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3155 W. Monroe Ave. TYPE OF PERMIT ResidentialAddition . !~~*~.c~,q~~;}\ .CITY Q;~~N1lHEIM \'~~f!~~:~ft/ . BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 434 QUARTER SECTION: 8 BUILDING PERMIT NO. BLD2004.03287 . DATE: 8/26/2004 . JOB ADDRESS: 3155 W MONROE AVE . LEGAL DESCRIPTION: N TR 1820 LOT 127 APPLICANT: ISMAEL CORTEz OWNER INFORMATION: Ismael Cortez 3155 W Monroe Ave Anaheim. CA 92801 . JOB DESCRIPTION:Transfer permit to owner: Room Addition. Living room andikitchen extension; 2 new bedrooms, new laundry and bathroom. Remove : VALUATION: andf.l~B8eosoofframin9 system with new4:12 pitch. Ref'jC.D2004-02014 PROCESSED BY: EMA . . . I OWNER-BUILDERb!;CLARATION.~. I hereby affirm'under penalty of perjury that! am exempt from the Contractc~'.; Ucense !.,.av-ifor the following. reason (Sec.' 7031.5 Business and Professions Gode: any dty or couritywhich requires a pe'rmit to con~truct, altU, 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 lic<]f~sed pUf$uarit to ~he-prov[sions of the Contractor's License Law (Chapter 9)(c.ommencin'g with Section 7000 of DiYision 3 of the Business and Professk'ksCode) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subMcts the applicant to;;l dvil perialty of not more than five hundred dolfars ($50.0)..' . \ . . .. ~I, as owner of property, or my employees with wages as their soie com~4:'sation, will do tht~ work, and the structure is not intended or offered for sale(Sec. 7044 Bustnessand ?rdGstllcnsCode: The ContrClctor'!5 UcenseLiA~ does not ?pply to 'an owne~ of pr~perty who builds'or improves thereon, and who does such wOik himself or herself or through his or her ow:';,employees. provid~d ~hat such improvements are not intended or offered for sale. If, how eve 1',_ the building Or improvement is sold with one ys:/ of completion, the owr;er-bllilder will have the burden of prov;ng that he did not build or improve f?r the purp~se of sale). .' )f _". _, . . ' . o I. as the owner ofthe: property, arnexdusively COl"ltracUrg with licensed ~cntrad:Qrs to construct the projoct{Sec.. 7044 Business and Professions Code: The Cqntractor's License Law does n~t 'apply ~oan owner of propertYY!I"i"IO Dul!ds vf improves '~i'€'reotl, and '-ivhc contracts for such projects w!th Fjontractor(s) licensed, pursuant to the Contra~to~"s License Law). . j . " ' '. . . _exem t under Sec., ' B fx'P.C. for. t.hi~ ~~. 2S~1I1:' ----'_J_ . . . Date: "if 2J; la'(owner: .><:.~'~ ~ _L{~"", WORKE'R'SCOMPENSATiON DECLARA liON j -: l.ICE.NSED CONTRACTORS DECLARATION I I hereby affirm undClr_penalty of perjury one of the foHewing d€ciarations: .' I hereby ;:jtfirm under penalty of perjury that I am 0' I have: and will rr-.aintain acertifk:ate of a:m,,:!ent to :self-insure tor-work~r'~rcC~1r>ens2ti():1, licenser.! under provisions of chapter 9 (cc1.l1menc,ng_ as provided for bv Sectif)O 3700 of the Labor Code, for the perrorm2m;e of thd~'1ork tor 'Nnidl viith Bection 7000) of Di.JSion 3 of the Business and this Permit is iss~ed.. ' ;',~ Professio:1$ Code. D I have and will m~:intajn worker's- compensation insurance, 'as required bJt:S>3(;tion. 3700'of 8/26/2004 the Labor Code, for the performance of the worts for which this permit tSis.'w:lrl, Myw0Lker'::; Datn: Cornpe:nsation insUrance carrier an.d pcj!ic:y are: ' Carrier: Policy Number. This_section need not be complet~d ifttle pemlit is for one hundred clcil~rs ($1 Gll):":-,r less. D' I certify that in_the performance of the, work for which this permit is i~ued~: I shall nct employ any person in any manner so as to become subject to the worker..'s cor;lpensation laws of Califomia, and agree that if I should become subject to the worker's ccrri1lJer~satior. provisions of Section 3700 of the Labor Code, I shall fOlthwith comply witptl1clfe prqvjsion~.. ConstiUClon Types: : '" ., . VN Date: 8/26/2004 Applicant: ><-~~ ;"l?"' ""(~'..' I Flr..S~rinkler.d? WARN ING: FAILURE TO SECUREWORKER.S COMPENSATION COVERt.'GE IS .' ..... LIVioo Area, UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEfl'\~.hES AND Ciyl\, FINESUPTO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADOp"lON TO THE i. COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION ::!06.0F THE LABOR CODE. INTEREST AND ATTORNEY'S F~ES. .. .. .... . .~. ... I . .. . CONSTRUCTION LENDING AGENCY":;;" . i . . . I herebY. affir.m _under pena Ityo. f perjL,Jrf t.hal there i.S a.. COrlstrudio n ..le.'.rid..ir1..;g agency for the, "'. :performance of the work for which -this permit is issued (Sec. 3097 .Civ.C):. .' . ... Lender's,lnformation: ,_ M ____~.__~..___ '__~ _' . .- .----:._ __. ~ CONTRACTOR INFORMArlON: ., i . ARCHITECT/ENGINEER INFORMATION: Contract0r NUMBER EXPIRATION DATE rYPE NO 834 I certify that I have read this application and state that the ab.oveinformation is cor.rect. I .' agree to comply with all oity ordinances. and state laws relating. to building construction; and. hereby authorize representives of this city to enter upon the above mentioned property "for inspect ion purposes. 'rC ~ '" till . ~"''-(-''-1 Date: 8/26/2004 Signature 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 required to commence or continue work. Fees paid for Permit: Total: 71.53 ,. .... INSPECTION RECORD . FINAL INSPECTIONS . , Dale Inspeclor . . . INSf'ECTION . '. DATE' INSPECTOR ,. 'Electrical F.inal . , . Temporary f'ower Pole <' Plumbing Final .' . . Plumbing (DrainNVaste Pipe) , . Mechanical Final .. Electrical Ground Electrode/uter '. . Gas Test .' SetbaeWFormsfTrenches (FootingS) . . Do'not install subflooror pour floor slab until the Engineering/Grading Final 765:S126 . following applicable ilems have been signed: Plumbing (Water Pipe.Sprinkler Valves) Fire Dept. Final 7654040 " Mechanical (GrOUndwork) .' . Water E,ngineering'765-5268 . . Electrical (Underground Conelun) I '. . Sub LisllBusiness License 765c5,19 Pre-slab (Compactilm/Membrane.Reinf. . '. Underpinning (Floor Joist/Girders) Zoning 765-5139 . . Do not cover or conceal the work below until the Building Final' ~astlnspection.. Only Jollowj~g appli,(;q:ble items h.3ve been s'jgned: '. .' . .' , ". . fler Above Complete) . . 1st Floor Shear . '. PARTIAL INSPECTIONS . . FireSprinkler (Rough) . . ",.- 2nd Floor Shear .' . ' .' ., .' Buildina Inspections Roof (Sheathing/DiaPhragm/Frame) . . . Masonry (ReinfJBonel BeamlPre-GlO\It) . .. . . . . . Rough Plumbing' (Top Out) . .' Rough Mechallical . . '. . . . . Rough Bectncal (Dry Wall) . . '. Rough Electrical . . . . Framing . (D"'y ah., Plbg.. ,cl.,. Meen aoaF".! . .~ . Insulation (SoundlEnergy). . . . Mechanical Inspections '. po nattape or pla~ter un(ilthefollowing applicable ., . . . .. .tems have beens.gned: . .' ,'. .n. . .' . .' , . Drywall' . . Il-/~ /;v ,...--,- Penetrations (Fire Rated) Electrical ' . . Penetrations (Fire Rated) Mechanical, . . . Penalrations(Fire Rated) Plumbing . .' . Interior Lath . . . .' ~ '. '. Exterior Lath . 111./L-()1- A~ . . .Plumbina Inspections GENERAL ITEMS. ' . . .. . . Exterior Plaster (Brown Coat) T -BarElectri~1 . .. . . . . T .Bar Mechanical . . . T -Bar'Structural. .. , Sewer' . - ! ElectricallnSDections Water Engineering Backflow Water Service .. . . . . PERM\1 EXP\RED " "N'. 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