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Home My WebLink About20164234 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2(J164234 Pin #: 308{4lnspection Requests: (714) 667-2738 lnspector Sectionr (714) 647-5853 Project Address: 2238 S Cypress Ave Unit: Block: B Bldg: Tract: 638 Suite Range: Zoning: R2Assessor'sParcel 403-141-10 Lot: 34 Owner: Address Ara Wansikehian 2245 S Main St Santa Ana, CA 92707 (71419144664 01116002 51603 01 116002 51600 01116002 51603 Fee Type Serv Meter General Plan Update lssuance Amount 51.29 21 .25 52.98 Qty 1 .00 1 .00 100 Fee $51 .29 $21.25 $52.98Phone: Tenant Name: Contraclor Address; Owner-Builder B 0 A H :40283 - 9/25/2U7: CTYH Trons+r 22 0201s216 9 /2i/2t11 ID: C(:I,,EI.LAI Phone rf i L-ct State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Poliry #: Expires: , pti 2r:r16423 93:,9 All lccnssct ion Total lro [,lsns ikeh i on 6â‚¬nenol Plnn Updute Fee 0l I 16002- 5l600trt:ru- Electr ic(tl 01116002- 5l6u30rr0- lloster Cord CC+: Ix rlrlrIII **39 79 Authi: I Building Use: Job Type: Nature of Work Single Family Dwelling Miscellaneous Service Meter Occupancy: Constr Type Codei R-3, U VB cEc 2016 Notes handout given Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: dternanoe., xatty Date: Date: Dale:ogt2512017 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt; Total Every ponnit issued shall become invalid unless the work on the sile aulhoized by such po fit is cofifienced within 180 days aftet its issuanco. ot I the wod< authonzed on lhe site by such peinit is suspended or abandoned lor a penod of180 days afler lhe time the work is cofifitenced $125.52 $0.00 $125.52 lnspector MID#: 2017-138850 01 116002 51600 01 116002 51603 $21.25 $104.27 Address Range: Hisloric: No br I Fee Total: Paid to Date: Balance Due: ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS ()\vi\tta Bt' .t)tR Ltl ( \lA'l1r)N I rrEt, ,tirm !oi.r FMly ol Friory rhi t o .knor fnrm rh. Gdtd6' t-rn* tiw fltr rlE lolb*r'! m$. rsa'7orl 5 Aunk$ .nl Pnlf6lon Cuk,r Any Cn, ix C'dnly *h.h EqtG . Frd h d'n(ur, .lt(. ltthw. &Dl!h r ,tF r, . (N(ruE. Fitrxr ir' irQrM,.ho EquiE! llrlPl'llrrr tor \o.h tf,m k' nb! risrtn nd.Enr rh{ tEor.n i! lic.M'l nururnl ro rll lrvErl6 .l lh. (irrE_'t,i LEnkr b! 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(tnts((r's Lt.n{ L.w icl mr rm,ly b owNr df ln{'.ny *lrr t u,hls or rhl)n)E! rh.r.{n. rnd *lx' odrurr f(tr ru.h Fr)Fk * h r cidtulon r) h.n(d PUFtr'.r b In. (.()ntaclm r I -.ctrs lr* ) I rh.r.6fl unr.r S. r'n ) ?-?,s-?O/2 DECIISAIIIT! I h.r.hy.llirm und.r lrMlryo,I.4ry uk oIrh. nnhwmg JE..lrlrDnr -l h& {n prl! BDl.m. Cc.r fx.r. ot Ci,ntnt ro S.lll.rE nn wtrt6'.tqt nrrsn..r Fnvlloj tu byScltr]7m ot rhe LIhx C L. tur th. !.ritrltDre ol llE *ql lor wlih llt Fm s trru.n I h.w .d *rll mur.h *ort.F' (n?cnr.rrr D.u.rtc. .i rcquld t', S&r.n lrm ol r& lrli, (irL. for I lE Fnr,lrur. ol lh. vxk n{ whrn rhtr lrrmn s !(Ed. M y *,rtcF .omlEn\, tr)n 'nsontu. u.ftr .d Fnty nlnb.r m: -l ccnit, rh.r r rl* FrlolrMc .l rlE krA ftf, ,h{h rnn Fd r lr8rl, I rh.U rn ai+hy r.v Ffrr u -v nsmr $ rr ro b.rrE tutFt nr rrr urttda $mFnqton L*r orc.ln'nq nl lgE th.r 'r I rt'ull tE@tr tuhjd n, rh. v'lt.* @r{tnv! sn |'nivir$nr or Sdl b. :lrOO ol rrE blx{ C,rL. I rh.ll. rlxlh*ih.{tr'plt *dh rtr)t Prcvisionr WAR INC: |.rtuE (' x.u. srkcr'cdn{r.ql,'n u,EE3c F onlrvrul. tud F1 rn .mrk)yo r, lnnlnrl ItMlx\ nnl .^'l lhcr un n' om hu'rld rh,o\rnd d.llr (lllxrlxlr), u r.lJ on c.mFrsrbn, drfl8cs rr n u!d.J nr rh. S(r.n 1{?6.1 rh. lrlrtr CrL. nr.te. ? -z.a-t '7 IECTAEAI]Ad I h.Ehy allrm u,Ilcr FMlryo( Fryryrh{ I rm u.t.6l un!.t F[viidn ol chq,lcr I (r'mrdn! ]nh s(ri]n ?GIr) orD'vF()h I of rlr auitrn .nd Pnrrciriont C.xk. ,rl ny lt..< tr h tul n]N ril .rld 4l hr.hydtun unkr Fuhyor F'j!t/ \kuJ rsc! l(n7. c,v c, ranllBr jqI9!.IeiDi!!r-&GE!!] rrrhd rh... ir..\,n(odu khl Srlcfty ntr ihcFn(mr.(rrtr h i, wfiahrhNFm. 6 AELTCANI.IIICIiAAITOX t h.Er'y amh urL, Fmhy otF.jury om ol rhc nnbe'n3 dcrlDr.ns: D.nrnnnn P..mre^{x{o\ tirr krrn ld.rl R.IULrrN (ldk40, Pd6) Rcqur.J l.rt.rol tl.,li Dn I rdity rh, rh. foLr.l rluLlr,nr nlrJn8 .rlritx m't.l F fl, {,,,Mbl kr rhr FrFi rl i I luv( r(rl rh6 i[,lrrDn, rl !.i. rl,,i rlr rltr. n,lortr rtr' N r, omply * hallc yrnd(i{n y I rhnCry nlCounrvt'cnrc. uFn rh.rJuB.s rd 5rr!. L*1 NUttr8 .rrrr mnr$rn F Fny ft, osF v-lnt,lnrn,l.. A{rnl Sirn{l P.mllt EmrDrinr': o/) Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Lite Safety /Low Voltaqe Fire Alarm / Dampers Building Under Slab / Floor ,A Bondino / Groundinq / UFER D'-t-l/il Transformers Torqueinq Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinos (Hard & Soffit Rouqh Ceilinos (T-Bar Rouoh)r'\\ Meter Release l0 -E-,-7 hgllcl Rouoh A. Service Meter l0 -+-1 9t.Vba Faa FINAL Not s, Remarks, Etc. lc rv0 I anA (- Communrcations Cable I tu -2q1f I I I I *-SNTA NA,ffi Planning & Building Agency Smoke & CO Alarm Affidavit 20 Civic Center Plaza Ross Annex P.O. Box'1988 (M-19) Santa Ana, CA 92702 (714) M7.5800 -ana.olq INSP.O2 2013 CRC fhis document moy be lound ot..htto;//www santa-a na. oro/pba/ (P/ease use a black or blue ink ball-point pen) Project Address:223t) S Cv P,'t"-.-, Av Permit Number:2Ataq z3q Property Owner:Ara ()anst kP h ran Contractor:Ot<: n e-v'License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential b u ild ings. California Residential Code (CRC) Section R314.1and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define the requ ired locations. f\ eoth boxes below must be checked: E(Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. FSmote alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be battery-operated for buildings where no interior alterations are performed. Combination Smoke/Co alarms must comply with all applicable standards and be approved by the State Fire Marshall (SFM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. lfurther certify that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the ma n ufactu rer's instructions. (check onel tr Licensed Contr Property Owner NOTE: Ihrs sef-c ertificotion is only used for projects that offect the EXTERTOR of the structute. This prccess is opplicoble ONLY to projects where occess to the inteior of the dwelling by a Sontd Ano lnspectot is not tequited, Signature:ry Dote:'c - l?- t+ Have this completed form and the job-card readily available on final inspection! l MAYOR MiguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEI\4BERS P. David Eenavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas INTERIM CITY MANAGER Cynthia J. Kurtr CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana. Calrfornra 92702 www.santa ana.orqiDba 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 spe"rrt"O., q.g q B e \/ Fo 259 A./Z s*Nrl fi-"t/A c4tz7o7 WeareprovidingyoUwithantomakeyoUawareof 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 O NF RMAT N DIRECTIONS: Read and initial each statement below to signify you understand or veify this information. ,l fi" 1 . I understand a frequent practice of unlicensed persons is to have the property owner obtain an "OwnerBuilder' building permit that enoneously im plies that the property owner is providing his or her own labor and material personally. I,asan 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 oI my insurance coverage for injuries to workers on my property. W Z. I understand building permits are not required to be signed by properly owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. l<-/ I t understand as an 'Owner-Builder" I am the responsible party of record on the permit. I understand that I may protect myself fiom potential financial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. W-C. , understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. -l/5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total valueof rl| construction is at least five hundred dollars ($500), including labor and materials, I may be considered an'employer" under state and federal law. [U U. ,understand if lam considered an "employer" under state and Federal law, I m ust register with the state and federal government, withhold payrolltaxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each 'employee." lalso understand my failure to abide by these laws may subjectmeto serious financial risk. tfv 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 ail 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. /IU, S. f 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 iniuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. SANTA ANA CITY COUNCIL ooul,dorAe.E ana do sr .aâ‚¬rGOsanla'ana oro [iche e M3nr.eu Itayd *a16r.Wad2 nrar nez@saola aaa do .( WS. I understand I may obtain more information regarding my obligations as an "employer" from lhe lnternal Revenue Service, the LJnited States Small Business Administration, the Caiifornia Department of Benefit Payments, and the Califomia Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.aov for more informalion about licensed contractors. /t - tO. t 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 address: respo nsible for proposed constructio vl at the followi 4q4 ?2?27tf -=. .u, applica 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all ble laws and requirements that goyem Owner-Builders as well as employers. ^!rr. 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. lfyou contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a com plaint. Your only remedy against unlicensed Contractors may be in civil courl. lt is also important for you to understand that if an unlicensed Contractor or employee ofthat individual or flrm is injured while working on your property, you maybeheld liable fordamages. 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 propedy 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 pe rmit. /Vole.' A coDv of the Dropertv owner's driver's license. form notarization, or other verification acceptable to the aoencv is required to be presented when the Dermit is issued to yerifu the propertv owner's sionature. Signature of Property Owner Date: ?- 45- 2Atl 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. Scope of Construction Project (or Description of Work) Project Location or Address ;/+crl 727O7 Name of Authorized Agent: Address of Authorized Agent:o.) Phone Number ot A uhonzed Agent: 7 /4 - q/4 - /.. 4; /5 + I declare under penalty of pe4ury that I am the ro erty owner for the address listed above and I personally fllled out the above information and certify its accuracy Property Owner's Signature 742 Print Name of Owner Note: A copy of lhe owner's diver's license, form notarization, ot other verification acceptable to the agency is requied to be presented when the permit is issued to verify the propefty ownet's signature. PL n k:!! P51 /C ounterActrvrty AssemblyBills, Nolrce lo Property Form SANTA ANA CIIY COUNCIL flA A rz/,4.'Usi t<aU,'*- moulrdo@s3ota-ana.oro M:yor Pro Tem. w8rd 2 m menine26sanle-anE oro V'.e.re Samienro lsa.mrenro@santa-a.a oro Dplsis@!!ds.e!!j!9 P Oavd Benav,des dbenEudenosanla'ana oro i![e$!@$!.lria!a-crg slrnaâ‚¬ro@sa.ta-sna oro oate: ?-8C-2O/7