8173 E. Morning Sun Ln.
-.
TYPE OF PERMIT' CITY,
Patio Cover .
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BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765- 5153
INSPECTION REQUEsT LINE:
(714) 765.4626 ",
CENSUS C.oDE; 434
QUARTER SECTION; 228
BUILDI)IlG PERMIT NO. BLD2004-03102
DATE; 8/11/2004
JOB ADDRESS; 8173 E MORNING SUN LN
LEGAL DESCRIPTION; N TR 13514 LOT 26
CONTRACTOR INFORMt,TION;
PA 1'102000 INC
313 DIANA pci
FULLERTON, CA 92833 OQ')
BUSINESS PHONE: 71, 9,)"'4575
JOB DESCRIPTION;Free standing tile roof patio. . .
VALUATION; 8,000.00
I ' OWNER.BUIL[)E~DEClIU{ATION
'I hereby affirm und~r penalty of perjury that I am exempt from theC..:mt:-actoi!3 Ucerlse Law for the following "reason (Sec. 70315 Business and
ProfessionsCode~any dtY or county which requires a p.e'rmit to constn.:ct,a't~r, irnrrove, ,demolish or repair. any structure, -prior to.ifS issuance: also
requires the applicant for such permit-to- file a signed 'stateITlent that he'l$ P,:,,~L;.ed pursuant. to the provisions oUhe Contractor'$; Uc.erlse Law (Chapter
9)(com,rnencing with Section 7000 of Division 3 of the B~sln~ss ar:dPro!eS:;>I(:ins Cede},.)!' that heis exenlpt ther€"fr~m 3nd the basis tor the all~ged' .
eXBmpti~n: Any violation pt Section 7031.-S'by a~1Y applicant for a-permH $:..ibi7Cts the a,pplicant t? a civil,pe11aityqfnot 1110rp t~an ti~e hundreJ doUa~s
.($500). .' " ,,' " " '. -t .. " . . ", ". , .
o I, as ownerof property: or my employees with wages e8 their S91e C~'''i'~.''.~,l.%tior:, wUl d,o the work" and the str4c.turei~ net iritend,edor,offered for'
. .~a\e (Sec.}044 Business and Professions Code: The Contrac.tor's'iJ~ei):se lJ~w doet:: notofJply toanowner of propeity who burlds or improves
tr.ereon,' and who doeG su<.:hwork himself or herself or :hrough his o~ ~er 0'/'.(: er,:'pI,)~t8:t?s,fJ(o\'!ded that',sllch improvernel1tsf:lye nqt intended or
oftered for sale.. If, however, the building or improvemem is sold wHh,one Y'3ir 0f ;y>mp;e~ion; the owner~,builder witl have the burden of proving rh::3t he .
di9not~uU~orjmprcveJorthepurposeofsale). . .... ,;.." ,j: : " '",,:' . .
[] I, as the .owner ofthe property, ,am exclusively contra.ct:ng .w1th nC~n$'::~; l.~'r:!.-:ldors.t0 cor;s!rUGt the. projer;t{Sec. 7044 8uslness and Professions
. Co~e: ~he Contracter's License Law does not i:1pply to arrO,Wiler o(prcc~;ty- ~:h') bl'i1rlS or improves thereon, afld:who ccntrar:ts fOf sud"! proie,?ts with
~of\tractor(s)lic.ense:d,pursuanttotheContr~c~~r~suce:,:.~e'Law), . J . . .
.LJ lamex~mptl~l1derSe"C,' .;' ,'BlS:P.v.forth;s~eason; ~.J__._:"'-_'_~_-'-:"-~__N__~
Dat~: Owner: _l-.___...
L . WORKER'S COMPENSATION DECLARATION {=~._:.J ~ICENSED CONTRACTq,RS DECLARATION j
I hereby affirm under penalty of pe~ury SlOe of the foliowmg declarations. 1 . I hereby affirm und:er pl3nal1:y of perjury that I ::!j1.
[]', I have and will maintain a certificate of consent to selfwlnsure forwori<~i~ :'",:1:npRr:smtOtl, hcel1sed uncel provisp s of chapter 9 (commencing
as prOVided for by Section 3700 of the Labor Code, for the peiformance of;!):' work fc.r .......hic..'1 wIth Sectron 7000) Dl....'O Of e Bu~ioess and
this permit is. issued: ..' . ' ... :,<;,' . . :1'
. Rl I have and will main~in Worke.r's'compensawon insur~flce; cis' ~quireJ.t'~1 See.lOri 3706 nf 8/11/2004
~Labor Code, for the performance of the work forwhich thiS permlt.is is.<;L:.;f:l. M.~i"'Norker's. . . Date::
Compe:nsatiQn insurance carrier ahd pblley are: , . ". . ~ ' ,.
C.arrier: NO EMPLOYEES " PoUc.yNumber.F::XE~ip.n .
This ~ectionneed not be:completed,if the pennit is 'for one hundred dollars:'($1 oij~;,';'lezs "
. ,'".., " " . ,',' .',' :""
@I certify that :n the perthrmance of the work for Which this .perrrtit is is..~:J~:}, :.$,hai: ~~,.
employ any person in any mannerso as to becomt:: 8ubjectto-,the worl:er's c,;:,.,p~(lsation laws
. of California, and agree that if I should beco bj~ct to the worker's. COJJ\;..~,:'r.3~ticn
provisions'of Section 3700 of the Labor Co all forthw. c~mply.wjth th.~,::e proyisi,o~s.
APPLICANT; RICHARD ROCHA
OWNER INFORMATION;
Tim Birkrhann
8173E Morning Sun Ln
.Anaheim, CA 92808,
ARCHITECT/ENGINEER INFORMA nON;
PEDRO J ADLAWAN ..
15375 BARRANCA PKWY.
IRVINE, CA 92618
'i.
PROCESSED BY; FAN
-
NUMBER
789329 .
TYPE
TYPE
B
HIC
EXPIRATION DATE
1/31/2005
Date: 8/11/2004 Applicant:
WARNING;. FAILURE TO SECURE 11 R'S COMPENSATICN COWf).;>!:: IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL pcN,~:rIES AND CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDi'OI0N TO THE'
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION::706 OF THE
LABOR CODE, INTERESTAND ATTORNEY'S FEES. '" '
I CONSTRUCTION LENDING AGENCY -'
I hereby affirm'under penalty of perjury that there is? construction lendi~.9f~frt.t.xJq(t.~~,<
""""'ri~m"'!l"1--~:>.:c-f--t:b''''.''':0'':-''_'k~'.,:.,~~(;~~::: --;~:~ ;:;t::: :~;::;:~d"--~";'.i;,;:':;,.i7 .<3'i-i:'C~" . "'".... - -'- "'--..--. ,.--..,,-,:'-'---1'
Lender's Information: - .
C..mstrucion Types:
VN, ,. . .
Patio Area:
260
I certify that I have re~d this application and state that the above information i;, correct. I
agree to ,rorn with all . ordinances and state laws relating to bui\ding cor:struction. and.
,hereby aut (e r'epre ntives o(this city toente( upon the above mentionecf/Jroperty for
inspectiQn . u ses .
. Date: 8/11/20.1)4
Fees paid for Permit:
Total:
284,81;
~ Signature of Applicant or. Age.nt
The p mit 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
newperrilit is reqllired tocomnience Or continue work.
I, , , Electrical Final ~'/Or- 'T --<<..<
INSPECTION , ' DATE INSPECTOR ' ,
TemporaryPower Pejle , , Plumbin,g Fil'!al , , '"
, ,
Plumbi r'!9 (DrainlWaste Pipe) Mechanical Final ' " ",
Eklct,rical Ground Electrod<>lUfer , R /1' , " ," , ~Itlos-
SetbacklFormsrrrl!nches,(Footings)" " :j.-l-llA. Gas Test ' ~, ,
,.. "7,
Do n<it install subfloor or pourfloor slab untilthe Engineering/Grading Final 765,5126, f, "
following applicalile items have been signed:, , " ,
Plunibir'!9 (WaterPlpe.Sprinkler Valves) , Fire Dept. Final 765-4040 , "
'.
Mechal'!ical (Groundwork) , , Water Engineering765-5268 c-,
' ' ,
Electrical (Und!lrground Conduit), , "
Pre-slab (CompactionlMembrane.Reinf. ' , , Sub List/Business Ltcense 765.519 " ',,' ,
Undllrpil'!l'!ing (Floor JoistIGirders) , , Zoni,ng 765~5139 ' " ,
, , . '
Do not cover or col'!ce;Jithe work below unt.1 the Building Final '~asllnspection. Only ,f1/as- 1'...Q" ...., .
..following applicable~emshave been signed: " , fte, Above Complele)
1S,t Floor Shear, ' , , , , PARTIAL ,INSPECTIONS:' {JIttI -. ' "
Firesprinkler (Rough) , ,
21'!d Floor Shear " .. ,II"~ Buildina Inspections
Roof (Sheathing/Diaphragm/Frane) , '
" ,
Masoniy.(ReinfJBond BeamlPre.Grout) " , ' ' , "
Rough Plumbing '(Top Out) , , , --c-'
'Rough Mechanical ' , , " ,
, ,Rough t:Iectrlcal (Dry Wall) , , ' ", ,
, ' ,
Rough Electrical ' ' , ".A,'''''' , "
"
F'raming - " .(Only after Plbg... Elec... Mech.. and Fire) IT- /tJ~ G "'" . , ,
Insulation (SoundiEnergy) " J MechanicallnSDections
" po not tap" or pla~ter until the following applicable, ~
Items hav.e been. signed:. . -' . ' '. . . " ,
DrYwall ' "" " , , , " ,
Penetrations (Fire Rated) Elec,tric;l' . , ,
,
Penetrations (Fire Rated) Mechal'!ical - , , " ' , ,
Penetrations (Fire Rated) Plumbir'!9 ,
Interior Lath , , '
. , ,,~
Exterior ,Lath " " , "I. " Plumbina Inspections
, ..
, , " GENERAL ITEMS ,,' "
Exterior Plaster (Brown Coat) 1J. 3:)-a. Ir ,: , "
T-Bar Electrical , , / "
T-Bar Mechanical, , --c- ,
, , , , " '
,T -Bar Structural " , " - " , ,
Sewer ' ' ' ,
Water Engineering Backflow , , ElectricallnsDec:tions
Water Servic..
INSPECTION RECORD ,
FINAL INSPECTIONS
Date
Inspector'