329 S. Silverbrook Dr.
CONTRACTOR INFORMATION:
HOLLINGSWORTH CONSTRUCTION
1886 N GARLAND LN
ANAHEIM, CA 928070000
BUSINESS PHONE: 714 n9-3500
JOB DESCRIPTION: Install 560 square feet of open lattice patio cover per city standards
VALUATION: 5,500.00
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 dty 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 licensed pursuant to the provisions of the Contractor's License Law (Chapter
9)(commenclng 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 subjects the applicant to a civil penalty of not more than five hundred dollars
~OO).
U 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 Ucense Law does not apply to an owner of property who builds or improves
thereon, and who does such work himself or helSelf 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).
o I, as the owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with
~ontractor(s) licensed pursuant to the Contractor's License Law).
U I am exempt under S~. , 8 & P .C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
D 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.
ft1> 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. Myworker's
Compensation insurance carrier and policy are:
Carrier: EXEMPT Policy Number. EXEMPT
This section need not be completed if the penn!t is for one hundred dollars ($1 00) or less.
o I certify that in the perfo1ll1ance 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 Califomia, and agree that if , should become subject to the worker's compensation
provisions of Section 3700 of the Labor e, 1 shall forthw.th comply with those provisions.
~
BUILDING PERMIT NO. BLD2005-01799
TYPE OF PERMIT CITY
Patio Cover
DATE: 6/13/2005
JOB ADDRESS: 329 S SILVERBROOK DR
LEGAL DESCRIPTION: N TR 8783 LOT 69
APPLICANT: KEVIN HOLLINGSWORTH
OWNER INFORMATION:
David J White
329 S Silverbraok Dr
Anaheim, CA 92807
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 180
ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: JNJ
Date: 6/13/2005 Applican .
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITlON 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 CQfI!?tr!!ction ~ndi.n9..agencyfor the
performance of the work for which this permit is issued (Sec.3097 .Civ.C):
Lender's Information:
I certify that I have read this application and state that the above information is correct. I
agree to comply with all city ordinances and state laws relating to building construction, and
hereby authorize representives of this city to enter upon the above mentioned property for
in~s. --// ~.._____
~" _ Date: 6/13/2005
Signature of Applicant or Agent
The permit shall expire by limitation and become null and void if the building or
work has not passed fi 001 inspection 365 days from the date of permit issuMCe. A
new permit Is reauired to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 70 ) of Divsion 3 0 the Business and
Professions C e.~
6/13/2005 JC.,v,
Date:
NUMBER
487805
TYPE
TYPE
TYPE
Construcion Types:
VN, ,
Contractor
EXPIRATION DATE
1/3112007
HIC
B
A
Fees paid for Permit:
Total:
622.57
City of Anaheim fj FINAL INSPECTIONS DATE INSPECTOR
Electrical Final
Building Division Plumbing Final
<0' Mechanical Final
INSPECTION RECORD Gas Test
INSPECTION DATE INSPECTOR Engineering/Grading Final 765-5126
Temporary Power Pole Fire Dept. Final 765-4040
Plumbing (DrainlWaste Pipe) Water Engineering 765-5268
Electrical Ground Electrode/Ufer A Sub List/Business License 765-5194
SetbackIFormsITrenches (Footings) '''''Ie:: A\h ~ Zoning 765-5139
Do not install subfloor or pour floor slab until the Building Final (Last Inspection - Only 1J~18l ~~M
fOllowing applicable items have been si~med: Aller Above Complele)
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork) PARTIAL INSPECTIONS
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.) Buildina Inspections
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below unlilthe
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBond Beam/Pre-Grout) Mechanical Inspections
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 unlilthe following applicable
items have been signed: Plumbina Inspections
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath
GENERAL ITEMS
Exterior Plaster (Brown Coat) Electrical Inspections
T -Bar Electr!.,.,1
T-Bar Mechanical
T -Bar Structural
Sewer
Water Engineering Backflow
Water Service
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Palio depth - L!Jp Q.."
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Solid roof covering
Lattice cover
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SIDE VIEW SECTION
Footings: JL inches square x 12 inches deep
Posts: 3"x-L"
Headers: "x " (or) two "I "x f? "
Rafters: _" x _" spaced _" on center OR
Two 1" x (}" spaced )Iff'" on center
'Solid Roof: I " Rated plywood sheathing with ex!. glue
--
_" x _ solid wood sheathing
With roof covering
.
Lattice Cover: -2--" x "? " spaced~" on center
12" o.c.
13' - 0"
Up to 8 ft.
RAFTER SPAN: #2 Douglas Fir
Lattice or solid roof.
Rafter
Size
2x4
2x6
2.x8
x 10
2x 12
8
Max. span of
rafter with a
2' overhang
MAXIMUM HEADER SPAN AND FOOTING SIZE
;d~:rt1:~~2Ei;t Xli x8 #2 .... 'd;i~f~~Yg~~;~i:~~i~*J~):~~'~~~r;;~~i~f~1Y
.......'-'..............,.;.;.;.:-;-;.
Rafter
16"o.c.
t41~!!I';
11' - 6"
9 - 6"
8' - 0"
Y~'.~?W;y
UplO 14 ft) 6'-3"
19' - 0"
13' - -9"
12' - 0"
15' - 3"
18' - 6"
20' - 0"
17' - 0"
20' -0"
17' - 6"
20' - 0"
:M'g{~~;1;;
.<d~1 0"
Patio width - =::y_
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Header span
Approved T -Strap
or Post Cap
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'. .-. FRONT VIEW ELEVATION
II; d!#m!ViSioniAppr,q,vllk Zoning Division Approval
:;:~t;,. eUI,-g~NEG vcig~~1'0N ~~I%N~g~
PRO' HOl.Dr:R OF" T OF THe: CITy
CEEDS AT HISH1S PER.MIT
OWN RIIilK.
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0.;j~ 1 ;) 2005
BUILDI~G DIVISION OF
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e and 12 inches deep unless otherwise noted per footnotes:
2.18" square - 12 inches deep. 3.21 inches square - 12 inches deep.
20' - 0"
Up to 20 ft.
OOTING: 12 inches
J. May set on existing 3 1/2" slab.
20' - 0"
20' - 0"
20' - 0"
20' - 0"
20' - 0"
If the value of the patio cover exceeds $1,000, Smoke Detectors
are required to be instalIed in each sleeping room, the areas giving
access to the sleeping rooms, and on both floors if two story.
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PROPERTY OWNER:
ADDRESS:
Phone: 7i<./ 63' (0 Date:06''~
SQUARE FOOT PATIO COVER
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PLANNING DEPARTMENT
APP,OVED
---.&JI"2LQ<;
ZONlr,v' A';T10N
BY ._n______ ( U~)
(lnitiatel
FLOOD ZONE__ X
HISTORIC DISTRICT REVIEW,
: ~ SO-"') sta.mD tr,is.~
! . cia one onat;~ne
I SEE BUILDING PERMIT FOR
l7\T/ Q~_~~~DITIONS
U\ " - _.~~----- 0 Cl9::>
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