HomeMy WebLinkAbout40231489 - Permit (2)City of Santa Ana
Permit Counter: (714) 647-5800
20 Cavic Center Plaza (M-19), Santa Ana, C492702 Mec han ica I Permit #: 40231489
Pin #: 27749lnspection Requests: (714\ 667-2738 lnspector Sectaon: (714) 647-5853
Project Address: 822 S Townsend St Unit:
Block: NA
Bldg:
Tract: 3391
Address Range:
Historic: No
Suite Range:
Zoning; R3
ry
Assessor'sParcel. 109-612-10 Lot: l0
Owner:
Address:
822 Townsend, LLC
6444 E. Spring St. #310
Long Beach, cA 90815
(949) 456-1091
F$Typo Amount
01116002 51604 Wall Heater/Floor Furna 63.12
01'116002 51600 General Plan Updale 2'l.25
01'1'16002 51604 lssuance 52.98
Qty
4.00
'1.00
1.00
Fee
$252.48
$21.25
$52.98Phone:
Tenant Name:NOTIGE oF vlolATloN
Contractor
Address:
Owner-Builder
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Phone
State Lic #:
Lic Type:
Bus Lic #:
Workers' Compensalion lnsurance
Carrier:
Policy #:
Expires:
8?2 Tounsend r LL(
6enerol Plon Updote F(
01116002- s1600000-
lle,:hofl icol
01u6002- 5160{ tl00-
Uiso
CCi: r lrlrrr;1r5113
t?l
Building Use:
Job Type:
Nature of Work:
Multi-Family (5 or more uni Occupancy:
AlterMaterialsrMethods ConstrType
N/v Code:
R-2
VB
cMc 2016 Notes: Replace wall heaters Units #1, #3, #4 & #5
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit *:
Link. Patricia
Date
Dale
Date 10t10t2017
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Every pennit issuod shall become invalid unless the wgd< on the site
authonzed by such pemit is cgfinenced wilhin 180 days afto. its
issuance, ot it the wo* authoized on the site by such pgnnil is suspended
or abandoned lor a peiod ofl80 days afle( the time the wod< is
commer@d.
$326.71
$0.00
$326.71
lnspector MID#: 2017-135964
$21.25
$305.46
Fee Total:
Paid to Date:
Balance Due:
Planning conditions:
01116002 5'1600
0'1116002 5'1604
MECHANICAL-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
Appliances
Metal Fire Place
Evaporative Cooler
Furnace
Compressor
Misc. Equipment
Duct Work
Pre-lnsulation
lnsulation
Smoke Detectors lnstalled
Rough Ductwork
Vents
Toilet Room / Clothes Dryer
Residenlial Ranqe
Other
Hood
Type I Hood
Type ll Hood
Grease Duct
Fire Damper
Openings
lnstallation
F.D. Drop Test
Above Hard Lid
Above T-Bar
Rough Mech.
Final Test
Meter Release t
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Notes, Remarks, Etc.\I l
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MAYOR
MiguelA. Pulido
MAYOR PRO TE[/l
Michel6 Marlinez
COUNCILMEMBERS
P David Benavid€s
Vrcente Sarmiento
Jose Soloro
SalTinajero
Juan Villegas
ACTING CITY MANACER
Gerardo Mouel
CITY ATTORNEY
Sonia R. Carvalho
CLERK OF IHE COUNCIL
Maria 0 Huizar
CIW OF SANTA ANA
PLANNING & BUILDINC ACENCY
20 Civlc Center plaza
P.O. Box 1986 . Sanra Ana, California 92702
www.5anta-ana.orglpba
NOTICE TO PROPERry OWNER
Dear Property Owner:
An application for a building permrt has.b.e,en submitted in your name listing yourself as the builder of the propertyimprovements specified at 822 S. TOWNSENT STREET, SANTA ANA CA 92701.
We are providing you with an owne[-Builder Acknow]ed.oment and lnformation Verification Form to make you aware ofyoUrreSponsibilitiesandpossibleriskyoUmayincurbyhaving@stheowner.Bujlder'
We will not issue a building permit until you have. read, initialed your understanding of each provision, signed, and returnedthis form to us at our official address indicated. An agent of the owner cannot exeiute this notice untisi you, the property
owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGME NT AND VERIFICATION OF INFORMATON
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an ,,Owner-Builder,,
build rng perm it that erroneously implies th at the property owner is providing his or her own labor and material personally. Ias an Owner-Builder, may be held liable a nd subiect to serious financial risk for any injuries sustained b y an unlicensedperson and his or her employees whil e working on my property. My homeowner's rnsurance may not provide coverage forthose injuries. I am willfulty acting as an Owner-Builder and am aware of the lim its of my insurance coverage for injuries toworkers on my property
3| ? ,, understand building permits are not required to be signed by property owners unless they are responsabte forthe constructron and are not hiring a licensed contractor to assume this responsibility
l-3 I un-derstand as an "Owner-Builder" I am the responsible party of record on the permit. I understand that I mayprotect myself from potential tinancial risk by hiring a licensed Conkacior and having the permit filed in his or her nameinstead of my own.
-1)-a t understand Contractors are required by law to be licensed and bonded in California and to list their license
numbers on permits and contracts.
T u. , understand if I employ or otheMise engage any persons, other than California licensed Contractors, and thetotal value of my construction is at least five hundred dollars ($5Oo), including labor and materials, I may be considered an"employe/'under state and federal law.r-'- \ 6. I understand if I am considered an "employer" under state and Federal law, I must register with the state and
federal.government, withhold payroll taxes, provide workers' compensation disability insurancel and contribute tounemployment compensation of each "employee' I also understand my failure to;bide by these laws may subject me toserious financial risk.
,, Yr'. ,. rlo"l.,and under California Contractors' State License Law, an Owner-Builder who builds singlejamily
residential skuctures cannot legally build them with the intent to offer them for sale, unless a// work is periormea by
licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work isperformed under contract with a licensed general buildlng Contractor.
SANTA ANA CITY COUNCIL
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8. I understan d as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any
tt ancial or personal injuries sustalned by any subsequent owne(s) that resul t from any latent construction defects in theworkmanship or mat erials
7n ,t ,199ftt?19 I may obtarn more information regarding my obtigations as an 'employei' from the lnternat Revenueservlce, the united States Small Business Administralion, the California Department of Ben;fit payments, and thecalifornia Division of lnduskial Accidents. I also understand I may contact ti.re california contractors, State License Board(CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors.-"rt\,/ 10 I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I amthe party legally and financially responsible for proposed conskuction activity at the following
address:
11 J agree that, as the party legally and financially responsible for this proposed construction activity, I will abide byble laws and requirements that govern Owner-Builders as well as employers.all applica
12 la gree to notify the issuer of this form immediatery of any additions, deletions, or changes to any of the
I have provided on this form.tn rmation
Licensed contractors are regulated by laws designed to protect the public. lfyou conlract with someone who does not have a licensethe contractors' Slate License Board may.be unable lo assisl you wrlh any financiat loss you may sustain as a reiult of a complaint.Your only remedy against unlicensed Contraclors may be in crvil courl. tlis also important for you lo understand that jf an unlicensedContractor or employee of thal individual or. firm is jnjured while working on your property, you may be held liable for damages. lf youoblain a permit as owner-Builder and wish to hire Contaclors, you will 5e reiponsible fo; v;rifying-whether or not those conlraclors areproperly licensed and the status of their workers, compensation ins!rance coverage.
Before a buildi ng permit can be issued, this form must be completed and signed b y the property owner andreturned to th e agency responsible for issuing the permit. Note A co ov of the proDertv owner's driver's licen sform n e,otarization. or o ther verification cceptable to th e aoencv is reo uired to be Dre sented when the it lsissuedthener's s n
Signature of Property Owner '-MEMEER Oate. 6 t 1 3 t20'17
Print name of Owner 822 S. TOWNSEND LLC
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding lhe Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby aulhonze thefollowing person(s) to act as my agent(s) to apply for, sign, and file the documenta necessary lo oblain an owner-builder permit for myproject.
Scope of Conslruclion Project (or Descriplion of Work): AMAN OESIGN, tNC
Project Location or Address: 822 S. TOWNSENT STREET, SANTA ANA CA 92701
Name of Authorized Agent: ALI AlVlANl
Address of Authorized Agent:_
Phon6 Number of Authorized Agent: 949-45&1091
ldeclare under penally of pe u al. l-a m .the.e rty owner for the address lisl ed above and I personally lllled out the aboveinforrnation and certify its a cc
Property Owner's Signature [.lEt\rBER Oale:6/1 3/201 7
Prinl Name of Owner: 822 S TOWNSEND LLC
Note: A copy of the owner's d vet's license, form notarization, or othet verification acceptable to the agency is rcquired lob6 presented when the pemit is issued to ve ly the property owner's signature.
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SANTA ANA CITY COUNCIL
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