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Home My WebLink About40132672 - Permit (2)Project Address: 3635 Westminster Ave Assessor'sParcel: 198-081-27 Lot NA Unit: Block; NA Bldg: Tract NA AddressRange: 3628-3636. Historic: No Suite Range: Zoning: SP2 q City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, C492702 lnspection Requests: (7 1 41 667-27 38 lnspector Section: (714) 647-5853 Mec ha n ica I Permit #: 40132672 Pin #: 18255 Phone: Tenant Name: Contractor: Address: AV Property Managemenl Enterprlse Ll 3636 WestminEter Ave Santa Ana, CA 927031,145 (714) 936{692 College of Physical Arts, Language & T Orvner-Builder Fee Type Amount Qty Fee 01116002 51604 Wall Heater/Floor Furna 65.57 3.00 $196.71 01 1 '16002 5160C Gsneral Plan Update 22.08 1.00 $22.08 01116002 51604 lssuance 55.04 1.00 555.04 80tch+:46233 - 10/3/2018 I0: ccuEr'l-AF office: CTYH Tronsi: 53 I oi I Acctc: Ref+: 4t113267: Rcpti:Q2405984 - 10/3/201.9 1l:12 An Tnonsoct ion Totol t27J.8J AV Properts llonogerent EnterPrPhone Slate Lic #: Lic Type: Bus. Lic # Workers' Compensation lnsurance: Carrier: Policy #: Expires: ltech on i co I 0ll 16(12- 5160,t000- Geierol Plon lledote Fee 0l u6m2- 516@0flF llosten CordCCi:firftflfirrrt675 i251.7t t22.rls r2?3.83 Arthg!04681C Building Use: Job Type: Nature of Work Commercial Tenant lmprovement TI Occupancy: Constr Type: Code: B V B, SPK cMc 2016 Notes: Auth on file. Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Zuniga, Allissa Subject to Field: Buildins Permit f: 10195064 Ewry pemit issued shall beco,7,o invald unless the wo on the site autlloizod by such pemil is commenced within 1 80 doys affet its issuanc.p, ot if lhe work auttlotizod on lha site by such pemil is suspendcd or abandoned tor a padd o1180 days afrer the timo the wo* is commer@d. lnspector MID#: 20'16-13'1245 't 0/03/2018 Account# 01116002 51600 01 1 16002 51604 Fee Total Paid to Date: Balanco Due: Date: Date: Date: Misc. Receipt: Misc. Receipt: Misc. Receipt: Total $22.08 $251.75 $273.83 $0.00 s273.83 Owner: Address: MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS orr\|r Bl .trtR t)tt r \R\ll0\ I ltcb, .fto s!& Frl, ol Fju, t[. I d en$ i@ tb @'n-td' t i..E Ur 6. dE Blb*t! t6. lse ,,orl-t Buri'.s rn PrD6rir! Cod.,: ary Ciy or Cdry dtn E{uia . F n b @dr't! .lr' itprlra. dcDlill ot GFi 6v lrlBle. Fbr!o f. klm. rlo t qutE dt.PP[cril t shFtrib nb. tirtt d affi tLt lEo tlt i lic. .d P@rtr !orbF lbd orrlE c..rrrrq: LL.i-d t r (ch.dq 9. coffibt rtt se*{ 7(0 o( Divbioi I of dE 86b .d h!&Biinr Cod.) d ltrl tt d rln t .rcnF riidtld .!d rlE !.!i fot dE dl. !d .t!tP.in tuv vitltbo of S<lbo 7031.5 by uv qpliat for r FDl {bFr! rh. .r?lk d ro t.lvll Folr of mr IDE rl[r nt llod,ld <blltt (t!{D). -1. 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Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rouqh Ductwork Vents Toilet Room / Clothes Dryer Residential Banqe Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openinqs lnstallation F.D. Drop Test Above Hard Lid Above T-Bar Rouqh Mech. Meler Release FINAL /0 t0.R afrr,ry Notes, Remarks, Etc. ;iop[r vL '1./ w-' Final Test MAYOR [4iguelA. Pulido MAYOR PRO TEM Michele Martinez COUNCILI\,4EMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas CITY OF SANTA ANA PLANNINC & EUILDINC ACENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana. California 92702 www.santa ana.orgr pba 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 - Snnri-A /<niA Cfr (J7d. CITY MANAGER Raul Godinez ll CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Mana D. Huizar )t>p-t' 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 verify this information. N t-1. I understand a frequent practice of unlicensed persons is to 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 sub.iect 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. lam willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property.t"l ,I \ V 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not h'iring a licensed Contractor to assume this responsibility. It!-jla I 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 hiring a licensed Contractor and having the permit filed in his or her name instead of my own. t{- /o I understand Contractors are required by law to be licensed and bonded in California and to list their license nf6Eers on permits and contracts.*l tl\\ \'/ 5. lunderstand if I em ploy or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an I "employer" under state and federal law. f,-/ U 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' com pensation disability insurancel and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. fNL 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 a// work is performed by SANTA ANA CITY COUNCIL nouldo@ssnra-ana do llayot Pra 1em, wad 2 mrt]la(ne2@santa.ana.orq 6crono@sa.ra-anaora dbensvdesrosanrs-anaoro rvill&as@sa.ta ana tro sl naiero@santa-ana orq improvements specified at -at licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is peformed under contract with a licensed general building Contractor.LIn{./t \/ 8. I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finaic-ial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the manship or materials 9. I understand I may obtain more information regarding my obligations as an "employer'from the lnternal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California 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.oov for more information about licensed contractors.il,' t/ f O. I am aware of and consent tqan Owner-Builder building permit applied for in my name, and understand that I am the party I '\',aw""i'::iy_ffitr1:w r proposed construction activity at the following work N/ aqdress: 1-1' tt I agree that, as the party legally and financially responsible for this proposed construction activity, lwill abide by all.Fpplicable laws and requirements that govern Owner-Builders as well as employers.)\\\1 e.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 financial loss you may sustain as a result 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 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 Iicensed 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. /Vote.' A copv of the propertv owner's driver's license. form notarization, or other verification acceptable to the aoe nc v is reouired to be oresented when the permit is issued fo verifu the owner's sidnature olglag(> Printnameofowner Arr.,Gr Lr I! A vo 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 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 filled out the above information and certify its accuracy. Property Owner's Signature Date Print Name of Owner: Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the propedy owner's signature. SANTA ANA CITY COUNCIL mour do@sa.ra-ana o.o Mayor Pro Tem. Wa.d 2 m na.lhez@sanra-6na.do vsamenloasa.ra-ana oro 6.lo.ro@s.nlaâ‚¬na do P Daud Beruud6 dbeiaudes@sanla-ane oro M reas@sant3-.n5 do st naEroAsa.ta-ana orc Signature of Prop ery owner (-4-i- {At-J oarc: Address of Authorized Agent;