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Home My WebLink About20263604 - Permit (2)20 Civic Center Plaza (M-19), Santa Ana, C492702 lnspection Requests: (714\ 667-2738 lnspector Section: (714t 647-5853 Electrical Permit #: 20263604 Pin #: 19226 City of Santa Ana Permit Counter: (714) 647-5800 Project Address: 3221 S Deeqan Dr Assessor'sParcel: 412-152-18 Lot.38 Unit: Block: NA Bldg: Tract: 7646 Address Range: Historic: No Suite Range: Zoning: Al x O\rvner: Address Phone: Tenant Name: Contractor Address: Leonardo Aguirre 3221 S Deegan Dr Santa Ana, CA 927046614 (7',t41429-1759 Owner-Builder Fee Type Amount 01116002 51603 Oemolilion (includes rer 45.65 01 116002 51600 General Plan Update 21.25 01 116002 51603 lssuance 52.98 Qty 1.00 1.00 1.00 Fee $45.65 $21.25 $52.98 State Lic i: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires: . Building Use: Job Type: ' Nature of Work Occupancy: Constr Type Code: R-3, U VB cEc 2016 Single Family Dwelling Alteration N/V - Garage Planning Conditions: Every peftnit issued shall become invalid unless lho work on the site authorized by such pennit i$ cofimenced within 180 days attet 1ts issuence, ot ilthe wo* aulhoized on the site by such pemil is susponded or abendonod for a peiod ol 1 80 days aftet the lime lhe work is comfienced Notes: Return garage back to original permitted use. Owner authorization on file. $119.88 $0.00 $119.88 Date Date Date 07t0312017 Account# Misc. Receipt: Misc. Receipt: Misc. Receipt: Total lnspector MID#: 2017-'135514 01 1 16002 51600 01 I 16002 51603 $21.2s $98.63 Phone: Planning Approval By: Plan Checked By: Permit lssued By: Chavez, Oave<(./. Subject to Field. Buirdins Permit #: 10293414 Fee Total: Paid to Date: Balance Due: ELECTRICAL.INSPECTOR RECOBD APPROVALS DATE ID/SIG.COMMENTS OWNEI BTIII,DI:R DET,('A RATl( 'NI h.rchy imrnr !.d.r |rtuhy ot Frrxry rh.r I dn.rcmfl ltnn rhc (in R1o^ l.t.n{ ljw tr rrF l,rlr'reirrt rs! (Sd'7orl, liu\iN( 8d Pton.sirn Cixlc) Any Cily or Cr{ y ehirh rcqln.l n Jf,nnil lr, .on{E.r, rrr.r, nrtl'n'sc, ,lrnxnnh nr EFn sy itutuE. Fu h il! isruN. rlo rquiF. lh lprltdnl lor tkh rErnril ro ,ik . !i8dl illl.nEor thd lE rr sL i\ li.tr^.rl puun btlEFrvhrnoftEcl{rr.i.LktnBIl!ich,ptci9.(inEftint$nhS..ri,n7(rlroll)n&6toltllllu.i*s.nd Pmlci.b.r cDdc) orrMr tr., th. ir crcn$ rh.iclhn and 'h. llrn nr rlE rlk8cn ct.nnrifl Anyvhlnri'norSriri,n?trJl5bymy upplic!tr|lorr F nnl rut'F.lr rh. !Ft'lic!trllo rcieilpâ‚¬.rlryorfr,r trxtrclh0n lirc huRke'jd.llur!(S5(xr) pl-,.,*n,"r,**,nn, my.nlk,y(r *trh *'a.r!\rh.n s'k.rnnFn{irnr. *illd.' rh.$,ik rlrrx*u1!rn , i. cidJ .flc,.J nr qt isn 7o.l.l. 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R|,r<nrd irs or rh( ( ir t r l(i,unttrr.nr6uFr E rhr. rhtrrr)N pr)If,n!- nn i'rrIx.ri)n nuIi!{i rpprrter,.r,rsenrsr,r*run / f1q'rr' /o / ".-u*-..,,nn,,,X H,4 llV /Au lcu i.r?e ,,,,,7 /2,/ z elA A <z r,'12 n E Site-Work Underground Pole Bases Liqht Standards Spas, Pool, Fountains Signs (monument) Lile Salety /Low Voltaqe Fire Alarm / Dampers Communications Cable Buildinq Under Slab / Floor Bondinq / Groundinq / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilings (Hard & Soflit Rough Ceilings (T-Bar Bouqh) Meter Release Rough Service Meter q/h/ftFINAL , VeItU .iv nx Notes, Remarks, Etc -l T.l|AYOR MiguelA- Pulido I,AYOR PRO TEM Vicente Sarmiento COUNCILMEMBERS Angelica Amezcua P David Benavides Michele Martinez Roman Reyna SalTinalero CITY MANAGER David Cavazos CITY ATTORNEY Sonia R Carvalho CLERK OF THE COUNCIL Maria D Huizar CITY OF SANTA ANA PLANNINC & BUILDINC ACENCY 20 Crvic Center Plaza P.O. 8ox I988 . Santa Ana. Californra 92702 www. Santa - ana-org I pba 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 I'j+'::5T:qi!D2o^, J*. 5t,L A"la C"L ?a)o/) We are providing you with an Owner-Builder Acknowledoment 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 retumed 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 AI{D VERIFICANON OF INFORMATON DIRECTIONS: Read and inlfial each statement below to signw you understand or vetw this informaton. i '] t. t understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Builder" burlding permrt 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 Owler-Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Lh 2. t 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. -:LAS. t understand as an "Owr]er-Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential flnancial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. L'+ C. t understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. _:-LS. I 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 ($500), including labor and materials, I may be considered an 'employed under state and federal law. -1-L A- t understand if I am considered an 'employer" under state and Federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. t L l. I understand under Califomia Contractors state License Law, an Owner-Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general building Contractor. SANTA ANA CITY COUNCIL MP!l,do@sa.t -a.a orc lhyd Pro T6. W.rd 1 vsarm6nlo@s.nla{.. oro MMan n6z@sanla.ana oro 4A49isr.r@rda:@r-a!9 OEe!!!lc$@s3!]!:3 88!j!!t@l!!E:i!!!I9 S!-@E!p10$da:4?-e3 )=A-a. t understand as an Owner-Builder if I sell the property for which tllis permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owne(s) that result from any latent construction defects in the workmanship or materials. Ld-9. t understand I may obtain more information regarding my obligations as an "employer" from the lntemal 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 Califomia Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.oov for more information about licensed contractors. ) 1\ tO 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 and finaqcially respo!sible for propgsed gonstruc-lion activity at the following address: . ?).) t 1..t)t,c1,r r lh -!2t,, *t ll,\^ ?4 1)7c'4 ,1. A t t. 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. Jil'tZ.l 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. 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 perm it. /Vo,e. A copy of the propefty owner's driver's license, form notarization or other verification ac table to the ls to be ted when the ,s issued lo the s,nature, Signature of Property Print name of Owner Owner Date 0/2(/tz JoA v i\{r 4uio-t- AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution ol 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-Bullder Permit for my p.oject Scopo of Consfuction Pmject (or Description of Work) Project Location or Address: - 3))l 5' -0"r0t., !)<";L A r,o c4.j)l,y Clt"q qct4, d1l )aLr 1o,.,-]a 0u /-t 0Y, ril[;t Name of Authorized Agent Address of Authorized Agent:3 ) Lort e a,l '0C' Sqr/n- Ant tt|. ?+V'7 Phone Number ol Authorized Agent I declare under penalty of perjury that I am the properly owner for the address listed above and I personally filled out the above inlormation and certify its accuracy Property Owner's Srgnature Print Name of Owner: 1 o tr') vYr &u nt'L t/j( //7Dale )9!oO: a copy of tha ownefs drtvels licfise, fon nobizrtion, or other verlficstion acceptable to the agcncy is requlred ,o be prasented when the permft is lssued lo verlfy the goperty ownals slgnalure. Pirnk !',,'P5l CounlerAcriiv l), Ass.nrblyer s l'Jctr.. rc l.cpeiy Forn. t;-ir-:Ci5 SANTA ANA CITY COUNCIL MP!hdo(D$nl.-ana do Mey!. Pio Tâ‚¬m. Ward 1 !6.mdldAsnta-an. do tlM,nnâ‚¬zrOsrta-,ne ud 6AEeaou@ill&ilr,lrs OBenav'd6s6snta-anaor. RRefi. santa-anaoro S!-lrClgjOt4tijilill! '6c, rVl !t I a\ cl H{.