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Home My WebLink About20464281 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA92702 Electrical lnspection Requests: (7 14], 667 -2738 lnspector Section: (714) 647-5853 ProjectAddress: 3701 W McFadden Ave Unit: M Block: NA Bldg Tract NA Address Range: Historic: No Suite Range: Zoning: SP2 BY Assessor'sParcel: 144-291-11 Lotr NA Owner: Address Joshua Bereny 4078 Arriba Or Thousand Oaks, CA 91358 01116002 51603 0'tl 16002 51603 011 16002 51600 01116002 51603 Fos Type 125 Volt Receptacle Min Fee Adj General Plan Update lssuance Amount 'l.40 69.24 21 .25 52.98 Qty 'l .00 '1 .00 1 .00 1 .00 Fee $1.40 $69.24 521.25 $s2.98 Phone: Tenant Name: Contraclor Address: Owner-Builder Botch+:40312 - 9/21/2017 I0: CCUELLARofficâ‚¬: CTYH Trons+! gg 2 ol 2 Phone Acct+: Refi: 21146 Rcpt+:02tf19941 - 9 /27 /2017 3113 Tronsoct ion Totol t6l6, 123 I PN 99 Slate Lic #: Lic Type: 8us. Lic #: Workers' Compensation Carrier: Policy #: Expires: .loshuo Bereng lnsurance: NOTI CE o T UIOLATION Generol Plon [Jpdate Fee 01116002- 51600000- El ectr ico I 01116002- 51603r1ri0- U iso CC+ ! r*r*rrr*r**r9776 t?L.21 tt23.62 1616.99 Authi:098209 Building Use: Job Type: Nalure of Work Commercial Miscellaneous Water Heater Occupancy: Constr Type Code: B VB cEc 2016 Notes: auth on file Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: s Hernandez, Kathy Date Date Date 09t27t2017 Account# Misc. Receipt: Misc. Receipt; Misc. Receipl: Total $ 144.87 $0.00 $1M.87 lnspector MID#: 2017-138691 $21.25 $123.62 Fee Total: Paid to Date: Balance Due: Permit #: 2O4G424i Pin #: 60{ { 3 Planning Conditions: Every peinit issued shall become invalid unloss the !"ork o/, the sito aulhotized by such pemil is commenced within 180 days aftet its tssuance, ot if the wotk authorizod on lhe stte by such permit is suspended or abandonad for a penod of 1 80 days after the tirne the wo* is comnen@d 01116002 s1600 011 16002 51603 ELECTRICAL-INSPECTOR RECORD APPROVALS DATE lD/slG.COMMENTS OWNEX BUN-DEI DEL(]^RATION I h.Err, .lrm udc. FBlr . r..rury .hr I m .e.Yi tism rh. Cor,xrd' L*re l.s lq rlE folL,w6e E (h lS( ?lr.! l 5 B!nn.s! .ni PhL(bn CcL): An, C , or Counry whf,h RtuE. t ltmr h $.{od, rlrd, rmltot. dtul8h or r!.r uv nu@. Fil ro 'ri ni!tu. .l$ ErllB llr +Plral for rBh Fmr ft' nL . .(Ej rl.rcdr rhi rr or th. ii litn<l puta.J (, r,. FrvnbN .l E Co.ir-rd r l.r.r*J ll* (ChrF6 e, Co.lmD! *'rh Ser.. 7000 ,'a DN!.n I 6l ih. Busml r.J Pnrr.$ionr CoJc) or rhrl L or rlE !r .i.npr th.Elrom .,rl trE tEns nn rlt tlkS.tt .x.ntl[n Any vDlrtion .r Sei$n ?0:r L5 nv rnv r!e!{r lor t Fh'r obFk rlr .pirl.er ro..'y FMllolhr t,rrhrr'w hudErj ilolldr ($m). -1. !i oerr ol rh. FrtEnr, or my.mploytct *nh wrs.. .t lh.n e,k Ll,qEnvxon. w Jo lrE wolt.,n Erltut&td, d.nla, dofi.E{ fr et (5a ?0a4. aurirn.nd P^,LriFB Orj.: Tlt Co r diLrfiEbwLri!drrPlvouo*x.o, rh. F+.ry wt$ llll.tt d lrFrE rlrEe rd *lr, d- uh $it hm(lf or llGlf or illslh h! .r h.. oM .iihv(i nn,viJ.J rhrr !n.h mlIlrmd! c d hl.d.d or ofi.B,i for u!. lt lpkE,llE t! ltr3 or itrqn,Ern ! bU wrhh oE y.s d.rxrtlLln rll. ()rd Burlkr qI h.E UE ttrtLn ol Fnvua rhd lE d nE Jn Dn lllll q llp !h E FDlEry f( rh. |rrFr.l -1. 8 owEr or rll FoFny. o.(bnwl, .o..rdrl! wlh lrttrsJ ..dr.rm h Ls<tu ilE F)iir (Sa. 7(X4. Bu.tr$ .,rl h!6sm Cnt: Tn Ct'fttr'. L..nE trr &s ml .pply ro x 016 or FsFny *ho b(*lr or npmE! IE @.. &d wl!, d tui! ld rEh pmj.Lrr wirh r Cinrdonr l..nkd p{ruul k' rhc qdrrdu i retrâ‚¬ b*) Lm.kmd unLrsaran A &PC lr.t.:- Or DECI.AEAIIA! I rErch!.mrhunlcr Fulyol Frjury om or lh. folhuo! &.nniiir: -lh,E.rlwrll rdu . C.df{dc or Con bS.l .ruE [r *'rt6' loqErsrin. .t F[vrLd fo h, S&t,n 17Oo ol rlr Iibor Cdl.. for llE pcrfot]rl8. oI th. slt , *hich rM Fm n L$Fl I h2E :n l *rll hrd.r w"rt.u ..mp.n!.[,n rrur.fte. r R]ui.\t h, Ser t,n .1700 ol rlF lrh{ Orrc, ftn rh. Frl(,lmtu. .f rh. worl !{,*hihrhr Fm't ! r$u! My *ork$ rohtcrslrx'n inruEet.ffir.d Fnty.u.'6.t m: Pinxt Nlnftr:- -Ieniryrh.l h rlE JEtturEmc .r rh. work li)r *hrh ths t rm i\ itrkd,I rnrll ml.mPloyrny Fen D rny mrncr i s ri' lE$r ol'jEr ro rlr *rrt6'@"rFn.dDn L*r of Crl'fomi., &l +r lh.r 'Il rtE!! 6*.ft $hFr lo rlE xr 6 .onp.Nrri,npnrvli6orsftt.nJ,lborllrL.rryCirj..Ilhrllfonh*fi@n9l,arhrt.FovFn.t f,fl.rffir;x (!d fi..! up lo rE huulrd rhour.nt.ttrllrti (slflr,iDo). m rin[lin n, rh. $n tf NnrF.er Sernn 110?6 of ih. llhr Cld.. d.r{ .il .tiimy r ler DpcL6larlat I tiGb! rfirm unJ.r Fely of FrIry rhd I rn l,tncl mi.i Inr6hn of Ch,trd 9 (6trmNb! snt S.rr Dn ,00()) .r Drvnx,n ] 01 rlr Buri8. lrr PmL($.! cl*L, r,n 6y Lrn< r in ftll roN !n.fiei l-f,.nr. Ch< - _Lxcns NuntE , D.r.:- (-o .rrc- t9lirEl,lcualtl.EuuNa.f,alll(:r I hcEbr,rfunrtuld Fn.lrydrn rj"ry rhsr rh.,c 5 a ('nnruLrnn knlil3.8cEy lrtr rh. Fdtlmhc ol rh. work ntr ",lltrh lhN F.rmr tr !!rEl (se. 1097, civ c ) API'LIL:ANT DTCLAIAAION I H', .trm unj., FmIy dr Friury or .l llE foll'*u! &(Lntr.nt: D.mlli,. PcmrlArb.trot frdfir.rnn F.J.nl RquLlbnl lr k,(,, P,n6, R.qu!.d lrn.rotNrri! I (td'ri rh:! rrF r.d.fllrc8uLlnns E8[!h! 3rh.{r\rd'vrld. nn !,lplf,rhk rd rhR Pnt].d I$n yrhd lhrvc rcr!rhn rfi,|f,$r'n lrl dd.rhi rh. fi'vc rnn mron Lroid I r8c lo Nir,ly wih dl CI, .nJ Cotrnry ,rlrrM!.tu1St.lc U$ ELrh3 i,, hx 'l],ry .ondtur k,n, ! her.t'y dr,rrE qr.â‚¬nlll ivct ol rhr ( ir y tnJ Countv l,' cnlcr drm rll rt!,w mdirFJ0n)Fnytu ADpliunl rAq.nlSiltrfllun c rLt /-/* Site-Work Underground Pole Bases Lioht Standards Spas, Pool, Fountains Signs (monument) Lile Satety /Low Voltage Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bonding / Grounding i UFER Torquerno Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinos (Hard & Soffit Rouoh Ceilings (T-Bar Rouqh) Rough Service Meter tL'.t y i4 /b L///.7 Notes, Remarks, Etc l)rr.:_ I I I I I I l I I Translormers I I I I I Meter Release I I I I FINAL Sept27 nA17 3 28 39 PM berenylaw 818 789 9041 CITY OF SANTA ANA PI-ANNING & BUILDING ACENCY 2O Clvlc Center Plalt P.o. 8or I988 . Sdrta Ana, Gllfornlr 92702 @J&Ia.t[t..elgll.!r NOTICE TO PROPERTY OWNER INTERIM CITY MANAGER Cynfil. J. KurE CITY ATTORNEY Sodr R. C.Nllho CLERK OF lHE COUNCIL M9(9 D. Hular I\4AYOR Mgud A, Pulldo MAYOR PRO TEM Mkid6 Msninoz COUNCIL}.l!EMSERS P. olvld Eaoavldi! Vlcâ‚¬ntr Sâ‚¬fl!lento Jore Solodo SrlT{n.l!ln Jurn vlllooaE D6ar Property Ownor: An applicatlon for e bulldlng parmlt has lmproYements spoc.ifl"O ,, e ?rc t beon submlttsd in your namâ‚¬ Ilstlfig you.sslf a8 the bulldor of th8 proporty d . $, a(+\tr.J, 0) n A, f*_v [-q, d WB aro provldlng you with En Ownff-BuUqar AcknowlEdomanl 8nd lntormatb to mak6 you 8u/Erâ‚¬ of your reaionstblliil6s and poesiEli-risk you-may tncur by havlng thls pormlt lssued ln your namss 06 tho Ovnff-Bulld6r. W6 wlll not issue s building permlt untll you h8ve read, lnltlaled your understanding of 6ach provlslon tlgn6d, and roturflâ‚¬d lhi6 form to us at our ofiiciil addrese indicatâ‚¬d, An agdnt of ths owner csnnot oxocutB thls notlce unless you, the pmPsrty owner, obtain thc prior approvsl of ths pormlttlnE Euthority. acung 3. lunderstrnd 9s an'Owrcr-Bullds/ l8m th6 rerponsl f rcsord sn thB psrmit. I understafld thot I msy protact myEclf potentEl inrnclal rlrk by hirlng g llcensed ContrEctor and ble pErly o having he permltflled ln hl8 orher nsmc lnEtud of my o/irl. 4. I undBr3t6nd ConlracloG ars requlred by l6w to bo llcsnEâ‚¬d and bonded ln Callfomla 8nd to llrl lhslr lkrnEo numberS on and contrdcta, I undErstand il I Employ or oth6rw16â‚¬ ongagâ‚¬ any Polgono,olhsr than Callfomia licâ‚¬nsod Conbactor8, snd tho [otal valuo ol con6 truction l! 8l lâ‚¬8st ltue hundrsd doll6rs ($600). lncluding labor End mstgrials. I m6y be conBldlrld rn'â‚¬mployof under stato lf I em conEldered an'omploys / under stste snd Fodâ‚¬ral 18w, I must rBgl ot3r wlth ths stat8 ond todorBl PBYrol I tExrs, provids wofiEr9' compen6tllon diEEbilily lngurencâ‚¬, 6nd conlrlbuto to unâ‚¬m ployrnâ‚¬nl 'employse.'I 6l!0 undErEtrnd my fallulo to 8blde bythss8 law8 may gubJsc,t me to 8â‚¬rio us fnancial ri8k. 7. I undrrEtand undtr Cslllornls Conuactors' Stals Llcenre LEYV,an OwnBr-Build6rwho bulld! 8lnOl6-frmlly rsEldenllsl r6s cannol legElly butld th8m wittr the lntenl to offsr th3m tor 86le'unloas â‚¬/work i8 pBrform6d by llcensBd e.lbcontraclors 8nd tha number of Etruclur?!doe! not exc6od lourwithln 8ny colandEr ycErE.or sll of lhe wo(k l8 psrbrmrd undrr contsEct wth I llcon66d SANTA ANA CITY COUNC L .,@Fl building Conroclor lrSJ a t unasdbna a! an o\,'TEr.Builder It I 36ll lh! proporty fo/ whlch lhle pcrmlt lE lEgu6d, I may be hold llablo tor any fnonclal or lffirr-rl i.jr'i.'iiritirro oy any rroiar"nt olvne(s) that ri6uli fom any lat6nl constructlon drfccts ln thE worlmanohlp or msterlolE. FrrdcGrmuqaloo Gl!o!ll!rEnl,!.E!9!l!I|3l!Aa!lrr![E 'rEls!.t{!l!rl,!0 @dr!rl3r&ll{!!-8!8 N!!Il4I!!ni!r-@ ollllEllllllrlr,lql 1t3 I I I l, aB an O n6r- omployooB \l,hlh u,orkln! on my pr0p0rly, / SepnT DA17 3 28'39 PM berenyiaw 818 789 9041 /-<\ [dlr. , uno"r.,"nd I mty obl8in mor! informauon rBgardlng my obllgElion! ss sn'Employer hom ih8 lntrrnal Ravrnuâ‚¬ servtce, tho UJdited Slatoe Small BuBlnssB Admlnlslratlon, hs CallfornlE Depsdment of Elsnoilt PEymrntE, and the Callicmla Divigion of lnduEElal Accldents, lrlEo und.r8t d I m8y mntAci the C8lltomiE Cor raclors' State Llcen3o Bosrd (CSLB) at 1{00-321.CSLB (2752) or for morr lnformEtlon Ebout llcBneed contrgolorg, ally '10. I am awrre of Bnd consent to an Ownor-Bullder building p6rmh lppll6d for ln my nam6, and undarstand th8t t am lhâ‚¬ party ond llnancislly ro8ponElble for proposcd conrtructlon ac,tlvlty 8t lho follorvin0 ss 1 1. I Egroe th8t, ts Ihâ‚¬ psrty lagally end finsnol8lly rsEponElblo for thl8 prcpooed constructlon actlvlty, I wlll sblde by all ! lawE and rugulrcmenlE thot govom Orvnsr-Bullder! at woll ,8 Bmploy8 B. I sgrcs to noufy thâ‚¬ lrsuer ot iil3 lorm Immedlrtety of any rddltions, dolsUons, or chsng68 lo Bny of th0 Informrdon I hsvs on thi6 form. LlcsnEM contsactor6 arE rogulatM by lEwr ds8lon6d lo protecl tho public, lf you contract wlth Eomeonâ‚¬ who dooS not have a llcsnEs, thB Contrsclor!' Slalo Lioâ‚¬nrâ‚¬ BoErd may br un!bb to rEEiEl you wllh Bny flnanclal loss you mcy suEtlin rs I rc6ult ot r complalnt. Your only râ‚¬medy EgBlnBt unllcenled Contrsctors may bâ‚¬ ln clvil coud. ll ls also lmportant tor you to lnd6rst8nd thSt il En unllcâ‚¬nsâ‚¬d Conlrector or Employoo of that lndividual or firm ls lnjursd '.rhllB lvorklng on your property, you mgy bâ‚¬ hsld llEblc for drrnago0. lfyou obt6ln B permlt aB O\rn6râ‚¬ulld6r and v/Bh to hlre Contactors, you will bB rr8ponsiblB for vcrlfylng lviâ‚¬ther or nol lhoEe Con6ctort 6rc proplrly llclnsld rnd thc itrtua olihcir work!46 @mpen6atlon hsulancE covorage. BefioIr ! bulldlng pormlt csn b9 lriued, thls lorm must be colhplotsd end rlgnEd by thc p.oprrty owner and mtumed to ths agency rceponsiblr for i$ulng $â‚¬ pormlt, Nolo: Acoiv of ha propcttt owne/. drlvclt llc.naa, tonn not ir.tlon. or olhet vo fic.llon rcco,tahle tqllJe adency lF noulrsd lo be pn0cnled whan lhc aemll k lgsuad lo ve fu the otooorlv own.rtr ,E/gnature. SlgnEturB ol Propâ‚¬rty Orf1er 7 -a -t] Print n8me of o-nc,-b tt *fua \, lltl*r I *-, lk(+lr*,- fut h u, tz (fi ffi .*t/n\ ttc' ) AUTHORIZATION OF AOENT TO ACIIN PBOPERTY OWNER'g BEHALF Excludlng th6 Notce lo Pmpsfty Olvnor,lhc exoqutlon of whlch I under6trnd 18 my p8rBon8l reEponslbtllv, I h6reby follovring psrEon(s) 10 rct as my agon{8) to apply hr, 819n, and filâ‚¬ tho documBnts nscassary to obtaln an owner-B projaot authorlzs the ulldâ‚¬r Psrmltror my Scope ot Conahrcllon Pmlect (or Delciptlon of Work)ffi07-zc11X Prolect LocEtlon or AddrBss:7)olc'). t(,0n:./4.,S,t-r* A-a Nams of Aulhorized Agent;f+*^s (* AddrgEr af Authorizrd Agonl Phone Numbor ofAuthorizod Ager{i >/,/-za +q6 ldeclrre undrr prnally ofpcrlury thEt I am the property owner for the addrEss llstod Ebovo rnd I per8onslly llllsd out lhe rbovâ‚¬ informatjon 6nd ceftily lt. accursq,oao;?.?2-t7Prap!rty Ownâ‚¬r's SignPturE: Prlnt NEmB of OwnEr:t*tt llolei thc etree,lorm nottrlu or othct e.rlllcetlon eccgptrbrg lo the ,gency ls Nqulnd to bq p.e'en pcmlt lE au thq prgp.tty owh.fe slEnaturc. PLlnk:W P51 /CountorActlv,ty/AsssmblyBills/Nolico to Property Form SANTA ANA CITY COUNCIL \ Eu!aluaa&!..-q &.dlgiErtdulri!It!@l!!,trlnrlcar.E [da.E !!ar!!,s dFr.!ritarr.{m@ dlr3$44dl,.0r.@ !rriiJ6+u''{ d!