2913 W. Lynrose
-.
BUILDING PERMIT NO. BLD2004-02618
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. BU!LDiNG OI\t!SION
200 S, ANAHEIM I3L VD:
(714)765 - 5153
INSPECTION REQUEST LINE: '
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 14
~~~?F PERMIT CITY
, DATE: 6/30/2004
JOB ADDRESS: 2913 W L YNROSE DR
LEGAL DESCRIPTION: N TR 2228 LOT 86
APPLlCANT:ALEX PORRETTA
OWNER INFORMATION:
ALEX PORRETTA
2913 W Lynrose Dr
'Anaheim, CA 92804,
JOB DESCRIPTION'I'ear off and insla\l18sq of Comp Shingles "25year' and "place studs and roof framing members,
VALUATION: 3,500,00 PROCESSED BY; HRO
,I ' OWNER-BUILDEf' :lEClARATION
I-hereby affirm under penalty'ot.perjury that lam exempt from the Contractc('c;'Ucense ,Law for the following reason,(Seb. 7031.5 Business and
Professions Code: any city or county which requires a perm~ to construct, a ter,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 Ik>~nsed pursuant to the provisions of the Contractor's Licens'e Law (Chapter
9)(commencin'g with Section 7000 of Division 3 of the BuSiness and Profes::~~ns Code) or that he is exempt therefrom. anCtthe basis for the alleged
exemption. Any violation of Section 7031.5 by any applicanHor a permit s'u'~ects the applicant to a dvU penaltyof not more than five hundred dollars
-~, ': -, . .'
fDQ.. I, as. ,owner of property".or'my employees with wages as their sol~ com'.>6nsation, will do the work, and the st. ructlJre is ,not intended or offered for
sale1:'Sec. 7044 Business and Professions Code; The Contractor's Ucense!..?w does not apply to an owner of prope~ty who build~ or imPl."oves'
thereon, and who does SUch work himself ot herself or through his or hei c~_r.$mployees, provided that such improv~_ments-arenot intended or
offered for sale. If, however, the building or improveme'1t is sold with ':Jne y iar o"f completion, the owner~buitder will have the burd~n of proving that he
did nOt bu~d or improve for the purpose of sale). .' . .
o I, as the: owner of the property, ,am exclusively contracting with-license~ con+.r2ctors to construct the-project (See. 1044 Business and Professions
Code:. The Contractor's License law does not 'apply to an owner of propen ;who bu~C1s or improves thereon, and who .contra~ts- for suCh projectS with
~n.tract: or..(s.) Iic. ense'd p. u rsuant.to the Contractor's License Law)., .' .
ame~e~p~_u der$ec., .. .' B & P.C. for_th9aso!!: _
ate: r, . ... ",'p./L,' Owner: . &: ___~ ~~
. '+-;,", WORKER'S C6MPENSATION DECLARATION ~.
I hereby affirm under penalty of pe~ury one of the following declarations:
o I have and ~ill maintain a certificate of oonsent to Self-insure for work~: '$ compe(lsation..
as provided for by Section 3700 of the Labor COde" for the performC:lnce of ,he work for whid1
this permit is issued. . !
o I ha:--e andwiH .maintain worker's compensation insurance, as require~\)y Section 3700 of
the Labor Code, for the performance of the work far which this permit is is."i; .'?d. My wo~r's .
Compensation insurance carrier and policy are: '
Carrier: . Policy"Number.
CONTRACTOR INFORM!,TION;
ARCHITECT/ENGINEER INFORMATION;
I
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisionsQf cp.apter 9 (commencing
with Section 7000) of Divsion ;3 of the Business and
Professions Code. .
6/30/2004
Date:
Contractor
NUMBER
EXPIRATION DATE
This s(!Ction need nolbe completed if the permit is for one hundred dollars ($1no) or les,s,
o I certify that in the ~rformance.afthe work for which this permit is: issut:d; ) shall not.c':.'
employ any person In any manner so as to become subject to the w.orker's,compensation laws
of Califomia, ancl agree that if I should b~ome subject to the worker's cOfi'.:;ensation
provisions of Section 3.700 bfthe Lapor Code, ) shall fo.rthwit comply ~se provisjon~.
Date: 6/30120,04 Applicant:, ~ ~ ,
WARNING: FAILURE TO SECUREW ER'S COMPENSATION COVEAAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM INAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED 1HOUSAND DOLLARS ($100,000), iN AVDlllON TO THE
COST OF COMPENSATiON, DAMAGES AS PROVIDED FOR IN SECTION $706 OF THE '.
LABORCODE, INTEREST AND ATTORNEY'S FEES, . 0"
'I CONSTRUCTION LENDING AGENCY ..
I hereby affirm urder penalty of perjury that there is a constructionJendi~g~q~ncy for: the I
::>erformance ofth~work fo-rwhich tl"m::pcrmit i!3 is::a:;3d (S~c:=:oc7:cr'.j.c;f_. c2,~~'...~' ',__-,-,-__
Lend=r.s information: .
TYPE
Construcion Types:
'''N,., .
Fire Sorinklered?
NO
I certify that I ha~e react this application and state that the abQve information is correct. I
agree to comply with all city ordinances and state laws relating to building (:onstruction, and
hereby authoriZe representives of this city to enter upon the above mentiol"edproperty for
insp,_. ectj~,n, pur~.::V sas. .. ~__,' '_
~_ ~~/~ Date: 6/30/2004
- ' Signature of Applicant or Agent
The permit shall expire by limitation and become null and void if tl..ebuilding or
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:
124,,85
INSPECTION RECORD
INSPECTION , DATE " INSPECTOR'
Temporary Power Pole ,',
Plumbing (OrainlWaSle Pipe)
Electrical Ground Elec\rodelUfer ,
Setbac:k1Formsrrrenches (Footings), , , '
Do not install subfloor.or pour floor slab until the
following applicable items have been signed: '
Plumbing.(Water'Pipe.Sprinkler Valves) , '
,Mechanical (Groundwork)' , "
Electrical (Undell/round Condu.il) "
Pre-slab (CompactionlMembrane .Reinf.
Underpinning (Floor Joist/Girders) , , \
?? not cover or conceal the work beloW ,until too, ' ,
following applicable items h,ave been signed: "
1st Floor Shear '" ' , , ,"
Firesprinkler (Rough) '" .'
,2nd Floor Shear '." " ' , ~ '," ' ,
Roof (Sheathing/Diaphragm/Frame) , '~' ' --
Masonry (Rj!infJBond8eamlPre-Grout) ~
Rough Plumbing (ToPOut/ ,
Rough Mechanical ,
Rough t:IectrlC3I (ury wall) . " '
Rough Electrical ' ' , .
Frllmirig '(Only afierPlbg:, Elee" Meeh" and F;rei~ ' ~
Insulation (SoundlEnergy), ' ,I , '
00 not tape or plaster until the following applicable
items have been signed: '
Orywllll ,', ' , ,
Penetrations IFi" Rated) Electrical' , '
Penetrations (Fire RatedJMechllniCllI ,
Penetrations (Fire Rated) Plumbing
,Interior Lath , ,
'Exterior LlIth
, " GENERAL ITEMS ' i
Exterior Plaster (BlOWn Coat) , '
T ,Bar Electrical " ' " ,
T.Bar Mechanical ,
T ,Bar Structural ' , , '
Sewer
Water Engineering Backflow " ' ,
Water Servic.. ' ,
, , ,
FINAL INSPECTIONS Date Inspector
, Electrical Final , , "
, Plumbing Final , ,
, Me~hanical Final
"
Gas Test , , '
, Engineering/Grading Final 765-5126 ' ,
Fire Cept: Final 765-4040
" Water Engin..ering 765-5268 ,
, ,
Sub Li"tlBusiness LiCllnse 765,519 I
Zoning 765-5139
Building Final *ast Inspection- Only ~ J.J;, ~, 1
'" " fter Above Complete)
PARTIAL INSPECTIONS
Buildinalnspections
-, .
Mechanical Inspections
, PlumbinQ Inspections,
Electrical Inspections ,