2817 E. Standish Ave.
6lJILDING PERMIT NO. BLD2004-04260
/~,'~{'~~~)'~L~>
CITY Oj~~tNiHEIM'
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BUILDING, DIVISION
200 S, ANAHEIM BLVD.
(714) 765 - 5153
. ,.
INSPECTION REQUEST LINE:
(714)765- 4626
CENSUS CODE: 434
QUARTER SECTION: 134
TYPE OF PERMIT
, Repair
DATE: 11/2412004
,JOB ADDRESS: 2817 E STANDISH AVE
LEGAL DESCRIPTION: N TR 4096 LOT 33
APPLICANT: MIGUEL LUA
OWNER INFORMATION: ' CONTRACTOR INFOR~l;!'.TION: ARCHITECT/ENGINEER INFORMATION:
Ronald M Ort~ga CALIFORNIA CONSTRU1:TION & ARE REST '
2817 E Standish Ave 410 E MERCED AVE #t..: i
Anaheim: C~ 92806.. .' WEST CO\lINA, CA 9"179((DOOO .. .
, , ' , BUSINESS PHONE: f,2% 1"'-:;~53 ' " , ' '
JOB DESCRIPTION Repair of .fire damage to framing (800 square feet), dl)'lNB.:! (12QO square feet) and25 squares of composition shingles in 3 bedrooms,
. VALUATION: harr~groB8'baathroom, (Ref:!NV2004-00097) 1: 'PROCESSED BY: MSM
I:' ' " 'OWNER-BUILlJE~DECLARATION ' "
I hereby affirm unde,r penalty of perjury that I am exempt from the, ContrC:dq?.s LicenG€: Law for the fOllowing reason (Sec. 7031.5 Business anti
Profes~ons Code: any city or'cqintywhich requires a permit to construct.'<:i\l;~~r,.improvp.. d.emol!sh or repair ~my sti"uctur'3! 'prior to its issuance, also
. reqll ires tile applica nt for such permit to me a signed statement t/1at he is !['>1:"lsed pursuant to the provisions of the Contractor's 'License law {ChaptF.lr
. 9}(tommenCjng with Section 7000 of DIVision 30f the Business ;:ond Ptcfes'~>'"lS Cede) or tpat he Is dxernpt trerefron: and ~he b~si$ for the alleged
exemption. -Any violation of Section 7031.5 hy dny appJi<.~a"t frJr a pl':rmi~ $Ur,:ecls the applicant to a .dvil pennlty of not more ~haf'l-five hundred dollars
($50'G). ..J .. . . .- : . ..
o I, .as owner of property, ormy employees with wages as their sole cO'"!'\~<;:!)5ati0n. wil!~othe 'Nork. and the structure !s not-inten~ed.or offere_d for
. sale (S~c. 7044 Bus!l1ess andProfessiQns Code: The Contrdcto\'_~UCP,ll~~~ Haw ':oei not apply loan owner (Jf property who builds or improves
thereon, ahdwho does such work himseifor he-self or-through his or her o",v~~.ernr!oJ'Je~,,'prcvided that such-improvenlents are hot Intended or .
offer~d for.sale.lf, however,the building'or ji11provenll~nt is sold with O'1e y!:!;::r (\f O::lI"'1p~etiQn. t.'1e ,owner-buiJ~tjr will have the burden of proving tha: he
dId not build (If improve for tre purpose of sale). _.: . . . .
o I, as the owner cftne property; am exdu,sively contracting with r;(,:f;:1Sfo(;Y"~:r:~(Bctcrs to constrLOct the plviact (3ec. 7044 Busines::'i arrcl ProTeZ>5;Ons
Code: the Contractor's license L.aw does nor cWPly to an ownE'!r of pr(;~'eit~\,i.nhc builds (II' improves thereo~, and-who contract.. fort.uch projects with
f-lroiotractor(s) lfc;ensed pur~uant to the Contr8ctor's lice~se Law). f
.W.l am exernpt under Sec. ..8 & P.C. fofth1sreaso.'l; ~.__~_____________
. 08te: Owner:
~
" WORKER'S COMPE.NSATION DECLARATION J_ .-::-.-:...--:._ =:J
_I hereby affirm under penalty ot perjury one .of the following dodar&.ti~r.~~ ~
LJ I bave and will maintairla cert:flc<:lte ofcon:.,~nt to 'self-insure fer W;)rF..~I:;' CO!Yloensation,
:os pr~...vided for by Section 3700 Df the Labol' Code, for the r.ertorrna!'"\(;o-) otli:,~~ ,,;~..+. fOr whim
jhi p6r.niit _is issued. \ T '. .. " .:i
I have i.,d will mainta(n Worker's c;mpensa~ion ihsurance, as reu,uirad b~' Sectt.....Q 3700 of 11124/~OQ4
the Lebor C:", ,de,.' for, the pert:, o~ma:1ce of ~hework for which this permit ,is ig:'L:!",-.'5. .My workfli"'SII Dat~:
.. Compensation Insurance carner and policy are: ..
C2rrier: STATE-FUND ,..~./ .Policy Nurnbe;r. GOGB8! !~?O(,4 .
This section. need n~ be completed if the pelT'l'litis for OIW huncir~ dOllars {Si(:ft Cf_lt'Ss. -
, '
[J J certify that in the .performance cfthe -work for which this permit is ~f;'~l'E.:d. i shaH not
employ any person in a ny manner so as to become subject to til;; worker's c(';\ltlpensalion laws
of California, and agree tha-tif I shOUld become subject to the wor'..er':: CCJT.~~rnsatior.
p,ovl,ions of Soclion,3700 of the LiC;~' c0mply with ('JOse provisions, $O~~t'~cion Tvpes:
Date: 11/24/2004 Applicant: I . . _ ..-.\- ., ,Fire Spnnk\ered?
WA~NING: FAILURE.TO SECUR WORK, ""PENSA nON COVfoH,;\GE IS
U NL, AW'F,UL, AN D SHALL SUBJE'CT AN EMPLOYER TO CRIMII'<AL PEN,o:;..nE," AND l::VILII
FINES UPTO ONE HUNDRED THOUSAND DQLLARS ($100,000), ;N ADr,lflON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN,SE'~TIO~' ~706 OF THfO
LABOR CODE. INTEREST AND ATTORNEY'S FEES. '
I ,', CONSTRUCTION LENDING AGENCY .--;----:---j,
I hereby affirm under penalty of-perjury th~t there is a cciistn.1ctio/1 lendinG :_::;:encyfoi !h.~---i.
_ _r~cl:o~~_~_!'\-Ut-?__\'.''')(~''<_!0!-w~.;.~::.~,,'''''.>~~:i :;~,~::xcd{~~-3S-'}:~..ci',,-,-CI.- '_-' .'------~_ _____~l__
Lender's Information: .
LICENSED CONTP.Ac:WRS])ECl:ARATiON!
, hereby aHiriT' um\er pf::n~lty of perjury that i am
licensed unaer provisiOr1s Of qhapter9 {commencing
with Section 7UOOl of Divsio.r~2 of the Business aDd
P:ufessions C e.
NUMBER
800231
TYPE
EXPIRA TION DATE
10/3112005
B
NO'
I certlfy that 1 have read this appHcation and state.that"the above information is correct I
agree. to comply with all city ordinances and state laws relating to building cCi1structian, and
hereby authorize representives of this city toenter upon the above mentioned property for
~"-:ection purposes. .. .:' ' -
~~~~ Dote: 11/24/2004
.', ' sign;ru;;,~of ApplicantorAgent
The permit shall expire by Iimitatidn 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 continue work.
, .
Fees paid for P.ermit:
Totai:
533,70
INSPECTION RECORD
. .
INSPECTION
DATE INSPECTOR
.'
Temporary Power Pole
Plumbing (DrainlWaste Pipe) .
Electrical Ground Electrode/uter
. SetbacktForrnSfTrenches (Footings)
Do not install subfloor or pourfloorslab until the
following applicable items have been signed:
Plumbing (Water P1pe,Sprinkler Valves), '.
Mechanical (GroundWork) .
Electrical (Underground Conduit) .
Pre-slab (CompactionlMembrane.Reinf.
UnderpiMing (Roor Joist/Girders)
Do not cover or conce,,1 the work below until the
following applicable items have b~en signed: . '. .
1st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJaond BeamlPre.G,rout)
I Rough Plumbing (Top Out)
Rough Mechanical 'U'l.Q!;, /jllt;'/
Rough .aectrlcallDry Wall). . I.'
Rough Electrical ' ~/'lJ. c:.
Framing . (Only an.r Plbg" Eloo, !,Iech. and Fire) "'1/$01' . fJ2U/./;
Insulation (SoulldlEnergy) 'JfJJnr 1//4"/ /~
Do not tape or plaster until the following'a!5plicable
items have .been signed:' . ", . l,'
Drywall 7/JU IpS ff /-1J1U7
Penetrations (fiR! Rated) Electrical '. .
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath .
Exterior Lath
. . GENERAL ITE
Exterior Plaster (Brown,Coat)
T.Bar Electrical'
T -Bar Mechanical
T-Ilar Structural'
Sewer
Water Engineering Backflow
Waler Service
,
.
.
'.
'.
.
. .
II/fA (f'.
,
iT/ilof
5, ,
,=.c
FINAL INSPECTIONS Date Inspector
Electrica.l Final . ~/IM
Plumbing Final ({e (QJ I tllJL ~
Mechanical Final Slw /Ir /YZtvu
Gas Test .
.
Engineering/Grading Final 765-5126
Fire Dep.!. Final 7115-4040 .
Water Engineering 765-5268. .
Sub List/Business License 765-519 . .
. .
Zoning 765-5139
Building Final .jl-astlnspection. Only . GNp) fJ~1e
. fter Above Complete)
PARTIAL INSPECTIONS
~i,"fJE'':'w....f.--~ t-.
....d .'~~'~7 ..........
Mechanical Inspections
I
Plumbina Inspections
.
Electrical Inspections
---'-,'
BUILDING PERMIT NO. BLD2005-00027
TYPE OF PERMIT CITY
Patio Cover
,<~~J;lgC.~~~':\ '
'~~~:j~13:"'~' '~;j{\~'\
,'2";",~':"'.'YA'\,\H ElM
Iv -\~' -'I~~!
t . '"""" ,$ /1 '
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\\e~{~J~:rt~~y'
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 134
DATE: 1/6/2005
JOB ADDRESS: 2817 E STANDISH AVE
LEGAL DESCRIPTION: N TR 4096 LOT 33
CONTRACTOR INFORM':'.TION: ARCHITECT/ENGINEER INFORMATION:
CALIFORNIA CONSTRl.'CTION& FIRE REST
410 E MERCED AVE #C
WEST COVINA. CA 917900000
BUSINESS PHONE: 6269';9-5353
JOB DESCRIPTION: Install 109 sq. It. custom patio cover.
VALUATiON: 3,000.00
I ' OWNER-BUILDEJ( DECLARATION
) hereby affirm under penalty o.f perjury ,that I am exempt from the- Contract(;('s License Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, arer; improve, demolish or repair a'ny structure, prior to its iSsuance, also
requires the applicant.for such permit to file a signed statement that he is lic'~r,sed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of.Division 3 of the Business andProfessbns 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 per'mit S'ut)Jects the applicant to a civil penalty of not :rlore than five hundred dollars
~~ " ", ; ",
o I, as owner of property, or my employees with wages as their sole t?of:'l!}e~1Sation, will do the work, and the structure is not inten~ed or offered fat
sale (Sec. 7044 Bus.inessahd Professions Code: The Contractor's LicenssLaw does not apply to an 'Owner of property who builds,or improves
thereon, and-who does such Vfork himself or herself.or through,his or her O'v./il employees-, provided that such improvements are not intended or
offered for ~Ie. .If, however,. the building or improvement is'sold with one y.;;a( of oompletion, the owner-builder will have the burden of 'proving that he
did not build or improve for the purpose of sale). '. ,
o I, as the owner of the property, am exdusively contracting withlicensed:contrBctors to'constructthe project(See. 7044 BUsiness and Professions
Code: The Contractor's Lii::ense Law does not apply to an oWn~r of propert}!who bu:lds or improves thereon, and who contracts for such projects wit!)
~ontra.ctor(s) licensed pursuant to the Contractor's License Law). .
U. I am exempt under Sec. , B & P.C. for thiS reason: _.'
Date:. Owner:
I
APPLICANT: MIGUEL LUA
OWNER INFORMATION:
Ronaid M Ortega
2817 E Standish Ave
Anaheim, CA 92806
PROCESSED BY: EMA
I
-~
WORKER'S COMPENSATION DECLARATION
I hereby affil1lJ un.d~r ,penalty of perjury o:ne of the following de_ylarations: :
o I have and will maintain a certificate of'oonsenf to seif-irisure for wor~,er:s compensatic:n,
as provided for by Section 3700 of the Labor Code, for the ~rfor~ncc of t~c work for which
this perm it is issued. . .
0' I have and will maintain worker's compelOsation insurance. 'as required t;y.Section 3700 of
the Labor Code, for the performance of the work for whieh this permit is issut:d. Myworkei'.'3
Compensation insurance carrier and policy are:
Carrier: STATE FUND -
=:J
liCENSED CONTRACTORS DECLARATION
I hereby affirm under penalty ~f perjury that I C:lnl
licensed under provisions of chapte'r 9.(commencing
with Section700Q) of Divsioh 3 of the Business and
professio~. .
1/6/2005 ~ ~g-?/ .--/
Date: .' Contractor
Policy. Number: 0008811.~004
NUMBER
800231
TYPE
EXPIRATION DATE
10/31/2005
This section need not be 'completed if the pennit is for one hundred dollars ($1 O~'i or less.
o I certify that in' th.e perfonn~nce of the work for which this permit is is;,ui.d, ! shall not
employ any person in any manner so as to become subject to ~he worker's c.)mpensation laws
of 9alifomia, and agree that if I should become subject to the worker's com!i'msation
provisions of Section 3700 of the L(;!bor.Code, I shall forthwith comply with t!~o.se provisions.
Date: 1/6/2005' 'AP~licant: ~.4t"&'?'5?-'. "
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION'COVER,\GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADC!TlON TO T!-IE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION. 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY ,
I hereby affirm under penalty of perjury that there is a.cons.truction lending agO::)l1cyfor the
performance 'of thework for which this permit is issued (See. 3097 .Civ.C):
Lender's Information:
B
Construcion Tvpes:
VN. . '
,
I c.e:rtify that.1 have read this application and state that the above information is correct. I
agree to comply with all city ordinances and. state laws relating to building construction, and
hereby authorize representives of this city to enter upon the above mentioned property for
inspection purposes.
~~ ., - . Date: 1/6/2005
3ignature of -Applicant or Agent
'The permit shall expire by limitation and become null and void if the I>uildingor
,work has not passed final inspec:tion 365 days from the date of perm;; issuance. A
. new p"l:mit is required to ,commence or continue work.
Fees paid for Permit:
Total:
'523.21
INSPECTION RECORD
, INSPECTION DATE INSPECTOR
Temporary Power Pole, ' , ,
Plumbi ng (DrainlWaste Pipe) ,
Eledrical Ground ElllctrodelUfer
SlltbacklFormslTrenches (Footings)
,Do not install subfloor or pour floor slab, until the
following applicable items have been signed:
Plumbing (Watllr Plpe.Sprink"'r ValvllS)
Ml!Chanical (Groundwork) ,
Eledrical(Underground Conduit) ,
, Pr!!-slab (CompactionlMl!mbranll.Rllinf. ,
Underpinning (Roar Joist/Girdllrs)
'!JO not cover, or conCl!al the work below until the
foll6wing applicable items have been signed:
1st Floor Shear , ,
Fir!!sprinklllr (Rough)
'2nd Floor Shear
floaf (Sl1ealhIIl!llDiaphragmlFranll) ,
Masonry (RelntJeond Bl!amJPrlK;rout}
Rough Plumbing (Top Out) ,
Rough Mechanical
Rough aectr,lCaI all)
Rough Electrical ,
Framing (Only after Plbg., Elec..Mech.. and Fire) ,
Insulalion (SoundlEnergy) , ' ,
Do not tape or plaster' until the fQllowing applicable "
item~ have been sig"ed: . , .
Drywall " , "
Penetralions (FIr!! Rated) EIl!ClrIcal ,
Penetralions (FIr!! Rated) Mechanical ' "
Penetralions (Fir!! Rated) Plumbing "
Interior Lath , ' , , ,
Exterior Lath
GENERAL ITEMS ' "
Exterior Plastl!r (Brown Coal) ,
T -Bar Electrical
T-Bar'Mechanical ,
, T -Bar Structural ,
Sewer ,
Water Engin....r1ng Backflow
Water Service , ,
FINAL INSPECTIONS
Electrical Final
Plumbing Final ,
Mechanical Final
Gas Test
Date
Inspector,
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business' License 765-519
Zoning 765:5139
Building 'Final (Last Inspection. Only , ( ',' "..- /,
After Above Completel 16, ,0
, PARTIAL,INSPECTIONS
Buildina InsDections
Mechanical'lnsDections
Plumbina,lnsDections
ElectricallnsDections
BUILDiNG PERMIT NO. ' ,~LDZ003-04734
TYPE OF PERMIT
Residential Addition
/
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,CITY ~ilI!l~~'H EI M',
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\;"~~:~~:~'F .-. '.'
BUILDING DIVISION
200 S, ANAHEIM BLVD,
(714) 765 - 5153
, INSPECTION REQUESTLINE,
(714) 765 - 4626
.:
;(
/
DATE: 3/17/2004
JOB ADDRESS: 2817 E STANDISH AVE
LEGAL DESCRIPTION: NTR 4096 LOT 33
CENSUS CODE: 434
QUARTER SEOTION: 134
APPLICANT: DANIEL PROHOROI'F
OWNER INFORMATION: CONTRACTOR INFORW:TIQN: ARCHITECT/ENGINEER INFORMATION:
Ronald M Ortega
2817 E Standish Ave , " I
ANAHEIM, CA 928060000 ' '.,i:
JOB DESCRIPTIONRoom Additions and ICBO (3109-P) enclcsed polio coo,py"ed wlo pe'rilit. (HIH)'
VALUATION: 30,000:00 ~; PROCESSED BY: CAL
I _ OWNER-BLlILDEPjDECLARATION
i hereby affirm under penalty of perjury that I am exempt from the, Contrectc~~ ,License Law for the 'followingreLlson (Sec. 7031.5 Business and
Professions Code: any dty or county which requires a permit te construct. altlir; :mplOve, demolish orrepair any structure prior ~o its issu.:mce, also
requ!re::; the applicant for such perl!1itto. fiI-3 a signed sta!ement that he'is I!c.:t.sed pursu:;mfto. the provisionsof thp. Co.ntrador'~,Licen$e Law (Chapter
9)(com,nel!cing with Section 70.00 af Division 3 of the 8u~:r.ess and Pr'ofcssfS.;)~ Co.de) o.r that he i5 exempt thereflom a.nd the basis 'for the a:l~ged
7;~~j.tion. Any Viol~tio.n' af Section 7031.5 by any: ap~Ji?an~ fora permit SU;:1J.c.:.ts the applicCln~ to. a dvil ~e~alty of no~ more th.an five hundred dalla~s
o ~I, as ow'neraf property; or my employees with wages as their solecamp:kn.3ation, will do the work,' and the s~ructure ;s not.lnte'1ded or affered for
sale (Sec. 7044 Businessand Professians, Code: The Coniractor~s Licer,se';'i_~V\.' does nat apply to. an owner afpropertywhc bUIlds ar impraves
therean, and who daes such work himself ar herself or through'his o.r her o\.~ 'z,rrnJ!oye€:3. provided that such improvemL)(lts are no.Untenderl or
offered for sale~ If, however, the building or improveme:1t is sotd wr:h one-,;::::; of C(Iry,p!ctlo:!,' the o'8;1er-buiider.'JoIill have th~ burden of plaving,ttlat hI'!
~id'r:at builder improve for thep!..upose of sale). " .1,"'- " '. .~':
, as the cWrief o(th~ property; am ex'e1usive!y contracting with l'lCt:jI$l~;iJfOi1tr3(-tO:-::'to canstruc;' t.,h,e_prpjeQ,t (Sec., "tC4-t ~:Jsir.~ss a, nd ProfeSsi0ns,'
a e: The Contmctor's lJcense lawdoes not apply to an owner ('If prcpeit{j.'. hu ;::'J;l,j~ or impro.,....es thdte?~, :and.v;ho contrac.ts for :such projec5 with
?..t(ontractor(s) Iicensea pursuant tathe Co~tractor'S~i~~se L:;.w) , ':\ .,<,,;.~"
LJ I am exempt under Sec. .', &' P,C. ,cr. !ill~,2i\: ' - 1-
. Da~e: , 'Owner: ~'..! - .J -'---_---..:...--~
I WORKER'S ,ENSATION DJ=CLA~TiON -j ,_-=--.:'.lJi LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjuri ne af the following der.iara~ion$: .. r .-' . Ih'ereby:%;'~i2'riT.,i.(nd$rpen::sity cl.perJury that I ~m
o . I have c;!nd will maintain a certificate af ccnsent to ;self-insure for worj"F~,:f-;~(lmpei1S,:iion, iiGp.nsed uncler::provisllm"s cf chapter 9 (co.mmenci~g
as provided for by Section 3700 of the Labor Code, far the petformanr;e d t:'r --:mrk ~or...",hictl with Sect:Qn700C) of Divsion 3 of the BUsinE:ss and
this permit !l~~ed.,' ". .) Professians Cod<3.
D I .have'~:frld will r.laintain worker's co.mpensatlon insurance. a,S reqUired f:.t~eo:ticm 3.700 of '3/1.7/2004
the LabOr. Co._de, for the performance of the work for which this permit is i;;;'-'l"kJ, My' work~r's Date: Contractor
Compensation -inwra'nce, carrier ~nd poliCy are: ; .
Carrier: Policy Number. NUMBER F.:XPiRAf-IONDATl::
I
~ection need not be completed if the pennit is for one huncired dollars' (:;1 on .')r I~s.
2r:.l../certffy that in the perfarmance ~fthe work for which this permit ~,iSSU~~,! ifYJ!I !lot
employ any person inany, manner so as, to become subject to. the worker'sc(:r,~perjsation laws
of Califoniia, and agree..that if I shourdbecQm . to ttie-worker's'~Gor:-;;\iq~.]~~pn
proviSions of $ecti.on 3.700 of the labor C e" I shall rthwi mpliwith n;:s~:ptoviSions.
Date: 3/17/2004 Applicant: :~
WARNING: FAILURE TO SECUR RK R'S COMPEN nON COv~f;\Gf;'cfS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN,.' TIES:AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), INADc:nONTO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEG1If)N:~706'OF THE
LABOR CODE, INTEREST AND ATTORNEY'S'FEES, ."
I CONSTRUCTION LENDING AGENCY-:.,
TYPE
Construcion Types:
VN, ,
Fi~e Sprjnkl~red?
LivinQ Area:
Patio Area:
NO
357
135,
I
!.- -,
I hereby affirm under penalty of perjury that there is a construction leodir.c",n;!':;;"'1t:"yf;:.r the
pe;1or:-;,ance of tbe work ror~.'\'h1ch !his.per!J1it i5~su~d (See 309/ .ct,j'.(:;t:,_~'~_.~' _~____.
Lt::'nat;H'l;> inl'..:;manOI1: '.
I certify that I have read this applicatic)O and state that the above information is correct. I
agre~to comply with all city ordinances and state laws relating to building construction, and
hereby autharize re re ntives 0 IS dty to enter upon the above mention6{; property for
inspectio.n pur s. '
Fe~s paid for Permit: '
Total:
725.02
Date' 3/17/2004
Signature a plicant or ent
The permit shall expire by limitation and become null andvoid if the building or
work has not passed final inspection 365 days from the date of ~,",it issuance. A
new permit is required to commence or continue work.
.
>-
INSPECTION RECORD
INSPECTION' , , , DATE ' INSPECTOR' I
Temporary Power Pole
Plumbing (DrainlWaste Pipe) I
ElectricalGround Electrode/uter A
SetbacklF'ormsfTrenches (Footings) " '..8Jfp - /"lA J I
Do not install ,sub floor or pour floor slab until the
following applicable items have been signed:
Plurnbing (Water Pipe.Sprinkler V,.lves)
Mechanical (Grouhdwork) , " '
Electrical (Underground Conduit)
Pre:Slab (Compaction/Membrane.Rei nf.
Underpinning (Floor Joist/Girders) ,
Do not cover or COnceal the work b,elow unt.l the
following applicable items have been signed: , '
1st Floor Shear
-
Firesprinl!ler, (Rough)
2nd Floor Shear,
ROof (Sheathing./DiaphragrnlFrame)
Masonry (ReinfJBonil ~imlPre-Grout) , " '
Rough Plumbing (ToP,Out) ,
Rough Mechanical " ' "
Rough Bectncal (Dry Wall)
Rough Electrical ' , ,: , ,.
Frami_ng . -(Only after Plbg.-. Elec,,' Mech and Fire) 'J-"-~
Insulation (SoundlEnergy) _<<-/rl' L
po not tapec:,. pla~ter until the following applicable ,J ,
Items have been signed:.. '. ,..
Drywall ',' " .,.-U-o ~
Penetrations (Fire Rated) Electrical , "
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Phnnbing
Interior Lath , , " ,
Exterior Lath
, , GENERAL ITEMS ','
Exterior Plaster (Brown COat)
T -Bar Electrical
T-BarMechanical , , ,
T-BarStructural , ' "
Sewer
Water Engineering Backflow ,
Water Service " "
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas'Test
Enginee"ing./Gradi~g Final 765-5126 '
Fire D!lpt.FinaI765-4040
Water Engineering 765-5268
Sub List/Business License 765-519
Zoning'7.65-5139
Building Final CLast Inspection-, Only , I,'
, lifter Above Complete) ,
PARTIAL INSPECTIONS ,
Buildina Inspections
MechanicallnsJ)ectioris
Plumbina Inspections
Electrical Inspections