2303 E. Sycamore St.
TYPE: OF PERMIT
Residential Addition
CITY
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BUILDING DIVISION
200 S. ANAHEIM BLVD.
(714) 765.- 5.153
INSPECTION REQUEST LINE:
(714) 765 -4626
CENSUS CODE: 434
QUARTER SECTION: .112
SlJ:LDING PER::'!T NO. BLD2003'04227
DATE: 12/312003
JOB ADDRESS: 2303iE SyCAMORE ST
LEGAL DESCRIPTION: N TR 2492 LOT 71
APPLICANT: JESSE . REYES
OWNER INFORMATION: CONTRACTOR INFClR/'ATION:
Jes S6 Reyes
2303 E Sycamor. St
Anaheim, CA 92e06
.JOB DESCRIPTIONExtend bedroom, Iivingroom and dining room on rea:-..:::f ~~FD
ARCHITECT/ENGINEER INFORMATION:
. CRAIG D RUSH
1333 BROOKHOLLOW GLEN
ESCONDIDO,CA
. VALUATIO~I: 38,226.00 PROCESSED BY: AEM
r--'" OWNER-BUILDE,: DECLARATION .
I hereby affirm un~ter penalty of perjury that I am ex;em~t from the Ccnt,adrr's license Law for the following reason (Sec. 7031.5_Business and
Profession~ Code: any city or countywhich requires 3 permit to construct, ,.Jei, improve, demolishor repair any s"tructure, prior.taits issuance, also
requirp..s the. applicant for such permit to file a signed srotement that he iG 1<1")r:..~ed pursuant to the'provisions of the Contractor's License l.aw,(Chapter
9){commencing with Sectioj,7COO of Division 3 of the Business and Prcf~;<t0ilS 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 OL:9if},cts the a p!')licant to a civ~ penalty o.f not more than five hundred dollars
~)~s owner of property, or my employees with wages as their sole C-()lT:\~~~~~ation, will do the'~ork, ~nd th~ structur~ is not intended. ~r offered f6;'
sa,e (Sec: 7044 Bus;ness and Professions Code;' The Contracto;'s L:.::cn~"!:\~ '0w does not apply to an owner of property::Who builds or irt:lproves /_
thereon; ~nd '.'.'1'::0 dc~~::; sucn 'Nark hirtt:~elf or h~rself 01 tnrolJgll his or. ;....e. .;_\.i';j,(;,vriployees, provideqthat such iIT!P.ro'leme.;nts are not intended or
offered.fqrsale. If, howe'lei, tho blJifding or irr:PiI)V-7lTl€:nt i.3,Sdid with or.!'; Y::N" of oompletion, the owner-:bu ilder will have"\tl1e burden of proving that he
ditlnct bUlld or improve for tho ~urp0.3e Qf sale). . :;~ .S:;,'" , ' .
[] I; as the.o:....nerofthe,::;;-opert'/, am -~;(dusively COflu3t:t!ng ...'ith!icens:::'{~lntractors to construct the proJect(Sec. 7044 Business a'1d Profess.lons
Ct.:de: Tile Contractor's License ,Law does r.ot appiy to an owner .)f .,ropelt~i'-il~o bllilds or improves thereon, and who o::mtrnct$ for suCh projects with
~.~$) He.eaSed ::>'..lrs.uarlt t9 th~ Contractor's License LaW). ~':: ....
. . ,#~"d.rs".c,. . &"C ort":or.o$Oo. _'i..
ate: 2. O'rvner: '. ~_~;.*~ ____
i. .' _. WCR!~ER'~ CO~ ,SATION DECLARATION 'Lj - LICl:NSEDCONTRACTORS DECLARATION I
I hereby ,ffirm ul1~ie-r jJenal~ 'Jf perjury one of tl1e following dect;3raticns: I hereby affirm under penalty of perjuryt'lat I am
o ' I heve'ar.d wit! maint::;,:n "c<;'!rtif;cate of oonsent to seif-insure for "".'Oi"!<ei':;c:omp:::lnsatlon, licensed Ulider provisions of chapter 9 (cO/Tlmencing
. as provided fOi by Seetio., :li'00 of the Laber Code, for th~ r,.).formar:ee of t:"~ WO;y, for which' with Section70GO) of OivSiQn'3ofthe 8lisiness anti
?rofessions Code. .
this permit is izsued.
11 1_ havednd will maintain 'ho.rKer's compensation ir,sl.:ranCe,.3$ required ~.:' SBction 3700 ()f I 1~3/2003 __
the Labor Code, for the performance of the work for which this ~e(mit k; is:;;.:;1 My worker's i Date:
(;ompel1sa~ion ir.sura'nce carner and policy are: . I
Carri~!":' . '. . Policy Nu mbcr: . . \ ! NUMBER
Tt)is S'3Ction need not be completed if the penni~ is. for one h'Jndred rJoll,~rs ($'!O;.\ c: iE'Ss.
o I certify that in the performance of the work for 'Nhic.h this permit ~ ;SSlH.':i I shall not
emploY3IJY person in any manner so as to become subject-to the worl<t:rS,c-:!,lllpensation taws
:of Califomia, and agree that if -I should becqr:r.e subject to the worker'3 COn)~:-":..nsation
provisions-of Secti_on 3700 of the Labor Cod. shall forthwith compi~ Wit~:["~.'(',e provisions.
'\1): :
Dare: 12/312003 Applicant: ,~,_'_
. WARNING: FAILURE TO SECUR/ K. R'S COMPENSATION COVE',{:.j.GE IS
UNLAWFUL, AND SHALL SUBJECT AN EMPLOY:OR TO CRIMINALf:'EN";~',:n;;:s AND CIVIL
FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,OOO),IN'''II:i!J'iITPN.TOTHE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTlPi' .J706 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES.. , .
I CONSTRUCTION LENDING AGENCY'; 3"
I hereby affirm under penalty .of perjury that there is a construction len~jng-~8'::I;CY for the
performance of .the wor!< for which this permit is issued (S13C. 3qtl7:.~!J~:~E).;'v}~
--'--:O:ec-Tj::'~~:;~;...""i~!i..../~,.- .-----..---
Contractor
EXPIRATION DATE
TYPE
CO,1s.trucion Types:
Vf\l, ,
Occupancy GrOups:
R3.." .
Fire Sprinkle red?
DwellinQ Units: .
Livin~ Area:
NO
1
568
I certify that I have read this application and state that the above information h:: correct. I
agree to. oompty with all city ordinances and state laws relating to building comtruction,and
here!)'y authorize representives of this city to enter upon the above mentioned property for
inspe ion po
Date: 12/3/2003
Fees pa~dfor Permit:
Total: .
1.022.87
S'ignature of Applicant or Agent
The per . shall expire by:limitatlon and become null and void if the llullding or
work has not passed final il1!lpection 365 days from the date of permit issuance. A
new permit i!il required to commence or continue work. .
INSPECTION RECORD
'. . INSPECTION. . DATE INSPECTOR
Temporary Power Pole .
Plumbing (Drain /Waste. Pipe) , '. .
Electrical Ground Electrode/uter IU if IT>'>
SetbacklFormslTrenches (Footings) 11..1<1 163 ~ ~
Do not Install subfloor or pour floor- slab until the
followmg applicable Items have been sIgned. .' .
Plumbing (Water Pipe.Sprinkler Valves)
l\IIechanicaf (Groundwork) . .
Electrical (Underground Conduit) . .
Pre-slab (CompactionlMembrane.Reinf.
Underpinning (Floor Joist/Girders) liZ,/zf/o"':>
. . Do not cover or conceal thE1 work below until the ...:-..
followrng c:'pplicableite'11S have been- signed: - I.
1 st Floor- Shear . . IUI .
Rresprinkler (Rough)' . .
2nd Floor Shear .. . . .'
ROof (Sheathing/Diaphragm/Frane) lu,' ..---<
Masonry (ReinfJBonct Bean/Pre-Grout) .
Rough Plumbing (Top Out) ,
Rough Mechanical '. ,
ROugh Bectrical (uryWall) .'
Rough Electrical .' .
Framing (OnlyaherPI~..Elec.Mech.andFlfe! W-'7-GY ~ rl/l. L
Insulation (SoundlEnergy). I? :>. "'A
'. po not tape or pla~ter until the follow; g appllc ,tJle
. .terns have 'been signed:' . ..... ..
. Drywall . . i.fllli> "'.
Penetrations (Fire Rated) EleCtrical
. Penetrations (Fire Rated) Me.chanical
Penetrations (Fire Rated) Plumbing
.Interior Lath . '. .' ['.
. Exterior Lath . . I/ottilA>
'. . GENERAL ITEMS ~~.
Exterior Plaster (Brown Coat) II/It '. /". "
T.Bar Electrical .
T~Bar Mechanical
T-Bar Structural .
. Sewer '.
Water Engineering Backflow
Water Service . . ,
FINAL INSPECTIONS Dale 1 . Inspector .
Electrica.1 Final (oltl~ .'i.IPo\~
Plumbing Fimil . . . .'/Il . '.
.
Mechanical Final ~...'z-? 0'- :1:;/.\,- .'
:>-' .
. .GasTest . . . .... JV A .' f.
Engineering/Grading Final 765-5126 .... .'
Fire Dept. Final 765-4040 '. . ..
. . .
Water E.ngineeril1g 765-5268 ,..
Sub List/Business Licllnse765-519 .
Zoning 765~5139 .. .
Building Final ~ast Inspection. Only tQ\U< . rr:~\~
fler Above Complete)
PARTIAL INSPI;CTIONS
BuildinQ Inspections
. . .
Mechanical Inspections .
PlumbinQ Inspections
Electrical Inspections
. 3U1LDING PERMIT. NO. 81.D2003;04220
TYPE OF PERMlf
Reroof
DATE: 10/24/2003
JOB ADDRESS: 2303 E SYCAMORE ST
LEGAL DESCRIPTION: N TR 2492 LOT 71
CITY
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a~;'e'i~l.tf~>'j~HEIM
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BUILDING DIVISiON
200 S. ANAHFtIM BLVD.
(714)765. 5153
INSPECTION REQUEST LINE:
(714) 765.4626
CENSUS CODE: 434
QUARTER SECTION: 112
APPLICANT: JESSE REYES
OWNER INFORMATION:
Jes se Reye~
2303 E Sycamore St
Anaheim, - CA 92806
JOB DESCRIPTION: Tear off existing wood shingle & reroof 24 sq w;t~ 40 yr ~'mposition shingle. .
VALUATION: 3,600.00
L- OWNER.SUILDER peCLARATION
.1 hereby, affirm under penalty of perjury that I am exemptfrorn the Contrao:..tc(->::;. U~~~llse Lawforthe following reason {Sec. 7031.5 Bvslness and - .
Professions Code: any cjty or countywhjch r.equlfes a permit to cons~ruct. a~:h., irnprove: demolish or repair anystruc~ure, prior to its issuance, a!so
requires the applicant for such permitto, file a signE>tl s},atement that he 1s ll~::':"jcd pursuant.'to the provisions oftheContradar's license law (Char~er
9)(c.9mmenCing with Section 7000'of Divisior3 .of. the Busines,'S and:Profe;3:;;~p~ C~de) .or that he is exempt tr,~refrom :arid tile basis for the:aUeged
ex~ptlon. Any violation of Sectio'.'l7031.5 by Clny a~plicanUor a permit sut,t~C\5 ~he cpplicant to a_ovil pp,naltyofnot more than five hundre:J dollars
($<cQ0).. . .., .. ..
tflj, I,as'ownerof prl?perty._ or my empl,oyees with wages as their soIl;! com;:;~t.l"Is3t!on"will do tile work, and tt":e structure i~ I,ot intetldedor 'offered fer
:;;ale (Sec. 7044 Business and Professicns Code: lheContrac:tor'sl.i.cers.:'I':.JW doe;:; not apply to al1 ,owr.er of property wh:J bU!1d!: or jmpiov~s
thereon, and who does such wtl"k-,/,!imself or h~Jself pr through hi~ or her o'~Jr:: er"ployecs, provided that such iMpro'lerTier.t-5ar~ not,in~ended or
offered for sa'e~ If, hoviever, .the~uildi(fg or improvement is sol::J with Dne ~~'3,r,:, d completion, theoWnei-bui!d'3l will haVf:)h:- burds:! of provii'!g'th8t he
did not build or improveforthd pUIp'ose of sale)., ' . .~.; ,'. ,'. ,
o I. as the ownel of the property, am exdusively comrc::dinJ \-.ltn ;jc~ns'~j1b;\trad(lrS to {;onstructthe praject (See. 7044 E(~sirleb$ and-?rofessicnl=;
Code:' The Contractor's Uce:nse13\.'i dOe5 not apply io an owroer ct propcrt'l\{;I~v ht.;:lcs cril11provesthereon; <=l:nd i..vho I..'OntrGct:-. fer &uch project; witn
~cn~ra~or(s) licensed pursuant to the C~ntractor's Ucense lavo/), ,~--~ . '.
j ~ 1'j.?;0em 'nderseC,_,B&P.c,r"..r :sr{;!asor.: __--=1._.___.
~te:!..:. Owner.. "\.
r '- WORKER'S ENSATLON~DECLARATIQ-~:'-':'L_"":"- --l
,/ hereby.affiif!1 t;nder penalty of perjulY olle of the follo......ing declC:iatior.~' '~
o '1 have:' afld ''lfill'maintaln,a certificate of CxJnsentto-self-lnsiJre ior...!orke':-"~:-'':C!!:;:l0nsatjOn,
as provided for bySedion 3700 of the I.abor Code, for the peifarmarc."-= r.;'..n ~ \.\\JrK :o"whic.h
'tnis permit is ',issued:, ' . " ' ' '- -- i '.' .'
o I have and \,Viii maintain worker's compensation in~urance, as requir~.jc.~~ Sco!io;,3700 lA
the Labor Code,_ for the- perf6-rniance of the worK fef which this permit is ';~:.::, ''':. My worker'~
COli'lpensation inSllrance carrierand,po!icy are:
Cc,,'~jer:, . _' " " POlicy,Number. , .; ,
;:Zsection need not be completed if the pennit is for one hunared doUurs ($10(i" Of !CSs. '
fJJ~'I.certify that in ~he pelfonnance of the NCI'K far wh:ch I his- pbrmit ,is iS$i.!'''',"~. I, :~"'c:l: noi.
employ any persdninany manner so as t.o: become subject tQo theworke/$ ~(:i,,;per.:;:aUml'!aw3
of California" and. agree that if I should become su bjed to the worker's' C;)r:1,-., ;;s'C"t:on '
provisions of Section 3700 of the labor C e, I shall farthwith .comply W..it~: q~;,.s:~ pm....isions.
CONTRACTOR INFORM.(T10N:
ARCHITECT/ENGINEER It'lFORMATION:
PROCESSED BY: CAL
LICENSg,~S~!:! r~EI.o.RS DECt.ARATii5Nl
I hereby ;)!firm;Lrnder penalty of pcrjury,~hat J um
Ilcensea und?rplovisions ~Jf.cflap(er 9 {commencing
\Oiith Sec.;tjo't lOOO; of Di~ic,n 3 c.fthe'Busin6ssarld.
Piofessio,l1;; Code.
10/24/2003
Date:
Contractor ,
NUMBER
. EXPIRAT,ON DATE
TYPE
Date: 10/2412003 Applicant:
WARNING: FAILURE TO SECUR RKER'$ COMPEN TIO/'! COy;;',.,:;;;: IS .
UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO .CRIM INAL (?[:'N,',LT.,ES AND ,CIYIL
FINESUPTO ONE HUNDRED .THOUSAND DOLLARS ($100,000); IN NJp.nON TO {f-jE
COSTOF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTI":", 3106 OF THE
LABOR CODE, INTEREST AND ATTORNEY'S FEES. . ,. -
r . . CONSTRUCTION LENDING AGENCY... _'.__ "
I hereby affirm under pena'lty of perjury that there is a construction lery:iing a~'~",:;y lor the
performance of'the work for which this permit is issued (See. 3097.CiviC):
Len~e(slnforrnaUon: ~
'- -,'--',-._,,'
Cohstrucion Types:
VN, ,
-"~--~------,---,-,_-----,:,,,,:--,- .--~-~--
. -
. I. certify that I have read this application and state that the above informabon i<; correc:t. I
agree to comply' with all city ordinances and state laws relating to, buUding construction, and
hereby authorize representiVes of this c:ity to enter upon the above ment:01e-J property for
ins purposes.
Fees paid fo~ P~rmit:
Total: .
124.85
Date: 'i-Q/24/2QQ3
Signature 0 pplicant or Agent
The rmitshaJl expire by limitation and become null and void if the building or
work has not passed final inspection 365 days from the date of perm:t issuance. A
new permit i~ required to commence or continue Work.
. INSPECTION RECORD
.' '. INSPECTOR
INSPECTION . DATE
Temporary powerPole..
Plumbing (DrainIWaste Pipe)
Electrical .Ground Electrode/uter
SetbacklFormslTrenches (Footings)
Do not inst~1I sublloor or pour 1I00r slab until the . ,
following applicable items .have been signed: .
Plumbing (WaterPlpe.Sprinkler Valves) , .
Mechanical (Groundwork) . . . .
.. Electric;al (Underground Conduit) . '.
Pre-slab (CompactiQl1lMl!mbrane.Reinf. .
Underpinning (Floor Joist/Girders) .
Do not cover.or conceal the work below untillhe. .'
following applicable items have been signed:
1 sl Floo.r Shear .
Firesprinkler (Rough) . . . '. .
2nd Floor Shear' . .
.
RoOf (Sheathing/Diaphragm/Frame)
Masonry (ReinfJBond BeamlPre,Grout) .. .
Rough Plumbing (TopOut) . .
Rough Mech"nical ...., . . .'
KOugn8ectrical (Dry Wall) . .' . . ;",.'''>
Rough Electrical ,
Framhlg - (only after Plbg.,-Elec.. "Mech..and Fire). . ..
Insulation (Soul1dll:nergy)
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 (BlQWn Coat)
T -Bar Electrical
T-Bar Mechanical . .
T -Bar. Structural. .
Sewer '. , .
Wate.r Engineering Backllow .
Water Service .
-
I
fINAL INSPECTlQNS Date Inspector
Electrical Final. . I . . ....
P;umbing Final I .
Mechanical Final I .
Gas Test . I . "
Engineering/Grading Final.765-5126
. - I .
. . I .
Fire Dept. Final 765-4040 .
. . . 'I
Water Engineering 765fS268 . ..
,.
Sub List/.Business Lic~nse 765'519
Zoning. 765-5139 I .
.
Building Final ~a$t InspectiQn- Only (qltlo( 1:M ,foJtJ.._
. .. . iter AbQve CQmplete)
. . . , . . . PAR11AL INSPECTIONS.
Buildina Inspections
I
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I
MechanicallnspJctions' .
I
I
I
l-
I
Plumbina Inspec~ions'
I
i
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Electricallnspechons
'1
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,
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