1420 Pembrooke
APPLICANT: ANDREW KULJIS
OWNER INFORMATION:
ANDREW D KULJI S
1420 S PEMBROOKE LN
ANAHEIM, CA 92804
JOB DESCRIPTION:Build 315 sq. ft. patio cover to city specilications.
VALUATION: 3,500.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's Ucense Law for the following reason {Sec. 7031.5 Business and
Professions Code: any city or county which requires a permit to construct, alter, 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 licem:ed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commencing with Section 7000 of Division 3 of the Business and Professions Code) 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 subje<its the applicant to a civil penalty of not more than five hundred dollars
~OO).
n I, as owner of property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or herself or through his or her own Employees, provided that such improvements are not intended or
offered for sale. If, however, the building or improvement is sold with one year of completion, the owner.builder will have the burden of proving that he
did not build or improve for the purpose of sale).
D I, as the owner of the property, am exclusively contracting with licensed ccntractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of propertyw.lo builds or improves thereon, and who contracts for such projects with
~ontractor(s) licensed pursuant to the ractor' License Law).
. I am exeQ'.!Pt und~ec. .C. r this reason:
:' -2 ~ Owner:
WORKE 'S COMPENSATIO DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
o I have and will maintain a certificate of consent to self-insure for worker's compensation,
as provided for by Section 3700 of the Labor Code, for the performance of the work for which
this permit is issued.
o I have and will maintain worker's compensation insurance, as required by Section 3700 of
the Labor Code, for the performance of the work for which this permit is issued. My worker's
Compensation insurance carrier and policy are:
Carrier: Policy Number.
This section need not be completed if the pennit is for one hundred dollars ($100) or less.
~ I certify that in the performance of the work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the worker's compensation laws
of California, and agree that if I should become subje to the worker's compensation
provisions of Section 3700 of the Labor C~ fa ithpomply with those provisions.
Date: 7/25/2005 Applicant: K
WARNING: FAILURE TO SEC~;&WC;RKER'S CO NSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYE 0 CRIMINAL PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED lHOUSAND DOLLARS ($100,000), INADDITlON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
pertormance 01 the work for which this permit is issued (Sec.309? .Civ.C):
Lender's Information:
BUILDING PERMIT NO, BLD2005-02322
TYPE OF PERMIT CITY
Patio Cover
DATE: 7/25/2005
JOB ADDRESS: 1420 S PEMBROOKE LN
LEGAL DESCRIPTION: N TR 6089 LOT 33
CONTRACTOR INFORMATION:
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 42
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: ENO
. .
I certify that I have read this application and state that the above information \s correct. I
agree to comply with all ordinances and state laws relating to building construction, and
herebyauth rep ntives of this city to enter upon the above mentioned property for
in ion urp
~,
t:/l.--'>
re of Applicant or Agent
, e by limitation and become null and void if the building or
work has not pas II final inspection 365 days from the date of permit issuance, A
new permit is required to commence or continue work.
Date: 7125/2005
LICENSED COmRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3 of the Business and
Pro1essions Code.
712512005
Date:
NUMBER
TYPE
Construcion Tvpes:
VN, ,
Fire Sprinklered'?
Contractor
EXPIRATION DATE
NO
Fees paid for Permit:
Total:
461.96
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground ElectrodelUfer .1
Setback/FormsfTrenches (Footings) 11 h1/..k
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable Items have been sIgned:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough Electrical (Dry Wall)
Rough Electrical
Framing (Only after Plbg., Ele., Mec. And Fire)
Insulation (Sound/Energy)
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 (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 (
Mechanical Final .-- .
Gas Test ~
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139
Building Final (Last Inspection - Only 'r6J.o/- (/j R. fvpt-l/
Alter Above Complete)
PARTIAL INSPECTIONS
Building Inspections
Mechanical Insoections
Plumbing Inspections
Electrical Inspections