc{ n Frnrir !r' nr{n'.r. rlkr. ir\ror..,L rtl nr EFtey (nklurc. 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Auriftss !d Prcf.si'nr Celc, !n nry li.M i ir rull ntr.t dn .ir.-r R ,,.-..*.,* ULI-rlQj,t\rr6 Ler\srl n coNsrxuc_noN I nnrlNe l{:Fr!c} Ih.rcr,y!fitnund.rFBlry.fFr,r.ylhdr,s{k!onNnr-li,ntrairr!dsrE,ri,rtrFr,xrtrxtrrrlf,r't(,"r,{hrhnFmin n\utl (S.c l(})7. Civ C, AITLII;ANI.JTEIIABAIX'! I hnh!rliinnu'rh lf,irlry rl ltrury oft ol rh t'll'qrB (l.rldnrtrtrr: Dcnr,l i,n [rn.it A\h.no\ Nor'li.rrknr r{ddrl Rcttrlnritr\ I r }c ]i). Ijrrn) ll.qtrtr.(l I dr.'.1 N.r'li(nnon l..n'ryrl rih rl\lfinl rc!trlnn'r\ N!u1tr8 n\lr{,'\r.nr'rrlIe r{ itlni)h[ tr,rhn|n"r(r l.. ibrhnIllrr.rcdrhtrnllrditnxnl{rtrrhrrlf,iht.' lngr..r'rotrt'ytirlrill(irrJkl(i,unry orduHrrc\ nd ShrL. U*{ EbrinF n, huill]n,t .odh*ri,n. ml h.r$, rur h, t rcl' c(nr. r r\ ol rhA (-'ry xl(i{rtrryr).nrd uF'n rtE 0h'rc rEnri rcJ Frt,I.rr) L, inrnc!rirturFr t \* Appllr$nr or,\(.rr Si*trirum .rm*r nrn.prrn.: $d) slIu t lL'l Meter Release Cdtr INTERIM CITY MANAGER Cynthia J. KurE CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D- Huizar CITY OF SANTA ANA PI.ANNING & BUILDINC ACENCY 20 Crvic Center Plaza P.O. Box I 988 . Santa Ana, Califo.nta 92702 w\,vw.5anta- ana.Orq r Pba Dear Property Owner An application for a building permit has been submitted in your name listing yourself as the builder of the property E,lcN)* We are providing you with an Owner-Builder Acknowledqment and lnformation Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued an 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 AN D VERIFICATION OF INFORMATON 1 DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. .t [.] '] t. t understand a frequent practice of unlicensed persons is to have the prop eriy owner obta in 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 risk for any injuries sustained by an unlicensed person and his or her employees while working on my properly. l\ry 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..T \1/2. 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. -ll'tt S. I understand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself frffiotential financial risk by hiring a licensed Contracto; anO naving ifre permit filed in his or her name instead of my bwn.-f. NJ .V 4. I understand Contractors are required by lawto be licensed and bonded in Califomia and to list their license numbers on pe r7n i t-s a nd contracts.'f'Nt.'v 5. I understand if I employ or otherwise engage any persons, other than California lic ensed Contractors, and the total valueof my construction is at least five hundred dollars ($500), including labor and materials. I may be considered an "employer" under state and federal law. 1'.Dl -tV a. I understand if I am considered an 'employe/ under state and Federal law, I must register with the state and federal -govemment, withhold payrolltaxes. provide workeri' compensation disability insurance, and c;ntribute to unemployment _gompensation ofeach "employee." I also understand my failure to abide by these laws may subject me to serious ,inancial risk.-t.. u-'l/ L t understand under Calfornia 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 genqral building Contractor. {..t4y 8. I understand as an Owner-Builder if lsell the property for which this permit is issued, I may be held liable for any flnancial 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 froulido@sr.{@ oo Mayo P.o Tem, ward 2 m'mad ne26rsanta -ena oio vsam e.lo@sant! ana cro Eda!!@s?!E:a!!-!!9 P tuMd Benaudes dbonav d8|asa.la 'ana oro !villeoas@s3nla .n. o.o MAYOR MiguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. Oavid Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas NOTICE TO PROPERTY OWNER improvements specified ^, l( lZ,2 703 f) 9. I understand I may obtain more information regarding my obligations as an "employer" Irom the lnternal Revenue Service. the United States Small Business Administration. the Califomia Department of Benefit Payments, and the Califomia Division of lndustrial Accidents. lalso understand lmay contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors.:til.-v 10. I am aware of and consent to an OwnerBuilder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the foilowing 4nrqtilSS '11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applipable laws and requirements that govem Owner-Builders as well as employers.1. hl.V '1 2. I 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 linancial loss you may sustain as a resull 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 damag es. 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 lhe 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. /Vore. A copv of the propertv owner's driver's license, form notarizalion, or other siqnaturc. Signature of Property Owner Date Print name of Owner YLi 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. Scope of Construction Project (or Description of Work) Project Location or Address Name of Authorized Agent: Address of Authorized Agent: Phone Number of Authorized Agent I declare under penalty of perlury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Properly Owner's Signature Date Print Name of Owner: Note: A copy of the owner's driver's license, fom notarization, or other verification acceptable to lhe agency is rcquired to be presented when the permit is issued to verify the propefty owner's signaturc.t'-l:( ,'. Pa'l C r!iritrici . ii, iss(:nrDivB I s I'lci cc to Pri)ir.rtv Form SANTA ANA CITY COUNCIL mouhdolosanla-ans oro Mayd Pro Tem Ward 2 mrmartrnâ‚¬u lasanla 6na so \sa.m,enr.6sarta ana o..Edp!!(l!a!El!i-Q!c dbenav,desG.santa ana oro v' eoasrasa.ta ana oro slrnaeroosa.la ana oro ty .t