5319 Westridge
TYPE OF PERMIT CITY
Blockwall / Columns
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BUILDING DIVISION
200 S, ANAHEIM BLVD,
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 180
BUILDING PERMIT NO, BLD2005-o0045
DATE: 1/10/2005
JOBADDRESS: 5319E WESTRIDGE RD REC
LEGAL DESCRIPTION: N TR 7566 LOT 10
APPLICANT: JOE' GIANGRANDE
OWNER INFORMATION:
Westridge Homeowners Assn
176011Trh Sf #218
Tustin, CA 92780 ,. .
JOB OESCRIPTION:Remove existing wood siding to restroom and pump room'r~piace with stucco. Build 50' long and 6' high of slump stone block wall to
VALUATION: cityf2~8S8:e8' :
I OWNER-BUILDER'DECLARATION
I hereby affirm-,under penalty of perjury that I am exempt from the Conb:a<jor) License Law for the following reason (Sec. 7031.5 Business and .,
ProfesSions Code: any dty-or CQuntywhich requires a'permit to construot". aift}r, improve, .demolish or repair any structure. prior to itsissua_..ric~, also"-
requires'the applicant for such permit to file a signed statement that he isl}CC!lsed Dursuant to the provisions of the Contractor's License L~(Chapter
9}(commencing with Section 7000 of Division aof the Business.and Professit~ns Code) or..that he is exerrmt therefrom and the basis for the alleged
exemption. Any violation of Section 103:1.5 by any applicant for a permit SlJbif~ts the appJjcan~.t~:? civif.pen.altyofnot inor~ th~n five hundr~~;.dollars
($500), . , 1, ." ""
,g I, as owner of property; or my employees with wages 85 their sole comr6nsatior., will oathe work, and the strudure is notln~ended Of offered for
sale (Sec. 7"044 Business and Professions Code: The C.on~ractor's Ucense._l;wl dOe's not apply to aWowner of property who builds or improves:
thereon, and who does. such work' himself or ,herself or through his or hbr OWI~ errlplayees, provided that such improwments are not ,.intended or '.
offered for sale. If, however, the building or i~provemeni 'is sold with one jei! .]f oompletion, the owner-builder will have the burden of proving H18t he
did not build or improve. for the pUlpose 'of sale). .' .
o I, as the owner of the property, am exclusively contracting witj-iiiccm:;ed i:ontractors to construct the. project (See. 7044 Business and' Professions.
Code; The Contractor's License Law does not apply to an OWner cf propelty'.....ho builds or improves thereon, and who Contracts for such projects with'
ahtractcr(s) Iice~ed pursuant to the Co tractor" icense Law}. ' ,
I am exempt under Sec. .C or th son:
, te: / /r'rs(6 s:- '.' . Owner .
WORKER'S C M
J hereby affirm under penalty of pe~ ry 0 e of e following dealaratiails:
o I have and will maintain \3 ce ific~:"te of oonsent.to self~insure fOr worker';-:.'~ompensation,
as provided for by Section 3700 of the labor Code, for the performance cfth'.\'NOI)t.. for whim
. this permit is issued. ..
O. I have and will maintain worker's compensation insurance, as reqwred t,,'-Secticn 3700 of
the Labor C0ge, for the performance of the' work for wf1ich this perrnit.is ;ssu<;;d, Mywcrker's'
Compensation insurance carrier and policy are;' "
Carrier: Policy Number:
This section need not be completed if the pennit is for one hundred dOllafs($1 O!j, cr less.
~ l.certifythatin theperfo ' nee of the work for which this permit is. issue,t;l ShC3fl not
employ any person in any mann r so as to beco.m'e subject to the worker's.~o?poneatioh laws
of Califomia, and agree that if Is uld bee l"r~ .ect to the worker's' mp'?r,!;at!or.
provisions. of Section ~700 of the L or . .. s 11 forthwith c :th th::$-e provisions.
CONTRACTOR INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: ENO
--1
LICENSED CONTRACTORS DECLARATION I
I hereby affifm'under penalty cf perjury that I ~m
licensed-under prOVisions of chapter 9 (c0I1lm-encing
with Section 7000) of Dj....~i6n 3 of the Business ~nd
Professions CocIe, .
1/10/2005
Date:
Contractor
NUMBER .
EXP'RA TION DATE
TYPE
Date: 1/1012005 Applicant:
WARNING: FAILURE TO SECU W _"-'.GE IS
". UNLAWFUL, AND SHALL SUBJ C E OYER TO CRIMINAL PENAI.1'IES AND CIVIL
FINES UPTO ONE H\JNDRE CUSANO DOLLARS ($100;000), IN ADDITION TO THE
COST OF COMPENSATION, '.AMAGES AS PROVIDED FOR IN SECTIG" :j706 OF THE
LABOR CODE, INTEREST , D ATTORNEV'S FEES,
I 40NSTRUCTION LENDING AGENCY _
1 hereby affirm ur.der penalty of perjury that there is a construction lending ag;:!lcyfor the
performance of the work -for which this permit is issued (Sec3097.Ci'l.C);- . _': ~:___-'
Lende(s Informatioil: - - -'. .
Construcion Tv'pes:
VN" ..
Fire Sprinklered? NO
Date: 1/10/2005
Fees pa.id for Permit:
Total: . 522.S7
Sig ure 0 leant or A
p it shall expire by limitation and become n ull. and void if the,building or
w k has not passed finallnspection.365 days from the date of permit issuance. A
new permit is required to commence or continue work. "
".
INspeCTION . . DATe INSPECTOR Electrical Final . . .
.
Temporary Power Pole Plumbing Firial . .' .
Plumbing (DralnlWaste Pipe) Mechanical Final . . ,
Electrical Grourid ElectrodelUfer' .1. . .' .
SelbaeklFormSlTrenches (Footings) . (;as Test .
.
Do not install subfloor or pour floor slab until the Engineering/Grading Final. 765-5126 .
following applicable items have been signed: . '. . .
Plumbing (Water Plpe.Sprinkler Valves) Fire Depl. . Final 765.4040
Mechanical (Groundwork) . . Water Engineering 765.5268
Electrical (Underground Conduit) . . .
. Sub List/Business License .765-519 '.
Pre-slab (l;;ompactionlMl!I1lbrane.Reinf. .
Underpin/llng (Floor Joist/Girders) Zoning 765-5139
Do not cover or conceal the work. below until the . ~ast Inspection. Only ~(nt~ rAn..
following' applicable ilems have been signed: .. Building Final
fter Above Complete) I"':' "1
. 1 5t Floor Shear " PARTIAL INSPECTIONS .{ : .. .
FlreSprinkler (RoUgh) . .' . - "
2nd Floor Shear , Buildino InSDectio'ns
~of(Shealhing/Diaph~ . . . .
Masonry (ReinfJBond Be rou')) I~V.I~ 1'~ jlU,JJ(1 . . . .
Rough Plumbing (TopO J
Rough Mechanical . ". .
Rough E1ectr alii . . .
.'
Rough Electrical . . . .'
Framlll9 (Only aher PIbg., EJec., Mech. and Fire)
Insulation (SoundlEnergy) . . .'
Do not tape or plaster untillhe following applicable '. MechanicallnSDections .
items'il,ave been signed: '- . . ....... .'
Drywall . .
. Penetrations (Fire Rated) Electrical . . .
. .
Penetrations (File Rated) Mechanical . -- ., . .
.- >'-
Penetrations (File Rated) Plumbing . . .
lriterior Lath . ." ~ .0 -------..
Exterl.or Lath. . . . I./l'~ . . Plumbina InSDections. -
(;ENERAL ITEMS . . . . . . .. .
Exterior Plaster (Brown Coat) '11~"~ 1-t'.LIIu <>II.... 1
T .Bar Electrical . .
T -Bar Mecha/llcal. . .
T -Bar Structural .
Sewer .
Water Engineering Backflow . . ElectricaJlnsDections'
Water Service. . .
. .'
INSPECTION RECORD
FINAL INSPECTIONS '
Date
Inspector .