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7331 E. Stone Creek Ln. TYPE OF PERMIT CITY Repair ElM BUILDING DIVISION 200 S, ANAHEIM BLVD, (714) 765 - 5153 INSPECTION REQUEST LINE: (714) 765 - 4626 CENSUS CODE: 434 QUARTER SECTION: 203 BUiLDING PERMIT NO. BLD2005-01010 DATE: 4/12/2005 JOB ADDRESS: 7331 E STONE CREEKLN LEGAL DESCRIPTION: N TR 8560 LOT 40 APPLlCANT:,JENNIFER REARDON OWNER INFORMATION: CONTRACTOR INFORMATION: Kevin Reardon" 7331 E Slone Creek Ln Anaheim, CA 92808 JOB DESCRIPTION:Repair 900 square feet of stucco. VALUATION: 6,000.00 ARCHITECT/ENGINEER INFORMATION: PROCESSED BY: MSM OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ontractor'~ License law for the following reason (Sec. 70 1.5 usines$ an 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 applicahtfor such permit tome a signed statement that he i$lice~lsed pursuant to:the provisions of the Contractor's License .Law (Chapter. 9)(commencing with Section 7000:of Division 3 of the .Business and ProfessiOl~s Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violat}on of Section 7031;5 by any applicantfor a permitsubj4cts the applicant to a civil penalty of not more than five hundred dollars ~5 0). ' ! . ',. ' I, as owner of proP,erty, or my employees'with wages as their sole compeh,.satJon, will do the.work, and the structure is not intended or offered for s Ie (Sec.-r044 Business and Professions Code: The Contractor's Ucense t4Wdoos not apply to an owner of property who builds or improves - .th reon, and who "does such work himself or helSelf 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. yeCi{;of_ completion, the owner-builder will have the burden of proving that he did rot build or improve for the pUlpose qf sale).;' ... 0- I, as the owner of the property, am exClusively contracting with Iic.ensed <hntractors to construct the project (Sec. 7044 Business and Professions Code: The Contractor's License Law does not apply to an owner of propertYVl1ho builds or improves thereon, and who cqntracts for such projects with ~ontrac.tor(s) licensed pLl~suant t9 t~e Contractor~s License Law). U I empt nderSec. ., 8 ~ P. f ason: Date: . 0 er: WORKER'S CO NSATIO LARATION I hereby affirm under penalty of perjuty 0 e of the folio larations: o I have and wiU maint~in a certificate of consent to setHnsure for worker's ~oinpensation, as provided for by Section 3700 of the Labor Code, for the performance of the'work for which this permit is issued. o I have and will maintain worker's compensation insurance, as required by;Section 3700'of the Labor Code, for the performance of th~ work for which this permit is issued. My worker's Compensation. insurance carrier and poUcy are: I Carrier: . Policy Number:. ~section need not be completed jf the pennit is for ,?ne hundred dollars ($lOO}:>r less. I certify that in the performance of the work for which this permit is issued, I shall not e ley any person in any manner so as to become subject to the worker's compensatjon laws of alifomia, and agree that if i_ stlou come subject to the worker!s compens.ation provisions of Section 3700 of th bo Co I shalt fqrt It c Iy w;ththos~provisions. LICENSED CONTRACTORS DECLARATION I hereby a irm under penalty of perjury that 1- am licensed under proviSions of chapter 9 (corrymencing with Section 7000) of Divsion 3 of the Business an9 Professions Code. 4/12/2005 Date: Contractor NUMBER EXPIRATION DATE TYPE Date: 4/12/2005 . Applica WARNING: FAILURE TO SECURE UNLAWFUL, AND S,HALL SUBJEC AN EMPLOYER 1 RI INAL PENALTIES AND CIVIL ,FtNES UPTO ONE HUNDRED THO SAND DOLLARS ($100,000), IN ADDI110N TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR C.ODE, INTEREST AND ATTORNEY'S FEES. ' CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending ag~ncyfor the performance of the work. fo-r which this permit is i~sued (Sec.3097.Civ.C): \. \ Lender's information: Construcion Tvpes: VN, , Fire Sprinklered? NO L 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 a . e representives of this city to enter upon the above mentioned property for in ron purp oos. , Date: 4/12/2005 Fees.paid for Permit: Total: 240.75 .cant or. Agent ion andbecome null and void if the building or , ' ' INSPECTioN DATE INSPECTOR Electrical Final Temporary Power Pole , Plumbing Final Piumbirlg (DrainIWaste Pipe) , Mechanical Final Electrical Ground ElectrodefUfer ,', SetbacklFormsfTrenches (FootinQs) , Gas Tes,! . Do not install subfloor or pour floor slab until the , Engineering/Grading Final 7 following applicable items have been signed: ' ' Plumbing (Water Plpe.Sprinkler Valves) Fire Dept. Final 765-4040 Mechanical, (Groundwork) " Water Engineering, 765-5268 Electrical (Underground Conduit) Sub List/Business'License Pre-slaD (~ompaction/Membrane.Reinf.J , Underpinning (flOor JoistJGlrders) Zoning 765-5139 , Do not cover or conceal the work below, until the Building Firial~asllnspectjo following applicable items have been signed: , fter Above Co 1st Floor Shear , PARTIAL I Flresprinkler (Rough) , 2nd Floor,Shear ' , Buildina Inspections , Roof (Sheathing/Diaphragm/Frame) " , Masomy (ReinfJBondBeamlPre-Grout) Rough Plumbing (Top Out) , Rough Mechanical , Rough ,l:Iectl'iCal (DrY Wall), , , , Rough Electrical' , Framing -(Only after Plbg.. EJec., Mach" and Fire) . insulation (SoundlEnergy) Mechanicallnspectio po noltape or pla~ter unlil the following applicable ,tems have been sIgned: , " , DrYwall , Penetrations, (Fire Rated) Eiectrical Penetrations (Fire Rated) Mechanical Pll\letrations (Fire Rated) Plumbing Interior Lath ' , , ~, J)lumbinQ' InsDections Exterior Lath !;".y'O 0 GENERAL ITEMS ' ' '/l. / Exterior Plaster (Brown Coat) , -r;t€.o ."'" T -Bar Electrical , T -Bar Mechanical , , , T -Bar Structural Sewer Waler EngineerlngBackflow Electrical Inspections ' W~ter ~eivice , INSPECTION RECORD FINAL INSPECTIONS Dale , 'Inspector, 65-ll126 , 765-519 n-Only' mplele) NSPECTIONS ns