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SEE BUILDING PERMIT FOR
ANY CGt-lOlTIONS
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THE ISSUANCE OF THIS PERMIT DOES
NOT APPROVE VIOl.ATION OF ANY OF
THE BUILDING CODES OF THE OITY.
THe: HOI..OER OF' THIS PERM I"!'
PROCEEOS AT HIS OWN RISK.
FEB 1 4 2005
BUILDING DIVISION OF ANAHEIM
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, .
TYPE OF PERMIT C
ResidentialAddilion . IT.Y
DATE: 3/212004
JOB ADDRESS: 646 S STONY PL
_.......--~~_.,.
BUILDINGDIVISICN
200 S. ANAHEIM BLVD.
(714)765- 5153
INSPECTiON REQUEST LINE:
(714) 765- 4626
. CENSUS CODE: 434
QUARTER SECTION: 6 .
=>UiLDiNG PeRMIT NO. BlD2004-00224
lEGAL DESCRIPTION: N TR 1646 LOT 14
"1
,
APPLICANT: FRANCISCOSOTO i
'OWNER INFORMATION: CONTRACTOR INFoRMA'nmt ARCHITECT/ENGINEER INFORMATION:
FRANCISCOSOTO I. YESHEN JCHEN
646S Stony PI. . . ~ . 623 CAROLlE LN .. . ..
ANAHEIM,CA 928040000. I WALNUT,CA 91789
JOB DESCR.IPTIONi\dd 495sflo exist. SFD (bedroom;.bath,laundry, dinning/,oOm) also includes tear. off and reroof existg house and garage.
VAlUATION: 37,063.00 ... . J . . PROCESSED BY:TCJ .
I OWNER-BUllOERbecLARATION
I hereby affirm under penalty of perjury that I am exerwt from the Conttacto(\;,Licc;ose Law for the following reason {Sec. 7031.5 Business and
. Professions Code: 8!lY city: or'countywhich requires:'a,permit.to c'onstruCt. u;~~~;. improve, demolish or repair an"y,$tructure, priorta its issuanc~, also
rp.quiresthe applicantforstich permi.t to file a signed stat~ment that he IS !iC~V.se., d pursuant to the pro"visions of the Contf.aaar's Licens.elaw(Chapteir
9)(commencing with Sectio:l7000 of Division 3 of the BusineSs and ?rofess'~fs Code) ar that he is exempt"therefram and the basi.s for the alle'ged ,
7~~~:icn.. ~y v~lat~n",Of,sec1ian 7031.~, by a~y a,~Plicar.t for a jJel.~t $t;.f:r~:.Ct.O::,tf;e.?p~icant-to a d,~U pen~It~_of. nOt more than ~V? hun~reddollars
. 0 ',1, .:as owner of property! ,or my employees with' ~'a~es'as their sole ccm~tnsation, wi.li do the work, and the structure is not in~ended 6'(, ~ffered for
sale (Sec,7044 Business.and Professian3'Code: Ttle Contractor's Litens';- ~;;,wdne3 not applyta an Owner of property who builds or improves
thereon, and who does's:uc::t"rworkhii:1::'elf or herselfodhrough hfsor her olf.4employees, provided tnat such improvements are nat intended or
',offered for sa..le. .If, l1o. wever,.the_OOildil1.9 or irnprc<;e [n.ent is. sold with one ye;..iL..'rOf oompletian, the owns. r-.bU lIder willh.a.ve the burden. ..of pro. Vin9.' that he
did f1()tbuildor'il11prave.fo(the purpaseofsale).- ,.' : '. -', '
n I, as.-!he ow. ner of the prppert}t, a. meXdIJ.sivzlycontraF!ng -.\h;th IiceC';-;:;eJ :.' ntre.ctors to. ,construct the project.(see. 7044 BUSineSs. and Professior'l~ ,
~?de: . IE: c.ontractor1s License, Law-does t--aR. _ ta ar".,owner of prcpe;:y,'~/~o builds or impro~c; thereon, and who oontracts for sud'lprojects with
~,~' ractcr(s) licensed pursuant to the Cant .cen' Law)...' : i . ' , ,
.' 'lamext:!mpt."underSec, . , ' ,,8 ~,this OQ.; _--';'.':!__ ' .' ,,'. .
Dute: tJ3 -oz - ~<.f Owner: ~ '___ _ .. __,\
r: ..' . WORKER'S ci)MPENS~,tDEC~RATION . L__--.-J UC~i~SEl! CONTRACTORS DeCLARATIO~
I h~reby affirm underp~na[ty ofperiuryone of the followir.g declar~tior.;:,: ' J; I hereby affirm under. penalty .of perjurl tha( I am. .
[J ' I'ha~e and Wili'maint~in' a certiflC~te ofronoont to ~IHnslJretor wor~~i-'f;ccmpensation, licensed under provisicinsof Chapter 9 (commencing
as provided for by Section 3700 of the Labor-Code, for the pertorrmmce 'Jf~;~::; wcrl< for which' with Section 7000) of. Divsion 3 of the Business and
this Permit is issued., . :1. ' 'Professions COde.
D - I have and will'maintain worker's 'compensation insurance, as l-equir.=d ot, Section 3700 of 3/212004
thE' Labor Code, for the performance of the work. for which this 'permit ;~ is."l:").. 'Mywo/ker's Date:
Compensation 'insld.ance carrier and poliCy' are: ,.
Carrier: ' . Poli~ Nt! moe.r. '
;
. .
This ~tion need not be Completed lIthe pennit is for one hundred doll ($19f)> ~r loos.
'(S?'I certify ,that in the perfonnance' of th~ work for w~ich this perm. is' issu~b, IshaU .not
, employ any person inany .~nnerso as to be~~ subject to w r's'h~'mpensation laws
ofCalifomia, and agree, that if I should become su~ ~., 'yO !p<~;lsation
provisions of Section 3700 of the labor Code, I shall fo 0 t. f11hbse provisions,
}
Contractor
NUMBER
EXPIRATION DATE
TYPE
.Date: 3/2/2004 Applicant:
WARNING: FAILURE TO SECURE WORKER'S COMPE OVE!?\GE IS
UNLAWFUL,AND StiALL SUBJECT AN EMpLOYER TO CRIMINAL PENA,:'nEs AND CiVil
FINES UPTO ONE HUNDRED THOUSAND DOLLARS ($100;000), JNAD~T10N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE
lABOR COD E, INTEREST AND ATTORNEY'S FEES.
L__ CONSTRUCTION lENDING AGENCY. ..,
J h~r~b,!,8ffirm unde'( _~natty af pe(hj!Yt.~~~ t~r~)!? a cbns,!Q.l.c~l9r_legO: !!1.~ ';ls~ncy far the .
performa.-i::e of1he work for whim this permlt"is Issued (Sec.309r-Cly'~Cj-' ~'-::
Lender's Information: .' '...
Construciort Types:
VN, ,
Occupancy Group.s:
R3. . . ,
Fire Sprlnklered?
DweJlinQ Units:
livinQ Area:
NO.
1
495
~ .....;~;ljiy. ii ii::ll. i ilcO"Ic;. !ei..i U;i.::i OV';:~UVI" Ol.J :)~;'l.c. li ,1", i.i-..-l.i ~uv.,;..:. ;ii:~': I-,...=a~""-'~'~il:~';'i.,
""~ -,
Oak 3/2/2004
Fees paid for Pennit:
. Total:
754.82
Signature of. ,~pplicant 0 Agent
The permit shall expire Iiniilaf. 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 req!lired to commence or continue work.
INSPECTION RECORD
, I " " INSPECTION '
" Templlrary Pllwer Pllle
Plumbi ng(DrainlWaste ,Pipe)
Electrical ,Grllund Electl'Cld9/Ufer' ~' " \ ,"-_t
Sl!lbackll'ormsfTrenches (Footings) ,
Dl> not installsubfloor llr pour flollr slab nti~the
following applicable items have been signed:" ,
Plumbing (Water Pipe.Sprinkler Valves)
Mechanical (GrllUndwork) , "
Electrical (Underground Conduit)
Pre-slab (CornpactionlMembrane.Refnf. '
UnderPinning (Floor Joist/Girders) "
Dl> not <;over or <;oncealthe work belOW unt"the
following applicable items have been signed: '
1st Flllor Shear' '11)": ./
Firesprinkler (Rough) " I I,
2nd ,F\oor Shear ' '
RoofTSheathlng/Diaphragrn'Frallle) h Ilf. '011, "\
Masonry (ReinfJBond BeallJlPrlH3rout) , , " '
Rough Plumbing (Top Out) cc-
Rough Mechanical
"ROught:rectrical IDrv wallr
RllUiihElectrical -
Framing, (Only aftefPlbg...Elec.. r..r1ech. and Fire)
Insulation (SoundlEnergy)* lIP
Do not tape Or plaster until the follllwing
itemshave beer:'l signed:' _ "
Drywall ' " ' ,
Penetrations (Fire Rated) Electrical,
Penetrations (Fire Rated) Mechanl,cal
Penetrations (Fire Rated) Plumbing
Interior Lath , ' ~
ExterlorLath ,',' Ilnl ~~.
", ' , GENERAL ITEMS " "
Exterior Plaster (Brown Coat)
T -Bar Electrical' ,
T .Bar Mechanical,
T .Bar Structural "
Sewer -
Water Engineering Backflow
Water Setvice
, ,,-
DATE JNSPECTO~
.T,
'J~ ..1
,
,
'. r-
,
I
~ 'I
5~
till:"1' . I
PP1i~able I
r
cc-
,
FINAL INSPECTIONS' Date Insp r
Electrical Final 2.clf-t)5,
Plumbing Final U<;;-()r
Mechanical Final 1q-6~
Gas'T est
Engineering/Grading Fiool.765-5126
Fire D"pt. Final 765-4040
Water Engineering 765~5268 .
Zoning 765-5139
Building Final ~astlnsp.ction' Only ~lzIo!, ~
fte, Above Complete)
PARTIAL INSPECTIONS
., Buildina Inspections
,
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lh6c ~ ',f.J, -0 . 0/( o~ ~'
MechanicallnsDections
Plumbina Inspections,
I
Electrical Inspections ,
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