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Home My WebLink About20168230 - PermitI 'a-R.di-.3 I,\g City of Santa Ana Permit Counter: (714\ 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA92702 lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 Electrical Permit #: 20{68230 Pin #: 752Eq Assessor'sParcel: 004-030-12 Lot: 2 Unit: Block: NA Bldg: Tract: 1058 Suite Range: Zoning: Ri Owner: Address: Phone: Tenant Name Contractor Address: Craig Dunn 1327 N King St Santa Ana, CA 927063117 (714) 349-2408 0'1 1 '16002 51603 01 1 16002 51603 01 1 16002 51600 01 1 16002 51603 Fee Type Amount Lighl Switches, Occ. Se 1.58 Lighl Fixtures 1.05 General Plan Update 22.08 lssuance 55.04 Qty 1.00 1.00 1.00 1.00 Fee $1.s8 $1 .05 $22 08 $55.04 State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: t/r+,.o l- 1-2" 40 Notes in garage Building Use: Job Type: Nature of Work: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous Light Fixture/Switch R-3, U VB cEc 2016 Date Dale Date lvlisc. Receipt: Misc. Receipt: [.4isc. Receipt: Total erduzco, Violet Every pemil issued shall become invalid unless the wo* on the site authoized by such pennit is commencod withio 180 days aftet its issuance, or il the wot* authotized on lhe site by such permit is suspended or abandoned fot a peiod of 1 80 days dfter the tine lhe work is commenced. o3t19t2019 Account# $79.75 $0.00 s79.75 lnspector $22.08 $57.67 Fee Total: Paid to Date: Balance Due: Project Address: 1327 N King St Address Range: Historic: No Owner-Builder Phone: lr i/ t9/ jtlt't ID; i (nsil ;'9 Rel + I :,1r'l !;/ 19 i '1l.tl9 rr d qte Fee irjr:r0l:l- Planning Conditions: Occupancy: Constr Type: Code: MID#: 2019-150179 01 1 16002 5'1600 01 1 16002 51603 ELECTRICAL-INSPECTOR RECORD APPROVALS DATE tD/stG.-COMMENTS Site-Work Underqround Pole Bases Liqht Standards Spas, Pool, Fountarns Siqns (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communicalions Cable Buildinq Under Slab / Floor Bondinq / Groundinq / UFER Torqueino Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilinos (T-Bar Rouoh) Meter Release Rouoh tService Meter Nwr.,FINAL th./zD ,. Notes, Remarks, Etc.7 (rt\NEL BI ,lrtiR Dl:1,( aRAT(,\ t hcrcty atlirh und., pcnahy ol !.rFry rh,r I m crcnrp( rbm lh. ConrBc(,6 LiicnE Lnw nn rh. ,dlldrr,! !21).lS& 70.11 5 r Bunncsc dnd Pnncsion Co,ic): A6y Ciry or Counly whiuh drut.( I ltmil ro q'n{rucr, ilrcr' iflrl'rovc, dc'nx.$ I rqat anv , sruclur., prM b ns tsuincc. also rcquncs lhc a,,pln.nt tnr su.h F.mir lo rilc I r+rc.1 n.tcmnt ihrr L or shc ir li..ns.{ llnudtr , ro rlrc nrcvtrio.! of r ConrE.loas Li{.nsd tl* (Chrrrcr 9. Conockin8 P(h Salidn 7Ix}0 ol Divniotr.l of$c Buisqss uJ PnncssDns codc) or rhil heorrh. " crcm/ ihe!.liom an,l rhe briir rDr (hc dlcscdcrcmplDn Anv vnnrlnrn or scrbn l0-11.5 tvafl, dltlicad fur ! I'cmi lul,jeB lh. amlicanl ro a tivil pcnxli y or not nnrc lhrn i,c hundrcJ dolhr (S5&) -1, r\ own rotlhc pmpeny,,n ny cnPkrytcs with w(8cs r\ rh.tr vrc .ompcnsaiion. wiI.lo rh. M{k m'l rh. {uluc is rt' mcMcd o! o,icrc,l tur saL ( 5*.7044. Busines {nd Pn'r.$ons C(tlc 'th. Conkd(tr s Li.ctrs Llw 'l.d\ nol {Pl} r' an owkr or rlE l!)pc.ry who buddx or ml,nlv$ rhcE)n. .nJ who dcs such vr* hmr.ll o, lrcr$ll .r lhmugh hr or hcr ou cdploy..(. On,v .d rhil su.h inpnrrcnf,Nr m ndr ill.dcd oro[.rG] rbrsalc.ll, howcvD.. rh. huilalina d imPNvcEnr is eld wnhinonc ]sr of con{hi$n. lhc Owncr B lkr wil hnt th.ltrrlcn 01pn)ving rld h.orsh.d! nor hu Jornif trc rlr lx)trny htr rtr purrxE ol yl..s.*tr(,)trhcnmrny. rhcrclu\irlyco raols wirh lnrl Pn,l.\\r'nCodc: Ihc C.nkrntr'r Lrcnsc LN o$nor lkrnsc'l .onkrdo6 ro co,r(n,.i ilt rioj.( lSc..71!,14. BNinrss r) rn.wncr o, pnr:nywh hurllr or lnlnvc! rh.rc.n, and wr$ coordrk for sBh lrojccls wilh a co rdo(3) I am ci.hfl utoicr S€ction-, B.I I hcmby dfird utrdcr I'cnalry olp.4ury oN olrhc tulbwire cclmri(,s: I lDvc rd willmrrain r Ccni6carc oi Ci,n*nr o scltlnsurc l wotkcis' ompcnsition. f,\ 0tuvid.d lorhvS.crn,n.l7(x)o, thc tlhor Codc. litr lh. pcnomnc. oI rhc wo* for which rhc Nm,t s tslcn lhrvc x wnlmNrm *o!k.rr ronf.nsalon nsurnntc. sr rcqum,lhySccri.n.lT(DotrltLib.r(rl..lrtrrhcJ"r16nnrn'col rh. work n, which this pcmir is hsu.d. My sorkcrs .oryinsa(n nsura cc .id.r rnd Flry nnmhcr m: ".,,,4,-", _ !4lccdrlirltll inrhcpdrffnranccollhc *ork tur whEh lhs ncrmrt i\ tru.d.l slullnor ctupklvanvl.ron in rnv mn'cr $ $ k' Irroft sutjel ro rh. Mrk n'or{EDsation hws oI carlfonria. .n'l asd rh,l il I lh)ulJ h(om stbFrl ft' rtE workcs' conpcneti,r ptuvtrons of S(rion .1700 of rhc trbor Clrle. I stull tudhwilh .ooply wirh dDs I'nvEi'ns IVARNIN(i, Iiaiturc io {.u( w(trk.ri ..n{tn\.rirn .ovcE3. .n'l 6nc\ rp ro on. hundr.'l rhou\rnd dollrr ($lUl.lIlO. rn S(rR'n:1076otrhc tihtr Ctdd. imcrc( r attnrcy\acc\ "fl*,, uh ki!.r k' di,nDrl Ftrrlr.\ Md dmr!.r as p()!L'i.!l Li rhc DECLARATION I h.rchy lirmund$r.n,llyolpcrjuryltar I rn lien{d u JerF,rnn,nol ( D.l€:- conlm.lo CONSTRUCTION LENDINC AGENC1 I hcriry .liirn ond.r Fnllly ot Pcrjury fiar tb.e i1 r on(ru.lion Lndre ascrcv for rh. p.rrornErr ol rhc mrk tn! which rht pmir is (su.d (Scc. .lS)7, Civ C ). APPLICANT DECLARATION I lteby rnm u nds !.nalry .f ,.tjuty o* of thc follosi,s d.cl*.1tuns: Dcmlii!'nl.,mreArh.{o' Ndrlh'd!run tRlcnl RcsulllFn\ (Tnlc 4. Pd6r Re(utr,dt llcroiN.rilMrrn Iyrh{lrh.ltd.lrlrdguldli{[\ rc3r,lin3 r!b.do\ cnr,vrl rlc norrPllrdhlc n, rhi\ Pniccr Vucfli,y rl'd I h.l. rc.d rhn.r,pliariun coqcrr I rsre ro..mnly w IillCil,indCounry oilnrn.e\ and Srar. Lrws rl{roe n) huild, llh vc nrDrrnrd ptuIf,nyntr /LADDli.utor AscnlSixn{lu Transformers I((o'nnr .ng wtrhSc.rk,n 7fto)oll)rvi\n,n l ot rhc Atr$nc$ m Pnf.lsi'mr Cdlc. u ny li.cn* ir 'n tull,i)rcc.ndclLc{. tf,tuicis N.nc: - Iutrtl '. A'lJ'.s Planning & Building Agency Building Safety Division 20 Civic center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 wl w.santa-ana.org APP.13 CBC 20,16 NOTICE TO PROPERTY OWNER Dear Property Owner: An application for b ld in p it has n submitted in ur name listin s rsel the bu ilder the mp rovements We are providing you with an Owner-Builder Acknowledqment 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 offlcial address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. DIR O/VS j Read and initial each statement below to signify you understand or verify this information. 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 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. I am willfully acting as an Owner-Builder and am aware of the limits of my insurance coverage for injuries to workers on my prop- erty. 2. I understand buildin g 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 3. 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 flled in his or her name instead of my own. 4. I understand Contractors are re quired by law to be licensed and bonded in California and to list their license numbers on rmits and contracts I understand if I employ or otherwise engage any persons, other lhan 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 "em oyer, under state and federal law 6. Iunderstand if Iam considered an "employer" understate and Federal law, I must register with the state and federa l governme nt, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- tion of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk 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 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 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 finan- bial or personal injuries sustained by any subsequent owne(s) that resu ship or materials It from any latent construction defects in the workman- specified at OWNER'S ACKNOWLEGMENT AND VERIFICATION OF INFORMATON 10. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally d ress: fi cially n sib rp co ction a at th llowi a J tep 11. 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 12. 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 obtaln 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. 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. A/ote: A coDv of the propertv owner's driver's license, form notariza- it is issued to the DroDertv owner's sion atu re. Signature of Property Owner Date Print name of Owner t) 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 filled out the above information and certify its accuracy. Property Ownef s Signature Date Print Name of Owner ra7-\/ Yl+J- \A/_9 I understand I may obtain more information regarding my obligations as an "employe/'from the lnternal Revenue Ser- vibe, the United States Small Business Administration, the California Department of Benefit Payments, and the California Divi- . sion 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. AUTHORIZATION OF AGENT TO ACT ON PROPERry OWNER'S BEHALF Note: A copy of the ownet's driver's license, form notarization, or other verification acceptable to the agency is re- quired to be presented when the permit is issued to verify the property owner's signature.