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Home My WebLink About20172895 - PermitCity of Santa Ana 20 Civic center Plaza (M-19)' Santa Ana, CAg27o2 Electrical PermitCounter: (714) 647-5800 lnspection Requests: (714),667-2738 lnspector Section: (714) 647-5853 N Permit #: 20172895 Pin #: 32908 Project Address: 2718 W Pendleton Ave Assessor'sParcel: 408-225-04 Lot 169 Unit: Block: NA Bldg: Ttacl: 2260 Address Range: Historic: No Suite Range: Zoningr R1 Owner: Address Phone: Tenant Name: Contractor Address; Nlna Lara 2718 W Pendleton Santa Ana, CA 927044922 (714) 334-3s67 Owner-Builder 01 116002 5160: 011 16002 5160C 01116002 5160: 01116002 5777C Amount 57 .40 23.79 59.30 4.05 Fee Type SerY Meter General Plan Update lssuance Microlilm Records Qty 1.00 1.00 1.00 1.00 Feo $57.40 $23.79 $59.30 $4.05 Phone State Lic #: Lic Type: Bus. Lic #: Workers' Compensation lnsurance Carrier: Policy #: Expires; ll i1 {teIteI oI r'r I I 1.1[0 I I e(t-r r frl I 1.(r-r0 ll i crsf r rl1 I l6trl Building Use: Job Type: Nalure of Work: Planning Conditions Planning Approval By Plan Checked By: Permit lssued By: Subject to Field: Building Permit #: Single Family Dwelling Miscellaneous Sewice Meter (,\\,ernandez, Kathy Occupancy: Constr Type: Code: R-3, U VB cEc 2019 Notesr handout given Misc. Receipt: Misc. Receipt. Misc Receipt: Total o3toal2021 Account# s 144.54 $0.00 g'144.il Every pemit issued sha becorfle invalid unless the wo* on the site authonzed by such pemit is commenced wtthin 360 days after tts 'ssuance, or if the wo* aulhonzed on lhe site by such permtt s suspended ot abandoned fot a penod oi,360 deys after the tirne the wo is comhen@d lnspector MID#: 2021-164713 $23.79 $116.70 $4.0s Fee Total Pard to Date: Balance Due: Date: Dale: Date: 01116002 s1600 01116002 51603 01116002 57770 ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDf, R DELC RATION ! h.rcby rfnfln uftlcr FMlry ol pc4ury tur I d ci.mFr fDd rlE conhrou Li...sc l,* ror rlE tolb*int E!r,i (s...loll tl Brline$ un Profc$ion Cdl.)r Any Ciry or C@nly ehEh rcqut s r Fmil lo mnslruci- !X6, irttow. dcmli$h or qnn e, sturuB. lrnr k, i's isruBc. .ts ..1luir! rh. {Tlicsnr lor 3kh lr nii ro fiL . ri8md i.r.m lhr lr oi rtE i liansn tuMnr ro ilE F.virioN o, trE ConrBkr'r t,t.nEn Lrw (Chlrlcr 9, Comrcins *i$ S{ri,r 70@ .t Diritio. :} or lh. ButiEs ud Pm6si,ns corl.) or fid hc or rh. is crcn$ rterhm ud rh. bdir ror thc rlh8.d cr.q{bn. tuy vbL! krn or S.{rion 701I J b, on} apdic.nr lot , Il.mir ruhr..h rhc {jljlkrnr ro s .ivil p.Exy of .or mE ilEtr li}. hudrcd dollor t!5lD) -1. .s o*F ol rhc FoFnr. or ny.rqrkrrcr wft v.8ca I rlxn sb mnlPcns ion. ril do llE {st.td lE il.lErE i\ t ifl.rLd tr o,LEd rd ek lsd ,0,&. Bs!i6! dd Pnacsrnnr Cod.: TIE Coftroi. tirM r:w &f,r ml .IlPly lo x 0*6 of rlE Flpdr, wh, h'r& or iqmB llEsq.,n pb.16 st slt limElrd lEr*lror itu !hhisdlE os..flPbyti pmvilcrt rttr sh in{hvmn.G ml hqi.d orollod fc sl.lt hoM. E hlildii! d iqmern n$B *irhi. c }q, ot@'rd.rbtr ilr O{F Buildq wil IEE llE lu&n of Fodrs tlEl lE or !|E dn d{ t iu or ingroE 0E F{Fly lor 0E F4oc ol l. N o*No, rlE F)t'cny, .r ct luiiv.ly $ rrrring *irt liâ‚¬n*d.ontdoB ro oNMr lhc t,trFcr (Je( ,04r. ou!r$ ,d A.rsi{CdL Th. (t nrruktrl t.ic.nE L"w d6 r lmly . who conlncrs for such ptr).11s wirhac. Edonslk..*d (.,4/b> D&CLANAID! I hcr.by rl,n u $ Nnrlry"iBrluryotrc Irhcn,l[r*ir]Sdccl3rJri(,N: I h!v. dnd wilr nuidrn u C.n ililrc ol Consctrr ro Self l.s!r. tor $o+s cddp.ns.iion, * rovirLd lbr by Ss-l id 17(n ol I h. libor Oxic, nn rh. lx onNr. or rhc rod n, *hich rlE rf,ln n nsucd _l hrvc and wi ll mintnin sorl.rs .omr.nsnrn]n insur!.cc, !s rcquncd by sNt ion 17(x) ol rhc Litx* GrL, l ltu IdroiirrR or rh. *ork fnwhichrhir n n ir rrkrl Myeorkcn cnryEneliotr insunmcc ir {d poli.y rumtr, dc -l editr rhr in rrr Frlormftc olir roil ld Bhth rh's Fmit ir askd.l slEll mr cnptty rn, F$n in any MN s ar ro lx<om $hfrr ro tlE *rtd $ngENlirn Lus of Crifomia. and as@ rhrr if ! 3notrld b..oft rubFr lo llr rolrdr' d,qEnsri,n l,ovirbn* or sr11i,n .11X, oa llt ljru Cod.. I {sll fodh*irh 6n?ly *nh rhoE Frvisionr. lVAlNlNG F.ilurc lo $urc cd nncs ut lo oe hu'rlrcd I SNrio. 1076 of 0E kh" CGlc, *ortdl onq{treri'n n'hogc h mh*tuL dt rhdl sub}rl hous'n d{nl6 (tlOOlxD,, i. {rdnbn b ilr o{ of.qilE s cfprrrE ro chnd lftlii .rd Nrin d.r$t d Fovild for rlE ,..?_UJ"zR-7-----:?ta)z ul:.Ll.ttsrlt!^ I h.Ehy !flirm ud.r n tulry or pfiju., rhrr I rm lien:.d !nd.. Fsrision of Chq,l6 9 (onmtuins wnh S<rbn 7(x)0) of Divl{bo l of tlr AusiEss url PmLsionr Cod., .!1d nry li...e ii i, tull r6E .rn !nd. Lninsc Nun$cr: IQITTBIjjJIONI,INDING.IAEN(I I h.EhyrIftrutulc. Irnnlryof,kttrryrhd rhc!. r\nc.n{ru.ri,n L ing a8c^_y lor rhc pcrrori,un.. olrlf wu* ntrFhahrhnFnnit i\ ksucd lse.1097. Civ, C )t ni.r'sNum:- allllgAllfD8clJSarlou I hd.by.rm lndd FMlry or Frrury oB ol $c folowing &{Lnlions: O.mlnaon P.mir Aih6r NolilE lion tu nl R.3uldioN (TilL.O. Pai6, RcariEd L.rr( ol tl(rifrrlbn -l diay rhd rl.E rcdd.l rtul&ria ESrdin8 .sbc.ros EmBl E d qliabL b fin pmid - I cdrity rh.l I lrr rc.d rhb .ppltxior.d {.lc lhll dE lboE i ortrli,n i!coGl t.!E ro onply snn Cnr.dCou' y ordhaNe\ and srar. Li*r rclran8 t' hriuins .on{Mri'n. un cnr,xk( or rhir Ciry .nd c(lury lo . s uF)n llE atx'vc m ioNJ pn,r^-'nynn in\Fi[i 03- o?-e t1!plirxni o. rrrnr si!Mrun Site-Work Underqround Pole Bases Lioht Standards Spas, Pool, Fountains Sions (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Buildinq Under Slab / Floor tl Bondino / Groundinq / UFEFI 1 'l0t z{D4.*a v Transformers Torqueinq Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soff it Rouoh Ceilinqs (T-Bar Rouqh) Meter Release 7 tlo 7A w*61 Rouoh I Service Meter 3 lo 7l w1t4 7 FINAL 2'lto A DL{L.3 Notes, Remarks, Etc. {z-zz<Communications Cable Sub-Panels Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org aPP-'|3 CBC 2016 NOTICE TO PROPERW OWNER Dear Property Owner Ana spec 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 assued 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 ACKNOWLEGMENT AND VERIFICATION OF INFORMATON DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. tl_i' 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 homeownels 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. t I L 2. 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. 11,-:-Z I understand as an "Owner-Buildef' 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. Lj-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. /L.!_5. 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 "employer" under state and federal law. /-!_:_6. I u nderstand if I am considered an "employer" under state and Federal law, I must register with the state and federa I government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment com- pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. /: ' l. 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/l 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 with a licensed general building Contractor. l'L 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- iiliii personal injuries sustained by any subsequent owne(sj that result from any latent construction defects in the workman- ship or materials. SlJf:I"''')\u)'or^12o^l'iT'y).y'2:yiii,\v?iiil,),if^pt111l''e11"+v":y2:v" propertv improvements U,L 9. I understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser- 'vice, 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.qov for more information about licensed contractors. l-' Z.to. I am aware of and consent to an Owner-Builder bu ilding permit applied for in my name, and understand that I am the party legally and fingncially Tgsponsible for proposed construction actiyity at throllowing ad- dress. )'//'t,,ir, ./(, /,'zt tl,( ',n., 7,t- ,/t,.r ,,. '/1,t, ,/ ULll .l agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all i-pplicable laws and requirements that govern Owner-Builders as well as employers. b'Lt.Iagreetonotifytheissuerofthisformimmediatelyofanyadditions,deletions,orchangestoanyoftheinformationI have provided on this form. Licensed contractors are regulated by laws designed to protect the public. lf you contract wath someone who does not have a license, the Contractors' State License Board may be unable to assist you with any flnancial loss you may sustain as a result of a complaint. Your only remedy against unlacensed Contractors may be in civil court. lt is also important for you to understand that af an unlicensed Contractor or employee of that individual or flrm is injured while working on your property. you may be held liable for damages. lf you obtain a permit as Owner-Builder and wash 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 pe rmit. /Vote: A copy of the property owner's driver's license, form notariza tion. or other verification acceptable to the adencv is reouired to be presented when the permit is issued to verifv the property ow ner's siqn atu re. Signature of Property Owner V / 14-41-'Y-zz,r{,7 ate O3^og ao2) Print name of owner .4-,r ln /z t,t t,-Trelt<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 Phone Number of Authorized Agent I declare under penalty of per1ury 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 Print Name of Owner Note: A copy of the owner'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. -:-.- *O'SNTA NAJffi Planning & Building Agency 20 Civic Center Plaza Ross Annex P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 6il7-5800 v/ ra.,,,.s ilnt:l-ani olq Smoke & CO AIarm Affidavit rNSP-02 2013 CRC This document mdy be lound at...http://rl,ni,vr. sa nta-ana.orq/pba/ (Please use a black or blue ink ball-point pen) Project Address:PsruDua To-tv Z'rl1 ?Yn S-Permit Number: Property Owner:LrrLPr-- Contractor:License #: State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential bu ildings. California ResidentialCode (CRC) Section R314.1and R315.2 states in part that existing dwellings be "retrofitted with smoke alarms and carbon monoxide alarms. CRC Section R314.3 and R314.3.3 define the required locations. f\ro,n boxes below must be checked: E Carbon monoxide alarms: Are installed outside of each sleeping area in the immediate vicinity of bedrooms and also on each level of the dwelling. Alarms are required in bedrooms with gas-fired appliances (i.e. hot water heater, cooktop, furnace) or a fireplace. d S-ok" alarms: Are installed in each room used for sleeping, in each hallway outside of a sleeping room, and on each level of the dwelling. Retrofitted detectors may be battery-operated for buildings where no interior alterations are performed. Combination Smoke/CO alarms must comply with all applicable standards and be approved by the State Fire Marshall (SFM). Battery life must be 10 years. I hereby certify that I am the contractor or the property owner of the above project. I further certify that smoke alarms and carbon monoxide alarms have been installed in compliance with the governing Codes and have been tested to be functional. l, also, hereby certify that I will retest the alarms per the manufacturer's instructions. lcheck onel tr License ontractor Property Owner NOTE: Ihrs sef-c ertificotion is only used lor projeas thdt affect the EXTERIOR ol the sttudure. This process is opplicoble ONLY to projeds wherc occess to the inte ot of the dwelling by o Sontd Ano lnspector is not required. Signoture:Dote:03_ /o- aoat Have this completed form and the job-card readily available on final inspection! 27tg N