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Home My WebLink About20163641 - Permit (2)City of Santa Ana Permit Counter: (714) 647-5800 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 20{ 63641 Pin #: 13697lnspection Requests: (714) 667-2738 lnspector Section: l'714) 647-5853 Project Address: 941 W Bishop St Unit: Block: NA Bldg: Address Range: Tract: MORSE VILLA Hisloric: No E Assessor'sParcel: 010-121-43 Lot: POR 16 Owner: Address: Robert Canvin 941 W Bishop St Santa Ana, CA 927034806 Fee Type Amount 125 Volt Receptacle 1.40 Light Switches, Occ. Se 1.52 Light Fixtures 1.01 General Plan Update 21.25 lssuance 52.98 Qty 20.00 30.00 20.00 1 .00 1 .00 Fee $28.00 $45.60 $20.20 $21.25 $52.98 Phone: Tenant Name: Contractor Address: Owner-Builder Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy f: Expires: Building Use; Job Type: Nature of Work Single Family Dwelling Miscellaneous Electrical Occupancy: Conslr Type Code: R-3, U VB cEc 2016 Notesl Planning Conditions: Planning Approval By Plan Checked By: Permil lssued By; Subject to Field: Building Permit #: \$"rn"no"r, rrtny Date Date Date o7t't012017 Account# Misc. Receipt: Misc. Receipt; Misc. Receipt: Total Every permit issued shall become invalid unless the wo* on tha sile authoized by such pemit is comnenced within 180 days aftet its issuance, ot if the wo* authoized on the site by such pe.mit is suspended or abandoned fgt a penod ol 1 80 days aftet the time the wo* is commenced $168.03 $0.00 s168.03 lnspector MID#: 2017-137294 01 116002 51600 0'1 '1'16002 51603 $21 .2s $146.78 Suite Range: Zoning: R3 0'l 1 16002 51603 01116002 51603 01 1 16002 51603 01 1 16002 51600 01 1 '16002 51603 Fee Total: Paid to Dale: Balance Due: ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG. Site-Work Under ground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage f!1e Alarm / Dampers Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof T op Equipmenl Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilings (Hard & Soff it Rough Ceilings (T-Bar Rough) lvleler Release Rough Service Meter FINAL 8.29 -ts JJ.{,+l6t Notes Remarks EIC -1. .r uwftr nf ilE ln tEnr. (tr my.nlfk,rNr wirh wn*.\ nr ih.n y,lc .onrFi\ri i(n. erlld, rh( w,i k r] rlE { f,hnr i\ rrn idsnd oroflcrc ntr {h ( SN 7(!il, liu(irrs r. 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I hdtiy rlrm utrld |tnrli, of Frpy ' trr ol rh. f,,lk* int J.. hr.rirr l)(B'l'rin Pcrmirr-ArtEnos Ndiarlritr! ltlc,al R.r!hrrn (TrL,t0. lt.n6) -R!qutcd l.(.rol Norilrori'n I c..liay lhd rlE ldj.nl ESubrinrr E!,rtane r+Bt\ r.nr,vtrlr. n 'Wrlan t nr rhi\ pnr,.{r ',-2I c.diry rhd I lBvc rc.d rhir lmlinim Md (!lc rlB,( (n.n* inr N.otr..r l rgtuir'.on't,lrtr [rll(ir\ r'rl(nuniy onlruB-.$ !r, srrrc l,*t rchinr 1,, tlilln3 (r oh,t mnlioEn rn,Fny ntr inrF{ {Itlnntrl or ,tgrnl Sixn urr .4 -7r.',4 COMMENTS Communications Cable MAYOB Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILT,4EMBERS P. David Benavides Viceote Sarmienlo Jose Solorio SalTinajero Juan Villegas CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Civic Center Plaza P.O. 8ox 1988 . Santa Ana, California 92702 www-santa-ana.org pba NOTICE TO PROPERTY OWNER Dear Property Owner An application for a building permit has been submitted in your name listing yourself as lhe builder of the property improvemenls specif ied at 4 We are providing you with an OwnerBuilder Acknowledoment and lnformation Verification Form to make you aware ol 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 lorm 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. WNE 'S ACKNOWLEDGMENT AND VERIFICATI N F INF RM N DIR ONS: Read and initial each statement below to signify you understand or verity this information. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" ing permit that erroneously implies lhat 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 lor those injuries. I am willfully acting as an Owner-Builder and am aware ol the limits ol my insurance coverage for injuries to workers on m y property ACTING CITY MANAGEB Gerardo l\rouel CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar e 2. I understand building permits are not required to be signed by property owners unless they are responsible lor nslruction 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 rns mysell from potential financial risk by hiring a licensed Contraclor and having the permit filed in his or her name of my own. I understand Contractors are required by law to be licensed and bonded in California and to list lheir license on permits and contracts. 4 5. I understand il I employ or otherwise engage any persons. other than California licensed Contractors, and the total value of my construction is al leasl five hundred dollars ($500), including labor and materials, I may be considered an ''em i'under state and lederal law eta 6. I understand il I am considered an "employer" under state and Federal law, I m ust regisler with the state and lgovernment, 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 seflou Iinancial risk I understand under California Contractors' Stale License Law, an Owner-Builder who builds single{amily (e ntial slructures cannot legally build them with the intent to offer them lor sale, unless a//work is performed by SANTA ANA CIry COUNCIL mbul do@s.ra.ana.om Mayo, Pro Tem. Ward 2 ftf,an ne2(dsaoia.ana o.. V cenle SarmrBnro vsrnento@santa-ana oro ls010' p@sa.la ana oro dbenav,dcs@sanla ana oro illegr@rgdr:aqeJEc slnaiero@e.l:-an. oro licensed subcontractors and the number ol structures does not exceed lour within any calendar years, or all of the work is perfo under contracl with a licensed general building Contractor 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 construclion defects in the workmanship or malerials. i1/ice, t I understand I may obtain more inlormation regarding my obligations as an "employer" from the lnternal Revenue he United States Small Business Administration, the Calilornia Department of Benefit Payments, and the California Division of lndustrial Accidents. I also understand I may contact the Calilornia Contractors' State License Board (CSLB t 1-800-321-CSLB (2752) or www.cslb.ca.oov lor more inlormation about licensed contractors. am aware ol and consent to an OwnerBuilder building permil applied for in my name, and understand that I am pa rty legally and financially responsible for proposed construction activity at the following address I agree that, as the party legally and Iinancially responsible for lhis proposed construction activity. I will abide by icable laws and requirements that govern Owner-Builders as well as employers I agree to notify the issuer ol this form immediately of any additions, deletions, or changes to any of the ormation 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 Conlractors' State License Board may be unable to assist you wilh 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 ol 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' compensation insurance coverage. Belore a building permil can be issued, this lorm must be completed and signed by the property owner and returned to the agency responsible lor issuing the pe rmit. ,Vote. A copv ol the properlv owner's driver's license, lorm notarizalion, or other veritication acceptable to the aqency is required to be presgnled WIE|I the peun4E Signature of Property Owner oa:r': 1:/2:/ a Prinl name ol Owner ,7ro--/ zl /-Z-.-; AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner. lhe execution ol which I undersland is my personal responsibility, I hereby authorize the ,ollowing person(s) to acl as my agent(s) lo apply lor, sign, and lile the documenls necessary to obtain an O\,vner-Builder Permit for my project. Scope of Construction Project (or Description of Work) Projecl Location or Address *f zU. ZzsZ.t â‚¬r'- <H Name of Authorized Agent Phone Number ol Authorized Agent ldeclare under penalty ol perjury that I am the property owner for the address listed above and I personally filled oul the above information and certily its accuracy. Property Owner's Signature Date Note: A copy ot the owner's driver's license,lorm notarizalion, ot other veritication acceptable to the agency is required to be prcsented when the pemit is issued to verily the propeiy ownet's signaturc. SANTA ANA CITY COUNCIL moul do@santa-ana.oro Mayor Pro Tom. Ward 2 mrman'nez@sa.ta.ana-oro Vrcâ‚¬nte Sarmonro vsamEnto@sanra-ana.oro 60ldro@sanra-ena oro P Oavid Benav'des dbenavrdes@santa.a.a.oro v(leoas@sanla-ana.oro st naâ‚¬ro@sanla-ana.oro Print Name ol Owner: Address ol Authorized Agent:_