1211 N. Las Brisas
BUILDING PERMrrNO. . BLD2002c03829
TYPE OF PERMIT
Tehant Improvement(Limited)
DATE: 6!11/2004
JOB ADDRESS: 1211 N LAS BRISAS
LEGAL DESCRIPTION: P EK 164 PG 1 PAR 6'
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. BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTIONREOUEST LINE:
(714) 765 - 4626
CENSUS CODE: 437 .
QUARTER SECTION: 132
APPLICANT: JAMES LEbNARD
OWNER INFORMATION:
James'K Leonard
1230 yaldaraiso Dr.' ..... . .' .
Placentia, CA 92870.aOOa . '" ,.", ': .' . .
JOBDESCRIPTION:Tenant tmproveli1ent.J~.emove interior non.bearing partior[s in manlifactoring eara only. Also t-:bar, ducts, terminate ~Iectrical iri walls'
. VALUATiON: andf.!,~8a'Mnd ciarifier.Re-issued permit for 6 months ~Xp:r€S12111/2094. PROCESSED BY; CAL
I . ........ . . OWNER.BUILDERPECLARATION.. , . '. .
I hereby affirm under penalty of perjury that I am exempt from 'the Contractar\s, ~icense' Law for the following reason (See, 7031.5 Bus,iness and
. ,Professions Code: an~city_qr county Which ,requires, a permit to r:o'ls:ruct; a~'f;, _iniprove. demolish orrej,air anystructu're. prior to its iss.uance,. also_ .
requires, the appfl~nt .~orsuch_ p. ermit to, file a signed. statement tha. t he is liC~;~I~:d P'Jrsuan. t.tc, the provisions of the. ~ontractor's License Law <.C. hapter
9)(commencing with Section 7000 of Division 3 of the Business'aod ProfessJdr.s Cude) or that he is exempt therefrom ~nd the ba:>is for the ar!eg~d,'
~x~mptio:1, Any violation of Section'7031.S by any applicant for.a. permit SUDJ~cts ,the apppr.ant to a civil penalty of nc;Hmore thanf:ve h.undred dollars
($500)-.'< .'. . '.' ..' '1 . ' ,...., .'. .. ,< ,,'<<
~,as ow~r of property, or my,employe~ WIth wages ,as tt~eir -SoJe comr;?,it;.s<:ltjun,~wm do the work, and the'$tructUle is not btended or_offered-for"
,lal~ (Seco 7044 8usi~ess and Prafessi<?n'~ Code: _ The Contractor,'$ License ~J\.~' d00s !lot.apply to an .owner of pr<)perty wha bui!ds .or improve~
thereen, and who does such work himself or. hersoelf()f through his or her o"4,'~r(lplc'lee:':', provided that such iropruvemants ar~net intended .or :
~~.e~6~ ~~ra'~~.'im 1::~~:~~.~_:~.h~hepub.~~~i~9.oi~~~:ovem.e. nt is sold with 0 n..Y~ll..,....~f_:~rnp.!etion., the. ow. n. er-b'lil.de.( will have.. t~ ~rd..n of proving !hathe.
D I, as-the owner of the property, am exd~$ivelyco.ntrading wit!". iicensea '~;ntraCto(s tCGonstru~t the project (See. 70.14 8l;~jn(;lSsahd Profss.<;io;:S
Code:. The Centractor's License law does net apply to an owner of proper.:y~ .il'.) builds or'improves ther~en, ~nd whc rontrads for such projeds with
~. 0 .act6~(S)JiC. ensed PUr3ua.nfto.the~ntraCt.orls.L\a:ns~ :aw).: --... !~_ '. ' '_ " : '., ." , .
, . I alJ1.:~XPJ11pt~lJder Sec.,. . ~ P.C. f~rtnls ~ClS .' .~.~\.~..._o, '. " , '....'. _ .',
Oate:k1C:!?'L Owner: ,. , "_... . .."., .-'.'
CITY
CONTRACTOR INFORM,(I'nON;
I
. WORKER'S COMPENSATION DECLARATION '. ,~
rhereby'affirm under pen'a)tyof perjurY one.ofthe follOWing dec!al;ltiolls~ ~r
o ,'I_'have 'i::!ir1d,Will maintain 'a cert'ificat~ <?f consent toself-in~ure for worker'J,'::o:'lJPensation.
a~,provided for by~ction _3700 .of th~'Lab6r QOde. for the,pyriQrmancecfth{:~'/G:r'I'".'!Or~nich
thisperm;t is issued. .' . . , . . _(} . '.' .
o I have a nd will maintain worker's compens~tion .insurance. as requ'ired nf\SectkHl 3700,of
the lab .or Code, for the perforriiance.o~ the- Work for which this permit :s h:::;.~;(,~.. MY'J;0rker's
CompeAsation insurance car~~r and policy are: '
Carrier: . . - Policy Number:, ,. ;'
, " ,,', . '" -"-,' '-"';,'.--: ':
This section ne~ not be completed iftheperplit 1.$ fur one hundr!KI dollars ($'I.~~' '21" :f$s:
o 'certify that.in tne.Perf~rrnaj,ceofthe'werk forwhich this permi~ ~isS'ue:f,I's.~ail r~bt
employ any person in any manner so as to become subject to the worker's cC-;:tpensation laws
"of California; an~ agree that if1 shQuld become subject.te tt)e workels.compcinS<=ltipn -J
provisions of Sectien 37,00 ofthe Labor Co ..1 shall forthwith QomP.ly:with thr.:;;~ provi~ions.
~. ..
D~te: 6111/2004 AppliCant
WARNING; FAILURE TO SECUREW R R'S COMPENSATION COVERAGE IS ..
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYIOR TO CRIMINAt;;PENAl'<"IES AND CIVIL
FINES UPTO ONE HuNDRED lHOUSANDDOLLARS ($100,OOO),jN ADDl-10N TO THE
COST OF COMPENSATION, DAMAGES AS PHOVIDED FOR INSECTIONl;'36 bF THE"" .'
LA60RGODE;INTERESTANDATTORNEY'S.FEES. "<"< " ~.. .... .
r '.' '. ..' '..,. . CONSTRUCTION LENDING .AGENCY';J..~> . ", '.. . . '
I her~by affirm under ~erialty of perjury th,at fr.ere is a constructioflJ.?ll{'!!~;g ~gE:.:-:}t :~( t~,~.. __I..'
pa,formanCd 01 ille iivorK ior,wtlict1 thIS permi;: isisSlJsd {Sec.3097.Ci'l,G}: -
Leric!_er'~ Informatien:
'. ' .
, " .
J certify that I have read this application and state th_at the, above information ir,. correct. t
agree to cbrf!plY with all.city ordinances arid state 'c:lws:telating to buildin'g con:.;truction. and
hereby author~~represe~t~es of this City to enter. upon the a-bove mentioned property fer'
. .in~p ionpurposey..l . .
l." ~.~.!..-~ Date: 6/1112004
.. ,.. ,Signature .of Applicant or Agent
The permit shall,expire by limitation a.nd become hull and void if the nuilding or
work has not passed final inspection $5 days from the date of permit issuance. A
new permit is required to Commence or continue work.
ARCHITECT/ENGINEER INFORMATION:
I
LICENSED CONTRACTORS DECLARATION I
I hereby <;lffirm updc-r penalty of perjlJrytli3t I.am'.
licensed under provtsiOli$ of chapter.g (comrTlencing'
with Section 7000) of Divston3 of the Business' and
Professions Code. .
6/11/2004 <
'Date"
C"C:nuactor
EXPIRATlo'N D",TE
~UMBER
TYPE
Construcion Types: ,
VN" .
Fire Sprinkie.red?
-NO
. -,-".. ~
.. J'-~:'r,'..
Fees paid for Permit:
Total; ,
524.42
INSPECTION RECORD
. . . '. . . ,
. INSPECTION.: .' . . . PATE .INSPECTO/l
Tempo",ry Power POle . . . . I" . .
Plumbing (DrainlWaste Pipe)
. El8ctl'icalGrciund ElectrodelUfer . . .....
.' Setback/F~lTrenChes (Footings) .' '.
. DO nQtil1Stal/$ubfklor orpoor floor Slab IInW the . '.
following applicable items' have been signed' . .... .'.
Plunibing (Water Pipe.Sprinkler Valves) .'
.' r.techartical (GrQu~k) . . ...... . .
!:lectrical (Undergr.ound Conduit) '. -
I t'~-sIaD ,Compaction/Membrane.Reinf. . . . . .'
.Underpinning (l'IoorJoistlGirders) . .
I.I.lO npt cover or conceal the wor1<.belowunt.l.the
'folloll'iing applicable items have been signed' .' .
. 1 stFloor She"r .' .. . .
Firesprinkler. (Rough) . .
2nd FIQor Shear' ..' . . . '. .'
RDofISheathing/DlaphragmlFrame) . .
Masonry (ReinfJBond BeamlPre-GlllIlt) .'
RoughPlumbing (Top Out) . '.
. Rovgh Mechanlc.al . .
..' I ROugh electrical II) .'
, Rough Electrical .' . .' .' . . .
Framing. '(Only afterPlbg~_Ejec,. Mech,".and Fire) . > '.
In$lllation(Sound/Energy) .
po not tape or plaster until. the following applicable, .' .'
I_tem~ have b~r:1 ;SIgned: . . . . - - - '.', . .'
. DrYWall ..' . . ."
Pen_alions (Fire Rated) Electrical
. f>enelral:iol!S (Fire Rated) Mechanieal. . . .
Pen_aliOns (Fire Raled) Plumbing '. '. . .'.
Interior Lath . . ....
Exterior Lath .' .' '.
. .' GENERAL ITEMS .
Exterior Plaster (Brown Coat) .
T-Bar,Electrical" . '. . .... .
T -Bar Mechanical .'. .
T -Bar Structural. ' . .
Sewer . . '.
Wate,. Engineering Ba.cktlow .
Water ServIce ..' . .' .'
FINAL INSPECTIONS'
Electrical Final
plumbing .Final
Mechanical Final
Gas Test
E;,gineeriligfGrading Fjnal' 765-6126'
'Fire Dept. Final 765-4040
Wate,. Engineerin!!- 7~5-5268
Sub 'ListJBI!Sines~License 765-5.19
Zoning 765-5.139
Building Fin~1 CLasllnspection- Only' ,
- . After AboY,eCo"lplete)
. . .,PARTIAL I~SPECTJONS '
" BuildinolnsDections
Date
Inspector
'~: :..":'
. '" .
Mechanicallnspections .
" PlumbinQ Inspections, ."
" Electrical Inspections