802 N. Lenz Dr.
TYPE OF PERMIT C
Residential Addition ITY
DATE: 6/10/2005
JOB ADDRESS: 802 N LENZ DR
LEGAL DESCRIPTION: N TR 1404 LOT 29
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714)765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 61
BUILDING PERMIT NO. BLD2005-01744
APPLICANT: MIKE MAALI
OWNER INFORMATION:
MIKE MAALI
12542 VISTA PANORAMA
SANTA ANA. CA 92705
JOB DESCRIPTION:lnvestigation of unpermitted room addition. Approved per Terry subject to plan approval.
VALUATION: 1.200.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty 01 perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged
exem tion. Any violation of Section 7031.5 by any applicant 10r a permit subjects the applicant to a civ" penalty of not more than five hundred dollars
($5 ).
I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or
offered for sale. If, however, the building or improvement is sold with one year of completion, the owner-builder will have the burden of proving that he
did not build or improve for the purpose of sale).
o I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of prope-rtywho builds or improves thereon, and who contracts for such projects wtth
,a.Jj:ootractor(s) licensed pursuant to the Contractor's License Law).
U I am exempt under Sec. , B & f}C. for this rpason: ~
Date: Owner: /:Y7/JCLdhu,.., ~ttf #,/., ~
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of pe~ury one of the fallowing declarations:
D I have and will maintain a certificate of consent to self~insure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
this permtt is issued.
o I have and will maintain worker's compensation insurance, as required by Section 3700 of
the Labor Code, for the performance of the work for which this permit is issued. Myworker's
Compensation insurance carrier and policy are:
Carrier: Policy Number.
ThiS~tion need not be completed if the pennit is for one hundred dollars ($100) IX less.
0_1 certify that in the performance of the work for which this permit is issued, I shall
employ any person in any manner so as to become SUbj:ct t e workers co sati
of California, and agree that if I should become subjeC!) orker's ens.
provisions of Section 3700 of the Labor Code, I 'fop with c Y with t e provisions.
CONTRACTOR INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: FAN
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Professions Code.
6/10/2005
Date:
Contractor
NUMBER
EXPIRATION DATE
TYPE
Date: 6/10/2005 Applicant:
WARNING: 'FAILURE TO SECU ORKER'S OMPENSATION COVERA E IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI1l0N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec.3097 .Civ.C):
Lender's Information:
Construcion Tvpes:
V N, ,
Fire Sprinklered?
UvinQ Area:
NO
200
I ci;lrtity that! have read thisapplic;:i. .on and state tR~ above infor~tion ic~~om:Jct. I
agree to comply with all city a es an ate laws--relating to building construction, and
hereby authorize repre I"es 01 thi to enter.)lpOn the above mentioned property tor
inspection purpo
Date: 6/10/2005
Fees paid for Permit:
Total:
982.65
Si ature of Applicant or Agent
The permit shall expire 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 permit is reauired to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbackIFormslTrenches (Footings)
Do not install subfloor or pour floor slab unlilthe
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (CompactionlMembrane Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., EIe., Me<:. And Fire)
Insulation (SoundlEnergy)
Do not tape or plaster until the following applicable
items have been signed:
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath
GENERAL ITEMS
Exterior Plaster (Brown Coat)
T -Bar Electrical
T -Bar Mechanical
T-Bar Structural
Sewer .
Water Engineering Backflow
Water Service
FINAL INSPECTIONS DATE INSPECTOR
Electrical Final (,(1 (for -r.~~
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139
Building Final (Last Inspection - Only cell~~ 1: AJ A
After Above Complete) .. ""
PARTIAL INSPECTIONS
Buildina InsDections
MechanicallnSDections
Plumbina InsDections
ElectricallnSDections