702 S. Lemon St.
ElUILOING PERMIT NO. ~1.!>2004-0359Q
/~~~~:~~~~0,
CITY Qif$~A~~HEIM
\:~~~~~S~f;,/
LEGAL' DESCRIPTION: N TR 23 BLK F LOT 30
,
BU!L()jt--1G DIVISION
200 S. ANAHEIMfsLVD.
(714) 765- 5153
INSPECTION REQUEST LINE:
(714)765~ 4626
CENSUS CODE: . 434
QUARTER SECTION: 71
1'J-
TYPE.OF PERMIT
Residential Addition
DATE: 12/1/2004 S.
JOBADbRESS: 702.>' LEMON ST
. APPLICANT: PRIMO. HUFANA
OWNER INFORMATION:
~Monica Aguirre
,702 N Li;:mon St "\-
Anaheim. CA 92805. $;
JOB DESCRiPTIONAdd 371sf to exist. SFD new bedroom, laundry,bzthroom 2hdnew 400St"9a16ge
, I
f
I '. . .. OWNER-BLJ!l.DER IJECLARATION " . ~
I hereby affirm unde~ penalty of perjury that I am '4x~mpt from the Contractor~ Utense Law for the.f9ltowingreason {Sec. 70315 Business and.
P:'Cfp.ssions Corle,: i;lny city or co~ntywhich reql~jres. a, permit to constnxt, aa~::f' lmprove.demoli~h or repaii any structure, prle!" tv. its issu2nce,also.
rec;uires tne applit:;a nt for such pern:nt to file a, siQncd statement that he is I:cerlsed piJrsuant. to the provisions of the Centract.or's License Lcow (Chapter
9j((".ommencin~ with Section 7000 of Division 3.of the Business and ProfE'.ssio~ls Code) or that he is exempt therefrom and the basis for the alleged
exemption._ Any violaticn of Sectio~ 7031.5 by &n).' cpp!i;;ant'fcr a,!)ermit subj5c<s tile applicant to a dVil-pgnaltycf !10~ more than five hur;ared dol1a-rs
. ($500),;. - . " '_ --".Ii., _ ' __ _ ,. _.
r-~c c""fler of pfoperty, ,or my empl.oyees with '.\rages a~ l~eir soi~ c,:)(:~t:)5fi3',)t~on, v.iUdo the work, _and the ShLiC.t~Ji~ !S not in t3nded or off~red for
sale (Soc, 7044 Business and P.rofessionsCcde: The Cantri:1ClCrr'o:: Uc""r;::;eL~';'/,do9S :1ot apjJ~yto an 'Jwner of. property who ,builds or improv6s
Iher,:;,on,l:3nq who does such w()rk himself or hers03lf or throUgtl h!s or (-,ef oW:I:_kmpJqyee~, provided that 'suchimproverT,/:mts arg, not intended or
offered/or taJe~ If, .however, the building.ol'iiTIprovE::rnent [~ scI6.......1~h ~;"V~ y~et of (:':':(j!:Mi~\cn, the m\r.er-blJilderv,mhave the burden of proving that he
'.did-net build. or improve for the pyrpose of sale), ... -~ >... . _ ..... . '~ .
.~J 'I, 'as the owner of-the property, am exdlls~ve:y con~ractil1g witr: !!CGf'S~3d c;,n~fadors ~v consIl:tictthe prqjl?ct (S~c 7044 _Busil1essand Professio!'",s
COdp.:Th!3,Gontrc.:ctQ~'S Uccnse L~W does not ;?,pply to an owr;e: cd prope:ty -rl),'.b.l.!ilds c'"'i:T'pro....es t;,ereo~,anrJ whc cor.tracts fOi suCh project'S '.....i~h
~Jfontrac:.or(5)-liCef!5ed.. persuant .to tho ,~tnlctcr's Licer,se L.. <'iw)". ' . ...!. .
L) larr..examP%"derJiec. _ ~C.~,~~_,~ .' . _.....;......-._
. l!~~-l2::~ ....0/1-. Owner: _,---.-!- ----: ===--=1= ...
L~-:~' . . WORKER'S COMPc..:'lS!,-TION DF.\,:LAP.ATiqJJ. . 4---'--___-1
j herebY,2ffirm tinder pcna:ty of perjury cne of the fo!lovving,deelaratifJns: ~
[J_ I h3ve andwiU r~(lintain a certificatG.of ronser.t'to self.insurefO., r WGrkef'3Y:)miJen~dtion, I
as provided for by Sectio:137QO of thG Labor Codc:, fer the perform:'lf!1",..t;! oft"'!,1-J1;J=Y.. ff)r which
this pnrmtt,.isissued, - '/_ .. . ._'. . ." . l. -!
'rJ Ih::lve and will maintainworker'e (.omp.ansation jn3lirar.';3~ as requit...,j ~y:;3e~1i0!: ::';;'00 d I
the l.dbor Code, for the performance of the "'fOrk for which this perr,ut ls issue{L MyiNorker's
CCi1~pensatjon insurar,r.e carrier and po!iO)' are: 'J l.
Carri~r: POliQv Nu~ber. ~~ ~JUM3ER
CONTRACTOR INFORMf..-'ION:
ARCHITECT/ENGINEER INFORMATION:
VALuA:rION:
46,000.00
PROCESSED BY: MJL.
. ~L!CENSED CmrrRACTORS DECLAR...T!ON 1
. _ I hereby affirm IJr.de'r penaity of perjury that I. 3m
licensEld under prov;sion:: of t;hi)ptsr 9 (c0mmer.cing ,
.with Sec~ion 7000) C'f Divsion3 of th~ -Busincs'g and
Professions Code,
.12/1/2004
Date:
Cortracfor
EXPIRATION DATE
This~jon need not ee completed if the permit is for one hundred doll~rs {$100, ~"'lesS> .. TYPE
ff l certrry that in the performance of the work for whlC'h this ;:ermlt IS :ssuet1. i shall not
employ any p.:?rson II"' any manner so as to become subject to Ihe worker's co~~:~en!:>:-!tlon :aws I
of Caltfomla, and agree tnat If 1 should become subject to the worker',;. con pe'~$ation I
provisions of Section 3700 of the Lab~~~_~all :':hW~ith comply With thc:e p,ovlsions. S~~~tr~cicn Types.
Dat.e: 12/'1/2004 Applicant: v~nrv-v ",. ._ - , .. .. Fire Sprinklered?
'WP.RNING: FAILURE TO SECURE WORKER'S COMPENSAl!.. N. C6VEPP.:~E IS'
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIf\JAl' PENAL"~"!ES AND C!VIL
FI~ES UPTO ONE HUt-iDRED THOUSAND DOLLARS (~1CO.OOO), !~I ACOITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SI;:CllmJ ;<706 OF THE'
LABOR CODE, INTEREST AND ATTORNEY'S FEES. . .,' J I
I . .. CONSTRUCTIOttlENDING AGENCY'-;"::-'_ --1
I hereby.afflrm under penalty of'perjury that there s ~ constructi~:-:: ~::r-l~iqg,3.gs,:"(':Y for the .
. performance ofth~ work fcr Whim this permit is issued (Sec.309~:Ck,C): :.,.
----L-~r:~p.r'~Jr:f0rn)::::.tb~:- _' _,....'~-'~~. . ___ _. _-~ -_.i:..:~_~_~,-",,:
NO
'I certify that 1 have read this applicatio'n and state that the above information is correct. .1
agnee to comply with all city ordinances and state laws relating to building construction, and
hereby ,authar~e representives of this-city to enter upon the above mentioned property for
inSPedio~ses~' ..' r~_
. '. ~a~.of~~PIi6fnt~rAge~t Date ~211/2004
The permit shall expire by limitation and become null and void if the blJildingor
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:' .
3.090.93
INSPECTION RECbRD . .
DATE
I!'ISPECTOR
INSPECTION . . .
Temporary Power Pole
Plurnbing (DrainlWaste Pipe) .
Electrical Ground ElectrodellJfer .
SetbacklFormslTrenches (Footings) J 7.7.'
Do not install subfloor or pour floor slab untilth,
following applicable items have been signed: .
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork)
. Electrical (Underground Conduit) .
. Pre-slab (Compaction/Membrane.Rainf.
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work'bel.ow until tne
following applicable items have been.signed:
1 st Floor. Shear . .
Firesplinkler (Rough)
2nd Floor Shear
Roof (Sheathina/DiaphragrlVFrame) .
Masonry (ReinfJBond Beam/Pre-Grout) .' .
Rough Plumbing (Top Out) . . ;z.9".<>tS....-p; 'rh"
Rough Mechanical' . ~ 3/.e>S' "1" P'I-,., :>
Rougn l:Iecttical(Uty Wall) .' ~
Rough Electrical ';-/-" 'J../;'f;;j/
Framing . (OniyafterPibg..Elec:: Mech. and Fire) -7-. ,~
Insulation (SoundlEnetgy) Jj , 7- e> 7''''
Do not tape or plaster. until the following applicable . ').
items have .been signed: " ~.
Drywall' -/tOC: FI. -i."
: Penetrations (Fire Rated) Electrical.
Penetrations (Fire Rated) Mechanical
Penetrations. (Fire Rated) Plumbing
Inte.rior latli. .
Exterior l;Ith .
. .' . GENERAL ITEMS
Exterior Plaster (BlOWn Coat)
T -Bar Electrical
T-Bar Mechanical .
T -Bar Structural. .
Sewer .
Water Engineering Backflow
Water Service .
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FINAL .INSPECTIONS
Electrical Final .
Plumbing Final
Mechari"ical Final
. Date Ins~tqrA
~1c.~t?j ~
~tO~~Ir. /lZ6<:.
t '-.'0:'''" . ~ ~ I- ~
~~~~ t'/./ ~'.
/./
./ Gas Test
'.
. Engineering/Grading Final,765-5126.
. Fire Dept; Final 765-4040
Water Engineering 765-5268
Sub list/Busi.ness License 765.519
'1 .'
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Zoning 765-5139 ".
Building Final (Last Inspection' Only .~/P oj; ./71/.. " n...~
. . .' After Above Complete) ,... , '-..., (/.., ~
PARTIAl.INSPECTIONS. . '--./
Buildinalns[lections ') I .,':;/) /..'
1/"10"'1' r.., cJ'It'r 1lYl-5o/pJf-(M c>(q4.V(~~
3'73{~pS' '=i2.4.-n.IN6@" !,...",,? "7(/4..
.3 -3t.cg I zr -rCogtL~tIf2-~ 1I0~ .'~
,pit 4! . --r: n..... .
:; t~o_~ V
Mechanical Inspections
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.
Plumbina Inspections
.
.
.
. Electrical Inspections
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APOLLq Ib!SfECTI01V;SER,l1ICE'
-4~PUty 1[l~ectionReport . ............. .'
concrete__masonry _post
1914 S. Pacific Coast Hwy. #208
Redondo Beach, CA 90277
(310) .316-0019 Ole
(310)316;0047 Fax
(310) 225-1949 pgr'
. tenslon__gunlte-,-_welclln9__other ]g.zA__~
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OWNER ::::>FtMb
ADDRESS .
PHONE .
ARCHITECT . -::; A-(V\ E'
. . ADDRESS
PHONE
ENGINEER -/h::::TOT2.0 (}!Ll.Ai..\UeVA
ADDRESS
PHOttE
PROJECT" 1(\.0'\ 0
ADDRESS b.
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PERMIT # F"w"'" "Z.L;t")'F- 03sct 0
CONTRACTOR nCA) "-\ F.:'-.2-
ADDRESS, .
PHONE
SUBCONTRACTOR ~t;"J 1; ,
ADDRESS '.
PHOttE
BILL TO:
ADDRESS
MIX DESIGN'
SLUMP_ADMIXTURE
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was Inspected and found tll be in compllan e". approv~ plans and specifications:,
f )U.J0LLS b
'3: ~. ffl..LTI-I ('2 t::-.Yl 'D t..{) g ';',
)"51...1.; I:P<N 'i::>A-\,2. '""&J OW 1\.( C ;;:'f.\A.j
K\T 5'/\.(?-:;;,ON " ""5(;-~'2'?-t: PO"-' .
e:=-J;C CODE:' 11\->-'1'1::, {\;\("C .r"'<(6)v I/cel\Ae:--'Nc.$".
INSPECTOR! OM. M ((It:'Y2..... SIG~..tb.~.. . DATE /2 ?&C~
L1C. NO. :5 Z-~4~5 '.<If 5ct.c \. ,.... REG. HOURS '4 OJ. HOURS_CYLINDEli~ TYJIE . ,~~.
SUP'T. SIGN 7Yhrkl/f) /,11, 7~~
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NOTE :INSPECTIONS ARE BASED ON A MINIMUM OF 4 HOURS-OVER 4 WILL BE AN 8HOUR MINIMUM .IN ADDITION INSPECTION
EXTENDING PAST NOON IS AN 8 HOUR MINIMUM. OVERTIME HOURS ME TIME AND ONE HALF AND ARE HOURS OVER 8 AND
SATURDA YS. THERE IS A.SHOWUP CHARGE FOR JOB CANCELLATIONIFOFFICE IS NOT NOTIFIED IN ADVANCE
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