623 N. West St.
TYPE OF PERMIT
Residential Addition . CITY'
DATE: 9/14/2004
JOB ADDRESS: 623 N WEST ST
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~~1'.}ty
BUILDING DIVISION
200 S. ANAHEiM BLVD.
(714) 765,5153 .
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION; 62
BUilDING PERMIT NO. BLD2004-03347
. .
. .
LEGAL DESCRIPTION: ANAHEIM HOM!"STEAD TR LOT 15 EL Y 200'
APPLICANT: FRANK NUNEZ
OWNER INFORMATION; CONTRACTOR INFORMATION:
FRANK NUNEZ . i.
623 N West St i
Anaheim, CA 92801 \ .
JOB DESCRIPTlqN;Enlarge entry and living room. Change location of stor3g~ room off garage.
. i .
VALUATION: 9,893.00 '1
I OWNER-BUilDER DECLARATION
. I hereby affirm under penalty of perjury that I am exempt from the Contractorjs License Lawter the following reason (Sec. 7031.5 BUSIness and
Professions Code: any aty or county which requires a permit to construct, a!:~r. improve, demolish or repair any structure, p~~r,-to its:iss~~mce.\aiSo
requires the applicant for such permit to tile a signed statement that he is lie:.rsed pursuant to the provi~ns of the Contractor's""license LaY" (Chaoter
9)(commencing with Section 7000 of Division 3 of the Business and profess1~s Code) or that he is<flxerwpt therefrom and the baSIS for the aJ;1~ed .~
7;;~~~.ion. Any violatIon of Section 7031.5 by any apPliCantfO,r .~ permit su,~cts t~e appncant to a ~Vil. ~naltYOf not ~~r~ tha::~ve h~n~c;ired dC~I<?r:,,:_s t~
o I, as owner of property, or my employees with wages as their sole compF;~sation, will do the work, and the structure is notinJended or offered for<
sale (Sec. 7044 Business.arydProfessions Code: The Cont'ractor's License.~w dlJC;s not apply to an 9WI'l<?rpfproperty whobuild~or improves;'r<
thereon, and who does,sucbwork himself or herself or through his or herowr~'erriployees, provided ttla.t:~uJ;ih improvements are not":ntended or \/
offered for sale: If, howeyer. the building or improvement is sold with one ye~i of completIon, th"'J owner-builder will have the burden of proving that h2
j[ld otbUlld orirnprove fOI the purpose of sale). ~
I, as the owner of the property, am exdusively contracting with licensed\xmtradors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of prope,tYfhO cwlds or ImprQ'.es thereon, and who contracts for such projec\.S with
P-Qontractor(s) licensed pursuant to the Con tor's L~ce Law). ~ . ^ . _ .
U I me p. u erSec. ,B;&P.C'/(o Isreaso.,: .1. ___
Dat i r Owner:~! t
,..----
WORKER'S COMPENSATION DEClA -::L ~
I hereby affirm under penalty of 'p~rjurv one of the following d.~clarations: 1'. .
tl I have' and. wilt -maintain a certificate of consent to selHnsure for Vo(orker':[' co~pensation,
as provided for by Sed ion 3700 of the Labor Code,'for the.performance oftn,.[ work for wnich
this permit is issued. .
o I have and will maintain worker's c'ompensation insurance" as required b'~ Section 37000f
the Labor Code, fo~ the performance of the work for which this permit is jSSU€~. Myworker's
Compensation insurance carrier and policy are: j .
Carrier:: ' -., PoliCY,Number. t
This section need not be completed ifthe.permit is for one hundred dollars ($1 j)CI~1)f les's.
.. . "0
1\6' I certify that in the perfonnance of the work for whicl) this perm'it is issue~. l~shalin6f- .
~ploy any' person in.a'ny manner so as to become subject to the worker'~'-So~~-r.*~-~atlon!aws
of California, and agree that if I should.become subject-to the worker's cOJ!tp€!:;:;ffition'
provisions of Section 3700 of the Labor C 1- shall ~ hwith comply wHhthOsa-pr9visions..
ARCHITECT/ENGINEER INFORMATION:
"
'ij/"",V :'
,
PROCESSED BY: FAN
LICENSED COtllTRACTORS DECLARATION Ie
I hereby_affirm under penalty of perjury that I am
licensed L!nderprovisions ';:If ch8Dter'9 (commencing
with Section 7000) of bivsion 3 of the. Business and
Professions Code. . . ,
9/14/2004
Date:
~ Contractor'
NUMBER
EXPIRATION DATI'
TYPE
. Date: 9/14/2004 Applicant:
WARNING: FAILURE TO SECU OR R'S COMPENSATION C ,G:OIS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA'-T1I'OS AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITlON.TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION .3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
CONSTRUCTION lENDING AGENCY'
1 hereby affirm under penalty pf perjury that there is a construction lend ing c::g~,,1:Jcy for "the
performance pfthe work for,whid1this 'permit is issued (Sec.-3097 .Civ.C): .',
~L~:1c!er's !;1for:nClti.:,~: -1 ::"~-.~ - :~:::
Construcidn Types:
VN" .
Occupancy Groups:
R3. ; "
. LivinQ Area:
Patio Area:
147
32
I certify that I have read thisapplicati.on arid state, that the above information is correct. I
agree-to, comply'with all city ordinances and state laws-relating to building ~onstruction, and
hereby author:" repz' 'ntiv of this ci,ty to e ~r upon the above mentioned property for
insp dion. ses.. .
. . '. "",~'. Dale: 9/14/2004
. Signatu e of Applica tor
The'perm shall expire by limitation d b~ome 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.
Fees paid for Permit:
Total:
984.93
INSPECTION RECORD
, , INSPECTION - , 'DATE INSPECTOR
Temporary Power Pole
Plumbing (DralnlWaste Pipe) , , ,
Electrical Ground Electrode/uter ' ,
'SetbacklFormSlTrenches (Footings)"
Do nohnstall sUbflQor or pour floor slab until the ' '
following applicable ite'ms have been sighed:
Plumbing (WaterPlpe.Sprinkler Valves)
Macha,nlca! (Groundwork) , , "
Electrical (Underground Conduit) ,
Pre.:slab (ColllJlactionlMembrane;Reinf. ' ,
Underpinning (Floor JoistlGirders)
Do not cover or. conceal the work below until the
following 'applic:al)le items have been signed:: ,
1 st Floor Shear :' , ' ,
FireSprinkler (RQugh)" , "
2nd Floor Shear ,
RQof (Sheathing/DiaPhragm/Frame)
Masonry (ReinfJBond Beam/Pre-Gl"O\It) .
Rough Plumbing (Top Out) ,
Rough Mechaolcal ,
Rough Electrical I Dry Wall)
Rough Electrical ' ' , "
framing (Only afterPlbg.. E.lec.,. Mech.. and Fire) "
Insulation (SoundlEnergy) ,
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) Plumbll!9 ' ,
Interior Lath '
exterior Lath,
GENERAL ITEMS
Exterior Plaster (Brown COal) ,
T -Bar Electrical ' " . '.
T -Bar Mechanical
T -Bar Structural
Sewer. ,
Water Engineering Backflow
Water SerVice , ,
Dale
FINAL INSPECTIONS
Electrical Final
Plumb,ngFinal
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Cept. Final 765'4040
Water. E,ngineering 765-5268
Sub:L.istlBusinessLicense 765-519
Zoning 765-5139
Building Final . (Last Inspection. Only , _ 1
" After Above Complete) V/.D 6
, ~ARTIALINSPECTIONS.
Buildina Inspections
"
Mechanical Inspections
Plumbina Inspections,
Electrical Inspections
.
!
TYPE OF PERMIT
Residential Addition
CITY
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',N~HEIM
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. BUILDING DIVISION
200 S. ANAHEIM BLVD,
(714)765-5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 62
BUILDING PERMIT NO.. BLD2004-02077
DATE: 5/27/2004
JOB ADDRESS: 623N WEST ST
LEGAL DESCRIPTION' ANAHEIM HOMESTEAD TR LOT 15 EL Y 200:
:!
APPLICANT: FRANK NUNEZ
OWNER INFORMATION: CONTRACTOR iNFORMArION:
FRANK' NUNEZ ,
623 N West St ~. <
l ~.
Anal1eim, CA 92801 ., ,1 . ANAHEIM,CA 92806. , .
JOB DESCRIPTION:Demolish9arage, build new 9arage 490 s.l., game icomlt.S' &'bath.& enlarge dining room: 932 sq. ft., add storage room 96 s.r, on first
. VAL'UATION: floor'1Add "..cond story Master bedroom, bath and closet ;.a2 s.l, and deck 215 5J, .
: 1~ ,880,Uu , , ,; . PROCESSED BY: FAN
I OWNER-BUILDER 5eCLARATION
I hereby <:!ffirm under penalty of perjury that I am 'exempt from the Contr~ctor~'Ucense Law for the'following reason (Se~>. 7031 :5_ Business and
Prot~ssjons_ Code: any city -or county which requires a permit toconstrU(~t,a1tt:knprove. demolish orrepair any structure, prior to its issUC\lnce;aiso
requires'the appliear1_t for such perlT)it to file a signed statement tha,t he jslio~!;$ed pursuant tothe provisions of the Contractor's License"Law (Chapter
9)(commencing wit~ Section 7000 of Division 3 of the Business and PrOfes~\(~~s,Code)o'r that ,he is exempt therefrom 'and the basisfo.r the alleg,ed
exemption. Any-violation of Se<?tion 7031,5 by any appljcant for a permit sub~~_cts the a ppiicant to a dvil penalty of not more than five hundred doll.ars
($500). " ' r. ..' ."." '-
D _l~ as'owner'of property,or my emp1'oyees with wages' ~s their sol'? cqrr:,pC~_'$ation,: wi!I'do the work, and the structur~ is not !nten~,ed or <;>fferedJor
sale (Sec. 7044 Business and Professions Code:: The Contractor's LicenseL'~'".v'dOE!S_'not applyt() an owner,of. property who" build s or improves
thereon; and who does such work himself or herself6r,throughhis or her c'~,:nl,!:!_rnPIOyeeS"provided that such i,mprovements 'are:norinte,nded ,or _..
offered for sale._ If,however,the, building or improvert;ent ,~sold with oney()ii~ ofcomp!etron, the owner.,.builder will have the burden of proving that-he
didpot buildar improve for the purpose of sale), :.~., ':;'. .,,',' ..
[11_ 1,;' ast'le owner of the prop'erty, am exClusively contracting with licensed 4i:~ntractors to-construct the pr;ajed (See. 7044 Busines~-and Professions
. Code: The.Contractor's' LicenserLaw does not apply tc:ar. cwne'rof property'J.:ho b'uiltls or,improves the-reon, and.who contracts for such prpjects with
. ~ontracfor(~~li.c~r.sedPursuah(t?theContr-~_?t<;r's li~nse La '.,__'r;' ' .
,. I am e~emp~ un~er S-ec. . .. /~-&'i?C. for oIS . oa.:...-.~_ ~:r.. /
Date:." ,-. . -, . Owner:, ,-' .,..,., /- ~"L- /
r .' WORKER'S COMPf:!ilSATION DECLARATlON~ir____---.J,'
I h~reby affirm under penalty,of perjury one of the foll0wi.ng 'declarations: . '~~ "
o I have"and. will maintain a ~ertificate of. consent to self-insure for wo,k..jf'{l:;omptlnsation,
as; provided' for by Section 3700_of the Labor Code, for the performance 0f ~,;'~>Ji..'rk fqr whldl
. this' _perri1it is- issued: .' '~.~
o .1 have arid wlll maintain worker's compensation insuran'ce, as required ::J>dectior. 3700 of
the.Labor Cod'e. fo~ the peiformance of the: work ,fer which this'permit is fSS1l6{ My.....:orker.'~:>
Compensation insurance carrier'a.od ~Iicy are: ,.. . . 'I .
Carrier: '., .. , Policy Number: ;' - .
~hiS- _, ti,on need ~ot ~ ~mPI_eted if the ~nnit is fur: ?ne hundred'dOllarS ($1~O)'i)f'.esS.
, I certify that in .the, perfonnance of the Work for which this ,permit is issue("~ Isha-!1 not
e_ ploy any person inany ri1anner so a.s to beconie~Jed t.o the worker'sccr~;pe~_sption laws
of.Califomia..and agree that if rshould, become $U,fj)ect to thewo r's compel;.satic;n' '. .
provisions of Section-3700 -of the Labor Cod hall fo ~t _ply with' thfJh ovisions.
.' . . ----...
Date: 512712004, . Appiicant:
WARNING: FAILURE TO, S"CURE W , KER'S. COMPENSATION C .'3E IS
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAl P AI:":ES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDI'nON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION :~l05 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. . .
I CONSTRUCTION LENDING AGENCY , '
I herehyaffirm uf1derpenalty of perjury that there is a construct!onlending a:J:,,:"'~Yf6rthe
_p~ctQ~"!)~rjce__9fthe'worK fp..! whi?1_ this permit is issued (Sec.3C97 ._Civ.C):': 'L '
Lenders Information:- - - .-:-'~~---. - -.--
,ARCHITECT/ENGINEER INFORMATION:
'CRAIG F STANGER
2014 E. WESTPORT DR.'#A
LICENSED CONTRACTORS DECLARATION ' I
. '-hereby.affirm under penalty of,perjurythat I am
licel~se~ under'provisions of chapter 9:(commencing
with Section 7000) of.Divsion.3 of the ,Business' _and
P.rofessions Code, .
5127120Q4
Date:
Contractor
NUMBER
EXPIRATION DAT~
TYPE
Construcion Types;
VN, ,
DwellinQUnits:
livinQ,Area:
GaraQe Area
Balcony I Deck Area:
1
1,714
.878
215
,"._,' ;'..
I certify th~t I ha~'ad this application- and state that the above information is correct. I
agree to co ~ with all city ordi nces and state laws relating to bUilding-conBtruction, and.
.he~eby orize repre 'tiv of this 'city to ente n the a bove mentioned' proPerty for
i~ p ses.
Fees pai~ for Permit:'
'Total:
564.1.9
Date: 512712004
S tl1re of Applicant 0
The permit shall expire bylimitatio become null and void if the building or
work has not passed final inspection 365.days from the date of perrn:t issuance. A
~w permit is required toconimence or continue work.
. . .. iNSPECTION .RECORD .... " FINAlINSPEC.T10NS' .'. Date 'Iospes: Ibr c.'
INSPECTION .. Electrical Final 1?'-I~>tJS'" II/II
DATE' . . INSPECTQR .' '. .'. . ~.'
Temporary PoW'er Pole . .' ....: Plumbing final . . i >(<;--it; ) ~.
. .:
. PlUmbing (DrainiWasfe Pipe) '.' , . . .' 2 !ttlc~ 'l }'. -~......
. Mechanical Final
,Electrical GrOund Electrode/lifer .' . . --- -'->.
GasTest. . .. 2./rrkf '/
5etb3l:k/FormsrrrellChes(Footings) . "I1....(~~ . ' ~
00 not install SLJbftoor or pOLJr floor slab unti/'the E'ngineering/GradingFinaI76S-5126 .. . Y'
following applicable items have been signed! '. .
Plumbing (Water Plpe.Sprinkler Valves) .' . . Fire Dept.Final.765.4040 .': . .
'. . .
.Mechanic", (GroundWork) . ., water Engineering 765-5268 '.. . .
EIech'iCal(Underground Conduit) ..:.-.T : .
Pre-slab ((;ornpactionlMembrane.Reinf. "I1~f) ." ...... Sub 'List/Busin..ss Licerise 765-5.19 .. . '. '., . .
,Underpinning.(AoorJoiStlGird~s) '.' .... .'. ZOning 765;5139 . . X".
, .
00 not cover.orconcealtheworkbl!l.ow unt.1 too . .' . B~i1ding Final~st Inspection- Only . 3bts- ' I J 7"~
followlngapphca.bll!ilemS have been signed: . - .-' '. fter Abov,eComplele). &- ./"M
tst .Floor Shear , ~IOf' .... . PARTJALINSPECTIONS ~/ :
. .
FiresJiriilkJer(Rough) . . . -~ . .
2nd Floor Shear . .'. '. , . (:01(;.104- Builciinalnspections
,ROof (Sheathing/OiaPhragmlFraml!). lol../:'I1l .
.
Masonry (RelnfJBond BeamlPre-Grout) .' . .
"
Rol1ghPlumbing (Top Out) '. . -' . :. . .
. Rough Mechanical '. . . f .. . . ..' .' '.
. Rough BectrlCaI (Dry 'nail) : '/ , "
Rough Electrical '. ' . ,r I '.'
. . .
Framing '. (Qnly .after Plbg.. Elec. Mech 'and Fire) n. ?4-M- IA j~1 ' I . .. '" '. " .
Insulation (SoundlEnergy) >2./'/",1 z I .... , . '. .'
.. : Mechanicallnspectiolis
Do not tape 'or.plaster' until the followiAg applicable / . .-
item.s bave been signed:'" ..' . '. .! " . . . . .
DrYwall' .'. ..... . ... ' . '.
Penetrations (Fire Rated)EIe<:trical I. . ,,' .'
.' .' ' . . .'.
Penetrations (FIre ~ated)Mechanlcal . . .. '.
J, . ....
Penetrations (Fire Raled) Plumbing .' . -....
InieriorLath .' .... , : '.
. . I ". . .'. . . .
Exterior Lath , . -.... PlumblnQ Inspections
.. :. GENERAL ITEMS . 'r-.. . ". . . . ,. '., .. .
.'
Exterior Plaster (Brown Coat) . Z }2bM / .
,T.Bar Electrical . '. . /' .
.
T.Bar Mechanical .. '. '. '. . .
.. . - . . .
T-BarStructural .
Sewer , .' . . .
Water Engineering Backflow . . .'
'. Electrical Insl'ections
Water-Service-. ". . . .
. .