600 S. Sunkist St.
TYPE OF PERMIT C I
Blockwall/ Columns TV
DATE: 8/18/2005
JOB ADDRESS: 600 S SUNKIST ST
LEGAL DESCRIPTION: HEINS SUB LOT 3 N 72 FT S 472 FT W
ElM
BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.5153
INSPECTION REQUESTLINE:
(714) 765.4626
CENSUS CODE: 434
QUARTER SECTION: 123
BUILDING PERMIT NO. BLD200S-02S96
APPLICANT: ALBERTO REYES
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
DAVID LOI WESTERN LANDESIGN & IRRIGATION
601 S SUNKIST STREET 13041 PALOMAR ST
ANAHEIM, CA 92806 WESTMINSTER, CA 926830000
BUSINESS PHONE: 714898.8008
JOB DESCRIPTION:Build 222 lineal feet of 6 foot high block wall per city specifications.
VALUATION: 7,000.00
I OWNER.BUILDER DECLARATION
J 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 iile 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 Professiohs 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 subjkts the applicant to a civil penalty of not more than five hundred dollars
($500).
o I, as owner of property, or my employees with wages as their sole compensation, will do the-work, and the structure is notintended or offered for
sale (Sec. 7044 Business and Professions Code: The Contractor's License Lcl.w 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 yea\' of completion, the owner-builder will have the burden of proving that he
did not build or improve for the purpose of sale).
o I, as the owner of the property, am exclusively contracting with licensed CJntractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractor's License Law does not apply to an owner of propertY'A'ho builds or improves thereon, and who contracts for such projects with
a contractor(s) licensed pursuant to the Contractor's License Law).
o 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
~hi permit is issued.
] have and will maintain worker's compensation insurance, as required by Section 3700 of
t Labor Code, for the performance of the work for which this permit is issued. Myworker's
ompensation insurance carrier and policy are: .
Carrier: Policy Number. EXEMPT
PROCESSED BY: MSM
LICENSED CONTRACTORS DECLARATION
I hereby a irm unde penalty of perjury that I am
licensed under provision f chapter 9 (commencing
with Section 7000) of Di 3 of the Business and
Professions e.
I
8/18/2005
Date:
\,
.,
tractor
~h' section need not be completed if the pennit is for one hundred dollars ($100) or less.
; I certify that in the perfonnance of the work for which this permit is issued. I shall not
loy any person in any manner so as to become subject to the worker's compensation laws
f Califomia, and agree that if I should become subject to the worker's compersation
provisions of Section 3700 of the La or Code, I hal ~. comply with tholie provisions.
Date: 8/18/2005 Applicant.
WARNING: FAILURE TO SECUR WORKER 00 ENSATION COVERA3E IS
UNLAWFUL, AND SHALL SUBJE TAN EMP YER TO CRIMINAL PENALIIES AND CIVIL
FINES UPTO ONE HUNDRED OUSAND 0 LLARS ($100,000), IN ADDlllON TO THE
COST OF COMPENSATION, D MAGES AS PROVI DED FOR IN SECTION ,,708 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec. 3097.Civ.C):
Lender's Information:
NUMBER
789179
TYPE
E PIRATION DATE
12/3112006
C27
Construcion Types:
VN, ,
Fire Sprinkfered?
NO
I certify that I have read this application and state that the above information is correct. I
agree to comply wi all city ordinance-.s and stata laws relating to bujldlnC-!:.oP!e.L!~tia..'1.-and
here authorize r sentives of this city to enter upon the above mentioned property for
ion purpose
Date: 8/18/2005
Fees paid for Permit:
Total:
265.52
Si nat of Applicant or Agent
The permit shall xpire by limitation and becorre null and void if the building or
work has not passed final inspection 365 days from the date of permit issuance. A
new Dermit is reauired to commence or continue work.
City of Anaheim
Building Division
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plumbing (DrainlWaste Pipe)
Electrical Ground ElectrodelUfer.. / / 1/1i I j /
SetbacklFormslTrenchesffqdfing~ 7jq/ d!: 17-1 .n.l f,
Do not install sublTlltlror pour f1oel'r slab until the
following applicable items have been signed:
Plumbing (Water Pipe/Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Underground Conduit)
Pre-slab (Compaction/Membrane Reinf.)
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) / j
Masonry (Reinf./Bond Beam/Pre-Grour'f II lu/. <, .l A ,,"'. ,<;;ILl
Rough Plumbing (Top Out) ./ I
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 Backflow
Water Service
FINAL INSPECTIONS DATE INSPECTOR
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 ~ {t. (lop z I(
After Above Complete)
PARTIAL INSPECTIONS
B~din~ InE:ections
~ tv - IW lv'tO Q. / ~ou! oM l....
.)A-.klo~l.:..\
Mechanical Insoections
Plumbing Insoections
Electrical Inspections
PLANNING DEPARTMENl
APpr~OVEO
DATE _WWr..
ZONiNG AC~ '~:'~
BY -Lf... ~h'2 __ U!L:JE)
[\;..:.,1.;;;;)
FLOOD ZONE__.L
R5-/?--
(fG # /..:23
THE ISSUANCE OF THIS PERMIT DOES
NOT APPAOVe: VtOLATION OF ANY OF
THE BUILDING OODES OF THE CITY.
THE HOLDER OP THIS PERMIT
PROCEEDS AT HIS OWN RISK.
AUG 1 8 2005
BUILDING DIVISION OF ANAHEIM
BLD.;>OoS. APPROVED
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TYPE OF PERMIT
Tract Housing
CITY
<;;~:; .~.::+~:~~;;,::
FOJ" ; !,' ~~
t~';~~!,:~~,,~~_ !"N~0 ,~~\:'P_\
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ElM
BUILDING DIVISION
200 S. ANAHEIM HLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765-4626
CENSUS CODE: 101
QUARTER SECTION: 123
~
BUILDING PERMiT NO: _BLD2004-01514
DATE: 514/20M
JOBADDRE8S: 600 S SUNKIST ST
LEGALDESCRIPTION: HEINSSUEi LOT 3 N 72 FT S 472 FT W
APPLICANT: DAVID' LOI
OWNER INFORMATION: '
LOI DAVID
, 3021 TRINI CIRCLE'
_Westmin'ster,CA 926830000 '1'4'
JOB DESCRIPTION: NewSingle Family Dwelling, Plan A, Living 3066sl, G~;"Qe1034s1
. . ," .j.
VALuATION: 231',602.00 . ;<i '
I OWNER.6UILDE&'5ECLARA'nON
I hereby affirm under penalty.of perjury that I am exempt frOll}.:tbe_ Contrac.t~lfS::!..i~ense;J.:awforthe;foIlQvvj[1g_reason(Sec.'7031:5 Business and
~fessions Cod e: any dty, or county which req uires ,8 ,perm it- to ~onstfud, ._~r~i\_ imp~ove, d eme lish' or repa ir' any structure, prior- to its issuance,' also _
requires the-applicant for such permittofile a signed statement that-he is ik;~~hsed pursuant to the provisions C!fAhe Contrai;:to.r's'licens~L..aw (Chap~er :.
9)(co.mmencing w.it~ Section 700.0. b.f Oivision' 3 of the Business a nd Profe::::{Vi\~C,ode),or,that he.i~ exe'mpt therefrom and the basis for-the alleged ,",.~ ,"~'
exemp~ion. AnYVi~latiol') ofSectiqn :03,1.~, by a!1~ a~plicant for ~permirSU!~,c,~ts'the applicant to.a dVilj:>enalty of notmpre. than fi.v~ hundred ~{ollafs-,'::,-.
($500>:' " , ' ' '>\',", ' , , ,"
o ; .';: as ownerof property ,or my employees witt'! wages as their sole c()rrm~ation, will do the work, -aQd the structure is not intended or offered for-
sale' (Sec. 7044:8usines~and ProfeSSi?ns Code: The,Contracto~:s',Licens.~!):.~vt-d()es_riot_applyto an owner of property whq,builds or-improvE'.5 '.:
ther~on.and I/I{hq doessO.Ch work himse,lfor herself or through his or:'-her'o...t;i::~mployees. providedthat suchimp,rovements are notmte':lded or~ '\" .4.
offer for'sal~: if"hoy..'ever, :~t1e ~uildingor Hnprovement is sC)ldWiU~-,O'rg_y.,.I!:CEf~Q)TT\oletion.;th~'-Ow.nefbuiider will have the' burden:.otp(qvil1gthat he:~~'"
.~-.did _ !b:Ulfdonrf1proye fNtlle ,p'urpos~'pf sala), ". ,:;' -"-,: .}-,j_: ,- . -:.~ ,"C" __~..::,-,. ,:_ .; ":_" ;,:
, I,as;~h_e .o.wner:9!trce property, am exdusively con!ractin'g w!th.liGen&~~ jntractor~ tq construct;tt!e project (See. 7044 Business:.and' Pr.ofe~ion$';'
CC~~: ,The'Contractar's' License Law does not apply to, an OWner of prope~t ~~builc;ls,()r'if!1Proves ther~on, and who contracts, for,slJch~rDjects With'c"1-:;'
Montracl,~~~~) !ice~sed pursu~nt to the CO':ltractor's ~icense Law), _ .I. .,;.,'.. '. -.~ .' ", :.-.,,~'"
~,I am xe' .pt.under see,. ~~..] &P,C, for thiS,. reaso, n: ,~. ,~' ':..
-.Qate:' .,Owner:',"...,...~~ JJ.~- .. .-
, . WORKER'S COMPENSATION DECLARATION
I herepy affirm under panalty of p~rjurYbr;e ofthefollowingdeclaratioris: . _'_,_:,' '
o I have and v.;ill maintain a certificate of consent to self-insure forworker.~_~6mpensation,
as provjped for by Se8!On 3700-of the.Labor Code; for the pe,rformance of tfW-~~1< fO.r which
.this permit is issued.' , . . :'J: . ' .'
o I hav,e and will'~ainta-in worker'~ co;"pensation -insuran~e1 ~s reqUired..r!.&,ection 3700 of 5/4/2004
the Labor Code, .for the performance of the work for which this permitj~issur.d~.Jy1yworker's Date:
Compensation in sura nee carrier and policy.are: ' :' ~.. :';.,'
"Carrier:' . Policy Num~er:. l.
This ection need not be completed If the pennit is for one hundred dollars ($1.(l-~'(J.~.rte5:s. .-, TYPE
I certify that in the perfonnance of the work fo~which this pe'rrriit}s-'i"~~!~~~~;ii n~t ,
employ any person in any manner so as-to become s.ubject to the workerS:;(-::)~In~n,sation laws
'Of Califomia,'and.agree that if I should"become subject to thewOrker's'_c~i~.J~h:~.on..,
'proyisions of Se~tiOri 3700 of the La.ber Code, I s all fort 'th cOmp,ly ~i~~~f{'J~f?V_iS~Ons,
Date: '5/4/2004 Applicant: ' ,-I' """. .
WARN ING: FA,ILURE TO SECURE WORK R'S COMPENSATION CQ\lEFt\G€,.IS " .
UN~AWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINA('PE1\ifLTfEs'AND CIVIL
FIN'E S U, P'TOONE HUNDRED ll-IOUSAND DOLLARS' <,$,10 o,OOO'l.:I,N, .-"P\,r~"TI~'T"'O,,,THE
COST OF COMPENSATION, DAMAGES AS PROVIDED fOR IN SECTIER 3cZ06,Of.THE
LABOR COD'E, INTEREST AND ATTORNEY'S FEES. ' ". ,'i ::""
I ' ,.' CONSTRUCTION LENDlNG,AGENCV..;' " '
I hereby affirm under penalty of perjury thatthere is a. coi1struction_lel1d;n~r::~~,:=,hcyfor the
E~~~~~~:~;~iJ~~'~J~.:~O~_I<.,:~:_~_~i_~ this p~rmit'is issued (S~_~3?9?:_~iv,Cl:~.c~.L ._~~ __~
! '
'.1'
CONTRi\cTOR INFORM,iTION:
ARCHITECT/ENGINEER INFORMATION:
PHILIP TAGGART
5131 AIRPORT DR .
COSTA MESA, CA 00000000,0
PROCESSED BY: KBT
I
:L1CENSED CONTRACTORS DECLARATION
"',' -- "I hereby-,affirm'unqer penalty, of perjurY that'! am
'licensee! under, provisjoJiS of chapter, 9 (commencing
with Section 7000) of ,Divsion.3~ of the Business,'and
Professions Code, . '
I;
~;".
.,~.
,-Contra:6tor~' ..~;':'
.-',,,..-'
NUMBER
EXPIRATION DATE'
'.?:."
,.~,'~:".
,",'<;'
Construcion Types:
VN, ,
Occupancy Groups:
R3, U1, , ,
Fire SprinkJered?
Owellinq Units::
Uvinq Area:
GaraQe Area
'NO
1
3,068
1,034
.--..;-.
-------~-~~',''--''~_~__-.,--._.;'__'''-__:'"C~:~
I certify that 1 have re_ad this application' and state that the above information is'car-rect. I
agree.to comply with all city ordinances and State laws relating to building c01Struction, and
hereby authorize representives of thIS city to enter upon the above mentioned property for
inspection PU~s. ~
j-./ I J _ Dak 5/4/2004
I Signature f APplicant or Agent
The permit shall expire by limitation and become null and void if tl1', building Or
work has not passed final inspection 365 days from the date of permit issuance, A
JleW permit is required to commel)Ce ,or continue work.
u
Fees paid'for Permit:
Total:
6,562,52,
, INSPECTION RECORD
. ,
, INSPECTION, DATE INSPECTOR
Temporary Power Pole " '
Plumbi ng (DrainlWaste Pipe) ~I
Electrical Ground ElectrodelUfer~ , :-,
" SetbacklFC)rmslTrenches (Footings) ,
,Do, n,ot install sub,floor or pour floor ,slab until the
following applicable Items have been signed: '
Plumbing (Water Pipe.Sprinkler Valves)
Mechanica! (Grourldwork) ,
.' Electrical (Underground Conduit) _ I I
.' PIe-slab (Compaction/Membrane.Rei nt. :l.{-oi ur,-n;:-:- ,
. Un!ifirpinning (Floor .foiSt/Girders) " 7 cC]' -I,'
Donot <:over or conce-..I the work below until. the '~' I
fOllowing applicable items have been signed:
, 1 st Floor Shear '.' . /1 '--" LA ,~ ,.
Flresprinkler (Rough).' - " , / , '-
. 2nd Floor Shear . , -:- . ... /';_1 ~r VI,/l,,1
RoofIShealhing/OiaphragmlFrame) '-I' '/""
,. ,Masonry (ReilltJBond BeamlPre-Grout) . ~' "I
Rough Plumbirig"""(TopOut} , ,7"
'.' Rough Mechanical .... ' A .', "
.' rROugl1Erectrl~nr . ., :rc.."C
:, Rough Electrical . , " , ,
Framing. (Only afterPlbgiElecMech and Fire) v;;.J7llS'~f7
Insulalloll (SoundlEnergy)' 'iJ!f{-O\ ' ,{H-.:. " ,~j.l.
',' po not tape or pla~ter',until the following applicable' ..... -, 7 --
Items,'have been signed:', . . .. __.
Drjwall ,-:-' , , ,!2-1-or = .-:!V:7
Penetratioll5'(FireRated) Electrical . T
Penetrations (Fire Rated) Mechanical, ' ,
Penetrations (Fire Rated}Plumbing
Interior Lath . " . .
Exterior Lath, " .;'llIln~ j;[llilbJ
-:- -:- GENERAL ITEM!; . 11/ .
EXterior Plaster (Brown Coat) " .4 ,1>1' _ ~ L.J.",
T .Bar Electrical . ". ' /
T -Bar Mechanical ' '. , '.
T .Bar Structural '. .' . ' ;,/j
Sewer '-:- . , - ~ "
Water Engineering Backflow . ' ..' , '.", '///,
Water Service ' . 1q_21'".:o.. ~ "
--
FINAL INSPECTIONS,
Electrical Final
Plumbir,g Final
Mechallical Final
Gas Test'
Engil1eering/Gradir,g Final 765-5126 ,,(.' ""
Fire Dept. Final 765-4040 II
Water Engineering 765-5268 , t4'.. /1lh<... "
Sub List/Business License 765-519 (],.(,.O ,$SI'l...'
Zoning 765.5139 {/..-5-0 A. VA-SQi/
Building Fi;'all~ast Inspection. Only 'I': 1 :.r' "-/'~.'
, .', After Above Completel' ..' 'vr:'II->4
PARTIAL INSPECTIONS .
Buildina InSDections
~
~
In~pector
MechanicallnsDections
Plumbina InsDections ,
ElectricallnsDections . _'.. . , .'
1I.'Q,b..,<;'" eL~r.FfI"~ ole 5Mb/c.' f>.k-kr,
CF':I: 11,.:1- op /....J<. J =/~/"""" (~~
P-J.(/~ J Arc..- .(?.....ff at&- d& .....
;;,.
'~
BUltDING PERMIT NO. BLD2004-04016
~PE OF PERMIT
Residential Addition C,ITY
DATE: 11/18/2004
JOB ADDRESS: 600 S SUNKIST ST
~:~-f~j:?,,>
L~?i~'ft".--~~~~ ~
r~><:.<;'t)>-'-,;':'[is:.<'~';.\ .
/;.' ."'. .l.',-'}.''''''l''','.
I';! 'S~~HEIM
\ '. {)ff/;?f,l'
\:, .',!>-. .'.,
. "~f!};.t!.~.);:/
BUILDING DIVISION
200 S. ANAHEIM BLVD,
(714) 765- 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 123
.
LEGAL DESCRIPTION: HEINS SUB LOT 3 N 72 FT S 472 FT W
APPLICANT:
OWNER INFORMATION: CONTRACTOR INFORMATION: ARCHITECT/ENGINEER INFORMATION:
DAVID, LOI KENNETH E AGEE SE3340
601 S SUNKIST STREET 3452 E FOOTHILL 626-432-5850
ANAHEIM. CA 92806 ,,,', PASADENA, CA 91107
JOB DESCRIPTIONAdd 330sf family room extension, 340sf 2nd floor master~edroQm extension and 138sf balcony
VALUATION:
24,000.00,
!j
PROCESSED BY: MJL
J
OWNER-BUILDER DE CLARA TION
I, hereby affirm under penalty of. perjury that I am:exemptfromthe eOl) _ra-Gt?:~:S~:License law for the follcl,ving reason (Sec; 7031.5 Business and
.Professions Code: any citY or county which ~~Uires a permit to construct;?~r.:jmprove, demolish or repair any structure,. prior to it'S.issuance, also
requires the applicant for such permit to_file a'signed statement that he is liGijl1~d pursuant to the pruvisions of the, Contractor's License Law(Chao1er"
9)(commencing with Section 7000 of Division',3'of the Business'and profei$$;i?:~Codel orthat he is e~~mpt therefrom aqd the basis for the alleged
exemption., Any vidlatlon of Section 7031.5 by any applicant for a permit sl,itf~cts the applicant to a civil pellaltyof not more than five hundred dollars
($500). .' ,.,.i.,.' ,
D I; <.CIS owner-of property, or my employees w~h wages a_lS their 'Sclecimr!ens~t_ien; w,ilI do' the \"{('Jki_ and .the structure)s not intended or, <?tre::ed for
sale (Sec. 7044,Business and Professions Code: The Contractor~s' ~jceri~~U~:~ does not 'apply to an'owner of propertyY'{t,o builds or impr;6ves';""" ,
thereon,and whoqoes such work himself or hersel~or throughnlsor,her o~R~employees, provided th!'it su:,;h improvements are not intenq-~d or.
. offered for sa'le, If, however, the buildin'g'ori~proveme;,tissold ~ith'one_)(~~.ro{com~letioni'the::~wner-b~.l.ilder will have th~ burden of l?t~ving that he'
.did not build orimprov.efor the purpose,of sale). . _, _' :it.-', . _ -.. ,:i"'<",
OI,'as,theo1Nn_~r o'fthe property, amexdusively contracting w,ithlicenS~i!~,::ontrac:ll)rs to construct the, project (Sec.. 7044 BUs.iness an~'PiofE:_SsiOni-
Code: T, h'e (;on,trac'tor's License Law'does not apply to'an 0, wner.of propertJ:,"~'F','-_, ho buiids'ur irn,p_i:'oves thereon, and who contracts for !~';'UchprOj,ectswifh
Fl-!(ontractor(s) I.icehsed pursua~t to the Cont~actor'sUcenseLaw).- ,i:i~;' ...,.... . "";::t. ' .
U :J am exe@ptunderSec. '." B.& P .C. for this reason: ~~__. '.' . _,,',_,
Date: . "OWner: ~,,-.
I' WORKER'S COMPENSATION DECL"'-RATION'('-.
I hereby a.ffirm under p~nalty o~JJeri~ry ~n'e Of-~he following declarations: .' . P
D 'I have-and will maintain '8 certificate of consent to self.insure for workeris compcnsaticn,
as provided for by Section 3700' of the labor Code, for the performance,,(-)l::~e work 10; ~h'ich
this permit is issued. " !
o .! have and win maintain worke(s .compensation in~urane.!3:, as fFJquire~_t.>~__Se(.tion 3100 of
; the.L-abor Code, for the;'performance of the work for Which1.his permit is i$li':/;j~~' My worker's
Compensation-insurance carrier and policy are: .:: ,~_,
Carrier: '- '. , ,Policy Number.
L:CENSED CONTRACTORS DECLARATION! '
I hereby. affirm under penalty of perjl!,rx that: am '
li.;ensed under pruviskms of chapter 9 (comrr:eilc!:;g'
with S.ection 7000) of Divsion 3 of the Business and
'Prorc::;sic;ns. Code.
11/18/2004
Date: '
Contractor
NUMBER
EXPIRATiON DATE
~, ~ I ~:;'__,_ '
ThissectionneednotbecomPletedif~epennitisfor,one..hu~dreddOllars~(~~()'~:!~::" I T~PE '<, " '
D I ?ertifylh;at in the pertofT!1ance of the work for which this permit rs'!~B-~:d~~haU not I
employ any person in ~ny manner so as to become subject to the worke)~:fQ!imetlsatton laws .
of California, and agree that if I should beee subject to theworker'$:-.c~,.~r<i)!tiol1 '
provisions of Section 3700 ofthe~La od' . I shall forthwith comply :~s~proVisions, eo~~tr~cion Tvpes:
Date: -11/18/2004 Applica.. , ,- >-:.;.,~ :~"_ ' Fire Sprinklered?
WARNING: FAILURE TO SECIJ E WORKER'S COMPENSATION CO\iiH<\G!" IS, LlvinQ Area:
UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEt*,,,i'I,,S- AND CIVIL 8alc~nv / Deck Area:
FINES UPTO ONE HUNDRED THOUSANDDOLLARS ($100,000),Jt;l'~GIT10N 10 THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SOCTfd'l 270S'OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. :.>, ,; , \
.J, . ,CONSTRUCTION LENDING AGEN,CY ",,, __\_~,.
"~ ~:;~f:by :::;t~1::":j ,~r:;d~.- ~~nci;:Y .::.f-p-bijU;Y ti;atU,-ef~ -le; a COI1~u-u':.~;(;nj;en:.~jr:.g ,;!~;enc~-'''or;ti1e ,.,l":- -.-;,
performance 'of the work for which this permit is issued (Sec. 3097 .Civ.C:): '
Lender's Information:
NO
670
138
-". j' ...!.
, ~.;'-~~'~-t:
i certify that I have read 'this appiication and state that the above information is correct I
agree to comply with all city ordinances and state laws relating to bu Uding construction, and
herebyauthoriZ repreSentive f this city to enter upon_the above' mentioned' property for
inspe on p r s. ,
Fees paid for Perm,it:
Total:
1.554.57.
Date: 11/18/2004
Signature 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 365 days from the date of permit issuance. A
new permit is required to commence or continue work.
.;
'..-
INSPECTION RECORD
INSPECTION DATE INSPECTOR
Temporary Power Pole
Plum,bing (DrainIWaste Pipe) ,
EleCtrical Ground Electrode/lifer
SelbacklFormsfTrenches (Footings)
Do not install subfloor or pour floor slab until the
following applicable ilems have been signed: ' , '
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (Groundwork)
Electrical (Undlerground Conduit)
Pre-slab (Compaction/Membrane.Reinf. ,
Undlerpinning' (Floor Joist/Girders) , ,
Do not cover 'or conceal the work below until the
following applicable items have been signed: "
1st Floor Shear oM#" ,wnl
Firesprinkler (Rough)
2nd Floor Shear /1/lJ 2 1l/7
Roof (ShelllhingJDiaphragmlFrame) ..,t'r -
Masonry (ReinfJBond BeamlPre-Grout) 'v 7.'
RoUgh Plumbing (Top Out) A.f<.<(or .T ~ <-
Rough Mechanical ~
Rough 8ectrlcal(LJrY wall) ,
Rough Electrical "
Framing (On~afterPlbg"Elec"Mech, andF"el 4/U1/O",,_ '
Insulation (SoundlEnergy) iI-fl-o<;- ~f.." .,.
Do not tape or plaster until the following applicable I
items have been signed: . . . ' ,
Drywall if.nA\ _~j,h
Penetrations (Fire Rated) Electrical /
Penetrations (Fire Rated) Mechanical ' '
Penetrations (Fi,re Rated) Plumbing
Interior Lath ,
Exterior Lath "'f/II/n.. ,
GENERAL ITE VIS II ,
Exterior, Plaster (Brown Coat) , ': (.,/
, T .Bar Electrical' , , , /
T .Bar Mechanical ,
T-Bar Structural " " '
Sewer
Wai!" Engineering Backflow
Water Service
, Date
.
Inspector.
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mechanical Final
Gas Test
Engi~ringJGrading Final 765~126
Fire D"pt. Fin'al 765-4040
Water Engineering 765-5268
Sub List/Business License 765-519
Zoning 765-5139
Building Final (Last Inspection. Only /.,i.,.. . A"- J _ t'" "
, Mer Above Complete) I- I v r. l./I,ZJo I,
PARTiAl INSPECTIONS
Buildina Inspections
0\
~.
Mechanical Inspections
Plumbina Inspections
Electrical Inspections