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Home My WebLink About20265961 - PermitCity of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2026596{ Pin #: 93978lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853 Project Address: 2901 S Spruce St Unit Block: NA Bldg: Tract: 5653 Address Range: Historic: No Suite Range: Zoning: Ri q Assessor'sParcel: 140-243-01 Lotr 68 Owner: Address Juan C & Rosa-Salvador Cruz 2901 S Spruce St Santa Ana, CA 927046228 (714) 315-9982 01 1 16002 51603 01 1 16002 51600 01 1 16002 51603 Fee Type Light Fixtures General Plan Update lssuance Amount 1.01 21 25 52.98 Qty 600 1.00 1 .00 Fee $6.06 $21 .2s $52.98Phone: Tenant Name: Conlractor Address: Owner-Builder Phone B(lLih+:45t61 - :'il? offiie! (:lYH lrn hl{Dt.+: [l??7r:131U - Trcnsoct ion foto I t$;:6Ll Ref +: ?[t i/24/2fi18 4t *Bi It lqlr & Ros(r-S(llvfldor (:f u; Occupancy: Constr Type Code: R-3, U VB cEc 2016 6enerql Plon [Jpdote FeE x1 1 I 60U11- :.i16t-ttrltt|(- ElPCtr ic(l r11116(r02- t 1 6 r.r:ir-rtltr- llclsten Cqrc C(.+ : r*r**x*x*xxx4464Building Use: Job Type: Nature of Work Notes: Legalize outdoor lights. Planning Conditions: Planning Approval By: Gueva erry Date: 0512412018 Plan Checked By Permit lssued By Subject to Fieldl Building Permit # B Teri Date:o5124t2018 Account# Every pemit issued sha valid unless the work on the site 01 116002 51600 01 116002 51603 $80.29 $0.00 $80.29aulhorized by such pemit is commenced within 180 days aftet ils issuance, ot if the wotu authorized on the site by such permit is suspended or abaodoned fot a penod of180 days aftet the time the work is comnenced lnspector MID#: 2018-143571 $21.25 $59.04 State Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance: Carrier: Policy #: Expires: Single Family Dwelling Miscellaneous Fixtures Misc. Receipl: Misc. Receipti Masc. Receipt: Total Fee Total: Paid to Date: Balance Due: At trrr^rr ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases L ight Standards Spas, Pool, Fountains Si gns (monument) Life Salety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Siab / Floor Bonding / Grounding / UFER Transformers Torqueino Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouoh Ceilings (T-Bar Rouqh) Rough Service lvleter A FINAL q+l-lv x\?bd Notes, Remarks, Etc OWNER BUILDER DELCARNTTON I hcrchy ofinm undq !.nrlry of pcrjury rhar I m cicmpr l',onr rhc Conir&rB Li.cn\d Law ror 'hc hllowin8 rc6$n (5(.?0:11.5 B!\incss aad Pmtc\snrn Codd) Any Ciry or C.Dnry *hich reqxn.s d F.mn lo condrucl. ultcr, inwovc. dcnunnh or rcprn any {tucruc. prior ro ns i\sNn.., al$ mqun ! rhc,r'dicanl lnriuch Frnrii to filca siBncd shtcmnl rhut hcor she h li.entd pu^uanr ro rhc tmvnions ofrh. Contmcrols Liccnsd L{w (Choprcr s, Commencin8 *irh Scc'i.i 700(, ot Division 3 ofrhe Busi.css and Pmfc$ions Codc)orrhrl hcorshc ncxcmpl rhcrcimm ond rhcb(sis forlhcdlLgedcxcn9rk,n Anyvirarn,nofSslhn?0l,5byBny lppli.a tq r pernir subjcch rhc rptli.anr ro a civil Fnalry oa oor mn lhm nv. hundrcd dollus (S5OO) -1. {s ow.crofrhc pmFnt. ornr, cn,rnry$\ wiih slscs as rh.ir qnc.onll.isnotr. willdo lhc wo nndlhcslnrl!rcnnor i'ncndcd orol|rcd nn sh (Sa 7044, Au\incss. dPmf.sionsCodc:1hcC:onracnnsLiccnsct wdocsnollpDlyu,nuwn.ror rlDl]n)Nny who huilds or iryrcrcs rhcNn. und sho des srh *ork hir$ll'or h.r.laor rhrolsh his or hcr ow..nplolccs. pmvidcd ihar \uch improrrmnh N mr inrcrd or oliscd tor eh lt ho$cv6. rnc hiklin8 or improwftnr is $ld withir .trc )car otonl,hlion. tlEOw.cr Auilcr willh.k ihc bunlcn ofpu)vin8 rnlr hc o! stc di{l mr 6{itl or i'ryrov. rhc pRlp.nt for rhc ptrrp.{of _1. xsowncrolrhc pmpcny. rdcr.lusirclr.ontr.rinB wirh li.cn*d.onrrnns n) o.(dd lhc proirr (SE. 7044, 8u'i'tr$ .nd Pioi*sirn Codc rhcContr.croisl,iccnscljvdmsmliftlytorno*ncrolpn,pcnyNhobuild\orimpblcsrhcrcon. rnd trho cont&rr lnr srrh pni..r\$ th (irturnnrn lircn\.(l puhumr !r rhc Conr.croiF Liccn$ ljw) ;:i424{ I hcrcby.liirn undcr rnolly ol p.rjurione of rhc I havc dd sill mdinriin a ccniaRarc ul cron*nr ro scr.lnurc f(r so.kc6 co.rrEnsdi,)n- as providc! nn bys..rion l?uloirh. Lf,bor Gdc. lor rhc Frfortunc. of rh. work for shkh I hc p.nnir ir i\su.d I hrvc rnd sillninrlni. qorkcrt co,nD.nsolbn insurancc. as rcquircd hySccrion lTO0ofrhc LihorCodc. for rhc tcrlornma ol rhc work l'or wnich Iht Frflrit is nsuct. My worter' omlcnsal ion insuraneoricra F,li.y n!'hbfi dcl -l ccnily rh.r in rlE lcrLrnBrce oirh. wo* ior *hich rhk F(nir is i\srcd. I shrlr ml cmploy ony pcrwn in rny mdnc. $ .r ro lr.o'E subi.r lo rh. workcs conrD.nsornr hwsorcalirornir. ond o8re rhll if I should bcoft \ubj.d ro rrE ro*cs conr!.nsariotr lrovisionrolSsrion l?(xl ofrhc litnr Codc- I shall.,onh*irh omPly *irh rk,s PovisntE.. WARNING: F{ilurc ro s-.'urc workcri.ompcnsdion o is unllwftrl. m{l shrll subAr .n cmpk,ts ro qimiml pculri.i and .ivil lincs uf b oN hundrcd lhousand dollar (S r of.onlrnsarn{, drnrgcs !s prolidc{l for rhc Or,", q:i 7 tv I hcrcby rltm undcr pcMhyol|trjur,(nr of('hrtrcr 9lc.nnncncirB uirh S.cri 7(xX)) or Dn i\i,r :l LMn( Numho: - Corlriclu.: CONEIf,IJCIIIINIENDA$IGENCI I hcFhy amrn, undcr rsDlry of p.rjury thrr lhm h r co6 dd!,. lcndinS aScncy for rhc ,qfotucc ot rhe utrk for which rhh ,qmil k hsucd (S(. 1097, Civ. C.). ATfLTIANI.DECLAMIION I tsEry lrm onder Fnllry .l perjury o* of lhc rollowing dcclsal ions Dcmlirion Pcrmik'Ashc(os Notificlri,n F.dcdl Rc3rlarioni (Tirlc.10, Pan6) -R.!uircd t lrcrof Notiarcarhn irharrhc lcd.rrlrguhrdN r.rrdin8ast {.srcnmvrl0rc nol aapliuhlc ro rhhprojc.i yth,i lhrvc rc.d rhisrffli.rrionaftl narcrhnr rhc,tnrc inri,nrori{,. i\con cr IrgrLrrocomplrwilh!llCirrrndCounr, snnd Shrc L'wsrchtins b hlildin8 conntucrion. uxl hcrchr_atrhorir.rcprcscnrdNcsoilhiCiryrnd Cou.ryh c rcru|rnlh. n rd ablf,ny rir ir\lxctior ,,,,f ,nn,,, .(o> Cr.a- ,",. ,l(zs\td I Meter Release td .l rl* Bu\ircssand Pr. icssio n s Codc. lnd nry liccnsc h ir lnll Inra rndcffccr Gndcr's Addrc$'- T IVAYOR Miguel A. Pulido MAYOR PRO TEI\,4 Michele Martinez COUNCILIVIEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinajero Juan Villegas CITY OF SANTA ANA PLANNINC & BUILDING ACENCY 20 Civic Center Plaza P.O. Box I 988 . Santa Ana, Californaa 92702 www.santa-ana.orglpba 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 improvements specified at 7o We are providing you with an Owner-Builder Acknowledoment and lniormation 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. \u 1. I understand a frequent practice of unlicensed persons is to have the prope(y 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 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 property. 4LZ. 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. ')U S. 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. 5? 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. '(t S. t 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. S1O f 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 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. 5CZ f 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 ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Earvalho CLERK OF THE COUNCIL lvlaria D. Huizar mollido@sâ‚¬nta am oro Mayor Pro Tem Ward 2 mima.llnez@sanla-ana o.o vicenre Samienlo vsamiento@sanla-a.a.oro P Davd Benavldes dbenavidesiOsanta ana oro ivilleoaslosanta-ana.oro slina ero@sanla-a.a oroisorono@sanla-an6.oro 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. J - 8. I unlerstand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any fin-ancial or personal injuries sustained by any subsequent owne(s) that resulifrom any latent construction defects in the workmanship or materials. _) -S t understand I may obtain more information regarding my obligations as an "employer" from the Internal 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 1-800-32'1-CSLB (2752) or wrywv.cslb.ca.qov for more information about licensed contractors. 5O rc.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: ) L t I . I agree that, as the party legally and financialty responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner-Builders as well as employers. 5 Cp.l agree to notify the issuer of this lorm 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 r rssurn g the pe it. Note; A copv of the propeftv owner's driver's license, form notarization or other verifi table enc ,s it issued to veri the Signature of Property Owner Date -s/z//zorx Print name of Owner Z. 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 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: 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 nolarization, or olher verilication acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. SANTA ANA CITY COUNCIL mourido@santa ana.oro Mayo. Pro Tem, Wa.d 2 mrm!rtrnezaosa.ta ana.oro Vicenle Sarm enlo vsar ientorOsanla6na.oro isolo.ioaOsanta ana oro P DaMd Benav des dbenavrdes@saria-a.a.oro v eoasrOsanla ana.oro SalTinajerc st naiero@sanla ana.oro Phone Number of Authorized Agent;