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390 S. Yorkshire Ln. ,eU;LDING PERMIT NO. BLD2004-01292 ;'--:r-~--~' 8UILDiN"G Dl"'I!SiCN. 200 S. ANAHEiM '8LY D. (714),765-5153 ' INSPECTION REQUEST LINE: (714) 765- 4626 CENSUS, CODE: 434 , QUARTER SECTION: 202 TYPE OF PERMIT Residential Addition , ,15:J~~"!.\~":; , CITY QE~JNN'AHEIM \~'w.>"'c' , '," ',,' \~f~{~?/2j;.'r" " DATE: 5/5/2004 J08 ADDRESS; 390 S YORKSHIRE CIR LEGAL DESCRIPTION: N TR 9n3 LOT 13, ,~ " ! APPLICANT: HOVIC PERIAN '-... i OWNER iNFORMATION: CONTRACTOR IN'FORfAAfiON ARCHITECT/ENGINEER INFORMATiON: HPVIC PERIAN' \,. ": LEON 0 LAGO . 390 S Yorkshire Cir <Jl 2030 E, 4TH STREET Anaheim, CA, 92808', '" '_ 'r,'., , SANTA ANA, CA92705 JOB DESCRIPTIONRoom Mdition,1st and 2nd story addition, Total newa,9"",,75'f, Balcony; 130sf, (HIH)' , VALUATiON: 50,000.00 . .~) PROCESSED BY: JJJ I ' , OWNER-BUILDF.R1;ECLARATION-::--l' I taereby ,8, ,ffirm under penalty .of P, erjury that I am, exempt from the contracl.ci:'~i,"',.L):_~n5~ Law,' .for ;the following reason (S~c', 70,31.5, BUSine,S.S,.~nd " . Prof~e'ons Co~e:any,c?ty or countyw~ichrequires~, permit-to construct,;?;It'-=lc.:;mpinve. demolish or repair any stru<;:ture,' prior to its issuance, also .require~ th, e applicant ~or such perrnit-to file, a signed statement that he i.s 1jt.~:J?:,e,d p!.m;'i..lE!flt to, Ih, e provisiofls o,fthe' con,t~actor's Licer:,"s~ L"a,W (qhap,t~r , 9)(commencingwith Section 7000 of Division 3 of the Business a nd Ptcfessic.!)S Code) or th2t ne ~s exempt therefrom a nd! he basisfortheallcged " 7$~m<htion Any vkllation of $~ction 70315 by anyapplicant for a permit SUbi[""~"e ~pplicant to" dvil penalt! of not more than foV: h~n~r~d dollars ,'Qj,_-I, as owner of prop, ~rt,Y' or my erT1pjoY~GS with wages 'as, their scle ';~J~p~r,=:,.::-:uon, will do ,the w, 'ork, and-the,S, t~,'uct,ure,' i~not inte, n~E!dor 0, ft,_er,e, ',:d ,for. .~~ (Sec. 7044 Business a.nd Prpfe.$;sions Code: The Contra.cto~'s,Uccnse t,?':.' i'jr)~s fl(1t app1X.to 8no~ner ~f property who,buifris .~~ impro:,es , thereon, and wh').does such work hHllSelf orherself or through hls__cr her ~\".::'~:~mp!oyees. prolf:Jed that $uGh,ln:pmVcm~:lts are not Intended t)r" " :offered for.Sale;_ ILhowever, ,the '!:>u~.:ding or improvement is sold w:th, orie yeq[?r' CO!1lptetlop, !he.owner-ouilde{w!ll hav~ thf3 burden'of ,pfoving, that h.e didnot~uild()rimprovefo~t~epuipOseo{sale). _, " >,~. '" " ":'0'_::, ,,_.' ,;C' ":':':':,~,', . 0 . I, as t.he owner of.theproperty, am exdusively .contracting with Hcense;j<~nt(;'-l~0rS to': const~u,ct the prolec~ (~ec.7044 ,131J?\n~~ ~nd,pr9fe~ions: Code: The ContraGtor's Lice!1se Law does not app.lY to ,an owner of propeftY\il.f.1o bui](.i:;-or,irnpmves.therecn, and who ccntracts. for such projects with _e19ntract~r(,'s) ,li~~,dnSeq.PUiS,' uC!nt -to theCol')tractor~s License La,~). J " ~~.- I amexemP.t'und~rSec; _ "--...-::; .8 .C, iorthis reason: . _'~:'1r--"-:---------:-"---_.",,." D~te: ,Owne . L'-&::. _- .~ i;'-' ,( .. WORKER'S. OMPENSAJION DECLARATiON --.I ' C~~)'CONTRJ\CTORSOECLARATION 1 I hereby ~fflrlT) ur.de~ penalty or perju.0'.'one 0f the foll!,wingdeclar~tlons:" . " " : 1: I'. !, hereby' affirmunqer penalty of perjury,that I am o I halfo::!.and win maintain a ce:rtificate of oons~nt toselfwinsure for worker'r.,r?':li'i.;:.e'ls",tio~, I Ji~en~et.10~der pro'li~;o?s'?f ch~pter 9,(co~nmen,cin.g as proviaedfCli bv Section 3.100 of the Labor Code, for the performanCG '='i :i::~<'!')(t<Jcr whk:h' wltn SectIOn 7U.cO};.Jf DI%!on.3 of the Bl,:slnes'3 a"i1 thi_s perfTlit is issued. . .;! Profes~iuns ,Code: . o I' have and will maintain worker's 6ompe~atidri insurance, -as reqUired b~;~;3;;:c~lcn 3700 of 5f.5i2004. the Labor Code, foe the performance of the work for which this pe_r!"it.is iSSll~t .?vi:, v~vrk(.;;:r's', Date: Compensatkln insurance carner and pcilicy are: , ',' ' 'I I Carrier: . Polley Numb~r: ~- y' .\ NUMBER This,secti_on: need 11~ be ~~pleted if the pe~it is far ane hundred ~,alla~s ($10(1!1.:~ !:;5s.,' ;fVPE . D-, I certify that in 'Uleperfqrmance ofthe-work forwhich t~is permift~ issl.ieA: -;hall ~0t .I~'. '. .'. employ.~ny person in any manne~soas to become su~jectto the worker's CG.h'.~~$atif)rl .tCl\.V::;:- . of California, and agree that-if !snould become subject. tothe worker's COiTlp8>;$;.'.tic.,1 . ' provisions. of .Section' 3700 of the Labor Code, I shail forthwith comply willl th6:;eii)ro,,;sions; D~fe: 5/5/2004 ',.A~f: ~/ ,,' t'. , WARNING: FAILURE TO SECUREWQRKER'S COMPENSATION COVER/!;::" 'S'/ , , UNLAWFUL, AND SHALL SUE\JECT AN EMPLOYERTO CRIMINAL PENAl I.,;;=S AND CIVIL FINESUPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDI:'-;ONTO THE , COST OF COMPENSATION, DAMAGES AS PROVIDED FO:'\ IN SECTION (>OS OF TH: LABOR CODE, INTEREST AND ATTORNEY'S FEES, ',' i ~" ' I ' "CONSTRUCTION LENDING AGENCY', ' 1: ' ' ' \ hereby. affirm under p~nalty of perjury that there is a construction lendin~r a9;(;(:Y fqr the pe~ormance oUhe work fo~ Whidl this permitis issued(Sec. 3997. .Civ.C): '.~ " >t;,P' Lend~r's Information: '. .. ' ,-:.1>' _______ .o__~_.~i4.~'~~~____ - ! certify. that I have read this application ~nd state that the above information k; correct I agree to oomply with all city ordinances and state laws relating to bUilding con;truction; and nerebyalJthorjze:representive~ of this -city to. enter upon the above mentioned property for i~sped~,_, . '. ' Date: 5/5/2004 ( v:, ,Signatureo! Applicantor Agent , The permit shail expire by limitation and become null and voic! if the building or work has not passed final inspection 365 days from tbe dat~ of permit issuance. A new perr:mt-is required to commehceor continue work. Contractor EXPIRATION uAtE Construqion.T.,p6s: . VN" Fire Sprink,lered'? livinQ'Area:: Balcony I Deck .Ar,ea: NO .775 130. ''''''::.'C '.'. Fees ,paid far Permit: Total: 556.00 INSPECTION RECORD . .' . INSPECTION .' . DATE." INSPECTO..R l Temporary Power Pole . 1 Plumbing (DrainIWaste Pipe) .' . Electrical. GroulJd Electrode/Ufer : '. .' . . SelbacklFormsrrrench8$ (FoOtings) ~->t1'114 ~ Do not install subfloor or pOurJloor slab until the ,,' . . following applicable items have been'signed:' , " Plumbing (Water Pipe.Sprinkler Valves) Mecha"nicaT (GrOUndwork) . , , Electrical (Underground Conduit) -;;;::;F.;;Jm, . Pre-slab (CompactiorvMembrane,Reinf. 5-Zl-04 ~ U!lderpinning(F1oorJoistlGirders)' . Do. not cover or conceal the work below until the following applicable itemS have been signed: . 1st Floor Shear' " ." VlJ-04~.!\ fl'I-- Firesprinkler (Rough)' '. I . , 2nd Floor Shear , . q-(O~~' Roof(Sheathing/DiaphragmlFrame) 7.-~~~ Masonry .(ReinfJBond BeamlPre-Grout) r . . j Rough Plumbing (Top Out) Rough Mechanical." . .' . .' Rougn BflCUlCaJ 'II) . . . . .' ! Rough Electrical... .... . '.' I Framing . iOnli after Plbg., Elec.. MeCh.. and Fire! 'Ii.~ 7Ii:?JJi;:;;t;;',1 .Insulation (SoundlEnergy) ~ po not tape orpla~ter until the following applicaole .' . Items have been Signed: . . " . .' Drywall :' .... :. ( $C/7"~'M' 'E!'- 'YT Penetrations (Fire Rated) Electrical . - . V Penetrations (Fire Rated) Mechanical I . Penetrations (Fire Rated) Plumbing . :. Interior Lath . . EXterior Lath' ~z: " .'. GENERAL ITEMS EXterior Plaster. (Brown CCIat) . . T .Bar Electrical . . . '. T .Bar Meehan.lcal: " T-Bar Structural.,. Sewer' .... . ' . Water Engineering Backflow . .... Water Service . . '. . 1 1 . .~ '. /./'" , '. . .' , .~'.. FINAL INSPECTIONS Date lor. H,:t>'f' ~-" ',1;or fl~ 3.'3;Clt": .'~ I "/0" '- J.'C' 'po'" ~"",~,,,. :/: Electric.II Final. Plumbing Final. Mechanical Final Gas Test '. . .' . '. - . EngineeringfGrading Final,765:Q126 Fire Dept. Final 76:;-4040 .' .... :., . Water Engineering 765.5268 / . Sub List/BusineSS License 765'5'91 V . Zonirtg 765-5139' .' . . Building Final (Last Inspection, Only 'Ifi",{nc; 1.tZI~ . , . '. . A;:~~:~~:~:~c~~~' ~. Boildina Inspections .... .... . 6-:-=/::~~~~H 7-'#'Q~, ;? -Ya-pc~_ f~~ ~ ~#~.~,y'AA>, ~. 4~ ~ MtJ~wf 4W.~. a/fVllfrl/l~n~.tPr . Mechanical Inspections .' . . . . .. . . billa Inspections . ~" .. . . " .' I, . . .' EIl~ctricallnspections . . .. .' ,! ',>:- " ". i" ft' i: fil',"" . .......'AP'W$ PWMaINOi . . ..l'lew ~struc;tioQ . Remodeling ," .'; "'.~ ,- , "'" · ................. T , ',f ' ~. Tel:(~18)243-8460 61p: (8 i 8) 548-6800 .' ~~ l.iC;~ . ,"'.'.' .,'..' I\s \ 'S -\-c::. CO"'-~\('~ D ~ l.~'\o... "^~ 0 ~ COu....-c'<'^-.~~~ "D\~'i\.\~-S s.\-~\ \v..~\"~ 0""- ~v~ o-.~~ : 350 ~_ ~I:),\~\-l~ 6{c-",-'--- Al'f'A. 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