888 S. Lime St.
TYPE OF PERMIT
Residential Addition C tTY'
DATE: 2/18/2005
JOB ADDRESS: 888 SLIME ST
LEGAL DESCRIPTION: N TR 1254 LOT 36
BUILDW,G DIVISION
200 S. ANAHEI~ BLVD.
(714) 765 - 5153
INSPECTION REOUESTlINE:
(714)765-4626 '
CENSUS CODE: 434
QUARTER SECTION: 104
BUILDING PERMIT.NO.BLD2003-03423
APPLICANT: JOSEO PEONA
OW'NER INFORMATION:
Maria"G Viramontes
888 Slime SI
ANAHEIM, CA 928050000, ,
JOB' DESGRIPTIONf\dd 582sf family mom & dinning room to rear of SFD. . Includes reroofing remainder of house. and replace exis'trng window in bedroom
VALUATION: with3~n'll~tle.(Renewed permit lor 6 months expires8/W05) PROCESSED BY: ENO
I' OWNER'BUILDER DECLARATION
I"h,ereby affirm under penalty of perjury that I am exempt from the Contrado(s License Law for the following reason {Sec. 7031,.5 BUsiness and
. Professions Code: any dty at count~which requires a permit to constru.ct, alt;~r, improve. demolis~ or -r.epair any's,tructure, prior to its,issuance, also
requ ires' the applicant for. such permit to tHe a ~igned statement that he is Iicefised pursu.ant 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. the refrom 'and the b.asis for the alleged
exemption.. Any violation of-Section 7031.5 by. any applicant for'a permit-subject:; the applicant.to a dvil penalty of not more than five hundred dollars
~~ 'I ,,' ,
..&. I, as owner of property, or m~ employees with wages as their sole comp~,nsation, will do the work, and the structur~ is not int~nded or offered for
. sale (Sec..7044 BUSiness_and Professions Code:. The Contractor's License L;3W do!)s n.ot apply to an ~wner of property who builds or improves
thereon, and who does such work himself or hemelf or through his Of her ow(.smo!oyees, provided that such improvements are not iritended or . . .
offered for sale. If, however, the building or improvement is sold with one.ye~r of completion, the owner~buUder wui have the'-burden of proving that he
did not butld.orimprove for the purpose of sale). . . r . . . _. . . .
0-', as .the o)N~er of the property; am exdusively contracting with licensed ~;ontr~ctors to c0l1stn.:ct the project (See. 704:1.4 Business and Professions.
de: The ContraCtor's License Law does not apply to an owner of p-ropertJ~.",lho b(lilds. or improyes thereon, and who oontracts'for suet) prOjects with
ohtractor(s) licensed pursuant to.the Contractor's License Law). ,I.
I am exempt under Sec. . a & p.C, f r this eason: '~
ate: _ / _0 . Owner:
CONTRACTOR INFORMATION:
ARCHITECT/ENGINEER INFORMATION:
=-- .
WORKER' CO PENSA ON DECLARATIO~ :___,~ I
1 he by affirm under penalty of erjury one of the following declarations: i
o I have and will maintai a certificate of c;onsent to self-insure for worke"~compei1sation,
as provided for bySedion 370Dof the Labor Code, for the performance of~ht'twor't:. forwhil;'h
this permit 'is issued.' J . ..
o. th~ve and will maintain worke~s comperisation insurance, as requirel;! t~ Sectio~" 3,00 of 2/18/2005.
the Labor Code, for the performance of the work for which this permit is isSU~j, My worker's I Date:'
Compensation insurance carrier and policy are:. (
Carrier: Policy Number. t
, , i
This secti~ need not be completed if the pennit is for one hundred dollars ($100tor iess.
~ I certify that in thepeifonnanceofthe work for which this perrnitjs issueb. i shall not
~PlOY any person inany manner so as to. become subject to the worker's C\.mper-satiolllaws
of Cal,ifomia, and agrel3 that if I should become subject to the worker's comP'"l;!~~ation
proviSions of Section 3700 of th Labo e, I sha" forthwith comply with thr.''Se provisions. Construcion Iypes:
, . ~ ,>' ->" _ ' V N, ,
Date: 2/1812005 Applicant:. ~ ' ~ .~~71 -, . , Occupancy Groups:
WARNING: FAILURE'TO SECUWORK 'SCOMPENSATION COVER,'(jE IS R3, ,
UNLAWFUL, AND SHALL SUBJ CT AN EMPLOYERTO CRIMINAL PENALflES AND CIVIL Fire Sprinklered?
, FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADD'nON TO THE I DwellinQ Units:
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE I Livihq Area:
LABOR CODE, INTEREOST AND ATTORNEY'S FEES. ,
I CONSTRUCTION LENDING AGENCY, _
I hereby affirm :under penalty of perjury.tnat there is'a construction lending ag;;:'lcyfol the I
~performance of the work for which this permit is issued (Sec..3097 .Civ.C): _~ . _~
Lender's Information:
UCENS,ED CONTRACTORS DECLARATION j
! hereby affirm lJl1der penalty of perjury that I am
licensed LI nder provisions of chapter 9 (commencing
with sectiOn 7000) of Oivsion 3 of the, Business and
Prof~ssjons Gade.
NUMBER
Con~ractor
EXPIRATION DATE
TYPE
NO
1
582
I-certi that I have read this application and state that the above information is correct. I
agre. to comply with all city. ordinances and state laws relating to building construe.tion, and
erl? Y aythorii:e representives of this city to enter upon the above mentionect property for
jn ction purposes.
Fees paid for Permit:
Total:
1,248.66
, Date: 2/18/2005
stgnature of Applicant or Agent
The ermit shall expire by limitation and become null and void if the building or
work as not passed final inspeCtion 365 days from the date of permit issuance. A
~w p mit is required to ,commence or continue work.
.
.INSPl:CTION RECORD
-
. INSPECTION DATE INSPECTOR
. Temporary Power Pole. .
Plumbing (DraintWaste Pipe) I.
Electrk;al Ground Electrode/Uter . !.
. Setbacl<fFormslTrenches (Footings)
Do not install subfloor or pour floor slab .untilthe . .
following applicable items have been signed:
Plumbing (Water Plpe.Sprinkler Valves)
Mechanical (Groundwork) .
Electrical (Underground Conduit) . .
Pre-sfab (Compaction/Membr_.Reint., .
Underpinning (ROar Joist/Girders) '. ,
Do not cover orconceaJ the worn below until the .
following applicable items have been signed: .
1 st Floor Shear . . . . . .
Arespril\k1er (Rough) .
2nd Floor Shear . . . . ' ,
Roof (SheathinalOiaphragm'Frame) '/-30 /7
MaSOnry .(ReinfJBond BeanJPre.Grout) .
Rough Plumbing (Tor> Out) . .
Rough Mechanical . . .
Rough l:IectrlCaI (Dry Wall) . .
Rough Electrical
Framing (Only after PI,bg.. Bee.. Mech.. and Fire} -3t1.~ : RG15Zr/
Insulation (SoundlEnergy) 7_/_ i;tl '/-/'-:'1< /.
Do not tape or plaster until the following applicable '"
, items have been signed: ',- .
DrYwall . .' .. .
Peneli'alions (Fire Rated) Electrical.
Penetrations (Fire Rated) Mechanical .
Penetrations (Fire Rated) Plumbing .
Interior Lath . . '.' . .' / -
Exterior Lath . . . . .~ _77-&1' . fff:1d5.t "';l r-
GENERAL ITE MS "
Exterior Plaster (Brown Coat)-, ~ "...-;;<1 A 1...# / V7L
T -Bar Electrical, ' ", , '.
T-Bar Mechanical .
T -Bar Structural. "
Sewer ' , . .
Water'EnginflQring Backf/ow .
Wat..r Service
-,
FINALINSPECTION~ ,.
Electrical Final
PI\Jmbing Final
Mechanical Final
Gas. Test'
Engi~ringtGrading Final 765-5126 '
Fire Dept. Final 7654040
Water EngIneering 765-5268
SubUst/BusinllSS License 765-519 '2 -If-
Zoning 765-5139 '
BUild, ing Final fLast Inspection- Only
, ',' AfterAbove Complete)
PARTIAL INSPECTIONS
Buildina Inspections
Inspector ,
/
Mechanical Inspections
Plumbinalrispections
, ,
Electrical Inspections