5625 E. Santa Ana Canyon Road
I
CONTRACTOR INFORrv1..i."i"ION:
'COMMAIR MECHANICAli. SERVICES
18135 NAPA ST . .
NORTHRIDGE, CA 913<~,~319
BUSINESS PHONE: 8181d-1500
JOB 'DESCRIPTION:Slructural support for ~lVAC equipment. ! . .
VALUATION:." 20.000.00. . ." . .)~i . . PROCESSED BY' ODC . . .
I .... . '. . . '., "'. OWNER-BUILbif\ D!:ClARA TION . .... .' . .
I hereby affirrn.under penalty_ of perjV1)7ihat ! iim exerr:p-t from thec;ontrad& ":'>' License.Law for th~ following reason (Sec. j'031.5 - Business and
Professions q<?dc: l;:(;Y 611'01 Cqu.'1ty\vhic:lrsquims: a permit to construct;~~J'pr. improve:.. demOlish or repair any structure, priorto it'3i&c;uance,;:!lso
requires theapp)i::.=>:nt fOI" such.peirnit t.J file a siSned stc\tement that he h:.-!k>,:ilsed pursl.i'ant tQ the provisionsoftne Contractcr's LicenseLaw (Chapter"
9}(cCi'l1mencint;f !..it~.'Section 7000 of O.ivision "3 of the Business and Profes.<:itns C.odo) Qr that he is exempt therefrom and the basis_ for the alleged,
'(;;;6}tiO". AIIY<~;~tion qf Section 7031.5 by any app!icar't fa, a permi' SII'!)ects'the appiic.nt 10 a dvU penally of not more than five hundred dollars
D !,i?S owner,of~roperty, or my employees" with wages as thE;;irso!e cOfn~'=4nsation;1Nill,do the work, and thestriJ,cture is, not intend 8(1 01 offers,d fpr
sale (Sep. 7.044 Susiness, and Prof~~~:ons C.ode: The Contractor's_ ~i,cer..seA!lw ~OF.lS '~dt ap.plyto an oWfler of property who build.s or improves'
ti~ereon, and)'tho'uoes, such work hims;:1f or herself or ~hrough his or he,'-o"'::1) emPloyees, provided that such il}lpro'./ements ara not inlended or
offered for salp.. )f, however, the bLilding or improvement is so"ld wi'th one y~t of comoletton, the owner-bUJ:der will have the burden of proving that he
did not bUild or improve for the purpose of sale). . . .
o I, as the 'Jwner of the property, am exdusive:y contraaif"lg with Iicensc~ ... mt, C:lctors to construct the project (See. 7044 BUSiness and Professions
Code: The Con'tractor's License Law dOt;;: not apply to an owner of prc..oa:tY~IYilO cu~ds or nnprove&thereon, and who rontracts for sudl projf'Cts ..vith
f:jontractor(sj"l;penSed pursuant to the Contractor's License law). :.
I am cxemp!"JIlder Sec., ' B & P.C. for this reason: ---11. .
Oate: , Owner:' ,
'1 . . _ . WORKER'S COMPENSATIONDECLARAnON.~l '-71
I ~ereb~11Under penally of perjury one_ of the following declarations: 1 .' '
~ave .arid wil! maintain a certificate of consent toseif-insure for w~r:<:'vA comoei'si3tion,
es provide,! for by section 3700 of the labor Code; for the performance cf ~:~\ \'I.'O(~ fC;'r which
, this permit is issued. . ' i'
. D' I have and wUlmaintainworker's ~bmpensation insurance, a~ requir~d r:~ 8scticn37CO ~f
. th~ Labor Code,_for the- performance of the 'work for ,~h(ch this perm. it :s iS~Uf!;tl. MY'.?ol ker's
'Compensation insurance carrier and policy are: .
Carrier: PolicY Nu mber:. EXEMP-:,.
This s!!Ction,.nel!d--not be completed if the pennit is for'one hundre<f"doflars ($1~r.( Fr less.
o I certify that in the performa'nce of the work for which t~is permit isi~.I~bi:J,',rsBallriot . "
'employ any person in'any mannerso_as 'to beco subjec to the w'orker'5 c,~!l"!pe(fsath:m' laWS
o{Califomia, and agree that if I should ,become bject to e wo er's COrr.p,hl.Ja~16n "'~ <.
provisions of Section 3700 ofttle,'labor Cod ,I hall. fortt ithc pi ith_,V~;K:e:~19ViSi.9n's.
BUilDING PERMIT NO_ BlD2004-00095
TYPE OF PERMIT C.IT.Y.
Repair
DATE: 1/13/2004
JOB ADDRESS: . 5625 E SANTA. ANA CANYON RD
lEGAL DESCRIPTION: P BK 120 PG22 ~AR3
APPLICANT: KARl L1EKKIO
OWNER INFORMATION:
Joseph T Kung
20866 Quail Run Dr
Walnut, CA 91789
Date:' 1/13/2004 ',AppHcanl: ~ :'
WARNING: FAILURE TO SECUREWOR R'S CO ENSATION COVe;~\G2.)S _
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAl PEN<",l:f,ES'ANDGIVIL
FINES U'P TO ONE HUNDRED THOUSAND DOt.LARS ($100,000l:.IN j.,C";110ioiTO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION,370<:i OF Ti11= .'
LABOR CODE, INTEREST AND ATTORNEY'S FEES. ,
CONSTRUCTiON lENDING AGENCY
, I herebY affirm under penalty of perjury that there is'a conct~u,ctjlJn lending a:i,:ncyforJ~e..^
_.-t:.1;:'1-1-.J;-;7;;.:,rG-.J;~;-<:i.~';"i';~ -i"-, iJ~:,;':;;';.lil;~,tJ-I..::"';i. I"'; l:';':;;:.it:,...:l {C;:-.:,.::::J:r7 ;-~.."C-,. ,.,-,t..
lender's Infom:mtion:'
I certify that I have ead thi.s ap licatio'n and state that the ahoye inforr'hation is_correct. )
. all city or nancesa state laws relating to building constmction, and
presentiv of this d 0 enter upon the above mentioned property-for,
s.
Date: 1/13/2004
. ,Signature f AP licant or e t ,
The permit shall expire by limitation and become nUll andvoid if the building or
work hasnol passed final inspection 365days from the date of permit issuance. A
new permit is required to commence or continue work.
BUILDING 'DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPE.CTION REQUEST LINE:
(714) 765' 462$
CENSUS CODE: 437
QUARTER SECTION:. 185
ARCHITECT/ENGINEER INI'ORMATION:
MARK TOMITA
. 954 TOWN & COUNTRY RD
ORANGE. CA 92858
1/13/2004 Z
Date:
NUMBER
233345
TYPE
TYPE
TYPE
EXPIRATION DATE
C4
C36
C38
Construcibn Types:
VN/ ;
Fire Sprinkle;'red?
NO
,:'.\.
Fees paid for Permit:
. Total:
567.84
INSPECTION RECORD
.
. INSPECTION
I DATE
TemPorary Power Pole
Plumbing (Dl'lIinlWaste Pipe)
Electrical Ground Electrode/uter .
SetbacklFortnsfTrenches (Footings)
Do not install subflooror poudloor slab until the
following applicable items. have been signed: .
. Plumbing (Water Plpe.Sprinkler Valve$)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (~ompactionlMembrane.Rei nt.
Underpinning (Floor Joi$t/Girders) .
... Do not cover or conceal the work below unt.1 the
following applicabie items have been signed:
. 1 st Floor Shear .. ... .
Firesprinkler(Rough)
2nd .Floor Shear
Roof (Sheathing/Diaphragm/Frane) ..
Masonry (ReinfJBond BeanlPre-G~t)
Rough Plumbing (Top Out)
Rough Mechanical . .
Rough ElectriCal (Dry Wall)
Rough Electrical
Framing ,: (Only after Plbg,: Elec.. Mech..-and Fire) I ..'J.,J-d
Insulation (SouncllEnergy) .
Do not tape or plaster u.ntil the following applicable
items have been signed: .
DryWall .. .. ... .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire. Rated) Plu,ming .
Interior Lath
Exterior Lath
: . . .GENERAL ITEMS
Exterior Plaster (Bl'llINn Coat)
T -Bar.Electrical .
T -Bar Mechanical .
T-BarStructl!ral ..
Sewer.
Water Engineering Backflow .
Water Service
. .
.
. .
.
.
INSPECTOR
-
.
.
.
.. ..
.
.
.. .
.
...-.. .7
IT. P7
I
LJ
.
.
.
FINAL INSPECTIONS . Date Ipspector
Electrical Final .. . . .
Plumbing Final . . tJ,LJ . ..,
.
Mechanical Final . Z.'3''''f( -;;1:'( ( .
Gas Test . 411- . . I
. . . . ..
.EnglneerlnglGradlng Final 765-5126
Fire Dept. Final 7654040
Water Engineering 765'5268 . . . . .
..
Sub List/Business Licensl; 765-519 . ..
ZOlling 765-5139 ..
Building Final . ~ast Inspection. Only '..lD$"-Y~ .. .~.....
. . fter Above Complete)
. PARTIALlNSPECTIONS. . [I." _:.
Buildina Inspections . ./-I/..-tJ-r ~
Me"chanicallnspections
Plumbina Inspections
Electrical Inspections
BUILDING PERMIT,NO. BLD2004-01641
'- .
4'~ ;;.'__~.:i""?>, .
h'.i;['~'~""".~..'.'.".:J",;x1~/~. .
p, .' - .,"""<""~ . .
F0/. '.-', ',~ \; {"'~\O'.
/>':1" "''':;<'N)ll\'~\~\.. 'E I M
.." "\,' V -!
". !V. . "~kVi; .
~~"x . '?:: .1(ii!{.fif;/ ! .
. "\,-1>. '~.<".~~'2,,,,:.~.~'f[l' .
"9l;~:f.t.,../,,:, .
".-.....~,(!?-~ .
BUILDING DIVISION'
200 S. ANAHEIM BLVD.
(714) 765 - 5153 .
INSPECTION REQUEST LINE:
, (714)765-4626
CENSUS CODE: 434
QUARTER SECTION:. 185
~~O~~F PERMIT CITY
DATE: 5/11/2004
JOB ADDRESS: 5625 E SANTA ANA CANYON RD
LEGAL DESCRIPTION: P BK 120PG22 PAR 3
APPLlCANT:KIMBERLY MAC MILLIN
.OWNER'INFORMATION: . CONTRACTOR INFORM:\TION:
. JosephT Kung SADLER ROOFING <;:OMPANY
20866 Quail Run Dr 125 GRAND CANAL
Walnut, CA91789 BALBOA ISLAND, CA 926520000
. . , BUSINESS PHONE: 949 6I5 5095
.JOBOESCRIPTION:Te.ar off Bl:JR and install BUR.
ARCHITECT/ENGINEER INFORMATION: .
VALUATION: 18,7.67.00
I OWNER-BUILDEr. DECLARATION
I hereby affirm uncler penalty of perjury that lam exempt from the Contracicr's License Law for the following reason (Sec.703L5 Business and
Professions Code: any'otyorcountywhich requiresa permit to construct, a!l~r, improve, demolish or repair any structure, prior" to Us issuance, also
requires the applica'nt forsuch permit to'file a signed sta!eme:nt-that he is'I:C\~?sed pU'rsuant to the provisions6.f the Contractor's License Law (Chapter,
. 9)(coml1)encingwith-Section 7000 of Division 3 of the Busiflessand Profess;6ns C,ode) or that he is 'exempt therefrom and the basisJC!r"the alle~ed .
exemption: Any violation of Sectia:n'7031.-5 by' any applicaht for a permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500), . . . . .' . . ".
D. I, as .owner of property~orniy employees with wages .astheir 5O\:e com;enSation, will do the work, and .the st~ucture,- is nat intended or offered for
sale '(Sec. 7044 Business and P.rofessions Code:, The Contractor's Licensetkw does not apply toan Qwner of property_who,builds or improves
thereon, and who does such work himSelfor herself or through his or hei OV!i:l employees, provided that such improvements are not intended or . .
offered for sale. 'If"how_ever.,tb~ ,bu'ifdi~g or improvement-is sold,withone y;;-ar of completion;~ the owner-builder will have the burden of proving that he
didnotbuildorilllProvefo'rth~',_pu'rposeofsale)., '., :;,' ',,' _ ,,' ,
'0. I, ,as the owner o'f the property; am exdusively contracting with lic~nsedcontraCtors tQ construct the project'(Sec. 7044 Business' and Professions
Code: The Cantractor's Lice'nse Lawdaes nat apply to an owner .of propertj-+wha builds,or Impraves therean, and Wha, oo'."lfracts for such prajects with
FU(ontractor(s) .Iicen~ed pursuant to the Contractor's License Law), ' , .
U I am exempt under Sec, ' , , B & P.C. for this reasan:
Date: Owner: ' _
I WORKER'S COMPENSATION DECLARATION ...
I hereby affirm under penalty. of perjury orie of 'the following declarati,ons: t
D I ,have and will aintain a cer:hficateaf oonsent to self-insure for warker's compensatian, '
as. provided y Sectian 3700 of the Labor Code, far. the performance of va work forwhidl
t.~ PB:r~ iSiss,ued.,. ,
have a~dwill maintain wol'ker'1S compensation insurance, as,required i,y Section 3700 of
the Labor Code, for'the performance' of the work for whieh this permit is isst:~d. Myworker's
CompenSation insurance carrier and polioy are: ' .
Carrier: STATE FYND PoUcyNumber. 285-04;:NIT0001521
This section need riot be comlll~ted if the pe~it is.far one' hundred dollars .<$1IB) or ,less,
o Icert'ify that in t~e perf6rmanceo(the work fo~,Y:'hich' this~~rmit~I~~yed, I shaUnot- ,
emplay',any person in any '!1anner s9 as to becOf!1e,~,~'~ject to,the wor~~!~ c~mpensation laws
of California, and agree,that if I should become subjecl;,to theworke 's, ,qin "'nsatian .
provisians of Section 3700 of the Labor Code shall Jo'rthwith am I i t1" S8 pr:avi ;.0 6..
",
PROCESSED BY: ODC
L1CENSED CONTRACTORS DECLAflATION
I hereby affi~m under penalty ~f perjl.,lry th~ I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of Divsion 3-ofthe Business and'
:/7;;;;~:?SC"/d~n~~#J
Date: ,"-, ' " Contractor 7-# ,,~
NUMBER EXPIRATION DATE
284857 1/31/200&
. TYPE C39
Date: 5/1.1/2004 Applicant:: .' .. .....
WARNING: FAILURE TO SECURE WORKER'S COMPENSATI N COVI;F'AGI; IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P!'f'lALTIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10cr,OOO).Ir'hI\O[)ITlON TO THE
COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTIQ~' 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. .
I . CONST~UCTION LENDING AGENCY.
I here?y affirmu\1der pe_llalty ()f perjury t~at.ther_eisa_co",~~~ti9.nJe~dip.~_:f"lepoyfor the
--'perrorriiance' otme'\".;.ip"rk fur'-:-wnlm"~f'ITs~~fermI'Crs IsSUed r5ec."'Su87 .C.fi.C;:' ~, .'.
Lender's I'nfarmation:
Qonstrucian Types:
yoN, ,
Sprinklered?
NO
I certify that I have read 'this application ~nd state that the above information is correct. I
agree to conipl- with all city'ordinances and state laws relating to building ce:nstruction, and
hereby th e represeo.tives of this city to enter upon Jhe above mentioned property for
inspe rpo'ses. J ....... '/,#.1 _
~ '--" Dat<>: 5111/2004
Signature of App lea'nt or Agent
The permitshaIJ expire by limitation and b~ome null and void if th,l building or
work has not passed final insp~tion 365 days from the date of permit issuance. A
new permit is required to comm~nce or continue work.
F~es paid for P~rmit:
Total:
339,49
INSPECTION RECORD
INSPECTION . DATE INSPECTOR.
.. .
T emponiry Power Pole . . .
. Plumbing (DrainlWaste Pipe) .
. '.
.Electrical GroundElectrodelUfer .'
SetbacklFormSrrrenches (Footings) .
Do. not install subfloor or pour floor siab until the
following appiicable items have b';en signed: .
Plumbing (Water Pipe.Sprinkler. Valves)
Mechlinical (Groundwork) . . .
.Elegri!iaJ (Underground Conduit) .
Pre-sla.b (Compaction/Membrane.Reim.
Underpinning (Floor Joist/Girders) . .' .
Do not cover or conceai the work below until Ine
'following applicabl.e items have beensigried:
1 st Fioor Shear' '. . '.
Firesprinkler (Rough) .
2nd Floor Shear '. '.' . '. A' . .
Ro.of (Sheathlrlg/D1aphragm'Frame) ~ W 'W i.II"
Masonry (ReinfJBond BeamlPr~rout) . .
Rough Plumbing (TcipOut)
Rough Mechanical . ." . .
Rougn l:IectncalllXY wall)
Rough Electrical' .
Framing . (On!y aher Plbg., Elec., Mech.. and Fire)
Insulation (SoundlEnergy) , , '.
Do not tape or plaster untilthe.following applicable .
items haveb~en signed.: .,. ,.' -'_ . .
Drywall ", . . . .. .
Penetrations (Fire Rated) Electrical .
P!lfletrations (Fire Rated)Mechanical . .
Penetrations (Fire Rated) Plumbing '.
'Interior Lath ' .
Exterior Lath . ..
. . . GENERAL ITEMS
Exterior Plaster (Brown Coal)
T -Bar Electrical . . .
T -Bar Mechanical . . '
. T -Bar Structural . . . .. '.
Sewer '. . .'
Water Engine"ring Backflow. . ....
Water Service' .' . .
FINAL INSPECTIONS Date'.. Inspector .
Electrical Final , '. ....
Plumbing Final '. . .
..
Mechanical Final ,
Gas Test " . .
Engineering/Grading Fina.1 765-5126 I .
Fire,Dept. Final 765-4040
Water Engineering 71>5.5268
Su~ U.st/Business U,cense'76S-519 . .
. .
Zoning 765-5139 . . ....
. . . .'
. Building Fimll ~astlnspectiori' Only ~~ "~" If. . If,
. . ", fter Above Complete)
.... PARTIAL INSPECTIONS
Buildina InSDectioris
MechanicallnSDections
Plumbinq InSDections
ElectricallnsDections