7739-7753 E. Viewrim Dr.
TYPE OF PERMIT .
ResidenlialRemodel CITY
DATE: 5128/2004
JOB ADDRESS: 7739 -7753 EO VIEWRIM DR.
LEGAL DESCRIPTION:
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REQUEST LINE:
(714) 765 -. 4626
CENSUS CODE: 434
QUARTER SECTION:
BUILDING I:'ERMITNO. BLD2004-02068
APPLICANT: DAVID EDWARDS . .
OWNER INFORMATION: CONTRACTOR INFORMAnON:
'Unda Nehring ORANGE COAST BUILDIf<G'SERVICES
7739 E Viewrim Dr . 2244 N PACIFIC 5T "
Anaheim, CA 92808 ORANGE, CA 92865.0000; ,
. . .' . . BUS1NESS PHONE: 114 99~.8b51 ..
JOB D.E:$CRIPTIONDeck repairs per approved architect plans for deck repaii ~io~p-9 bid #35.
. , . j'
VALUATION: 3,125.00 . .".
I OWNER-BUlLDER'D.ECLARATION
I hereby affirm under penalty of perjurytha~ I am exempt fr.om the Contractorb.~Ucense Law for th~ following reason (Sec. 7o.3t:_~-,f3:usiness and
. Professio'ns Code: ~ny'dty or countywhich requires a permit to construct,:aJte<r(improve, demolish or repa.jr'a'nystructure, prior,to:its issuance, 'alsQ .
requires the applicantJor such permit to file '8 signed statement that he is Ii~;i$/\:sed pursuant to ,the provisions of the-Contract or's License'Law (Chapter,"
9)(cammenping with Section 7000 of Division 3 of the Business and Prpfessl({I::,Code) or that he is,exempt"therefrom and the basis for the alleged
exemption.. Any Violation of 8ecti.o~ 7031.5 by any applicant for a permit ~tJbl~ii;fts the applicant to a.ovil penartY9f"notmor~ th,an five 'hundred dollars
($500) .... .. I" .. . . .' .
o I, ~,s owner of property, or ~y'e~PIOyees wi~ wages as their sole,com~!:~atioTi,' will do the work. ~nd the structur!9 .!S not i~.te~ded or qffered for.
sal~ '(Sec. 7.044 Business and Professions Code: The Contractor's License J;clv.rdoes not apply to an, owner of property who builds or. improves .
thereon, <find vvho does'such'wQrk himself or herself or through his or her o~(~:.dmproyees. provided that Sl,lch improvements are not intended or
off~redfor-~!e._If.however.,the building pr improvement is ,sold with one ye;:.r}:>f.compleUon,-theowner-builderwill have the burden of provingthathe__
didl1O~buUdorimproveforthePUIPo'$eofsare).., . " _ -',_.,.. ..," '_ _ _ .' .
, 0 ,;I"as tlie owner of the property. amexdu~iV~IY contrading with Ijcenseq~~ntractors to construct,the project (Sec. 7044 Busirieg,s and Profe~ions~':
. Code: The Contractor's License, law does not apply to an owner of prop~rty;;"Vho buMs or improves th.ereon, and who_ contracts for such projects with';
" t10ntra.dOr(~rnc~nsed ~ursuant totheContractor's.Lieense law)~ .Y , ,. ,
,lam exempt under Sec. _ . ,B.& P.C. fort~is reason: ~~:.y
Date: Owner:
I . WORKER'S COMPENSATION DECLARATION
t hereby affirm under penalty of p~rjury Ohe of the following declarations: .
o 1 hav~ ,and Will "maint,,-i.in' a ,certificate' of consent to self-inSure for .worker'~:'colT!pensation;
flsprovided for'by,Sedioo 3700 ofthe la~r Code, for the performance ofth;~;work:'forwhich .
:thispermit is issued. ". ' " " ;
01 have and will maintain worker's compensation.insurance,'as requ.ired b~:' Se'CtiO~ 3700 of 5/28(2004:
'the labor Code, for the performance of the Work for which this permit is issu/?'j My worker's " ; Date:
Compensationinsu"tani::e-carrier and policy are: , . . ,."! 'i,,_
Carrier; STATE COMPENSATION FUND' Policy Number. 000907~::~04"
This 'on need n~ be' '~PJete.d if'lh,e permit i~ fO(o~", hU~dr~ ~OI.larS:($~.:fl ~\ess..,
, " certifY that in. the performance of-the' work fo hich this permit-is issue"jfl sDaU:oot
"'erryploy.any pe'~s.on in aoy manner so as to beeo e ubject to et'~2Ccri1Tk'nsation laws
,of'Califo'!1_!a, and agree that if I shc;>uldbecome sub' ct ~w s omj)e , . fon
provisionsQf Seclion3700 oflhe Labor Cod ,s '" mply fthT"
ARCHITECT/ENGINEER INFORMATION:
MICHAEL KISS -
1081 CAMINO DEL RIO SOUTH
SAN DIEGO, CA 92108
PROCESSED BY: CDL
L
"- .~"
.\.',
I
. LICENSED CONTRACTORS DECLARATION
I hereby affirm "oder penalty of perjury \hall am. '.
Iicensed'u,ryder proyis.ions of chapter 9 (comme~lng
with Section 7-000)' of n 3 th ness
Professions. Code~ '
EXPIRATION Df,TE
1/31/2005
B
HIC
. Date: 5/28/2004 Applicant:
WARNING: FAILURE TO SECU ER'S COMPENSATION COVER\GE IS"
UNLAWFlJL, AND SHALLSU(l AN EMPLOYER TO CRIMINAl' PENAiil.E:SAND CIVIL
FINES UP TO ONE HUNDR OUSAND DOLLARS ($100,000), IN-AQD!i1PN TO TH.E
COST OF COMPENSATIO AMAGE5 AS PROVIDED FOR IN SECTI0N3;06 OF THE
LABOR CODE, INTERES AND ATTORNEY'S FEES.
I . CONSTRUCTION LENDING AGENCY. ---",-.
1 her~by ;aff\'!1T! ',1ro,=,q)e:"!~lt-J of fW':"!wy fh;;t th~,.,? ic:: ~ t;'0~~rl}r:";0r:' l"?"'!-...!....,~:"' :.~;~~(f<:'r~"'!(l'.
performan'ce of the work for which this permit is issued (8e_o.3097 .Clv;C):
, Lender's Information: "
ConstriJcion Tvpes:
VN,. ,
Fire Sprinklered?
NO
"'-',.
I 'certify'tnat! have read this application and state thatthe above' information is'correct. I
. agree to comply with all city- ordinances and state laws'relating'to building construction,. and
herebyatlthorize-r resentlves"o .". ~ enter !Jpon t e mentioned property-for
inspedi~n p'u
Dale: 5/2812004
Fees paid for Permit:
TOlal:
0.50
. Signature p ica or Agent
permit shaJlex'pire by limitation and become null and void if the building or
Ql'k has not passed final i~pection365 days from the date of permit .issuance. A
new permit. is required' to commence or continue work.
INSI'ECTION
.'NSPECT'ON RECORD.
,DATE
. INSPECTOR ..,
Temporary Power Pole
Plumbing (DrainJlNaste Pipe)
Electrical GrOund EleCtrodelurer
~b~k1FormsfTre~es (Footirig$)
Do not install 5ubfloor or poUr floor slab until the
following applicable items have. been. signed! .
Plumbing (Water Plpe.5prinkler Valves)
M8ehanical(GrClunclWork) .
!:lectrical (Undergr,ound onduit)
Pre,s (ompactloril~embr_,Reinf.
Underpinning (FloqrJciistlGirders)
not eoverOr concea the work. below untolthe
.followlng applicable items have.been signed:'
1stFloor.Shear
. Filesprinlder . (Rough)
2nd,FloorShitar.
ROof (Sheathi DiaphragrWF.farrNl)
Masonry (RlliinfJBonl1 Beam/Pre-GRXlt)
Rough Plumbing '(TopOut)
RO,ugh Mecha.nical
ug. ectrical
Rough Electrical.
Framing > "(9n'lyanerPlbg'. Elec.:Mech" and Fi
Il'I!lulatlcin (SoundlEnergy) ,
00 nottepe or.plaster.untilll1e following applicable.
i,tem.s have.been,signed:- ..' '>.
Drywall
Penetrations (Firit RaIled) Electrical
PenetrOlio1'\S (Fi", Rated) Mechanical
penetrati(ln$,(Fire Rated) Plumbing
InterlolLath .
Exterior Lath .
al.
.....
GENERAL ITEMS
~eriorP\aster (Brown Coat)
,T-Bar Electrical
.T -Bar Mechllnical
T-Bar Structural '
Silwer.
Waler Enginl>&ring Backflow
WaterSeNice. .
~
Date, Inspector
FINAL INSPECTIONS.
Electrical Final . . .
Pltll11bing .Final
Mechanical Final
Gas Test.. .
Engineering/Grading FjnaI76S-5126:
, Firll Dept. Final 765-4040 ..
Water Eiigineei:inll 765--526.8
'Sub 'ListlBusin"ssLicense 765'-519
Zoning 765.51~9.
BUlldirlgFimil . (Last Inspection- O.niY : I.' r
.'AfterAbov,e Complete) \.",..
,'PARTIAL INSPECTIONS.
BOildinq Irlsp~ctions ... .
.>'
,.,
~
. . . . .
. . . .,...' ,"
... N1ec"a~ieal.lnspectibns..
.PluinbinQ. h'SDections
EiectricallnSDeCtlOnS
TYPE.OFPERMJT CITY
Residential Remodel . . . .
DATE: 5/28/2004 . .
JOB ADDRE:SS: 7753. E VIEW RIM DR
LEGAL DESCRIPTION:
EI.M
BUILDING DIVISION
200 S. ANAHEIM BLlID.
. (714) 765.5153
. INSPECTION REQUEST LINE:
(714) 765: 4626
CENSUS CODE:. 434
QUARTER SECTION:
BUilDING peRMIT NO. BLD2004-02069
ApPLICANT: DAVID EDWARDS i
,.
. OWNER INFORMATION: CONTRACTOR INFQRMAi"y.ION: .'
Steven J Gonzalez ORANGE COAST BU ILDING SERVICES
. . ' . _,I'd,
8465 E Saratoga SI 2244 N PACIFIC ST .'
A~"heim, CA 92.808 . ORANGE, CA 928650000 i
. . . .' " . BUSINESS PHONE: 714 99,a:~051 '. .
. JOB DESGRIPTIONDeck repairs per approved archi.'ec! plans for deck repaird!pUP-9 bid #35_
VALUATION: . 3,125_00 '. . . ...... .1' '. PROCESSED BY: COL.. 1__
r -.' ..... . OWNER-BUlLDER'"iECLARATION. .... .' - ...... . - '. .
I hereby affirm under penaltY of perjury that I am exemp~fromthe -Contractor'ff!;pcense Law.for the following reason (Sec. 70~1.5Husinessand' '-.
Professions Code~any.city or county which requires-?, permit to construct, afW,)mprove, demolish or repair any structure, prior tQ,its_issuance. also
. . requj~es the' applicant for such permit to file a-signed s,tatement that he i~ licEf'$ed purs~ant to the plpvisions o!the Cqntractor's ,license ll;iW (Chapter,
9)(cammencing with SectiOn 7000 of DJvision 3 of the Business 3I'Jd ProfesSl\::;ll.S Code) or that he _is exempt therefr'om, and the basis_ for the alleged
~;~:O~~iO~~ An~ violat~" at' ~~tion 7031.5 by ,any ~PPlicant for a, permit s~pirf~ the_ai>PHcan~ t: a ci~U ,penalt~of not more t~an five -hundred dd~ar~
o _, I; as owner of property. or my employees withwa9~s as their sole com~~sation, will do the work/and, the structure is, not intend ed or .offered for'
sale(Sec._70~ ,Business and Professions:Cod~: Th~ Contractor's Lic:enseJ;/:W does ~otapplytoan owner bfproperty who builds or irTIproves
thereon. and who does sum work himselfor herself or through hisor her, oVl{'if'J~niployees, 'provided that such i.mproveme~ts. are not intend_ed,~r
offer~dforsale. If, however;, the building or improvement is :spld with one ye:i';~~foompleti,on. the owner::builder wifl have the burden of provbig thaf he
did not buUd or, improve for the purpog;e at sale). ~'". '
o ,I.-aS the'owfler of the prop~rty, ,am. exc(usively.contrayf,ing wkhl.icensed:~~ntraCtors to co~~ruct-the' pr,oject(S:ec,'7044.BUsiness an(rp~f~5$ions'
. Code: The c:ontractor's. Uce!lse law do~ ~ot apply to: an owner of propertY;Stp builds or improve~ ther~~, ~nd who rontracts for such, pr~jects with
jU?ontractor(s) li~nsettPUrsuant to the Contractor'~ License L3~r "i( .' , ' , ' . ..' _ ',' _,: :-'
U "am exempt under Sec. ... 8 & P,C. for this n~ason: ~'_ '" . ' . ,", ,.-
Date: Owner: '
I WORKER'S COMPENSATION DECLARATION'(
'rhereby affirm under penalty'ofpe~ury'one -of the following declarations:
o I have and will maintain ace:r:tificate of consent to self-insure for worker's!compensation;
as provide<;1 for-by Section 3700 of the Labor Code" for the performance ofth'~'"workfor wh.~ch
this, permit is ,issued. . ,", _ '. . "", '
0.1 have.andwilUnaintain wo.rker's compensation ~nsurance, as required b:/Section 3700 of
the labor Code, fo r the performance of the work for which this ,permit is issue:.i"> My worker's
CompenSation 'insurance canier and policy are: . . '. ' --. ;',\:--
. Carrier: STATE COMPENSATION FUND. . - - POiiC)l Number. 00090~!i:iR04
ThiS.S- n need not be completedif the pomnlls f6r .one hundred dollars ($10f ~1J'Ss. .
certify that in t~ perfonnance of the work for wh.tch this permit is issu '.',;!shan not .
mploy ,any person in any man:ner so as to bee bject r ~ pensation
of Califomia, ;and agree that if I shOUld beeo sUQj .t. rk.er po .'ation
provisions of se,ction 370C)-oftheLa'bcirCo ,I sh fa h I ,tht:~t~~e OVl
,
ARCHITECT/ENGINEER INFORMATION: .
MICHAEL-KISS
10B1 CAMINO DEL RIO SOUTl1
.SAN DIEGO, CA 92108
.Date: 5/28/2004 Applicant: .
WARNING: FA_ILURE TO S/OCU ER'S COMPEN ATION COVER-,GEIS'
UNLAWFUL, AND SHALL SUB T AN EMPLOYER TO CRIMINAL PENj\LTII;SAND CIVil
FINES UP TO ONE HUNDRE OUSAND DOLLARS ($100,000), IN AODnJ9N TO THE
COST OF COMPENSA'nO AMAGES AS PROVIDED FOR IN SECTION 3706 OF..THE
LABOR CODE, INTEREST. ?\NO ATTORNEY'S FEES: .
I CONSTRUCTION LENDING AGENCY
I n€'.(ebv affirm urDer D9nattv of oPrillrv th~t th~r!'l ~... r:f)n~'l"tior lorvfih(J ~I"'~^c,.'f~r ~h~_
performance of the wOrk forwhfCh fhispsrmitisissued-(See.3097.CrV".C):- .-- ~
Lender's lnfonnation:_
Contractor
EXPIRATION DATE
11~lJ2005
B
HIC
Construcion Types:
VN"
.Fire Sprinklered?"
NO
.1 certify that I haverearl this application a'tld statethat'the above inforrriatidnfs'correct. I
agree to comply . all city ordinances ~ndsta'e laws.rerating..to bu.i1ding cClrlstruction, and
herebyauthor:'e re ,Sentive .'ty to enter vementionEl;d property'for
inspection rpo \,' ,
Date: 5/28/2004
Signature of leant or Ag~nt, . ,
permit shall expire' by limitation and become null and void if the building or
Oi"k has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to commence ()r continue work. .
Fees paid for Permit:
Total:
0.50
INSPECTION RECORO
'. . ..
. INSPECTIONc '.C .OATE . INSPECTOR
:r emporary Powiir Pol. . . .'. ". .
F'lumblng(DrainJWast. Pipe) .' :. .' " . .
Elec:ir'ical GrOund Electrode{Ufer . .' .' ,
.' ~acIllFormslTtiinChl!S(Footings)' . c'c " . ".
00 not irn;tall subfloor or'pour flOor slab until tlie .
following applicable iterns.have be,en signed: . . ,
Pfumblng (Water Pipe.Sprinklei'Valves) . . . .
Mllchanical (Gri:lunc1iMlt'k) " :,' " . '.
Eleclri~ (Uriderground Condu ill
Pre-slab {CompaclionlMembrlin&.Reint. C' .- . . . '..
Undei'pinning (Floor Joist/Girders)
,!J?, not eaver or conceal the ""011< below until the'
'following applicable i1ilms have been signed: , '
~SI.FlooiShear .. '. .... . '.
Firesprinkler (RoUgh) .' . . '. .' . . .'
2nd Flllor Shear' , " . , . (1 ./"
ROof (Sheathing/Oiliphragrn'Frame) . r7 i\ -0>':
Masonry (RliinfJBond BeamlPr~JOUt) ,
~ol1gh.Plilmbing . (Top Out) , '. ..' . '. .
Rough MeChalll~ '.' . .' . , .'. .. . . ,
.
KOugh l:Iectrical ' 'MIll} ,
,Rough Eledricai " . '., . . .
Framing ICnly after Pltlg, Elec... Mec.h., andFir .'
Insulati()l)(~oundlEnergy) " . .
Do. not tape or plaster until the followiAgapplicable .
items have been signed:: , " "'. .
DrYwall , .' . . , . .' . .-
Penetrati911S (Fire Rat!ld) EI!ICtiical . . '. . .
pen!ltl'aliol1S (Fire Rated) MechanicaL . . , "
Penetrations(Fire Rated) Plumbing . ... . .
InterillrLath " .: , ' . . .... .' '. .
. Exterior Lath '. , . .
" . GENERAL ITEMS ' .'
exterior Plaster (Brown Coat) .," . . .
,T-Bar Electrical .' . ,.' ..'
,T-Bar MeChanical ,,, . .
T.Bar structural . . . .... , .
Sewer . , .
Water EnglnllJ'ringBac!<flow , .' . .
Water Service: . , . .
.
FINAL INSPECTIONS' '
Electrical Final. '
, .phimblngfiiral
. .
Miichanical Final
Gas Test' '
Engineerillg/Gra<!ing FjnaI765~126
Fire Dept. Final 7654040 .
Water Eiigineiiring 765'5268
, Date ' Inspector .
. . .
Sub'ListlBUsiltess Licenlle 765-5,19 '
Zoniltg,765-51.39
Building Final . (Last Insjrection-Cinly
. . .' 'Jlller At>ov,e CQmplete).
. .' .PAinlAL INSPECTIONS
~Buildinalnspections
. Mechanical Inspections
. PllJmbinQ Inspections . .
. ElectricallnsDections