1614 S. Steele Dr.
CONTRACTOR INFORMATION:
ALL PRO REMODELING
706 N TUSTI N ST
ORANGE, CA 928670000
BUSINESS PHONE: 714288-1314
JOB DESCRIPTION:Build 486 square foot patio cover ICBO# 2228P.
VALUATION: 6,000.00
I OWNER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5 Business and
Professions Code: any city 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)(commencing with Section 7000 of Division 3 of the Business and Professio(;$ 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 subjScts the applicant to a civil penalty of not more than five hundred dollars
($500).
D I, as owner of property, or my employees with wages as their sole compellsation, will do the work, and the structure isnot intended or offered for
sale (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 does such work himself or herself 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).
0.- 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
a contractor(s) licensed pursuant to the Contractor's License Law).
D I am exempt under Sec. , B & P.C. for this reason:
Date: Owner:
I WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
o 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
~i ermit is issued.
I have and will maintain worker's compensation insurance, as required by Section 3700 of
tabor Code, for the performance of the work for which this permit is issued. Myworker's
C pen sat ion insurance carrier and policy are:
Carrier: STATE FUND Policy Number. 0460011387
BUILDING PERMIT NO. BLD2005-02410
TYPE OF PERMIT CITY
Patio Cover
DATE: 8/2/2005
JOB ADDRESS: 1614 S STEELE DR
LEGAL DESCRIPTION: N TR 3148 LOT 41
APPLICANT: EVONNE MORTON
OWNER INFORMATION:
FRANK MUNDI
1614 S STEELE DR
ANAHEIM, CA 92804
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 50
ARCHITECT/ENGINEER INFORMATION:
BRUCE D CHALLMAN
436 W 200 NORTH
PAROWAN, UT 84761
PROCESSED BY: MSM
This section need not be completed if the pennit Is for one hundred dollars ($100) or less.
o I certify that in the performance 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 I should become subject to the worker's compensation
provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: 8/2/2005 APPlicant:.-t -
WARNING: FAILURE TO SECURE ORKER'S COMPENSATION OVERAGE IS
UNLAWFUL, AND SHALL SUBJECl: AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL
FINES UPTO ONE HUNDRED TI-I USAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAt..:lAGES AS PROVIDED FOR IN SECTION 3706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penaity of perjury that there is a construction iendiny a9<::,ocyfor 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 aU city ordinances and state taws-reiatj(tgto building construction, and
herebyauthoriz representives of this city to enter upon the above mentioned property for
insp ion pur 0 s.
Date: 8/2/2005
Signature of Applicant rAg
The permit shall expire by limitation a ecome null and void if the building or
work has not passed final inspection 36 days from the date of permit issualCe. A
new permit is required to commence or continue work.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penany of perjury that I am
licensed under provisions of chapter 9 (commencing
with Section 7000) of OJ ion 3 of the Business and
Professio de.
8/2/2005
Date:
NUMBER
574698
TYPE
EXPIRATION DATE
5/3112006
B
Construcion Types:
V N, ,
Fire Sprinklered?
NO
Fees paid for Permit:
Total:
545.34
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground Electrode/Ufer
SetbacklForms/Trenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (CompactionlMembrane Rein!.)
Underpinning (Floor Joist/Girders)
Do not cover or conceal the work below until the
following applicable items have been signed:
1 st Floor Shear
Firesprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (Reinf./Bond Beam/Pre-Grout)
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 until the following applicable
items have been signed:
Drywall
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath
GENERAL ITEMS
Exterior Plaster (Brown Coat)
T-Bar Electrical
T-Bar Mechanical
T-Bar Structural
Sewer
Water Engineering Back/low
Water Service
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040
Water Engineering 765-5268
Sub List/Business License 765-5194
Zoning 765-5139
Building Final (Last Inspection - Only
After Above Complete)
PARTIAL INSPECTIONS
Buildina Insoections
Mechanicallnsoections
Plumbina Inspections
Electrical Inspections
.
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-PLANNiNG DEPARTMENT
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SEE BUiLDiNG PERMIT FOR I
ANY COf'WITiONS __I
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-HIS PERMIT DOES
THE ISSUANCE OFO~Ai\ON OF ANY of
NOT APPROVE VI ....nES of THE CITY.
THE 8U1LD_\r-:.G_._g,~'F THIS pERMIT
THE HO_L;.".~_,:--MT HIS O'vVN RISK.
PROCEE-u:::> A
AUG 0 Z Z005
BUILDING DIVISION OF ~N
APPR -.
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