150 S. Lakeview Ave.
,
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BUILDING p?RMr; NO. 8L02')03-02096
TYPE OF PERMIT
Residential Addition
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BUILDiNG C>IViSIOi'li
200' S, ANAHEirvi BlYD,
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
:QUARTER SECTION: 167
DATE: 12/1612003
JOB ADDRESS: 150 SLAKEVIEW AVE
LEGAL DESCRIPTION: P BK71 PG 26 PAR 4
APPLICANT: MICHAEL SWI;I;T , ,
OWNER INFORMATION: CONTRACTOR INFORMATION:
MICHAI;L SWI;H . i
150 S Lilkeview Ave t
Anaheim, CA '92807 I
JOB DESCRIPTIONAdd 1922sf to existing SFD, add 1196s1 to existing gar,::.
. ~ - .
VALUATION: . 173,034.00. : ---:J . PROCESSED BY: ODC . . . . '
L '. .' . OWNER'8U'I.OE~:1'PECLARATION' . . . . .~
I hereby' affirm under penalty'of peijury that I 'am exemp,t fr9m the C"11fracU:"s ljeense Law. for the following reason (Sec. 7031,5 Business and'
~ Prof~!;sions Code: any city or county which requires' a permit to co!"\s~ruct.:.: f~r, improve, del'!1Olish or repair any structure,' prior to"its'issuan(ie, .als'o
requires the applicant for such permit to file a signed statement that he is ~::;:l '"!Ztid ~r':;iJ9nt to the proVisions ontie Gontractor's License La~ {Chapter' .
9)(commE'ncing with Section-7000 of Division ~ of tile Business and P;d~~':-~'C.,ns Ccd~) or that he is exempt therefrvl'fl ar.t) the basis far. thealleged.
exemption Any violation cf'Se~tiol\ 703.1.5 by any applicant for a per'llit ~l.!:1'r;~r;.~ the applicant to a civil penalty of not more thar. fivi! hlln9~~ d{,)IlC\~
~OO), . '. " .' .
LJ I, as.owner of propenyl or my emp!oyees with wages_L'!<:; their '30:? C')I.:#,~roatlon, wiUdc ttW.work, and the structure is not inte:'1d-~d cr9ffereJ for
sale (Se~. 7Q4.4 Busines!: -aro Prof~ssiohS Code; The Contractor':; l !ce:.~;':'i-';'_-N doe!'; not apply-to an owner of property_.'hhc builds or IriJproyes
\hereon. and who does suq,\'l{ork hit11Self or herself Or 'through hiS 0r l~F:r ~.,.vJ1_ empl()Y~03s, provided that such imprr.>vemen~.s are n.Gti~t~n.jed or
('~ered fo~ sal~: If, hO'!Never, the b~ilding,or improvement is sold with on~t'1",r of cCITif.::etion, the owner: bui!der wUI have 'lhf:l' bUrd~n of proving thftHI'3
dipnot~do(lrnprove,forthepurposeofsale)., . t . - . .
[~s the ".)w~'\er of the property, am eXdusive/y c<..mtr:3d:r,q witfllicensl.":2itontrCictors-tQ cor.struct the project {See. 7044 Bu:::;iness and Profession~
Co~le: The (;on1ractor's License Law aoes not apply to an o'wr:er c.:f t=rop:-:~.MI;l _~\.;dds'or improves tnereon, ~nfj who conhacts for siJch prcjec'$ with
c."tractor(s} licenser! pursuanHo tl1eContra r's Ucerl.::'E' . " f"- '
'mexemp,tunderSec. . P.C. . r$reason: __._~.:._._
Date' It.' I"-~'}, Owner: __3.1..
. . WORKER'S CO PENS~!iOr':.9ECLA::lATICt-i~3.._"'-:"'_J FLICENSED CONTP.ACTORS DECLARATiGN-l
I ~erebY affirm .undeqienalty of perjurYone of th'3'fol/o",,"ing ti~Glaraticns: ';/ ' . .' '. . Ihereby ,affirf"!"l.u:-1'u-pena!ty of perjury that '. :11';,
rJ. . , have an. d will maint~in a certtficate.ot conse-rJ"t to se:f-ins~re for WO.f~l~l~: ^....t.-,Tlr,f>;f1SdliOil, .1'. .ll~:n. ~:\ed. ~ndE:r p.,j~V1SIO~S~f ~hapter 9 (co:nmenc.lng
8spn.."\Vided for .by Section 3700 of the labor Code, fodhe pelforTrr<')oce of t'* work for v/hi~" WI!.l Se~t'?'1 70~OJ "f OI\rsJOn 3 ofthe eUSlnt:!::>s and
this permit is issued. . '. I' . ?rofes<;IOns Code. ". " . .
Li I have and wi!! maintainworl<er's conipensat:ol1 insura"nce. as rto'(,i..!;lcc1 C'f~', S.;0tion 3700 (if 12116/:.2003 . --'--____
the labor COd3, for the performance of the W::JrK for which tl-Jis perrnit ;8 i;:;::::,,;.~;;. My wor~e,r's Date:. Contr;3cto~
Compensation insurance carrier and paliOJ are: 1'-
Carrier; Policy Number. '
ARCHITECT/ENGINEER INFORMATION:
ROBERT C COULSON
78010RANGI;THORPEAvE,
BUENA PARK, Cfl. 90621
NUMBER
EXPIRATION DATE'
. I
This section need not be completed if the pennit is for one hundred doH:-..--s {t1 c~. or I~s.,
o I certifY that in-'t~ performance ofthe work for which this permit ~ 'i;ct'(Jy. l sh31i _~t
employ any person in any manner so as to become subject to the worker's ':;,;':lipfmsatlon laws
of Califqmia, and agree that jf I shou_ld becomMubjed to the w er's COfl1r.l,n.sation
provisions of Section 3700 of the Labo C <I shall f It cOn1ply wnh ~~':-Is-$,~rovi$ions,
TYPE
Date: 1211612003 Applicant:
WARNING: FAII.URETO SECUR ORKER'S COMPENSATION COVE~'\~E IS
UNLAWFUL, AND SHALL SUBJECT AN I;MPLOYER TO CRIM IN,<.L ;:>El\If,,'~l~S AND C.!VIL
FINI;S UP TO ONI; HUNDRED THQUSANDDOI.LARS ($100,000), 'N AD(;;l~.dI. TQ THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 'IN SECT!()'~ 3706 OF 'tHE
LASORCOOI;, INTEREST AND ATTORNEY'S FEES. ..., '.
j CONSTRUCTION LENDING AGE~CY. _.____
I hereby affirm under penalty of perjury:that there is f:J construction lend:r.g $ri.-Ii~yfor th~. '
pery.ormance Of the work for which this permit is issued (Scc.3097 ,Civ.C): f"~ ~,
''':",.-...~..~-~_..,,:F::;:':':.:-;1,~:'.: ) -.. .
Cohstrucion Types.
VN, ,
Occupancy Groups:
R3, U1, , '. '
Fire Sorinklered? ,
Uvin9 Area:
GaraAe Arf'."?I
No
1,500 .
1,195
.,-"~:. :."
I certify that I-hav~ read thisappllcation and state that the above information;~ correct. I
agree to cOmply w' ail city ordinances and state laws .n9 to building cor.struction. and
herebyauth riZ presentives 0 enter upon the above me,ntioned property for
insp i ses.
F~es paid for Permit:
Total:
. 2,522,48
Date: 12/1612003
Signature of Applicant or Agent
The permitshaJlexpire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new permitis required to commence or continue work. .
INSPECTION RECORD.
INSPECTION . DATE INSPECTO~ .
I
. Temporary Power Pole
Plumbing (OrainMlaste Pipe}. .. .
Electrical Ground ElectrodelUfer
SetbacklFoimsrrrenche:$ (l'ootings)
Do not install subfloor Or pOUr floor slab until the .
following applicable items have been signed: .
Plumbing (Water Plpe.Sprinkler ValVes)
.Mechanlclll (GrOllndwork).
Electrical. (Underground Conduit)
.l'reoSlab (Co'"liactionl~embrane.Reinf.
Underpillning.(Floor Joist/Girders)
Do not cover or com;eal the Work below until the
following applicable items have been signed: . .. .
1st Floor Shear . .. .
Firesprinkler(Rough) .. . . ... .
2nd Floor Shear .
Roof (SheathinalDil!PhragInlFrame) . . ..
Masonry (Re/nfJBond ~amJPre-Grout)
Rouah Plumbing (Top Out) . .
Rough Mechanical .
Rough Electrical II)
Rough Electrical .
Framing (Onry a1terPlbg.. Elee.. Mech.."and l=ire) . I~
Insul.ation (SoundlEneravl
po not tape or pla~ter. until the following applicable .
.,tems have been signed: . . .
Drywall . . .. .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing .
.Interio.r Lath . .... .
Exterior Lath ...
GENERAL ITEMS
Exterior Plaster (BlOWn Coat) . .
T ,Bar Electrical. . . .
T -Bar Mechanical . .
T-Bar.Structural . . ...
Sewer ..
. Water Engineering Backflow . .
Water Service .
"
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
EngineerIng/Grading Final 765-5126
Fire Oept !'inal 765-4040
Water Engineering 765-5268
Sub. List/Business. License 765-.51
Zoning 765-5139
Building Final fLast inspection. Only
After Above Complete)
PARTIAL INSPECTIONS .
ections
Qate
Mechanical Inspections
PlumbinQ Inspections
Electrical Inspections