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Home My WebLink About20265957 - PermitCity of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20265957 Pin #: 23335 l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853 Project Address: 1430 S Svcamore St Unit: A Block; NA Address Range: Historic: No q Assessor'sParcel: 013-174-20 Lot: '17 Owner: Address Christine Shippee 2375 N Riverside Dr Santa Ana, CA 92707 011 't6002 01'1 16002 011 16002 011 16002 011 16002 01116002 51603 51603 s1603 s1603 51600 5'1603 Fee Type Amount Light Fixtures 1.0'l Demolition (includes ren 45.65 lnvestigation 93.17 Penalty 234.08 General Plan Update 21.25 lssuance 52.98 Qty 1.00 1.00 1.00 1.00 1.00 1.00 Fee $1.01 $45.6s $93.17 $234.08 $21.25 $52.98 Phone: Tenant Name: Contractor: Address: Owner-Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensalion lnsurance Carrier:::,]H zuGTI .!4 / .L\lg, on9,+: .l oo [0tnI Building Use: Job Type: Nature of Work Fourplex Miscellaneous Demo/Fixture R-1 VB cEc 2016 Notes:rx**rrr**rxt89 Planning Conditions: Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Hernandez, Kalhy Date Date Date 0512412018 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total lnspector MID#: 2018-143560 $21.2s $426.89 Fee Total: Paid to Date: Balance Due: $448.'14 $0.00 $448.14 Bldg: Tracl: 1265 Suite Range: Zoning: R3 l,t'l9tInFJ:jhlPrreâ‚¬ Occupancy: Constr Type: Code:Auth+:rl Every parmit issued shall become invalid unless the work on the site authorized by such permit is commenced within 180 days aftet its issuance, ot if the work authoized on the site by such pemit is suspended ot abandoned lot a peiod of 180 days after the time the woi< is commenced. 01116002 51600 01't'16002 51603 APPROVALS DATE COMMENTS Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Lile Sarety /Low Voltaqe Fire Alarm i Dampers Communications Cable Building Under Slab / Floor Bonding / Groundinq / UFER Transformers Torqueino Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilinos (Hard & Solfit Rouoh Ceilings (T-Bar Rough) Ivleter Release Hough Service lt/eter L FINAL ,/?a/1 "7/) Notes, Remarks, Etc.r/ r/'- l\\) t - OWNER AUILDER DELCARA TON I h.rchy rmrm unner pâ‚¬ulry of F jury rhdr I m q.mpr ton rh. Contr.clon Liccisc kw ror rhc rollowinS rclsoi ( Ss.701 1.5 Busincss Md Profcsion Codc): Any Cny or Coutrry whi.h rcqutcs a Fnnil ro c.nntud. drd. imFrovc. dcmlnh nr rcnnn any srruâ‚¬ture. Irior ro irs isslanc.- ako rcquir.! rh. rp/i.d fo. such pcmnl ki filc ! silkd {nr.mf,l thtl lE or shc i\ liccn*d Punu ! to rhc rovisions ol lhc Conlructols LicenEd Llw lchlpler 9. Co m.ncin! sith Scclion TOlXl ol Dirhn,n I ofrlE Busnr$ ond Profc$ions Codc) or rhat nc or shc ir cxcmtrrhcrcrmm rnd lhc basil lor rhc 0llcsed cicnPrion Any viol.'ionofScclion?0:11.5 by 3iy npnlic!trr tur apc.nrir iubj(hlhc lmlics lo acivilpcnallrolnot m,rcfi nr. hundrcd dolles ($5001 -1.asowncrotrhcpropcny.ornycnplo)rc\wirhwnScsasthcnsb.omDcn\srion.willJorhcwork. rhcslmr@i\ n inrcnd.rl or ofrcrcd ror slc (se.7044. Businc$ .nd ftofc$ions C(lc l hc Cotrt..ror s Lkcn{ LIr doc\ nor lPlly tu nn oskr oi rhc pml)cny who hu ilds or inDovcs ilhr1, Md who d,B such $olt hnnsclf ot hcr*ll or rhn gh ht or h.r own cnnt,yccs, l(,lidcd rhrr such nnfrwnrnh !rc ftrl irtcn lcd orofer.n hr ets la h.*e*r. rhc hrildi.e ur irr{rxlmnt is hU $irhinon. far o, on{kiiu. rhc Ownd Build.r will h.\r lrE hordctr oi prcviry lhnl hc or \hr dil i.r huild or iNpmrc rhc ,rmldy Int lhc Puqxxc ofv )C,. *.**,nr* ^,.nr. amcrchsnclycnnracrins pirh liccnid.ontm oF r. connrua rhc polst (se.7o+1. Busincssumd hof65rn Codc.Ihc Crnrmroic Liccn{ Low docs nor.pplylo anowne! olproFny }ho builds ot improvcslhcrcon snd who onlmctsfor such pmrcts wirt ! Connero(s) lt.oed pu*uanl to lh. Cotrtractor's l-iln* Lau) I rmcxcml)r uNlcr Scdion-. B ','",9^ 27-/f I h.rcby alrtr undcr pcMltyofpâ‚¬aJu.yonc ofrlrc f.Uowing deldolionil -l hovc und will nDi' ainrC.nificolcofcotrsnlroSclllnurclorsorkdl ..mt'.nsari.. as !ru{idcd ftt bysccrirn 3?00 otlh. Ijbo! Gde, lor ihc pdrormre or rh. work for whth lh. I,cmil ir issucn , hdvc trnd willmiinrrin so cri .ohpcnrarion inslratc, &r r.qut d by Sc(rion l'700 6f rhc t$.r Codc. for tlE !'crforEN of lhc lork foruhich thh pcn r Lr iqiEd M, *orkcB mmF.sario. insuron.c cnicr and Flky nu'nhn * CrE.r- Pol'cyNurhcr -f \ni'. XI mn'lr rhr rhcr.r,nrmnccol'thcrorllq trhichtnnF"nr n hsucd.I \hnllTr/.o\. r" t'ccnnr.ut'rco r, rt,c *orI.F' rcn{,.nsiron |.tr\ or ( rlrr.mE.,rd JE're rh.r I c.rlloy lnr Ii.rY,n if rDy [0mr should h.\onE sullcr ro i,L wo,kâ‚¬G' codrcniario. pmririons of Sdr ion lr00 oa lh. t tIr Codc, I rlEll tunhsith conDly wilh lhoE pnlnionr. wlrurrxci ltitrr" t or. *,trkctr .onpensariotr .ov.age is unlouftil. snd shsll subr.lr an cmdoFr lo djni.al Fmxi.s oxl civil fincs !I) ro om hundrcd (hou{nd dols ($loo.mo). i. addition lo rhc cdr or conp.nsolion. drmges sr pr6rid.d lor ihc Sdnn l0Toorlhc l!h.r Cudc, nrcEd ond rtrormy s lccs*'"i'dtl-tf ^,,,@ I hcrcb, arn6!.der p.naxyorl. juryfial I .!n liens{ undcr ,'mv isio n of Chapl$ 9 (comnEncins with Sccri.o 7m0) ofDivision 3 of thc tslsimssand Preicssions Codc. tid myl,c.np k in 6illfora ird clfsl. CONSTRT]CTION I FNDIN(; A(;ENCY I hftby rmrnundcr Foaltyoipcrjury rhbr rfisc h r c.nnrudi.n htrdinS.rency lor lhc pnformncc ol rhc qork lor *hich rhil Frnrir h t\tcd (Sc. .11)97. Civ C.) a.tfucArfD[g,aa r!]N I IER'by lltimr undcr n nalry of pqjuty onc or rhc folbwnr8 delrrl ions Ddn'lirion P.rnir*Asbcstos Nolificolnrn Fcdcral Rcglhn,ns (Tirlc.t0, P.n6) -R.q!ird rxn.rorNolifi .dion -lccnifyrhar rh.lcdcralrcsxlrrio.s rcaffding osE(slo\ rcnrr3l arc lor atpli. lchrhisIn]cCI X*:r ily rhrt I l c 'cnd rhN rtDlicdi,r nRlnxr. rhxr rh. xhrr i'rln'i nr kcorccr IrsrNk'..mpltwnhillCilyarlCounr! rizc r$rascnrrriE! ofrhi\ Ckr rtrd Counryro cder rt.nrhr\ and Shrc Llqs rchliry lo l,urld rb.r. mcnrnnrd nioF-.ny tur i sF_cl L)44.1P ,,,",f4tut iIGZ,i ELECTRICAL-INSPECTOR RECORD ID/SIG. Liccnsc chs -Liccnsc Numbcr, - Drr. - Conlrmlor txiJ.i\ Addrs - ,\pplnxnl or.'\[$l Sirn lurr --------r------ I I\,IAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCIL[,,!EMBERS P. David Benavides Vicente Sarmiento Jose Solorio SalTinajero Juan Villegas ACTING CITY MANAGER Gerardo Mouet CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar CITY OF SANTA ANA PLANNING & BUILDING AGENCY 20 Civic Center Plaza P.O. Box 1988 . Santa Ana, California 92702 www.santa-ana.orglpba NOTIGE TO PROPERTY OWNER improvements specified at \.502 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. CTIONS: Read and initial each statement below to signify you understand or verify this information. ld inUI 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" g 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 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 ers on my property 2. I understand buildin g permits are not required to be signed by property owners unless they are responsible for nstruction 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 tect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name d of my own 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license ers on permits and contracts 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the I value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an r" under state and federal law 6. I understand if Iam considered an "em ployel' under state and Federal law, I must register with the state and eral 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 us financial risk de 7. I understand under California Contractors' State License Law, an Owner-Builder who builds single-family ntial structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by SANTA ANA CITY COUNCIL mpulido@sania-a.a.oro Mayor Pro Tem ward 2 mrmarlr.e2@sa.ra-a.a oro V ce.le Sam'enlo vsarme.lo@sa.1a-a.a oro P Oavrd Benavdes dbe.avidesAsanta-ana.ora Nl eoas@sanla-ana oro sl.aiero,Asanla.ana oro Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATON iso oio@sa.la-aia oro licensed subconkactors and the number of structures does not exceed four within any calendar years, or all of the work is rmed under contract with a licensed general building Contractor 8. I understand as an Owner-Builder if lsell the property for which this permit is issued, I may be held liable for any cial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the anship or materials 9. I understand I may obtain more information regarding my obligations as an "employer, from the lnternal Revenue e, the United States Small Business Administration, the California Department of Benefit Payments, and thetc ifornia Division of lndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CS ) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors 0. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am rty legally and fi cially responsible for proposed construction a ctivi ty at the followinn 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by plicable 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 ation 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 OwnerBuilder 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. form notarization or other verification ted when the ermit is issued fo the o nature. Signature of Property Owner Date 9-24-rf a I Scope of Construction Project (or Description of Work):_ 1/ Project Location or Address 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 file the documents necessary to obtain an Owner-Builder Permit for my project. 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 Owner's Signature Date Mayor Pro Tem. Ward 2 mi0aninez@santa ana oro V cenre Sa.mienlo vsamenro@sanla-a.3 orq isorono@sa.ta-ana oro P. Oaed Benavrdes dbenav des@sanla-ana oro ivleoas@sanla-ana oro str.alero@sanla'ana.oro 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. Note: A copv of the propertv owner's driver's license, Print Name of Owrrer: Nole: A copy of lhe owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. SANTA ANA C T/ COU\LIL moul'dor@santa a.a.oro