238 N. Paseo Rio Blanco
BUILDING PERMIT ~O. BLD2005..(}1724'
ElM
. BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE;: 434
QUARTE;R SECTION: 190
TYPE OF PERMIT
. Residential Remodel CITY
DATE: 6rrJ2005
JOB ADDRESS: 238 N PASEO RIO BLANCO
LEGAL DESCRIPTION: N TR 8080 LOT 29.
APPLICANT: TIM BRADY
OWNER INFORMATION:
Emin M Ozyazici
238 N Paseo Rio Blanco
Anaheim, CA 9280i
CONTRACTOR INFORMATION:
WEST COAST VINYL W1NDOWS
1130 N KRAEMER BLVD #A
ANAHEIM, CA 928050000
BUSINESS PHONE: 800 204-3854 .
Replac.e (1) 58" x42" window and (1} 95~x58" window (one $tory,structur~) and (1) relro window 58"x58nl (1) 58"x42~ retro fit window.
ARCHITECT/ENGINEER INFORMATION:
JOB DESCRIPTION,
VALUATION:
3,000.00
PROCESSED BY:' SAM
OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt rom the ontractor's Ucense Law for the following reason ( ec. 7031..5 usiness an
Professions Code: any city or county which re.quires a permit to construct, atte( improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's,License'Law (Chapter.
9)(cornmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is .exempt therefrom and the basis for the alleged
exemption. Any violation of Section 7031.5 by.any applicant for a permit subjeCts the applicant to a civil penalty'of not more than five hundred dollars
~50?)~s ~wner o~ property, or my emPIOy~eS with wa~ as their ~le compensation, Will do the wor~, and the ~tructur-e is no~ ;ntel.1ded or offer~d for
sale (Sec. 7044. BUsiness and Professions Code: The Contractor's License Law does not apply to an owner Of property who builds or improves
thereon, and who.dee's such wOrk himsetf or herself or.through his or her own employees, provided that suchimprovements are .notintended or
.offered for sale. If, howeVer, the building or improyement is sold with one year,bf complet.ion, the owner~builder will have the burden of proving that he
did nO,t build or improve for the,pulpose of sale). . ,:. ..
D I, as the own~r of the property, am exclusively contracting with licensed cqntractors to conStruct the project (Sec. 7044 Business and Prqfessions
Code: The Contractor's License Law does not apply to an owner of. property who buUds or improves thereon, and who contracts. for suchprojec1s with
~ontractor(s) licensed pursuant to the Contractor's License Law).
U I am exempt under Sec. , 8 & P .C. for. this reason:
Date: Owner:.
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under pe'nalty of pe~ury one of the following declarations:
o I have and will maintain.a certificate "of consent to self~insure for worker's tompensation,
as provided for by Section 3700 of the Labor Code, fix the perfc::mnance of the \lJ.ork for which
his it is issued. :
ha e and will maintain worker's compensation ins~rance, as.requilBd by ~jection 3700 of '.6flJ20D5
b r Code, for the performance of the work for which this permit is issued.: My worker's Date:
C pensation insurance carrier and policy are:
Crier: STATE FUND " Policy Number. 1725767-03
This section need "not be completed if the pel11litls foi one hundred dollar. ($100) of less.
o .1 C~.~ify that in the performance of the work. fo: whic.h. this. pefmit' is issued/l shall not
employ any person in any manner so as to become subject to the worker's .compensation laws
of Cahfomia, and agree that if I should bepome subject tothe worker-'s compensation.
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
.--.
Date: 6/7/2005 Applicant:
WARNING: FAILURE TO SECU W 'S COMPENSATION C
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER ,0 CRIMINAL P NALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR "CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agel'lcy f.or the
performance of thework for which this permit is issued (see. 3097 .Civ.C): - -.
Lender's Information:
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Busin e-
Professions C e. .
EXPIRATION DATE
12/31/2005
NUMBER
743509
TYPE
B
Construcion Tvpes:
VN, ,.
" . .
I cenify that I have read this application and s.tate that the above information is.correet. I
agree to comply with all city ordinances and state laws relating to bu.ilding construction. and
hereby authorize re . of this city to enter upon the above mentioned property for
inspection purpOses. .
Date: 6/7/2005
Fees pai~ for Permit:
Total:
72.41
. nature 'of Appl1cant or Agent
The ermit shall expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit iSSUance. A
new permit is required to commence or contfnue work.
. INSPECTION DATE INSPECTOR Electrical Final . . .
Temporary Power Pole. Plumbing Fin,,1 '.
.
Plumbing (DminlWaste Pipe) Mechanical Final .
Electrical Ground Electrode/uter .
SetbacklFormsfTrenches (Footings) . Gas Test . .'
Do not install subfloor or pour floor slab until the EngineeringlGrading Final 765-5126 '.
following applica~'e Items have been signed: . .
. Plumbing (Water Pipe.Sprinkler Valves) Fire Dep!. Final 765-4040
MechanIcal (GrOUndwork) . Water Engineering 765-5268
I Electrical (Underground Conduit) . '.
Sub listlBusinessLicimse 765:519 '. .
. Pre-slab (Compaction/Membrane.Reim. . .
Underpinning (Floor JoistlGimers) .
. Zoning 765-5139 . . . .
I !->:> not cover or conceal the work below ,until the . Building Final ~ast Inspeelion- Only 7/lalo:r -r ~I fOV"~
.followirig applicable items have been signed: . fter Above Complete J.
.1 st Floor Shear '. . . . PARTIAL INSPECTIONS .
FiR>Sprinkl\!l' (Rough) Bliildina Inspections
2nd Floor Shear .' . . ,
Roof (SheathinglDiaphmgmlFrame)
Masonry (ReinfJ8ond BeamlPre-Grout) . . . '. . .
Rough Plumbing (Top Out) . . . .
Rough Mechanical . .
I t<<lugn l:Iectrical(ury wall) . .' . . .
'. . .
Rouah EIl!ctric'lll .1" .
Framing (Only after Plbg.. Elee. Mech.. and F;re(t -- -
Insulation (SoundlEnergy) '. Mechanical Inspections
po nonape or plaster until the following applicable. .
,Iemshave'been signed: . '. . . .
.Drywall . . . . '.
Penetrations (FiN Rated) Electrical
. Penetrations (FiN Rated) Mechanical .
Penetrations (FiR> Rated) Plumbing . .'. .
Interior lath . .
. . .' . , "
Exterior Lalh . 1t/!:!1!!t. 7. Plumbina Inspections
GENERAL ITEMS ' .
Exterior PllIster (Brown CQat) 1/1Q10'j -fA'!
T -Bar Electric'll' .
T-Bar Mechanical. . ,
T -Bar Structural . .
Sewer .
Water Engineering B'llckflow. Electricallnsoections
Waler Service . . .
. .
INSPECTION RECORD
FINAL INSPECTIONS
Date
Inspector