590 S. Sunkist St.
,
,~~~
CITY
"C}.FT:2,~i:;::~
~~ 'f~~".<"";j'!,;~,$~):;~
,oil"", "":"""':'0',,'
!:"I,kiiY:r?' .".' J :'s~~\",'" "
O'~ ,,', ,~~;;t\'}N1"~fJ\) -l:"
,v ",,<iil"I" ,
c' ':C"J. .,
\ '~'~"'~til"
, \~~~:!f:~?
,
, ,
?l'rpE OF PERMIT
:~~~W Residential Co.nstruction '
ElM
BUILDING DIVISION
200 S,ANAHEIM BLVD, '
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 .4626
CENSUS CODE: 101
QUARTER SECTION: 123
.
BUILDING PERMIT NO,
BLD2003-0211,9
.
DATE: 5/4/2004
JOB ,^.DDRESS: 590 $ SUNK!,ST ST
LEGAL DESCRIPTION:
HEli'lS SUB LOT 3 N 72 FT S 472 FT W
APplicANT: DAVID LOI
OWNER INFORMATION:
DAVID LOI'"
9021 TRINI CIRCLE
Westminster,GA92683:odoo ,', )
JOB D,ESCRIPTION: New Single Family Dwelling, Plan B-1, Uving 3?01sl, (':I'f"ge 99901'
.,'.., .' 11." ,
VALUATION: 239,702,00,' , " "',~, ,S" ' , ' PROCESSED BY: KBT , '
I ' ' , ' ' , " , Ov\(!'iER-BUILDEP;i~!:CLARATrON ", ,"'" ,
I hereby affirm under penalty of perjury ti1::lt I ame~ernpt frotn.tbl3 C0l1tractr.lt.Licens~L3wfo'r"the'following;.r~sbn (Sec'.7031.S Bus,iness ~nd
'PrOf~sions, Code: any cityor.county w;\lch fe.quires a permi(tobonstruct,:?:'#"r, improve;'~demolish or repair.an'y.structure, pri?r.to i.~s.issuarce,:a:~b-:::~..,.
. -re~y}res the~pp!ic:ant for ~uch permit t~ ~J~ a signed state.ment tHat hets Ji~~c~e!i pursuSln_~ to thE!proyi,si<?ns ,?fthe Contractqr's Li~~nse Law-(fh~p.t~r,~'~..
9hcommenclngwlth SectIon 7000 of DIVISIon 3 of th_~, .Busrne,:ss~nd Profes~j.)(lsCod,e}or tha~ he)s exemp~ therefrom, andtne_~,asls for the-alleged. ", "
exemptio!1. .A.r'lY violation of Section 7031.S.by any ap'pticanffor a permit SU~6cts tti~applica.Qt tq-a dvi! penalty qf not more,thiin fiv~ h\Jl)gr~ doll-q[$. ,..,', .-
($500>::- '" _ "" _ ,_ :'-:' '-, . - ". ' '. , --' . .' -::r~-'-" -, r:... ':,' -' ," ' ." r .., - . .~ "'. :,_>>~'_' .
[J ..'1;_..as 'o,;"'rler of.p~op,~rty,.or my ern~loyee~.with wage~ as tt:leir sO,~.e cor-:~'nsationr.\:,/J!.Ldq}he W?~~, ~.~~ the sfrupture'i$'npt jritel1d~(:t~:~,CJffer~.?J~
'sa1e,,(Sec, :.':044, Suarness and ProfesSJOn3Coi:le: The Contractor's Llcense---:I~'W does.not.applyto an owner of pr9P~ who builds orJmproves
"there ,sj"ld who does such wo~k himseif or herself or throu9h his or 'her o~;t\employees', proyidect 'that such i'1lprovements are pot 'intfmd'ed'Qr'
offe ,d for sale. 1(, howe~er, the buLldirif; or improvement IS sold_ with one y",~r of oomRletion, the oWfler-builder Will have th~ bI,Jfdeo of,proving that he~ ..
dl ot build or improve for the purpose ot sale),... '_-)~" ',""'" ' "';;1 '" ;" ,_
.' . ,I, as the c,Wner of the property, am exduslvely contrdctmg with liCenSeij~il1ractors to construct the project (See. 7044 Business ana P[ofessions ~
.Cod.e:- Theyontractg(s L19€nse La,,^, does. not .Jpply to an,O'Nner 01 prCrp_e~!&.~o bl,l.rlq~~or improve~ ther~~r'l' and.wh.o CQo~racts.for.!5~~ pr~.i.el?ts_ w~h ~
Lj~rltra:c;t.?~\:'>) nccnsed~pur~ua.ntto tile Co~tractor's Uce~Sl9 La",,). .9:>;:,-':: "-:;_'~: " ':";\~~c.;< .:"';!-,,-\"-:_ ._, ' - ',\,_: ",;' "'~:;.i:.:<"" ::'j": . ?:~~:"_";;,...
~~te: am ~mPt.U!ld~r;:)e~wner: ", 'f, P,C..f r hls'~e::lsort: "__;~~: . ,,'. .r...... ',-,' "" ", .' - . ..' - . .,~-"''''
WORKER'S COMPENSATION DECLARATION 'f .t;,' i, LICENSED CONTRACTORSDECLAAATION
f~Em~9Y;fafflrmunder pe't1a~o/'of perjuiy one o!,the following declaration'5: .>f, "-':: <"';:,:;k " I hereby-affirrQ -und~rPElnal,ty of perjlJrytt.lat I am'~
D. I h'8\'e and win niaint~in a certific,ate~9Lcohsentt(J,.self~insure for worke:,f;;~9_ompEH1~atiol1~ ,'_Iicens~aunde'r:'pr()~sions~f chilpter'"g'(c6mrnerv-;ing .
as. provided for by Section 3700.of the C~bOr Code, for the pf'.rfcrmanee of tr~wo'i1< for whlC;h- '\Witt,,8:ection .,pQP) of' g{VS," 'i~~n, ~,o(the BUSin~~ and'
.this ~rmit is issued. '. '.' '.. ..' '. _1 . ,,' -, ,.professI6~s,C6ge.,<,
o I h1:lveimdwmmaintain worker's compensati.an insurance, as required C1.Section 3700 of'!)/4/2004',- '-':'-'\_
t~,e Labor. Code, for the performance .of-the work for which this permit is Ir-.su?-d. My worker's, '.'" ",~Dr;l.te:." ""-'_,A~,"
Com'pensationinsurance carnerandpoUcy are: .' . . . . ',t .~, --, <. '" ,.,'. ~"~'... . >i'
Carrie. ", " Policy Number. 't' NUMBER EXPIRATION 'DATE
Thi s,actia,; need riot be- comPletedifth~,~imit is for ~rie hund;ed dallars ($1C~'J'~r less._ : TYPE '; ,', ' .'"
~ :'1 :::~rtifythat in t~e p~rforrnance oft~-e worK f~r which. this pE:i-rmit. is._J~~-1;~i!.~'~~H~ot-, -: ,.
employ.any person in any manner so as to .beclJme subject to thewQrkel~('.~'ml1e!1satjon laws._
ofCalifomia, andagree that if I should become, subject to the worker's cGU~_iJ-,,-il.-iatioh '_ '
provisions: ,.of Section 3700 of t~e _Labor Code, "I. shad orthwith c ply w,~th'~tt.'o~c~'J~-:Q,yi~on;.
, Date: ,5/4/2004 , ' , Applicant: ' j"
WARNING: FAILURE TO SECURE WORKER'S COMPENSATIONGOV~.","oGE I&, , ,
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN!!.1;U,$ANDCIVIL
FINES UP TO ON~ HUNO RED 1H OUSANO DOLLARS ($100,000), INAP~:;n]:cjN: TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SEc:r1et[37G5 OF THE
LABOR CODE, INTER~ST AND ATTORNEY'S FEES, ' " '0 ~ ,;,' ;" ' ,,"0'
I, CONSTRUCTIONLENDING AGENCY , ' __1..
I nereby;aff!r,~tjrid~r''penalty .of -perjury. that th~re is a constructior.!,~'nding'Ne'lcyfor the''';''
r:~~~;n;}~J:,;:'~~~n~_~~rk_ ~o ~~~~jch t~,E.~~:~_~~i~~~ed (See. 309~.Civ .C):~_~~
GONTRACTOR'INFORM,\TJON:
(
ARCHITECT/ENGINEER INFORMATION:
,PHILIP Ti\GGART '
5131 AIRPORT DR. '
CO:>;TA MESA, CA 000000000
,:':',
Contractor
.'".,.;...--
;;;""<
,,~''l"
CdnstruClon Types:
VN, "
Occ~pancy Groups:.
R3, U1, , ,
Fire Sprinklered?
Dwe.mnQ Units:
Livina A~eii
Garaae Area _, .
\
NO
1
3,081
1,035
.;,:.....'-". I.~
I certify that I haVe,read.this application 'and state that the above inf~rmat1cln is correct: I
.- 'agree to oomply with C1fl city ordinances and'statelaws relating to bu~ding construction. and'
hereby,authorize representives of this city to enter upon the above mentioned property for
ir:tPurr>>se~ ~L " ,
,'0 'A ' "', Dat,,: 5/4/2004
. "', .' . Signature of Applicant or Agent.. - :
The permit shali expire by limitation and become nullimdvoid if tho building or
work ,has not passed final inspection 365 days from the date of permit issuance. A
new permit is required to, commence, or continue work.
....., ","
,Fees paid far Permit:.'
Totai: 7,268.75
INSPECTION RECORD "
"
INSPECTION ,
DATE', INSPECTOR
7,'emporary Power Pole,' , '"
Plumbing (DrainlWastePipe) ,
Elec;tric!ll Ground Electrode/Ufer . ,
:Set~ackll'ormsrrrenChes (Footings)
,Do not inst!lllsubflooror pour floor slab unt; I the
following ,applicable items' have been signed: "
Plumbing (Water Pipe.Sprinl<ler Valves) ,
Mechilnical (GrQu ndwork) " , "
Electrical (Underground Conduit) , ..;, "
Pre-slab (Compaction/Membrane.Rei nt. 1-_1/ .o~ "'7/., P7. /
Underpinning (F1Cl(lrJoistlGirders) , /\
Do not cover or conceaJ.the work below until the L.,...---
following'applicable items have been signed:' , " I
15t Floor Shear -~
Firesprinkler(Rough) , ,
2nd Floor Shear " 't1'l,1e, /' I. IL~
Roof (Sheathing/Diaphragm/Frame) il. ~
M~onry (ReinfJBond BeamJPre-Grout) ", re ~ J
RoughPlumbing, (Top Out) <((0,"
, Rough'Mechanical , '2JD 'if /J, /
I tcOll!lh ElectrICal ,II)', ') v'l:.?
RouOh Electrical', , ' " , " ~
" Framing, (Olllyafter Plbg.; Elec:. Mectr. and Fire) 'I,~ /~... 7J.,J6/J
InsulatlQn (SoundlEnergy) , , -
Do not tape, or plaster untillhe following applicable
items have been signed: " , ' ," , ' ,
Drywall ,,', ' , 1t(,/...-tI1 ../
Penetrations (Fire Rated) Electrical
Penetrations (Fire Rated) MeChanical ,
Penetralions,(Fire Rated) Plumbing , "
Interior Lath,
Exterior Lath . /pJ" ~ /
, " 'GENERAL ITE S, , d//
Exterior Plaster (BlOWn Coat) y/,. (}1"
T -Bar Electrical /'
T -Bar Mechanical ,- , ,
T -Bar Structural, , ' , ,
Sewer' , , 9-o0.G 1', ,~-.
Water Engineering Backflpw , , ,
" ,1'/..... !':V<......, :
Water Service ., -~<l -0 ir
",' I.
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engineering/Grading Final 765-5126
Fire Dept. Final 765,.4040
Water Engineering 765-52,68
Sub ListlBusines,s Lic,mse765.519 '
Zoning 765-51 ~9
Building Final fLastlnspection. Only
, 'Alter AboveComplete)
PARTiAL iNSPECTI
Buildina InSDections '
Date ' Inspector
(,-I-d
l~.i,o) ,
, /l.-I-d
I~
,NS~a
MechanicallnSDections
, Plumbina Inspections
ElectricallnSDections
/t-;n-",r /)N_ ;::uJ1~o. i{nuI<.oe.~-
fs/LJL~V"-.: ,. ..
,
.
TY.PE OF PERMIT .
R~sidential Addition
CITY
BUILDING DIVISION
, 200 $. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765.4626
"
BUILDING PERMITNO.
'..
BLD2004-D4017
\,/., 'j/
\'~t~t4=X,r:i~V'
)
I
APPLICANT: '. i
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
DAVID LOI ' , ,i KENNETH E AGEE sE3:l40 "
601 S SUNKIST STREET :' 3452 E FOOTHILL 626-432-5850
'ANAHEIM, CA 92806 , 1, PASADEtJA, CA 91107
JOB DESCRIPTIONAdd 34551 lamily room extension and 2nd floor 40051 ITl,!'" "rhedroom exljnsio" .nd 13851 balcqhy
VALUATION: 24,000.00 . PROCESSED BY: MJL
, , " , ,OWNER-BUILDERiDECLARA110N . '. ' '" __J
I hereby affirm underpenalty of perjury tt)at'lamexempt from th~GOhtra~qrf,~icense ~'for ths-follOvving re1'lson (Sec~ 'l031~5 Business and
Professions_Code: anicity or county which requires a permit t9"construct, a!t~~.-)mprov6; demolish or, r.epa ir any structure, prior. to its issuance, also, .
r~qUir~t~e app:licant'for such permit t6 file a signed st~tement th~t he i$ Ii,!:t,~~~ pl;lr'1uant to the p,,-?visions of the. Conha~or's License Law (crya;>te,~: ,'.
9)(conirriencing with S'ec1ion 7000 of Divi$ion 3 of the Business and ProfesJ'~.ns~Cqde)or that he is' exempt therefrom ;3nd.the basis for tli:€' all'3ged._,(",::"
exemption'. Any violation of Section?031.5 bY,aflY applicant f~r 3 permit su~i~.?,is th~apphcant loadv\lpen.alty of not ~~r.~3'than five hundred doll.ars _ ~-:
($500~. .' .,' , .... _,.," ',",;_~i--._ ..:.,,',' :"J:>':..,., .,.'" . ,_ \:' , .
o 1;"<lS'OWnei ofpro:pert'!,'or "1Y,ef!iployees wlth~ wage$.a,,~t~elr ~Ie comJt~p.$,~tIQJl,;"v.':H,r.!;? ,lhe work" 8!ld the ~~tructur~,ls nctiliterldedJH' qffflreqfor.
sale ($ec.1044 Business and ProfeSSi?nsCode:.: The <::~ntra~tor'sLicense~4w_ does p,otapp!y to,anl)l!lrIer of proPf'rty wh-..') bui\t1S<-,J' Improves' ~-
th?reon,' and who.?,oes.such Workf1i~etf qf he:rs~lf orthtqV9h:his>o~ her o~f.::erl~PtOYC~~, pr(wld~d t11at !)uGIUrr.proverrentsqre not!ntef)<1~d ~r
offered for,sa!e"',lf,h9wevci,r, ,t,he building:.oi),jmpro~'erT)entis sold ,With one y~{~t com~letion, the C'v!ner-bl1lldcr ~'1111 havet,he ,burd\1,~,:~.f ~"r9.,,'dngthat he
did,!lot,bUilc1'cri,nlproveforthe'purposeot_~le}._.,~)"':'_"_', ,:,_:,;' '_,,' ,':, _ __"':';<~:_"'"'_:''':'''
[] '-,i,_ast'n'e_,cw<1er o{the pr()~erty,am,~xdusiv,e.1y c~ntfctcling':\Nrth ntense;J ,0nt,.aciors tCCCi1stru~t the prC'jec.T(~ec. 70M, Buo:;rt'1ess erxfR_rofes.~,i.jns
COde:"~h'e'CqiJtractor's Ucenselaw does n'-'t'apply_to'':m o\.~i~er:ot"piopert~ "i'ho ::)l~ilc'-;; OI.lml==reVt::}s therflC)i1, c::r.ct Nho oontra,c:t5 for-zudf:h:)jeciS with. .
~~ntracior(srVcens~.pursuan~ t~th~S_~~tr~~t~~"sUcanse^La,:W)., "', " 'J "- ' . \.. - . ~
U_"!-am exemptunderSec.- '.:.. '~'B& P;oc. for this reas9r.:,~ ____' _______,____ _,--..:,.:-~~....
Oate.', ,.~., . .' 'OWner" ' !. J ;:-
r . ,WORKER'~ COMPENSATION DECLARATION ~[---=--:J 1~.J:i..CENS~~TRACTORS C~CLARA~O'~-3
I hereby affiim under. penalty of$.,oerjury ~me:9f the f,2l1cwing declarations: 11- " I h t'!r'erlY aff:r,71 ..md"').l pe;13 Ity of perju.ry that : aTT'! \
[J I nave and will maintain a certificate 'OJ consent to se!f-lr$ur-3 for workef:: c3r"~;er'lsaf:on ~lcert.~ed tlnCBr pravl;sior s of cI'apter!) (cO!Tlmenchlg
as pro,' vided fO, r bYSectio~j". 3100' of the'"L,'a60r cpde'.,l,or the petfojmanre.~bf t;~,i'l w..:>rk for' wh;t.~') I' \\<lth Se~tl :OOC) ,(,f L vsiu:-; 3 of t'le <'> s;nes3 and
'this permltis'jssued. . '.' -:., \,... . '-. ---.' '. ,';" .' .' P(l'Jfesslon.s-
D,j'hi::lve.and "'Viii maintai_rlworker'S9ofrlpensation insurance, as required ~~~' ~'O:;Gt;611 37qO Of]
,the: :Labo, r C?d~, for the"perfqr~anc,'~,:.of~he wcrk fi?r whicfr'this permit, .is__t~S~'''H~,;{<M,YWO,ike:-'0'..' Di'b~
CompensatlOn'lnsurance carner ano'pollCY are: .. ,.'-'.i:-'.
~;~~:tiQ" ~Od not be completed ilthe pennit is::~:::~~e;~l!ar'f$10;,t~I~S. I ,:~::ER
o i certily' th2t in the p;,rfonnance of the work lorwhic;h ihis p~r~it'~3.si}'K;j,~hait nnt I
employ any person !O a ny. manner so as to become_ subject to ttie WOfk~I~.('~~rr:p~r:3at!on~aws
of California, and agree that if I should beeo .subject to the woTker's-'ccmb'6f~sa:tjon'~: '
provisions of ~ection~}po Of, the Labor C, od ,I shan forthwith COmPiy,;';',~ih,lr~,'i,:f,';P,;,',r,6v,ISiO';S' so~]str"Ci0n, TYJJes.
Date: 11hB/2004 ]'Applicant: ' . .. ... 6.~':~.;~: ~:'-~_ Fire Spdnklered?
WARN ING: FAILURE TO SECURE WORKERS COMPEN$A TION COVE,,-"l.;\o IS' Livlnq Area:
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINALpE~t'::.T!ESA~iO CIVil I Batconv /Deck Area:
FINES UP TO ONE HUNDRED 1HOUSA~D DOLLARS ($100,000 J,INiP,:O,t,',ITI',O, N"I,QTHE I .
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN sEcfrc,';37C€H:1F' THE '
, LABOR CODE, INTEREST AND ATTORNEY'S FEES. ' , fe"" '
I. " '" ,<:ONSTRUCTIO~ LENDING A.GEtl~: ~L"J,.,.:,<, .,. . ,'J' ,
::'::-,r~:::";;:-~~j;";;\ -..:.r~.;;.tA-n;;:h,i -\.;oj. P:O'j-';'f'i-tb)i.~~:,-:.rs-;~, .c;col"'z;:n..::t;~'":';"",:H...J-,;-;,'; q;i-:-''?:''~~':-!":~--''-------~ ~ . , _' '.
. performance of the work for, which this'permit is iSSlled (S'ec.3097 ;Giv.9): ~
Lender's Information:
~,
DATE: 11/18/2004 , ,
JOB ADDRESS: 590$ SUNKIST ST
CENSUS CODE: 434
QUARTER SECTION: 123
LEGAL DESCRIPTI.OJl!:
HEiNS SUB LOT 3 N 72 FT S 472 FT W
Ccnti6.ctor,'
EX~IRATiON DATE
NO
745.
138
..._~, --------
t::
'<
. I certify that I have read this application and state that the above information is correct. I
agree to oomply wi h all city ordinances and state laws relating to building construction, and
.. hereby authorize-r presentiv~s of this city to enter upon ,the above mentioned, property for
inspecti rpo s. .
Date: 11/18/2004
Fees paid for Permit: .
Total: .
1,679.47
Signature of Applicant or Agent
The permit shall expire by limitation and become null and void if th" building or
work has not passed final inspection 365 days from the:date of permit issuance. A
new permit is, required to commenc~ or continue work.
FINAL INSPECTIONS Date . Inspector
. ..
Electrical Final .: . . .
Plumbing Final . . \
.
Mechanical Final -
Gas Test . .' . . -::r/ ('
11/-1.)'':' J I=-'
Engineering/Gracling Final 165-5126 . ,
Fire Dept. Final 7654040 ..' '. . .
,
Water Engineering 765-5268 .
Sub List/Business License 765-519
Zoning 765-5139 . .
Building Final hLast Inspection- Only /~/U -c..
. fter Above Complete)
PARTIAL INSPECTIONS
INSPECTION RECORD
I
INSPECTION
DATE
Temporary Power POle
'Plumbing (Dl3inJWaste Pipe)
Electrical Ground Electrode/Uter
SetbacklFormslTrenches (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 (CompactiontMembrane.R\!Inf.
Underpinning (Floor JOist/Girders) .
Do not-cover or conceal the work below until the
following applicable items. have been signed:
1 st Floor Shear
Rresprinkler (Rough)
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBond BeamlPre-Grout)
Rough Plumbing (Top Out)
Rough Mechanical
Rough. 8Ctric Wall
Rough Electrical. .
Framing" (Only after Plbg., EJec.."Mech. and Fire)
Insulation (SOIlndlEnergy)
Do not tape or plaster until the follOWing applicable
items have been signed: . . .
Drywall . / .R ~ .
PenetratiOns (F/IV Rated) EleCtrical.
Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbing
Interior Lath
Exterior Lath ,
GENERAL ITE S
Exterior Plaster (Brown Coal)
T -Bar Electrical
T -Bar Mechanical
T -Bar Structural
Sewer. ."Ii-
Water Engineering Backflow _
Water Service I..., v - <>.f)
INSPECTOR
....
.
Buildina Inspections
.~
Mechanical Inspections
Plumbina Inspections
Electrical Inspections