2083 Sprague Ln.
BUILDING PERMIT NO. BLD2004-03558
TYPE OF PERMIT .
Residential Remodel C I TV
DATE: 9/21/2004
JOB ADDRESS: 2083 S SPRAGUE LN
LEGAL DESCRIPTION: N TR 4551 LOT 8
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BUiLDING DIVISION
200 S. ANAHEIM BLVD.
(714)76~. 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION:. 98
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APPLICANT: VINCENTE CRUZ:
OWNER INFORMATION: CONTRACTOR INFORM'1TION:
VINCENTE CRUZ ,
. 2083 S SPRAGUE LN # 2 'I
Anaheim, CA 92802 ~-
JOB DESCRIPTION: Remove a~d replace termite damaged interior non bearii}g. garage walls, same for same, restuc.co exteri9r portions of ,openings.
VALUATION: 4,000.00 t' PROCESSED BY: MJF
I . . OWNER-BUILDERIDECLARATION
I hereby affillllunder penalty of pe~ury that I am exempt from the Contractor's L(t1_ense Law for th~ follo'Ning reason (Sec. 7031:5 Busin'ess and Prof~ssions
Code: any d~ or county ~hich require:s a permit ~ c:onstruct, alter, improve, derr~l1stlor,repair any structur.e, 'prior to its iss.uance,' also requi~es the applic.ant
for such permit to file a sIgned statement that he .IS licensed pursuant to the pr()v.~ ions of the Contractor's License La\y-(Chapter 9)(oommenclng with Sectlon
7000 of Division 3 'ofthe Business' and Professions Code) or 'that he is exempt:Ui~feffOm and the basis for the alleged exemption. Any \iolation of Section
70~1.5 by any applicant fora permit subjec1s the apPIic:ant to a civil penalty of (lr~m~re than. five hundred. dollars t$500). ' , "
o .1, as owner of property, or my employees with wages as their sole comper.s~tion, will clothe work, and the structure is not intended or offered for sale
(Sec. 7044 Business and Profess,ions Code: The Contractor's License Law doelnot apply to,;::!n'owner,of property who builds or improves thereon, and who:-
does such work himself or herself or 1hrough, his or her own employees, provide<:~;:i1at such improvemen1s are not intended or offered' for sale. if, however, the:
building or improvement is sold Ylith one year of completion, the owner~buildervV1l; have the burden of proving that he did not build or: improve for the. purpose
of sale~ ..' . I, . - .
o l,as the owner of the pro.perty, am exclusively contracting with lie ~d-corlh:act<?rs to construct the project (Sec. 7044 Businass and Professions Code:
The Contraclo~s License Law does not apply to an owner of propert ho buildsfr impr5'ves thereon, and who oontracls for such projects with e contractoi(s)
licensed pursuant to the Contractor's License w). , .' .~~ .'
,D lar:n..~xemptung~rSec. &P.Cfort ~!~ .
~te: ~ 20 - 1'/, OWner: . , =6.
. WORKER'S COMPENSATI ~
I hereby affirm under penalty of perjury one of the fa win declarations: 1.
D I' have and will maintain a certifica~ .of consen elf~insure for worker's CQ1:npelisation. as
provided for by Section ,3700 of the Labor COO13, for the performance of the mf1\ :for whitsh this
permit is issued. . ~ .
o t h~:l.Ve and will m~intain worker's compensanon insurance, as required oy Skiion 3700 of the
Labor Code, for-the performance of the work for which this pennitis'issuec!. MY'~'Of'ker's
Compensatiqn insurance carrier and pOlicy are: "
Carrier: Policy Number: !
ARCHITECT/ENGINEER INFORMATION:
I
LICENSED CONTRACTORS DECLARATION 1.
I he~-eby affirm under penalty of pe~ury that I am :
licensed unde:(prov-isions of chapter 9 (commendng with
Section 7000) O-f Divsion 3 of the Business and
Professions Cod~.
9/21/2004
Date:
Calitf acto!:
NUMBER
EXPIRATION DATE
;
This section need not be completed if the penrit is for one hundred dollars ($100) Qr \ess.
D.I,certify that i'n the pe,rformance of tlie workfor.which this permit. . sued,l ~sha . employ
any person in any manner so as,to become subject to the worker's mpensatiOl'i laws of Iifomia,
and. agree that if I should become subject to the er's compen . n provisions of'" ction 3700-
of the Labor Code, I shall forthwith comply with ep1"ovision,'
Date: 9/21/2004 Applicant: .II"
WARNING: FAILURE TO SECURE WORKER'. C V 1St: iSONLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI P; PENALTIES AND Civil FiNES UP TO
ONE HUNOREOTHOUSAND DOLLARS ($100, 00 ADDITION TO THE Cc.STQF
COMPENSATION, DAM!\GES AS PROVIDED IN SECTION 37GB OF THE LJ\B6RCOD~, .
INTEREST AND ATTORNEY'S FEES. .
CONSTRUCTION LENDING AGENCY.
I hereby affirm l!nder penalty of perjury that there is a construction lendip.9 age.':\C:I Kjr"-the
performance of the.work for which this permit is issued, (Sec._3,Q,-97.Ciy.:Cf.'-, -'.-; ~> ">::
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TYPE
Construcion Types:
VN,
. ----
I certify that I have read this applicati and state thatthe above infonT1ation is correct. I agree to
comply with all city .ordinances and ate laws relating to ilding construction, and' hereby authorize
~pre~enti sY this ci; 0 en up the above oned property for inspection purposes.
-J-
Date: 9/21/2004
Fees paid fQr Permit:
Total:'
320.72
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INSPECTION . . . . DATE' INSPECTOR Electricaf. Final . ,. . .
. .
Temporary Power Pole Plumbing Final . .
. . .
Plumbing (Drain/Waste Pipe) . .'. Mechanical Final
Electrical <>round Electrode.rUfer . .
SetbacklFormsfTrenches (Footings)' . Gas Test .'
Do not install subfloor or pour floor slab until the . Engineering/Grading Final. 765-5126
following "applicable items have been signed:
Plumbing.(Water Pipe.Sprinkler Valves) . Fire Dept. Final 765'4040
Mi.chanical (Groundwi:>rk) . . Water Engineering 765-5268 ".
Electrical (Underground Conduit) Sub ListlBusiness License 765-519
Pre-slab (CompactionlMembrane.Reinf.
Underpinning (Floor JoistlGirders) Zoning 7(;5-5139 . . .
Do not cover or conceal the work. below untirthe . '~ast Inspection- Only ?-I?~ /Y/.. ~L
Building Final
lollowing applicable' items have been signed:' c fter Above Complete)' r-r7 ,
1 st Floor Shear '. PARTIAL INSPECTIONS
Firesprinkler (Rough) 1
2nd Floor Shear '. Buildina InSDections
Roof (Sheathir1g/Diaphragin'Frame) " . . .
Masonry (ReinfJBond Beam/Pre-GlO\It) . .
Rough Plumbing (Top' Out) . . .
. Rough Mechanical .
ROugh l:Iectncatlllry Wall) .
Rou'gh Electrical I. ;...,r, .A. ./
Framing {Only after Plbg... Elec.. t,,'lech 'and Fire) 'P' V r,,?./ . .'
Insulation (SoundlEnergy) /1 .
Mechanical Ins~ectioris ~
Do not tape or plaster until the following applicable \..../.
items have been signed:, . . . .
Drywall . '. ,: .
. .
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical . .
Penetrations (Fire Rated) Plumbi'19
.Interior Lath ,
Exterior Lath . Plumbina Inspections
GENERAL ITEMS '.
Exterior Plaster (Browri Coal) .
T -Bar Electrical "
T -Bar Mechanical' ". .
.
T -Bar 'Structural . . . .
Sewer . .
Water Engineering Backflow Electricallrispections- '.
Water Service
.
INSPECTION RECORD
FINAL INSPECTIONS.
Date
Inspector
"