1748 W. Sallie Ln.
. .
...........-"
BUILDING PERMiT NO. . BLD2004-00768
-, /(~~~;,_,:i6~<_',;~\. .
1:'''';(1" ,:" l. ~$C\~
CITY &1if1l\1f:A~'1 ElM
'I\.,.~>~~([Jf![;~:~.1, j .
- . \'. :~~~).'.:-::;}f'J " . .
.' - ,,-:,1?,6k~~;)'<.-.i;;j .
8UILDING DIVISION
. 200 S: ANAHEIM 8LVD.
(714) 765- 5153
INSliECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 50
TYPE OF PERMIT
Reside~tial Addition
DATE: '4/8/2004
JOB ADDRESS: 1748 iN SALliE IN
LEGAL DESCRIPTION: N TR2722 LOT 2
. . CONTRACTOR INFORM.^.TlON:
'J F CONSTRUCTION ,
3610 LONG BEACH BLVD W07
LONG BEACH, CA 90807 '?OO
BUSINESS PHONE: 562-42F2300
JOB DESCRIPTIONMd 498sf (2-bedrooms/ bath) (HtH) . . I
i
'VALUATION:. 33,515.00 'j___ PROCESSED BY: ODC
OWNER-BUILDER.:,JECLARATiON
I hereby affirm under penalty-ofperjury.that I_amexemptfrom the Cor..tractqr'~i License Law for the following reason (Sec. 7Q31.5 Business.arid
Professi"ons,Code:any city or countywhich requires a permit to construct, a I',.:; (, improve, demolish or repair any structure, priorto its issuance: al~~.
requires the. appliqwtforsuch permit to- file a signed stat~nient that he_is iicen'sed pursuarn to ,the provieio~s.ofthe Contractor.'s License Law (Chapter
. 9}(cortlmencing with Section 7000 o.fDivisi6n 3 of the Busines~ .3"nd Professic'rs Code) 6r~~hat.heis exempt therefrom and the basis for the alleged
. exemption, Any_violatioll of Section 7031.5 by any appiicant for a permit subJ~::ts the applicant to a civil penalty of not more than five hundreddoHars
($500). '. ......... ....:1. . ... .... .
. 0 I, as ownE;_r of;property, or my .employees with wages as, their ~ol!3 9omp~r.sr.ltion, wilt" do the:'work" and_ the structure is not intel1ded or offered for
sale (Sec. 1044 Business and ProfessIons Code:, The Contractor's U~efise {}"~I COEl's not"applyto an owner of property who build_sor improves' .
thereon; and who does~udl work himself or hers~lf or throug.h t'!is of tie:: oWi:;employees', provided that~sLlch improvements ar6-00t intended.or . ,.
offered forsale~ If I however,..,thebuifding.or improvement is: sold with one yael of oompletion, the owner.,builder wHI have the burden of proving thathe
did not build o"r improve fot the purpose of sale). ",,~ , . . _ ", " "
o I, as the owner of th.e p.roperty, am.exdusiyely contracting y.'jth!icen5e'~ ~t)ntr:adors ta construct 'the,proje:ct (Sec. 7044 Business,and Professib'ns
Code: The Contractor's License Law does riot apply to an o~nerofpr6perty:yt)o builds :):^i,.nproves th,ereon, and who oontiacts for suCh projects ,with
"fl..Jfbntractor(i,{lJcense~ porsl!a~t tO,the Contractor's Licens~ L.aw).' .~
U I am exempt und€'J Sec. _____ ,8 & P.C. for this reason: _J
Date:Owr)er: , J
I . WeRKER'S COMPENSATION DECLARATION' _ r
I~erebyaffirm under penalty of pe~uryone of the following ,deClarafions: 'j
o i have and wilt .--tain a certificate 0100'1S81)t to se,lf-insure f?r wO(ke"'::i~cmp~ns;3Uon,
as provided f .Section ~700 ,of the, Labor Code.. for the performCl/lCS of !h,~\ Wo.rk for which
this per IS issued., ..- " " )'1, . ,-.
have and will maintain worKer's compensation insurance, as requIred 0',-; Sectier. ;J70C of
the Labor_Code, for the performance 'of the work for which this permit is iS$i,i::'~. .Myworker's
Compensation insura.nce carrier and policyare:' . . .. . ,It.
Carfier: 'STJ\TE FUNO Pol!cy NUlTlber. 1675765>~004
.', I'," '.
This section need nolbe completed if the pennilisJor one hundred dollars($'lC~': pi' less.
o ! certify thatin the perforrnanceofthe'work for which'this.permit jsi,ssl'e~c(l~harr not::-'
empl_oy,any per:son in _any-man'ner so as to'become subjectto the worker's ciqipensation laws
of Califo"mia, and agree that if.1 shQuld'become subject tothe.worker's.coni~;;sation .'
provisions qf Section 3700 oft.he La60r Code, I shall ith" ~ply with- th>s.~provislcn~.
APPliCANT: MANNY RODRIGUEZ
OWNER INFORMATION:
Jaime. Vital
1748 W Sallie Ln
Anaheim, CA 92804
ARCHITECT/ENGINEER INFORMATION:
I
I
. LICENSED CONTRACTORS DECLARATION
. I hereby affirm unde.r~en~~ty..of perjury .thaJ I.am
licensed under provisio,ns''Q(cnapter 9 (commencing
with Section 7000) of Divs' n'3 of,theBusiness and
Professions '9od~..
4/8/2004
Date:
NUMBER
. 716131
TYPE
EXPIRATlo.N DATE
12/3112005
B
Date: 4/8/2004 . AppliCant:
WARN ING: FAILURE TO SECURE COVEf<N~El'S
UNLAWFUL, AND SHALL SUBJECT EMPL YER TO CRIM.INAL PENAWES AND CIVIL
FINES UP.TO ONE .HUNDRED THOU~,I;\ND DOLLARS ($100,000>.'!NADDIDON to THE
COST OF COMPENSATION,.DAMAGES AS PR-QVIDE;l7f FOR IN SECTION :>706 OF 'THE
LABORCODE,INTEREST AND' ATTORNEY'S'F.r~~':'. '. _u': .
I. . . . .'. . .CONSTRUCTlON~~iNG~~ENCY ....
I. hereby affirm under penalty, of jJeljL1ry "that the~ is :a_.cor~ lending-ag, :n'=iY for the
-'.~:5;T;jr:;;i.;j~i;Q '.j; <;.",,i"V;C;j'_;.. iV,_-\t, u;;:..;;'"::1I:. t-'wl;;[:~~:;-.;~c"'t~cc:.j0:';-;:~~'y;-~':i~r---' -'~~'-----,-,-. "-.~c!:""""---_",,,~,,,____,;,-~__,_ -,
Len1er's Information:
Construcion Types:
VN, ,
OccupancY Groups:
R3" "
Fire Sprinklered?
Dwellinq,U,nits:
. Living 'Area:
NO.
1
498
,."
I certify'that I have read this application and stai~ ttaat the above information i:;correct. I
agree.to'cOmply with all city ordinances and state. laws relating tobuilding corlStruction. and
, hereby' aut ize repre tiv~ of ~his city to ~nter uponthe above mentioned' property for
insp i pur .
Fees paid for Permit:
Total:
713.35
Date: 4/8/2004
.
INsPECTION RECORD
. .,'
INSP.ECTlON
.
.
DATE
'. INSPECTOR
Temporary Power Pole .
Plumbing (Drain/Waste Pipe) .' .
'. Elect.ric:al Ground E/ect.rode/uter .,
. SelbacklFormslTrenches (Footinas)' 5 .., .'7
Do not install sub floor or pourfloor slab until the /
fC)lIowing applicable items have been signed:
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork) .'
. Eledrical (Underground Condu it) .
l're-slab (Compaction/Membrane.Reinf. /f-t9t7f1
Underpinning (Floor Joist/Girders) .
Do 'not cover or conceallhe work below until the
. fOllOWing. apPlicab.le. i.tems have been signe~ .
. 1stFloorShear. '. . . ':21lL:!l!!!!..
FiresprinkJer (Rough) ...... I .
2nd Floor Shear ...... .' .' ....
Roof (Sheathing/Diaphragm/Frame). ~/f'
Masonry (ReinfJBQnd BeamlPre-Grout) ., .,
Rough Plumbing (Top Out) '-, . "-.
Rough .Mechanical. .... . .
Rough l:18Ctr.CaI IUIY wall) .
'. Rough Electrical . .'-/
'. Framing. (Onlyaft.erPlbg., Elec., Mech.. and Fire! 'ioJ'1!!.. 1lAA/'
.. Insulation (SoundlEnergy) . 1!,I"Vk'I~ f,u
. po' not tape or pla\ltllr until the followin.g applicable. / .
,terns have. been s,gned: . . . ~.'k-
Drywan .' ". ~ '\1, (L
Penetrations (Fire Rated) Electrical' .
Penetrations (Fire Rated) Mechanical' . . .
penetrations (File. Rated) Plumbing'. .
Interior Lath . .' . ..'. '.' ..'
.ExteriorLath: '......, ;'lltJf~ "1: ilil
. ..... . . . . GENERA.L ITEMS " I
ExlerlQi' Plaster (Bra.vn Coat) . . . .
T -Bar Electrical . '.
T-BarMechaniCal
T-Bar Structural
Sewer.
Water Engineering BaCkflow
Water Service .
1
.
/:>7",
.
'./
r y
I .
,
'. .
.
./.,'
.
I
I
I
'I
-
FINAL IN~PECTION5
Electrical Final. .
Da e . Inspe_tor .
9:J7/dt- jVI..S/df"7..
~" 4J'~-ev I.
~t::>tj ~,
r( ....
.
Plumbing Final
Mechanical Final
. .
....
.
Gas Test . .
Engineering/Grading .FinaI765-51~6
..
. f'Ire Dept. Final 765-4040 .'
Water Enginee.ring 765-5268
Sub ListlBusines,s LicenSe 765-519 )hI~ 5' ;1<'.n..f / .
.
Zo.ning,765,5139 . . . .
Building Finai (Last Inspection. Only. . t r I ./
. A1ter'Above Completel. ~ r fJI!P
PARTIAL INSPECTIONS Ce~e.. .....
BUild. ina Inspecti.ons .'. '.. ~'--':1..l [-r. .
JfJ.n~'Jo.~~~.<f:~
. .'. ....
'.
.
.
.
. ..' ,
.'.
..;
.
.
.
,
.
Mechanical Inspections
.
, ,
.. . Plumbilia Inspections
'. .
. .',
.
.
Electrical Inspections
. :
.
.