1014 W. Sycamore St.
r.;ulWING PEQMIT NO. BLD2003-04328 .
BUILDING DIVISION
200 S. ANAHEIM BLVD.
. (714) 7(J55153 .
INSPECTION REQUEST LINE:
(714) 7(J5 - 4(J2(J
CENSUS CODE: 434
QUARTER SECTION: (J2
.-"""~~
. TYPE OF PERMIT.. CITY
Residential Addition . . .
DATE: 2/9/2004
J08 ADDRESS: 1014 W SYCAMORE ST
LEGAL DE;SCRIPTION: . VINEYARD LOTS LOT C-7 EL Y 55 FT WL YI
,
APPLICANT: DAVID RAMOS J .
OWNER INFORMATION: . CONTRACTOR INFORMATION:
David Rall'lOS ' !
,
1014 W SycamoreSt . , 818 S. AVOCADOST
ANAHEIM,CA928050000 . . i . ANAHEIM,.CA 928000000
JOB DESCRIPTIONRoom :A..ddition. New Foyer and stairs at 1st floor and 2nt;:.f1oor addi~on to existing SFD (1015sf) '.
'i. .' .
VALUATION: 68,309.00 " PROCESSED BY: .OOC
r '.' .' '. .'. .'. OWNER-BUILO:::r'fDECLABATION. . . . .' . . . '.
. I hereby"affirm under penalty of perjury that I am exempt from the Cantraci:()s License Law for the following reason (Sec. 7031.5 Busi~~ss and
'Professions'Code: af!Y city or cou":!tywhich requires a p'e~mit to construct, ajler.!~Pl'Ove; demolish or repair any struc~ure.. prior.to its issuance, also
requ ires the applicant for such permit to file a signed statement that h~ is :;c~.nsp,d pursLlant to the provisions of the Contractor's License Law (Chapter
9)(commenci . ttn'Section 7000. of Division' 3 of the ~usiness ondProfes3~ns Code) or, tp.at he is ezempt therefroniand the basisJor the alleged
exempt' . Ariyyiolation of.Se?ticn 7031.5 by any applicantfci a permit SU;'1scts th~dP!:'ljc;:mt to a~;Jil penaltY-of n~t more than ~ve hl,lndred dollars
( . . ..... . I . .'
I; as owner of property, orrny employees with wages as their solecofwhnsc,'tioli.. will.do.the 'fIork, and the <;.tructurt~ is~not intended or offered for
sate (Sec. 7044 Business and Professions Code: The Contractor's Lice,'se ~<:1W dpes not"applytoanowner of propertY who' buildsot improves
therE;:;cn,>a'nd Who doessudl work himself orhe.rself or through his or h~r cv.itempJoyees, provided that such improvements_arc: not intended or
-offered for sale. If, however, the bUilding or improvement is seld with or.eifo. of completion, the owner-builder will have the burden of. provJng that he
did not build or improve for the purpose of sale). . '. I . . , . .: .
o I, as the owner of the' property, 3m exdusively contracting with'HcEP-sed contractors.to cor:struct the .projec;t (Sec. 7044 Bu'siness c:lnd Professio~,s
Code: The'Gontr:\ctor's License -Law does not appfy to an.owner of propert;~'-I.Vho blJllds or improves thereon, and who c9ntracISfor ~uch projects with
fUiontmct~r(s) licensed:pursuant to tj'e'c:)ntractor'~,_l.'lcense:_). ~
~ am exempt und r Sec. P.O'. for thisrea.s n: __:t
ate" _.:... .. t? Owner: . --L~
A ION LARATION I
.1 hereby' Ciffirm under penalty cfperjury one of the following declarations: , f
o I have and will mainta}n a certificate of consentto .self-iDsure forworker;s compensation,
as provided for by Sectfon3700 of the labor' CQde,' for.the perform3nre of t~,e work for which.
this permit is issued. ii
D I nave _and will-maintain worker's compensa~iorl insura':!ce, CIS required l:t' Section 3700 of
the labor Code, for the performance of the work for wh.ich this permit is :~L.:t:.::!' My worker's
Compensation. insurance carrier and fX)licy are: .
Carrier: Policy Number.:
ARCHITECT/ENGINEER INFORMATION:
TIMOTHY KRAFT
- LICENSED CONTRACTORS DEC1.ARATION I.
I her~by affirm under'penalty of peljury that I am
liCensed under provisions of cnapter 9-{commenping'
with:SectiOn 7,000) of Divsion 3 of the Busfness and
P-rofessionf' Code.
. 2/9/2004
Date:
Contracto'r
,
i
Thisseetion r,aeed nol be comp)e~d if the pennit is for, one h~ndred dollars ($1c,r, or less.
o "certify that'in the peiionnance of the worK for which thispermitls iSSIJ~d. ~ shaU'not .
employ any person in'any manner so as to become Ject to , rker's q.hl1;Jensation laws
of Cal~omia, an(j agree that if I shoulfJ.-,bEicomO- 1ect to the worker' . ~mr/Jnsation
provisions of Section ,37QO of the 4'bor.Code, 1 s La! ,forthwith co YWith t.t'iO-<;e provisions.
.' /.-- .'.> d .
Date: 2/9/2004 Applicant: . ,>- . , .
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION C6VEr~GE IS'
UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMiNALpENj':mES AND CIVIL
FINESUPTO ONE HUNDREDTHOUSi\ND DOLLARS ($100,Odd};IN AQ,;mON TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDEDFORINSEC'r!~" 3706 OFTHE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. ,
. I, . CONSTRUCTION LENDING AGENCY>,;?,. .
~ ~-
thereby affirm under penalty of perjury that there is a ccnstruction _Iend:r.g a>~ncy for the
performance of the work for whidlthis permit is issued (Sec,30~7 .CW:t): '
-::..~~~-:~~:::'~:-"""=~,;~:- . -_..:- --'-'''-~---
NUMBER
. EXPIRATION DATE
TYPE
Construclon Types:
VN. ,
Occupancy Groups:
R3. .., .
Fire Sprink.lered?
DweUinQ Units:
. LivinQ Area:
NO
1
1,015
Dat e: 2/9/2004
'Fees paid for Permit:
Total:
1.817.63,
--"'~~ Signature 0 ppilcantor Agent
The permit shall expire bY limitation and become null and void if th~ building or
work has riot passed final inspection 365. days from the date of permit issuance. A
I1\lw I?ermit is required to commence or continue. work; .
INSPECTION RECORD
INSPECTION. . .'. . DATE INSPECTOR
Temporary. Power Pole . . .
Plumbing (DrainlWaste Pipe) .
EJectrical'Ground Eiec.trodelUfer .
~backlFormsfTrenches (Footings) . . ;(11
Do not il1$tall subfloor or pour floor slab until the
following applicable items have been signed:
Plumbing (Water Plpe.SprinklerValves) . .
Mechanical (Gro\lndwol'k)
Electrical (Underground Condutt)
Pre-slab (l.;ompactionlMembrane.Rei nt. , ~
Underpinning (Floor Joist/Girders) ~({j{ .
Donat cover.orconceal the work below until the .
follOWing applicable Items have been signed:
1st Floor Shear . eF. -J~
Firesprinkler (Rough) I
2nd Floor Shear" . G -J~ I.
Roof (Shealhing/lliaphragmlFratle)
Masonry (ReinfJ8ond BeamlPre-Grout) . J
Rough Plumbing (Top Out) . , .' .
.'
Rough Mechanical'
Rough t:IectriCal{l.lI'}' wall) . . . ~. i
Rough Elect.rical '.....-
Framing ,(On~ aher Plbg.. Elet.. Mech.. and Fire). r.
Insulallon(SoundlEnergy) ~61(,1<1lY 1'DAt. .
.po not tape or pla~ter .until the following applicable. , .
Items have been signed:'" '. ,
Drywall . . . ~\VO .
Penetralions (Fire Rated) Electrical . ! .
Penetralions (Fire Raled) Mechanical
PenetrationS (Fire Rated) Plumbing .
Interior Lath '. . '. . . ".
Exterior Lath . . ',. . tOl'(O''-- 1bJ.,
'. . ...... GENERAL ITEMS .
Exterior Plaster (Brown Coat) 1;1./;0
T -Bar Electrical . .
T-Bar Mechanical
T -Bal' Structural ' . . '. ,
Sewer. . '.
Water Engineering Backflow .
Water Service .'
FINAL INSPECTIONS
Electrical Final
Plumbing Final
Mecha"nical Final
Gas Test.
Engineering/Grading Final 765-5126
Fire Dept. Final 765-4040 .
Water Engineering 765~5268.
Sub List/Business License 765-51
'Dale
Inspector
Zoning 765-5139
Building Final "Last Inspeclion- Only
After Above Complete)
~.:3.'~.'
u(6
MechanicallnSDections.
Plumbina InSDections
ElectricallnSDecti.ons