4724 E. Park Rose Cir.
.elm.DING PERMIT NO. . BLD2004-02835
,
..(
I~~;fi'~btl~~~,
CITY €l'fS1i4iNltHEIM
. \~~~~~>1
BUILDING DIVISION.
200 S. ANAHEIM BLVD.
(714) 755. 5153
INSPECTION REQUEST LINE:
(714) 765- 4626
CENSUS CODE: 101
QUARTER SECTION: 167
TYPE OF PERMIT
New Residential'Construction
. DATE: 111 1 t/2004
. JOB ADDRESS: 4724 E PARK ROSE CIR
LEGAL DESCRIPTION: N TR 7370 LOT 31
APPLICANT: PAUL TARDIE "
OINNER INFORMATION: CONTR.ACTOR INFOr':i,;,!:T:ON:
Kurt J Manglos I:
. 4724 E' Parkrpse eir, r
Anaheim. CA 92807 . . ( .
,lOB DESCRIPTION NEW SINGLE-FAMILY RESIDENCE (SECOND UNiT ORD1NANC~).
. ' f;
VALUATION: 100,384.00 \
L OWNER.B!iILDE~ DECLAR{\TION
I hereby affj~munderpenaltyo~ perjury that I am exempt from the CCli1 tra~10~:s,Jicellse Law for the followin~ reason (S,~I}. 703.1.5 Business, and., ,'~, . :. .
Profassions9ode:any cityorc~untywhich require~ a permit to c~nstnict,:=!-a:.-;!'":. 1rnprove. demoli:;h or repair anystrycture, prior to:ts issu8nce,..z!so.
requires,the applicant for such permit to file a sigred stat.ement that he ie_!i.~1:ni:>ed pursuant.to the provisions of the Contractor's I~icens~ Law (Chapter
. . ,9.)((;omlT:lencing with Sec~ion'7000 of Division 3 of the Bu::::iness 3nd Profes$19ns Code) or that he is exempt therefrom and the basis; fo~the alleged
exemption~ Any violation of Section 7031.5.by ~ny'appiicant for a pefmi~_~~u@ects1~e appl!cant tO~3 dvilpenalty of not more than'five. hundred dol!ars
W?,las owner oj propertY., or my e. mPICY. ees w;th \~age;as thoir ,ole CO;":;flne;tl.O~' will do th.e work. and the S.tfuCt.ure 'i~~not intended or.9ffere..d for'
~e (Sec. 7044, Bus!ness and Professions Code: The (;ontractor'!;~icense,l' 'f\! does not apply to an owner of property who,builds or improves,.
ther.eon, and who does such work hi"mself or herself or thic:.:gh his or her OWl eirlpi.oyee::;, provided that 3uch ilnprovemenis are" not in~anded Of'
uffe(e. d .for ~!e. If, ~o.......ever" the building,orimrvovement is solM with. one Y.' ~..'~.!'.Of PJ,rTl:J1etion, the owner-builder will ha\~ th~ burdE:::il ofpr~v:ng ti,at h~
d!dnot bLdld or improve 'for the purpose of sale). . .' ",',q, ..... . .' .... .'
o I, as th~ o'wner of the o~operty, am exclusively cant l'Cl ding with :rccrl-sedpf)tractore-;o construct th~ :JroJcct(Sec. 7044 '8usI~ess arid ProfesslC1ns
Code: The CO.1tractor's Ljr..e.,se Law does not Clpply to an owner of propertYl[:'..'j ho owldb or Improves thereon, and who oontracL<; for such projecLS with
Montr;:Jl."torts) licensed pursuant to the Contr::1CI,>JI'S License Law) .
~~_~ ~r~?tlter sec.~. ,& P C. or+'1:s r..::: v' _ _ ~__._
. ~ Owner: _ _ .._.~_
L__ WCRKER'S co. PENSATI nON -'[---~
thereby aff:nn under'penal~:l:of perjury 'one of t:le following clarati()n~: J
: .' . -k ..
o I have and Vltll rnail1tain>a certificate of 'consent to !')elf-lJ1s11re for ~"..Jr!<'~'~;JGompr-lnsation,
as provided f?r by Section 3700 of the labor Cod~; for !he performar.C'::= cf~:-_p. wor'i< for Nhdl
thiS permit IS Issued.' f ' I
o I have e::nd will maintain worker's compensation insurance. as r~qu:rerll'r Sec~IQn 3100 of 11/17/2004
the Labor Code, for the perfo~i11ClnCe of the work for whlcn th!3 permi~ IS :ssU;d, My worke('s Date:
CompensatIOn I/iSUrance camer and policy are. . i I
CarrIer' Policy Nu mber: I I NUMBER
~hi section need not be compl~tedi;the pennlt is for one hundred dolla"s {$'lJ:~ or le:)s. TYPE
I celtify that in the ~rformance of the work for which thIS permIt is I:;;SL:~J, I sr.;:)I[ no~ I
. ~ loy any person 1n any manner so as to become subJE"ct to tt-e w()rker''::; .Clln'pensatlon Igws
of Calff"omia, and agree that if I should become subject to the worke....:; comP};)5atlon
'J ~
prOVISions of Section 3700 of the labor Code, I shall rthwith co ....).' w;ih th lS8'proy;sions. COllstlucion Types:
qat~: '11i17/2004' . A~plicant:. V k ~ " h~~p~ncY Groups:
WARNINO:. FAILURE TO SECUR~ OMP R3, ,'. " .
UNLAWFUL, AND SHALL SUBJECT AN EMPLOY" 0 DweJlnq Units'
. FINES UPTQ ONE HUNDRED THOUSAND DOLLARS ( ,000). iN AOlji;rION TO THE Livin!~ Area:
COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SE~T:Ol'ip06 OF THE Patio Area:
LABOR CODE, INTEREST AND ATTORNEY'S FEES. '. .' .
I . CONSTRUCTION LENDIN.G AGENCY -r
I hereby affirm underpenalty of perjury that there is accnstruction !e_nqir1q r1~r.cy fer the
--:J~:;fl~;:a.:~~;~~,~~~,~~.~~~ich this permit !~sued (se~'??.:!.~~~~:~i~,-~~...;-:.. _;'0-_
ARCHITECT/ENGINEER INFORMATION:
MOHEB D FARAH .
1411 S RIMPAU
CORONA: CA 91719
PROCESSED BY: COL.
LICENSED CONTRACTORS DECLARATiON J
I hereby affifm under penalty'-.of perjury that I am
licensed und~r provisioliS of chClptcr 9 (cCim;:nencing
. with SeCtib:i7000) ofDiv'Sion 301' the Business and
Prufessions Coli€'.
Con tractor.
EXPiRATION DATE
1
508
60
I
1.-
I
I certify that I have read this application and state that the above information :5 correct. I
~gree to oomply with all city ordinances and state laws relating to building construct:on, and
here y authorize representiVes thjs city to enter upon the above me'nt;ored prqperty for
i sp clion rpo
Date: 11/17/2004
Fees paid for Permit:
Total:
6,899.81
e of .A:pp lcant or Agent
The permit shall e . limitation and become null and void if the building or
work has not passedfirial inspection 365 days from the date of permit issuance. A
ne/w permit is required to commence or continue work.
INSPECTION RECORD
. INSPECTION
Temporary Power Pole
Plumbing (Drain/Waste Pipe)
Electrical Ground Electrode/Uter. .
SelbacklFormsfTrenches (Footings)
Do not il1);tall subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Plpe.Sprinkler Valves)
Mechanical (Groundwork)
E rical (Underground Conduit)
re-sla ompactionlMembrane.Reinf.
. pinning (Floor Joist/Gjrders)
Do not cover or conceal the work below unll the
following applicable items have been signed:. .
1 st Floor Shear .
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathi Diaphragrn'Frane
Masonry (ReinfJBond BeanlPre-Groot)
Rough Plumbing (Top Out) .
Rough Mechanical
Roug Electr. aI all
Rough Electrical
Framing (Only afterPlbg.. Elec...Mech.
Insulation (SOundlEnergy)
Do not tape or plaster untll the following
items have b~eri signed: ,.'
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
PenetratiOns (Fire Rated) Plumbing
Interior Lath
Exterior Lath
DATE
INSPECTOR
GENERAL ITE
Exterior Plaster (Brown Coat)
T -Bar Electrical
T -Bar MeChanical
T-BarStructural
Sewer
Water Engineering Backflow
Water Service
FINAL INSPECTIONS
Electrical Final
Plumbing Finod
.Mechanica.l. Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept; Final 765-4040 .
Water Engineering 765-5268 .
Sub List/Business License 765- ~
Zoning 765-5139.
.BuildingFinal (Last Inspection- Only .1.1-11/../...
'. After Above Complete) 11Vf!,,\
PARTIAL INSPECTIONS ..
Buildina InSDections
~
Mechanicallhspections
Plumbina InsDections
-'
Electricall;::ctions .. ... ' . . . . .
~I v-eta -nro~ t-;O~ll ~
\~\O\
TYPE OF PERMIT
Patio Cover
".~<';~I~' ;:>',':__{,~;;:/~~
.;/ \:'.:-1-'~' -,-.t4:g~'~
., , ' /:~~%f=-._>( ~\~"it\ ,'~~
CITY QE~,~; ':(HEIM
\~~~:'}}~l. .,
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765- 5153
INSPECTION REQUEST LINE:
.: (714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 167
BUILDING PERMIT NO. BLD2005-00372
DATE: '2110/2005
JOB ADDRESS: 4724 E PARK ROSE CIR
LEGAL DESCRIPTION: N TR 7370 LOT 31
APPLICANT: KURT MANGLOS
OWNER INFORMATION: CONTRACTOR INFORM,oTiON: . ARCHITECT/ENGINi;ER INFORMATION:
Kurt J Manglos
4724 E"Parkrose eir . .' r ,
. Anaheim, CA 92807 . . . . . I .. ,
JOB DESCRIPTION;Lallice patio cover connecting main house to guest hOus,:!,,,, dly speo.',
VALUATION: 1,200.00 PROCESSED BY: FAN.
L. . . . . . . . ... .OWNER-BUILDER.\;1:CLARATION , .. .. -J .
.1 hereby affirm under pen~Jty of perjury that I am exe"mpl from the Contractc!'.~ License Law for the following reason (Sec. 7031 5 Business and
Professions Code: any city or county which requires a permit to construct, an;~h. improve, demolish or rePair anystrtJcture,prior to its issuance, also
requires the_applicant for such'permit to file a signed statement that he"is liCtLl$d 'pursuant to the provisions of the. Contractor's Ucense .Law (Chapter
9)(cornmencingwith Sectio-n 7000 of Division 3 of the Business and ProfessMls Cede) or that he is' exempt therefrC'm and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit su~i3ctsthe applicant to.a civil penalty_of n9t more than five hunQre~ donars .
~f~~s owner atproperty, or m.y employees with wages as theiroo. Ie c.Ornd;n&a.tjotl: Win 'dO.' the wo.rk, a~d'the stru(,;~re,is n~t intended or offered' for
la~ec, 7044, Business and Professions Code: The Contractor'::; License !:r,W does nQt appl"to an owner of property who builds or improves .
thereon, and who does ,such work himself or herself or throughhis or herCW~! (~rndoyees, prov"ided that such improvements are not intend,ad or'
offered for.saie..lf, however, the building or improvement is sold with' one ye:11_ cf com(:'letior.; the_owner..builder will-have the burden of proving tl')at he
d:d,notbui\dorimproveforthepurpo~eofSale).. .' ~~,. .. . '. ',"
. 0 ' l,as the owner of the property, arh exdusively c.ontractil19 with iicen~t:;df;":i1tractors to construct the pr?jed{Sec. 7044 Business and Profess:ions
Code: The Cpntractor'!'; License law does not apply to .;1n owner ot propertYf;r.,o buiids or improves thereon, and who oontracts for such projects with'
~" .ontract?r(s) licensed ,~ur$l!ant' to .th. e .Contractor's lice.~se Law) r .
..J I ~ xe, pt under Sec. .' , B & P. for thiS on:
-:a!~:,~ 10 .0' ~ t
. ..... WOR 'S C PENSA N CLARATION L_____:==J LICENSED CONTRACTORS DECLARATiON .!
i hereby affirm under per:alty of perjury one of the followlrI eciaratioils: i I hereby affirm unde,r pen<y of perjury thG)J',1 am
o I have ana will maintain.a certificate ('If ronsent tc self-insure for worker'l; (~cripensatico, ,licensed under provisions of chapter 9_(commencing
. as provfd,ed for hy ~edion"3700 of the labor Code, for the pe'rformance of t:-!\~worr\-forlNhich with Section 7000) of Divsion 3 of tlie Business iFtnd
. this permit t::i.issued, ,.,' ;'. Professions' Code.
D' I have and will maintain worker's compensation insurance, ?is. ;equired ,bi~s$ction 'WOO of 2/10/2005
the Labor Code; tot the performance of the work for which this permlt- s iSSl\.:;:,d. Mywor~ei'& Date: Contractor
Compensation insuran~ carrier and poJi{,:y are: ~. ,
Carrier: . Policy Number. NUMBER EXPIRATION DATE.
, . . iJ
This section need not be completed if th,e penni't is fer one hU,ndred dollars ($100.1.:,:;" iES!"..
a.' certify that in the perfon'nance.ofthe work for which thi~ permit is issue!:.. I :'Sh~lf:liot
employ any person inariy manner.so as to be("ome subjedto the worker's ';r4r~leilsation laws
ofCalifomia, and agree that ,if IshOl.iJd.bec . subjedtotheworker's-comlX.t:~3tion '
provisio"(is of Section 3700 of abor de. rshall forthwith comply wit!! thi1;.,i-provJsions.
, ( .
Dat~: 2/10/2005 Applicant:
WARNING: FAILURE TO SECURE S N COVER~GE is
UNLAWFUL, AND SHALL SUBJEC RIMINAL PENALTI=S AND CIVIL
FINES UPTO ONE HUNDRED TH SAND DOLLARS ($100,000l,IN ADUi'r:ON TO THE
COST OF COMPENSATION, D AGES AS PROVIDED FOR IN SECTIOIH706 OF THE
LABOR CODE, INTE. REST AND TT.. ORNEY'S FEES. . .:' .~
r-. .. :. CONST~UCTION LENDING AGENCY., --1
I here. b.Y. _affir~.l!.n..der penalty Of. p.er1ury. that ~h. ere.is a. c~:ms.truction._!e(!ditl9. ~9.~~_lCY ~r;.( the. I.
~p_~rfO!rr~Il@Qf.}h~e wori<: fNwhlch.thi.~p,eJ,mat$isf'c'ed (See 3097 .C;'/.C~. _]~' __ .
Letlde..'s~i'tkifmatiol1:. . --", - . ,. !-
TYPE
Construcion Types:
\iN, ,
Patio Area:
120
I certify that J have read ~his application _and ~tat~ that the above information is correct. I
agree to 00 Iy with all city ordinances 'and.state -laws relating to building cOlistruction, and
h reby a o~ize representives of this city to enter. upon the abovementi,oned property for
ins ecti purpose
Fees paid for Permit:
Total:
282.85
Date: 2/1 0/2005
. ent
INSPECTION RECORD
, INSPECTION DATE INSPECTOR
Temporary P9wer Pole ' ,
Plumbi ng (Drain/Waste Pipe)
EleCtrical GrOUnd Electrode/Ufer ,
SelbacklFormsfTrenches (Footings) ,
Do not install subfloor or pour floor slab until the ' ,
following applicable items have been signed: . "
Plumlling (Water Plpe.Sprinkler ValVes) ,
Mechanical (Groundw!>rk) , ,
,
Electrical (Underground Conduit) ,
Pl'll,-slab (l,;ompactionlMembrane.Rei nf.;
Underpinning (Floor Joist/Girders)
Do not cover or concealthe work below' until the
following applicable items have been signed:
1st-Floor,Shear ' " ,
,
Fil'llsprinkler' (Rough)
2nd Floor Shear ' , , , ,
Roof (Sheath/nglDiaphragm'Frane)
Masonry (ReinfJBond BeanlPre-GlOUt)
Rough Plumbing (Top Out),
Rough Mechanical' ,
I Rough E1ectriCallDry wall) ,
Rough Electrical ,
Framing (Only after Plbg" E,lec. Mech. and Fire) ..
Insulation (SoundlEnergy) ,
Do not tape or plaster until the following applicable
items have been signed:' . .
Drywall , , "
Penetrations(Fire Rated) ,Electrical
Penetrations (Fire'Rated) Mechanical ,
Penetrations (Fire Rated) Plumbing , "
Interior Lath '
Exterior Lath '
, ' GENERAL ITEMS .
Exterior Plaster (BlOWn Coat) , " ' , ,
T -Bar Electrical ,
T -Bar Mechanical , ,
T-Bar Structural' ' , , ,
Sewer
Water Engineering 8acldlow ' ' ,
Water Service , ,
.
FINAL INSPECTIONS Date 'Inspector
Electrical Final ' , , ,
Plumbing Final , ,,' , '
Mechanical Final , ,
Gas Test
Engineering/Grading Final 765.s126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-519 "
Zoning 765-5139 , , ,
Building Final ~ast Inspection- Only' ~~ Vo/,
, -- fter Above Complete)
.' , PARTIAL INSPECTIONS ^I1 ,-"" ,
c'
, Buildina Insl?ections
Mechanicallnsoections
Plumbina InSDections
" ElectricallnSDections ,
,.-;