1778 N. Sabel Ct.
'C
ApPLICANT: BRIAN OSLIN ir
OWNER INFORMATION: CONTRACTOR INFORW;/;T10N: ARCHITECT/ENGINEER INFORMATION:
. PETER DO'HARA SlEPHEN L WEBER
1778 N SABEL CT ", 3434 W. ANTHEM WAY #118
ANAHEIM,CA 92807 . r . At-JTHEM,AZ 85086
JOB DESCRIPTION1st and 2nd floor addition 404 sq It: Ext,md dining room af',st floor and add 2bSflrooms at2nd floor: HIH
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VALUATION:, 50,000.00 1 . PROCESSED BY: CAL
I . . '. . OWNERoBUILDE!{PECLARATION,,' .' .' . .' . .' . . "'." .~ I
I herf3by affirm under penalty of perjury. that I. am exempt from the ContrZJdor<<:LIc;~nse'.Lawforthefol~()Wi!'9, reason (Sec. 7031.5 i3usinE;!~s and" . ~
Professions Code: any city or county which requires a permit to construct,' Dji!)'r,:.~_p'rove.demolishor r$pair any structure,prio:rtoitsissuar'lc~:;"ats6, .
requires the applicant for such permit to fite a signed statementthathe is !k~'~f} s:1>p'Ursuant totheplOVisions oOhe Contradbr's~UcenseLaVv,JC/:l_~:Pter
9)(corr:rl'lencing with Section 7000 of Division 3 of the Business and'Profe5~I:n:SPPc,.e)'or that ~e is eX,empt there'from,~ridthe basisJor the,~Heged",:-.<.;
exemption, ,Any violation of Se~tion 7031,5 by any applicant f.or a permit sub"!ects'1hi}.-~~:.trr'l\..:'t6-'C(:61'i..l:.p~~',alty,of no(more' t~an'five, hundre4,d()I[?irs:
'$500) . ." ..' . '.' .' . .... . . /./ '
b I, ~s o~ri,e; of propertY,.or ~y employees with wages' as their soie corrif}~~~~,tipn" wi.'l,.~6~the w,orK, and the 'sfr~~_t~reis,'n9t: il1tendddO~?ff~~~~'for'
',sale (Sec. 7044 Business and-Professions Code: The Contractor's Llcens~ Ual}tdoesnotap:pfyto'anawner.of property Who builds or im~iov~s,';
thereon, 'arid,'who does suCh work himself. or herself or through.h1s or her ov*::ef!l"Pfoye'~, proYlded t,hatsuch improvement"s'are nOt,int~~(foi"_, . . . .
. offered for sa.le. 'It". however, the-build in? or improv~me:nt is sold, with cine Y~4t'cr6mpl~tipn',_:!he ow~er-bl:Jn~er will have:the'burd~'!1 of prciYi6gjhat,he
drdnotbuildorimprovefarthepurposeof.sale). ~,_, ,.'i\ , ' _ _,:_'" . ',"'->--' . , ' ,;-~,;,.', ,', "'/' ~:,;'"'..-,, -,~~,.
o I, as t~eQwner ofth~ property, am e,.:du.sry'e~y c0ntrat,~jng With.licensee'l~ntraCtors_,JP_:c.Qnstru-ct. the:project (Sec. 7q4:4 BUSin~S5::,a,n;d Pr~r~_~.iQns'
Code: The Contractor's License taw does not'apply to an owner of proper!."",~wlho builds or improve's thereon, and who contracts fo"sucu.p~ojectS~'with
, L:::Jo,ntr~ct?.r(s) licensed p~(~l:lant to t'he Con~:,,:Jctor'~) L;ce~se L w).' rt,:'\, , .'. -,"~
..A I m xe t under Sec. _ . . &~. for t "i..re son: ...:-- ~}'- '< ~..
("Date: Y OW1~er:. ~'6.. a ~ . ..~' _.:'~'~'
WORKER;S COMA' ,NSATIO~ DEt:.. RATION r F' LicENSED CONTRACTORS DECLARAt'ON . J
"hereby affrrmunder penalty of pe~t:~i 'J~e'onhe reiiowing de.c!arations:1 .' ..' ,:,_,' "'~'''~ I hereby affirm under penalty of perjury- .~t.Lam
o . ~ h~ve and will mai.ntain a certifi~ate of consen,t to self-insure for worker';\-SOrl,1Rens~tiO-9.!. ': Iicensect'under provisions of,bhapt.er 9 (CQMrTI:e,ncing
as prOVided for by Section 3700 of the Labot Code, for the performaooo Gfth~worl< for.wl'ltch with Secton 7000) of Divsion 30f.theBusinpJisand
this Permit is issued,' , ,j, .._'"'~:,' Professions Code,
[] , I have and Will mai!1tain worker's compensation i(lsurance, as required b:~S~ction 3700:;of '6/30/2004
the Labor Code, for the performa'nce of the work for which this permit is isstl(.U. Mywprke'Ps.: Date:
'Compensation 'insurance carrier and policy are: ,i~ I
Ca~rier: . Policy Number. >1 'NUM~ER
,
This sectiOn need nCJ!:be compJeted if the pennit is for one hundred dollars ($'!O(~;or less. TYPE
D' certify that in the'"perfonnance ~fthe work for which this permit is i~I.J1',~.Jshall-no(
employ any person in a'ny mannerso as to be.come subject to.the'work~r's C(.;npensation laws
of Califo'mia, and agree that if I should become subject to-the wo r's 'comp;:nSatl,orf ' .
provisions of Section 3700 of the Labor Co ,Is II forthwith c, ply with t:-.:.i'e:'ptb,visions'" ::.
I Date: 6/30/2004 Applicant: . ',:,'N . ..
WARNIN~: FAILURE TO SECUREWO KER'S CO PE A ION COVER?GEiS'.
UNLAWFUL, AND SHALL SUBJECt AN EMPLOYER TO CRIMINAL PENAL11ES':Af>lD CIVIL
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADfJ;nOr$JJ:.qTHE
,COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTI0f.;370'&,;lli\FTHE
LABOR CODE, INTEREST AND ATTORNEY'S FEES, . .: ,,',,":f'.' .
.1 CONSTRUCTION LENDING AGENCY
I h~reby affirm under penalty of.perjuiy,that there is a constru.ction !er.,'::ing a!.;~ncyfor..tJ1~'-
performanoo of the, work for whid1 this permit is issued (See. 3097 .Civ.C): \ .':<:
__~u~c.~Jc.furr::o.ati!'l",. __'-'--~~_----':"':":';,>,-~"'-__ "_ <;..:
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BUILDING PERMIT NO. ,BLD2004-02123
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TYPE OF PERMIT
Residential Addition CITY
DATE: 6/3012004
JOB ADDRESS: 1778 N SABEL CT
LEGAL DESCRIPTION: N TR 13129 LOT 14
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:-..u..,.,,_
BUiLDiNG DIVISION
200 S, ANAHEIM BLVD,
(714)765 - 5153
INSPECTION REQUESt LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 165
COlJt~a.ctor
EXPIRATiON DATE
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":''-".'-'
Constr,Licic)O'Types:
.VN",
';Fire Spnnktered?'
'U\;inQ Area:, (
o;;'i~
I cerl;ify that I have read this a plication and state -that"the above information i.~ corre.ct. I
agree to comply with all,city, dinances,and state "laws relating to building construction, and
hereby ~ orize representiV of this City to enter upon the above mentioned property for
inspect,i6 p ses. '
Date: 6/30/2004
,
Slgnatur Applicant OF Agent.. ' , ,
The ermit shal.1 expire by limitation and become null and void If the building or
work has not. pa$sed final inspection 365 days from the date of permit issuance. A
new permit is reqllired to .commence.or continue work.
NO
.404, .
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Fees lJaid for Permit:,
'Total:
1.135,00
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
EleCtrical Ground Electrode/Uter
SetbacklFormsrrrenches. (Footings)
Do not install subfloor or pour floor slab unt; Ittie
foJlowing applicable items have been signed: .'
. Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Grourldwork)
EleCtrical (Underground Conduit)
Pre,slab (Col/lPactionlMembrane.Rei nf.
Underpinning.(Aoor Joist/Girders)
Do not cover or conceal the work below unl/ltne
following applicable ilems have been signed: . . A
1st Floor Shear ~ ~p-l'Jt..
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame) .
Masonry (ReinfJBond Beam/Pre-Grout)' ( .
Rough P1l!mbing (Top Ollt)
Rough Mechanical .
Rough Electrical (Ory Wall)
Rough Electrical .
Framing Nnly after Plbg., Elec.. Mech.. and F;re)
Insulation (SoundlEll!trgy)
0<;1 not tape. or plaster until the f<;ll\<;Iwing applicable I 1 .
items have been signed: . . I 'j . ., l .
Drywall . . . . H'. ~V\ .L /'
. Penetrations (Fire Rated) Electrical '
Penetrations (Fire Rated) Mechanical . .
Penetrations (Fire Rated) Plumbing
Interior Lath .. I .
Exterior Lath' . . .' Il -'!II!/'
GENERALlTEM \ I
Exterior Plaster (Bra;vn Coal)
T.Bar Electrical
T-Bar Mechanical
T -Bar Structural
Sewer ,--,
Water Engineering Backflow
Water Service
. : .' INSPECTION RECORD
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INSPECTI9N DATE
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INSPECTOR
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FINAL INSPECTIONS
Electiical Final,
PhJmbing Final
Mechanical Final
Gas Test
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Engineering/Grading Final 765-5126
Date ~:.
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tllslM ...\\).jV
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Fire Dept. Final 765-4040
Water Engineer!ng 765-5268 .
. Sub List/Business License 765-519 V
Zoning 765.5139
Building Final' (Last Inspection. Only'
. After Above Complete)
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PARTIAL INSPECTIONS
Buildina Insnections'
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Mechanicallnsoections
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Plumbina Ins~ecti(ms
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Electricallnsoections
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