400 S. Sunkist St. (2)
TYPE OF PERMIT
Repair
. f~;:~f;~c;'9~~,S\
CITY '.": '~;'.'N~HEIM
\"~:'~i.,...?-r/j .
"-'.',,;';,--
BUILDING DIVISiON
200 S. ANAHEIM BLVD.
(714) 765 -5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 123
if"')
BUILDING PERMIT NO_ BLD2005-00238
. DATE: 1/27/2005
JOB ADDRESS: 400 S SUNKIST ST
LEGAL DESCRIPTION: SEC 12 T 4 R 10 POR SE114
CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
RUTTMAN CONSTRUCTIONI/NTERiORSINC
36660 BANKSIDE DR liD:
CATHEDRAL CITY, CA g2~34 0000
BUSINESS PHONE: 76032<..7929
JOB DESCRIPTION: Repair fire damage to'carports for units, 1~5 on the northl~[de af the complex same for same. Repair drywall patch for Unit 1 in dining
. roolJ) REF lNV2005-00002 ! .
VALUATiON:. i5,000.00 . .': . PROCESSED BY: SA'A'
L '. '.' OWNER-BUILD~6EClARA110N . .' ::=J
I hereby affirm. under penalty of perjury that ',am exempt from the Contractoj-'ll."lceo:;6 Law for.th~ following reason {See, 7rJ31..5.Bus~ness and
Professions Code: any dty or'count~{V'lhich requires a permit ,to construct, a<ltqr; jmprov~~. demolish, or repair. any stnlcture, prIOr to i~ ,issuance. aiSo
requires the applicant for such permit to, file a signed: statement that he is Ik:e~~~d. pur~uant to the provisions .of the Contr3c.tor.'s License Law ,\Chapter
. 9)(commencing with Sectiqn 7000 cf Division 3 of the Business and ProfessiQ;lS Code) or th8t he is ex,.e'mi't therefri:>m and the basis for. the a:jeged
exemption.' Any vio\atiol"i of Section 70:3'1.5 by any applicant for a permit subJ~cts the applicant to a dvi: penaltyof not more than five hundred dollars
($500). ". . 4'....'
o ~,as cwner of pr(}p~rty, N my empl:)yees with wages as their sole comp~115atlon, will do !he work, and the structur~, iz not i:'l.tended or offered fer'
sate {Sec._70M BUSIness C\nd Professions Code: The Contractor's Li,::~r.seLf;wJ d:)es not apply to an owner of pr.operty '"ho bUIlds or improves
the,reon, and who does such work himseM.or herself or'through !1l~ or her qWrfE;:!mployees. provided that'such improvements are not intended or
orrered for sale.. If, !1owever, the building c:r improvemerit is sold'with lln~- y~J,',' of completion. the owner-builder './'Jill have the burden of proving that he
did nct buUd Of improve .for the purpose of sale}. .. f. . .. .
o l,as the owne(of the property, am exdusively contracting with licensed "ontractors to const~uct the'prolect (See. 7044 Bus;n~s.s and Professicns
Cod.e: The Contractor's License Law does not apply 10 anowncr of 'property.t~,ho bUIlds 'cr improves thereorl, and who cor tracts for such projects with
f-lontractor{s) licensed pU,rsuarit to the Contractor's Ucense Law). . _I:': ' . ,
L1 I am exempt under SEC. '. ' . B & P.C, for thIS reason: ~~..:...-.:.L
.D~te:. , _O....vner:. . .'. . ~ t .
! .' .' WORKER'S COMPENSMION DECLARATIO~ __=_J
:! hereby affirm under penalty of p~rjury orle of thelcJlowing declaration!$: : . "'r
o I have, and wHI,maintain a certificate ofoon~nt to self .insure fOT WOfker'~~o~,P?nsatjon,
a$ provicfed for by Section 370q afthe.Labor Code, for the performance Qfth~Jw;Jr!~ fo; whic.\.o
~hiS rmitisissued.. .'. .~.
h8ve a nd will maintain worker's campens.ation. insurance, as required t>~-Sectiur; 3700 of 1i.27/2005
Laber qode, for the performance of the work fO\' Whl,~h this permii ~ issut'~. Myworker's I Date:
. Compensation insurance ca.rrierand.policy are: i
Carrier: STATE COMPENSATION FUND . Policy Number. 508.169 il I
This section n~ed not be completed if the peimit is for one hundred dollars l'$100)16r less. I
o I certify tha~ in the_ perfC:.H111anceofthe work for which this permit ~"5 !sslJe~, I sh~;i not
employ any J;'erson in any manner so as to become SUbject to the worker's cot'ilpensation laws
of Callfomia. and agi"ee that if I should.become subject to the worker's CC'fTliJ€';{;sation
provisions of Section 370Q,ofthe Lab ode. I shali orthwit ornply ~h tr.C;'~ proviso
,,\
Dale: 1/27/2005 Applicant: ..
WARNING: FAILURE TO SECU EW 'S COMPENSATION COVER4GE IS
UNLAWFUL, AND SHALL SUBJECT EMPLOYER TO CRIMINAL PEN,. triES AI>;D CIVIL
FINES UPTOONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDitiON TO TtiE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION ~,706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I CONSTRUCTION LENDING AGENCY .____
.....J.hl'arFttu;.~)_lJ:nrlBr_J)A"_qlf"nffc>erlt\r.;th.:,. tl"\""r~ ~:;'! t:'01'st'"l'C'krr~ ll?r:rl:h"'~ 8r-4.r:.:-"'. f0r ~\.,~
perfomlance of the w~rk for'which thi~ permit is issued (Sec.3097 .eiv.C):. .' .
Lender's.lnformation:
APPLICANT: KEN WEDEKIND
OWNER INFORMATION:
The Corsican.
PO Box 19528
. Irvine ,CA 9262:>
UCENSED CONTRAC,ORS DECLARATION!
I here~y affirrp Liidgr psnalty' of perjury tha.t i 8m
licensed under pi"o'/is:Oh6 of chapter 9 (commencing
with Section 7090) of fiivs!on 30 the B slnes-s .d
ProfDssion~ Cod
NUMBER
416304
TYPE
r'l'PE
EXPIRATION DArE
1213112005
B
C39.
Cpnstfucion Types:
VN" .
I certify that I have read this application and state that the above information is correct. I
agree to oomplywith all city ordinances and state laws relating to building co0:5truction,.and
hereby authorize representives of this city to enter upon the above mentioned property for
inspecti urposes. r . .
Date: 1127/2005
Fees paid for Permit:
Total:
562.87.
gnatu e of Applicant or Agent
The permit shall expire by limitation and become null and void if the building or
work has not passed final inspection $5 days from the date of permit issuance. A
new permit is required to commence or continue work.
INSPECTION RECORD
INSPECTION . DATE INSPECTOR
I
Temporary Power Pole .
Plumbing (OrainlWaste Pipe) .
Electrical. GrOund Electrode/Uter
SelbecklFormsfTrenches (Footings)
Do not install subfloor or pour floor slab Uhtil the
following applicable items have been signed:
Plumbing (Water P1pe.Sprinkler Valves) .
Mechanical (GroOncIWork) .
Electrical (Underground Conduit) .
Pre-slab (coinpactiorvMembrane.Reinf.
Underpinning (Roor Joist/Girders) .
Do not cover or conceal the wom below unt" the
following .applicable items have been signed:
1 st Floor Shear . .
Aresprinkler (Rough) . .
2nd Floor Shear ~
Roof ISheathing/DiaphraamlFrame) ~.(j-Z'o<'
Masomy (RelnfJBontI Beam/Pre-Grout) 1/(/ ,
Rough Plumbing (Top Out)
Rough Mechanical .
KOugn t:lectrlc:a1 {ury walll
Rough Electrical
. 'Framing. . (Only after PIll9.. Elec.. Mech.. and Fire) 2'/lZ."", F
Insulatlon(SoundlEnergy)' ,",,,4.Aor' 'Lib
Do not tape or plaster until the following applicab
items have been sigl;1ed: - . .
Drywall ~.,,'t.()( 'IJ. ,IL~
Penetrations (Fire Rated) Electrical . . 1'(/
Penetrations (Fire Rated) MeChanical ,
P8IJetratlons (Fire Rated) Plumbing I .
Interior Lath
Exterior lath . . .....J1/t!!!. 1"""0<' L""
GENERAL ITEMS
Exterior Plaster (BlOloVn Coat)
T -Bar Electrical .
T -Bar Mechanical
T -~ar Structural .
Sewer.
Waler Engineering Backflow
Water Service .
.
FINAL INSPECTIONS . PatE: Inspector I
Electrical Final AI'la kc &'I ,_~
Plumbio:>g Final .1. I . .
Mechanic,;1 Final' . . .
Gas Test . . .
EnglneeririglGrading Final.765-512f>
Fire Dept. Final 765-4040 . . .
Water Engineering 765.5268 . ,
Sub List/Business license 765-519
Zoning 765-5139 . . .
Building Final !pst Inspection..Only tlfj~(J ~~ ~
. fte, Above Complete)
PARTIAL INSPECTIONS
Buildina Inspections .
Mechanicallospections
Plumbina Inspections'
ElectricallnsDections