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Home My WebLink About20165834 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Fiaza (M-19),, Santa Ana, C492702 lnspection Requests: 17 14], 667 -27 38 lnspector Section: (71 4) 647-5853 Electrical Permit #: 2O165834 Pin #: 46134 Project Address: 2321 W Sixth St Assessor'sParcel: 007-021-03 Lot: 8 ANO 9 Unit: Block: A Btdg: Tract: 633 Address Range: Historic: No Suite Range: Zoning: R2 q Owner. Address Contractor Address: Arturo F Durazo 2321 W Sixth Street Santa Ana, CA 92703 (714) 8s5-8940 Owner-Builder Fse Type 01116002 51603 Serv li,leler 01116002 51600 General Plan Update 011 16002 51603 lssuance Qty 1.00 1.00 1.00Phone P'ulchit436,91 0f t irre: (:lYH t+ r 02261 Luro l Durneo r' State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance: Carrier: Policy #: Expires: lrlr16li3 I ot0 Planning Approval By: Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous Service meter R-3 VB cEc 2016 Noles: Handout given Misc. Receipt: Misc. Receipt: Misc. Receipt: Total Amsden, Julie 05/10/2018 Account# $125.52 $0.00 $125.52 lnspector MID#: 2018-143271 011 16002 51600 01116002 51603 $21 .25 $104.27 Fee Total: Paid to Date: Balance Due: Amount 51.29 21 .25 52.98 Fee $51.29 $21 .2s $52.98 Tenant Name: Phone: Genernl Plnn l.jpd ote rtl I l6iru2- i 16rl(r00rj- EIectr icfl1 rt1 1 16r: :r2- 511rr:rJ0i[- lloster (:(lrd t:c+: xx*xlxxrxxx*2J Building Use: Job Type: Nature of Work: Planning Conditions: Occupancy: Constr Type: Code: Date: Date: Date: Every permit issued shall become invalid unless the wo* on the site authoized by such permit is commenced within 1 80 days after its issuance, or if the work authodzed gn the sile by such pennit is suspended or abandoned tot a peiod of180 ddys after the tine the wo* is commenced. ELECTRICAi:-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS,OWNER BUILDEN DELCAR TION I hcr.by.mnn undd l.nalry or pcrjury lhrl I ad cx.nrr from rh. Grnh.b^ Li.c.sc tiw tor ihc rollowin8 rcr$n (5(?011.5 BuFincss and Profcssion Codc) Any Cily or L'ounr, which rcquir.s r Frmn lo .onstdcl, rllcr. imlmvc. dcrmlish or rcl'on any smclurc. priorh ns nsuoncc, olso rcqunes rhc applicanl for such Fcrnril lo filc r siEncd sllrcmnr lhol hcor shc n li.cn*d pursudnr lo lhc pmrigions or df, C.nlmcrofs Liccnsd tlw {Chafler 9, Coomncin! wilh s..rion Tqlo of oivnion I of lhe Busnrcs and Pmrcssiotrs Codc) or lhu t hc or shc k cxcm ln reaon a.d fi. ersi lor rh. alhScd excflrplion Anyviolalionofscclion?O:lltby,iy upplicrnr for a p..nir ruhFrrsrh. rlnlicanr t, !civilpcnalryoinot mrcrtan nvc hundrcddollaB (S50o) fll!.^""*,"rrr,"p-pny.o,,ycn,frol*sw(hwoscs,srhcirst.ompcns iotr. wirr do rhc wort ud rt'c nnrrld n nor inrd&d u o lTcrcd for qh {S( 7(lrl4. Bulirc$ ond }t lcsions Cod.: lle Contreroi r Liccnsc La* doe{ ftr lPply ro an osnf or thc pmtrdy wla) tdilds or ifrpmws rhemn. and wh. dds tuch krt him{lfor hctrclf.r lhsuah his o. hc! osncmployccs. lrovided rhlr suci impomnls @ B, hrcnh n oarcNd lor sle lt lnsckr. rhc hildins or inDtutum h $kl wirhin om tBr of.onrphlhn. rlr Owrcr Builll6 willturc lft hrdcn of pmvine rhd tE or shc di] ml hill or irrmrc lhc poFny for tlt p!,rrEol -l aneicmnl undcr S(t /6,- "*p,*:S_ii )o4 c\ rl2t3trllBs:laurlNt -1.!!2NDEUIIBAIIA! I hcrcbyamrmuodcr pcnalr, ofpcrjuryone ofrnc iollo*nr8 d(lai0lions I harr dd will tuinrdin n Ccdrfi.rrc ol Con\cnr h Sclf lnsrrc f(, worlcb compttrs on.ns proridcd nrby56rionST0Oolihc Ijhfi Code. ror rhc pcrturddc.ofthc sort f.r *hich rhL psnir t istrcd -l harc alld will mainhin wortcn cotrDcnsarn inntr.ncc..s rcquireJ 6y Sd ion :l7rx) oi lhc tiho. C.dr, nn rhc l.rron'urc or rhc so* forwnichlhn pcn.ir is n\ud Myqorkcs compcnerbn insurume.lricr ffil Bnicy number uc: d,:);::rin rlr r--rfondnc.ol rhc worl for whi.h rl,i\ pcnni i\ n{r.tl.l \lh ltrur c rfl,)yr , tf,so i| s .s to hsm suhirr ro rhc worlcJ onqEnsari hwr oicaliroinid. ard a8mc th.l iil should hcconrc subj$l ro rhc $orkcn'conp.tr$rionpovisirnsofSccrionlTU)ofrhchborCod.,lslMll.fonhenhcomtlywnhtho$prolnn'ns. WARNIN(;: Frilure b rcurc *orkc .onr!.n\rri{m covcr+c i\ trhslnl, rnd shrll \uhtcr m c lroiu h.rirninrl Fnalic\ ul ('vil fincs rn k, onc htndrcJ rlDu\nnd dollrs ($I(X),(XX)). Sc.Loi :1076 ofd{ Lf,tItr Codc. nrcrc( Md adDrtuy \ tu.\ rtldirion ni llt ron ol .o rr \dRnr. dnirgr{ i! t,nvtlcd lnr r1r ".'.,-Ft Q - Lglt noou*6+I DECIAMIION I hcrcbynmrm under Fnally of rcrjury lh.t I am li.cnsd undcr pmvision olChtrpls 9(co'rmncitrB uilh Sdion 70OO) oiDivision I ol fie Ausinc$ and Prote$ions Code. ,rd hy licrns is in tuU foG a.d ell(r. LianscN!ntE. (AISIAIJCIIONIIjNIIXIi.AGEIICI I tudby amrn rtulcr Fnrhy ofFrury rhd rh.r. is r.odsrrudiin kndrng rg.tr.y for rhc trlfonutrc ofrhc $ort lor u,hkh rhis lclnrir is ksocd {Sa.1(.97. Civ C ) ASEIICANLIIESAAAIIAN I hnht amnn utol.r p.nrlry.tp.lury onc orrhc f.UowinE dc.larariois: Ocmlirion Pcrnrih Ashcsros Norific.rion FedcrulRcsuhhns (lirlc 40. Pan6) -Rcquircd l-clrcr oi Noliriorion -l cenify &ar rhc fcderal rcsnl irns esardins arrrnos ..m!d arc nor aprik,bbt, rhis pn&.!. @cdify lhd I h0vu roid rhir npplicdrion flrd earc ltur rhc 0trw i.rorm ion is corer.I trgre locomllyuith rll cil,and Cornr, ,ftlmr cc\rtrJ Srxrr I rss rldint g.otr{rucltrr,. turch!nurhof/.r.pr.lenturn.rolrlrisCiry,trxi(irlr,cfrduBnrlr ahr'c n,cnlinL\l pro|xny ln! inlpccri{nl h -) Applicanl or AA$t Si,rnalrrâ‚¬4 t b:h/ etUrro --Fq o*, -,- o dtt4)- ! Site-Work Underground Light Slandards ! Spas, Pool, Fountains Si gns (monument) Lite Safety /Low Voltage Fire Alarm i Dampers Communications Cable Building Under Slab / Floor Bonding / Groundinq i UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Sollit Rouoh Ceilinqs (T-Bar Rouoh)I I It/eter Release ?UUrB Jc31- I Rouoh 0lrL\lB JFEk Service Meter FINAL f-lzglc /U4q/f',) Notes, Remarks, Etc. Pole Bases -l- aso$nc,oilhcpr.l)cny. !ncrclusivelyconrroclitrB sirh liccnrcd conlmcton ro con(n,d lhe nnjccl(Scc 71144 Bd\incs ,nd P.olcssinCodc: Th. Conka.ror'! l-ic.nsc Ldw docs nor apply k rduw..rofp'.Fnywhobuildsornnprovcsrh.rcon. and *ho <, mcls for such omlcch $irh r Conk{ck,.lr) licc.scn l]Ursunnr ro thc Cotrrrldols Liccnc tjel. L''l'. JJ'C'. MAYOR lviguel A. Pulado MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P Devid Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas ACTING CIIY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Dear Property Owner: An application for a bu improvements specifie CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana. California 92702 www.santa-ana.org /pba NOTICE TO PROPERTY OWNER dat 2g 2(d L 5 lilting F I t*l*\_ c(- ilding permit has been submitted in your name yourself as the builder of the property ->1a356-atl We are providing you with an 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. kA, . 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 OwnerBuilder, 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. [,4y 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 iniuries to workers on my property. :t-fA Z I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. llpr. 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. AtL q I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. .4t D S. I understand if I employ 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 "employer" under state and federal law. 'lPu I understand if lam considered an "employel'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 compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. ,4fD , 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 mo0ldo(Osanla ana.oro Vrcente $rmienlo vsamlenlo@sanlaâ‚¬na.oro lceLglie@salE:ala dbenavrdes@santaaaa.ora N eoasrAsa.ta-ana.o.o snnaiero@sanla-ana.oro SANTA ANA CITY COUNCIL Mayor Pro Tem. Ward 2 m man nez@sanla'ana.o,a 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. lAu. I 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 injuries sustained by any subsequent owner(s) that result from any latent conslruction defects in the workmanship or materials. ZlnS 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.qov for more information about licensed contractors. ,/tn 1y'[ //10.1 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 responsible for proposed construction activity at the following address: 3f! 't. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all Spplicable laws and requirements that govern Owner-Builders as well as employers. ,tILlZ.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 licensed and the status of their workers' com pensation 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 p ermit. A/ote. A copy of the propefty owner's driver's license, form notarization, or other verification acceptable to adencv is reouired to be Dresented when the permit is /ssued fo the Signature of Property Owner Print name of Owner ow s nature. Rl uY O Date \f-/o 2o l? PLr.krWP5:iCounte.Aa,vilyAsseebrtB!:isAIon.â‚¬ t. Propedlr Foii !3-14-?lJ6 {0q (b t) f6- 2- o SANTA ANA CITY COUNCIL AUTHORIZATION OF AGENT TO ACT ON PROPERry 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 Ille the documents necessary to obtain an Owner-Builder Permit for my project Scope of Construction Project (or Descri on of Work) Project Location or Address Name of Authorized Agent Address of Authorized Agent Phone Number of Authorized ent I declare under penalty of ury that I am the property I personally filled out the above information and certify i ccuracy Property Owner's Sign re Date Print Name of Note: A copy of the owner's driYer's form notarization, or other tion acceptable to the agency is required to be presented when the permit is iss Yerify the property owner's er hpu do@sanla-ana oro Mayot Pta len \Natd 2 m maionez@santa-anE ora Vicenre Sarmiento wamrenlo@sanla-ana oro isolo.o@sanla-ana oro P Davrd Benavdes dbenavdes@sanlz a.a ora ivilleoaslasanla-aoao.o stinaiero@sanla-ana.oro for the address listed above