511 S. Sunnyhill Way
TYPE OF PERMIT
Patio Cover
CITY
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Q(ii~~i1HEIM
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BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST LINE:
(714) 765 - 4626
CENSUS CODE: 434
QUARTER SECTION: 226
BUILDING PERMIT NO. BLD2004-03867
DATE: 10/19/2004
JOB ADDRESS: 511 S SUNNYHILL WAY
LEGAL DESCRIPTION: N TR 12989 LOT 39
APPLICANT: EVONNE MORTON
OWNER !NFORMATION:
Euge,ne Gaglia
511 S Sunnyhill W,iY
Anaheim, CA '.92808
CONTRACTOR INFORMATION:
ALL PRO REMODELING
706 N TUSTIN ST
ORANGE, CA 928670000
BUSINESS PHONE: 714288.1314
ICBO #2228P
ARCHITECT/ENGINEER INFORMATION:
JOB DESCRIPTION:Alum lattice patio cover.
. VALUATION: 2,600.00
I OWNER-BOILDER'JECLARATION
I hereby_affirm under penalty of perjury that I am exempt from the Cqntracto'r'{Li.cense law for. the following' reason (Sec. 7031.5. Business and
Prof~sions ,Code: a"py city or county which requires a permit to'construct, alt::.~r" improve, demolish or repair any structure, prior to'its issuance, also
- requires the applicant.for such permit to file.-a signed statemeflt that he is I,ice";sed pursuant to the proVisions of the Centr~cter's Lie'ense Law (Chapter
9)(ce!TImencing with Sec~ien 7000 o.f Division 3ef the Business and ProfessiiilS Code) er that he is exempt therefrem and the basis fer the alleged "
exemption. Any violatienefSectien 7031.5 by any applicant for a permit subF;c!.s the applicant to. a dvil penalty ef not mere than five hundred dellars
($500).. . .... . .
D !, as 'owner of property, orITly employees with wages 'as'their sofe'compi;'nsation, will do the werk, and the structure is not intended pr.offered for,
sale (Sec. 70~ B~siqess and PrpfeSsiens Cod~: The Contractor's License L,)w dees net apply.te an ewner of property who. builds or improves .
thereon, and WhO'does SUctl work himself_or herself or t~rough his or her nW,?'empieyees, previded.that such improver:nents are net -i~teri<;led er
e~ered fe~ sale.. If, hewever, the buildinger impro,,:,ement is seld with one"ye<=if of co mpletien, the,pwner-builder will h"ave the burden ef pr~ving that he ,.
dld.netb~llderlrnproveferthepurpeseofsale). ,j" ,.'. ",
o 'I, as th~ owner of the property, am exdusively contracting with licensed (::1lltractors to. censtruct the preject (See: 7044 Business and Professiens
Code: The Centractor's License Law dees not apply to. an owner'ef prep~rty'ljho builds or impro'ves thereon, and Who. oontracts for sudr projects with
~entracter(s) licensed pursuant to. t~e Centracter's License Law). ~ .
U I am exempt under Sec. , B & P.C. for this reason:
Date: Owner:
I
PROCESSED.BY: FAN
WORKER'S COMPENSATION DECLARATION )
I hereby affirm under penalty efperjuryene ef the fellewing declaratlens: i
o I have .and,will' maintain a certificate ef consent to' self-insure for werker'$l'compellsation,
C!s provid,ed fer by Sectien 3700 of the Laber Code, fer the perfermance eft'r.s:werX fer which
this,permit is issued: .
o I have and will maintain worker's cempensatien insurance, as _reqUired by:Sectk:>n 3700 ef
the Labor Code, for the performance of the work fer which-this permit is issllel. My worker's
Cempensation insurance carrier and'poliOj are:
Carrier: STATE FUND
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of p?rjury that I am
licensed under prevlsiens of chapter 9 (commencing
with Sectien 7000) of Oivsion 3 Of the B'usiness and
Professions COde.f. ~. h~
10/19/2004 . \Ni .
Date: _ Contrac or
Pe!iOj Number. 04600113:J7
NUMBER
574698
TYPE
TYPE
EXPIRATION DATE'
5/31/2006
This sectien need' not be completed if the p,ennit is for one hundred dollars ($1 OO~ ~ less,
o I certify that' in theperfermanceofthe work forwhichthisp~r~it is isSue;:. I ~lall r.ot
empley any person in any manner so. as to beceme subject to. th~"workers cO:Tlpensation laws
ef California, .and agree that if I should become subject to the worker's C9f!1pensdtion
provisions'of Sectien 3700 of the Laber Code, I shall forthwith comply Withthcse previsions.
c.8:
B
HIC
Date: 10/19/2004 Applicant:
WARNING: FAILURE TO SECURE YVORKER'S COMPENSA 0 COVERtGE IS . '.
UNLAWFUL, AND SHALL SUBJECT.AN EMPLOYER TO CRIMINAL PENALrIES AND CIVIL
FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), JNADOI'nON To'THE
COST OF. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION "706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.
I . . CONSTRUCTION LENDING AGENCY
I hereby affirm under"penalty of perjury that there is a construction lenCling aq~nl~Y for the .
'Censtrucien Types:
VN, "
Patio Area: ,
282
';;:::7=:-:'":-::;nct;"T,~ ti1~ '1"':;I:~:r,)r 'ii:-ii~: ,:i:, -t=--\;rn,ii is i:;;.:iLt:0 (5ee-30f1/.Civ.C):
Lender's Information:
I certify that I have read 'this application and state that the abeve infermation is cerrect. I
agree to. comply with all city ordinances and state laws relating to. bu ildmg censtructien, a'nd
herebY,authorize representives of this city to. enter upon the: above mentiened preperty for
inspection ,purposes. .
" .~ Date: 10/19/2004
Signature of Applicant er Age t
The permit shall expire by limitation and bec me 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.
Fees paid for Permit:
Total:
432,73
INSPECTION RECORD
. INSPECTION . DATE. INSPECTOR
Tem"porary Power Pole .
Plumbing (DrainIWaste Pipe) .
Electrical Ground Electrode/lifer
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 (CompactionlMernbrane.Reinf.
Underpinning (Floor Joist/Girders)
Do not-cover or conCE,!al the work below until the
following apRlica!)le items have been signed: ' ,
1st Floor Shear . .'
FireSprinkler (Rough) .
2nd Floor Shear
Roof (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBond Beam/Pre-Grout) , .
Rough Plumbing (Top Out)
Rough Mechanical .
I Rough BectriCaI (Dr)< waU) .
,Rough Electrical , ,
Framing (Only after Plbg" E!ec.. Mech and Fire)
Insulation (SoundlEnergy)
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) Plumbil19 ,
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 Dale Inspector
Electrical F.inal . .
Ptumbing Final
Mechanical Final ,
GasTest . .
Engineering/Grading Final 765-5126
Fire Dept. Final 7654040
Water Engineering 765-5268
Sub List/Business License 765-519
Zoning 765-5139
Building Final \tast Inspection. Only , ~ -?>-C< Ir- ~e-C~
. fter Above Complete)
PARTIAL INSPECTIONS
Buildina Inspections
Mechanicai Inspections
Plumbina Inspections
Electrical Inspections
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PLANNING DEPARTMENT
DATE ~ l~~~D
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!; +tH$ PSRMIT DOE:S
T.l:il> 1..\14~ ~'OLAT'ON OF ANY OF
f!.jt)'+ ~O DES 01=' THE CITY.
THE BUILOINGRCgF THIS PERMIT
THE HOLDSEAT HIS OWN RISK.
PROCEED
OCT 1 !l 2004
BUILDING DIVISION OF ANA..
AEPROV
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