7301 E. Stone Creek Ln.
.,~.........
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__~___..-.__,.__..o.~,_"
BUILDING PER.M,T t'iO. aLD2004-02079
;-.
BUILDING LiV!S:O~
200 S. ANAHEIM BLVD,
(714) 765.5153
INSPECTION REQUEST LINE:
(7i4) 765.4626
CENSUS CODE: 434
QUARTER $ECTION: 203
. TYPE OF PERMIT
Residential' Addition
",,- ~.""
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"-'-. .,.~',.;" -.1 >{.. ."
CITY dift;;~j\j~HEIM
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DATE: 5/27/2004
. JOB ADDRESS: 7301 E STONE CREEK LN
LEGAL DESCRIPTION: N TR 8560 LOT 43 '
J.,.
APPLICANT: GREGORY PARKER ,
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGiNEER INFORMATION:
GREGORY J PARKER 'DARSHAW K SHAH
!
7301 Eo Stone Creek Ln 10 LYNNFIELD
Anaheim" CA 92808 I IRVINE, CA 92620, ',' ..
JOB DESCR1PTlo'NRoom-Addition, 1st floor kitchen extension, new nook, d:n:~'g rOOrTI. bathroom and-office: 2nd floor bedroom and bathroom. New porch
canQOy',O !HO.IH1. j'
VALUATION: ", 0 00 PROCESSED BY: JJJ
I Je
. OWNER-SUILDF-;:'.t:",-:I.ARAJION
I hereby affirm under penalty"of perjury that I am exempt fiOm the Contraclor.~: License Low tOl .the following reason (Sec. 7031:.5 Bus_iness and" .:
Profession$qoch:!:a.ny at)' or county'whichrequi'res.3. permit to construcr.ai~~'\; impro'{e, demolish or repa,ir any struct~re, prior to, its issuance, arso'
requires the applicant for ::ouch permi,l to file a_signe~ statement thatile is l[c~\,\Sed. pursuant to the provisions of the Contractotfi License Law (Ghaptel
9)(commeru;;ing with Section 7000 of,Division 3 of the Busi~essandProfess]Yls Code) or that he is exempt therefrom and the.basis forthe alleg_ed ,
~X;mj:iO~~ Any violation of Sec~ion 7031.5 by_any applicant for a ~errnjt s~,t.jrcts :he a pplicant to a avil ~enalty ~f notmore :tha n fiv~ hundred ?ollar~
. ~~ asoviner of property, or my employeeswith.wagesas their sole eon,..~'l1sation, will do the work, and the strueture is, n,otintended,or offered for
~e'('sec>7044 Busirfess and Professions COde: The_Contractor's Licen~e :...~w does IIOt apply to an owner of proper:ty who builds or improves
. th3reon; and w!)o-doessud1,wor~ himself or h'3~ei-f Qr.,through his 0, !lei owrfl3:mployees, provided that such improvements are ~ot intended or
offered for:,sale. If, howel!er, the tluilding or improvemqnt is sClrdwit~ on"~ y:;~~r of completion, the owner-builder will have the bl!rder. of proving that tie
did not buifdorimprove for the purpose of s~-;Ie). " '- "r.." ',' . ".
0.1, 'as the own'x ofIne property, am exduf:ively-cor.tradina with !i':':el~sedr:ontrador~ to construct the project(Sec. 7b44,:Business ar,d Professions
Code: .The Contrac:tor's L.lcense" Law do~s not apply to an-owner,of PI(';.'~;rtY~ho builds or improves thereon, and who ro[ltracts for ~,uch projects witn
FtJ,(or.tra<;:t,vr.<s) iieer.56C ~"ursuantto the-Contra,~or's .C2AS 'Y). f;' .
\..1:J J a,!!! exempt J.lnper. Sec. ......_ R f I\C. f0 on;' ----:-.1:'"
,,",uate:_"5.?,'1. ~ Owner: I'
WORKER'SCOMPENSATIO CLARATION -r I
I he-reb:I affirm under pen31ty of perjury one of the fol!owing declarations. J"~
o I have. art~ will maintain a certifi~te of con~nt.to se~-irisure'for work!:::'_':t~ompensatio~,
asprovi~ed for by Section 3700 of th~ Labor Code, forJhe perfo~mance off~fWOr'r< for which
, this permit is issued; ..~
D.'1 nave 2nd will maintain worker's comp~nsation i.nsl!-ra~ce, asreqi.Jift':d b~l Section 3700'of
the L'3..b~rCode., for the perfcrmance.of the wor-k for whi,ch this permit 'is iSS:'I;?t Myworker's
COlOpensation'insu,rance;carrier. and Policy are:., .:', ..,_[
Carrier: . Polley Number: '
. . " I
This s-ection n,eed not becompl~ted if the pennit is for one huo~r&idc!lam ($11)'D~ cr less.
o f certify that in the perfonnanceof the work forwhich this permit i:> issuejJ: rshall not
emplo'y,any pers()"n inany manner. so as, to becom.e subject to the worKer's ct~'1per.sation 'laws
of--Califoinia, and agree that if I should beco subject t thewo~.{er"s_COmp~l~s~t!Or:
provisions of Section 3700 oftl')e babo Cod, I S~iall~i ith comply with t~ile provisiofls.
Date: 5/27/2004 APPlicanX , ' , j_~_______
WARNING: FAILURE TO SECURE WORKER'S MPENSATION C:OVE'fi'!,.GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAl11ES AND CIVIL
. FINES UPTO ONE HUNDRED 1HOUSAND DOLLARS ($100,000), IN ADq:!1l0N TO THE
COSTOFCOMPENSATION,DAMAGES AS PROVIDED: FOR IN SECTIO~i'.3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. "'1\;: ' , "
I CONSTRUCTION LENDING AGENCY } t' '". .
thereby. affirm under penalty of perjury tj-lat there isa constructi::Jr. fending z:binty fct-,th"l
performance of the work for which this permit is issued (See.30g7 .CiJ.C): "I'
Lender's Information: '
'1[>_
-_..~---.:.-
),1../
v/
LICENSED CONTRACTORS DECLARATiONl.
\ hereby <lffirm under penalty of perjury that I alTi
. licensed under provisions of chapter 9 (commencing
with Section 7000) of Oivsion 3 o.fthe Busin~ss and'
Professions Code. .
51.27/2004
Date: '
Contractor
'NUMBER
EXPIRATION DATE
TYPE
Construcion Types:
VN, ,
Fire Sprinklered? "
LivinQ Area:
NO
1,201
I certify that I have".read this,application and state that the above informatioI" :5 currect. I
agree to Comply with all cHy ordinances and state laws relating to building construction, and
h~reliyautha e rep .,nl've~ of this city to enter upan the above mention"'; property for
mspe 1 n r . '~'.. . . ,
. " Date: 5/27/2004
ignature of Applicant or Agent
The permit shaJ expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of perrrit issuance. A
new perrilit is required to commence or continue work. .
." -- .-
..'-'~--",.~------'--- '~---'-~
Fees paid for Permit:
Total:
588.50
',. .', _. INSPECTION RECORD
," ...... ." .'
'. INSI'ECTlON '.
'. "
. .'
DATE
.INSI'ECTOR'
'.
, ,
. '. :/1 .
Temporary Power Pole. . .
Plllmbing(DrainlWaste Pipe) .
EIec:itiCal Grciund ElectrodefUfer '. '
Selback/F~lTrlniches (Footings) .7..'''~ Iffl
DO nalinstall subfloor or pour .flaor slab until the
following 'applicable .i.temshavebeen .signed' ....
Plumbing (Water Plpe.Sprinkler Valves)'
MeChanical (GrOundwork) ..... ,. I'.
EleCtrical (Underground Conduit) '.' I.' "",
, pre-slab (Compaction/Membtane.Reinf.. 1/..-"<1.(
,Underpinning (RoorJoist/Girders) .' '.
,~ not cover ()r conceal.the wpr\l.below until the
,'following.applicable ilems have'beensigned: .......
'lstFloorShear.d '. ,'. 5=-~~L/L...
Firesprinkler (Rough) . . . I. .' J.
,2ndFloorSh.ar...... ,'kL..A
, ROof (Sheathina/DiaohragnVFram!>) . .' .
.M.asanrY (Rlliinf./Band BeamIPr~JOUt)
.RoughPlumbirig.(Top Out) (0 vCr:), ~~''''
Rough Mechanical. '., -.~.
t<<lugli~ec.trlCaI alii'.. ~.... ~/:"
Rough EI.eelrical' '. '" "'/)"0;' . '0.
F.raming.,' . (Gnlyafter'Plbg" E.lec.. Mech.a.~d F;re~ ~/~" . . :-
Insulation (SoundlEnergY) .... " ~~,~ .,... "
'00 not fape or plaster until tile followiAg applicable {,
items have been signed: >, ,. ' '. " .
DrYwall . ".' ...... i:,1r/.o~
Penetl'atiori$ (Fire Rated) Electrical . . .
Penetrations (Fire Rated),Mechanical . . ,
Peniltrations (Fire.Rated) Plumbing, " '.'
Interior lath ' , .
Exterior Lath ..... '" " ,..., ,~(
..' ... ,." .,' " '. GENERAL il'EMS '
,exterior Plaster (BlOWn Coat), . ,
T .Bar Electrical' . ,'., '
T-Bar Mechanical.' .
T .Bar Structural'
Sewer . .
. Water Engii-.eeringBackflow
Water SerVice
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I Mechanical Final '. .'. rt-l~r-'S' T. h,c:"nl .
. Gas Test @ ~ ,,:..{I . '. 11-\)\ () s" 1--r:AUb.r:.l.i
I En!iineerill9!Gracling Final 765-6126 ~~" .;';;~.'
Fire tlept.FlmiI765-4040 . . .... .. '. ~ - . '. I
Water Engineerln~ 765-5268. '. ...., ." .... - . . ..
Sub' list/Business License 765.5,19 . w'-- ...
Zoning765~5139 . ."- ""'. . .... '.'
Building Final. fLast Inspection- Only' ".-\,"'\.1".....-:..... 'G 'P
.'. - ..... ")\fter Abov.e Complete). VI IV)"
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PARTIAL INSPECTIONS
_ '. Buildinalnspections .
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. '~(.rJ"I tL. D-S"<;:Id&lhuJ ElIl ~~ M/..-
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.... .' .'
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FINAL INSPECTIONS .
Electrical Final
Plumbing Final
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ADDRess :5392 /11. DOVE ST.
Lorc:;/ TRA ~T ,,;i /36er?
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HISTORIC DISTRICT REVIEW:
_ N/ A See stamp this p_a~e
elreis tine on above line
SEE BUILDING PERMIT FOR
ANY CONDITIONS
ok -ti) (1"bVf He
c a 60<--
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GJP Coos4ltillg, Inc.
1187 W. POhldna Rd,. Ste. A
C"""'.. CA ~8'O
9$1.532.90" Qffioc
.
95 1.280.01 18l'""
To: Mark
Gibbons
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Fax:
714.765.4607
From: Gregory J. /Oa"""r
Date: 711112005
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i(.C;,!l. ":~""lf"'t <> ForRevlaw I x PIea&eCarmlent D Please Reply
{<~i::'~S~~;~! p~. ~j:: ~~1}t~'~:tGr-f'~. .
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;j~:~'t;;i';';i: :=.~.!~"':- _'""jl data sheet requested. "n ''''''''' a copy of this at my house lbrinspecllon
",,',' If you h~i\i.~ons, p1eesefllel fi"eeto ell. I can be reached at!109.532.9055 (cell).
>-r:;:$;;.'"~';J': -.'
Sin~.
GJPCcmu/ring, tnr;.
Re:
Spec.
Mix Data
Sheet
Page9: 04
-;'~-.;........,."
.
. .
a pr..... Recycle
Clnlgory J. Parker
President
. " . ... .4 <I . . . " . " . " . . .. .
~7/11/?~~~ 1~,'~ 19~qR747"~7
F , MTX
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. ~ "'16~5
l(~.lb) .~bol
FAX TRANSMISSION
E-ZMIX.INC.
3355 SOUTH INDUSTRIAL DRIve
RIAL TO, CA 92316
909.874-7686
Fax:. 909.874.7607
Date:
[ I (1\Jl.o S-
.
Attlt: G~cn
Fax #: 1S I '2. 11 0 eo 1\ 'l)'
'1,
Pagesl
11l~lllding thIs cover sheet.
From: 'U....,J A' A..l......s
Subject: 11'P"::' if'c..'- J"'1'.....
COMMENTS:
tF THERE IS ANY TR01JJlLE RECEIVlNG THIS FAX, PLEASE CA.LL E.Z MIX AT (g09) 874-7~36
@7/11/2@@5 13:15
1939874 7607
/JN1P
E Z MIX
PAGE 82
, ,
PRE-MIX PRODUCTS
,:,,"
Data Sheet l793-95
!'.:larch 1996
l'RODUCT NAME: SPEC MIX
Masonl'Y MorIA.
Product Pescrlption, Masonry Mortar i. a dry.
f.ctory bl~nd~d mortar specifically designed [oruse
by masonry conlractors. This product ill produced
under ,Iriol quality oootrol gui<lelirte. in
M:oordonce with A,S.T,M. and U.B,C. stall.dards.
Masonry mortar provides a superior product to
job.ile mixing due to control of miX ratio and.
qu..lity of sand. It is ..""ilable in several p...ka2ing
options It> provide sa villgs In handling alld llloo..g.
Masonry Mortar is available in the following
st~ndatd mix designs: M weU tiS :5pecial ordllr~ fo1"
indivi<lual job r.quiremonts.
. :l}peS,
. 7}pe M:
(>lllOO PA",) oement, lime and 'sand
(>2500 p".i.) cemen',lim. Md ,'"d
Us... Masonry Mortar is used in Ihe application
of block, brick and stone or wher""",r a high
qU111ily mortar :is. required.
Colors: Masonl}' Mortar is also available in pre-
blended ",,10,", Special orden; availa!>le.
AdVl'ltllages:
III Quality control. . consistent bat~b every time
. Convenienee of handling and transporting on.
product
. Excellent for multi-sIC/}' and diffiCllft access jobs
. Sys",tnS thai save ttrne and roOnoy On labor
. Consistent color qualiry
Packagingr Available in 60 Ib. and 94 lb. paper
!>ags, 3000 lb. bulk bags and bulk. Information on
silos and bulk systems available "'lOon request.
Technical Data: Mascory Mortal: meelS Ihe
spedf/utlollll ofV.Re. 21-15 and A.S,T.M. C.270.
It is apl'roved by LA. City (aR 24968), Ihe Slole
of ('",Iifom;.. om"" ofthe St.te ArclJitectend fOt
Cal Trans projects,
Application: Add M.sonry Mortar to clean,
potable water "od mb< to desired cons;,,'enC)'.
Recommended water is approl<irnSl.ly 17-20% by
weight.
/
One 94-lo. beg should lAy opprtr.<ima",ly (2.5)
block or (40) 10 (50) bric\(,
Limitations:
· Do not apply when temporatures are bolow Or
expected to faU below 40' F prior to CUre.
· Proper test methods on d handBnll: of test
cjlindcrs ....(l iL1~portan~ EOf j()'b!it~ tCGting.
. Do not add any adminures without prior
<:<>n.01\\ Irom PMP.
· Proper curing is required, extreme woo,ll.r
codditions ....m affect ~Ure and performance,
Warranty, The technical information and us~ge
statemenl. are b....d On Our best knowledg.. The
~Iedts of this speoification .heet are presented
for informatioDal purposes only add do uot
constitute r.'p"dsibility for iheir use. 'Ine
m.anufacturer will replae<> 01'l1)' that material which
is proven defeolive duc to quaHty of the
componants or Ihe manufacturing pro""ss.
CAUTION, Prolonged ""Posur" to dust may ""use
delayed lung disease. Eliminate oxpollure to dust.
Use NtoSH approved mask for sUica c1".I. Freshly
mixed lrlOIerials may causo skin irritation. AVoid
direct contact where possible snd wash exposed
skin aren. promptly. If any cement;t;ou. maleri.l.
g..ts into the eyotS, rinse immediately and
repeatedly with waler and gel prompt medical
.tt..nllen. Se" Matedal Safety Oal. Sheet.
E-Z 'Ml:l( INC.
11450 Tuxford S l
Sun Valley, CA 91352
,
818-768.0568
Fax 818-504-2606
07/11/2065 10:15 1909B747667
".; ~ 7!w/nlng
ItA. ':!'~'!!!!;,!
IIOne 'te$l is WOrth A Tbou.llland SJtlHH'f O".iql~1f
E 2 MIX
PAGE 0.
twMttWiniMglab~Ql:lm
TESTINC . 'NS"W:C.,.,QN ~ ENOINI!I!''UNO
Se.....$ce.s /'(7r O..er ZOO Ye4rg
."Equal OPPQrttJrlity Employer"
April 6, 2004
Exam No. CH04-13SA
Pas. 1 (lf2 Pages
F'mal Report
E-Z MIX INC.
ATm: BILL FRENzEL
1l450'IUXFORD STREET
SUN VALLEY, CA 913:52
5ubied:
Identlf'Uolriift!!:
E-Z MD: Type "S" Mortar
SPI!:C MIX MORTAR TYPE "S..: Awordlug to B-Z Mix the sample is a
preblended DlOI'taf consisting of Portland ceJl\ent, lime, and simd
(proport1ooed. as per the mamli'a.eturer to lIll!f!I ASTM C270 dd UBC
requireme:nts) confi>rmil1g to the requlrmeritg of ASTM 0.1:50, C-201,
and C-l44 respectively.
40203008
1LSC ~OB NO~
~~.~. Bmuested:
1. ASTM 0.109: "Standard Test Method for Compressive Stl'e1Igth of HydnwJic
Cement Mortm (U!IiDg 2-in. or [SO-nun] Cube Specimens)":
ASTM C-91: "Standard' Specifications fOr Masonry Cement, Sedion 20 ~ Water
Retention". '., .
ASTM C-185; "Standard Te8t Method for AIr Content of Hydraulic Cement
Mon8r".
2.
3.
Ttstbllr R_..~ Bv: Mr. W"1llium G. FfeIIZe.I, Ptesident ofE-Z Mix Incorporated.
S~CltioDS: ,
1. AS'IM C.Z7o; "Stllndard S~cation fur Mortar for Unit Masomy, Table 2 .
Property SpeemClltion Requiremems".
2. UBC Stmdatd 21-15, Table 21-1S-A. Pl'operty SpeciflcatibllS fOr MoItlll'.
MortJIr Mtdnll Proeed.ure: .
Mortar was mixed in IlllOOrdance with ASTM c.3S7; "Standard Specification for
PiWkilged,.Dry, Co.mbined Materials fot Mortar lUICl Concrete", Section 14 - Mbdng and
Testlng Mortar. (ASTM C.270 llIld C30S do not provide mixing procedures for
prepackage4 compositions.) .
Wate-r RmuirelUfttt
The amOUi1t of water required to obtain m\1ltar flow of 11 0:c5% was determined to be
16.7% by weight of the my eompOlleDbl.
AU r.porls remaJn the props,!)' of TWINlNG LAElOMTORJEB of SOUTHERN CALIFORNIA, INO. ALl"'orization lor publleatio~ of Qur "'pOtt..
COnclusions, or ~rad$ from or r~SQrdlng t"'lt!rl' 1:= I'OtOt'Vrad pending our wr1tten ;ap!:l'roval a.S! & mvtual protection tel clienta, tl'l~ public and OUI'HIWs.
COo"'.....,. c>lfl... 3310 Airport W'y, .1,.ng6each, CA 90806 . Phon.: (S6~1 "~..3355' Fox:. (5621 <\2S.S'2'
0...""" e~llJIty: 5942 edl~~Or AIIO.. Soil0115, I'.M.B.313. Huntlliplon sooCh, CA 92649 . Phon.: (714) eSC.~530 . Fox' (714) B6a.cSSC
Rlv....lde: 6411.'n~ustrl$l A.....Su~. D, Riv.r~d", CA 92504-1149 . Phon., (QO~) 3.4-2450 . Fa'" (9~) SS4024S1 . .
~~.!"! ~!~!I':l~ ~~!; ~"'~A~~~~W'" f"'lfi\lt:.. ~H~la n..R:;m Dlt:!gO_ OA,~~1'~ .. 'PMn~: '~!i~\ ??".4..~7.E)O .'11- 'F~x~. M:~~' A1'4-:=J752';. .'
~11.lrz~~~ 1~:1~ 19098747607
E Z MIX
PAGE a4
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Apri\6, 2004
&am No. CH04-13SA
Page 2 of2 Pages
Final Report
Test Raultll:
Property
Test Results . Requil'elDellts orUBe 21-1! ...d
ASTM C-270 for e S Mortar
Compressive Strength..
7 Days, psi (MFa)
2llD si a
WaterR %
Air CDIIteDt. % 3.4 12 - lI1IDt
*c:ube$ fOr l'O.......&lliw sIzength _ cast 011 Mareh 9, 200.t.. The results In the. averar;eoft1n= 1lIlbes.
COlD.dlHlts~ '.
The above properties of mQrtar prepared with the teSt preblended mix at water llOIItCllt of
16.7"10 eomolied to the requirements set up by AS'IM C.2-to and l.lBC 21-15 .fur Type S
Mortar (cemem-lim.e).
TWINING LABORATORIES OF SOUTHERN CALIFORNIA, INC.
:
Prqlared. By:
~.J.~~
Cbemist
Reviewed By:
&viewed By: V
B" culllJ.
Director e:Marerials ~4mg
1&
TwlDJDg Laboratories of S<mrher~ Califl3mia,.lnc...
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ffJ!! l:j~~. i\.~9t 9". t'il~j'. I>"ij~i\+ "8~"
~FiT ,.><8 "''>I'' wll'<~~'l' OW-OF ANY oF'
'tRe: -S'UI DING CODES of THE CITY.
THE HOLDER OF' ,HIS PERM"
PROCEEDS A' HIS OWN RISK.
MI\'< 0 \1 Z005
BUILDING DIVISION Of ANAFlf;IM
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