The URL can be used to link to this page

Home My WebLink About20166998 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical lnspection Requests (714) 667-2738 lnspector Section: (714) 647-5853 Unit: Block: NA Bldg: Tract 546 Address Range: Historic: No Suite Range: Zoning: R2 q AssessoisParcel: 198-181.07 Lot: 33 Owner: Address; Rey Reyes 625 The City Drive South, Suite @lnge, CA 92868 (714) 2064048 01116002 5160: 0'11 16002 5160C 01116002 5160? Fee Typo Amount Qty Fee Serv Meter 53.28 1.00 $53.28 General Plan Update 22.08 1.00 $22.08 lssuance Botchi:+6f,3 'f,q9r.6/ZALB 1.m CCUESEAp4office: CTYH fnons+: 34 1 oi: IAcct+: Refi: 2r:r 1,16999 RcDtit02391438 - 9/26/?118 11:4{ An Tronsoct ion Totol 1t3rl,4n Phone Tenant Name: Contractor: Address: Owner-Builder Phone 6enerol Pl.sn updste Fee 01116002- 516000(B- Elâ‚¬ctr icol 01116002- sr6030@- Vi Bo CCi: rrI*trrlrIrr8247 _ $22. r1g _ t1tr8.3? t 130.40 Authi:026915 Building Use: Job Type: Nature of Work Single Family Dwelling Miscellaneous Serv Meter Occupancy: Constr Type: Code: R-3 VB cEc 2016 Planning Conditions: Planning Approval By: Plan Checked By: Permil lssued By: Subject to Field: Building Permit #: Misc. Receipt: Misc. Receipl: Misc. Receipi: Total o9126t2018 Account# Every pemit issued shall become invalid unless the work o, lhe site authoized by such pemit is cgmmenced within 180 days aftet its issuance, ot if lh6 wot* authoized on the site by such peinit is suspended or abandoned fot a peiod ot 180 days after the time the wo* is commenced. $130.40 $0.00 $130.40 lnspector MID#: 2018-143194 01 1 16002 51600 01116002 s1603 $22.08 $108.32 Fee Total Paid to Date: Balance Oue: Permit #: 20{66998 Pin #: {8255 Project Address: 314 N Bewlev St State Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance: Carrier: Policy #: Expires: Reg Reves Dale:pn-r", Zuniga, Allissa I Date: Notes: Auth on file. ELECTRICAL-INSPECTOH RECORD APPROVALS DATE rD/stG,COMMENTS OWNER BUILDI]R DELCARATION I hcrchy afinn lndur pen0lry of pc,jur, rhrr I !m cxemll from rhc Ornrmcnn\' l-i...\c tis ror rhc rolk,wirr8 tcisn (Scc 7031 5 Busincs rnd Pror.ssi.tr Codc) Any Ciry or Counry whi.h rcquirs tr Frnrir io con$rucr. rlrcr. imu*r. dc,rlli{h or rcrJalr lny srrucxrc. prhr 1o ns kuorcc- als rcquncs rhc amliclrll nr such rrmil to file a \isncd darcftnr rhor t or sh. is liccncd I'uFumlt' rh. lfi,lnnJns .tlrE Codn ttrt Liccnscd tjw (Cn pr.r 9, ComnBrcnrS sith Scdion IOOO ol Dirhioo I of rh. Brsin.s,nd Pn)r.rsbn\Corl.)orrhrth.o.sh.iscxcnprthcrcfnnnd th. basis lor lhc allc8cd cxcmplion An,liolation.tS..riotr7011.5by,ny apflicatrlfor.p.flnilsubjcctslhc,mliclnlroa.irilpcnnllyo,nolnntrclhnnfivchuodrcdaolLh($50o) L a\ o*ocrotrhc pop(ny.or ycntpl.yes sirh wrscs"sihcir v,lc c. r|ctrs n r. willd. rhc work .nd lhc slml!rc is mr iNcrdd.ioflircdlmsrc(SN.?Or4.Bnsinc$mdPmfcsio.sCodqThcConlacroisl,icc.$h*L!.c\nornpplyt,anoqRrDl rtu p@Fny who builds or ioDmlcs ficNr, unrwhi,docs{'chs1)d(htrs.lf.rh.'sclfdr rhnnr8hhk or lN o*n cnrrloy.cs. F,vid.d thlr sudh inD(nsrnhrrcnn i.rctrdcd orolTcEd for salc lt lkrscvcr. rh! t{iHiu n in{'mvcmnl is skl wirhin, m r'tr oi conlplcrion. rh. Oqmr Buildq will h0!c rhc hudctr of tlrovi']B rh r hc .r shc dil mr t{ild .r improK rhc pmpcny ftr rhc puqi,* of -l..sown$olrhcnmpcny-amcrclusivclyco.trodingwirhliccnsdco.rrlcrorsroondtucrrhcln,Fr(sc.7Lv,t.Buqnc$and PDL\ranC{ c: Th.Contr.td s Liccns. Lrw d6s nor rrplyti inowrcr.fEo!.flywho buiUsor irF verrhcrcon, rnd who uotuachInrsuchpmjcchwirhrc:onrrlcro(srliccnscdprrsu3 r ro rhc Contsck,\ l-i..nsd hw ). I IIEII.ANAII!}N I hcEby otlirnr undcr p.nrlry of !6jury om ol rhc l'ollowiry dslarlrion\ -l h!!. art sill nrinhin r Ccniftarc of C.tr*nr ro SclI l trsurc tu norkc.r c.nllxnur ii'n. rs pft,vid.a ror bt Sr.lion .Ufil of rhc ljttr)r Codc.lor rhc lcrf.rnrrcc ofrhc work for qhichrhc pcrnrn is issucd I havc nnd w llmtrinrlin sork.rs con,p.tr\rrtun in\orrn.c- r\ rcqutc hySc.rn lTqrol rhc Lrhor ()tlc. l'or lhe Frli,nnnm. ol rlr*orkli,r{hi.hrhisl.iiniri\i\sdcnMywork.r\'.rnnrr,\Jri{nri'N'i.cratric.rrdFrlicyNnrbcrarcl l.cniry rlur in thr pcrroirMncc olthc work lor w[kh rhh lcn thi$ucd-I\hrllNlcmpl'ryanyncNrninrtrym.trrcr s !s ro hc(r'nE sut'jd ro rhe so*cn m'nFNxri{n' hss olCllituniL trid asN rlu ,rI stFuld h.onE ruhjNt l. tt8 workcF.ompcnsrri{nrlovkion!ofSdi.n.l?(X).frh.l-rhrCod..l\) ll. nf [wirh Mfly *ith ll]osc pmvisbn\ civil liic\ !p b otrc hrndrcd rhou$nd dbll$s (51(n,fi f cotrDcns io.- donmpca ns ptulid.d Lr rh."::;??iws:^^ DECI ARATT(}N I herchy oflirm unds r.nah, n, lcriury rhd I aF lienyd undq pnrvtioh orChap'd 9(.ommminB wilh Sstion 7000, ofDirisii,n -1 of lhc Busincs ed Pmlcssions Code. and uy liccnsc is in full lorce lrn â‚¬lINr. IONSIBI,]CIIONIENDINIi.ACDNCI I hcEby Blfi,m hdcr pcnalry or Frjry lh.r $dâ‚¬ i. . con{ru.ri,n lâ‚¬nding agcfty for rlr Fsformmc of lhc sorl f6t whkh rhis ,.rnit is nslcd (Sc.. :1097, Civ. C.). AIIUT:ANLDESAAAIIIJN I lr'$ynltnmunncr pctrrhy ofpcrjury onc o{lhc fo!lowinS declmtions: DcnFlirbn P. nhlAsb.slos Notilication ktcol Rc8ulalions lTitlc.r0. Pan6) Rcquncd I.rlcr of NolifE.tirtr _t ccnilyrhrr rhc ltdcrrlrc8rldiotrs rgdin! a\h.do\ rsnr)vllrtu'ior rtflicnhh r, rli\ Dn,j.ct I cnilyrhrrll rrM rhnim gre ro comrly *irh all Citynnd Coutrry .,dinrncc\ rnd srrr.ltr*\ r.l rin! rhnu morionci pmpcny i, ,\pt'lir.Dl or ]\A(tr1 Signrlu -""-**''"))"'7*'i:''/* Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monumenl) Life Salety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bondino / Groundino / UFER rdzltXtt D) Transformers II U\\- Torqueing Sub-Panels Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinos (Hard & Solfit Rouqh Ceilings (T-Bar Rough) Ivleter Release Rough Service Meter tplvln'lo >>) FINAL rrtl> lfi 1 -l'-z-l) Notes, Remarks, Etc.(r(\ Policy Numhq -Ertirci: - Site-Work Air Conditioners T/AYOR N4iguel A. Pulido I\,4AYOR PRO TEM lUichele L4artinez COUNCILMEIVIBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinalero Juan Villeqas CITY MANAGER Raul Godinez ll CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CIry OF SANTA ANA PLANNING & BUILDINC ACENCY 20 Civic Center Plaza P.O. Box I988 . Santa Ana, California 92702 www.santa-ana.orq /pba NOTICE TO PROPERTY OWNER An application for a building permit has been submitted in your name listing yourself as the builder of the property rmpr ents s EC a We are providing you with an er-Builder Acknowledoment and lnformation Verification Form SANTA ANA CITY COUNCIL mou do@sa.la-ana oro Mayo. P.o Tem, Ward 2 himarlrnez@sanla ana.oro vsarmrenlo@sanla-a.aoro isolo.io@sanlaanaoro P Oavid Benavdes dbenavides@sanla-ana oro ! ecas@sania-a.a oro sUnaieroiAsa.ta ana.ora Dear Property Owner: 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. _&o-, , 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 subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my prope(y. My homeowner's insurance maynot provide coverage for those injuries. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. 00-\, ' understand building permits are not required to be signed by property owners unless they are responsible for tlle construction and are not hiring a licensed Contractor to assume this responsibility. {0,-a ' understand as an "Owner-Buildel 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 Conkactor and having the permit filed in his or her name instead of my own. S(O , understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. ff0u.,understandiflemployorotherwiseengageanypersons,otherthanCalifornialicensedContractors,andthe total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employel' under state and federal law. {LU ' understand if I am considered an "employer" under state and Federal law, I must register with the state and fdderal government, withhold payroll taxes, provide workers' com pensation disability insurance, and contribute to unemployment compensation of each "employee." l also understand my failure to abide by these laws may subject me to serious financial risk. AA --14{Z f understand under California Contractors' State License Law, an Owner-Builder who builds single-family residehtial structures cannot legally build them with the intent to offer them for sale, unless a//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. 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 tnancta I or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. fl ll-n. ' understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Serviie, 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. A[r,o the party I address: i am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am nd financ llv responsible for proposed construction activity at the following flf,1'1. 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. nh _[\f Z f 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. Vr';re a building permit can be issued, this form must be comPleted and signed by the property owner and ned to the agency responsible for issuing the permit. /Vofe.'of the owner's driver's li form notarization, or other verification acceDtable to the aqencv is required to be sented when the Dermit is issued to verifu the propertv owner's sionature. Signature of Property Owner Date 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 flle the documents necessary to obtain an Owner-Builder Permit for my prolect. Scope of Construction Project (or Description of Work) Name of Authorized Agent Address of Authorized Agent q Phone Number of Authorized Agent I declare under penalty of perjury that I m the property owner for the address listed above and I personal filled out the above information and certify its accuracy Property Owner's Signature Date Print Name of Owner: Note: A copy of the /t owner's license,otarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the propefty owner's signature. p: .r ;p: -'1. .i.-A::':_ n5..-: iil i fi.: i. l. !:ir;ilr l.-:: ::' il :i'li. SANTA ANA CITY COUNCIL Mayor Pro Tem, Ward 2 m marlrnez@sanIa-ana oro vsame.lo@santa ana.oro isolorio@santa-ana.o.o P. David Benavides dbenavides@santa-ana.oro rv eoasrosanta-ana oro sllnaierc@santaâ‚¬na.oro ?hr, , Project Location or Address: -r7moulido@sanla ana oro