2220 Ward Terrace
TYPE OF PERMIT
Repair
DATE: 9/3/2004
JOB, ADDRESS: 2220 E WARD TER
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CITY Q;fii~\N~HEIM
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BUilDING, DIVISION
200 S. ANAHEIM BLVD,
(714).765-5153
INSPECTION REQUEST LINE:
(714) 765.- 4626
BUILDING PERMIT NO. BLD2004-03390
CENSUS CODE: 434
QUARTER S'ECTION: 112
LEGAL DESCRIPTION: ,N TR 1843 lOT 31
APPLICANT:
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
DANIEL SILVA
2220 E Ward Ter
Anaheim, CA 92806
'JOB DESCRIPTIONRestuCC0 entire ,house and garage , fili~jn extist'g bathroo,:n window (fan provided)
VALUATION: 5,500,00 PROCESSED BY: DOR
I OWNER-BUILDER DECLARATION .,
I hereby- affirm under parialt)! of perjury that I am exempt from the Contract{Y:'s license Law for the following reason (Sec, 7031.0 Business and
Professions Coele: any city or county which requires a permit to construct.~i~8r. irn;:.:rove, demolisho! repair any structure, prior to Its issuance, also
requires the applicant for' such p~rmj-t to file a signed statement that he is HC~r'rsed pursuant to the proVjSiO~lS of the ContraGf,o(s Uc~nse Law (Chapter
9)(commencing with Section 7000 of Di,vision 3 of the Business and Profes5!:)(l$ Code) or that he is exempt therefrom and the basis for the alleged
. exemption. Any violation of SectlO(\ 7031.5 by any applic3.nt for::\ permit sut-;eets the a pplicant 'to a dvi! pen.altyof not more than five hundred dollars
~~ . ," '. " '
o ,'J, 'a~ ovyner of PiOPe(ty, or my, employees with wages'as their sole comr::ensE!tion, ,will do thd work, and the structure, lc not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contrac.tor's License La'lJ does not apply to,:tn owner of property INho builc;is.or improves
thereon, and who does sue.'" work himsi::lf or herseltor through his or f16:- OW,'l employees, provide:d thafsuch impiOvemontsare not i!1tendeq or
offered for sale-. ,If, howevE:lr, the building or improvement is sold with or'le yier of complBtion, the owner-builder will have the nui"den of proving that he
did not bllild or improve fot the plJrpose ofsa!c).:.; , .',. . '.'
01, as the, owner-of the property, ani exdusive Jontrar.ting with license :))ntr3ctors tq construct the proj<:!Gt (See. 7044 BlIsir.e3s anri PrQfesslol"'s
Code' The Contractor's Uccnse Lffi".' does not pp to an oo/flt'":'; 0/ proz:' Y'Nil0 biJllds or Improves theraor:1, a!1C who contrac~s for Stich projects with
p-j'Jntroctor(s) Iicensea pursuartt to th.a Co ,f ctor.s licenseLa .
:...... I am exempt under Sec. . ,3 & .C. for ,e' _n __. ___
Da ~e: OVvf1er' ,_ 1 _. .
r- WORKER'S CO ,p" SATION DECLARAT:ON --~----=:J
! hereby affirm under penalty of peri;;ry onn. of the followinjJ dec!aratior.s: :
o 1 have a~d will maintain a cer.:jfi..:;ate of oonserit to. self-insure jor wc;ker;'::, .;crnpensatiori,
'as.prc'<Jid€'d for by Section '3700 of the Labor'Code, for the performance of !!1':O ~"'ir.rl< f~r which
this permit ;s issued.', . ':.
o -, have and will main!a]:1'V/ori,er's coinpensation !nsUf3J\Ce. as ~quired ~;~" Sedie,:" 3700 Of", 'i}/:~f2004
the labo!' Code, for t!Je p~rfo.rrna:n.Cie oqbe, work. for which thi.::,: PBrmit is is~.!G:L Myworke:"s / Dati::
Compensation insurance C8r:1erand policy are: I
Carrier:' Policy Nllmber: I NUM8ER
This stction ~'eed- not be .oomPleted if the permit is for one hundred dollars ($10~1 or le.:;s, . TYPE
[J t certify that in the perionnim~'e of the war which trlispermH js,iC-'5u~:::,'; shail not . !
employ any person in allY rrmnner S~) as to b 0 subjeci t ha worKer's Ql)~11pensatJon laws 1
of. Califomia', and agree t,~t if 1 should ,e bjeCt to t work 's- 0Omp-.~,r.sation
~rovisions of S~~ion 3700 of the '~a fjde, I. shaIJJort h co Jy wi" nz::>.e J:;ioviSiorls. ~~4:tr~Cjon Tvpes:
Date: 9/3/2004 . Applicant:. . . Fire Sprinklered?
WARNING: FAILURE TO SECUR RKER'S COM ENSATION COVERAGi': IS ~' ,
UNLAWFUL, AND SHALL SUBJ"-C"T AN EMPLOY, ER TO CRIMINALPENA"i,.TIES AND CIVil ' "
FINESUPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADIJ:T10N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIO!>; 3706 OF THE '
, LABOR CODE, INTEREST AND ATTORNEY'S FEES, ' ....' " ,
I' 'CONSTRUCTION LENDING AGENCY ,~
I hereby:a~j~nl.Yf1d_e!"P'3nalty of perjury that there is 3 c01istru~tion l:ending a'~!e:1~Yfc~---=1
perfo~maj;0:fpUll~'\york for' which, this permit is iS5':led(Se?~097 .Civ.C),' I
.V:r'd."!:"G _h/(irr'!:::It,O'1: . '. .- .-... ~---- __-
rUCENSEO CONTRACTORS DECLARATIC?,N "I
r., nerety affirm ~mder penalty of perh1ry that I am
licensed ',linder provisions of chapter 9 (col11mencing
with Seeti0(7000) of Dh.sion 3 0fthe 8l~SlneSS hnd
iJrofeS$ipn::;.Cod e.
Contractoi
EXPiRATION DATE
'NO
te that the above information is correct ,.
tate laws relating to bu ifding construction, and
enter upon the above mentioned property-for
Fees paid for Permjt:
.Total: '
266.74
Date: 91312004
Signatu e' of pplicant Q Agent
e P!lrmit shaH expire by Iimilationand bl!Come 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.
INSPECTION RECORD,
" , INSPECTION , DATE, INSPECTOR
Temporary Power,Pole ,
Plu",bing (DrainlWaste Pipe) ,
Electrical Ground EI<lcll'odelUfer ,
SelbacklFormstrrenches (Footings I ,
Do not install sub floor or pour floor slab until the ' '
fo.llowing applicable items have been sIgned:.
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwol:k) " " ,
ElIoctriCaI (Underground Conduit)
pre-'slab (CQ!11PactionlMembrane.Reinf.
Un*,pinning (Float Joist/Gimers), '
'00 not:cover,or conceal the work, below u(ltil the ,
, following apRlica01e items have been' signed: , ,
1st Flo,or Shear "
Firesprinkl!!l' . (Rough) ,
2nd Floor Shear ,
Roof (Sheathing/Diaphragrn'Fr....e)
Masonry (Reinf -!Bond Be..../Pre-GlO\It) , ,
Rough Plumbing (Top Out)
RoughMechanical , : '
KOugh aectrical (Dry Wall) ,
Rough,Elecirical
. "Framing !Only aher P!bg., Elec.," MeeD and Firel
Insulation (SOundlEnergy) : ,
po not tape o"pJ~~ter until the followingapplicabte ' "
.tems have been sIgned: ' ,
Drywall.. ' , .
Penetraiions(Fire Rated) Electrical' , " : '
Penetraiions (Fire Rated) Mechanical ,
Penetrations (Fire Rated)Plumbil1!l
, Interior Lath, ' , .
Exterior Lath ' ,o/n'
'I, , GENERAL ITEM , ---'-
Exterior Plaster (Brown Coat) ,
T -Bar Electrical
T -Bar Mechanical " , , " ,
, T -Bar Structural
,
Sewer ' , ,
Water Engineering Backflow ' ,
Water Service' .
,
FINAL INSPECTIONS ' , , Dat.e Inspector
Electrical F,inal , , " I: ,
,
Plumbing Final' "
, .
Mechanical Final '8-)tc~ /1 11 . 1/
Gas Test,
Engineering/Grading Final 765.5126 , ,
Fi,re Dept. Final 7654040 . , ,
W",ler E,ngineering 765.5268 ,
, ' "
Sub ListlBusinesslicense 765-519 "
Zoning 765-51.39 , ,
Building Final ~ast Inspection. Only , g).&<>[ (2. f~tUI
fter Above Complete)
PARTIAL INSPECTIONS
BuildinQ Inspections,
Mechanical Inspections
Plumbina Inspections
, Efectricallnspections