Loading...
580 S. Sunkist St. BUILDING PERMIT NO. BLD2005-02595 TYPE OF PERMIT C TV Blockwall/ Columns I DATE: 8/18/2005 JOB ADDRESS: 580 S SUNKIST ST ~.. LEGAL DESCRIPTION: HEINS SUB LOT 3 N 72 FT S 472 FT W CONTRACTOR INFORMAtiON: WESTERN LANDESIGN & IRRIGATION 13041 PALOMAR ST WESTMINSTER, CA 926830000 BUSINESS PHONE: 714898'8008 JOB DESCRIPTION:Build 222 lineal feet of 6 loot high block wall per city specifications. VALUATION: 7,000.00 PROCESSED BY: MSM OWNER.BUILDER ECLARATION ] hereby affirm under penalty of perjury that J am exempt from the Contractor's License aw for the following reason Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, alter, 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 of the Contractor's License Law (Chapter 9)(commencing with Section 7000 of Division 3 of the Business and Professioils 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 subj~cts the applicant to a civil penalty of not more than five hundred dollars ($500). . o I, as owner of property, or my employees with wages as their sole compersation, will do the work, and the structure is not intended or offered 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 does such work himself or herself or through his or her own employees, provided that such imp I'Ovements are not intended or offered for sale. If, however, the building or improvement is sold with one year of completion, 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 exclusively contracting with licensed o::mtractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property '^ ho buUds or improves thereon, and who contracts for such projects with ,aQontractor(s) licensed pursuant to th~ Contractor's License Law). U I am exempt under Sec. , B & P.C. for this reason: Date: Owner: I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: o I have and will maintain a certificate of consent to self-insure for worker's ~ompensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain worker's compensation insurance, as required by Section 3700 of e Labor Code, for the performance of the work for which this permit is issued. My worker's ompensation insurance carrier and policy are: t Carrier: Policy Number: EXEMPT ',- ElM BUILDING DIViSION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765.4626 CENSUS CODE: 434 QUARTER SECTION: 123 ARCHITECT/ENGINEER INFORMATION: This seelion need not be completed if 1I\e pennit is for one hundred dollars ($100) '" less. ~ I certify that in the performance of the work for which this permit is issued, I shall not ploy any person in any manner so as to become subject to the worker's compensation laws f Calitomia, and agree that if I should become subje t the worker's compensation provisions of Section 3700 of the Labor Code, I shall .~ c mply with those provisions. Date: 8/18/2005 Applicant: WARNING: FAILURE TO SECURE ORKER'S UNLAWFUL, AND SHALLSUBJE AN EMPLO ER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DO LARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, 0 AGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST A ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097 .Civ .C): Lender's Information: I certify that I have read this application and state that the aboveinforrT'.ationjE.,correct J agree to comply with II ity ordinances and state laws relating to building construction, and hereby authorize rep fives this city to enter upon the above mentioned property for insp ion purposes. v<' , Date: 8/18/2005 Sigpa ure pplicant or Agent e permit shall ei<pire 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 continue work. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions f chapter 9 (commencing with Section 7000) of Di i 3 of the Business and Professio de. 8/18/2005 Date: NUMBER 789179 TYPE C27 Construcion Types: VN, , Fire Sprinklered? NO Fees paid for Permit: Tolal: 265.52 City of Anaheim Building Division INSPECTION RECORD INSPECTION DATE INSPECTOR Temporary Power Pole Plumbing (DrainlWaste Pipe) Electrical Ground ElectrodelUfer SetbacklFormsrrrenches (Footings) Do not install subfloor or pour floor slab until the following applicable items have been signed: Plumbing (Water Pipe/Sprinkler Valves) Mechanical (Groundwork) Electrical (Underground Conduit) Pre-slab (Compaction/Membrane Reinf,) Underpinning (Floor Joist/Girders) Do not cover or conceal the work below until the following applicable items have been signed: 1 st Floor Shear Firesprinkler (Rough) 2nd Floor Shear Roof (Sheathing/Diaphragm/Fr Masonry (ReinfJBond Be Pr -Grou Rough Plumbing (Top Out) Rough Mechanical Rough Electrical (Dry Wall) Rough Electrical Framing (Only after Plbg., Ele., Mec. And Fire) Insulation (Sound/Energy) Do not tape or plaster until the following applicable items have been signed: Drywall Penetrations (Fire Rated) Electrical Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing Interior Lath Exterior Lath GENERAL ITEMS Exterior Plaster (Brown Coat) T-Bar Electrical T-Bar Mechanical T-Bar Structural Sewer Water Engineering Backf/ow Water Service FINAL INSPECTIONS Electrical Final Plumbing Final Mechanical Final Gas Test Engineering/Grading Final 765-5126 Fire Dept. Final 765.4040 Water Engineering 765-5268 Sub Lisl/Business License 765-5194 oning 765.5139 Building Final (Last Inspection. Only jJ i'1 ,/ ~ ,~. "t4C+r t1 After Above Complete) DATE INSPECTOR PARTIAL INSPECTIONS Building Inspections Mechanical Inspections Plumbing Inspections Electrical Inspections ~~- ....J - ir'- - - - - i I \ I \ ~e I \ I .\ u, ~\ [/), ~l ~, ~l j J I ~ lR \ I \ , I :1~ _~.......--c-- :=;~g~ L.e.:: i10~ v--.".... ~.~ .../)"-- .A, " ~ j &. ) , ~ \ ~ I .' 1m I \ , \ .. ~ -' \R I ~lilI"l". IN~~ee L.AN\ I ~ \ III I )PO' I \ I I .I<SoH r PLANNING DEPARTMENT \ \ APPROVED ~5# i DATE_1&/t10 10N1NS AGiIQ'\l BY ---f!4~L- (_J!/t2E:l /<93/2'5- ?- THE ISSUANCE OF THIS PERMIT DOES NOT APPROVE VIOLATION OF ANY OF THE BUILDING CODES OF THE CITY. THE HOLDER OF THIS PERMIT PROCEEDS AT HIS OWN RISK. AUG 1 8 2.005 BUILDING DIVISION OF ANAHEIM APPROVED \)l.Da.oos~~qS BY ~J\ ('l~ ~. . 'I U,,;".l;;;.;:;:l FLOOD ZONE_1__---- H~ST. jr. ["'_,.".._..".c.'I'-.... \~ _J (,,) I ,\, '.1 I I \ '_.' ,L. . , . _ / " ~_~____S2.~~ '.~'__!.~~' ~~. ,'Sl"-::- ~ Ircls (,r,e 0\\ 8.bOVi:l line SEE BUILDING PE.RIJ,IT FOR ANY CONDITIONS ~/b 01< t'h,tf/17J/()(!./<.. OS _ hoVi//1 1'1;;;' 1$' laX\$'1".:;;. , ~e'-6" 411-6" (OIM. f"OJll. f"l-,AN 6.' ON\.Y) ..M:... 'Gl' I$'-f,' 4>;;' 41 -'tOI..~lI \ -,;f ~ li~tK~":':'eI~~T ~e.r.fF ; r .. " ex I";'''. em". ""ee 6l'lP'6 f'I..N. \. j..Ll. SIPiii! Y,o.RO -%,(L{~{t~~~<<///1 1 J _ //A~,~.Il23S.". 11"At;;>~I"l~.Io~~/U...&1 ORIV'" WAY i ~ $f'A'(;.. / / ' .' ~ T"r'!"'I'-A\.~' ~ ~r g~~:t'~~. iJ t\ $IOS y;.Rt) ) ......-......--... ~f "IS ! S~,PISYARO'-r;'B :;:, '" so'-"'-I/~" "1'-4" 1-1\'-"" I:" .Q ORJVIa WA,. ~ "" '" J31 ..17/ if @) ;)w~//~ @ OACKY- :::~"'~ ~r;~1~~.:.V/1/ ~ ///////77/~///,/IIO' .. ___-- &~~ l ::::::: t:J~/ =1~~<<?,~7~/77//in\ .~ -4 ///1?"/ ///~}'~; % 1".1"..\,\1HJI Vj .' //~ // / / / / / /_; (~~/T/~ @) aACKYARD O~Vl<WAY\ ~f ' / /j V // e;o-'1- \!~" '1 '\l '117-/ ~u "i ,:. ~ ? ~ S\OIEV;Y'lO ----... &T~7:7 /// //~- 0 /~^j ~()' 14'-e". 7~ PLAN~ 1// '/1 _ ://n '2.4658.1", ~~;~i~;;E> / &/7/7/ (f~ ~ 1/ ) 7J;&-{..,/:J;;/ / .1'~;{.' / . / A~i' 4"/ '.It:/~.!e:./ / /~i. :/-;r-/77 /7 /~Vj~~- "7 ~~/- ~ aACKYAF!.O l'l 'C eA~1< ;/ // ~VEWAV ~ ~ $FACS / / / / oS\ 'l . 'f>' / / / / i Oi '('(PIC-AI.. '" "" l'l "E r- :4' Hl!!I6>H1' coNe- ,-- . /_~ Ell-oel<. Y'lAi..I.... ""'-). t SIDE YARC l.~ '>., s ;-r:a . ft: on IDE vAAD I l'lL - ORNEWAY1 U ~'"I' ,.,. .')~~! '0' ~ ~/~I ~.481 8./ / / }-.523 S.F;, /;// 7T/;,z, j~%r///~~//////, ~ ii\f '. ! ~ '1L1..1.. 'tn' SIDli YARD . / ..~ " :r o ~ , ". I 9 . o4/l , it m ~- III ~ .~ , t; &( ~) @) - ~ ~ 9 .' ~ .---' "- .. 2 ~ ~ ~ mU / ,/ ~;) :0 " m (oj t'I ~ jj , ('1 -' <<:) Q .. II' -' -~~- 1:~ t" H ~ ~ 1 ~ m . oS\ 1 ill ~ g ,..--.- (oj t'I . () :r \l' " ~ ~, ill ,I / / 'J III N (~ .".- - -...-r----*' ~ . ------...." \) N ~ BACKYARD ., 0.\) , m I I ~ &. 3\ ../'- Nel'l e'-O" Ht::I<!l>HT CONCl<leTl!! - eL.OCl<. 1AW.J.. 1'0 HA'(C.H eXI$T. peTAl\.. !':Iel:! 61'<0'6 PI-N. /; Noe.::.~I"IN.s. $J;i!:l ~1N<l> q>1'lJI'\6\!.. I A r-..~ ~ ~.,r::::t'\t1 I'd -.t"t"'"'<' of_ .!~~^:.;L:i:<~G:'C~;" v\OP~ -- BLOdOOS- OclSClS' 5~o S. 5uJ\ Y\;'&\- Gw- .. S-tc~(d--3 =-'SS\..H'~: ~ -l %-oS- . . " , :.j( " '.:-':'- , ,:' r' , '..?)\ ',-/ " I , '. : ' ,) ~ r . ,', ' '~;;:'0'i,;. '-, :"1,,.": f.::. i {' '-"i~'7~):' r " ;-'; ",.., ., : ,I'll ,,/.:1) , t'G.'._ ,.,'j}-,". ;:;YpE OF PERMIT )~~:~~W Residential'Construction' , :/ """'":.. l;,iJfti 2~'0 . ' CITY '~.1~I'~.~\ O~~jEIIVI hAT!=:,S/4/2004 '. \\~!~~i;:. ,/// . '~'" ,) '"'~~,..>~~ ". _,"", 'I, '\,'l' JOB ADDRESS: 580 S SUNKISTST ..'''':t,'' \;;'::Y'" LEGAL DESCRIPTION: HEINS SUB LOT 3 N 72 FT S 472 FTW f '. BUILDING PERMIT NO.' BLD2003.~2120 BUILDING DIVISION 20lf's..AIIlAHEIM BLVD. (714)765.5153 . INSPECTION REQUESTLINE: (714) 765 - 4626 CENSUS CODE: 101 QUARTER SECJION: 123 , APPLICANT: DAVID .WI OWNER INFORMATION; CONTRACTQR INFORi"A\1ION: LOI DAVID i, 3021 TRIM CIRCLE i We3tminster, CA'92683 0000 . ~ JOB DESCRIPTION::N~w Single Family Dwelling, Plan A, Living 3068sl, G~r;\).e.1034sf . VALUATION: 231,602,00 . .'J. PROCESSED BY: KBT. .' I . . ..,. .'. ". .', OWNER.BUILDE.:f/.;oECLARATION' ..... .'. ..... , I hereby affirm under penalty of perjury that I am exempt from the c()ntract,9~g; L!oer:1se Law for the .follOWing reason (Sec. 70S1.5.Buslne.$s and .. ProfessioAsCode: any dty or coun!y.whi~r req.uires a permit10 constru'6t;::~i{~r, improve, detOOlish or repair any structl:Jre, prior to its, i$$JJane;e,alsq requires the applicant for such"permit to file a 'signed statement that he is'!lcy-nsed pursuant to the p~yjsions of the Contractor's License ~aw (Chapter 9)(commenclng with Section 7000 of L\ivision 3 of the Business and Professhns Code) or that he is elempt therefrom and the basis tor the alleged, ',' .~':: exemptio_~.f\ny violation of S~ctton-703r.5 bY,any,applicant-for'.:a permitsq~fec.1s the'applicaht to a~dvjJ perialtyofnot mOr~!l1anfive;~hqndred'dO!lars;<.,--~__~ , ($500):'. ..... . '. . .' .. .'.' . .. . . . .".. . 0 : k:as'.owrter,:ofprope"rty.'or my employees with wages as their sole; coo.-r&;;nsation, .\:ViII.do the work, andthe structure is, nqt intehd_~9r-offere~for salc,"~Sec. 7,0-44:8usl.pess and p'rofessions Code,: TheContractcl":s License:;~\y doe,S nCiJ,apply'to an oyvner: of property who builds 01: ifl1prov~s, " ,- "_'- " : tiiereon,,'and:who does such, work him,<;elf oiherselfor througl-:: his crher:,:o>>;}~~employees, provided that such iniprovementsar'e~not)nte.ndedor, , _, ,.~. ~;;r,,~~ ~..E';I~J~-.i~~~~:. ~~~;h~~u.b~~~~;.fc~.~~\~.oveme.nt io ",old w. ith c.nc.>'~i~Of completjc~, tho e. .own. e. r-b.uild~r wi[lhave th"bU(.deno.(ProV..it9.,,:;;,:~,h_~'_.:~':~, [Stj",'I,-_as,thebwnerot thp.propertY,-am exdusive1y contmcting' with Iicensev11eoritractors to construct'the project (Se0.7044 Busihess and Professions "COd. e.' :: T>h.< ~._C.. cnt'actor's Licens~ Law does' nct apply to an owner .01 prOPoifi1i.' r~ho, b.Uir.dS,.c~:imp[OVes' th'ereon, and. who contracts for S.,Uch p.' r9j~.cts With . ~::", F-Tontra't,,'t~r(~) Iic~nsedpcIr~uant to the. Contract~r's L~ce~s~ law). ';]":c: " . -,; , -~' ,:".', ~ ...,' " .' '..,:' ':~- ::. . ; , ~ . I aqtk.. ,1J~der Sec. ",' ' .S & ~ .C.for. thiS rea,son;' ':, --'~::~~ " ' : , fr2ate: _ >' .Owner: _'T:>A'\J'rb 1.AJ-7 .k r . .,., WORl<ER'S.COMPENSATION DECLARATIOIll."l",,;:, '1 'LICENSED CONTRACTORS DECLARATION I hereby affltm,liilder peniity of perjury oneof'thefolto"Ying deClarations:, :' ,', ,:'-<r:'_' , . J herebyaffinl1under penalty,.of per~ury-that 1 am; o , I h~'ve and. will'mai.nt2in,,~ (.:ertlficate of cOnsent to,self-insuref~r-'}!cr~irli::ompensatl-~n,: licensetf under:prci~sioas'ofchap!~r:9 (C::or!Jrytencing as providElc!.for :by Section 3700 of the labor Code, for the performance cr t:le wo,r1s' for whlcJ:l with Section 7000) of D.iiJsio'n 3tif the Blisiness'and this permit is i,ssued. ,.' , . J . 'Professi(~>ns Code."- "': ' o l,tia'Je a~d will- ma'intain worker's cbmp,ensatio~ iri'sl,lranc~, as reqrJire:J :J'_Section 3700 of .5/4/2004, thet ~~,or,~ode, for the performa nce of ~he work fo; whi::;h th.1S per~it i::'.. is'~';'''''.l' ,,1,";';' My worker's c"'Q.€ite: Compensation, insurance carrier and policy are: " , ," ',' , . Carrier:.' .' '. ~olicy.Nu.mbe,r.. .' _ . NUM~ER . Th~secti,on need not be completed if the permit is fur one hundred dOU~rS,_(_$ttit.~'cr_lesS.' ,_,' "TYPE." ~ ,'j certify thalin theperfo~~nceoftheworkfor'Whi"chthiS ,per~it'~"iiif*~!~~~1I not. '.,', employ any person in any manner so-as to' become subject to'the worker'~:Ji(rupensati6n laws of -Califomia, and:agree that if I shOUld becom,e sU0ject to the WOrker'~_,c6~~i:;,~ation.., ~ provisions of Section 3700 of the' labor Code, I $j-la.Il1'orthwith', piywitH_:;:1\.f.1:$.:e:prov'isions.~ Date: 5/4/2004 . Applicant:' ". .! i ';~r'- WARNING: FAILURe TO SECURE WORKER'S COMPENSATIONCOVER.,GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO'CRIMINACPE~'fO"TIIi'S AND CIVIL FINES UP TO.ONE HUNDRED lHOUSAND DOLLARS ($100,000),'NAOf'.:~ TO THE' COST OF CoMPENSATION, DAtylAGES AS PROVIDED FOR IN SECTI0H,~06 OF THE LABOR CODE; INTEREST AND ATTORNEY'S FEES. ' . .;1 . I' CONSTRUCTioN LENDING AGENCY' "' :';"" /,Jhereby affirm under penalty.of perjLlry that-the-re,is a construction lend;noi_~\;r.by-for thee. , performanCe of the work for lNhidi this permit, is issuer! (Sec.,3007.C1v.G):. -"~-',- ._~--~-.. ARCHITECT/ENGINEER INFORMATION: PHILIP TAGGART 5131 AIRPORT DR, COSTA MESA, CA 000000000 " . 'i'\.;-Contractori .-::. EXPIRATION DATE ~' '~ " ", ~',~. -- -.'-',~;~ Construcion Types: VN; ,. Occupancy Groups: R3, Ul, , , . Fire Sprinklered?, DweflinQ Units: LivinQ Area: GaraQe Area NO 1 3,068 1,034 > "'.")'; -....;." >--'~~f~.'~~...~: ~,,'.._--~ ,,"=,-,c-,~---.-'__- I certify ~hat I have read this application and state that the abov~ information!~ correct. I. ag'tee to comply .with all city ordinances and state laws relating to building cor~struction, and hereby authorize representives of this city to enter upon the above mentionec property for inspect. ion pu~pose1\ . On '.' ," '\:J- 1fJL(l1~~~' Date 5/4/2004 I Signature of Applicant or Agent The permit shall expire by limitation and becoll1e null ,,"d void if the building or wQI'k'hasnot passed final Inspection 365 days from the date of permit issu,,"ce, A new per~it is required to commence or continue wor~ Fees paid for Permit:_._ Total: . 7,217,30 ....... INSPECTION RECORD . .' DATE . . . INSPECTOR '-. . . INSPECTION . temporary .Power Pole Plumbing (DrainlWastePipe) . '. . Electrical Ground ElectrodeiUfer .... . setbackll'OrlnSlTreilches(Footiilgs) '. Do 'not install subflooror pour floor slab until the following applicable items have been' signed: . , Plumbing'(WOIter Plpe~Sprinkler ValVes) Mechanical (GrOllndw9rk)' '. . .. . Electrical (Underground Conduit) I. L . . '.' ./ Pre-slab(CompactionlMembrane.Remf, Y:'7/-~ . '/P' r ~/ Underpinning (Floor Joist/Girders) . ./ '\ . Do not cover or conceal the w.ork'below until the . ..c---- following' applicable items have been signed: _ '. 1st Floor Shear ~ ------ /.:4!h; 2lZ('-d.' //1. .~ .Firesprinkler (Rough).. . .. .... . 2nd Floor Shear /,:2.2<- . . Roof (Sheathing/Diaphragm'Frame) ~ Masonry'(ReinfJBond BeamlPre-Grout) .' .' . Rough plumbing (Top Qut). '. ,i 1_ I f7 I. h Rough Mechanical . '/ ,v-'I V( /. ,'-. .Rough l:Iectrical (LX}' ....,,) .- "7 -tA 17'" Rough Eloctrical- . ^ . Framing' (OnlyafterPlbg.. Elee.. Meeh.. and Fire) fluiD .'. Insulation (SOllndlEnergy), flx-loeS lfIJr.U. ']k po not tape or. pla~ter until the-following applicable c..;- , Items havebeens.gned: ' . , ., Drywall '. .-';.(p~{~ Penetrations (Fire Rated) ElectriCal .'. ' Penetrations (Fire Rated) Mechanical.' '. Penetrations (Fi", Rated) Plumbing Interior Lath ' . ExterioiLath .' 'S//'7/" 1(. . . .' . . . GENERAL ITE S (1./ '" _ .'., Exterior Plaster (Brown Coat). . 16' '/~...~ ~1. c/__ T -Bar Electrical / T -Bar Mechanical '. . ' . T -Bar Structural .' Sewerw' :;. ' Water Engineering BaCkflow WateiServlce I 'h P v c- . , '. ~ . . 1'1- 'ot" ~'" -.... . ,~~:1Oc:: Qo I . ~illd_ / FINAl. INSPECTIONS Electrical Final Date Inspector' r 11Z-7.0S r.Lk~'1'/J 11.-Z,oJ'rJ.. u, Sv. v ,.1,' It--I { '. IJ"'ztoH~~~u . -,,/ .., . .'. " . Plumbing Final Mechanical Final Gas Test . . Engineering/Grading F,inaI165-5126 " Fire Dept.FinaI765-4040 I , Water Engineering .765:S268 , , Sub List/Business Lic'7nse 165-S19 Zoninll 765.5139 ,.' Building Final (lastlnspection..Only , ..,' After Above Complete) . . '" It ~'" 'd.r/ . .:zJ?d IUv PA~I~~SPECTI NS '.___~' Buildina InS~lons ' , '" . " . ..... ." .' . . . .. . . . . . . " , '. '.. , , '" .. .' ' . - . '.' MechanicallnSDactions' " . . . , ' . , , , , '. ,,' . . "$;'J';-H"^~~ .. . . . " ElectricallnSDections . . .... ni'E OF PERMIT Residential Addition . . CITY ~i ~?~~J~rL=~~};,:" /J: i:..<t~',.;\ I; .\}~~~~tH EI M , , ~"::;:~.~,~~ \, \'{ <;<Xf:;i;:;3>'t:: jj ~, "'~{~'f;:Np,/ ,y ~/~ '~\t.:;:1\-;/'/ ";!:!l4l~1;:~Yr;:~~~ BO!!L.DING DIVISION 200 S:ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: . (714) 765 - 4p2a CENSUS CODE: 434 QUARTER SECTION: 123 .' BUILDING PERMIT NO, BLD2004-Q4015 :-\t. QATE: '11/18/2004 JOB ADDRESS: 580 S SUNKIST ST LEGAL DESCRIPTION: HEINS SUB LOT 3 N 72 FT S 472 FT W APPLICANT: OWNER INFORMATION: CONTRACTOR INFoRrvil>.;nON: ARCHITECT/ENGINEER INFORMATION: DAVID LO" KENNETH E AGEE SE3340 601 S SUNKIST STREET 3452 E FOOTHILL 626-432-5850 ANAHEIM, CA 92806 ;, PASADENA, CA 91107 JOB DESCRIPTION Add 330sf famify room extenstion & 3405f 2nd floor mast~f bedroom extension 'and .138sf balcony VALUATION: 24,000,00 ',il '., PROCESSED BY: MJL . I ..... .... . . , " . OWNER-BUllDERibECLARATION' . .... ..... ' ___..1 Ihereby affirm under penalty of perjury that./ am exempt from the C6ntractol~~;:Ucer.se LiJ')!for thefollbwing reason (~ec. 7031.5, 8usin~ss and " Professions Code: any city or county which requires a permit to constructf an~~improve, demolish or repair any structure, prior t6its issuance, also., ' requires the applicant for such. permit to file, a signed state~:nt.that he,;s liC~t~d pursuant" to the provisions of the Contrador~s'~icense La1/{ (Cnapte~... , 9)(commencing with$ection 7000 of Division 3 of the Busil1eSS'an~'f>r:ofessl:i!p~,CCde:) or that he~iS e?(empt therefrom and the ~asis;fcr'the.alleged .- exemption. Any viola'tion ofSectic;m 7031.5 by any applicant f,or apermit.subj'rcts the ~pr.~icant to a civil penalty of .not more than:_~\I~ hu.ndred,dollars ($500). . . '. <.)) . '" .' ..... o . C as owner of property, br my employees \~ith wages astheir:~le>~()m~4~sa~!on, win do the worr-" and the st.~uc!ure is not in~~,mjed or' otfer~d_ for sale (Sec. 7044 Business and Professigns Code_:: the COntractN'sLicense',lJ-J}~ does no~ apply to ar. owner of nr(Jpert'l who bU[[d~-?r'!mj:)ro'J~s < thereon, and who does sU<:h~work himSelf Of he~elfor throughnis"OT-heroV'i1-1~mp!oV-::C$; pro\;lded that'such i:T1pioverr.entsaren~t_'intei1dea or'_'~'.' -.~, o~ered !o_~'sale,; If, however, the buHding 'Of improvamen("is_SOllJ\vith one y~~Of uJmfJ~,etior:. the o~vr:er~buiJderwjll nave the'btird~n OT fJrqving {hat he'-:,~ did not b111ld or;mprove for the purpose of sa!e). . .,'- ._,_', :",;' . . ..... ."':'" ' . D I',as the owner oftheproperty~ am 'exdusively contracting with lic:ens-eJ'-1! _~ntrect(,~s to cOl1Struct ~he proJ~c"l (See. 7044 BU$jnaSS_and:rrOfe~lons . Code: _~he_g6.htractor's liCense law dO. es not apply to ~n owne".~of..P.. roPe 1ty..r '1}io'bu1Ids or improves thEOreon, anci who contracts!,); SU0~ ~toje(;t$ with: f!..Qontractor(~) licensed pursuant to the Contractor's License Levv)'" . ....~ .... ...... <\,,<. . Lj '_3mexemptunderSec.... . ,,8&P.C. for this rea?on:; -_J"_:. . c_.. . :;~:.'.' Date':' Owner:' ).,:':-:i . L=. WORKER'S COMPENSATION DEC.LARATION -- '----1 lJ:!CENSED CONlRA<:;TORS OECLAAATiO!'Cl I herEiby'affirrn un~~rpen~,~ty of perjury one of ~he foHowing ~ec'arations: ~ i~ " . ,. 1.--.. i hereby aff;un-~u~~d~rpen3fty of perjury that I. am o fhaye' and will maintain a c::ed:tfiqate of ronsent to ,se!f-inSIJre for wcrkr.:-t';:i'co)m~r!.s.J.tion, I lIcensed under prOVIsions of chapter_9 {comm.el)~:ng ~~s"~~.;~~:~~s.b~~~ectio.n 370.0. ii.the Laoor Code, forthe. .p.e.'.rf.'.o.. r.ffi.' ance at 'h~'~. ". c~ lor 'Nhi,,' 1 ~:f:S:~:Snr2!?~ne5S oM o I h8ve a lid will maintainw<-:rker's compensation insura.~c~}_n~ raqui~ct<9~~1S~~<;t!O:-'~/OO of 11/18/200~ - __ the Labor Code;. for the performance of ~he'wcrk for wh~h this permiUs i~ij.':}fi'~~:~4'j .worker's Date: Contractor Compensation insura nee carrier and policy are: J". . ,,' ! - :~-"," Carrier: Policy Number: . .J, "'. NUMBER Thi~ section ~ed not be completed if the pe~i~ is for one hundred dcliar$"{ ${[0:({I~~. TYPE LJ I certliy that in the perfonnance of the work for which this permit IS !Ssu!:(.] i-!1sri not employ any person in any manner so as to become subject to the wOike~s-c;)'nper.saticn laws ~ of Califomla, and agree that if I should become bject tc the worker's COrT1oe~l~~tior. . provisions of Section 3700 of the Labo de, I hall forthwith co~plY WithqF...:'1~'1)rc"'isfon.s. ConstrUClon Tvpes: .....1 - !. ,VN, , Date: 11/1B12004 ","pplicant. ' ';"'. _ Fire Spnnklered? WARNING: FAILURE TO SECURE WORKER'S COMPENSATION CO\ifJ<f;cdiEJi> Livino Area: UNLAWFUL, AND SHALl SUBJECT AN EMPLOYER TO CRIMINAL PE"0JnE~,AND CIVIL Balconv! Deck Area: FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), Ir-I ADQI'n'OfJ:TO THE . COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEem)!J ~7C6;i)F THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. ,,{, } I CONSTRUCTION lENDING AGENqY. ,Cij.i..' '~;_~'::':~:,;:~4Flr:n:;U!!9o;::!;-pt'~Il~;,t~t.-p-e:fjiJry'thpi ~nere -is :3. ,~onstruction~eri.:1'h--:g ~~J""i'lC}-' for-:-tile'.,(t,.,;-' ..... ....-~" -<-;,- i'~ :"11" ,;~,:~ \1:~t:t~;T~T":(~"'7~~':'-t,:;-::~':\.'~'~,~'~4.:~:~'~:~~~ performance of the work for whidl this permit is issued (Sec.30g? .Civ.C): . . Lender's Information: ' . EXP:P.ATION DATE NO 670 138 I certifY that I have read this'application and, state that the above information is correct. j' agree to oomply with all city ordinances and state laws relating to building construction, and herebY?luttiorize rep. sentives of this city to entel: upon the above mentioned property ,for .insp . ur se' ~ees paid for Permit: Total: 1,554,57 Date: '1/18/2004 Signature of Applicant or Agent The permit shall exPire 'by limitation' and become null and void if the building or work has not passed fimil inspection 365 days from the date of permil issuance, A new permit is required to commence or continue work. INSPECTlC5N RECORD I INSPECTION DATE, INSPECTOR Temporary Power Pole Plumbing (DrainlWaste Pipe) , Electrical Ground ElectrodelUfer ' ' SetbaeklFormslTrenches (Footings) 00 not install subfloor or pour floor slab until the following applicable items have been signe6: , Plumbing (Water Pipe.Sprinkler Valves) Mechanical (Groundwork) , ' , Electrical (Underground Conduit) , , Pre:slab (Co!J1pactionfMernbrane.Rei nt. Underpinning (Floor Joist/Girders) 00 not cover or conceal the work below until the' following applicable.items have been signed: 1 st Floor Shear , I 'Ulh' Firesprinkler (Rough) I /I 2nd Floor Shear ~ 1 ' /~ I,. .II Roof (Sheathing/Diaphragm/Frame) "'j. ~ '"\. ,Masonry (Reinf.l8ond Beam/Pre-Grout) , u Rough Plumbing (Top Out) . JI/I1l " Rough Mechanical -I-fzi/t; m Rough 8ectrical (Dry Wall) ..., 'Z-t/bS Rough Electiical ' . Framing, ,,{Only aner Plbg., Elec., Mech, and Fire)~' . ~ Insulation (SouncllEnergy) , #!" ~ po not tape or plaster until the following applicable c... rlL- , Items nave been SIgned: " Drywall {)~ ;, Penetrations (Fire Rated) Electrical , Penetrations (Fire Rated) Mechanical Penetrations (Fire Rated) Plumbing Inlerior ,LaIn ; , , Exterior Lath ", r...;!" /.<i. 'nt.tln , GENERAL ITE MS" /1// EXterior Plaster (Brown Coat) /"-/'.0;: T,Bar Electrical ' / T -Bar Mecnanlcal T -Bar Slruclural , Sewer ' tj,.,+6$ ~.~Il''''' "'-, WalerEngineering Backflow /, 'Water Service / h /'VC-. ' ~':JD'''' ~Id , / FINAL INSPECTIONS ., I Date Inspector' Electrical Final " ' " . Plumbing Final, i Mechanical Final , Gas Test 1, J. 7J.o'( IcYl...J(YL Engineering/Grading Final 765-5126 / , Fire Depl, !,inaI765-4040 Water Engineering 765.5268 ., , . Sub List/Business License 765-519 " " Zoning 765.6139 , " , , BUilding Final\l:ast Inspection. Only 1;/",. /~ ' :-~.... , fter Above Complete) , PARTIAL INSPECTIONS, Building Inspections -- - Mechanical Inspections ' ,Plumbina Inspections . Electrical Inspections "