1950 W. Sloop Ave.
)(r._
BU!LDING PERMIT NO.
BLD2004.03878
CITY 6{1!:(~~HEIM
:':2~!i~1!~1f!/;
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BUILDI~G DIVISION
200 S. ANAHEIM BLVD.
(714) 765. 5153
INSPECTION REQUEST LINE:
(714) 765. 4626
TYPE OF PERMIT
ResidGntial Addition
DATE: 11/4/2004
JOB ADDRESS: 1950 W SLOQP AVE .
U,GAL DESCRIPTION: N TR 3247 LOT 11
CENSLiS CODE: 434
QUARTER SECTION: 43.
APPLICANT: JUSTIN HANCHETT
OWNER INFORMATION: CONTRACTOR. !NFORiv;;\T!ON:
Jimmy Vilt&gas MEGA CONSTRUCTIOr"JGROUP
1950 W Sloop Ave 6464 SUNSET BLVD .~.
AnClheim, CA 92804 HOllYWOOD, CA ~ nO''2B 1 coo
BUSiNESS PhONE aG074! .7801
JOB DESCRIPTION;Add master oedrocm, bath iind lallndry, .t
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I . . '. OWNER.9U!lDEFDECLARATi0N: ..' '._._ "--'
1 h<::!reby affirm under penalty of perjury that I am exempt from the <;or:tnv:l.o;;sLlcense Law for thefclfowing'mason (Sec. 703'!:"S Bus,Jness and
Profes:$ions Code: any dty or.countywr:lch re(juires;3 oerm:t to con::-_irud, a';;~r, improve. demc"rG:1 or rcp;=lr :m:/ stru~t!Jre, prior to its Issuai,ce, also
:-eq\Jirp,s the'i'-lpplicant TO!" slJm'perrrli~ to file -a sIgned s.tc:ltem~nt tn:..:t he-l~ l:e,'f:$ed pursuant to the plovisions of the Cor,!ract.:>r"s L.iceflse Law_(Chapter
9)(comriter:o;ing WIth Secti('ln 7000 of Divi;.:;ion 3 of ~he 8US~;1€sS ar'.d Prof€.3S.'h~,s C0de) cr that he is.exemj::~ ~hefefrom <::lnd the basls jor tl-le alleged
exemption" Any viol~tjori cf SE:ctiOf17031.5 by ariy. apP~;J::ant for. a per!'i.!t. 'S~J:)t::cts ~he applicant" k;? CIvil penalty of not more: th?nfive"h~pclred dC~:::1l3
(~500). .' . . . ~,.. ," ." -,
[J I, as ownerot property., ur my employees wlth WE-ge:3 a::; th.::ir S('l!e ;:::om;,2m:at:,cr;, 'Ni~l '.~':> lhe.'N,:.rk. 8r.d the strtJcture is n')l ipt.<.)f:ded.or offt'!re:d for
sa~e {Sec, 7044 Business and Plof~ssiqns Co,je: -:-he Con!i setor';:; l,...lce1~e ::-:,'N does not ~~plyto tin Q,,:r,er of pro percy who bllnd~ o'r.improves
thereon,' and who does GUch work himsr.;)tr or ;;ersetf or through h!r,,:;r i;f",{.c....~:i< ~mpI9Yqes, p(f)v.\d~ tMl ~'ch ir,'~m\jement~ar,:; r9Uf'tendw or
.")1fercd f0r sale, 'If, however, the building '0i imp;nvorr.er:: 1'3 S0k! 'witt"> cr:~ ):('_'H' of c~'rr.~letio:1. the .')\!/rier-build€:r will l1i4ve ';;1e nUiden o_t provin!;; that he
. did ndt bUild or !n.prove fo" the purpose of salE.'). j; . .
-0 I'. as the owner cf t.he property, am ,=,Xdlj!:i'/t:.!y cOr"ltra":"'1"ing W~U' \lce,:::e(I.;)'.jntr?G~O,~ to c0r.str!.;ct the project (Sec,_ ';rOM 8:'lsinr:5$ and Professions
Cod..:;: The'Contrai::tor'~ LiCCr'lse Law doe'> flt't fl.Pf'ly to an ovmer OT pr,:::p=:t};..:t!o bl1:!ds uiirr.pr-:wes tl-'Brecn..and whc ())!1tracts f\,( such project':i:Nith
. ,Q.J{9nt:"2r1oi(S) licensed PUfSUrH1t to~he COl1tractor'$ Lice!i5e L~'/1), -:l~' '. . .'
, .L_;., ! am s;<empf.ur.dBf Ssc. ~__, ,:3 & PoCo fo. this r~8S'Jn: ~.:.~ .,_____--'-_____-.""""---:-------:..---
Date: Owner: '1 . -
r---.:~~~~V./ORKER'S cm.wEN~AT!O~LDECIo.e.R,.\T!Ot~~-'tL._ ..: . S r-ttI.;S'.':!) Cbt.jTR'O"~O;S;e;;LAAATIOi:(~T.
I h:~reby 2ffnn L:nue: penalty of perjl.uyone of the fotl::rv"ing declaratlo,ls:~! I I herepyaff!rr,!l vnderpena!f.y.ot p~r;uIY that i <:;!1TI
[J ! hc'l\'e.and 'will rna-int-ai:l ~ certifh;ate of con S<:lr. t to scif-jIlsum for WC;'!~~,(..c.'}(1-.j:.:er;s;:tfon, I' licensed ur;d~i'-ph;/:s;c,nsc;i ~hac,t€r 9 t..;ommeli(;ing
as' r,rc'lVided for by 8ect:cn 3700 of the t abo. COde. for lhf:: parfornlzllV.; 0f ;;~~~ \\'011< f(",r '-\lr.:cn ~i.th'.$e:ti0. ,D.?;] GO) ~.f.P i"",) 10 :- .... .0.1 l.h7-BU .n. e"3~. and
thisp0rmit 1$ Issued "!lJ~..,4t/es20.0i()4n\?hf. " . 4i/.-.. A ,
~ I Mve and \",:Ii mamtarnwoti<cr's com:"~:'s3tlOP !:'!<;:Ui'::'-,C"', (;!S f'2'l1U,r6,j ~t/ Sect'O:1 ~TOO of! ' _ V:-~/,
~ ..... l~abor Coce, for the pe,formance of !.he work fer wh:ch t;,ts permit IS l.:;sIJV:::, My worker'.:: I 01tC:' , . eQntla~tix
Co;n~1(:'ns-")tlon Insurance Gainer and petic} a,'e: ~
G::l;.r[cr: EXEMPT Policy Number. EXEMr' ~ I. ~Ufvl8ER E.X::>I~AT!ON DATE
j 4't05ill} 41301100$
fBy.} seclion need not be completed if the permit is for one :mr:dt ed dolli.>rs {S i ;:~: ~r !~:i. I JYPE H
1 I certify ttlat in the perforrnanc~ of the work fo; -f/hiell thIS penij1t h ;~'-'-.:;~u ~ Gila Ii not I
-employ any person in any manner so as to become sLObject to the worker's c1rnJJcn'3~tjon law~
of California, and agree that if I snoutd become subject to the wo:ke"'s .....Ol":lj:. rnsatio:'l f
provisIons of Section 3700 Of the labor Code, i shall f hWI~ olr,p!y -,II}'l t! ps~ ore "Si,Jlls. I ConctrU'0l0n Typeg.
. ~' I \IN..
. D~te: 11/4/2004 Applicant: ~:! i LivlnQ Area:
WARNING: FAiLiJRE. TO SECUR WORKECOM?" 'SATION COVEF'i,GE is, . . I . . .
UNLAWFUL,. AND SHALL SUBJE .. T.AN EMPl :.>YER TO CRIMINAL PEN..;jTIES' AND CI\f;L i
FINES UPTb ONE HUNDRED THOUSAND D.OLLARS ($100.000). iN ADDi-nCN TOTHC~' .
<':OST or COMPENSATiON. DAMAGES AS PRO\lIDED FOR IN'SECTIOI',\3706 ()F THE .
LABOR c.eDE, !NTEREST AND AT10RNEV'S FEES. ,[ .'. .. .
L .' CONSTRUCTION LENDING AGE~!CY . '__~
I hF.:r!;by <'!ffinn under penalty of perjury that tr.ere :s 3 :;ol1struetic-., ler..~if!g ;J::i:::ncYfor the . .
-;.:::,-fvl.-,-:.:J,:.v..;-'J;'t:'."i:~;G\~;:-~~-W-:-,i;:A'J'("i1l-~ti".:::i'i'iji'n:.i~"6V::::~ t-:sec.':'.;)~'" .{;i....CJ. '--.-"' _--- _"_m__:__~_~______
L~nder's Information:
,
"
t
. . ARCHITECT/ENGINEER INFORMATION:
PROCESSED BY: 'CDL
VALUATION.
21.400.00
r.;'~
.319
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. authorizerepre ntives of thi city to enter upon the 8bove mentione(l property for
ins,?:eqtionpur ses.
Fees paid for Per"":lit:
Total:
1.507.78
Oak 11/4/2004
"'-
Slgnat e of Appljcant or Agent
The permit . all expire by limitation and become null and void if the building or
work has riot passed final inspection 365 da~ from the date of permit issuance. A
. new permit is required to commence or continue work.
INSPECTION RECORD
INSPECTION , OATE' INSPECTOR I
Temporary Power Pole !
Plumbing (DrainlllVasle Pipe) , IhDfo<; #~ .-
Electrical Ground ElectrodelUfer .~ 4 ~
SelbackfFormsfTrenches (Footings) (bMo+, '~
Do not install subfloor or.pourfloor slab until the ,
foHowing'applicable items,have been Signe& I
, Plumbing (Water Pipe.Sprinkler Valves) '"">,
Mechanical (Groundworkl ' " ',' ' ,
Electrical (Underground Conduit), ' , ,
Pre-slab (CompactionlMembrane.Re;m. " ~;..-I
Underpinning (Floor Joist/Girtlers) 11111~ ,
Do not cover or COnceal the wor!< below until the
,f()Howing applicable items have been signed:' ,
1 st Floor Shear' , '<4,
Firesprinlder (Rough) "
2nd 'Floor Shear "
RoOf (Sheathing/Diaphragm/Frame) . [',JI'i'
Masonry (ReinfJBond, BeamlPre-Gtout) . , .
Rough Plumbing (Top Out) n .?~
Rough Mechanical .,.-
J Rough BectrlcallLJrY wall) ,. .L
Rough Electrical " 'I"~" L' 1l~ , r
I
Framing (Only after Plpg" Elec.. Mech.. and Fire) 171Vl ~
Insulation (SoundlEnergy) ~ k"
po not/ape or pla~ter until the following apPlica~/_./
Items ave been SIgned: ' , " '. f
Drywall ' . 161'f1,,~ ~<'--l
Penetrations (Fire Rated) Electrical ' '
penetrations (Fire Rated) Mechanical ,
Penetrations (Fire Rated) Plumbing . 'i
Interior Lath ..,~
Exterior Lath ' ,~llJ/~ 7~ 'r."
" ' GENERAL ITEMS '
'Exterior PiaSter, (BioINil Coat) " lI.J'l. d '} t<. (/""">f tr
T -Bar Electrical ,
T -Bar Mechanical
T'Bar Structural ' ,
Sewer ,
Water Engineering Backflo)iv , " .
Water Service
, ' ,
FINAL INSPECTIONS
Electrical Final
,P,lumbing Final
Mechanical Final
Gas Tes.\-
Engineering/Grading Final 765-5126
Fire Depl. Final 765-4040
Water Enllineering 765-5268 '
Sub List/Business License 765-519 Ii/, 4
Zoning 765-5139
Building Fina, I, .ILast Inspection- Only I"
, After Above Completel "
PARTIAL INSPECTIONS!l~
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,Buildina Insoections
...:.....rlV>{...f" ,b..J _ G._~..s_I.....b.:...
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IX i;.!{; "
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Mechanical Inspections
, Plumbina' Insoections
Electricallnsoectioris '
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WCA-'lloO :
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PLANNING DEPARTMENT
APPROVED
DATE 'Z-2-oS:
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PATID Co\l.~
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, Unitial~J
FLOOD ZONE Y
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H~C DISTRICT REVIEW:
fA See Sf.2.I!!D this pa~e
\rcle one on above line
SEE BUILDING PERMIT FOR
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