2790 W. Stonybrook Dr.
. APPLICANT: URI EL SOTO
OWNER INFORMATION:
URI EL SOTO
2790 W Stcmybrook Dr
ANAHEIM, CA 92804 0000 '. ,~
JOB DESCRJPTIONRoom Addition. 2-stmy additon. <\ .
VALUATION: . 7!,472.00 , j PROCESSED BY: ODC
I .' . '. ...... '. . '. . . OWNER.BUILDE~lPE';LARATION. . .
1.i1ere:by affirl"(l u~erpepalty of perjury, that lam exempt from,the. Contractol!~.Licer.se L3vl for the .follow~f.l9 reason (Sec. 70~1.5 Business _a~d
ProfessJqns.Code~any city _orcountywhictl requires a perll1it to construct, e'~1~f,',impr6ve, demolish or T_spalr any structure, priOr to its.i~uanCl;:;'alSb '
requires the appuGa_nt for ~Uch permlttc:> ~I~ a si9nedstate~e;;t that ne i~ i~.::';C.:;'~d pursu,ant to the'provisiOl,'\softhe.-Contr~q:~r's Li~_ense Law '(~hap~er
f~~;~enCI .rYf. v~~~;t~; J~c~~~.f7~;';~;~y3 :~:~~~~.~~~~~r~n~:;~;":.~~:'~.~~t;~e~~;I:~~t;l: ~. ~~:~t.a.h. :y~fr~~t~. ~r~\~..h~~~:Oh.ru~~r.:~.I~~.~.r.s.,... ......
I. flS owner oiproperty, or my employees with wages as their sole c~m:'':.'r\Sation, wiU do the work; and thestructurei~ not intended orofferedJor,::','.
sale (Se9'.1044: 8~sincss a rid Professions Code: The Contract~r'::>,i ;.G€r~:;~:, awdoes not apply to' all owner of prope~,,~ho'buiid~'or in1proves, """:.<,>:/'~'.' .
iloe'recn; a~q who9oes,such'~ork. hhrse.lf or helSelfor through his ,or, her \)\':111 ~mpJoY,ees,,,royided that~~Qh improveme!lts are not inlepded.,or:\,,,.,:~~;,,~;(\::~.;:,:~'
offered for sale.' If, hcwever, in!;) bUilding or improvement is seld with C'1i~.: :'fr of completion, the owner-builder will have the bllrdenof proving t""~~,t he:.' (~
did not bUild or improve f9r~the purpose of sate). - >, . .~ .~.1;.~,/ ,
o J, as the owner of the prop.ertY, ~m ex~usively contracting with Fcer3.;: t .:Ql'ltractors to qo!'Str~ct th~ project {Sec. 7044 Dt}siness and Profes::;iOns~, .- _,
Code: The Co.ntractor's license LaWldoes not apply t an owne:- of prcpcrt~s.:'o builds or improl/es thereqn, C,1'k! whQ COlltracte for such ~ojects w~W::-
.fL!iontractor(s) licensed pursuant to fne COI'1~ractor's . t!). if ' ;. .' _ . ": -IL f~ .
~. am 'e der$ec. '. B . r. de"'; { . , t ,,' i
- ;;ate' . WO~;;'~ C~P~NSA ON DECL"'R'~TIO;--~..,l--- LICENSED CONTRACTORS DE~LARATlc.~" 'i"
- ._~
l'herebY,affirm under pel'1atty .of perjury one o.f the following declar.:;?cns: ': " . I hereby. ~ffirm .undt:r pe~a.lty of perNry that ~
Cl I have and. wilt l1'1?intain'a certifICate of bon sent to self-insOf(? for work~i.,;".~cmpen~ation, licensed underprovis;ons of chapter 9 (cqlTlmer.cing .
as prOVided. for,by Sed~n 3,700 .of the Labor .Cod.e, fo~.tha perforil'i3n:::e of ~:ie. work for v:h:c;h . with.S~tion 700~},of Di~io~ 3 ofttle Business~nd
this permit is issued. . . .. .. .., .l. ~~. . . ProfessIons Code.
D I have a nd will maintainworker's compensation. insurance, as ;':-'(~liin=u ::"f' Sa.cbon 3700 of 2/5/2004
. .the L~bor Code. for the performance of the work for which ttlis Permit ~s is~t- ~.c!. My worker's . Date:
Compensation insurance .carrier and poifcy are: .' ~) .
. Carrier: ..... PoliCY Number. ,."-,t
This section need not be completed if the permit is for one hundred do:Jars ~;,'";~ ~ or 1!S's.
o I certify that in the pe,rfollT1ance of the work f()T.Which this pa~rn!t is i$St149,j,shali ,n~t ,:.
:employ any person in any manner so as to becomesubje' 0 t ~ orke(i~~'?fJ:'l?ellSation~laws
of Califomia, al1d agree that if I should become subject f:;'!. ,er.scv;....i.ii:1S:o..W:)n
provisions ofSectiona799 of the Labor Co, to ply ~ir~};?~;prOVi3ions.
~.," .'.
Date: 2/5/2004, i\pplicant: }Jf.
WARNING: FAILURE: TO SECURE WORKER'S C MPENSATION cov:;;:>riGf::1S
UNLAWFUL,AND Sr~ALLSUBJECT AN EMPLOYER TO CRIMINAL PENl:,-"ES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN Pl)(:!TiON TO THE
. COST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTJO( 3706'OFTHE"
LABOR COD E, INTEREST AND ATTORNEY'S FEES. .... f c<
I CONSTRUCTION I:.ENDING AGENCY . _
I hereby affirm under perialty of perjury' that there is a construction.'e:ndih~.~)ehvyf(j; t~e
_r~~f~~~:!.~~~e.~a~~~ar Whi~~~~~_~:~:,.: !.~ iSSli~,d !.se:}097'.~:.jv'.~)~;~tL ~~<;,:.!.~~} ,_~. _
-./"
lOUll.D1NG PERMiT NO. .. BLD2003-04260
TYPE OF PERMIT
ResidentialAddition . CITY
DATE: 2/512004
JOB ADDRESS: 2790 W STONYBROOK DR
LEGAL. DESCRIP,ION: N TR 2876 LOT 1
I
. . .~
CONTRACTOR INFoRMlmoN:
l-:"
. BU!Lr>!NG DIVISION
200 S. ANAHE!M 8L YD.
(714)765 - 5153
INSPECTION REQUESTLINE:
(714) 765 - 4626
CENSUS CODE:. 434
QUARTER SECTION: 21
ARCHITECT/ENGINEER INfORMATION:
IGNACIO G OCHOA
. 76.92 QUEBEC DR!VE
HUNTINGTON BEACH, CA 00000 0000
NUMBER
'.TYPE
Construcion.Types:
VN"
Fire Sprinklered?
DwellinQ Units:
lMnq Area: .
I certify that I have readthisapplica~on aOd 5
agree to CXlmply with all cltyordi ces a
hereby authorize repre e is d
. iri~.~ ect..iO ionn. ppuu~rposes.
I~ Date: 2/5/2004
. . Signature of Applicant or. Agent .
. The permit shall expire by limitation imd become null and void if thi! building or .
work has nOt passed final inspection 365 days from the date of perlnit issuance, A
new permit is required to commence or cpntinue work.
ethat the abCNe informaticn is correct. ,
te laws relating to b':IDding C{]fl$truction, and
nter upon the abbve mentioned property for
I
Contractor"
E)(PIRATlON DATE
.NO
1
1,062
2,223,42
Fees paid for: Permit:
Total:
. lIilSPECTION RECORD
.
r INSPEc.TION
Temporary Power Pole.
Plumbing (DrainlWaste Pipe) '.
Electrical Ground Electrode/Uter . ? I h ~ ,,-
SelbacklFormSfTrenches(Footings)..) , - r TV V
Do n.otinstall subfloor or pour floor slab until the . .
following applicable items have been signed:
Plumbing (Water Pipe;Spril1kler Valves)
Mechanical (Groulldwork) . .
Electrical (Underground Conduit) . . .
Pre,slab(Comp~tionlMembrane..Reinf.lf?<:?d'~ ~. ~
Underpinning (Floor Joist/Girders) .'j. .'.Y
Do not cover or conceal thework below until the r
following applicable items have been signed' .
1st Floor Shear I~ ,-
. FiresprinkJer(Rough). '
2nd Floor Shear ....... . 1-13-<>1-
Roof (Sheathing/Diaphragm/Frame)' . 7-/5-04
Masonry (ReinfJBond BeamlPre-Grout)
Rough Plumbing (Top Out) .
. ,Rough Mechanical
HOugh t:IectricallLJI'Y Wall)
Rough Electrical '.
Framing (Only aher Plbg" ElK Mech'.and Fire) 1~;:,-04 ~
Insulation (SoundlEnergy) . . . 7"""'cf'l1~ A
po not tape or plal'teruntil. the following applicable.
'tems have been sIgned: '. . .
Drywall" ". . '7'1010[;(' ~ .
PenetratIons (Fire Rated) Electric;al 'I
Penetrations (Fire Rated) Mechanical'
Penetrations (Fire Rated) Plumbing, .
Interior..Lath
Exterior Lath 7 1"30h'U \
.' '. GENERAL ITEMS '..'
Exterior Plaster (Brown Coal) .. '11 ."1/0 ff"'::'
'T-BarEJectrical '
T -Bar Mechanical.'
r -Bar Structural
Sewer
Water Engineering Backflow
Waler Seniice
DATE
INSPECTOR
,
J. ell
..
. '
.
.
.
\
FINAL INSPECTIONS.
Electrical Final
Date Inspector'
14~/.f.(>+ il~ t-Q
'10.t&,a'1 '-.L.... (
I-(P~()E. ()"Qrfi'if
//-].<J.u1 6 .(J)~r-
.
.
Plumbing. Final
Mechanic,al Final
Gas Tesl
. Engi.-ring/Grading Final 165-5126
Fire D~pt. Final 765-4040 .
Water Engineering 765-5268 .
.
.
b List/Business Licel1se765.519 .'
Zoning 765.5139 . .... '.
Building Final (Last lrispection~ Only 1_ '/{!o'<' .<- l'o..-/ A' ./
After Above Complete} 1<--11 I. p . '. .
PARTIAL INSPECTIONS .
Building Inspections
.
.
Electrical Inspections
. .
".
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