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3580 W. Sweetbay Ct. BUILDING PERMIT NO. BLD2005-03317 TYPE OF PERMIT Residential Remodel CITY DA TE: 10/26/2005 JOB ADDRESS: 3580 W SWEETBAY CT A LEGAL DESCRIPTION: APPLICANT: BETH WINTERS OWNER INFORMATION: CONTRACTOR INFORMATION: BETH WINTERS 3580 W SWEETBA Y CT LOS ALAMI TOS, CA 90720 JOB DESCRIPTION: Installation of man door leading to garage completed ,prior to permit. VALUATION: 1,000.00 PROCESSED BY: MJF : OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's Ucense Law for the following reason (Sec. 7031.5 Business and Professions Code: any city or county which requires a permit to construct, atter, 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 Professions Code) Of 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 ,($500). ~, as owner of property, or my employees with wages as their sole compensation, 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 improvements 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 pUfPose of sale). o /, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with ,a.qontractor(s) licensed pursuant to the Contrac r's License Law). U I am exem t unde Sec. ,.C. fa is re san: Date: 0 '2! C, t! b Owner: ".>; WORKER'S COMPENSATION DECLARATION -I hereby affirm under penalty of perjury one of the following declarations: ff I have and will maintain a certificate of consent to self~insure for worker's compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. o I have and will maintain worker's compensation insurance, as requimd by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. Myworker's Compensation insurance carrier and poficy are: Carrier: Policy Number. This section need not be completed jf the pennit is for one hundred dollars ($1 00) or less. 01 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker's compensation laws of Califomia, and agree that if I should become subject to the worker's compensation proVisions of Section 3700 of the Labor Code, I shan forthwith comply with those provisions. Date: 10/26/2005 Applic~ ~ WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI110N 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 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 above information is correct. I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize represent;ves of this city to enter upon the above mentioned property for inspection13~rposes./ J j) .. .7 t:;2//~ t/J~ Date: 10/26/2005 , Signature of Applicant or Agent The permit shall expire by Iimilalionand become null and void if the building or work has not passed final inspection 365 days from the date of permit issuooce. A new permit is required to commence or continue work. ElM BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 434 QUARTER SECTION: 3 ARCHITECT/ENGINEER INFORMATION: LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of chapter 9 (commencing with Section 7000) of Divsion 3 of the Business and Professions Code. 10/26/2005 Date: Contractor NUMBER EXPIRATION DATE TYPE Construc/on Tvpes: VN, , Rre Sprinklered? NO Fees paid for Permit: Total: 222.89 City of Anaheim Building Division INSPECTION RECORD INSPECTION DATE INSPECTOR Temporary Power Pole Plumbing (DralnJWaste Pipe) Electrical Ground ElectrodelUfer Setback/FormslTrenches (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 (CompactionlMembrane Relnf.) Underpinning (Floor Joist/Girders) Do not cover or conceal the work below until the following applicable items have been signed: 1st Floor Shear Firesprinkler (Rough) 2nd Floor Shear Roof (SheathingJDiaphragmlFrame) Masonry (Reinf.lBond BeamlPre-Grout) Rough Plumbing (Top Out) Rough Mechanical Rough Electrical (Dry Wall) Rough Electrical "- Framing (Only after Plbg., Ele., Mec. And Fire) Ii. ...1. Lb-'\ Insulation (Sound/Energy) If " I' 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 Backflow Water Service FINAL INSPECTIONS DATE INSPECTOR Electrical Final ~ ' /7. < Plumbing Final Mechanical Final Gas Test Engineering/Grading Final 765.5126 Fire Dept. Final 765-4040 Water EngIneerIng 765.5268 Sub LlstlBuslness LIcense 765-5194 Zoning 765-5139 Building Final (Last Inspection. Only 1~f1 ,f) Alter Above Complete) ~h'M,# PARTIAL INSPECTIONS Building Inspections Mechanical Inspections Plumbing Inspections Electrical Inspections