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Home My WebLink About30141791 - Permit (4)city of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing Permit Counler: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 047-5853 Permit #: 3()141791 Pin #:99956.1 Project Address: 945 N Fair Way Assessor'sParcel: 105-212-05 Lol: 40 Unit: Block: NA Bldg; Tract 2980 Address Range: 915-9{7 Hisloric: No Suite Range: Zoning: R2 Owner: Address: Phone Tenant Name: Contraclor: Address: Juan Armenta 9,[5 Fair Way Santa Ana, CA 927031807 l7't4l552-5207 Owner-Builder 011't6002 5'160i 01116002 5160C 0'11't6002 5'160i 01116002 5777C Fee Typo Sewer Alter/Repair General Plan Update lssuance Microfilm Records Amount 46.25 22.95 57.20 3.91 Qty 1.00 1.00 1.00 1.00 Fee $46.25 $22.95 $57.20 $3.91 Botchi:5380{ - t/9/2O2O 0ff ice: CTYH Tronsi: 13Accti3 Refi 3 Rcpt+:02861326 - L/9/2029 Tnonsoct ion Toto I IO! I{GARCI'lof: 301{179r s359 An t I 3r'r . 31 Phone State Lic *: Lic Type: 8us. Lic f: Workers' Compensation lnsurance: Carrier: Policy #: Expires: Juon Arrento Genernl PIon Updote Fee 01116002- sl60rl000- Plurb ine 01116002- sr602u00- nicrof ilr & Oocurents 01116002- 5777U000- ViBo CCi: r**rirlr**rr59{8 Authi rttS526{Single Family Owelling Miscellaneous Sewer Orain Repair t-t Building Use: Job Type: Nature ot Work: Planning Approval B!/: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: "v Oale Oate Oate Misc. Receipt: Misc. R6ceipt: Misc. Receipt: Total Occupancy: Constr Type: Code: R-3 VB cPc 2019 Zuniga, Alli Every pemit issued shall become invalid unless the wolt< on the site authorizod by such pemil is commencad within 360 days etlot ils issuanca, or il the wo* authorizad on lhe site by such pcrmtt is suspended ot ebandonec! lor e period 01360 days aftet the time the work is commanced Notes: Repair existlng sewer in private property. Auth on filo. $130.3'l $0.00 $130.31 01t09t2020 Account# $22.95 $103.45 $3.91 lnspector MID#: 2020-15698'l 01116002 51600 01116002 51602 0'1 1 '16002 57770 Fee Tolal Paid to Date: Balance Due: Planning Conditions: PLUMBING-INSPECTOR RECORD APPROVALS DATE tD/stG.COMMENTS -L ! orGof rt FDFrt.6 o, c.pbF. rnt ri!- ! rbi mb dq.db( ril.b dE hr nd D. rtce a d irqd d .ilGt tr r.L (Sc.Iraa. BuiE .n Prd$d Co&: T!. Crdr-ra r LkaE br rba rE @lt L - oIG of dEF!Fr, rto hib d nryic dE6n. na rlo.tE rdr Et lrltE[d l!*| , dhrdr hir a lE om d?bF.! P,DvlrLit lLl ri b+.oEE$ G rDi i-n d roaE td tu rL.la IDEG. d! 1,ui! ( hqd,rd i rol rlllll c rEotorpBin ft Orc 8dlk U0 bE dE tqb otFotit dI li d !h. dll &r !fl ( rqoE dr F.?'ry n ltt,urof *l. nr otr kr of rlf, FtrFnt. M d.lo{ tr.1} .ontr:n r rnF e ih l,..afd irnkal, n n' ()n(dd rt! pi'rc! lstu 7tl1.1, Bu{ft( l\ sir( i{1. lh. 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P!n6, Rrqund l.iis or Ni'rifrdhi I rc'1ilj_rh.i rha IcdrrJl r.!uhii,trn r.!r1tr,! r\lr{.. n\n!r rl rn. hr rt,t,ltr'rhl. x, rh1\ |[,J.cr *;**'!rhrrlhrL.,r lrh^inflnrri(nr rl {Jrrrh,i rl[ xtr^r ',1,tn'![n, t\otc!r lrSRr)rotlPl]sirhrllC ]n l(iut\ !h*. imnrkrkt llR,tHv rM 4r@ Atl4/lE-..ta-* *".!o//o g/P UNDER GROUND Waste & Vent 7-lt2a R<2, WaterUnder floor Gas-Under{loor Buildinq Sewer Area/Storm Drain lnterceptor/ Clarif ier TOP OUT Waste & Vent Water Pipinq Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOUSPA P-trap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbinq Final Gas Test Meter Release FINAL z-//-A f-c-r 51t 2 ,Lrs J.r) Notes, Remarks, Etc. ll!!& r AtLlH - Miscellaneous Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, C492702 (714) 647-s800 www.santa-ana.org APP,13 CBC 2016 NOTICE TO PROPERTY OWNER Dear Property Owner: An applicat tng has been submitted in your name listing yourself as the builder of the property improvements specified at U We are providing you with an Owner-Builder Acknowledoment and lnformation Verilication 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 otficial address indicated. An agentofthe owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON D/RECIIOIVS: Read and initial each statement below to signify you understand or verify this information. J. f\ 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an 'Owner-Builder' build- ing 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 flnancial 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 of my insurance coverage for injuraes to workers on my prop- erty. {A-Z I understand building permits are not required to be sagned by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. -f. I a 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 flnancial risk by hiring a licensed Contractor and having the permit flled in his or her name instead of my own. =I44. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. _-1- J:-[_S I understand if I employ or otherwlse engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employe/ under state and federal law. JAO I understand if I am considered an "employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- pensation of each 'employee." I also understand my failure to abide by these laws may subject me to serious financial risk. -r"J$_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 all work is performed by licensed subcontrac- tors 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. -J-;f,_g I understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan- cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials. {A-g f understand I may obtain more information regarding my doligations as an "emptoye/'from the lnternal Revenue Ser- vice, the United States Small Business Administration, the California Deparlment of Beneflt Payments, and the California DavF sion of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 'l -800- 321-CSLB (27s2)or www.cslb.ca.qov for more information about licensed contractors {h ,O.l am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party I dressl gally and financia lly resporsible for. F+[rL u] pro sed c nstruction activ attity he following.ad- -f A f f . I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. {}lZ I agree to notify the issuer of this form immediately of any additaons, 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 wlth any flnancial 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 prope(y, 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 licensed and the status of their workers' compensation insurance coverage. to the agency responsible for issuing the pe rmit. /Vofe: A copt/ of the propeftv owner's driver's license, form notariza- tion. or other verification acceDtable to the aoencv is reouired to be oresented when the permit is issued to verifv the proDertv ow ne r's sio natu re. Signature of Property Owner 4 Aa-ne^t-r-A-Dale. , O oJ Print name of Own ,l â‚¬-J 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 perjury that I am the property owner for the address listed above and I personally fllled out the above information and certify its accuracy. Property Ownels Slgnature Print Name of Owner Note: A copy of the owner's driver's license, form notarization, or other veification acceptable to the agency is re- quired to be ptesented when the permit is issued to verify the property owner's signature. Before a building permit can be issued, this form must be completed and signed by the property owner and returned -/ Date: