550 S. Silverado Way
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a,,<I"'__"'_
D.^.12:5/27/2004
JOB ADDRESS: 550 S SILy'ERADO WAY
CITY' d~~tS:~~lHEIM'
. ':~;htWfi;~:~l) '.'
BUILDING DIVISION
200 S. ANAHEIM BLVD
(714) 765.51.53
INSPECTION REOUESTLlNE
(714) 765. 4626
CENSUS CODE: 434
QUARTER SECTiON: 180
en'c:.DiNG l'ERMIT No. 8L02004-01779
TYPE OF PERMIT
.Rosidentiti; Addition
LEGAL DESCRIPTION: N TR 7567 LOT 2 .
;\PPLlCANT:GENE NOONAN.. i
. OWNER !NFORMATlON: CONTRACTOR iNFORM/TION:
. Michael RWeish ORANGE COUNTY RE;>i,:JDEUNG
.550 S Shverado Way . 510 E LINCOLN AVE t
An;;\heir.n, ~A 92B07: ORANGE, GA B2665~QOQ:); _ .
JOB DESCRIPTIONRoom Addition. 1stfloar kitchen & dinning extension. EX~::71d ove,hangatentry. Add 274sfto.2nd floor.
.,
VALUATION: 98,00Mo .' . PROCESSED BY: ODC .'
I .' . . . .' .' ". ". .' . OWNER-BlJILOilJt.1:Ci.ARP.TION . '" .1
I hereby aff'lrm under- penalty of perjurj that I am e)(empt from the ContrClG:. 'x:.'i L.icense Law for the_ follOWing reason (Sec. 7031.5 Business and
Professions Gode: anvcity orcountywhich. requires a o~rmit to cOn3trUC~: .Gll''\r., !rr.pwve, detriolish or repaIr any srruct\lre, prior to itsissuance:also
requires'the. appllG3ntfor such permit to.file a ~;gned'3taterner;t thai he is i:C+1<.;t::d-pufsuant to the provisions o.ft!"le Ccntractor's Licen~eLaw'(Qhap'te~ '
. .8)(c,omlToencing with Se0tf~r,. 70.09 of Djvi:'iio~ 30f tt:~ B~sir.,esl:;and Pro~eSSf;t1S Code) or tt}at he i~exef0Plthl;refrom and the basis.for. t!le aiIeged .
exemption, A!Jy violation Of Section lO~1.5 by any H-pplica:ntf~,r1.i paIn.\:~ SI,;t~~(;t<3 tne applicant to a'cvil penalty of not,lr.ore than five ,hUndred doll~rs
(S50m, .-. ,,_' '_ .. . ., _ ' .} ,_, ,: -": . _ " _. _,:" ,,/
o ,I,' as Qvm\:"lr of ;):G~€,:t~,', C;" Cil)'. .>:mpi9ye€::s ',Nith w21ge~ ?sthE::); oo:e cq;rf~n~ation, will (~c'!he work, and the strvcturn is rot intf?nded oroffered fc:r
sar~ (Sec.?044: t:>;.is,;i':e:~::; <3!id P~0~~:;~~~ns Cede' Th.g C(,n\rf.1dCi'$ LiC~f::.;'(~ ::):3_,;'<; Goes not appiy to an cwner of propFlrty who builds cr improves
.theJeon, and {Ni'h')d~~s su.m ..\'crk. hi"'lt;eif Of' ,11~:(s~lf or f:"fOt,g;-: his or hni (";.~,'~ ;,;rr:p:o:iees. prvvided that such improvement~ are not.intended or
offered.fot-sale: if, AoV'~sve:;. the- buildklg (,rirnprovor.-J.6;it is s<.~ld ~"i!til CJ~'::=' {~'!\r 'Jf compietif)r~, the owner-build:~r will h41ye the ~rden of pmving that he
did not blInd or improve for t:je pu,rpose of sJ3re). _,,' . - -; _ _, '
o ,i. 3$ tt1€' ownerofthe property, an1'~xC:lu~!veJy ccntiOdJng '/lith Ilc-::'r,se<..!.;:Xliltract0:st~_C'Oi's~ruct t~.~ project (Sec. 7044'Businessand.Professic.ns
Code: The C?'n-tractor'.'S Li~nse Law do~s not~!Jply to arl ovwe~o.~,.pri)~<:';~;';;:'J.!lo'bl);\d::; Qr';iTlprov€:'~theceO'1. f.lnd who contract,> for su~.h proJects )Nith
C:!..1ontractor(s). jlccn.:;ed purslf,ant to the Cont(a~tor~,s Uce~,se'I_~'"?;w~. . \ '. . .
L_ "l.amextlr0f.'(unde.rSoc. ,.-, , .8~P.C.f0rth'srE:Cls::.n: ____ _____ .________
D(;)te:"':~__ Owner: . .. __~-,.J,.._~_.._.-,-.:;...,~_:.-,.,:..-..:..~---.:..:.:.._"':"~~,~.-::w...L--~
c:==---:---'-- WORKER'S. COMPENSATiON DE<:;LARA Tl0N -~=T~=:-----1 h L1CENSEDCO.NTRACTORS OECLARATICN .'."""1.
I here;;:, affirm Linder pen~lti of perjury one C?rtt)e follOWing declar2t;ons: ~" ., ---"-hefeby a.ffirm unri,er penRlty ofperiury tnat I am-
o I have. an,."d w..,n O"lcintai(l a certifJcats ofc.)r,~e1-'t to, ~OJi-h1~LlH'~tOi.-W,),-j.;~;'-:'.:..;c..-.ni~er::=;at;~f\' -, ri~ensed'.~,ndei p,r.~V\si?~~~/ dl~pt~r9 (co:nrr:encinn .
as prOVided for by Section 3700 of tne Labor Code, for tj-,e perf~rl1la~\\.;e ~lf ~r~;! ~ofk fOfWh.ich WIth Se~tlOn 70CO) 1)1' i}~\....:on 3 of tl:le Busmess and
~" ,I ,:5 p ..!::tlit is issued., .. ., . ~' ..1 ProfesSIOns c~. . ...
, ", I have: a.nd wHl rl1air:tainwcrke~'s cvmpe. n-sat:C:Ji"l iirsu,rat,ce, as. .B.(;U1r6'd L<i""S~C'f!On .!700 at I" 5/27/2('0.4.. ,~~ -~ ----'""'.
,Latior Code, for the. perfc.rr:--,ance of the work 'for wh]ch this permit;s is~~,'\(l. My\Vor~e{s Dat!;:l: ? ~, Contra'ctor,. .
CCmOl':lIS3tic.n in~rance cmrierand policy 3re: !... ..
Carrier:-. VIRG'N~ASURETY. Polley Numh~J~ OQ5C!)1i ,3~~ NIJM8ER EXPlRA-nON DATE;.
, ''117565 1/31l?006
This ,:;"ecHcr. ~ed not be completed ihhe palmit:~ for one hundred dolJ.;trs, ($"W'~{ vf"fa;s. TYPE B
., fJ' -j Gertify thaUn the ~riql1l1anc~ of the work for ,!"hichthiS t)onnitis i2S1lJi'i_ ~haU oct
employ any persen in any manner so as to becoin~ subject to lhe wcr~(js c.:-.mp~osatll)niaws
of California"and agree that ff I should became sub~ect to the worker'sc~np~.ris()tion
proy.iSiC:lS of Se~ti~n 3700 ~f th~ Labor ~oqe,-l ,ShZ~1 forthWith cornPI~.Wi~~ H:,~':::e p~ovlSiOf1S:
'Dale: 5/27/2004 .APPlicant~ 4 .-----7------. -------;::J ".
WARNiNG: FAILURE TOSECUREW RKER'S COMPENSATI<;1N COV~f'~ .
UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL Pi2f<';.:.TISS AND CIVIL
FINES UPTO ONE HUNDRED n;OUSAND DOlLARS ($100,000): IN,:s!.,,'I~C>N TO THE
COST OF COMPENSATION, DAMP.GES AS PROVIDE.i) FOR IN :oECflO' 3706 OF THE
IABORCODc, INTEREST AND ATTORNEY'S FEES: .
L:._.c.....~_~ ,CONSTRUCTION LENDING AGENC~:' "~~_'-
i rW!'7:py aff:rmun~er penaayofpcrjt.lry t~~,t~3r~ i~,n con~~l"jc~.icn!~'l1ding ;'::,~~n~~y f(.";r lh(;!
.:.-.r;'.e;f0rm:'!t1ooj;ftt1-f'--X./Di:k..fuJ_w.t:-lc!:l_tt\i!"~p-c':~:-t....~,,~l(~i<~;€'(t-f-Sp.r~~:>! :.~:7 ',C;<:..::(~~:_."c~'\:..
L~nde:('s trlfoi;mation: .
AR'CHITECT/ENG!NEER INFORMATION:
HSIHWA CHEN
Construcion Tvpes:
VN, "
Fire SDrinkl~red?
'vin~ Area:
Patio'Area:
NO
486
200
-- ---!'-,.,-
~
I certify that I have react this application and .state that the above jnforrrrCltioll is correct. I
agree to comply withaltcity ordinances and state Jaws ~elating to buildi-ng co;~structian. and
hereby ',author~e representjyes. of this dty-to enter upon .the above,mentioneci property for
~purposes. :'. . '. , .' . Da'.' 15/27/2004
---- -z:-. ~i~OfAPPJi~torAgent .... . ' .
The permitshallexpire by limitation and become null and void if ffiebuilding or
work hilS not passed final inspection 365 days from the date of peronit issuance. A
. new permit is required to eommence or continue wofk.
Fe~s paid for Permit:
Total:
9.80 .
Building Final ILast Inspection' Only
. . . 'AfterAbov,. Completel.
.. '. . .
. . ' PARTIAL INSPECTIONS
B..U.iI........ ..I~~. ..e.ct.i.O~S.
,~~I1o~r:!~~~
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INSPECTiON' RECORD
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, '.' INSPIaCTION
Temporary Power Pole . '.
. Plumbing (DrainlWaste Pipe) .'
.EIec:iiic31 Grciund E/eCtrode'Ufer . .'
. SetbacklFllrmsITrenChes (Footings) .' . . .
00 not install.subflOor, or pour floor slab until the
following applicable itemsqave been signed;.
. Plumbing (Water Pipe.Sprlnkler Valves)
Mechanical (Grciulldworkl . . .... .'
!:ledric:a!(UndelgrQUn!l Co~uitl
Pte-slab (Compaction/Membrane.Reinf.
.' Underpinning (Floor Joist/Ginlers) . .
!Jlll)bt cover or concea/the work. below until the
'.(ollowing applicable items have been sign",d: .
1slFIClor.Shear . .
Firesprinkler (Rough) . .' .
2nd Floor Shear .. . . . . '.
RDl)f(Shealhing/DialihraarlllFrame) 7-].1 .'l_~o~";_
Masonry (ReinfJBoncI BeamlPre-Grout) .... '. . .... .' /
: Rlll1ghPlumbing(Top Out) /J/WcJlr' ~. . .,
Rough Mechanical . .... '. . . '. ' . . . f '.
KOugh t1ectrlC ' wall, .
RClUgh Electrical . d' . .
.. Framing, 'Jorify after-Plbg:. flee.. Mech..'and Fire) ~". f
. InsulatiCln($liundlEnergy).. y, /. ~ 6iI
.' Do not tape or.plasteruntil the following applicable' ..'
. items have been signed: . . " '. .'. r'.'
.
.' DrYwall .....: . . : p -7'i~6;? /'
Penetrations (Fire Rated) Electrical . (... .
.' ~etrations(Fi'rll Raled) Mechanical . .:. .
. Penetrations (I'ire Rated) Plumbing
Interior Lath. '., . .. hI
Exterior !.ath ..... . /. ~...
.... . . .'. GENERAL ITEMS,
ExleriQr Plaster (Brown C~) . 1111 KfO>f
.T-Bar Electrical .
T-BarMechanical.' . '.'
: T .Bar.Structural' : '. . .
Sewer . '. ;
Water Engineering Backflow .
Water SerVice..' .
DATE
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. INSPECTOR
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FINAL INSPECTIONS
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'. Electrital Final
Plumbing Final
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Mechanical Final
Gas Test'
Engineering/Grading F.inaI765,5126'
Fire Dept~ Final 765-404Q
Water Engineerinll. 765-5~68
Sub List/Business license 765,5.19
Zoning 765,5139 .
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. Mechanicai Inspections
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. P~urnbiiit1'lnspeetions
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Electrical Inspections
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. Date. : Inspector.
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