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8677 E. Sunnywalk Ln. CONTRACTOR INFORMMION: DEL-WEST BUILDER~' 20352 LIVE OAK '. TRABUCO. CYN, CA 926790000 BUSINESS PHONE: 71481:;-5900 JOB DESCRIPTtON:Build loft over portion of Iivin9 room. VALUATION: 11,000.00 I . OWNER-BlJILDERDECLARATION I hereby affirm under penalty of perjury .that I am exempt from the Contractoi\ License law for the following reason (Sec~ 7031-.5 Business and ProfesSions Code: any city or county which 're(fuires a permit to construct, alter, improve, demolish 'or repair any structure. prior to its issuance, also requires the applicant for such 'permit to file a sign~ statement that he is Iicehsed pursuant to the provisions of the Contractor's License law (Chapter' 9)(commencing with Section 7000 of Division :3 of the Business and ProfesslCns.Code) or that he is exempt therefrom and the basis for the alleged ex:emption.. Any violation of Section 703'1.5 by any applicant for a permit subjects the applicant to a dvil penalty o'f not more than five hundred dollars ($500). . ..' .'. . !". . . D' I, as owner of property, or my employees-with wages as their sole, comr~nsation, will do the work, and the structure, is not intended or offered for sale (Sec. 7044 Busil'Jess and'Professions Code: The Contractor's LicEm~e-Lbw does not apply to an owner of property who buildsorimproves . thereon, and who does such work himself or herself or through his or her owri employees,_provided that such improvements are not intended'or offered for,sale. If, however, the building or, improvement is sold with one year of completion, the owner-builder will have the burden of proving that he did not bu ild or improve for the pu rpose of sale). .:, . " - . '. 0 I, 'as the owner of the property, am exdusively contracting with licer.8ec'~:C!'itradors to construct the project (Sec. 7044 Business and p'rofesS:ions Code: ,The Contractor's License Law does not apply to an owner of proPe'rty::~/ho buiJds or improves thereon: and who contracts for such projects with ~ontraqt:or(s) licensed pursuant to the Contractor's License Law). U I am-exe'mpt under Sec., , B & P.C. for this reason: ._~i . Date: Owner: . I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1.. o I have, arTd will mair'ltain a certificate of ronsenUo self:"insure for worke"':l, ccmpensaiion, as provided for by Section 3700 of the Labor Code; for the performance Ot"n1('-'Nork for which thO permit i~ issued. . '. , I h~we and will maintainworker's compensation insurance, as required by Section 3700 of 3/28/2005 1e bor Code, for the performance of the work for which this permit is issued. Myworker's Date. ompensation insurance carrier-and policy are: arrier: Policy Number: EXEMPT ection need not ~ completed if the pennit is fc?r one hundred dollars. ($1 OO)?r less. I certify that in the performance, of the work for which this p~rmit is issued, I shall not y any person ~n any manner so as to become SUbject to the, worker's cmnpensation laws o Califomia, and agree that if I ShOljld b subje the e' cdmJJ'}i1sation pr visions of Section 3700 of the Labor C ,I II rth . h c P Y ,h tho'e provisions. BUILDING PERMIT NO. BLD2005-00682 TYPE OF PERMIT Residential Addition '0 CITY DATE: 3/28/2005 JOB ADDRESS: .8677 E SUNNvw ALK LN LEGAL DESCRIPTION: N TR 14079 LOT 11 APPLICANT: BOB DELUNA OWNER INFORMATION: David J Ollard 8689 E Sunnywalk Ln Anaheim; CA 92808 BUILDING DIVISION 200 S. ANAHEIM BLVD. (714) 765 - 5153 'INSPECTION REQUEST LINE: (714) 765- 4626 CENSUS CODE: 434 QUARTER SECTiON: 226 . ARCHITECT/ENGINEER INFORMATION: SHUCRII YAGHI .112 E. CHAPMAN AVE. "0" ORANGE, CA 92866 PROCESSED BY: FAN [--~ LICENSED CONTRACTORS .DECLARATION I hereby affirm under penaltyoof perjury that I am licensed under Rrovisions of c r 9 ( ommencing 'with'Section 7 0) 0 ivsion. fUi I? sin . _nd PrOfessions C NUMBER 376430 TYPE EXPIRATiON'DATE 4/30/2005 B Constrocion Types: VN, , UvinQ Area: 148 Date: 3/28/2005 . Applicant: WARNING: FAILURE TO SECUR ER'S COMPENSATION'COVE' ~GE IS UNLAWFUL, AND SHALL SUBJE T AN EMPLOYER TO CRiMiNAL PE'NAL'(jES AND CIViL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDrnON 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 ! h::)~;;';bJ' ::;,ft';r:T1 ~:":.cer PO:i;:::!t';-of _p~I:jt;:-y th.olt.~hz.rek;_~ COr'1!;tr-:Jct:c:1lsnd;r:;]--dG~ ,~-:'~1 f')r ':he" performance of the wOrk for which this permit is issued '(See. 3097 .Civ.C): Lender's Information: I ceryify that I have read this application and state that the above information is correct. I agree to romply with all ci ordina and state laws relating to building construction,_and '.hereb . er pre tiv 0 his city benter upon the above mentioned property for i,nspe ion s s; Date: 3128/2005 Signature of Applicant or' Agent The ermit shall expire by limitation 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 required to commerice or continue work. ' . Fees paid for Permit: Total: 401.52 ", . r Electrical Final . 6-}-Qf ::t7 ~~ .'" INSPECTION DATE .INSPECTOR' Temporary Power Pole Plumbing Final , A LL : p . .' -' Plumbing (DrainIWaste Pipe) Mechanical Final .' r/'/3'1:>5 ~, Electrical Ground Electrode/lifer . . . . I / SelbacklFormsrrrenches (Footings) Gas Test . Do not install subfloor. or pour floor slab unt; I the Engineering/Grading Final 765~126 . '. . following !3Pplicable items have been sig'ned: Fire Dep!. .Final 7654040. Plumbing (Water Pipe.Sprinkler Valves) . . .' , Mechanical (GroUndwork) . Water Engineering 765.5268 , . Electrical (Underground Conduit) . Pre.-slab(CompactionlMembrane.Relm. Sub List/Business License 765.519 ,fJ.-f- ~ ".(crU'T Underpinning (Roor Joist/Girders)' Zonin1l76S-5139 -...... . Do not cover or conceal the work below until the Building Final ~ast Inspection, Oniy , . - ~.(. fallowing appliCable items have been signed: ~' . fter Above Complete) t-,...) ,-::-r. ,. 1 st Floor Shear . . PARTIAL INSPECTIONS. -c-r Flresprinkler (Rough) . 2nd Floor Shear Buildina Inspections Roof (ShealhinalDiaohragmlFrame) . . .1 . . Masonry (ReinfJBond BeamlPre-Grout) . Rough Plumbing (Top Out) .AJ ,t ~ . - . . . '. Rough Mechanical . '/3'0 I~I'&._ I.r,., . . KOugn l:Iectricallury nail). ~, .~/ '. . . ' . . Rough Electrical .' ./J'7> ~ Framing (Only after Plbg., EJec.. Mech.. and Fire) -/~.~r ~ Insulation (SoundlEnergy) -n,<\ ~.,'- Mechanical Inspections Donat tape or plaster until the following applicable / items have been signed: . /l. Drywall 4-/J'..:j "l f .' Penetrations (Fire Rated) Electrical . / . Penetrations (Fire Rated) Mechanical . . .penetrations (Fire Rated) Plumbing Interior Lath A "- Exterior Lath . ".i9<J~ \0 Dlumbinalnspections GENERAUTEMS / " . Exterior Plaster (Brown Coat) . '/1/"1, <::>-T' ~o""-- . T .Bar Electrical . . T -Bar Mechanical' . .... . . T -Bar Structural . . . . Sewer ' '. . . Water Engineering Backflow . . . ElectricallnSDections Water Service . INSPECTION RECORD FINAL INSPECTIONS Date Ins etcr