1926 W. Sloop Ave.
8UILDING PERMIT NO, 8LD2004-04361
f~;;i~,;!~),~
A~';.i>~''''''~\'J,;.''''
-!/~ ,j;.,.-:" . .;,~\~(;;<,:~\
".....'1? -, . -0 "--"'~"(:,\\
~:~xt~_,i;~' ;~ .:~~r~,:\~~~ M
CITY ,,, I;,:~N:<<HEI
. . . . \. }~\: .,t~0..<i::--",:::::f,;t'>_<l! ;i
, " ~"'~'~it'LG\' ;1 '
\ . - - ,:e::~' -~.. '.~/ ,
~ .",,v' "<"<~'" f
-~~z~$~~:i~_v'
BUILDING DIVISION
200 S ANAHEIM BLVD,
(714) 765 -5153
INSPECTION REQUEST LINE:
, (714) 765- 4626
CENSUS CODE: ' 434
QUARTER SECTION: ,43
CONTRACTOR INFORMATION:
WEST COAST CUSTOM. ROOMS,
786 PINEFALLS AVE
WALNUT, CA 917890000,
BUSINESS PHONE: 909 594 7547
,JOB DESCRIPTION:lnslaIl548 square foot patio enclosure per city specifica\;O~S ICBO# 3190-P.
VALUATION: 8,000.00
I OWNER-BUILDEF! DECLARATION
1 hereby affirm under penalty of perjury that' am exempt from the ContrGlctc..:'(s License Law for the following' reason (Sec. 7031 ~5 Business J:lnd
Professions Ccx;Je: any city or co~ntywhich requires a permit to construct. a1i9;", improve, dem9lish or repair any structure, priorto itSjssuance, also
requires the applicant for-such permitto file.a signed statement that he is; /ie'105ed pursuant to the provisioAS'of the Cantractor's-Ucense Law (Chapter
9)(commencing with Section 7.000 ofDivi$ion 3 of the Business and p!"Ofessf0ns Code} rJr that'he is exempt therefrom and the basis for the alleged .
exemption. Any Violation of Sectioh7031.5 by ,any applicant for apermj~ sutaects the applicant toa civil penalty of not more than five hundred dollars'
($500), " " '..' ,r. , " "
o i, as ,owner of property, or my employees with wages. as theksole_ CQJl'l~;';msatiGI1, will do the work, and the structure is not ifltended or offered for
_sale, (S~c. 7044 Business and, Professions Code: The Contractor's'-llcenstgaw' do~~ not apply to an owndr of property who builds or improves
thereon, and who does such_wor~ himself or: herself or througtl his. or her Owi1etTlployel3::i, provided that such improvements are not,:int~nded or_ "
offered fo/-sale. If, however, the building or improvement is sold with.one y~~r of completion, the owneJ~builder w!11 ha~the bUrden of proving, that he'
did J10t ~itd, or-improve forthepUrpose'of sale). ~J\"'. . J.
o f. as the owner of the property, am exdusively contracting with iiCt?r.I~~,_'COf'ltr~ctors to construct the project (See. 7044 Business and Professions
Code: The Contractor's License' Law does not apply to an owner of property......ho bUIlds or-improves thereon, and who contracts for suer. projects with
~ontra,ctar(~}ficensed purSuant to the Contractor's License law). 'r- . . .
Lj !amexempt under Sec.' '" B & P.C. for thiS reason: ,l ' . _' '. ',"
Date: Owner: !
I
TYPE OF PERMIT
Patio Cover
DATE: 12/8/2004
JOB ADDRESS: 1926 W SLOOP AVE,
LEGAL DESCRIPTION: N TR 3247 LOT 6
APPLICANT: TIM HANDLEY
OWNER INFORMATION:
Charles Wright
1926 W Sloop Ave
Anaheim, CA 92804
WORKER'S COMPENSATION DECLARATION T --.J
f hereby affirm under penalty of perjury one of the following deClarations: r
. " , ' 't
o l have and will maintain.a certificate.of conserit to-self-inswe far worker~ compensation,
'as,prO,vided for by Section 3700 of the LabOr Code, for.the performance of the worl< rer'which
~i permit is issued.' . ." ;~"
; I !mve and will maintain worker's compensation insurance, a, s required b~' 8ectioo.370.o of
, labor Code, for the performance of the work for which this permit is issu!~d, Mywor'<er's
. Compensation insurance carrier and policy are: ',\
Carrier: STATE FUND ". Policy Nu-mber:, 1620269,
Thissection'need nol be compteted if the pennit is for one hundred dollars ($1 dolor less.
o I certify that in the pe'riormance of the work for which this permit is iSSl.lt:~. I sha \l not
employ.any pe~son-in any manner $0 as to become subject to the worke~$,:cGmpensation laws
of Califomla,'and.agree that if I should become subject to the worker's CO-;i1p~i1'satian
. .provlsions of Section 3700 ofth~ la.pof Code, I shall forth ith c mply Wi~-thosl'} provisions.
cr;- /3
Date: 121812004 Applicant: J
. WARNING: FAiLURE TO SECUR ORKER'S CO ATION COVER"GE IS
UNLAWFUL, AND SHALL SUBJE AN EMPLOYER TO CRIMINAL PENALTIES AND CiVIL
'FINESUPTO"ONE HUNDRED OUSAND DOLLARS ($100,OOO), IN ADD'noN TO THE
, . COST QF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION3T06 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
{j
I hereby affirm under penalty of perjuty-tf1at there is "a construction lending agency for the
~~f.:r.r.';G:i1cs_ ~f tt",c.ij~or:'" f;:.r wh;";":\ -t~;5-parm;t-i~ i$3u:;:U (S~c.3G:;)7 .Ci,,'.C):
Lender's-tnf6hi1aUan:
i certify that I have read this application and state that the above information;$ correct. I
agree to oomplywith all city _ordinances ano state laws relating to bt,J.llding construction, and
hereby authorize representives of this city enterupOn the above mentioned property f~r
in ion purposes. .
, w-
J
Signature of App leant or Agent
e permil shall expire by Iimitalion and become null and void iflhe building or
work has not passed final inspecliM 365 days from lhe dale of perrrJl issuance, A
new permil is required 1." commenCe or continue work.
'Date: 12/812004
ARCHITECT/ENGINEER INFORMATION: - '
'pROCESSED BY: MSM
LICENSED CONTRACTORS DECLARATION' I
I hereby <=lffirm under penalty of perj,ury that! am
licensed under provisklns of chapter 9 {com encing
with Section 7000) of Di'.i$ion ,3 of the. Bu . ess_ and
Profi:lssio s -.ltde. d ".
12/812004
Date:
NUMBER
471619
TYPE
TYPE
EXPIRATION DATE
,I/'J0/2005
HIC
B
Construcion Types:
VN, ,
Fire Sorinklered?
NO
. Fees paid for 'Permit:
Total:
986,04
INSPECTION RECORD
INSPECTION . DATE INSPECTOR
TemportlryPower Pole . .
Pluinbing (DrainlWaste Pipe) ..
: EIeC:trlcal Ground ElectltldelUfer . .
. SetbacklFormslTrenches (Footings)
00 not install sUbflQor 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) .
00 not cover or conee.althe woll< below untIl tne . .
following app.licable items have been signed: ..
.1sl Floor Shear . . .
Firesprinkler (Rough)
2nd Floor Shear .. ..
. Roof (Sheathin!llDiajlhragrtYFrane) .. ... .
Masonry (ReinfJBOnd Beal11/Pre-Grout)
Rough Plumbing {Top Out)
Rough Mechanical ...
RoiJgh l:Iectrlcal (Dry walll
Rough Electrical .
Framing (Only after Plbg.. Elee.. Mech.. and Fire) . .
Insulation (SoundlEnergy)
po not tape orpla~ter until the following applicable
.tems have been signed: .
Drywall . .
Penetrations (Fire Rated) Electrical
Penetrations (File Rated) Mechanical
Penetrations (Fiie Rated) Plumbing .
Interior Lath
. Exterior Lath
. .. GENERAL ITEMS
Exterior Plaster (Brown Coal)
T.Bar Electrical
T -Bar Mechanical . .
T -Bar Structural .. .
Sewer ..
Water Engineering Backflow .
Water Service . .
FINAL INSPECTIONS Date . .1nspector .
i:lectrical Final ,'!rl.-~ p iJl//i.- /12A-.r
Plumbing Fina; . .. .
.
Mechanical Final . .
. .
Gas Test ..
Engineering/Grading Final 765.0126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-519 .
Zoning 765-5139 . . . . .
Building Final ~.st Inspection- Only . '.ul./~( //f i::
Iter Above Complete)
PARTIAL INSPECTIONS
Buildina Inspections ' .
Mechanical Inspections
. Plumbina Inspections
ElectricallnsDections
NAMLHf\2LES 4VA\18:DA ~R\EL\-rr .~~ W'B!!~~~!;~'!..'!~~7~,!!ms
ADDRESS 1C\'Lla \}J~ Dl1:i:.:P ..fili" 786 ?inelallsAvenue
^ \ \ "t \ ...,-\ \, a '7 C17'\. J I ._",. ~ ,,"_1It Walnut, Calilornia 91789
CITY Ht-..l~H w fVl \ L.Cl..)'1" ".".IIIJtJ.,. 909.594.7547 . 626.356.5313
1\1-\ 5~3 -'-t3loB lCfB (;1
~fh~
El-.J<:L.DSllRE
-1.0
:!)
-12.
~
GA.RP\GE
j:"j,.u l3.A.
\Sm~
SFD
7J'
\
~
LeAR.
GARA6.::
.. ... ..
. . .. . .
-~ . .. eo 0:
o 0 0
... . .
.. . ..
nt:"c 0 8 . 0 0 0 0 0 0 0
. '... J . ... ... ..
. .. . .. ..
.C'"' ... . .. .
BUiU:)INGgIVISIYI~ OJ! ANAH~IMJLbaF .. ... . 0
Af3f3~OVC:~
BL().;)Oo<-l-0-l3loIBY $./f/VL .
/ -r-~f>,If 'rt/1P -fJ
AQ\I3tlllW
51..\ ~ r,i E~{l l::>SUQ.E
D1\ \ \..y.s. ~F
'3 Obn...E.-rs
2. ...J-~S
I L\ 64"'\
-0 SLW 11~ES,.
-(,SID
LOt S \ -zl -
E-X/<;iING -;:; \")q)
Ptl.Opo5 'i-O =- <) 4 't,
701" A L ::. 1 '1 '"S q
::,Dolc> .
f?:S: ~
PLANNING DEPARTMENT
APPROVED
DATE 1'2-- B"O~
BY -(J)lkuY /1;1J1J)
Onltlal.i:l
'~L-
FLOOD ZONE -><:;J
.HIS.ORIC DISTRICT REVIEW:
:.. ~'A See stamp this pa2.e
. ~ : C~rc!e one on above line
. .. .
SEE BUILDING PERMIT FOR
ANY C NDITIONS
.. 0 00 0 ~ ~-
.. .. .. . .. 'p
.. ......
:: .. ....... I() .
. . . . . . . . . . . . .. . hJi (~_.. '
.. . . .. .. .. .. . ~ ~~U?~
EO 3911d
GGOOGGGTET
8T:ZZ b0BZIZ0/c1
.. .
. . . . . . . . . . . . . .
. . . . . . . . . . . .
. . . . .. .. .. ...
. . . . . . . . . .
.. . . . . . . .
. .. ... . . . .
.. .. . . . . . . .
. .. . . . . . . . . .
. . . . ... . . ... . .
. . . . . . . . . . .
... . . . . . .
. .. . ..
. . . . . . .
. . . . ..
... . . . . .
. . . . . . .
. .. ... ..
\0\
519
5> 9~