1817 E. Morava Ave.
_.,~---;....,..,..-
TYPE OF PERMIT,' CotTY
Residential Remodel
BUILDING DIVISION
209 S, ANAHEIM BLVD
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714)765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 104
~U;L;;;ij~G PERMIT NO.BLD2003-o4196
DATE: 10/23/2003
JOB ADDRESS: 1817EMORAVAAVE
LEGAL DESCRIPTION:N TR 2205 LOT 2g
APPLICANT: DAVID MUNOZ
OWNER INFORMATION:
'[)AVID ,MUNOZ
1817 E Morava Ave
Anaheim, CA 92805
JOB DESCRIPTION:Add stucco to front of hoine and rear.
CONTRACTOR INFORM.l.TION:
ARCHITECT/ENGINEER,INFORMA TION:
~, .'
VALUATION:, ' 1,,000.00, , ',J PROCESSED BY: ODC, , '
I ' , , ',OWNER-BlJILDE;SpECLARATlON ,", '
I heret?y affirm,u\lder penalty of perjury that I am exempt from .the.,C,Jn~acto:-.~Ucanse Law for the following reason (Sec., 7031.5 Business anp:
Professions Code: any dty or county which ,equires z permit toccmstr.uct,'a~~r,';~:l)"lprove, demolishor repaIr an~'strtlctur.e,. priQr to its issuance. also .
requires the app!icantfor sudl permit to file a signed statementthat he isi.I~~~~ pursuant to the proyisior.s of the Contractor's UcenseLaw (Chapter
9)(commencing with Section 7000 of Division 3 of the Business andPr'ofes~}~.:t\~ Code),or that he isexem"pt 1herefromand the basis forthe alleged
exemption y, violation of Section 70.31.5 by anv.applicarit for a permit sUQ':1,9ts the a ppJicant to a civil penalty of not more tha n five hUndred dollars
W~ " . .3{ . ' .. .
I, a~ owner of property. or my employees with wape.s as their sole c(,.m,;;,l?~~iion, wrildo the work, and the $truc.tur~ is not in\enued or off~r.ed for
sale (Sec. 7044 Business and Prqfessions Cod~~ The CC:1tractor"s:licenst'"O.:J:v does, net apply to an owner of propel"fy who bllilds.orirnprOves
:thereon, and who does such work himself or helselt or thruuQh his or hC:VjW(fe:'n~loyee:::. provided that slIch improvememsare nut intended or .
offered for sa . If, however,the: buHd-irlq or improvemt:lnt 15 sold with one lOi'Irof oompletiol"!.the owner-builder 'Niil have the burde.n c.f J:'rovin~ that he
di or improve for' the purpose of safe). . . . ,'., ; _ .
, as the ov\'ner of the propertY, sIn exdLsively con~!Bcting with 1icensc.c~,,}.~t1tractol"$,to construct the project (See. 7044 8usinE::!s~ anc Professions
ode: The Contractor's License law dees '1,,)t apply to an owner of prcpei:Y':~' ho builds or tmpro'.,1es thereon, anti who'ron1.(act':; ior such projects: with
ontiactor(s') Ilce.nsed pursuant to the Contractor's license Law). . ,:
,mexemptunderSec.~. ' P.C.forthi rea~Orl: ._~/;:.~___
D'lle'. i._')..lli, Owner: ~~,_ '
_____ WORKER'S C PENSATION DECLARA,.'OlL....:.ji__.--:..., J
I h'3reby aff,rm under penalty of perjury one of the following declordtior:s:' j
o I h-avu z,nd wili maintain a certificate of oonsant i) Sl9:1f-insure fer wel k€.T;;".;.:.moansatiofl,
as provided for by Section 3700 of the lahor C'dde, for the ?6tforman~ cf ~;",_~' "vork forwhi'ch
this permit is issued, . ,:.Li
o I'have and will maintain worker's compensatic.n !r.Slirancc.as r€::'juir?J !}:/;s~t;.tit.ln 3700 of
th~ Labor Code, for the peorformance 6f the work far whi.ch this perrnids !!2'~-..:;~)i: Mywnr~r's'
Compensation insurance carrier and poliey are: . .
Carrier' . P-Olic.y Nurnt.e::
J
LICENSED CONTRACTORS DECLARATION J
. I hereby at!irm under penalty of perjury that I am
licensed under :::lrovisions c)fchapter 9lcommencing
with Section 7GOO) of Oh:slon 3 of the, 3usiness and,
Piofessions COde.
10/23!200S
Date:
.,ContrClc:;tor
NUMClEP.
EXPIRATION DATE
This section need nOt be, completed if the ~nnit is ~r,one h!)ndi(;d' dollars. ($1 OU} ~j,' !c<oos.
0, I certify that in the perfdrmance of the woridor which !his J'~rJ;lil is,~r>j;~:~?~ \st];311 no:
emp!oy any person i,n,any mannerso as 10 be~ome sut~ecnothe \oVof,:ke"~ ~~");*;)c(lsation laws
of.California, and agree,that if I should beco,me suoject to the \'vorker's corr:~il~~'alfon
provisions of Section 3700 of the labor mb.all fort~:"ilh comply w;!h \:ttP'.~VisiOns
Dale: '0/2312003 Applicant: , , /1 r ~ vvr~
WARNING: FAILURE TO SECURE WORKER'S COMPENSf,T;ON CO:J"'fl/'~I::; "
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMiNAL PEN,it''LES AND CIV!L
F!NES UPTO ONE HUNDRED 1HOUSAND DOLLARS ($100,000), IN AD.1:Ii,lMJ 'fo THE'
COSl' OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTI(M,',~1Ss'OF THE
U\BOR CODE, INTEREST AND ATTORNEOY'S FEES. ' ,;c 'tV" , ; ,
I, . " CONSTRUCTIoN LENDING AGENCY ,f:ni.
I her~by affirm under pen.ahY of perjury that there is a cOQstruction},enq ing 1f:.lri~y for t~e
performance of the work for which this pi-.-rmitis,issued (SE:c.3097:Ciy.C): ,;"',,: ,;;
L~9.der'slnforrnation: ' . , . l,,~:~ J
TYPE
Construcion Types;
VN, ,
Fire Splinklered?
NC
r
. ,~.",~,,~-,.. - ~' ~,---,,--_..',
I certif\j that I have read thisapplication.af1dsta~e that the aboveinformat~)r; :s':;orrect. I
agre~et~ <?O,'mQ! ,with all city ordinances a od st,ate, la wsrel,a,ting to bunding C')Il::Hiuction, and
hereb~ a rize representives of this dty to enter upon the above mentioneJ property for
insp ~rposes. .
t::l/1~~ ~ " , Date: 10/23/2003
. " 19nature of Applicant or Agen .
Thli permit shall expire by lirllitation 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 Pennit:
Total:
72.45 .
INSPECTION RECORD
INSI'ECTI9N . DATE INSI'ECTOR
Temporary,Power Pole . . . . . .
Plumbing (Drain/Waste Pipe) . .' .
Electrical Ground Electrode/lifer' . .
SetbacklFormsrrrenches (Footings) .
Do not ifll;lall subfloor or pour floor slab until the .
following applicable items have been signed:.
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (GrouOdwork)
Electrical.(Underground Conduit)
Pre-slab(Compacti9nlMembrane.Reinr.:
Underpinning (Floor Joist/Girders) . .
Do not cover or conceal the wor:\< below until the .
following applicable items have been signed:
1 st Floor Shear . . . . .
Firesprinkler (Rough) ,
2nd Floor Shear .' '.
Roof (SheathingfDiaphragm'Frame) '. ,
Masonry (ReinfJBond BeamlPre-GlOUt) .
Rough Plumbing (Top Out)
Rough Mechanical . .
. I KOugh t:lectrical (ury wall) . .
Rough Electrical . . .
Framing: (Orfly after Plbg., Elee.. Mech..-and Fire)
Insulation (SQUndlEnergy) . . . . .
po not tape Qr.pla;;ter_ until. the following'applicable
Items have been,slgned: . . .
DryWall " . '.
Penetrations (Fire Rated) Electri<:al .
Penetrations (Fire. Rated) Mechani<:al .
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. . .'.
Plumbing Final '. I
Mechanical Final . . .
Gas Test '. '.
. .
Engineering/Grading Final 765-5126 , .
'.
Fire Dept. Final 765-4040 '. .
'.
Water Engineering 765-5268 . . . .
Sub List/Business License 765-519
Zoning 765-5139'
Building Final ~ast Inspection. Only .
. fte, Above Complete) .
PA~TIAL INSPECTIONS
Buildina Inspections
Mechanical Inspections
. PlumbinQ Inspections
Electrical Inspections
PERMIT. EXPIRED
.INSPECTION....
NOT COMPLETE~
DA TE: