832 S. Sylvan St.
TYPE OF PERMIT
Residential Addition
DATE: 5/13/2004
JOB ADDRESS: 832 S SYLVAN ST
. ii:~~~'ci.::il{r:r'
CITY Q1Ii5&~N~H ElM
\~ll!~J"";~f':' . .
8UiLD~NG OiVISIUj~
200 S. ANAHEIM BLVD.
(714) 765 - 5153
INSPECTION REQUEST-LINE'
(714) 765 - 4626
CENSUS CODE: . 434
QUARTER SECTIOi'<: 21,
. BUILDING PERMIT NO.BLD2004-01551
LEGAL DESCRIPTION: N TR 1951 LOT 74
,ciPPLlCANT:'VERONICA RICO"
OWNER INFORMATION:
Ma rtin Ri co
. 832 S Sylvan 5t
Anaherrn, CA 92804 . _ . _ _ i_ . _ _ . _ _ _'
JOB DESCRIPTlON;Demolish existing kitchen and. living room, build new kitct"::~n.,living room, laundry and bedroom. ADDING 545 sa, FT., new
VALUATION: Cong~~dWMOosq.ft.. Reroof remainder of house with 171quares of:)O year com~R~SED BY: HRO
I. .' OWNER-BUILDERPECLARATION . .
I hereby affirm under penalty of perjury that l am exempt from the Contractor's 'Licar,se Law fortne following reason (Sec. 7031.5 Business and
Professions Code:-aoy dty or county which requires a permit to construct, ali:kimprove, demoHsh"or repair any structure, prior to its iSsuance, also
'requires the applicant for such permit to file a signed statement that he i$ iic~&sed pursuant te the provisians oftheContractar's UcenseLaw (Chapter
9)(cammencina with S'ection 7O'O'O'af Divisian 3 of the BUS'i1:.dSS and Profess;.:~s Code) ,ar that 'hcis exempt therefram and the basis far the a!leged -.
.exemptio .y vialatian af Section 70'31.5 by any applicant fora permit sl!~..,bcts ~:'e aprMcant to. oeivil penalty of not more than five hUl"fdreddaUars
($50. . ". . . . .' ) '. . . . . . ."
'" I,. as owner ofproperty,'c.r my,el1lpJoyees with wages as their sol,e comr:~ns8tion, wilt do the wock, and the !?tructure is not intended or':affered .for.
sale (Sec. 70'44, Business and PrafessionsCode: The Contractor's Licens~ ~)...\N ::Io.es not ClJjply to. an owner of praoer.ty who, buildsQr improves
thereo'ni arid who'daes such workhirns.elf 0.1" herself or througr, his ar :19f ow!~€mpJQyees; provid~d that 5uc.h improvements are nat intended ar "
offered'for-sale. If, hawever, the buiJding' ar Impravement is sold with one'/fr~: 0f c.ompletian, the o.........ne-r-builder will have th~. burden of :xavi;1g that- he
didnot build or improve for the_purpase of S3le). , ,., :i~ '" '. . ,', . -, " ' :
o ,-I" as the owr:ter qf tho:; prope:rty, ,am exdusive!}1 cantrdr:::ing with rir.;E:n:;pd f:~(ltra(,('lrs to Gonstrur.:t th"e p~Gj~ct (Sec. .7044. Busi,nass and .Professiop.s
Code:_ TheContractor's LiCi;'ls.e Law does nat. i:lppJy to An oWrH:~rd Pr0pl;.'~t./:..l1a bl,:iids or :rnplov.es thereof"', and v:ha contracts for such projects with
ontractor(s) licensed pursua:ot to the Contractor's Li~-:en~~ Law). ':'
exen1p.t unde,r3ec.. ,B & ~.C; far this reason:~_'_.r:.
5" \ Owner: 9-J,.. ~.A-A--~ -t ' -1.__
WORKER'S COMPENSATION DECLARATION . )_-=_ - ]
I here~y affirm under penalty of.perjury one o_f the fo'lIawing declarations: I
o I have and w'W maintain a certificate af con-sent to self-insur'e'far worl.;cr"'. cotr.pel1satlen,
as pr.ovided for by Sedian3iO'O -af the Labor Code, for the performance of H,_I: wor\ fer which 'I
thiS permit is iSsued. .
0'.1 ha~e andwill maintain warker's campensation insurance. as require~ l:ri S6.:-tion3700 af
the Labor Code, for the performance of the work for which this permit is 'issu.:c1. ~~~y warKer's
Compensation insurance carrier and poJiCf.are: !
Carrier: Policy Number.
>
CONTRACTOR INFORMA,fION:
ARCHITECT/ENGINEER .INFORMATION:
I
LICENSED cONTHACTOI>S DECLARATIotTl
I h~reby affirm under penalty of perjuiY that I am
l;censed under provisions, of chapter 9 (commencing
with Section 70'0'0) of Divsion 3 of the Business and
Professians Code. .'.
5/13/2004
Date:
Cantractor
NUMBER
EXPIRATION DATE.
. .
This section ne'ecJ not be_completed if the pennit is for one _hundred dollars (S~C:':, cr iess.
o I certify that in the'_perfonnance of the wark'for which thiS_ permit is, isslie:j. I shall not.
employ any person _in a ny manner so.as to.become subject to. the worker'scr.mpensz:tion taws
af Califomia, and agree that-if I shol!ld became subject to the worker(~ com;:;~:nsatirm
,provisions .of Secti<;>n 3100 ~f.the L~bar ~ode, I ~halJ f~rthWit~ C<f1~i~~-~r.?~e praYi_Sians. .
Date: 5/13/20'0'4 Applicant: re ~ 0 ^-~ t. ~ ~ _ ,L ,.:
WARNING: FAILURE TO SECURE WORKER'S COMPENSATION COVER.\GE-IS.
UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAl PEN"~TI.E5AND CIVIL
FINES'UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADO'T10N TO THE
COST.OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTIO,.; :!70S'OF THE
LABOR CODE. INTEREST AND ATTORNEY'S FEES. . ."
I CONSTRUCTION LENDING AGENCY '~-l-
.1 hereby affirm under pena-Ity af perjury that there is'a 9a(lstructian lending a~.:eDcy ,reir the
pelformance. oft~e work for which_ this,?errriiUsjssued (Sec.3097 .eiv.C): .' 'i- '\
__L_\~Gd.eG.~_In.fQj.I:aa!l(lJ};":_-..:__ _:d.',~~.,_
TYPE
Construciori Types':
VN, , ..
Fire Sprinklered?
Uvinq Area:
NO
545
I
uu'__._ cl:_._.. .__.~u~~_
I certify that I h~ve read this applicatian and state. that the above information is correct. I
agree to. oomply with all city ordinances and statelaw$ relating to. building constructian, and
here!?! autharize representiVes; of this city_to. en~er upOn the above mentiane:<.j. praperty far
i~iO~::seLu-<"' 2). . ~ Date 5/1312004
. Signature 'of Applicant or Agent
The permit shall expire' by limitation and become null and void if the building or
: work has not passed fimil inSpection;l65 days fromthe date of perrrH issuance. A
new permit is required to commence or continue WQrk.
Fees p~id for Permit:
Total:
.556.05
INSPECTION RECORO
. . .INSPECTION' . DATE INSPECTOR
Temporary Power Pole .
Plumbil19 (pminlWaste Pipe)
Electrical Ground Electrode/Ufer . ~I I
SelbacklFormsrrrenches (Footings) .1'1-0 n .J:iJJ#:.
Do notinstallsubfloor orpourfloor slab until the . .
following applicable items ~ave been signed: .
Plumbil19 (Water I'ipe.SprinklerValves) . . ..
Mechanical (GrOUndwork). . '. .
Electrical (Underground Conduit)
Pre.slab (CompactionlMembrane.Remf.
Underpinning (Floor Joist/Girders) . . .
Do not cover or conceal the work below until.IM
following applicable. items have.been'signed: . . I
1 s.t Floor Shear. . '.' '. .
Firesprinkler (Rough) , ./ , ,
2nd Floor.Shear '. .
. RooflSheathi hmgrillFrane). 19'1fIfIl'll.j ~ I
Masonry1R8infJBond BeanlPre-Grout) '.' . ,
Rough Plumbing' (Top Out) . .
Rough Mechanica!' . . . .
Rough EJectriCllI ,II)
Rough Electrical. . . . '. . . I
Framing (Only~fter Plbg." Elec...Mech.. and,Fire) liD ~ &
Insulation (SoundlEnergy) . I'A'I ~ " ,
Do not tape or plaster until the following app icable . I
items have been signed:, . - : .' - -.:
prywall .' .'loW/h. ..:m..--
Penetrations (FiN Rated) l:/ectrical ./. ' .
. Penetrations (Fire Rated) Mechanical
Penetrations (Fire Rated) Plumbiilg'
Interiot Lath .' fPit:.......
EXterior Lath .' f/), ~
GENERAL.lTEMS . . . '.
'. EXterior Plaster (Brown Coat) .
. T-BarElectrical ,. . . . .'
T-Bar Mechanical . '. . .
T -Bar Structuml .- .
Sewer '. .
Water Engineering Backtlow .
Water SerVice . . .
FINAL INSPECTIONS
Electi'ical Final.
Plumbing Final
Mechanical Final
Gas Test
EngilJOOrin!ilGrll!:llng Final 765-5126
Fire Dept. Final 76&-4040
Water Engineering 765-5268
Sub ListiBusiness License 765.519
Zoning 765-5139
Building Fina,ILastlnspeclion-Only '.' .1.1,..../ .a
. .' After Above Complete)' P" - :'\r
PARTIAL INSPECTIONS .
Building Inspections -
";.
Mechanical Inspections
PlumbinQ Inspections.
"-.. .
Electrical' InspeCtions