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Home My WebLink About30142715 - Permitcity of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA,27O2 Plumbing Permit Counter: (714) 647-5800 lnspection Requests: (7141667-2738 lnspector Section: C/14) 647-5853 Permit #: 3lJ142715 Pin #: 89{ 15ffi Proiect Address: 2018 W Rembrandt Assessor'sParcel: 412-541.05 Lot Unit: Block Bldg Tract: Address Range: 2002-2050 W Suite Range: Rembrandt Hastoric: No Zoning Phone Tenant Name: Alagappan Arunachalan 2018 Rembrandt Santa Ana, CA 92704 (310) 869-6760 Owner Address Feo Typ6 Amount 01116002 51602 Gas Syslem 14 47.95 01'116002 5160C General Plan Update 23.79 01116002 51602 lssuance 59.30 O1116OO25777CMicrolilmRecords 4.05 Qty '1.00 1.00 1.00 1.00 Fee $47.95 $23.7S $59.30 $4.05 Phone Los Pinos Landscape 10661 Frances Ave Garden Grove, CA 92843 (714) 791-5120 State Lic f 796989 Lic Type C-27 Bus Lac #: 377039 Workers' Compensalion lnsurance.Carner: TECHNOLOGY INSURANCE COMPANY INC Policy #: TWC3858693 ixpires O2lO1l2O21 Building Usel Job Type: Nature of Work Planning Conditions: Planning Approval By: Plan Checked By: Permit lssued By: Subrect to Field: Building Permit ,: Single Family Dwelling Miscellaneous Gas Line Occupancy: Constr Type Code: R-3 VB cPc 2019 Notes: Gas line for bbq Date: Oate: Oate:Zuniga, All Ewry petnit issued shall becorne invalid unless the wo* on the site authodzed by such pemit is commenced within 360 days efter its issuance, or tl the wo* authonzed on the site by such ponnit is suspended ot abandoned lor e petiod oi,360 days altet tl,F- time the wo* is cofimenced 01to612021 Account# $135.09 $0.00 $135.09 lnspector MID#: 2021-163570 01116002 51600 01116002 51602 01116002 57770 $23.79 $107.25 $4.05 Fee Total Paid to Date: Balance Due: Contraclor Address: Misc. Receipt: Misc. Receipt: Misc. Receipt: Total *-SNTA NA,tffi Planning & Building Agency 20 Civic Center Plaza Ross Annex Smoke & CO Alarm Affidavit rNsP{2 2013 CRC Ihis document moy be found at...http://vr,',vr.santa-a na.orq/pba/ (Please use a black or blue ink ball-poinl pen) Project Address:t+1t) w $.n.b-eson PL 20 t -l Z'7 -7 -'7Permit Number: Property Owner:{\ a..,I L<- Contractor:ng â‚¬LP-'lP, c License #:7+89q6 State of California requires that smoke and carbon monoxide (CO) alarms are installed in residential buildings. California Residential Code (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. 6\ aoth boxes below must be checked: dC"rUon monoxide alarms: Are installed outside of each steeping 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. 9smoke 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 icensed Contractor Pro erty Owner NOTE: Ihis sef-certification is only used for projects thot allect the EXTERIOR ol the structurc. This prccess is opplicoble ONLY to prcieds wherc occess to the interior ol the dwelling by o Santo Ano tnspedot is not rcquired, Dote ,)LI,^W" *\..," h Le-Signature: Have this completed form and the job-card readily available on final inspection! P.O. Box 1988 (M.19) Santa Ana, CA 92702 (714) 647.5800 v/ ra.,/. s i nt:!.i n a. ofe I -7t $Lg t understand I may obtain more information regarding my obligations as an "employer" from the lnternal Revenue Ser- rice, the United States Small Business Administration, the California Department ot Beneflt Payments, and the California Divi- sion of lndustrial Accidents. I also understand I may contact the California Contraclors' State License Board (CSLB) at 1 -800- 321-CSLB (2752) or www.cslb.ca.qov for more information about licensed contractors. l+L t O. I am aware of and consent to an Owner-Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for propo$ed construction ectivity at the following ad-dress: U-?ta \,'l - +\enclzP gtr, (L \\ L f f . 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. $ ( .f Z. t 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 flnancial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in cival 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 responsable for verifying whether or not those Contractors are properly Iicensed and the status of their workers' compensation insurance coverage. or oth verification acc ble to the enc is uired to be resented when the ermit is isn ued to th Signature of Prope(y Owner til IDate: 2 IZ Z) Print name of Owner l+ A N $ve AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Scope of Construction Project (or Description of Work) 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 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 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. 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 propeft proDertv own e r's si o n atu re. I ll Excluding the Notice to Property Owner, the execulion of whrch 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. Project Location or Address: Planning & Building Agency Building Safety Division . 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-s800 www.santa-ana.org APP-i3 CaC 2016 Dear Property Owner: An applicati specified at on for a building permit has be n submitted in yo ur nam e listlng yourself as the builder of the property improvementsAt We are providing you with an Owner-Builder Acknowledoment and lnformatjon Verification Form to make you aware of your responsibilities and possible risk you may incur by having thas 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, slgned, and returned this form to us at our omcial 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 D/REC]'/ONS: Read and initial each statement below to signify you understand or verify this information H I . f. f 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 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 prop- erty. $ L2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not haring a lacensed Contractor to assume this responsibility. i\ I .3. 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 flled in his or her name instead of my own. t-L.O ' understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. -tLS t understand if I employ or otherwise engage any persons, other than California llcensed Conkactors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. -lA L O. t understand if lam considered an "employel'under state and Federal law, lmust register with the state and federal government, withhold payroll taxes, provlde workers' compensation disability insurance, and contribute to unemployment com- pensation of each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. )tL Z. t understand under California Contractors' State License Law, an Owner-Builder who builds singlejamily residential structures cannot legally build them with the intent to offer them for sale, unless a// work is performed by licensed subcontrac- tors and the number of structures does not exceed four within any calendar years, or all of the work is performed under contract with a licensed general bualding Contractor. -$G ' understand as an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any finan- cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workman- ship or materials. 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I l,N 'c lr1l!aml'rirntr,d {ftrl tlr!h,!r ln3Rn'(nnplv *ilr ill ciry r (-,'utrr) ord'off.cr mJ Srdc Ii*s ddinq n, hu'lJin!.o.nrudirn. rlitr. rrntD&tlnn'It.rrvnr trlt.(nnpury,e\ !n (ha cnr- rnn (irnr) n) .n(r uFr rll rrplrrtrr o. A[dr sisBt'F -T-----l Site-Work Underoround Pole Bases Lioht Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor I Bondinq / Groundinq / UFER A Transtormers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Faclory Wired Unil Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soff it Rouah Ceilinqs (T-Bar Rouoh) Meter Release -l/ Rouqh Service N,,leter FINAL al ,''7/ L , Notes, Remarks, Etc.ll -) I I I lDKtv/ glllrau{Jt!}lltlpllli-atiErtf. I h.rcby .iUnn !nd$ Folr\ ot txriur\ rh.r rlr( ir , oNMrh l.dn8 .3cFy ft, rhc FrfirlME. or ihc *id nr *irh thr lEnd nnskJrso. 97 c'\ a r i-arlr-{- |